Overcoming Barriers to Exercise
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/ Categories: WELLNESS, 2022

Overcoming Barriers to Exercise

We all know exercise is good for us. In fact, if the positive effects of exercise could be put in pill form, it would be the most powerful drug on the market, preventing nearly every major chronic disease. But fitting exercise into our busy lives can seem impossible. Getting the recommended minimum amount of exercise takes determination and a little creativity. By shifting your outlook, you can build some healthy habits over time and be on your way to a healthier and more active life.

First let’s talk about how much exercise is recommended. Health professionals, including those at the Centers for Disease Control, suggest people get at least 150 minutes of moderate intensity aerobic activity per week. This equals 30 minutes, 5 days per week of “cardio.”  Cardio gets you breathing harder, your heart beating faster, and breaking a sweat. The talk test is a simple way to measure this. In general, if you’re doing a moderate intensity activity you can talk, but not sing, during the activity. Examples include walking briskly, water aerobics, riding a bike on level ground, and gardening. 

Now that you know what’s recommended, let’s address how you fit these workouts into your life. People cite a list of common barriers or reasons they don’t exercise as much as they know they should.

Time. We are all very busy, and many people say that they can’t find the time to exercise. One of the easiest way is to get up 30 minutes earlier. Time that you would usually be sleeping offers few appointments or other distractions. Note that you may need to go to bed earlier too, to ensure you get enough sleep.

If the morning workout doesn’t work for you, try getting three 10-minute sessions, instead. You could walk during a lunch break, ride a stationary bike during commercials while watching a favorite show, or have a mini dance party while waiting for dinner to cook (kids, especially, are eager to join in on this one!) These are just a few examples of 10-minute spans of time you could use to reach your 30-minute goal. Use your imagination!

Motivation. For many people, the type of exercise they choose and the people they are exercising with need to be fun and engaging. Consider joining a local running, skiing, or hiking group, or a bowling league. Plan social activities involving exercise, including a family hike, sledding party, or snowshoeing adventure. That way, it is not just exercise; it is exercise and entertainment. And exercising with people you enjoy is good not only for physical health but social and emotional health, too. The more benefits you see, the more likely you are to do it!

Technology offers new tools people use to stay motivated. Explore the many fitness and activity trackers or smartphone apps, like Map My Run, which offer fun and interactive challenges and help you see the progress you’re making. And don’t underestimate a great playlist of your favorite music to keep you moving.

Money. You may be thinking, “I don’t have the money for all this!” Many forms of exercise—including walking, climbing stairs, jogging, and running—require little equipment other than a good pair of sneakers. Look for free exercise classes like Bone Builders. If you are a Vermont woman, contact You First, a program that provides free gym memberships and other benefits to low- and middle-income women who qualify. Plus, many gyms offer discounted rates based on income or for residents, families, seniors, and employees of the area’s major employers. You may need to make a small investment, but it is worth it!

Weather. Winter in Vermont can seem to last forever. There are many ways to stay active when it’s cold or rainy. If you enjoy walking outside in the summer, dress for the winter weather, bundle up, and go! The streets can be very peaceful in snowy weather.  Ice cleats on your boots and hiking sticks with ice pick tips can help prevent falls outside. Snowshoes allow you to explore snowy areas and the resistance snow provides, like sand on a beach, actually improves your workout. Many libraries lend snowshoes for free. You can also beat the cold weather by purchasing used (often barely used) indoor exercise equipment. Even new equipment, which is often on sale this time of year, can be worth the investment, if you are able to afford it.

Fear of Injury: For those with injuries in their past, exercise can seem risky. But, for almost everyone, the health benefits of physical activity far outweigh the risks of getting hurt. If you have an injury or chronic disease, talk with your doctor about your concerns. They will give you tips and encouragement to get started or recommend a specialist who can help you on your way. For instance, if you are struggling with arthritis, back pain, musculoskeletal injuries, or impaired balance, a referral to a physical therapist can help you develop ways to be as active as you can be and establish an individualized home exercise program. 

Those with trouble breathing might benefit from a pulmonary rehabilitation program, which combines exercise and education specifically for people with chronic lung conditions. Those with a history of heart disease may qualify for cardiac rehabilitation. In both programs, highly skilled clinical professionals monitor your vital signs to ensure you are exercising safely and give you confidence to exercise on your own.

Now, with the knowledge to overcome the most common barriers to exercise, you are ready to make an exercise plan that will work for you. Remember, physical activity is the closest thing we have to a wonder drug. All it takes is some creativity and determination. Here’s to a happier, healthier and more active you!

Caitlyn Boyd, DPT is a staff physical therapist and the Pulmonary Rehabilitation Program Coordinator at Southwestern Vermont Medical Center in Bennington, VT.  For more information about community exercise options and physical therapy, cardiac rehabilitation, or pulmonary rehabilitation services, please contact Caitlyn at (802) 447-5140 or Caitlyn.Boyd@svhealthcare.org.    

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Cautious Entertaining

After almost 3 months of staying home and with the weather getting nicer, many of us are itching to invite friends over and catch up. While this is a natural inclination, it should be approached with significant caution. COVID-19 is still circulating. If you are planning to host, follow these helpful tips for a safe gathering at your home.

Keep the numbers small. Invite as few people as possible. One-on-one meetings are safer than group gatherings. The recommendations from Vermont Governor Phil Scott recommend 25 or fewer. I would still aim for fewer than 10, especially depending on the size of your entertaining space.

Choose invitees carefully. You should know almost everything about the socializing habits of the people you are inviting. Your guests should be as careful in their social interactions as you are in yours. You should also trust that your guests would be cancel if they were feeling ill, as should you if you are suddenly symptomatic. Those at high risk, due to age or a medical condition, should be very careful about hosting or accepting invitations.

Stay outside. Outdoor air movement disperses aerosolized particles more readily than indoor environments. And plenty of space outside allows guests to stay distanced. UV light, like the rays found in sunshine, may also provide some small benefit. It has been shown to decrease the viability of the virus on objects, but it is not yet clear how intense the light must be and for how long the object needs to be exposed in order to kill the virus.

Keep it short. Duration of exposure to others has been identified as a key risk factor. The longer you are near someone shedding the virus, even if they don't have symptoms, the greater your likelihood of catching it yourself. While it is awkward to say that you are inviting people over for a 10-minute chat in the driveway, this is certainly among the lowest-risk types of socializing.

Clean beforehand. If you expect guests to touch anything, the arms of patio chairs, for instance, wipe them down in advance. Ask everyone to sanitize or wash their hands as they arrive, if they touch their face, and about every hour or so.

Stay distanced and masked. People standing tend to drift. Place chairs 6 feet apart so that people will be more likely to stay apart. Unless you are eating, keep your masks on. Share this expectation in advance, so your guests bring their masks with them.

Limit contact points. If you are preparing food, be sure to wash well before cooking and ensure everyone has a portion of his or her own. Forget about platters of vegetables or bowls of chips everyone shares and even buffets, where people share spoons and tongs.

Clean after. Wipe down anything your guests may have touched after they leave.

Keep track. Be sure to take note of who was there, the date of the social event, and each guest's contact details. If any one of the attendees becomes ill with COVID-19 or learns that they may have been exposed at the time of the event, they will be able to reach out directly to the others and to share information readily with contact tracers.

With these tips, you can host a relatively safe get-together and relieve some of the social isolation of the past several weeks. Do know, however, that no party—regardless of how careful—is risk free. Weigh the risks, decrease those you can, and then, try to have fun.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center.

 

 

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