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Exercise Considerations for Disease States

A healthy lifestyle is a great goal whether you have a chronic disease or not. There are many activities that you can participate in even if you have a disease or health condition. It can be helpful to take the time to learn exercise modifications you can make if you have a health condition. The following are some conditions that may need exercise modifications.

With all the states of cardiac disease and even some medications, you may wonder if you can start an exercise program. First, check with your doctor to make sure it is safe for you to exercise. If it is deemed appropriate, there are some guidelines that your doctor might ask you to follow. Get confirmation from your doctor before lifting any weights. Start slow and gradually increase your pace and duration with a light activity such as walking or using a stationary bike. Be sure to notify your doctor if you have excessive shortness of breath, chest discomfort, palpitations that do not go away, or increasing fatigue. If so, stop your exercise right away and call either 911 or your doctor depending upon the severity of your symptoms.

For people with diabetes, exercise can help with lowering blood sugars and boosting sensitivity to insulin. However, if you are on insulin or other medications that tell your pancreas to release insulin, you are at greater risk for low blood sugar (hypoglycemia) during exercise. Make sure to test your blood sugar before exercise and talk to your doctor about if you should adjust your medication or carbohydrate intake prior to your activity to prevent low blood sugar.

If you have osteoporosis, it is important to avoid high-impact exercises that involve running, jumping, jerking, or rapid movements that can lead to fractures in weakened bones. Instead, participate in activities that can support your bone density and muscle tone such as:

    • Light to moderate weightlifting to help maintain muscle tone for strength.

    • Weight-bearing aerobic activities such as walking, dancing, and stair climbing to help maintain bone density.

    • Flexibility through daily stretches that help build your full range of motion. Avoid bending or twisting at the waist which could put stress on your spine. 
    • Stability exercises will help improve your balance and reduce your risk of falling and getting a fracture. Try activities like tai chi to work on your balance.

Always remember to talk to your doctor about your specific conditions and get their approval before starting a new exercise regimen.