NIFS Healthy Living Blog

Autoimmune diseases are a family of more than 80 chronic illnesses. According to the National Institutes of Health, up to 23.5 million Americans, or more than 7 percent of the population, suffer from an autoimmune disease. Autoimmune disorders arise when the body’s immune system, which is meant to protect you from disease and infection, mistakenly attacks healthy cells as if they were invading a virus or bacteria. Autoimmune diseases include arthritis, ulcerative colitis, Crohn’s Disease, Graves’ disease, lupus, Sjögren’s syndrome, and multiple sclerosis. Some other illnesses that commonly affect women such as Fibromyalgia and Chronic Fatigue Syndrome (although not classified as autoimmune diseases) have similar symptoms including fatigue and chronic pain. Common symptoms of autoimmune diseases include chronic joint or muscle pain, extreme fatigue, difficulty sleeping, weakness, nausea, headache, and depression.

Staying Active Is Important

Many people with an autoimmune disease go through periods of being symptom-free, and then have sudden onset of severe symptoms called flares. It’s understandable that when you’re not feeling well, you may avoid exercise because it’s difficult to find the motivation and energy to be active. For many people with autoimmune disorders, however, moderate low-impact exercise and physical activity can be of tremendous benefit to their quality of life. Keeping active is especially important when you have an autoimmune disease for several reasons: exercise boosts physical energy; endorphin production is a natural painkiller; exercise can help reduce inflammation throughout the body; and exercise also helps combat the depression and anxiety that also often accompany this type of illness.

Exercise Tips for People with Autoimmune Disease

Here are some tips for exercising when you have an autoimmune illness:

1. Go at your own pace and figure out what works for you. Not everyone’s experience of autoimmune disease symptoms is the same. Start slowly with your workouts and work your way up to more challenging ones. Some days will be harder than others—adjust your workout accordingly. If you miss a day because of a flare, don’t beat yourself up about it, just make sure you get back to the gym as soon as you can.
   
2. Have good support systems. Talk to your health care providers about your plans to exercise and ask for their input. Make an appointment at your gym to have a fitness assessment with a personal trainer. You may also find it fun and motivating to have a fitness buddy other than your trainer, someone you can attend group classes with, or even just meet a designated time to hit the cardio machines or do weights together.
3. Keep a journal of your daily activities, including when you exercise, the activities you did, and what you ate. If you find yourself overly exerted, you will probably see patterns start to emerge when you have the most or least amount of energy. Take these into consideration and adjust your routine to fit you best.
4. Give your body the fuel it needs to succeed. You may even want to consider an anti-inflammatory diet. Many autoimmune disorders create inflammation in the body, which leads to muscle and joint pain, as well as fatigue. You can consult with a nutritionist to see whether there are diet changes you can make to help you be successful.
5. Rest! Your body may have a hard time adjusting to the workload you are putting it through. Allow yourself to get adequate rest. Remember, this is a lifelong condition that requires lifelong attention.

This blog was written by Emily Lesich, NIFS Health Fitness Specialist. To learn more about the NIFS bloggers, click here.

Imagine a tightrope walker, gracefully walking their path across their suspended highwire. An incredible amount of balance is required, along with stability and strength, to ensure that the performer maintains their position on the rope. Now think about balance as it applies to you and your profession or daily life. You might not even think about it, but you use balance every day. Things that you take for granted, such as walking down stairs, putting on a pair of pants, and getting out of your car require some level of balance, or else we would most likely take a tumble. Thankfully, there are exercises and routines designed to improve and train balance that transfer nicely to daily life.

As with any limitation or injuries, be careful and mindful of the doctor’s recommendations. Loss of balance could be a sign that you need to be checked out by your physician. That being said, we know that exercise can be great, but we would regard and yield to the utmost safety when approaching anyone who may be at risk or falling due to balance issues.

If you have come to the conclusion that your balance needs help, there is good news for you! Like most facets of life, balance can be improved. The answer to a question as simple as, “If you want to run a 5K in 20 minutes, what would you do?” is RUN! So, if you want to get better balance, what should you do? Practice balancing. You do not have to walk a tightrope on day one, but there are many exercises and fitness tools designed to help your balance improve.

Balance Exercises

Try the following exercises and activities, and see how you do with balance, then incorporate them into your routine. Assess your balance from time to time to see how you have improved.

• Stand on an unstable surface. Using an AirEx Pad, time yourself standing on one foot. Other exercises can be done while standing on the pad such as lunges, squats, and dumbbell overhead press, utilizing the unstable surface to challenge your balancing ability. Other unstable surfaces you may use as you advance include the BOSU ball, half foam roller, and sand.
• Try unilateral exercises. Improving your leg strength through unilateral exercise is another great way to improve your balance. Some examples of these exercises include lunges, split squats, and my personal favorite, the single-leg sit and stand on a box. For this exercise, you will want to find a box that is the appropriate height (around chair height). Start from a seated position, then come to a complete stand using only one leg. Try to sit back down onto the box under complete control. This can be progressed with weights and movement patterns such as the overhead press.
• Join a group fitness class. Another way to improve balance is through group fitness classes. NIFS offers several classes that emphasize balance, such as BOSU conditioning and some that help you develop balance such as yoga and BODYCOMBAT. As stated above, the more you practice your balance, the better chance you have to improve it. In BOSU conditioning, we can progress and regress any exercise to fit your needs. The exercise doesn’t have to be impossible, but it should be challenging.

Improve Your Quality of Life

With the improvement of balance comes an overall improvement in your quality of life. Being able to trust your steps as you walk is important, as is being able to do things in life you love to do. Getting better is just a process and takes time. You must take that step forward; otherwise, you might be on shaky ground. For tips and exercises to promote balance, contact a Fitness Specialist at NIFS or join one of our many group fitness classes.

This blog was written by Thomas Livengood, NIFS Health Fitness Instructor and Personal Trainer. To read more about the other NIFS bloggers, click here.