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Idiopathic Pulmonary Fibrosis

Jeremy Feldman, MD

  • What is Idiopathic Pulmonary Fibrosis?
    • Idiopathic Pulmonary Fibrosis Definition
    • Symptoms of Idiopathic Pulmonary Fibrosis
    • Causes of Idiopathic Pulmonary Fibrosis
    • Who Gets Idiopathic Pulmonary Fibrosis
    • Gastro-Esophageal Reflux (GER) and Idiopathic Pulmonary Fibrosis
    • Interstitial Lung Disease vs. Idiopathic Pulmonary Fibrosis
    • Is Pulmonary Fibrosis Hereditary?
    • Research, Life Expectancy and Prognosis for Idiopathic Pulmonary Fibrosis
  • Diagnosing & Monitoring PF
    • Monitoring Progress of IPF
    • Idiopathic Pulmonary Fibrosis Diagnosis
    • Chest X-rays Used in IPF
    • CPET used in IPF
    • HRCT Scans Used to Evaluate IPF
    • Lung Biopsy To Diagnose IPF
    • Pulmonary Function Tests (PFTS)
    • Six Minute Walk Test To Monitor IPF
    • Stages of Idiopathic Pulmonary Fibrosis
    • Complications of Idiopathic Pulmonary Fibrosis
  • PF Treatment Options
    • Esbriet (pirfenidone) Used to Treat IPF
    • OFEV (nintedanib) Used to Treat IPF
    • Pulmonary Rehab for IPF Patients
    • Lung Transplantation for Pulmonary Fibrosis
    • Oxygen Used to Treat IPF
      • Update on Oxygen Use
    • Clinical Trials in Idiopathic Pulmonary Fibrosis
    • IPF & Leg Swelling
    • Pulmonary Hypertension and Idiopathic Pulmonary Fibrosis
    • IPF Exacerbation
  • PF Advocacy & News
  • FAQ’s
    • Respiratory failure, NSIP, diet
    • Leg swelling, lung biopsy, side effects & pets
    • FAQ’s Enzyme Therapy, Progression of IPF & Oxygen
    • FAQ: Diarrhea, Fibrosis Reversal, IPF Symptoms
    • FAQ: Oxygen Flow, Anesthesia & Genetics
    • FAQ: Contagious Cough? Stem Cells, Familial IPF, Flying
    • FAQ: GERD, Fatigue & Environmental Exposure
    • FAQ: How to Travel to Your Doctor’s Office with Oxygen
    • FAQ: Lung Biopsy with Pulmonary Fibrosis
    • FAQ’s: Alcohol, Clinical Trials, Pulmonary Function Testing
    • FAQs: Emphysema, Exercise & Lung Biopsy

Exercise and Pulmonary Fibrosis

April 21, 2017 By Dr. Jeremy Feldman

exercising & walking with Pulmonary Fibrosis

If you have pulmonary fibrosis, even activities of daily living, such as showering and doing housework, may leave you short of breath. Because of the breathlessness, exercise may not be on the top of your to-do list. In fact, some people with PF may avoid physical activities as much as possible to prevent air hunger. But exercise can be beneficial for people living with pulmonary fibrosis.

Exercise Benefits for People with Pulmonary Fibrosis

Although exercise will not repair damaged lung tissue, it can have several benefits for people with pulmonary fibrosis. Exercise can have both physical and emotional benefits, such as:

  • Improved cardiovascular health: Aerobic exercise can strengthen your heart. The stronger your heart is, the more efficiently it pumps blood throughout your body and utilizes the oxygen available.
  • More energy: It might seem logical that exercise would only increase your fatigue when you have pulmonary fibrosis. But moderate exercise can have the opposite effect and help you feel more energetic.
  • Improves muscle strength: Exercise can also improve muscle strength, which can decrease fatigue and make it easier to complete certain tasks.
  • Improved mood: Exercise may increase the production of endorphins, which are a natural mood booster. Exercise can also help combat stress.
  • A sense of accomplishment: When someone has a chronic disease, such as pulmonary fibrosis, it’s common to feel a loss of control. Your body may not respond how it used to, which is difficult to accept. Exercise can give you a sense of accomplishment and control.

Components of an Exercise Program

An exercise program for people with pulmonary fibrosis should include aerobic exercise, strength training, and flexibility exercises. Aerobic exercise can include activities which increase your heart rate, such as the treadmill, stationary bike or upper body cycle aerometry. Strength training can be done with hand weights, resistance tubing and weight machines. Flexibility exercises include stretches to increase your range of motion.

Tips for Exercising with Pulmonary Fibrosis

Like most things in life, you can get too much of a good thing. Light to moderate exercise that does not cause your symptoms to become worse is beneficial, but overdoing it is not helpful. It’s also important to consider the following:

Get the green light from your pulmonologist: Although exercise is usually safe for people with pulmonary fibrosis, it’s always best to talk with your pulmonologist. There may be some circumstances in which you should avoid certain types of exercise or limit what you do.

Progress slowly: Slow and steady is best. Increase your exercise intensity and duration gradually. Also, do what you can when you can. On days you feel stronger, do a little more. But it’s also essential to listen to your body. Don’t beat yourself up if you have a day when you can’t do as much.

Consider a Pulmonary rehabilitation program: Although exercising at a fitness center or going for a daily walk may work for some people, an exercise program specifically for people with lung disease may be your best option.  Pulmonary rehabilitation programs are often run by respiratory therapists and exercise physiologists who are experienced working with people with chronic lung disease, such as pulmonary fibrosis.

Pulmonary rehabilitation programs usually combine instructor-led exercises classes with education on living with lung diseases. During exercise sessions, your symptoms, heart rate and oxygen levels will be monitored to alert your instructors to any problems.

Pulmonary rehabilitation is an excellent way to learn more about your condition. The more information you have, the better you can manage pulmonary fibrosis.  If you’re interested in locating a pulmonary rehabilitation class near you, talk to your pulmonologist.

 

Content written by Dr. Jeremy Feldman, an expert in Idiopathic Pulmonary Fibrosis, with contributions by MaryAnn DePietro, B.S. CRT, a licensed respiratory therapist. 

Filed Under: Physical Activity

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  • What is Idiopathic Pulmonary Fibrosis?
    • Symptoms of Idiopathic Pulmonary Fibrosis
    • Causes of Idiopathic Pulmonary Fibrosis
    • Who Gets Idiopathic Pulmonary Fibrosis
    • Gastro-Esophageal Reflux (GER) and IPF
    • Interstitial Lung Disease vs. Idiopathic Pulmonary Fibrosis
    • Is Pulmonary Fibrosis Hereditary?
    • Research, Life Expectancy & Prognosis for Pulmonary Fibrosis

Diagnosing IPF

  • Idiopathic Pulmonary Fibrosis Diagnosis
    • Chest X-rays Used in IPF
    • CPET used in IPF
    • HRCT Scans Used to Evaluate IPF
    • Lung Biopsy To Diagnose IPF
    • Pulmonary Function Tests (PFTS)
    • Six Minute Walk Test To Monitor IPF
    • Stages of Idiopathic Pulmonary Fibrosis
    • Complications of Idiopathic Pulmonary Fibrosis

Treating IPF

  • Pulmonary Fibrosis Treatment Options
    • Esbriet (pirfenidone) Used to Treat IPF
    • OFEV (nintedanib) Used to Treat IPF
    • Pulmonary Rehab for IPF Patients
    • Lung Transplantation for Pulmonary Fibrosis
    • Oxygen Used to Treat IPF
    • Clinical Trials in Idiopathic Pulmonary Fibrosis
    • IPF & Leg Swelling
    • Pulmonary Hypertension and Idiopathic Pulmonary Fibrosis
    • IPF Exacerbation

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