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25 Nov 2004

athsma and exercising
i'm an sthmatic 20 year old.my asthma has been going through relapses and all but now its controlled.i have decided to start exercising.which exercise would u recommend especially becausse i can barely walk fast for two minutes without ending up breathless
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Expert
FitnessDoc
fitnessdoc

01 Jan 0001

Hi Koki

Swimming is the most asthma friendly exercise, and is also a good place to start with exercise. However, the first step in dealing with exercise-induced asthma is to let your doctor (specialist, such as an allergist or pulmonologist) know that you are keen to start exercising. Your overall medication regime may need to be modified, and your doctor will be able to design a treatment plan appropriate to your needs.
The usual test for diagnosing exercise-induced asthma is called an exercise challenge. In an exercise challenge, your doctor monitors the function of your lungs before, during and after exercise. In the doctor's office, the test is usually done on a treadmill or a stationary bike. The doctor watches for a decrease in the amount of air you can forcibly expel from your lungs in one second - your forced expiratory volume (that is the volume of air that you can forcefully expel in one second - FEV1). It's not unusual for a person's FEV1 to decrease a little during exercise, but a decrease of 10% or more is consistent with a diagnosis of exercise-induced asthma. Now that you know what you have, you can take the right steps to control it.

Here are some guidelines to safe exercise with Asthma:
* Pre-medicate shortly before exercise. Your doctor may prescribe medication for you to take before exercise. Inhaled broncholdilators taken 15 minutes before exercise work well for a lot of people. It's important to follow your doctor's advice on when to take these medications so that the drugs can work properly.
* Warm up and cool down. A brief (15 minute) period of stretching, or light cardiovascular exercise such as walking may help your lungs to prepare for the changes that happen to them when you start and stop exercise.
* When it's cold out, cover your mouth. Normally when you breathe your nose and nasal passages, help to warm air before it gets to your lungs. When you exercise you breathe a lot more through your mouth, so your lungs get the job of warming the air instead of your nose. A covering, like a scarf, could help to warm that air a bit.
* Know the other things that trigger your asthma, and continue to avoid them when you exercise. For example, if you're allergic try to exercise indoors on days when pollen counts are high.

The other thing to remember is that you are both starting exercise and dealing with asthma. This is a double challenge. i know people who have started training and who feel like they have asthma just because it's so hard to breathe! So, people will find it very difficult to breathe at first, but with fitness, it gets easier, but you must be patient and persevere

Here is a good exercise programme that I suggest you consider:

http://www.health24.com/fitness/Getting_started/16-474-488,24069.asp

Here you will see a number of options for training programmes. My advice would be to choose the Shape up for Summer programme (the first or second one) and then go for that.

Regards


The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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