Activity and Exercise It is important for you to get active. Get more exercise. You may choose between cycling or walking as your main exercise. Benefits of regular exercise These exercises promote cardiovascular fitness. They have been shown to reduce the risk of heart disease. walking running jogging cycling swimming dancing Cardiovascular fitness allows you to exercise longer. It also allows you to respond to sudden physical or emotional demands without getting so tired. Physically fit people have more endurance or stamina. They are able to supply more energy to their muscles and work harder with less effort. How to stay motivated to exercise Beginning an exercise program is not easy. It is even harder to keep it up in the months and years ahead. Once the newness of exercise wears off, it is easy to neglect. When you really understand how important it is for your heart, it’s easier to make exercise a priority. Make exercise more fun • Select an activity that is both practical and enjoyable. • Set long-range as well as short-term goals for yourself. Examples are distance walked, pounds lost, or miles biked. • Do your exercise with neighbors, friends, and family members whenever you can. • Set aside specific times and days of the week to exercise. • Remember that you will feel like exercising some days more than others. • Be patient! It may take two months to a year to develop a higher level of cardiovascular fitness. • Include both a warm-up and cool-down in your routine. • Be positive. Don’t despair over missing a day. • Establish a reward system. Give yourself a prize for success. Good examples are a new pair of shoes, exercise wear, or dinner at your favorite restaurant. • Use quality exercise equipment and shoes. • Exercise to music. • Realize that you control the success of your exercise program. Stretching When the muscles around a joint move and lengthen normally, the joint can go through its full range of motion. Walking, jogging, bicycling, swimming, and other similar exercises tend to page 1 of 2 pages This is for education only. Ask your own doctor any questions you have about your health. © 2008 by Vanderbilt University. All rights reserved. Vanderbilt Medical Center Patient & Family Centered Care HC-0019 06/09 shorten your muscles. Stretching before and after you exercise will keep you more flexible and prevent soreness and injury. Flexibility the ability to move your hips, knees, shoulders, back and other joints as far as your body was made to move them Benefits of stretching helps surgical incisions to heal reduces muscle tension improves coordination prepares and warms the muscles to accept more strenuous exercise How to do your stretches • Do all stretches slowly from beginning to end. Do not bounce. • Stretch until you feel mild tension. Do not go any farther. • Hold each stretch for 5-10 seconds. Then relax. • Breathe with a normal rhythm as you stretch. Do not hold your breath. • Stretch before and after each workout. About walking • It is very important to do your warm-up and cool-down exercises or stretches before you walk. • Walk at a comfortable pace. Do not become so breathless that you cannot have a conversation. • Walk when you are rested. • Avoid walking immediately after meals. Wait at least one hour. • Avoid walking or cycling outside when it is very hot or cold. During these times, try walking in a mall instead. Goals for walking Week 1:Begin with a 5-10 minute walk twice a day Week 2: Build to a 10-20 minute walk twice a day Week 3: Build to a 20-30 minute walk daily Call your doctor if you have any of these symptoms during or after exercise • light-headedness or dizziness • loss of balance • nausea or vomiting • feeling very tired longer than 24 hours • pale, cool skin • irregular heart beat or pulse • an unusual joint, muscle, or ligament problem Call 911 or go to your local emergency Stretching helps you “tune in” to your body. Make sure you do each stretch properly. Stretches should never cause these symptoms. Tell your nurse or therapist if you have • shortness of breath • dizziness • chest pain • severe muscle pain number if you have • chest discomfort whether or not it moves out to your neck, ears, jaw, teeth, arms, stomach or back • uncomfortable shortness of breath that lasts more than 10 minutes • pounding heart, called palpitations page 2 of 2 pages Patient & Family Centered Care HC-0019 06/09