COPD and Physical activity
Airflow to the lungs is restricted in people with Chronic obstructive pulmonary disease (COPD). It is usually caused and made worse by smoking. Inhalers can help ease symptoms but they do not cure COPD. Breathlessness caused by COPD can be very frightening and as a result many people reduce the amount of activity they do.
In the long term, this physical inactivity not only increases your chance of developing heart and circulation problems but it leads to a feeling of being tired, unfit and even more breathless. Being inactive is one of the strongest predictors for a shorter life if you have COPD. 1 Starting and maintaining regular activity can improve breathing and make day to day activities easier and less frightening. 2
Regular physical activity also gives you more energy, builds confidence and can help you to sleep more soundly at night. You can combine your activity time with family and friends or use it as an opportunity to reflect on things and listen to your favourite music.
Physical Activity Recommendations for inactive adults with COPDAim to do the following three types of activity:
- Aerobic activity at relative moderate intensity for at least 150 minutes (2 hours and 30 minutes) a week – one way to approach this is to do 30 minutes on at least five days each week.
- Muscle strengthening activity on two or more days a week which work all major muscles groups (legs, hips, back, abdomen, chest, shoulder and arms)
- Flexibility exercises on a daily basis
The Three Types of Activity and COPDYou may find the following weekly approach useful if you have been inactive for a while.
Aerobic activityAerobic activity, also known as endurance activity, is when large muscle movements, maintained over a period of time, make the heart and lungs work harder. Activity? – Any type that you can maintain comfortably is ideal. Choose exercises that you enjoy, such as walking, cycling or group fitness classes. Aerobic activities are really important if you want to improve the health of your heart and circulation. How long (duration)? – You can split your total activity amount into minimum bouts of 10 minutes if needed. If you have been inactive for a long time, start with short daily amounts and increase this as your body allows and you feel more confident. Remember not to sit for hours. A regular break from sitting every hour is healthy.
Muscle StrengtheningSimple strength training on at least 2 days a week is important for health. Improved muscle tone can also help you gain better shape and improve the way you look and feel. Some activities, such as climbing stairs, digging the garden or walking up hill, combine aerobic and muscle strengthening types. These activities should work all the major muscle groups in your body such as legs, hips, back, chest, abdomen, shoulders and arms. When strengthening a muscle group, begin by familiarising the movement with little or no load.
Flexibility ExercisesDaily flexibility exercises can prevent pain, stiffness, and injury of muscles and joints. People often experience a sense of wellbeing and relaxation during flexibility exercises. Some quick and simple movements can be found in our separate exercise sheet. Yoga, Tai Chi and Pilates are examples of some activities which combine strength and flexibility as well as balance training. Some people find that Yoga stretches, which are performed in harmony with breathing, are beneficial in COPD.
- If you have led a very sedentary lifestyle, begin by doing low intensity exercise of short duration, e.g. 10 minutes.
- Stop exercising if you feel dizzy, sick, unwell or very tired.
- See a doctor if you are having chest pain, black outs or breathlessness on mild exertion.
- Avoid physical activity if your breathlessness is severe and uncontrolled by your medicines at rest.
- Always have your reliever inhaler with you when you exercise.
- Do a gentle warm up.
- Avoid physical activity if your breathlessness is severe and uncontrolled by your medicines at rest. You may need to be reviewed by your healthcare professional.
- Angina (Coronary Heart Disease)
- Previous Myocardial Infarction (Heart Attack)
- Cardiovascular Risk
- Chronic Kidney Disease
- Chronic Obstructive Pulmonary Disease (COPD)
- Type 2 Diabetes
- Rheumatoid Arthritis
DisclaimerThis leaflet has been provided for information only. ALWAYS check with your doctor if you have any concerns about your condition or treatment. Prescription4exercise.com is not responsible or liable, directly or indirectly, for ANY form of damages whatsoever resulting from the use (or misuse) of information contained in or implied by this information.
- Start Active, Stay Active – a report on physical activity for health from the four home countries ‘ Chief Medical Officers. UK Department of Health, July 2011. www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_128209
- ACSM’s Guidelines for Exercise Testing and Prescription, American College of Sports Medicine, 2009
- Swedish National Institute of Public Health. Physical Activity in the Prevention and Treatment of Disease. Professional Associations for Physical Activity, Sweden, 2010. COPD. 271-281. www.fyss.se