Walking for Exercise with COPD

BonzaiDuck

Lifer
Jun 30, 2004
15,936
1,581
126
When my sweet old Moms died at 98 and a half years of age, it dawned on me that she had not had the discipline to exercise daily, and this lack of exercise contributed to her dementia and in the end -- Alzheimers. I also feel bad, because I'd been a "wilderness hiker" but I simply became a couch potato when it was no longer easy or possible to go to the woods. that was in 2005, when Moms insisted I could not stray too far. She stopped driving her car then.

She had actually bought an "exer-cycle" and parked it in the den room where she spent much of her waking time. It wasn't a Peloton -- a good thing, because she didn't have any small children to feed it. But thinking back, from the time I arrived here in 2000, I never saw her use it. I feel bad for my thoughtlessness. If I had understood why seniors need regular exercise, I would've got Moms to go to the local park with me and walk a mile daily.

When Moms punched her last ticket back in October, I started trying to get exercise again, walking a half-mile loop on our street and steep hill. Then, I took a three month break. I resumed probably beginning in April. I had been diagnosed with COPD some years ago, and prescribed Trelegy Ellipta. I've also got type 2 Diabetes, and I take blood pressure meds. But I finally got serious about exercise, and in April, I started driving down to a small local park to walk.

CDC and HHS say that seniors need to walk a mile per day or 150 minutes per week for adequate exercise. The park has a peripheral path that is a third of a mile around. Three loops is a mile. Once I had mastered a mile at a time, I started doing two miles, and sometimes three. For each extra mile, I give myself one couch potato credit, or CPC, which I can spend by taking a day off from exercise. I'm currently trying to decide how to expire these CPCs. I mostly insist on walking every day.

At first, I would walk so far and begin to experience dyspnea -- a shortness of breath that almost feels like suffocation. This is a disincentive to exercise for the COPD patient. But now, I can knock out a mile without coming even close to this feeling. Even so, I will take a five minute rest every turn around the park -- an extra 15 minutes for a mile that theoretically should take me 20 minutes.

I use the GOOGLE FIT app on my cell-phone. Because it takes longer for me to complete a mile (or two) than the usual expectation for 20 minutes per mile , the app only awards me a single "heart" credit. I'm wondering, with the rest breaks, if I'm really getting adequate exercise. I'm improving on the time factor, even so.

But because of the COPD, I'm wondering if I'm really "getting enough exercise". After my family died, I felt like I needed a "purpose in life" -- which had previously been "taking care of Moms and Bro". After some experiences with depression, I realized that the exercise helps reduce that condition immensely. And I defined a new "purpose in life": to walk as much as I could every day.

The blood pressure is lower. Blood oxygen saturation is up to 96 at rest. I don't pee like a diabetic -- urination is pretty normal now. But I still wonder if this exercise will "save me".

UPDATE: I discovered this morning that eliminating rest breaks and knocking out a mile in less than 35 minutes adds those "heart" credits in greater amounts -- today I got 7. This has raised my confidence.
 
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skyking

Lifer
Nov 21, 2001
22,434
5,443
146
you are on the right track, no pun intended.
I have bouts of lethargy bordering on depression. I have begun ramping up my exercise again and the results are similar. I feel better and more inclined to do more.
It is likely that you will reduce your insulin dependence over time with this strategy, no kidding.
I am on a keto diet program that was originally designed for pre-diabetic people. I have good A1C and no pre-diabetes, but they opened up the program to obesity last year and I took advantage of it. I get it free with my union medical coverage.
Check this out:
https://www.virtahealth.com/

It may be completely covered by your insurance, @BonzaiDuck
What happens is you apply, then get an intake consultation with a nurse who charts everything. A remote doc looks at your charts and blood work and they send you a scale, a combo glucose/ketone meter and other supplies. You eat real food, nothing is provided but coaching and recipes and the like.
 
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BonzaiDuck

Lifer
Jun 30, 2004
15,936
1,581
126
you are on the right track, no pun intended.
I have bouts of lethargy bordering on depression. I have begun ramping up my exercise again and the results are similar. I feel better and more inclined to do more.
It is likely that you will reduce your insulin dependence over time with this strategy, no kidding.
I am on a keto diet program that was originally designed for pre-diabetic people. I have good A1C and no pre-diabetes, but they opened up the program to obesity last year and I took advantage of it. I get it free with my union medical coverage.
Check this out:
https://www.virtahealth.com/

It may be completely covered by your insurance, @BonzaiDuck
What happens is you apply, then get an intake consultation with a nurse who charts everything. A remote doc looks at your charts and blood work and they send you a scale, a combo glucose/ketone meter and other supplies. You eat real food, nothing is provided but coaching and recipes and the like.
I'm determined. The latest obstacle is the Southern California summer weather. The blessing of "June Gloom" in Riverside mornings seems to be waning fast. So now, my plan is to get up at 5:30AM or 6AM, take my meds and inhale my Trelegy, fire up the old Trooper and drive to the park to start my walk early.

I took a couch potato credit this morning, since I'd done 2 miles day before yesterday. So tomorrow, I'll try for 2 miles again.

With the exercise, I'm not as keen on watching my diet. I still do the Cheerios, pecans, banana and milk breakfast. Today I bought a "d'Sicilian" foot-long -- there are about six bites left as it sits on the little table near my TV throne.

Here's a question that ordinarily wouldn't fit in this forum: Why doesn't Anandtech Forums have as forum for "Personal Finance"?

Anyway, extra exercise brings extra appetite, and extra appetite means increased spending on carry-out food. Increased spending? I shouldn't have a worry in the world after cashing out my Virginia property and stuffing it into CDs, Guided growth fund and a sweep/savings account that earns 4.7%. I should just keep exercising, as I continue making plans on buying a new ride next year.

But the COPD is frustrating, even as I"m making "breath-taking" improvements!
 
Reactions: VirtualLarry

skyking

Lifer
Nov 21, 2001
22,434
5,443
146
I hang out at an early retirement forum for that. I did not exactly retire early tho.
 

BonzaiDuck

Lifer
Jun 30, 2004
15,936
1,581
126
I hang out at an early retirement forum for that. I did not exactly retire early tho.
Oh . . . you mean the "personal finance" forum idea? What's the link to the "early retirement forum"? I raised this question because I may have personal wisdom worth sharing, with the humility such that I seek the wisdom of others.
I just went to the park this morning (before the So-Cal temperature warmed up) and knocked out another mile -- 1.16 miles in 34 minutes. It should take less than 34 minutes, but I'm old, didn't get real exercise for 19 years, I have COPD and my muscles in the calves are sore.

So why would Google Fit (the app) tell me Friday that I got 7 "heart" credits for walking 1.16 miles in 34 minutes, but today I only get 1 credit?
 

BonzaiDuck

Lifer
Jun 30, 2004
15,936
1,581
126
I'd like to say I'm inspired or encouraged that I can now walk a mile-and-a-half punctuated by occasional 2-minute pauses to catch my breath a bit.

Dyspnea is -- as I see or define it -- a condition where a person almost feels like they're suffocating. This is the obstacle to getting exercise with COPD. What I experience now is simply reaching a point where I need to pause and catch my breath a bit -- before the exercise and breathing become really uncomfortable. This has been great progress for me. The pauses I make while walking continue to be fewer and farther between with each passing day.

But I see people on the trails in the morning who are running, and I wish I was able to do that. I think it is an obtainable goal for me to be able to walk more than a mile without any pauses.

I'm wondering if I should even try getting exercise while encumbered by my INogen oxygen concentrator carried with a fanny-pack. I just think that if I can walk a mile or more without it, I should continue to do so.

I'm saving the Inogen device for visits to my brother's house -- 5,000 feet above sea level. And we'll be making trips to Tahoe, which has a higher elevation.

Sometimes I just want to scream. Younger people with bad habits like smoking just don't see this sort of disability coming down the pike. I sure didn't!
 

BonzaiDuck

Lifer
Jun 30, 2004
15,936
1,581
126
keep working down low without it. That is a good plan.
I finally expended a couch-potato-credit today, Saturday, June 22. I had to work in the garden today, then discovered we're going to hit triple-digit temps. I'm going to a neighborhood wine-and-cheese shindig tonight.

Tomorrow morn, I will go to the park at 6:30AM and jam out three miles before it warms up.

A friend tells me "walking isn't enough". I know I should augment the walking with situps and pushups, and I am procrastinating.

I'm just desperate to rejuvenate my health as much as possible, and avoid an aging demise in which I'm unable to care for myself. My dear Moms had me and my brother. I don't have anyone. So I have to plan for worst-case, and do my best to avoid it.
 
Reactions: highland145

skyking

Lifer
Nov 21, 2001
22,434
5,443
146
I'd suggest some yoga as an alternative to traditional working out. Flexibility is strength, and yoga builds both.
If you find the right class it also scratches that social need a bit too. Getting out and amongst like minded folks is good.
 
Reactions: highland145

BonzaiDuck

Lifer
Jun 30, 2004
15,936
1,581
126
I'd suggest some yoga as an alternative to traditional working out. Flexibility is strength, and yoga builds both.
If you find the right class it also scratches that social need a bit too. Getting out and amongst like minded folks is good.
I have a "plan" to practice Tai-Chi. I just need to clear space on my man-cave floor in front of the TEE-VEE, so I can watch the David Carradine DVD that I ripped to my Media computer.

I just need to persevere. Since a week ago today, I've probably racked up three couch-potato credits, and I've interrupted my daily routine because of the heat. I need to get up at 5AM and start walking in the park at 6AM to beat the daily So-Cal heat.

So far, the Inland Empire hasn't been roasted like the rest of the country under the heat dome. I've only had to run the AC in the house for the last two days. Usually let the cool night air into the house, and sometimes I make it until the following evening without turning on the AC.
 
Reactions: skyking
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