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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Meet Dr. Disha Spath

Dr. Disha Spath, an internal medicine physician originally from Georgia, was excited to start a new position at Twin Rivers Medical, P.C., in Hoosick Falls, NY, on April 20th. But then COVID-19 struck. As practice appointments plummeted and the potential for a surge of COVID-19 patients rose, Dr. Spath volunteered to take a temporary assignment serving in-patients with SVMC’s Hospital Medicine Department.

SVMC: Already new to the health system, what was it like to have your plans change from practice-based medicine to hospital medicine so suddenly?
DS: Well, to be honest, it was a little scary given the times. I had to come to terms with the fact that I could possibly expose my family to SARS-CoV-2. My husband and I had some tough conversations and came up with a risk-mitigation strategy… [Then] I actually reached out to Trey, [the chief medical officer,] and volunteered to help out in the hospital. I've been a primary care physician recently, but I'm not too far removed from hospital medicine. In fact, I was already planning on picking up some per diem hospitalist work later this year. I just decided to move the timeline forward a bit to help with COVID-19.  This is what I'm trained for. I felt it was my duty to step up and help during the pandemic.  

SVMC: How has it been working with the hospitalists to treat both COVID and non-COVID patients?
DS: The hospitalists have been so kind and generous. They have really taken the time to bring me up to speed with the hospital and have been very gracious with training me on the computer system. I am really thankful that they have included me in their top-notch team. I'm also so very impressed by how involved and thoughtful the leadership is. The way the hospital leadership has ensured adequate PPE for staff and has created the workflows so quickly to deal with COVID-19 is truly inspiring.  

SVMC: What have you noticed or learned about the culture of the health system or the area?
DS: I am really struck by how everyone is so interconnected and how supportive the community is of its healthcare staff. It is very touching to see all the donations of homemade masks, skullcaps, and food to the hospital. I also love that the hospital staff seems to know their patients' home situations and their medical histories so well. 

SVMC: How do you expect your work at Twin Rivers will be affected by your having started your position at the hospital?  
DS: Yes, since hospitalists and primary care physicians often hand off patients, I'm really looking forward to building rapport with the hospitalists. I'm also hoping to meet the specialists I will be referring to. It will be helpful to have an insight into the workflow of the hospital when I refer patients for admission. And I'm already starting to meet some of our lovely patients in Hoosick Falls. Overall, I believe this will be a really positive thing for my work at Twin Rivers. I'm honored to join the area and I hope I can contribute positively to this special community.  

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