Exercise Guidelines for Patients with Adrenal Disorders

A Comprehensive Guide to Safe Physical Activity

Endocrinology

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Last updated: Mar 24, 2025

Introduction

Exercise is an important component of managing adrenal disorders, but requires careful consideration and proper planning. This guide will help you develop a safe and effective exercise routine.

General Safety Guidelines

  • Always carry emergency medication
  • Wear medical identification jewelry
  • Exercise with a companion when possible
  • Monitor blood pressure before and after exercise
  • Keep hydration and electrolyte supplies nearby

Recommended Exercise Types

Low-Impact Cardiovascular Activities

  • Walking
  • Swimming
  • Stationary cycling
  • Elliptical training

Strength Training

  • Start with body weight exercises
  • Progress gradually to light weights
  • Focus on major muscle groups
  • Maintain proper breathing techniques

Exercise Intensity Guidelines

For Addison's Disease

  • Start at 40-50% of maximum heart rate
  • Gradually increase to 60-70%
  • Limit sessions to 20-30 minutes initially

For Cushing's Syndrome

  • Begin with 10-15 minute sessions
  • Focus on weight-bearing exercises
  • Include balance training

Warning Signs to Stop Exercise

  • Dizziness or lightheadedness
  • Unusual fatigue
  • Nausea
  • Severe headache
  • Sharp pain
  • Irregular heartbeat

Special Considerations

  1. Timing: Exercise when cortisol levels are typically highest
  2. Medication: Adjust doses as recommended by your physician
  3. Recovery: Allow adequate rest between sessions
  4. Progression: Increase duration and intensity gradually

When to Seek Medical Attention

Contact your healthcare provider if you experience:

  • Persistent fatigue after exercise
  • Recurring symptoms during activity
  • Unusual blood pressure changes
  • Signs of adrenal crisis

Documentation

Maintain an exercise log recording:

  • Duration and type of activity
  • Pre/post exercise symptoms
  • Blood pressure readings
  • Medication adjustments

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