Why Is It Essential For All Asthma Patients To Exercise Regularly? Expert Opinion

For many individuals living with asthma, the idea of engaging in physical activity can be daunting. Concerns about triggering symptoms like shortness of breath, wheezing, or a potential flare-up often lead people to avoid exercise altogether. However, current research and clinical insights have made it clear that, when done correctly, regular exercise is not only safe for most asthma patients—it’s highly beneficial. In a conversation with Jagran English, Dr. Vikas Mittal, Director - Pulmonologist at the CK Birla Hospital in Delhi, discussed why it is essential for all asthma patients to exercise regularly.

According to Dr. Vikas Mittal, engaging in aerobic exercise consistently can significantly enhance lung health. It helps strengthen the muscles involved in breathing, increases lung capacity, and improves overall respiratory efficiency. Over time, this leads to reduced breathlessness during both physical activities and everyday tasks. Furthermore, consistent moderate exercise has anti-inflammatory effects that can reduce airway inflammation, a major contributor to asthma symptoms, helping to minimize both their frequency and intensity.

Exercise also supports the immune system and emotional well-being. It helps lower the risk of respiratory infections, which are common asthma triggers, while also improving mood and reducing stress, anxiety, and depression—factors known to impact asthma control.

Maintaining a healthy weight is another crucial benefit. Obesity is strongly associated with worsened asthma symptoms and greater reliance on medications. Regular physical activity aids in weight management, contributing to better asthma control and potentially reducing the need for medication.

Is exercise appropriate for all asthma patients? In most cases, yes—with some precautions. It’s important to have asthma under control before starting a new exercise routine. Doctors often advise using a quick-relief inhaler like salbutamol before physical activity. Warming up beforehand, starting gradually, and selecting suitable exercises—such as walking, swimming, yoga, or cycling—can make workouts safer and more effective.

Some people may have exercise-induced bronchoconstriction (EIB), where asthma symptoms are triggered by physical exertion. This doesn’t mean exercise must be avoided. With proper inhaler use and a tailored approach, EIB can be well-managed.

Finally, Dr. Vikas Mittal emphasized that the idea that people with asthma should avoid exercise is outdated. With the right strategy, medical guidance, and preparation, exercise can play a central role in improving asthma control, overall fitness, and self-confidence.