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                    Aerobics

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                    Aerobic exercise is cardiovascular conditioning that uses both arms, both legs or all four limbs for at least 20 – 30 minutes continuously. 

                    This type of exercise is part of a well-rounded fitness program, along with strengthening, flexibility and balance exercises. It builds your energy reserves beyond what your body requires for daily activities, improving your function and quality of life.

                    It is best to choose a weight-bearing activity such as dancing, walking, stairs, cross-country skiing, dancing or Zumba.

                    The following resources are designed to be used as part of the osteoporosis program at the Misericordia Community Hospital under the guidance of a physical therapist. For your safety, consult with a physical therapist before using them.

                    Frequency, duration and intensity

                    During aerobic exercise, you should aim for moderate to vigorous intensity. You should work at a level where you feel your heart is beating faster and you are breathing harder. You should still be able to talk.

                    You should aim to do aerobic exercise at least five days per week, 30 minutes each day. If 30 minutes at once is too much, you can break your exercise into 10-minute sessions throughout the day to reach your exercise goal. 

                    You should get a total of 150 minutes of moderate activity, or 75 minutes of vigorous activity, per week. 

                    How to avoid injury

                    Follow these guidelines to stay safe during aerobic exercise:

                    • warm up properly before exercising
                    • avoid exercising immediately after meals
                    • build up your level of activity gradually
                    • listen to your body for early warning pains
                    • wear light, loose-fitting clothing that is appropriate for the weather

                    Wear proper footwear

                    Your footwear should have:

                    • a firm heel that doesn’t allow the back of your foot to lift out of the shoe when you walk
                    • a flexible center so the sole bends easily from heel to toe
                    • room in the toe area
                    • a low heel (less than one inch)
                    • adequate cushioning in the heel and sole

                    When to talk to your doctor

                    Talk to your doctor about aerobic exercise if you:

                    • have a heart condition
                    • are older than 45
                    • are between 35-45 and have risk factors such as smoking, low back or other chronic joint pain, elevated cholesterol, obesity, diabetes or a family history of heart disease

                    Walking programs

                    A walking program is one of the simplest ways to reach your aerobic activity goals. The program should include a warm-up, a middle portion of the walk where the intensity is harder, and then a cool down period. Your walking time should increase over time.

                    Intensity

                    Monitor the intensity of the middle portion of your walk. You can use the talk test or the rate of perceived exertion scale to decide if you are working at a level that is benefiting your heart and lungs. 

                    Talk test

                    You should be able to carry on a conversation during your walk. Your sentences may be shorter, but you shouldn’t be so short of breath that you can’t talk.

                    Rate of perceived exertion scale

                    You should be working at a level 4 – 6 during your walk.

                    • Level 1: resting or very light activity (ie. a very slow walk)
                    • Level 2 – 3: light or very easy activity (ie. a slow walk)
                    • Level 4 – 6: moderate activity, breathing heavily, but can hold short conversation (ie. walking like you are late for an appointment)
                    • Level 7 – 8: vigorous activity, very short of breath
                    • Level 9: very hard – difficult to maintain
                    • Level 10: maximum effort, very out of breath

                    Tips for your walking program

                    • Begin slowly and build gradually in duration and intensity as tolerated.
                    • Drink plenty of water before and after you walk.
                    • Keep a diary to track your progress.
                    • Schedule walks on a calendar.
                    • Set goals and reward yourself.
                    • Get a good, well-fitting pair of shoes.
                    • Join a walking club or walk with a friend.

                    Walking poles

                    You can use walking poles for balance or to increase arm use. To use them safely, you should:

                    • check that all fastenings and screws are tight before each use
                    • not use the wrist strap
                    • adjust the poles to the right height for you
                    • consider using a wider base for the poles

                    Posture and form while walking

                    Posture

                    • hold your head up, not tilted
                    • look straight ahead and do not slouch
                    • focus on a distance about 30 feet ahead
                    • keep your stomach muscles working

                    Arm swing

                    • keep your elbows at a 90-degree angle
                    • make short, fast swings with your arms
                    • keep your fists loosely curled and your arms close to body

                    Stride

                    • take straight leg strides with your legs fully extended
                    • keep your knees relaxed, not locked
                    • do not take longer steps, just faster ones
                    • try to make your movements smooth

                    Feet

                    • push off from the ball of your foot
                    • land on your heel
                    • roll through your foot

                    Sample walking program

                    Your goal is to be walking 30 minutes at a time, five days a week.

                    Week 1    

                    • Warm up: five minutes
                    • Mid portion: five - 10 minutes 
                    • Cool down: five minutes

                    Week 2  

                    •  Warm up: five minutes
                    • Mid portion: 10 - 15 minutes 
                    • Cool down: five minutes

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