At a glance: Practical ways to approach aerobic and strength exercise while managing breathlessness and fatigue.
Why activity still matters
People living with chronic obstructive pulmonary disease (COPD) can benefit from suitable physical activity. Individual exercise capacity varies, and a pulmonary rehabilitation programme may be particularly valuable.
Use short, manageable bouts
Walking or stationary cycling can be broken into shorter intervals with recovery between them. Build gradually from a pace that feels manageable, rather than trying to match someone else’s effort.
Include muscle strengthening
Appropriate resistance exercises for the legs and upper body can support everyday tasks. Start with a modest workload and progress according to symptoms and advice from the clinical team.
Plan around breathlessness
Allow time for warm-up and recovery. Breathing techniques taught by the respiratory team may help; prescribed inhalers and oxygen should only be used as directed by clinicians.
Know when not to train
Do not push through new chest pain, severe or unusual breathlessness, dizziness, blue lips, or symptoms of an acute exacerbation. Follow your COPD action plan and seek appropriate medical assistance.
Important: This article provides general exercise information, not individual medical advice or a diagnosis. Seek guidance from an appropriate healthcare professional if you have a medical condition, concerning symptoms or questions about your treatment.
Sources and further reading
Primary guidance and reputable health information used to inform this article:
- NICE. Chronic obstructive pulmonary disease in over 16s: diagnosis and management (NG115)
- NHS. Chronic obstructive pulmonary disease (COPD)
Editorial note: Guidance and web pages can change. These links should be checked during periodic article review. Langtons is not affiliated with or endorsed by the cited organisations.
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