Tuesday 9 June 2015

Can you exercise when you are not feeling well?

Hi guys. I thought I'd deal with a less emotional topic for a change and this was a myth that I wanted to bust. Now some of my readers will know that I fell a bit ill after my exhausting holiday in Rome (which involved a lot of walking around all day in the hot summer weather and not getting enough rest) - nothing serious, just a bit of a cold. It started out with a sore throat, then I developed a runny nose the next day along with a congested head and then a cough. It has been unpleasant for the last few days but thankfully I am on the mend now after a few days but yes, tit is always a pain when one falls ill like this as it disrupts one's everyday life and for me, that meant not being able to do sports.
Getting a cold or the flu is never pleasant.

When I was a child, my parents used to ban me from doing any kind of sports when I was recovering from a cold or the flu on the basis that the physical exertion that came from sports could lead to a relapse of the illness, making you fall sick all over again. They even claimed that you could suddenly collapse and die from a heart attack if you exercised when you had the flu. I used to try very hard to hide any symptoms from my parents whenever I had a cold, just so I could continue doing sports. But is there any truth to what my parents believed in, or is it just old wives' tales? I am not a medical professional but as both a gymnast and a gymnastics coach, I will be talking about the issue of doing sports when you are unwell and I shall attempt to cast some light on this myth. Please note that I am not dishing out medical advice here, I am merely discussing the topic here with you.

Firstly, I have a simple answer: no, exercise per se wouldn't cause you to have a relapse or suddenly die I have no idea what the origins of my parents' assumptions are, but they are plain wrong. Exercise isn't bad for your body when you are ill - the body is surprisingly resilient and you are still going to be able to do many of the things you can normally do when you're not ill which is just as well, as most of us do continue working despite being quite ill. In fact, there are a few good reasons for you to exercise when you are under the weather - now unless you are so ill that you are bedridden and barely able to move, getting some exercise is great for your body. You are getting some fresh air, you are improving your blood circulation, you are stretching your muscles and if you are having some fun, it also lifts your spirits. Nonetheless, you need to consider the following factors if you are exercising when you are unwell.
Do you feel like exercising when you are ill?

If you are recovering from a cold or the flu, be aware of your limitations. Your stamina may be worse than normal, you may tire a lot more easily than normal and when you do, it is necessary to listen to your body and not push yourself too hard. Be realistic about your performance if you're exerising when you are unwell. Likewise, if you are suffering for a congested head, then it will affect your sense of balance and anything that involves going upside down or even just bending over may be frightfully unpleasant. When I was diving, I used to find going underwater extremely unpleasant when I was all bunged up with a cold - I don't think it did me any harm, it was just very uncomfortable and in hindsight, I probably should have stayed away for a session or two until I had recovered.

There are decongestants that you can take to combat the symptoms of a congested head, but be aware that many of these medicines have side effects that may cause drowsiness - so you may feel more like sleeping rather than exercising after having taken them. Likewise, if you are taking any other medication for your illness, do always double check what the side effects of those medicines may be and if they may affect the way you perform in sports. So if you are going to experience some drowsiness, you should not partake in a sport that involves quick reaction times (like tennis or badminton) - a gentler yoga class would be more suitable. If you are experiencing any kind of pain (such as in the form of a headache or a sore throat), then you may want to take some kind of painkiller medication to deal with the pain before you exercise. Be prepared to change your workout plans and be flexible under such circumstances.
Being unwell will affect your performance

Nonetheless, I would recommend the following rule of thumb (this is based on personal experience rather than any medical expertise): any kind of illness will involve a cycle, whereby in stage 1, we are gradually getting worse and in stage 2, we are recovering and getting better. You should be careful in stage 1 as you are not very sure just how ill you are going to be - you really shouldn't be pushing yourself or taking any risks.  But if you are convinced that you are already in stage 2 (and do be honest with yourself), then you can afford to do a lot more given that there is a lot less uncertainty about your recovery.  Always listen to your body - it will tell you what your limitations are and you should then work around the limitations imposed by your condition.

As for the part of my parents' claim that you could succumb to a sudden heart attack and die if you exercise when you are ill, let's look at this a bit closer as I don't want to just dismiss this out of hand as ridiculous bullshit. Whilst it is true that some seemingly healthy people have suddenly died from heart attacks - but this has absolutely nothing to do with a common cold or a bout of flu bringing on the heart attack. Often, these are people with undiagnosed heart conditions who may appear to be very healthy - for example, they may have potentially lethal soft plaques growing inside the lining of your coronary arteries that could rupture and cause a heart attack at any time. Now for people with such conditions, they could get a heart attack anytime, but it has absolutely nothing to do with having the flu or a cold.
No you won't drop dead if you exercise when you have the flu.

I have exercised when I have had a cold and I have also completely rested as well - my conclusion is that moderate exercise made virtually no difference to my condition. It didn't speed up my recovery nor did it slow it down. It neither made my symptoms any better or worse. But if I may be honest, I don't really enjoy exercising when I am unwell - everything just seems to much harder, my body aches, I feel tired more easily and I feel less coordinated. It can be a frustrating experience if you are trying to do a sport like diving or gymnastics when you are recovering from a bout of flu, that is why I recommend something like yoga instead. Depending on how severe your bout of flu is, the recovery period may take anything from a few days to a few weeks. Listen to your body: even if you can exercise, do something that you will enjoy so you will reap the benefits of it. It shouldn't feel like a chore and it certainly shouldn't frustrate you.

Lastly, if you have a runny nose or a cough, remember to have some tissues handy when you are exercising. Use the tissues to cover your mouth when you are coughing and sneezing, make sure you dispose of your tissues properly after use. If you have used some gym equipment, do wipe it down in case of you coughed or sneezed on it. It is just common courtesy not to spread your germs around and make others in your gym sick too. Apart from that, well, feel free to exercise when you are recovering from a cold or the flu. I'm very interested to hear what your experiences have been on the issue - please feel free to leave a comment below and let's talk about it. Many thanks for reading!

7 comments:

  1. Hi LIFT, just a follow-up question to Cassandra’s comment on being a bilingual stewardess. Do you think that Singapore’s bilingual policy has made Singaporeans effectively bilingual? (I’m going to focus only on Mandarin because I am a Singaporean Chinese; I don’t know much about how Bahasa or Tamil is faring.) When I say proficiency, I don’t mean conversational fluency, but business fluency. Perhaps linguistic proficiency depends on the nature of the industry, whether there are many technical terms involved, e.g. in biochemistry, law, aviation. My general impression is that most Singaporeans are not fluent in Mandarin, i.e. we are not likely to be able to perform the equivalent of our jobs in mainland China. There is talk about how speaking Mandarin is important if we want to work with Chinese businesses, but surely what these businesses value is the ability to discuss mergers and acquisitions in Mandarin, maybe some knowledge of Chinese history – and not just the ability to order a bowl of noodles from a street side hawker in Beijing? From my understanding, the average Singaporean’s grasp of Mandarin seems weak. Speech is often a mishmash of Mandarin, English, and dialect, and while I understand that there are some words without an equivalent in English/Mandarin, the ones used in daily conversations do not fall into this category. Not sure if this is the most tactful way of phrasing it, but there seems to be an inability to express oneself in one language, without introducing words from the other. I know you have done a post on Singlish before, but perhaps you can comment on the success of the bilingual policy? Many thanks.

    ReplyDelete
    Replies
    1. Hi Abigail,

      I think he answer is pretty clear and you have already covered most of the points that I would make. The bilingual policy has failed in more ways than one - do you know that many Singaporeans turn up in somewhere like England and most Brits think that we've learnt it as a foreign language because many Singaporeans often fail to be able to communicate in a form of international English that would be easily understood by people outside Singapore & Malaysia? The accent (which so many Singaporeans are so defensive about) is a major problem and hinders communication with those outside Singapore and so many Singaporeans are in complete denial about it. So your Mandarin is very limited, your English isn't great and you're fluent in neither languages: that's quite the opposite of being bilingual. It is a total shambles. That's all I have to say about it - and the most shambolic part of it all is the way Singaporeans are in total denial about how shambolic it actually is.

      Delete
  2. Hi Abigail

    Jemson here.My apologies for cutting in like that.I actually agree with Limpeh that bilingualism has failed in Singapore.

    But there are other reasons I would like to add.
    I hated Singlish since I was in Secondary school esp. in my Upper Sec. days.Had been trying all along to speak properly and correct my accent.However,every time I go to social events & managed to talk to other Singaporeans.They are stunned by my international English accent despite my explanation to them.

    A follow up reason on Singaporean's shambolic grasp of languages as Alex has mentioned is due to the conservative mindset prevalent amongst Singaporeans.
    I quote: "Why bother learning French,German or Japanese and why further improve our half past six English & Mandarin?"
    "This is Singapore,either assimilate into our culture and abide by our rules or F... off"

    Now I am a firm believer in continuous education.
    As they say in Mandarin,"活到老,学到老"
    This applies to languages as well.
    By being so stuck up conservative and giving excuses not to improve on ones language is alr not a good excuse to me.
    Using assimilation into the native country's culture to cover up for the above is even
    worse.
    Unless we reform the existing situation on bilingualism,I guess we have probably failed even to be a jack of all trades.

    ReplyDelete
  3. Exercise after a viral upper tract infection might lead to secondary bacterial infection which would not have occurred if one listened to his or her body and rested. If ine feels tired and achey after the fever sore throat and cough haa subsided , exercise is ill advised.

    ReplyDelete
    Replies
    1. I don't see the connection between the exercise and the secondary bacterial infection - why would one cause the other? You have not explained the cause & effect - I don't doubt that any kind of secondary bacterial infection is bad for you, but what makes you think that exercise can cause it? You've not proven your point - would you like to do so? I'm not saying "don't listen to your body" - I agree that you must listen to your body when you're not feeling well, but you are not clear about the cause & effect regarding this 'secondary bacterial infection'.

      Science baby, it's science we're dealing with, not old wives' tales.

      Delete
    2. A secindary bacterial infection can occur when someone is already weakened from a viral i fection like influenza infection. Notveveryone who gets influenza will get say a decondary chest infection or bronchitis. Ask any doctor he would advise against vigorous exercise soon after a fever esp if there is post fever malaise and muscle aches.. i spoken to infectious disease dr and that is his considered medical opinion that vigorous exercise post fever can weaken the immune system can lead to a secondary bacterial l infection.

      Delete
    3. Surely there's a huge difference between running a marathon and taking a yoga class - a lot of this is common sense of course. Some Asian parents would prescribe complete rest for a few weeks when recovering from the flu, that means not even a yoga class: now the risks associated with a yoga class as opposed to running a marathon are quite different, so this must be taken into account.

      Delete