Exercise Guidelines for Patients with Thyroid Disorders

Safe and Effective Physical Activity Recommendations

Endocrinology

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Last updated: Mar 24, 2025

Introduction

Physical activity is crucial for managing thyroid conditions, but requires specific considerations based on your thyroid status.

Exercise Guidelines by Condition

Hypothyroidism

  • Start slowly: Begin with 10-15 minutes of light activity
  • Gradually increase: Add 5 minutes every 1-2 weeks
  • Target activities:
    • Low-impact aerobics
    • Swimming
    • Walking
    • Gentle yoga
  • Monitor fatigue levels

Hyperthyroidism

  • Focus on calming exercises:
    • Tai chi
    • Gentle stretching
    • Light resistance training
  • Avoid high-intensity workouts until condition is controlled
  • Stay hydrated
  • Monitor heart rate

Safety Precautions

General Guidelines

  1. Check with your endocrinologist before starting
  2. Exercise during cooler times of day
  3. Wear appropriate footwear
  4. Keep emergency contact information handy

Warning Signs to Stop

  • Excessive sweating
  • Rapid heartbeat
  • Dizziness
  • Unusual fatigue
  • Shortness of breath

Recommended Frequency

  • Start: 2-3 times per week
  • Build to: 4-5 times per week
  • Duration: 20-30 minutes per session
  • Rest: Allow recovery days between sessions

Progress Tracking

  • Keep an exercise log
  • Note energy levels
  • Track symptoms
  • Record heart rate

Additional Tips

  • Wear layered clothing
  • Carry water
  • Exercise with a buddy when possible
  • Keep medication schedule consistent

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