Breathlessness on its own can make walking, bending, kneeling, and other physical tasks exhausting and uncomfortable. And then when you add other COPD symptoms into the mix, like coughing, wheezing, muscle weakness, and fatigue, daily responsibilities like cooking can sometimes seem like too much to handle.

Because of this, conserving energy is often a necessity for COPD patients, especially when they experience flare-ups, exacerbations, or begin to lose their physical mobility as the disease progresses. That's when it's time to start looking into effort- and time-saving tools and techniques and ways to simplify and streamline daily tasks.

Nowhere is this more important than when it comes to food and cooking. Diet is a vitally important part of staying healthy with COPD, but it's also easy to neglect when you're not feeling well. Continuing to purchase and prepare healthy, whole meals can get extremely difficult when you're restricted by limited strength and energy every day.

That's why, in this article, we're going to help you find ways to continue shopping, cooking, and preparing healthy meals in spite of the difficulties that come along with having COPD. We'll show you how planning your meals and using a variety of practical tools and techniques can significantly reduce the amount of time and effort you have to spend shopping and preparing home-made food.

We'll teach you some practical shortcuts for meal planning and preparation, show you how to save energy cooking and cleaning, and introduce you to food-related products and services designed to help people with limited mobility. So without further ado, continue reading to learn about 27 useful tools and techniques you can use to simplify grocery shopping, meal planning, and cooking with COPD.

Tools & Techniques for Easy Meal Planning

Planning ahead is the cornerstone of efficient cooking. Without a weekly meal plan, shopping and preparing meals is much more stressful and you're more likely to just give up and opt for processed or fast foods.

On the other hand, putting a little extra effort into scheduling your meals helps to streamline the entire shopping, food preparation, and cooking processes. This section will give you a variety of practical tips to help you successfully build the habit of planning your meals ahead for every week.

Writing Your Meal Plan

It might seem like a pain, but taking the time once a week to sit and write down every meal you're going to eat is guaranteed to save you time and effort in the long run. It streamlines shopping, simplifies cooking, and helps you fit healthy, homemade meals into your busy week.

When planning your meals, make sure you consider how much time you have each day and do your best to be realistic. Always have a couple of quick-fix or pre-made meals in mind as a contingency plan for when your schedule changes or you just don't have enough time to cook.

Once you get into the habit of meal planning, you'll start to notice a myriad of benefits. It will remove the stress of wondering “what can I make for dinner?” every evening, and saves time when it's time to make your shopping list.

If you follow a meal plan, you won't find yourself without the ingredients you need to make dinner, because you'll know exactly what groceries you need and you can shop for all your meals for the week ahead of time. By making things as easy for yourself as possible, it will also be easier to stay committed to making home-cooked meals, and easier to resist unhealthy, lazy options like fast food.

Here are some additional tips for weekly meal planning:

• Record your meals in a weekly schedule or calendar so you can easily remember and keep track of your meal plan
  
  
• Plan the most difficult or time-consuming meals for days when you have fewer activities and are less likely to breathless or worn out.
  
  
• Avoid having to cook every single day by planning for leftovers or heating up make-ahead meals (prepared ahead of time).
  
  
• Plan no-cook meals like sandwiches and salads for busy days or use them as a fall-back for when your COPD symptoms act up.
  
  
• Plan slow cooker meals for days when you don't have time for a lot of preparation or cooking. Simply throw the ingredients in the pot in the morning, and you'll have a hot, delicious meal waiting for you at the end of the day.
  
  
• Make your shopping list while you're planning your meals for the week. That way, you can add all the ingredients you need for your meals to your shopping list and take care of two birds with one stone.

Keep Track of Recipes

It's hard to plan your meals if you don't know what to make. That's why building up a collection of your favorite recipes can really help you out.

If you often have trouble thinking of what to make or you're getting bored with your usual meals, it might be time to go shopping for a new cookbook or two. Look for cookbooks with practical recipes that appeal to your tastes and aren't too complex for you to make. Mark your favorite recipes with post-it notes or copy them into a separate notebook so you can easily find and flip through the best recipes.

It's also a good idea to spend some time searching online for recipes and recipe websites that you like. Look for themed recipe blogs that focus on types of food you enjoy and bookmark any sites or single recipes that you want to keep.

You can also use a note-taking and bookmark-organizing application like Evernote to save and keep track of any recipes you find on the web. That way, you can sort your recipes by category and easily track down any recipe you've saved.

Plan Around Themes

Assigning a theme or main ingredient to different days of the week can take some of the pressure and hassle out of meal planning. It could be any theme you want; you could try taco Tuesdays, fish Fridays,  soup Sundays, or casserole Mondays. Whatever you choose, it will narrow down your options and make it easier to pick out meals for the week.

But just because a day is dedicated to a particular type of meal doesn't mean you have to eat the same thing every time. Instead of preparing the same boring meal week after week, use your themed days as an excuse to try out new recipes or variations. For taco tuesdays, for example, you could try a different type of taco every week (e.g. beef tacos, fried fish tacos, veggie tacos, chicken tacos, etc.).

Tools & Techniques to Make Shopping Easier

The long, winding path through the grocery store can be exhausting if you have COPD. Luckily, there are plenty of ways to reduce the amount of time you have to spend shopping for food and supplies.

Whether you suffer from limited mobility or simply need to conserve energy when you're feeling breathless and fatigued, simplifying and streamlining your grocery trips can make a huge difference in your life. Take a look at some of the following tips and techniques for getting the groceries you need with less time, effort, and hassle.

Plan Your Route

If long grocery shopping trips leave you exhausted and breathless, then you should try to keep them as short and efficient as possible. The best way to do this is to have a complete list of everything you need before you go, organized in the order you will encounter the items at the grocery store.

As long as you know the store's general layout, planning your route ahead of time shouldn't be difficult to do. Simply do your best as you write your list to arrange the items into categories (e.g. produce, dairy, and frozen) and put them in roughly the same order as they occur in the store.

This way, you can save energy by taking the shortest path possible through the aisles while still getting everything you need. It also greatly reduces your likelihood of having to backtrack and walk all the way across the store for items you skipped over or forgot.

Shop Once

Almost nothing is more frustrating than arriving home from a grocery trip with more than you need and realizing you forgot the items that you went there for. Then, you either have to make do without, or muster up the energy to make another journey out to the store.

That's why you should never set foot in a grocery store without having a plan. Taking some time to sit down and make a list is absolutely essential for making your shopping trips efficient and worthwhile.

First, take a couple minutes to write down all the meals you have planned for the week and the ingredients you'll need to make them. Then, take a look in your fridge, freezer, and pantry to see what ingredients you have and what ingredients you'll need to get.

You should also make it a habit to check your cabinets for how much of any important food staples, like flour, herbs, rice, and canned goods that you have left. If you're running low on anything, it's in your best interest to buy more before you run out so you don't find yourself having to make a last-minute trip to the store on a later date.

Take Advantage of Local Grocery Store Pickup

Photo by Joe Goldberg

Did you know that many grocery stores have a service where they'll pick out your groceries for you, saving you the walk through the store? It's a great way to save energy if all of the walking, lifting, and stooping that grocery shopping requires makes you feel too exhausted and breathless to shop.

Depending on the store, you can either give them a list of the items you need or directly order them online. Then, all you have to do is drive up to the store, and employees will load up all your bags in your car for you.

Get Your Groceries Delivered to Your Door

Many grocery stores also offer delivery services you can use to get your groceries brought right to your house for a fee. This allows you to get all of your shopping done without ever having to leave your home.

There are also many online stores you can use to order groceries for delivery straight to your door. Amazon Prime Pantry, for instance, has a massive selection of groceries and cooking items to choose from and you can get most of them delivered to you in just two days if you pay the annual membership fee for Amazon Prime.

Subscribe to a Local CSA

Being part of a community Supported Agriculture (CSA) program is a great way to support local agriculture and get fresh, nutritious produce during the summer and fall.

It works like this: You pay an annual membership fee that is used to support a local farm. Then, during the growing season, you will receive regular boxes of fresh fruits and vegetables grown on that farm—your “share” of the harvest in return for your investment.

Most of the time, you can pick up your box weekly at one of a few pickup centers in your city. Most CSA's will get you a box of fresh produce every week during the summer and fall, but it depends on how your local CSA works and what kind of membership you pay for.

CSA's are a great way to work more fruits and veggies into your diet without having to pick them out yourself. All you have to do is pick up your box of produce, and you'll have most if not all of your fresh fruits and veggies that you need for the week.

Visit Local Harvest's website to see if there's a CSA program that delivers to your area.

Stock Extras

Many non-perishable foods can keep for months, or even years unopened. Use this to your advantage and stock your home with extras of all the non-perishable items you use on a regular basis.

That way, you don't have to worry about running out of ingredients as quickly and can make fewer trips to the store. It can also save you a great deal of money if you take advantage of sales and special offers or buy things in bulk.

Here are some examples of common non-perishable food items that you can stock for months or years before you use them:

• Sugar
• Flour
• Dry beans
• Rice
• Pasta
• Baking powder and baking soda
• Canned goods

Tools & Techniques to Make Cooking Easier

Simplify Your Cooking Prep Process

Oftentimes, gathering and preparing ingredients is the most difficult part of cooking. Chopping veggies, measuring ingredients, and mincing garlic not only takes time, but saps your valuable strength and energy as well.

Here are some tips to help you reduce the amount of time and effort you put toward preparing ingredients for meals.

Rearrange Your Cooking Space

Many cooking inefficiencies stem from a messy or poorly organized kitchen. If you take some time to tidy up your cooking space and arrange your kitchen supplies for maximum utility, you can noticeably reduce the amount of hassle and time it takes to cook.

For example, put items and ingredients you use often front and center in your cabinets and make sure everything is within easy reach. Have a stool handy to help you reach higher shelves and use a grabber tool to avoid bending down for items in lower cabinets and drawers.

Prepare Ingredients Ahead of Time

Instead of doing all your prepping and cooking at once, which can be exhausting, split them up and do them at different times. For example, you could prepare the ingredients for your dinner in the mornings and then cook in the evening, or pre-chop lots of fruits and veggies on the weekend, when you have some extra time and energy.

It can also help to make large batches of meal staples like rice, beans, pasta, or potatoes ahead of time to use throughout the week. If you store them in air-tight jars in the fridge, most foods will keep for at least 3-4 days after you prepare them.

Find Recipes with Fewer Ingredients

Photo by Tim Sackton

Have you ever looked up a recipe online, only to find two recipes for the same dish that have vastly different ingredients? That's because there's more than one way to cook just about everything, and some ways are much quicker and easier than others.

That's why you should look specifically for simpler recipes with fewer ingredients if you want to save energy preparing your meals. Fewer ingredients not only means less dicing, mincing, and measuring, but also means fewer trips to the store for fringe ingredients that you don't keep on hand.

There are several popular three-, four-, and five-ingredient cookbooks out in bookstores and online that are full of tasty recipes that are simple to make. There are also websites and food blogs dedicated to simple, easy cooking that are full of recipes that only use a few main ingredients.

Here are some great recipe websites you could try:

• Stone Soup: A blog full of 5-ingredient recipes and simple weeknight dinner inspirations.
• Six Sister's Stuff: A list of 50 easy recipes with six ingredients or less.
• Good Food from the BBC: A list of 40 quick recipes with five ingredients or less.

Buy Pre-Prepared Produce

Most grocery stores have coolers full of pre-washed, pre-chopped, and pre-peeled fruits and veggies in their produce section. While they are a little more pricey than their un-processed counterparts, buying pre-prepped produce can save you several steps and a significant amount of time when you cook.

Drink Green Smoothies

Green smoothies are a great way to get more healthy fruits and veggies in your diet without having to cook. The only prep work you have to do is washing whatever healthy produce you have on hand and tossing it into a blender.

Smoothies are also a great way to use up extra fruit and veggies that are close to going bad. You can make them anytime you're in a pinch for time or make them a regular part of your everyday diet.

You can make fruit or green smoothies with just about whatever you have on hand, depending on your tastes and nutritional needs. Here is an article with 25 easy green smoothie recipes to help you get started.

No-Cook Meals

There will be days when you're just too tired, too breathless, or too lazy to slave over the stove. Luckily, there are plenty of simple, healthy meals you can whip up that don't require any cooking at all.

No-cook meals are often easier to prepare than hot foods and almost always take less time. They are also great for hot, summer days when you don't want to heat up your house by using the stove.

Here are some ideas for no-cook meals and snacks you can try making at home:

• Green Salads: Use whatever veggies and salad greens you have on hand with a light dressing for a delicious meal or side dish. Try adding fruit, nuts, hard-boiled egg, or meats like salmon and chicken for a heartier, more flavorful meal.
• Chickpea Salads: You can make a delicious Mediterranean salad with nothing but canned chickpeas, veggies, and hummus dressing. Add some pre-cooked quinoa to make it even better.
• Sandwiches
• Lettuce wraps
• Tortilla wraps
• Veggie nachos
• Fruit salads

You can also find a variety of no-cook, cold meal recipes online, like on this list from Southern Living.

Single-Pan and Single-Pot Meals

Cooking everything in one big pot or pan can save you a lot of time and energy. It means fewer steps, fewer dishes, and a much simpler cooking process.

Single-pan and single-pot meals can include skillet dinners, casseroles, dutch oven dinners, and slow cooker meals. You can find tons of recipes for one-pan meals online, or easily whip up an improvised meal on your own.

Just about any combination of meat, veggies, and potatoes in a skillet can work to make a delicious, well-balanced meal. Another easy option is to stir-fry whatever vegetables you have on hand and serve them over rice, quinoa, or another healthy grain.

Choose Simple & Easy Foods

If you want to reduce the amount of preparation you have to do to for meals, get the simplest version of the ingredients you can. For example, use frozen or canned carrots instead of peeling and chopping them yourself, or get pre-washed, bagged lettuce instead of a whole head.

Also, consider how difficult a fruit or vegetable will be to prepare before you buy it. For instance, pomegranates, pineapples, and melons take a decent amount of time and effort to prepare for eating. On the other hand, bananas, apples, and berries are require min

Maintaining a healthy amount muscle mass is a constant struggle for many COPD patients, especially those in the later stages of the disease. COPD not only causes weight loss and loss of muscle mass, but it makes it more difficult to build muscle as well.

This is due in part to the nature of the disease, and partially due to COPD symptoms that make it difficult to exercise and build strength. Many people with COPD also get caught in negative habits, like avoiding exercise and meals, or suffer from psychological conditions like anxiety or depression.

All of these things lead to weight loss and muscle wasting, and eventually an overall physical decline. It's not something to take lightly; COPD patients with very low body weight and muscle mass tend to have highest mortality rates and are prone to a variety of complications.

But even though COPD makes it more difficult to build and maintain muscle, it is definitely possible to do. All you need is the right diet, eating habits, and exercise routine to keep your body strong and maintain a healthy BMI.

In this article we're going to tell you everything you need to know about building muscle mass and COPD. We'll explain how the disease affects your muscles, how muscle mass affects your health, and show you a variety of different techniques you can use to better gain muscle and prevent weight loss with COPD.

What Causes Weight and Muscle Loss in People with COPD?

As many as forty to seventy percent of people with COPD experience weight loss and muscle wasting, especially in the later stages of the disease.

There are a variety of reasons why this happens, but lack of exercise and eating too little are the main causes. People who suffer from COPD also have difficulty maintaining their muscle mass because of inflammation and the fact that their damaged lungs need extra calories and nutrients.

Here's a more detailed look at the four main causes of muscle wasting and weight loss in people with COPD:

Too Little Exercise

Most people with COPD have at least some difficulty exercising as a result of respiratory symptoms like shortness of breath. This causes many people with the disease to neglect their exercise needs, which makes the problem even worse.

It's extremely important to get enough physical activity as early on as possible if you have COPD. Those who get diagnosed at early stages of the disease are at an advantage for this reason.

If you stay sedentary for too long, your muscles will get weaker, your respiratory symptoms will worsen, and it will become more and more difficult to tolerate exercise and even mild physical activity. That's why easier to prevent muscle loss than it is to gain it back once it's already gone.

If you have COPD, sticking with you doctor-prescribed exercise routine and being active is the only way to prevent physical decline. There are only two choices when it comes to your muscles: use them or lose them.

Too Little Food

Many people with COPD experience worsened symptoms when they eat. Some patients feel breathless from the energy and act of eating alone, but eating can also cause the stomach to swell and put pressure on the lungs, causing discomfort and shortness of breath.

Because of this, many patients avoid eating or are not able to finish their food at mealtimes. This leads to weight loss and malnutrition, which then causes muscle weakness and wasting. Malnutrition also suppresses your immune system, which significantly increases your chances for infections, exacerbations, and hospitalization.

That's why proper diet and calorie-rich foods are so important for people who have COPD. If you don't eat enough calories and nutrients to sustain your body's needs you will have less energy, you will lose weight, and your body will begin breaking down its own muscles out of necessity.

Depression

It takes a lot of energy and mental strength to cope with getting diagnosed with COPD. It's normal to feel a great deal of anxiety, especially at first, but for some people it can lead to serious depression.

Depression makes it easy to give up on the habits and activities that keep you healthy. It can make you feel too exhausted and anxious to get out of bed, let alone keep up with your prescribed exercise, diet, and treatment regimens.

Because of this, many people with COPD who get depressed let themselves become sedentary and malnourished. This leads to a loss of muscle mass as well as weight loss that can lead to even worse depression and COPD symptoms.

Mental health and physical health are closely intertwined, which is why it's very important to seek help if you are struggling. Look out for the symptoms of depression in yourself and loved ones with COPD, and don't hesitate to talk to a mental health professional if you're having trouble coping on your own.

Untreated anxiety and depression can lead to a variety of health problems and it's no way to live your life. It's possible to find hope and happiness in the midst of managing a chronic illness, and your doctor or psychiatrist can help you take the first steps toward feeling better.

Inflammation

Studies show that people with COPD produce more inflammatory compounds than healthy individuals and show signs of inflammation all throughout their bodies. Researchers have found that this chronic inflammation could be part of the reason that COPD patients are especially prone to muscle wasting.

Inflammatory molecules inhibit the body's ability to generate muscle mass, which makes it difficult to build strength and reverse muscle loss. Instead of putting its energy toward rebuilding and maintaining your muscles, your body has to focus its most of its energy on repairing the tissue damage caused by inflammation.

Chronic inflammation also saps your energy and makes you feel fatigued, which makes it even more difficult to exercise and maintain your muscle mass. This makes people with COPD even more prone to muscle loss, weight loss, and adopting a sedentary lifestyle.

Increased Calorie Requirements

Many people with the disease don't realize that COPD makes you burn more calories than healthy adults. Lungs damaged by COPD have to use up to ten times the amount of energy to breathe, which means you have to eat more food to make up for it.

The more your lung function declines, the more energy it takes to breathe, which means that your calorie needs will likely increase as your disease progresses. If you don't eat extra food to make up for the extra calories you burn, you're bound to lose weight and possibly even muscle as your body breaks down its muscle and fat reserves to get the energy it needs.

Since eating can already difficult and exhausting when you have COPD, many patients are unwilling or unable to get the extra calories and nutrients they need from their meals. That's why many doctors recommend calorie-dense foods like milk and nuts; it allows you to get more sustenance from a smaller amount of food, so it's easier to eat enough to meet your body's needs.

The Dangers of Weight Loss & Muscle Loss for People with COPD

Both a certain amount of muscle and a certain amount of fat are necessary to stay healthy and strong, especially if you have COPD. Additionally, both weight and muscle mass are closely related; weight loss usually leads to muscle wasting and muscle wasting can also lead to weight loss.

If you have COPD, it's not just important, but vital to stay at a healthy weight and keep up your muscle mass as much as possible. It's considered to be a very bad sign if you start losing weight or muscle mass quickly, and reversing the loss is the only way to preserve your lung function and health.

Research shows that COPD patients with a BMI under 20 have less energy, worse symptoms, and quicker respiratory decline. A low BMI also puts you at risk for infections, exacerbations, hospitalizations, and other serious complications.

Another consequence of being underweight is malnutrition, which can be devastating for someone with COPD. Being underweight and undernourished depresses your immune system, causes muscle wasting, and leaves you without enough energy to exercise or do normal daily activities.

This starts a downward spiral that leads to even more muscle loss, more difficulty exercising, and worse COPD symptoms. Because of this, low body weight and muscle mass (if not treated and reversed) are considered reliable predictors of a quicker overall decline in physical health.

Rapid, severe weight loss is a sign of a very serious problem, and you should never ignore it. If you have COPD and experience significant unexplained weight loss, you should schedule an appointment with your doctor without delay.

How to Gain Weight and Build Muscle Mass with COPD

Since weight loss and muscle wasting is such a common and serious problem for people with COPD, researchers have spent a lot of time studying how to prevent it. Luckily, scientists have so far found a variety of methods to reduce muscle wasting and help COPD patients build muscle mass more effectively.

The Importance of Strength Training

Many people with COPD have difficulty exercising, and for a long time researchers believed that breathing difficulties were the main cause. However, it turns out that lack of muscle strength, not just shortness of breath, is the culprit behind many COPD patients' lacking tolerance for exercise.

Because of this, researchers believe that strength training is one of the most important things you can do to improve your health when you have COPD. It not only prevents muscle wasting, but also can improve your exercise endurance, emotional health, and overall quality of life.

In fact, studies comparing COPD patients who followed an exercise plan focused on aerobic activity with patients who followed a strength training regimen show that strength training often leads to better outcomes. Patients who undergo strength training tend to see the biggest improvements in their muscle mass and exercise tolerance.

What is perhaps most telling, however, is the fact that COPD patients who do strength exercises report the largest improvements to their quality of life. This is likely because strength training helps patients feel stronger, gain mobility, and do more daily activities without feeling tired and fatigued.

Strength training is like a positive feedback loop that leads to better strength, better mood, and better health. It goes like this:

• The more muscle you build, the more exercise you will be able to handle. The more exercise you can handle, the more muscle you can build.
  
  
• The more muscle you build, the better you can manage your COPD symptoms. The better you can manage your COPD symptoms, the more you can exercise.
  
  
• The more you exercise, the less depressed and anxious you will feel. When you feel less depressed and anxious, it makes it easier to exercise and eat a healthy diet.
  
  
• When you eat a healthy diet, your body is better nourished. When you're better nourished, you'll have more energy, which allows you to build even more strength.
  
  
• The stronger you are and the better you can manage your symptoms, the more mobile and active you can be in your daily life. This leads to even more physical activity, more strength, and a better quality of life overall.

Strength Training Exercises for COPD

Resistance exercises like push-ups, squats, and weight lifting are the most effective ways to build body strength and muscle mass. Many people enjoy strength training using weights and other equipment you can find at the gym, but you can also do effective strength training exercises with minimal equipment at home.

You can buy a small set of light free weights for lifting at home and choose exercises that use your own body weight as resistance to build strength. If you have severe COPD symptoms or limited energy, there are a variety of chair exercises you can do that are designed specifically for people with limited strength and mobility.

Most doctors recommend doing strength training sessions at least three days a week in order to see an improvement in strength and muscle mass. You should start slow, doing only as much as you can handle without feeling too breathless or fatigued.

You can add in extra muscle groups and repetitions as time goes on and your strength and endurance increases. Just make sure you talk to your doctor before starting any new exercise routine, and don't be afraid to ask for advice, either.

Here are some examples of resistance exercises you can do to build strength and muscle mass:

• Leg lifts
• Bicep curls
• Squats
• Knee raises
• Chair exercises

If you are having difficulty exercising on your own, consider joining a pulmonary rehabilitation class. It's like a special exercise and education course for people with respiratory diseases, and doctors recommend it to anyone who has COPD and struggles to keep up with their exercise plan.

At pulmonary rehabilitation you can learn how to better control your symptoms when you exercise, use your medications effectively, and even get opportunities to learn and practice new exercises. They often also include dietary education, mental health support, and group therapy sessions to allow patients to share their worries, struggles, and successes.

Use Supplemental Oxygen

Shortness of breath is one of the major barriers that prevents many people with COPD from exercising and eating as much as they should. Luckily, many patients find it much easier to do both of these things when they use supplemental oxygen at the same time.

Using supplemental oxygen at mealtimes can reduce breathlessness and fatigue while you eat, making it easier to get the calories and nutrients you need to stay healthy. When you exercise, supplemental oxygen can help you keep your respiratory symptoms under control so you can have better endurance and build more muscle.

If you regularly struggle to breathe when you exercise or when you eat, talk to your doctor about using supplemental oxygen during these activities. Your doctor will assess your lung function to determine your oxygen needs and help you learn how to manage your oxygen flow and concentration when you do different activities.

Talk to Your Doctor about Supplements

When it comes to building muscle and maintaining a healthy weight, many COPD patients need some extra help. Studies show that supplementing your diet with certain nutrients like protein or creatine can prevent muscle wasting in people with COPD and help them gain weight and muscle mass more quickly.

Some doctors recommend protein shakes or other nutrient-rich shakes to people with COPD who have trouble getting enough calories from their meals. Shakes are quick and convenient to prepare, and take very little energy to drink compared to solid foods.

It is important to always get your doctor's approval before taking new supplements, using nutrient shakes, or significantly changing your diet in any way. Your doctor can ensure that what you're taking is healthy and won't interfere with any of your other treatments or medications.

Supplements known to improve muscle and weight gain in patients with COPD:

• Creatine
• Protein shakes
• High-calorie nutrient shakes

Eat More Meals

When you eat a lot of food all at once, it can cause your stomach to expand and press on your lungs. For people with COPD (and especially emphysema), this is a common problem that can cause extreme discomfort and make it difficult to breathe during and after meals.

These symptoms can make it difficult to finish meals or cause people with COPD to dread or avoid eating food. That's why doctors recommend patients who struggle with breathlessness at mealtime to change their eating schedule to include more meals and smaller portions.

Instead of three large meals a day (breakfast, lunch, and dinner), many doctors recommend that people with COPD eat six smaller meals spaced out throughout the day. Doing this cuts the size of each meal in half and gives your stomach time to digest and empty in-between meals.

This way, you can eat smaller portions that won't cause discomfort but still get enough food to prevent weight and muscle loss. It's a great solution if you struggle with breathlessness because it allows you to get all the calories and nutrients you need with a much lower risk of triggering breathing difficulties at mealtimes.

Prioritize Your Food

If you have trouble finishing meals because of breathlessness or other COPD symptoms, it can be helpful to prioritize the food on your plate. Eat the most calorie-dense and nutrient-dense foods first, that way you get the most out of your meal even if you can't finish it all.

If you often feel full or breathless before finishing a meal, it can also help to limit the amount of water and other liquids you drink. If you avoid drinking before or during meals, you'll have more room in your stomach for food. You can make up the fluids by drinking more water in-between meals, instead.

If you have trouble building up an appetite, try starting your meals with a treat or a food that you really enjoy. You will dread eating less if you have something to look forward to, and starting with a favorite food might whet your appetite and make it easier to continue eating.

Here are some examples of nutrient-dense foods to add to the beginning of your meals:

• Eggs (cooked in oil)
• Nuts and nut butters (e.g. peanut butter)
• Milk and cottage cheese
• Meats (chicken, fish)

Eat More Protein

Protein is necessary for your body's basic functions, and it's something your body absolutely cannot do without. If you don't get enough protein in your diet, your body will take it from the next-best source: your muscles.

This type of muscle wasting is a problem that happens often in COPD patients who are weak and malnourished. That's why it's so important to maintain a healthy diet when you have COPD.

When the food you eat isn't enough to meet your body's energy and nutrient requirements, your body will not hesitate cannibalize your own muscles for the nutrients it needs. The solution is to make sure that you are eating enough and have a balanced diet with protein-rich foods.

Most doctors recommend that you get most of your protein from lean meats and plant protein sources. Adding extra portions of chicken, fish, eggs and beans to your meals is a healthy way to add more lean protein into your diet.

On the other hand, you should avoid the less-healthy fatty meats and processed meats like bacon, sausage, and ham. Also, if you need to make room for more protein in your diet, it's best to eat fewer simple carbs like sugars, white breads, and white pastas.

Here are some examples of healthy proteins to add to your diet:

• Fish (salmon, cod, tuna, etc.)
• Chicken
• Lean beef
• Eggs
• Tofu
• Beans & Legumes

Consult a Dietitian

Sometimes, no matter how hard you try, you just can't manage a healthy diet on your own. COPD can make getting proper nutrition very difficult, especially because it causes you to need extra calories and nutrients.

If you have trouble gaining muscle or continue to lose weight despite your best efforts, it's time to talk to your doctor or a licensed dietitian. They can help you figure out exactly how many calories you need to eat and what amounts of different nutrients your bo

Changes are occurring within us, both physically and emotionally, our entire lives and yes, one day those changes become stressful and even hard to manage, we call it old age.

Vitality you once had as a young man or woman seems to be fading away, however, it is not gone. This does not go without saying that the aging process can be physically and mentally exhausting even painful, but there are measures you can take to manage the changes that are happening in your body and mind.

In this article, we will take an in-depth look at a few of the changes occurring in your bones, heart, and lungs as you age.

Once you understand some of these changes, you can begin implementing goals into your daily life to make the most out of the vitality in you.

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Your aging bones, why are they thinning?

Age-related bone loss is a gradual decline in bone mineral density. This means that with increased age there can also be a reduction in bone formation, which can result in osteoporosis, bone thinning, and it is perfectly normal.

Bone thinning can occur in men and women, and it puts so many people at risk of breaking bones more easily. Of course, more broken bones means limited mobility and less independence which is something you can work to avoid.

By using the research below, you will have the tools to set goals to in the form of exercise and diet geared towards improving your bone health.

Pursuing one or all of these goals will help you to maintain your bone health and density as you age.

#1. Start doing these effective exercises for enhancing your bone density and bone health

As we grow older it becomes exceedingly harmful to associate older age with a decline in our physical activity, especially when healthy bone density depends on how much you work out your bones.

By exercising regularly, your bones adapt to the changes in force, and your body will generate more cells which strengthens bone density and your overall health.

There are specific types of exercises that will offer the most effective results for building and maintaining strong bones; weight bearing exercises and strength-training exercises.

• Weight Bearing exercises describe any activity you do on your feet that works your bones and muscles against gravity. Activities include:
1. Brisk walking
2. Climbing stairs
3. Jumping up and down or jumping rope
4. Hiking
5. Jogging
6. Step aerobics
7. Tennis
8. Yard work
   
   
• Strength-training exercises involve resistance added to movement in order to make muscles work harder. This can involve:
1. Using free weights
2. Resistance bands
3. Weight machines
4. Push ups
   
   
• Flexibility exercises are to be performed when your muscles are warmed up so that your joints are able to move gently and slowly without pain. For a person at risk of osteoporosis, avoid bouncing, twisting, flexing your spine, and bending at the waist while stretching.
  
  
• Stability and balance exercises will help your muscles work in conjunction with your brain. This is very important to reduce the risk of falling. Try some of these exercises:
1. Standing on one leg
2. Closing your eyes and standing on one leg
3. Tai chi
4. Modified yoga poses

If you are eager to create an exercise training program specific for enhancing your bone density and strength, start by incorporating one of each of these types of exercises into your daily routine. By doing so, you can prevent or reverse almost 1% of bone loss per year.

Your program should be personalized to your body, and should avoid high-impact exercises, bending, and twisting. Also, it is always prudent to speak with your doctor or physical therapist to ensure the exercises you want to accomplish everyday are a good match for your body and bones.

#2. Incorporate calcium and vitamin D rich foods in your diet for stronger bones

Food and drinks can play a critical role in osteoporosis prevention, and by incorporating these foods into your daily diet can prevent further bone thinning.

Important nutrients for strong bones include: Calcium, vitamin D, magnesium, potassium, and vitamin K.

Here is a table with foods that are rich in bone heathy nutrients:

Changing your diet entirely can be intimidating. So try making it more simple by adding one food source from the table above into one meal a day.

From there try starting a meal plan, you can begin your research by searching the most cost effective ways to prep meals for your dollar and your body.

Time to take better care of your aging heart

The most common threat aging has on the heart is increased stiffness of the large arteries, called arteriosclerosis, and this will often lead to heart disease.

This happens when plaque builds up in the coronary arteries and reduces blood flow to your heart muscle, it can cause high blood pressure, or hypertension.

With all of the evidence and information surrounding the causes of heart disease, comes a plethora of preventative and manageable measures one can take everyday to relieve some symptoms and maintain your livelihood with heart disease.

#3 Start doing more physical activity for a healthier heart

Physical activity is one of the most important aspects of preventing and even reversing some risk factors associated with heart disease. Your heart is a muscle, and like any other muscle they must be utilized regularly or they will fatigue and weaken.

Cardiac based exercises aim to restore people with heart disease to health, and exercise has been found to reduce the likelihood of dying from heart disease.

So the question remains, how much exercise is right for you and your heart?

Of course this can be discussed with your doctor, but a basic 30 minutes a day five days a week is recommended by the American Heart Association.

Physical activity can be defined as any type of movement, if you’re moving, you’re likely burning calories. However being physically active when you struggle with heart disease can be daunting.

Take expert advice and start small by integrating some of these steps into your daily routine:

• Start slow:
• do less reps (repetitions of movements), use light weights or no weights, go short distances, move at a slow pace
  
  
• Always begin you workouts by warming up your muscles and bones
• take a short brisk walk around your house or neighborhood. Light jogging or biking are other options for more advanced exercisers
  
  
• Allow yourself to rest after aerobic exercise
• Give your heart time to come down to a normal heart rate. Try stretching and deep breathing exercises in-between activities
  
  
• When it is hot outside, exercise in the morning or evening, or consider walking around the grocery store
• Adding heat to a workout can rapidly increase your heart rate
  
  
• When it is cold outside, cover your nose and mouth when exercising, or consider walking around the grocery store
• Breathing in cold air can cause discomfort in your lungs, making it harder to breath
  

#4 Maintain a heart healthy weight

It is very important to maintain a healthy weight when your heart is at risk of arteriosclerosis and heart disease, this means balancing the calories you eat and drink with the calories burned by being physically active.

If you are determined to maintain a healthy weight, ask your doctor or research the ideal weight for your gender, height, and age. Find out if you need to gain or lose weight or stay relatively the same.

Maintaining a consistent and healthy weight over a long period time of has extremely important health benefits that your heart will thank you for:

• Controlled blood sugar levels
• controlled blood sugar levels are connected to reduced blood pressure and cholesterol levels and subsequently reduce the risk for heart attack, stroke and heart-related death
  
  
• Effectively burn fat
• Burning fat reduces the level of unhealthy cholesterol in your blood.
  
  
• Regulated cholesterol levels
• With high cholesterol, you can develop fatty deposits in your blood vessels and it becomes difficult for blood to flow through your arteries

#5 Start a diet focused on heart health

Diet is critical when heart health is in question, and what you eat has a large impact on how your heart functions. Nutritionists recommend fiber as the most essential nutrient for a healthy heart.

Soluble fiber: Is found abundantly in oats, barley, beans, apples, citrus fruits and carrots. Soluble fiber is so imperative for a healthy heart because its properties bind to cholesterol and sugars preventing their absorption into your bloodstream. Bottom line, It helps reduce cholesterol.

Insoluble fiber: comes from whole grains like whole wheat flour, wheat bran, nuts, beans and vegetables, such as cauliflower, green beans and potatoes.

Beyond fiber, you can follow this list below to incorporate other heart healthy nutrients in your diet like omega 3 fatty acids, monounsaturated fats, folate, quercetin, lycopene, magnesium, plant sterols and stanols.

1. Leafy green vegetables supply a wealthy dose of vitamin k and will help protect your arteries and prompt proper blood clotting.
   
   
2. Dark green vegetables are packed with nitrates that can reduce blood pressure and relieve arterial stiffness.
   
   
3. Whole grains such as oatmeal, whole wheat bread, brown rice, and quinoa have been proven to improve heart health because of the high fiber content and subsequent reduction of systolic blood pressure.
   
   
4. Berries like strawberries, blueberries, and raspberries are packed with antioxidants and protect against oxidative stress and inflammation which contributes to heart disease.
   
   
5. Avocados are a source of monounsaturated fats
   
   
6. Fish like salmon are loaded with omega-3 fatty acids 
   
   
7. Walnuts contain fiber and micronutrients like magnesium and copper
   
   
8. Dark chocolate is loaded with antioxidants including flavonoids
   
   
9. Tomatoes are rich in lycopene, and lots of antioxidant properties
   
   
10. Almonds are an incredibly good source of heart-healthy monounsaturated fats and fiber
    
    
11. Seeds including chia seeds, flaxseeds, and hemp seeds are all great sources of fiber and omega-3 fatty acids
    

#6 Get a goodnight's sleep

Sleeping better and sleeping more are underrated goals associated with promoting heart health, but it should become a high priority if you are dedicated to improving your heart and your livelihood.

Lack of sleep leads to health problems that will negatively impact your heart, these include:

• High blood pressure. During normal sleep, your blood pressure goes down. If you are not sleeping well your blood pressure will stay high for a longer amount of time. High blood pressure is one of the leading risks for heart disease and stroke.
  
  
• Type 2 diabetes. Diabetes is a disease that causes sugar to build up in your blood, a condition that can damage your blood vessels and subsequently your heart. Getting more sleep and better sleep can help improve your blood sugar control.
  
  
• Obesity. Not getting enough sleep can affect a part of the brain that controls hunger, leading to unhealthy weight gain and more heart issues.
  
  

Sleeping is not always an easy goal to task yourself with, even if you do not have a sleep disorder, sleeping better and sleeping more is a job that requires discipline and consistency.

Now that you understand how impactful a restless night’s sleep can be for your aging heart, here are some ways you can sleep through the night, fall asleep quicker, and sleep more consistently:

• Find a pattern in your body’s natural sleep-wake cycle. Try to go to sleep and get up at the same time every day, avoid sleeping in, even on weekends, limit naps to 15 to 20 minutes, fight giving into drowsiness before bedtime

• Control your exposure to light, and blue light in particular. Melatonin is a naturally occurring hormone controlled by light exposure that helps regulate your sleep-wake patterns. Your brain emits more melatonin when it’s dark, making you sleepy, and less when it’s light, making you more alert.
  
  
• Exercise during the day. Even light exercise such as walking for just 10 minutes a day improves sleep quality
  
  
• Keep your room dark, cool, and quiet

#7 Oxygen therapy may benefit heart patients with intense breathing complications

Congestive heart failure means that your heart can no longer pump blood as well as it should. It is most common as you age, because over time your heart begins to weaken.

There are 4 stages of heart failure and treatments vary based on the stage and condition of an individual's heart. Oxygen therapy or supplemental oxygen is commonly prescribed for patients in certain stages of heart disease.

While this is not a cure for heart failure, oxygen therapy can help you breathe in the extra oxygen your heart is unable to pump on its own. Utilizing supplemental oxygen could be a wonderful option for you if you are eager to be more active and mobile by reducing your shortness of breath.

There are a lot of personal goals you must be willing to set in order to reap the benefits of supplemental oxygen therapy. One place you can start is understanding the benefits of using a portable oxygen concentrator.

The first several, most obvious, benefits of using a portable oxygen concentrator:

1. You won’t have to worry about a lack of oxygen or your oxygen tank running out- this peace of mind alone will open reduce anxiousness and open up space to care for your loved ones and expand on new and exciting endeavors
   
   
2. It is much more discreet and lighter weight than bulky oxygen tanks
   
   
3. You can find a sense of independence just being able to move about the house more easily
   
   
4. You will have the ability to exercise without shortness of breath, improving your heart beat, bone structure, and mental health
   
   
5. Sleeping better is very important for avoiding heart problems associated with high blood pressure, diabetes, and obesity.
   
   
6. Stamina and vitality boosts when you are capable of accomplishing tasks you couldn't do before due to breathing implications and tiredness
   
   
7. Overall mood increases when steps 1-6 kick in

Aging lungs

Lung health requires growing attention as we get older, but it is not something to become discouraged or shy away from.

The loss of strength and ability to breath easily as we age is a normal development in many people’s bodies, whether it is due to genetics, inhaling smoke, or working in a hazardous environment.

While there are natural effects of aging lungs, you do not have to accept a fate that leaves you immobile, unhealthy, and bored. Instead use the goals listed here to help you reduce the breathlessness associated with lung disease, and reduce your risk of lung problems over-all.

#8 Your lungs need more physical activity

If you are struggling with COPD or any long-term lung conditions, regular exercise and physical activity can help improve your breathing threshold, allowing you the freedom to breathe more easily while going about your daily activities.

It can be very uncomfortable to become quickly out of breath for anyone with or without healthy lungs, and motivation to exercise is sometimes hard to muster up.

That being said, It is important for the health of your lungs to avoid temptation of letting another day go by with no exercise. By accomplishing more physical activity, you become more fit and capable to handle daily activities with ease.

The first step towards a more active lifestyle, is to ask your doctor or physiotherapist for the best exercise plan that falls within your lung capacity and is safe for you. From there, you can begin to develop a high quality exercise program. It should be built up over time to allow your body to adapt and strengthen at your own pace.

If you reach a point where you are too breathless to talk, slow down the pace, or take a short pause, don't feel discouraged. Instead, remind yourself that the more you do, the more you will be able to do!

Intermittent exercises can help you to deal with shortness of breath when you are beginning to implement physical activity into your life. To accomplish these exercises, you will move for 1–2 minutes, and in between movements you rest or slow down your pace.

Aerobic exercises are the best form of physical activities for lung disease patients because these exercises involve large muscle groups moving in rhythmic and steady movements.

By using multiple muscle groups at one time, your heart and lungs will be working hard to move oxygen to all of your muscles involved, and subsequently enhancing the capabilities of your lungs.

Here are some examples of great aerobic exercises for your lungs:

• Walking
• Biking
• Swimming
• Jogging/ running
• Elliptical
• Low-impact aerobics works outs
• Water aerobics
• Dancing 
• Hiking
• Low intensity kick boxing

#9 It is never too late to quit smoking, even if you already have COPD

While quitting smoking won't cure COPD, kicking the habit can stop the rapid rate of decline in lung capacity that happens in smokers with COPD.

By quitting smoking, you're giving your lungs more capacity, this means more chances to exercise, and more exercise leads to more freedom accomplishing daily activities with less shortness of breath.

Studies show that COPD smokers who quit:

1. Have fewer COPD exacerbations
2. Have fewer hospital admissions
3. Have less risk of dying from COPD

Quitting is much easier said than done, and like kicking any habit, it may take a few attempts before anything really sticks. Oftentimes, hearing your doctor tell you, “Quitting is your only option” will get the ball rolling in the right direction.

And for patients with COPD, quitting is a nonnegotiable treatment plan.

There are countless efforts you can take to kick the hardest habit in the book, and it may take time and research to find the right process for you.

Here are some places to start:

• Do not smoke at all
• Stay busy
• Attend a stop-smoking group or follow a self-help plan
• Drink more water and juice
• Drink less or no alcohol
• Avoid individuals who are smoking
• Avoid situations wherein you have a strong urge to smoke
  

#10 Limit exposure to air pollutants

As you age, you must also grow aware of the air surrounding you. Over-saturation in the air, usually meaning relatively high humidity or pollution, can introduce a variety of respiratory issues.Those with pre-existing lung issues are particularl

If you have COPD, then you know that all kinds of unexpected things can affect your symptoms and make them worse. Even minor respiratory irritants, like fragrances, air pollution, and dry air, can make it more difficult to breathe.

That's why, when the seasons shift, it's important to understand how the change might affect your COPD. This is particularly true when moving from the mild fall season into harsh winter conditions.

As the cold weather sets in, you should be aware of all the potential COPD hazards that winter weather brings. Then, you will be better prepared to manage your symptoms and deal with the challenges when they come.

In this guide, we're going to walk you through all of the most common challenges COPD patients face during the winter time. We'll warn you about winter respiratory irritants, weather hazards, and other seasonal conditions that could make your symptoms worse.

We'll also show you what you can do to prepare for these problems and minimize their impact on your lungs. That way, instead of spending the winter months struggling to manage your disease, you can use the tips and tricks in this guide to overcome winter challenges and breathe much better this season.

Things You Should Know and Prepare for This Winter if You Have COPD

Extra Difficulty Breathing Winter Air

You might have noticed on your own that breathing cold, winter air can make it more difficult to breathe. This can happen to healthy adults but it is particularly problematic for people with COPD.

That's because winter air is usually far from the optimum temperature and humidity that your lungs and airways prefer. Cold, dry air is much harsher to breathe than warmer, humid air, and it can irritate your lungs and constrict your airways as you breathe.

When the humidity is very low, the dry air sucks the moisture out of your airways. This thickens your mucus and irritates the tissue that lines your nose and airways, triggering symptoms like coughing and shortness of breath.

The cold temperature of the air alone can also be a problem, especially when you first go outside after breathing warm indoor air. When you take a breath and suddenly bring frigid air into your lungs, it can trigger bronchospasms, which constrict your airways and make it harder to breathe.

The best way to avoid these problems is to avoid breathing the cold, dry winter air as much as you can. That means staying indoors when weather conditions are bad and using simple techniques to warm up the air that you breathe.

This is easier to do if you check your local weather forecast regularly and plan ahead for upcoming conditions. Pay special attention to the temperature and humidity, and be prepared to take extra measures to manage your symptoms on particularly harsh days.

When you do have to go out in the cold, you can make the air more breathable by covering your nose and mouth with a scarf or a special cold-weather mask (called a CT mask). This will trap heat and moisture from your breath, helping to warm and humidify the harsh outside air so it is more comfortable to breathe.

Here are some tips to help you breathe better in the frigid winter air:

• Avoid going outside during the coldest parts of the day.
• Stay indoors during inclement weather and when the temperature is very cold.
• Don't try to exercise outdoors when the air is too cold or dry.
• Wrap a scarf or cloth around your mouth to breathe easier in cold air (or wear a CT mask). https://lunginstitute.com/blog/ct-masks-for-copd/
• If you use oxygen therapy, use a humidifier bottle to moisturize the air that comes from your oxygen source.
• Practice pursed-lips breathing when you feel short of breath in cold weather.
• Continue taking your maintenance medications exactly as your doctor advises.
• Always bring your rescue inhaler with you whenever you leave your home during the winter, especially during harsh weather.

Danger During Cold and Flu Season

Along with winter comes cold and flu season, that dreaded time of year when contagious respiratory illnesses reach an all time high. This time of year poses a special danger to people with COPD, who are more prone to getting sick.

While a common cold might not seem like a big threat, a minor illness like a cold can turn into something much more serious if you have COPD. Any kind of respiratory illness can trigger severe COPD symptoms and lead to more serious exacerbations.

COPD exacerbations are difficult to treat and, in the worst cases, can cause life-threatening complications. Even minor COPD exacerbations can make you feel very sick and take a major toll on your life, disrupting your ability to exercise, work, and do other normal activities.

COPD exacerbations can also take a very long time to recover from, and in some cases can result in permanent lung damage that makes your symptoms permanently worse. That's why it is so important to practice good hygiene, keep your immune system healthy, and avoid contagious illnesses if you have COPD.

Unfortunately, studies show that people with COPD are more than twice as likely to experience an exacerbation during the winter months. That means you need to take extra special precautions during this season to avoid getting sick.

That means doing what you can to bolster your immune system and keeping your COPD symptoms under control. It also means coming up with strategies to help you avoid germs and germ-heavy environments, especially during peak cold and flu season.

The best way to do this is to keep up-to-date with your vaccinations and be diligent about your personal hygiene. Especially when you're out in public, be cautious about what you touch and avoid transferring germs from your hands to your eyes, nose, and mouth.

Wash your hands often, avoid people who are sick, and be especially cautious in crowded places. If you use oxygen therapy, you should be extra diligent about keeping your medical equipment (like your nasal cannula) clean during the winter.

Here are some additional tips to help you prepare for cold and flu season:

• Get your yearly influenza vaccination.
• Ask your doctor if you need a pneumococcal (pneumonia) vaccine.
• Take all of your medications as directed by your doctor and take care not to miss a dose.
• Know the early signs of a COPD exacerbation and what you should do when you notice your symptoms starting to get worse (follow your COPD action plan).
• Practice proper personal hygiene at home and especially in public.
• Wash your hands often and avoid touching your face, especially in public places.
• Avoid attending crowded events during cold and flu season.
• Do your best to stay away from anyone who has a contagious illness, including avoiding houses or events where someone there is sick.
• Quit smoking to reduce your risk of respiratory illnesses and infections.

Extra Fatigue and Worse Symptoms in Cold Weather

Even if you protect your lungs from pollution and dry air this winter, the bitter cold can still bring you down. Cold temperatures alone can have a noticeable effect on COPD symptoms, and this effect can even last for several days.

Studies show that breathing cold air can hurt your lungs and reduce their ability to function by a measurable amount. It causes your airways to constrict and can even damage the tissue lining your airways, making it more difficult to breathe.

However, even just being in the cold air—not even breathing it—can reduce lung function and worsen COPD symptoms. Even short periods of exposure to cold weather can trigger breathlessness, fatigue, and a significant increase in the number of COPD patient hospitalizations.

These effects are likely caused, at least in part, by how your body reacts to getting cold. In an effort keep your core temperature from falling, your body has to work harder and burn extra energy to stay warm.

When you're exposed to very cold temperatures, this can drain your energy levels and cause you to feel fatigued. It also requires your lungs to work harder to keep pace, which puts extra strain on your respiratory symptom and makes it more difficult to breathe.

Many studies have linked worsened COPD symptoms with cold outdoor temperatures and even cold temperatures indoors. Some studies show that cold temperatures can double COPD patients' risk for exacerbations and even increase their risk of death.

That's why you should be prepared to experience worsened COPD symptoms when the temperature drops this winter. That means keeping your rescue inhaler handy and making sure you have a warm place to go when extremely cold weather hits.

During the coldest months of the year, keep a diligent eye on your local weather forecast so a cold snap doesn't take you by surprise. When you're expecting extra chilly weather, make preparations to stay warm and avoid spending time outdoors.

When you do go out, don't take any chances and always dress appropriately warm. Even if it adds a few minutes to your usual routine, bundling up is your best defense against the harsh winter temperatures that could worsen your COPD.

Most importantly, make sure you have a reliable heating system that can keep your home at a comfortable temperature all winter. You should also make sure you have somewhere to go if your heater breaks down or your house loses power during a storm.

Here are some tips for combating cold temperatures this winter:

• Avoid exposing yourself to cold weather and spend as little time outside as possible on especially frigid days.
• Always check the weather before you leave the house and wear appropriately warm and comfortable clothes.
• Wear layers so you can stay warm in the cold but also stay comfortable indoors by removing unnecessary layers.
• When you do go out in the cold, cover as much skin as possible; don't skimp on cold weather gear like hats, scarves, mittens, leg warmers, and earmuffs.
• Avoid clothes that are too tight—especially around the chest—because they can restrict your movement and breathing.
• Make sure to keep your house at a warm, comfortable temperature at all times during the winter.
• Consider changing your plans so that you can stay indoors during particularly cold or harsh weather. (e.g. work from home or reschedule other outings and errands)
• Make a special effort to avoid going out in cold weather when you are not feeling well or are experiencing a COPD exacerbation.
• Be prepared to use your rescue inhaler more often and bring it with you anytime you leave your home.
• Keep extra food and supplies at home just in case cold or inclement weather keeps you home-bound for an extended period of time.
• Ask a friend or family member to check up on you during cold spells and winter storms

Fewer Exercise Opportunities

If you have COPD, you shouldn't exercise outdoors when the weather is bad or the air is cold and dry. This means you will need to do the majority of your physical activity indoors during the winter months.

Exercise is one of the best ways to keep your heart and lungs healthy, which is why it's vital to keep it up all throughout the year. Even though you might be tempted to hide away and hibernate this winter, you shouldn't let the cold weather get in the way of your exercise goals.

Without outdoor sports and activities to keep you active, you might need to be more creative and deliberate with your workouts. Be prepared to rework your exercise routine and find new ways to get physical activity indoors.

For example, if you are used to walking outdoors for exercise, you could walk on a treadmill or indoor track at the gym instead. You could also take walks in a large public building in your area, such as an indoor mall.

You might also consider joining an exercise class at a local gym or fitness center. Many people find that participating in this kind of scheduled group activity makes it easier to stay motivated and stick with an exercise routine.

If you'd like, you can even work out in your own home without needing any expensive equipment. All you have to do is find a home exercise routine you like, whether it's online, on DVD, or a routine you devise yourself.

Don't ever think that staying inside means that you can't also stay active. Winter exercise opportunities are essentially endless, even though they might be tricky to find.

Here are some tips to help you get more exercise this winter:

• Join a gym where you can walk and do other exercises indoors.
• Clear some floor space in your house to practice simple indoor exercises at home.

Even if you are not short of breath, or experiencing symptoms of breathlessness, you blood oxygen levels could be dangerously low! Read this blog to learn about how much oxygen you are getting compared to how much you need. 

The hallmark symptoms of COPD are shortness of breath, or feeling breathless. It's certainly one of the most common symptoms, as well as that most invasive. Whether you're the person with COPD or the caregiver, shortness of breath is scary and unsettling for everyone involved.

There are devices called pulse oximeters, which measure your oxygen saturation levels. This is important for COPD patients to know how much oxygen they are able to process. Pulse oximeters have become more popular and accessible in recent years. 

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This is both a good and bad thing because COPD patients may be relying as much on their oximetry results as their actual symptoms when evaluating their breathing capabilities. It can cause a lot of confusion. 

The confusion comes from having a "normal" oxygen saturation level, but still feeling extremely short of breath. Also, it might be hard to notice any symptoms even when your oxygen saturation levels are dangerously low. 

We are going to clear up this confusion in this blog.

The Difference Between Shortness of Breath and Being Hypoxic

There are the three main factors that impact how well your body is able to take up and use oxygen.

1. How well your lungs absorb oxygen into your body and release carbon dioxide. 
2. How well your heart is able to pump oxygen throughout your body.
3. How well your cells and muscles use the oxygen they get from your blood.

Obviously, various diseases like COPD or heart disease will inhibit some or all three of those factors. COPD causes intense lung damage, and even cardiac problems, that definitely can impact all three of these.Treatment methods including medication, supplemental oxygen therapy,  and exercise can help in improving the way your body utilizes oxygen, and in turn, making you less short of breath. 

Feeling breathless

Have you ever felt yourself gasping for air, or feeling out of breath even when you’re not exerting yourself? Well this can happen to anyone, and while it is a common symptom of COPD, not everyone who feels short of breath has COPD. 

Breathlessness is associated with lung damage and/or airway inflammation but it can also be caused by: 

1. Heart health
2. How fit you are
3. Emotions
4. Weather
5. Altitude
6. Infection
7. Low red blood cell count (anemia)

Even if you are t feeling breathless, this does not always mean that you are hypoxic.

Being Hypoxic or Having Hypoxemia

There is a difference between hypoxemia and being hypoxic. Hypoxia is when there is a low level of oxygen in your blood. Being hypoxic means that not enough oxygen is getting to your body's cells. 

These impact your body at two different stages when your body is working to absorb oxygen.  

You can find your oxygen saturation level and test whether or not you have these conditions. There are two ways to measure it:

1. Arterial blood gases test. This takes place at your doctor’s or a with a lab tech
2. Using a pulse oximeter. This you can do on your own, and the small device fits over a finger tip. It uses infrared rays to measure the percentage of oxygen in your blood.

Oxygen saturation is largely dependent on your overall health. This can be indicated by how fast you are breathing during activity and rest.

A typical healthy person has oxygen saturation levels that range from 95 to 100%.When saturation levels drop to 90% and below that is considered low and unhealthy. COPD patients often dip below 90% at times.

Feeling Breathless But Not Hypoxic

Now that you have an understanding of oxygen saturation, and the symptoms associated with low levels of oxygen, you might be wondering, “Why am I so short of breath, but my oxygen levels are still normal?" 

Well, even if you're experiencing extreme breathlessness, but your oxygen saturation levels remain in that 95% - 100% healthy range, then supplemental oxygen will not solve your problem. 

Instead, you need to learn how to recover from breathlessness. Try stopping what you’re doing and resting right away.

After stopping the action that caused your breathlessness try these additional actions:

1. Remind yourself that you know what to do. Taking action can help you overcome the anxiety that often goes along with being short of breath.
2. Position yourself to breathe easier. Leaning forward or bending over helps drop your abdomen away from your lungs, making breathing easier. Lean your arms on your knees or on some stationary object like the wall or a counter. (I remember often seeing my dad doing this, especially after a severe coughing spell.)
3. Work on controlling your breathing. If you know how to do diaphragmatic or pursed lip breathing, then do so. If you haven't learned those techniques yet, then at least work on slowing and deepening your breaths in and out.
4. Once you are feeling better and more in control of your breaths, it may be time to resume whatever you had been doing. But you may need to modify the intensity to avoid re-triggering your breathlessness.

Pulmonary rehab is another great tool that can be beneficial in teaching you how to avoid and/or deal with this symptom. These are classes you take with trained professionals, they teach you breathing exercises and physical activities that are good for your level of health. 

You can also look into a rescue, or quick-relief, inhaler. Talk with your doctor about these options, because they can offer some relief in your situation. 

Hypoxic But Not Feeling Breathless 

Even if you are not feeling at all breathless, your oxygen levels can still be low, and this is an important concept to understand. Low oxygen saturation levels are not healthy, do not  ignore it. Get your oxygen levels tested regularly, even if you are not short of breath.

If you do measure low oxygen levels during a blood test, or while conducting pulse oximeter tests. Speak with your doctor right away about the next steps you must take to get your levels to normal. 

This is often when people need a portable oxygen concentrator to use as their additional source of oxygen. Devices like the Inogen One G5, and the ARYA P5 Portable Oxygen Concentrator often oxygen patients medical grade oxygen they can use 24/7. 

It means your blood and tissues are not getting the oxygen they need to survive, and it needs to be addressed right away.

The answer to hypoxia is supplemental oxygen therapy. However, how much and how often you need oxygen depends on the progression of hypoxia you are experiencing and your health care team will determine this. It is also important that your healthcare team helps you with a plan for how often to measure your oxygen levels with a home pulse oximeter.

Overview 

If you have COPD, remember that shortness of breath (and other symptoms, such as coughing) are an important thing to take note of. Track your symptoms to measure your current health status and how your health changes over time.

As far as knowing your oxygen saturation level, you will need to monitor this regularly because even if you are not short of breath your oxygen levels could be low, and that is dangerous. This is around the time you will need to call LPT Medical at 1+(800)-946-1201 to talk about your oxygen device options. On the other hand, and unfortunately so, it is entirely possible to be short of breath, but have healthy oxygen saturation.

If you have COPD, then you know that it can be dangerous when your symptoms suddenly get worse. That's why preventing flare-ups and exacerbations is one of the main goals of treatment for people with COPD.

A COPD exacerbation (also known as an acute exacerbation) happens when you get sick or your lungs get especially inflamed, making your symptoms much worse for an extended period of time. Even though they go away eventually, exacerbations can cause serious health complications and permanent damage to your lungs.

When you have COPD, your quality of life depends greatly on how much you prioritize your health and avoid habits and environments that put your lungs at risk. That means doing everything you can to keep your body strong and prevent acute exacerbations.

In this article we're going to help you do just that by explaining a variety of ways you can reduce your risk of experiencing a COPD exacerbation. We'll help you understand why exacerbations happen, how to recognize the warning signs.

Most importantly, we'll show you a variety of practical methods and techniques you can start using today to avoid flare-ups and exacerbations in the future. So if you're ready to improve your quality of life and take charge of your health today, continue reading for 15 practical ways you can reduce your risk for acute COPD exacerbations.

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What is a COPD Exacerbation?

Most COPD patients are able to keep their symptoms under control most of the time, but flare-ups and exacerbations are always a threat. The frequency of exacerbations varies from patient to patient and depends on a variety of risk factors, including age, disease severity, and physical activity level.

On average, COPD patients experience at least one or two exacerbations every year. This does not include minor flare-ups, which might happen much more frequently in response to mild irritants.

Flare-ups Versus Exacerbations

A COPD flare-up is a temporary increase in symptoms that can happen when you breathe in respiratory irritants like dust, smoke, or dry air. Flare-ups are generally mild, short-lived, and treatable at home.

Exacerbations, on the other hand, last longer and are more serious than mild flare-ups. They usually happen as a result of a respiratory illness or infection that causes inflammation, excess mucus, and reduced lung function.

Exacerbations often require a trip to the doctor, although they can sometimes be treated at home. It's important to talk to your doctor about what you should do in the case of an exacerbation and how long you should wait to call your doctor when your symptoms start to get worse.

In general, it's safest to talk your doctor as early as possible if you think you might be experiencing an exacerbation. That's why it's very important to recognize the early symptoms and warning signs of an oncoming acute exacerbation.

Unlike flare-ups, exacerbations can have extended or even permanent effects. Sometimes, even once an exacerbation passes, the COPD symptoms don't improve all the way. Some patient's conditions don't ever get back to the baseline that they were at before the exacerbation, and they have to cope with a minor, yet permanent, increase in symptoms from that point on.

Exacerbations can be life-threatening at any stage of the disease, but they are particularly dangerous for people with advanced COPD. Flare-ups are common in all COPD patients, although sensitivity to respiratory irritants and the severity of the flare-up can range significantly depending on the patient's physical condition and disease stage.

How to Recognize an Exacerbation

Exacerbations are serious business, and recognizing the early symptoms could save your life. An exacerbation can be debilitating, life-threatening, and is are not something you should ever take lightly. Most researchers agree that preventing exacerbations is one of the most important things you can do to live longer and slow down the progression of COPD.

Some exacerbations are mild, but some are serious and require early and immediate treatment to prevent serious complications. Severe exacerbations can cause you to be hospitalized or even end in death.

That's why it's vital to pay attention to how you feel and be able to recognize the early warning signs of an acute exacerbation. You should always be monitoring your symptoms and looking for signs that indicate they're getting worse. Often, the only early warning sign of an exacerbation is a worsening of the symptoms you already have.

If your worsened symptoms don't start to get better soon, you should talk to your doctor right away and begin any additional medication

or therapies that your doctor recommends. The earlier you begin treating an acute COPD exacerbation, the better your chances of avoiding life-threatening symptoms and hospitalization.

If you ignore worsened symptoms, they're likely to continue getting worse. The longer you wait to seek help, the more you'll be at risk for serious complications and the less likely you'll be to make a full recovery.

Here are some of the early warning signs of a COPD exacerbation:

• Rapid, shallow breathing
• More difficulty catching your breath than usual
• More coughing or wheezing than usual
• A change in mucus color (yellow, green, or blood-tinged in color)
• Increased mucus in your lungs and airways
• Feeling unusually sleepy or fatigued
• Difficulty sleeping because your symptoms keep you up
• Having less energy than usual to do normal daily activities
• Breathlessness and fatigue at rest or after extremely light activities
• Confusion

If you think you're experiencing the early symptoms of an exacerbation, follow your COPD treatment plan and talk to your doctor as soon as possible. If your symptoms get significantly worse or you can't catch your breath, seek emergency medical care immediately.

There are certain symptoms that are a sign of serious oxygen deprivation and require immediate medical care. If you experience confusion, a severe headache, difficulty catching your breath at rest, a bluish tint to your skin, or have a sudden difficulty walking short distances, you should seek emergency medical attention immediately.

What Happens When You Have an Exacerbation?

When you have an exacerbation you'll experience increased symptoms and increased mucus production that makes it more difficult than usual to breathe. This happens because of inflammation that reduces your lung function and causes inflammation in your lungs and airways.

Mild exacerbations can sometimes be treated at home, although you should always talk to your doctor about when you should call him first. Your doctor might recommend a variety of medications to use in the short term to manage your symptoms until the exacerbation passes.

Here are some common medications used to treat exacerbations at home:

• Bronchodilator Inhalers: Your doctor might recommend that you use your bronchodilator medication more often or prescribe you a different inhaled medication than you usually use. This will help open up your airways and make it easier to breathe.
  
  
• Corticosteroid Medications: Inhaled or oral corticosteroids are common treatments for COPD exacerbations. They help reduce inflammation in your lungs, reduce swelling, and open up narrowed airways.
  
  
• Antibiotics: If a bacterial infection is the cause behind your exacerbation, your doctor might prescribe a course of antibiotics to treat it.

However, if an exacerbation gets worse, you might need to go see your doctor or be hospitalized if it gets severe. You should seek emergency medical care if you experience unusually severe symptoms, can't catch your breath, or show signs of low blood oxygen (like confusion, a severe headache, a bluish color to your skin, or extreme fatigue).

If admitted to a hospital, you will receive more intensive treatment that may include bronchodilators, systemic corticosteroids, supplemental oxygen, and breathing support. If your lungs aren't working well enough on their own, you may have to use a ventilator or a positive expiratory pressure (PEP) device to keep your airways open.

Without prompt medical treatment (and even with it), a serious exacerbation can be life-threatening. That's why preventing exacerbations is one of the most important things you can do to stay healthy and live longer with COPD.

What Causes COPD Exacerbations?

There are many different COPD triggers, including dust, pollen, and cold air, that can cause your symptoms to get worse. However, these irritants usually only cause minor flare-ups, not full-blown exacerbations.

 However, exposure to COPD triggers like respiratory irritants can significantly raise The majority of the time, exacerbations are caused by a respiratory illnesses or infection, not respiratory irritation alone.your risk of subsequent exacerbations.

According to research, respiratory illnesses cause 70 to 80 percent of exacerbations experienced by people with COPD. That's why it's so important to do whatever you can to avoid getting sick, including getting vaccinations, practicing good hygiene, and living a healthy lifestyle.

Here is a list of some of the most common causes of COPD exacerbations:

• Pneumonia
• The flu
• Seasonal allergens
• Smoke
• Air pollution

Unfortunately, in up to one-third of cases doctors are unable to determine the cause of a COPD exacerbation. It's important to make choices that limit your risk of having an exacerbation, but there's no way to reduce that risk to zero.

There are certain risk factors for exacerbations that you have little or no control over, like your age and the severity of your disease. Here are some common factors that put you a greater risk for exacerbations if you have COPD:

• A history of frequent exacerbations
• If you've had an exacerbation within the past year
• If you have more severe COPD symptoms (e.g. a severe daily cough or severe breathlessness every day)
• You have severely reduced lung function
• Low BMI
• Lack of exercise
• Old age

Taking care to avoid exacerbations is one of the most important things you can do to stay healthy, stay strong, and maintain your quality of life while living with COPD.. If you are ready to learn what you can do to protect your lungs and maintain your quality of life, continue reading to learn about fifteen different ways to avoid COPD flare-ups and exacerbations.

How to Prevent a COPD Exacerbation

Now that you understand the risk factors for exacerbations, why exacerbations happen, and how to recognize the early warning signs, it's time to learn how to prevent them. Even though you can't always avoid exacerbations, there are many different things you can do in your daily life that reduce your risk.

In these next sections, we're going to show you how you can avoid exacerbations by incorporating simple habits and techniques into your everyday life. We'll go in-depth into a variety of activities, useful techniques, and special precautions you can take to reduce your risk.

Don't put it off any longer; continue reading to learn about a variety of practical steps you can take today to reduce your risk of experiencing a COPD exacerbation.

Avoid Weather and Temperature Extremes

Hospitalizations for COPD-related exacerbations and complications go up significantly in extreme temperatures and weather. That's why you have to be particularly careful to protect yourself during the summer and winter months.

In general, it's a good idea to avoid going outdoors whenever it is extremely hot or cold outside. Both hot and warm air are hard on your lungs, make it difficult to breathe, and can make you more prone to flare-ups and exacerbations.

Avoiding Hot Weather

For some people with COPD, the summer heat brings relief and decreases their symptoms. But for those who are not so lucky, the hot air can make a variety of COPD symptoms worse.

When you spend time in the heat, it raises your body temperature, which makes your body have to work harder to cool you down. This is taxing on your lungs, which already need extra energy to function, and can make it much more difficult to breathe.

You are also more likely to get dehydrated and feel fatigued when you are out in the hot, humid air. Hot weather also tends to correspond with higher ozone pollution levels, which can irritate your lungs and make you even more prone to flare-ups and exacerbations.

Here are some tips for staying healthy and avoiding exacerbations in hot weather:

• Always stay indoors when it is very hot or the air quality is low. Plan exercise and outdoor activities for milder days.
  
  
• Plan activities during the early morning or early evening, when the temperatures are cooler. The hottest temperatures tend to occur between 11 am and 3 pm every day.
  
  
• Drink lots of water during the summer, especially when you exercise or spend time outdoors. Always bring a bottle of water with you when you go out.
  
  
• Keep your home cool and air-conditioned. If you don't have air conditioning, go to a public place that does have AC, like the library or mall, on very hot days.
  
  
• If you feel overheated, try taking a cool bath or shower to cool down.
  
  
• Use a fan in your bedroom at night or any other rooms that tend to get hot and stuffy. You can also get a hand-held, battery-powered fan to bring with you whenever you go outdoors in the heat.
•  
• Drink a sports drink or salty food after sweating or spending time in the heat to replenish lost electrolytes.
  
  
• If you are sensitive to allergens, always check your local pollen and allergen forecast. You can check it online at pollen.com.
  
  
• Bring your inhaler and any quick-relief medications with you whenever you go out in case your symptoms flare up.

Avoiding Cold Weather

Cold weather can also make COPD worse and put you at a much greater risk for exacerbations. In fact, one study showed that cold weather caused a significant increase in hospital admissions, with up to a 20% increase in hospitalizations for people with COPD. The main factors increasing the risk were lower temperatures, windchill, cold weather that lasted for more than a week.

Winter weather causes an increase in symptoms in part because cold air is denser, drier, and more difficult to breathe. Cold, dry air dries out your airways and nasal passages, causing inflammation that worsens symptoms and increases mucus production.

Together, these effects make it more difficult to breathe and increase your risk of getting an illness or infection. The effects are the worst at temperatures below freezing, but COPD hospitalizations increase at temperatures as high as 41 degrees Fahrenheit.

That's why it's so important to stay indoors and take extra precautions during the winter months. Here are some tips for avoiding cold weather and staying healthy during the winter:

• Stay indoors on cold days and when the air quality is low. Don't exercise or do other physical activities outdoors; instead plan them for warmer days or save them for a warmer season.
  
  
• Always dress warm for cold weather and use layers so you can add or remove them if your comfort level changes.
  
  
• Always breathe through your nose, not your mouth. This allows the air to warm up and pick up moisture as it travels through your airways to your lungs.
  
  
• Cover your mouth with a scarf or cold weather mask anytime you have to be out in the cold air. This traps the heat and moisture from your breath in order to warm and humidify the air you breathe.
  
  
• If you use supplemental oxygen, cover your oxygen tank and tubing when you go outdoors. You can string your tubing underneath your jacket or coat to keep it warm.

Humidity

Humidity is yet another weather condition that can have a significant effect on people with COPD. Most people do best when the humidity is around 40 percent, and a humidity range between 30 and 50 percent is recommended for people with respiratory conditions and diseases.

Both too little and too much humidity makes it difficult to breathe and can make your COPD symptoms worse. Dry air is harsh and irritating to your lungs, while extra-humid air is heavy and hard to inhale.

Humidity tends to be highest in warm weather, because warm air is able to hold more moisture. The air tends to be much drier during the winter, and the dense, cold air tends to make air pollution worse as well.

But humidity isn't just about the weather; even if the humidity is ideal outdoors, the humidity inside your house can still get high. Running a shower or bath and using appliances like your dishwasher or washing machine can raise the humidity in your home if you're not careful.

Humidity effects everyone differently, so pay attention to what humidity levels make your symptoms better or worse. To reduce your chances of flare-ups and exacerbations, you should avoid spending time outdoors any time the air is especially humid, especially dry, or polluted.

Here are some general tips for dealing with dry and humid weather:

• Get a humidifier for your home and use it during the dry winter months. You can get one for your bedroom and any other space you tend to spend a lot of time in, or you can get a whole-house humidifier that hooks up to your home's main ventilation system.
  
  
• When the humidity outdoors is very high, keep your windows and doors closed to keep the moist air out of your home.
  
  
• Make sure any appliances that release moisture into the air, including your washing machine, clothes dryer, stove, and dishwasher well-ventilated.
  
  
• Whenever you take a shower or bath be sure to open a window or turn on your bathroom fan to vent extra humidity.
  
  
• Use the vent fan on your stove when cooking steamy or smoky foods.

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Attend Pulmonary Rehabilitation

Getting exercise and living an active life is another one of the best things you can do to keep your body healthy, strengthen your breathing muscles, and reduce your risk of COPD exacerbations. But in order to get enough exercise, you need to know how to manage your symptoms and control your breathing while you work out.

That's why many doctors recommend that COPD patents attend pulmonary rehabilitation, a special class designed specifically to help people with respiratory diseases live healthier, happier lives. Many people begin pulmonary rehabilitation after they have difficulty exercising and managing their disease on their own.

But pulmonary rehab is about more than just exercise; it's about learning how to manage all the different aspects of your life that are affected by COPD. You'll learn how to keep your lungs healthy, how to manage your symptoms, and how to handle the stress and emotional strain of living with a chronic disease.

Classes are usually run by medical specialists or social workers who have a wealth of knowledge and experience to share. Classes usually focus on these main areas:

• Exercise training classes
• Learning and practicing breathing techniques
• Diet and nutritional counseling
• Lung health and disease education
• Learning how to conserve energy for what's most important
• Mental health counseling and group support sessions
• Learning how to use oxygen and other medications to manage respiratory symptoms

Research shows that taking a pulmonary rehabilitation class increases exercise capacity and overall health in people with COPD. Multiple studies have also found that pulmonary rehab significantly reduces patients' risk of future exacerbations and hospital admissions, too.

Pulmonary rehabilitation is like a crash course on how to live the best possible life while managing your COPD. It's one of the best things you can do to jump-start your COPD treatment and learn how to integrate positive, healthy habits into your everyday life.

Find a Pulmonary Rehabilitation Class Near You

Pulmonary rehabilitation classes vary depending on where you live and what kind of help you need. Some programs are hosted as group classes at hospitals and clinics, some offer individual instruction, and some can even be done partially or fully at home.

If you have COPD, talk to your doctor about whether or not you could benefit from pulmonary rehabilitation. Your doctor can give you a referral and help you find a class in your local area that works for you.

Here are some resources to help you locate a pulmonary rehabilitation program near you: