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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Home Office How To

Did you know that many sources of chronic pain start in a poorly arranged office? Carpal tunnel, pinched nerves, overuse injuries can often be traced to chairs being positioned improperly or important tools being positioned outside easy reach. While reaching or straining once or twice wouldn't hurt us at all, doing so repeatedly day after day can cause painful and lasting injuries.

As an occupational health physician at Southwestern Vermont Medical Center, one of my responsibilities is to help employees of SVMC and other companies who have workplace injuries and recommend the adjustments they should make.

During a spike in work-from-home arrangements, I have heard about friends’ and family members' work-from-home set-ups. Some are working from laptops on their couches. Others are set up at kitchen tables. We know that their cats walk across their keyboards and their kids interrupt. Especially since Governor Scott has just indicated that remote workers will likely be the last to return to the traditional workplace, it's time to get our home office arrangements figured out.

That's why I would like to share the important details you need to arrange a healthful workspace and encourage all to invest the time (and sometimes a little bit of money) needed to implement them. Learning these points is key to avoiding injuries, as continued work-from-home policies, where feasible, will help maintain appropriate distancing needed to decrease the spread of COVID-19.

An adjustable chair is the first and most important component of an office set-up. Office chairs include crucial lumbar support and encourage good posture. When your forearms are resting on your desk or table, adjust the chair height up or down until your arms form a right angle. This is an important step in avoiding wrist pain and carpal tunnel, two of the most common office injuries. If, when your arms are in the correct position, your feet are not touching the floor, employ a footstool.

Position your monitor an arm’s length away. (If you can't see the screen from this distance, better go get an eye exam!) And raise the screen so that the top of the screen is eye level. This, too, will encourage good posture.

If you use two monitors, positioning them properly depends on how you use them. If you use them equally, the dividing line between them should be right in front of you. If you use one primarily and the other secondarily, position the more dominant screen directly in front of you. If you use a laptop, consider investing in a riser and an additional keyboard needed to raise the screen to eye level.

Put all of your other tools, including your mouse and phone, within easy reach. If you use the phone a lot, consider investing in a headset.

The only other recommendation I make is to stretch every 15 – 20 minutes. A list of helpful office-oriented stretches is available here. And every hour, be sure to get up and take a short walk or standing stretch.

If you follow these recommendations at home, you will be much more comfortable and are likely to be more productive, too, all while maintaining the social distance we need to keep COVID-19 infections low throughout this next phase of the pandemic. Most importantly, you will save yourself the pain and discomfort of office injury no matter where you're working.

Mark Zimpfer, MD, is a physician at Southwestern Vermont Medical Center's Occupational Health practice. 

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