Answer : Rebecca Seguin, PhD, an adjunct assistant professor at Tufts Friedman School and an assistant professor at Cornell University, replies: COPD is a group of diseases, including emphysema and chronic bronchitis, that cause restricted airflow in the lungs. It also leads to greater strain on the heart, because the amount of oxygen in the blood is reduced. For individuals with COPD, shortness of breath is the most common symptom, and it becomes progressively more severe over time in many people. While it may seem difficult for someone with COPD to start an exercise program, it is actually essential to maintaining and improving daily function.
“To get started, anyone with COPD should first get approval from his or her doctor. Next, if a formal program-often referred to as pulmonary rehabilitation-is available, that is an excellent choice. There will be exercise physiologists and/or nurses on staff within those programs who have specific training in working with patients with COPD. The other benefit is close monitoring and feedback during supervised exercise sessions. If the program is not an option (or ends), exercise on ones own is the next best choice. The key is to start any new program slowly, with small but gradual progression in terms of exercise intensity and duration. Walking is a great choice for most people. Activities such as stretching, strength training, and Tai Chi are also recommended. Aim to exercise every other day (three to four days per week), working up to 20-30 minute sessions.
“One important tip for people with COPD to keep in mind is breathing. Because shortness of breath and use of oxygen can be an issue, breathing slowly and gently is very important. Inhale through the nose, and gently exhale through pursed lips. Slowly breathing in this pattern will help give the body the steady flow of oxygen that it needs. While all people benefit tremendously from regular exercise, people with COPD stand to gain additional benefits that can help them manage their COPD over time, such as improving the bodys use of oxygen and having increased energy so that regular activities are easier and shortness of breath is less limiting.”