| For
[people] with CF, exercise also helps
clear mucus and increase lung muscle
strength. Exercise also can
help increase
self-image
and
decrease
social differences
between
them and
others�
From day to day, CF may
limit how much they can do or how
long they can do it.
For [people] with CF, exercise:
� builds muscles and strong bones; � strengthens lungs; helps clear lung mucus; and � helps lower emotional stress. Adults handle high temperatures better than children do. Children sweat less and create more heat during exercise. Fluids are crucial during exercise. Have water or sports drinks on hand and encourage �fluid breaks.� [People] with CF lose more salt when they sweat than [people] without CF. They must replace salt and fluid when exercising. Salt can be replaced by eating high-salt foods� [People] with CF should drink fluids before, during, and after exercise. During aerobic exercise, it is estimated that [people] with CF should drink six to 12 ounces of fluid every 20 to 30 minutes. Sports drinks, with the added carbohydrates and salt, are great for [people] with CF to drink while playing sports. The carbohydrates give fuel to the muscles and help keep blood sugars up. The salt quenches thirst and prevents dehydration. Avoid drinks with caffeine during exercise since they can increase fluid loss. Click www.cff.org/UploadedFiles/living_with_cf/Files/Nutrition%20School%20Enzymes%20 Sports%20and%20CF.pdf to view the article in entirety. [E]xercise is considered a valuable tool for CF patients in maintaining good health. Running, jogging, aerobics, bicycling, swimming, and tennis are all examples of exercise that can be of benefit to a person with CF. Exercise has many benefits for people with CF. First, exercise is a natural form of chest physiotherapy. The movements involved in exercise, whether running or bicycling, create a natural vibration that helps loosen mucus in the lungs so it can be coughed up more easily. Second, exercise stimulates coughing, again helping in the removal of mucus from the lungs. Third, as in all patients, exercise improves cardiovascular health by strengthening the heart and improving blood pressure. Lastly, exercise can improve mental attitude. The program should take into account the patient's interests and limitations. It is important that patients start an exercise program slowly and work up to a comfortable level. Patients should also remember to stay properly hydrated since they will be loosing even more water and salt through perspiration. Patients will also be loosing extra calories from exercise and will need to make up for the loss. Click http://cystic-fibrosis-symptom.com/cystic_fibrosis_exercise.htm to view the article in entirety. Regular physical and breathing exercises, along with the use of antibiotics and lung care, can help prevent, relieve, or control breathing problems. A fit body is strong and flexible. It uses oxygen more effectively, so less is needed to do an activity. A fit body is also able to resist or fight infections better and may result in fewer or shorter hospital stays. In addition, exercise will help to loosen mucus in the airways so it can be coughed up easier. Some people with mild CF may be able to use regular exercise instead of one of the bronchial drainage treatments. Discuss this with your doctor. (Note: Check with your doctor to see if you need to take in more salt and fluid during heavy exercise or when the weather is hot.) Breathing exercises are an important part of the CF management program, and should be practiced regularly. The emphasis on relaxed exhalation will prevent air trapping. Diaphragmatic breathing is a way of breathing that uses the diaphragm muscle to do the work. The diaphragm is shaped like a dome and is between your lungs and your abdomen (belly). It is the strongest and most effective muscle you have for breathing. During most activities, this should be the main muscle doing the work of breathing. When your breathing rate increases, such as during exercise, singing, or playing a wind instrument, you need help from other muscles to breathe. These �accessory muscles� are in your neck, shoulders, and chest. They are great helpers, but they take more energy to use. For this reason, you should always try to use your diaphragm to breathe, and use your accessory muscles only when you are breathing harder. Click http://xpedio02.childrensmn.org/stellent/groups/public/@Manuals/@PFS/@ChildDev/documents /PolicyReferenceProcedure/015536.pdf to view the article in entirety. After exercise training, the muscles become more efficient and they can perform the same amount of work for less oxygen. This is called cardiorespiratory fitness. Muscles, including the breathing muscles will feel more comfortable for the same amount of exercise than before training started. Consequently you will also be able to do more exercise. This is called increasing your exercise tolerance. People feel better after exercise because endorphins are released into the blood stream. Exercise training reduces breathlessness and strength training improves muscle bulk and body image. The respiratory muscles can be trained to improve endurance i.e. work for longer before getting tired, both with respiratory trainers and upper body exercise. Everyday activities feel easier to perform and general wellbeing improves. Recently studies have examined the benefits over a longer period (1-3 years). Lung function values were better in the group who exercised compared to the non-exercising group. Although this is still a relatively short time, it may be that exercise can preserve and prevent deterioration of your lung function. Exercise may also help to prevent your bones from becoming thin and improve your posture. Most people stop because their muscles ache and only a few because of breathlessness. This tells us that most people with CF are unfit and their lungs have lots of reserve for exercise. From the test an effective and safe exercise programme can be recommended. It is important to protect ligaments and joints from injury - warm-up, cool down and stretching exercises are important components of any programme. There are two sorts of exercise: aerobic endurance exercise e.g. cycling, walking, swimming, running and anaerobic exercise e.g. sprint and weights. Low weights and high repetitions are more aerobic and will increase strength compared to high weights and low repetitions which constitute bodybuilding. Flexibility and stretching exercises are good for your posture. A mixture of endurance, strength and flexibility activities for upper and lower body is ideal but it is more important that you choose the type of exercise that you enjoy so that you will continue. Exercises which strengthen bones are weight bearing endurance activities, e.g. running, walking, dancing and stair climbing. The amount of exercise should be progressive and should be sufficient to leave you pleasantly tired without soreness or undue breathlessness. Your CF physiotherapist will recommend a starting level and advise how you should progress, based on your exercise test. It is generally recommended that 20-30 minutes 3-4 times a week will bring about a training effect. Weight training programmes should be performed on alternate days. Remember that any exercise is better than none at all. It usually takes about 8-12 weeks to see an effect from training. Fitness is lost quickly when you stop so it is really important to choose an activity which you enjoy to become part of your lifestyle. It has been suggested that exercise can replace physiotherapy. Studies have shown that a combination of the two is as good as physiotherapy alone, but exercise alone may not be sufficient. Talk to your CF physician and physiotherapist. Many patients prefer exercise to chest physiotherapy and find that it works for them. Following exercise the airways widen temporarily and people with CF comment that they produce sputum during exercise. However, it is important to recognise that there are times when you will not be well enough to maintain that level of exercise and chest physiotherapy will be required for sputum clearance. If you exercise in the hot weather you can become dehydrated. You should take extra salt tablets and drink plenty of fluids. Exercise is good for you if you have diabetes and sometimes improves blood glucose control by reducing insulin requirements. If your diabetes is well controlled exercise can cause your blood sugars to go too low (hypoglycaemia). It is important to talk to your CF dietitian and consultant to plan your insulin and carbohydrate requirements both for exercise and normal activity. Regular exercise, unless particularly vigorous, should not cause you to lose weight if you are eating a good diet. Click www.cftrust.org.uk/scope/documentlibrary/Publications/fs_Exercise_March2005.pdf to view the article in entirety. Top 10 Reasons to Begin Exercise 10: They [your bones] get stronger because of the stress you place on them, especially weight bearing exercises such as walking, running, dancing, and importantly, resistance (weight) training� 9: There is significant data in both non-CF and CF populations, that regular exercise reduces stress and leads to an overall improved sense of well-being�It is KEY to pick what you like to do, and do it at an intensity that is slightly difficult, but still pleasant. Remember, too, that the correct intensity varies with the state of your body in the moment� 8: Exercise (along with good hydration) is one of the best ways to keep those digestive juices and peristaltic movements flowing� 7: Not only do you have control of IF you exercise, but when and where and how long, etc�You will feel and look different, slowly but surely. As this happens, a true sense of empowerment starts to creep into other areas of your life as well� 6: �[W]hen people with obstructive lung disease begin a program of regular aerobic exercise, they begin to experience less dyspnea [shortness of breath, air hunger]� 5: Exercise, especially resistance exercise, builds muscle mass�A higher lean body mass (with less fat) leads to more efficient energy usage�An efficient system works smoothly, with less waste� 4: �[R]egular, vigorous exercise improves appetite� 3: Posture!...This [the barrel chest, osteoporosis forward slouching of the shoulders, rounding of the upper back] can be addressed, very effectively, with exercises that strengthen the upper back and �core� muscles of the trunk, as well as those that stretch and increase the flexibility of the chest and anterior shoulders. We can, by training and stretching the muscles surrounding our lungs, improve the chances of air getting to where it can be utilized� 2: First, your overall energy level improves when you exercise regularly. Second, you have the ability to develop greater endurance, even with CF. So, if you train, you will be able to do more, for a longer period of time, without fatigue. Strength comes into play as well� 1: There is nothing better for your immunity than good rest�The beauty of exercise is that 1) it gives you a great excuse for a good nap afterward, and 2) it tires your out physically so that you are ready for that immune enhancing snooze�[T]here is now convincing evidence from the field of psychoneuroimmunology�that regular, moderate exercise independantly enhances both cellular and humoral immunity�That translates to better antibody production�and faster wound healing. from �Top 10 Reasons to Begin Exercise� pp.8-9 by Julie Desch, MD in CF Roundtable Newsletter Winter 2006 Issue. Visit www.cfroundtable.com or write CF Roundtable, PO Box 1618, Gresham, OR 97030-0519 to subscribe. Many health problems can be corrected by regular exercise. Our bodies were meant to move�If they [muscles] are not worked, the tissues die�Exercise speeds up your circulation, improves the function of all your internal organs and glands, ensures proper elimination, removes the lactic acid and other fatigue poisons from your body, builds new stronger and healthier cells, builds coordination, balance, and control of all the muscles, increases your metabolism, and is the best insurance against� sickness. The best exercise is brisk walking. It also gets you out in the fresh air and you clear your head the same time as you rejuvenate your body. from The Family Meal Table and Hospitality p.208, by Nancy Campell. [Parent]hood is much more important than a mere athletic event! [Parent]hood has eternal consequences! We are life shapers! Yet so many of us give no thought to the physical demands they place on themselves by this most honorable calling and end up the same way�sick, depressed, tired all the time, and barely able to cross the finish line�[L]ifeless from dead food, sick from medication and junk, and depressed from all of the above and more? [Y]ou can reclaim your health and vitality. You can be an energetic [parent].The number one �how to� for snapping out of depression is to walk or run�Because God made our bodies to produce natural antidpressant chemicals when we get outisde and breathe His fresh air and � exercise! It raises your endorphins�and alleviates stress. [W]e cannot [parent] to our fullest potential without having abundant energy! Without this simple remedy for vigor, your pregnancy and [parent]hood can become a burden. [H]aving children, without giving a thought to exercise and healthy eating, has done more of a disservice to the name of [parent]hood than most things! �For unto whomsoever much is given, of him shall be much required.� We have been [or hope to be] given beautiful children and [spouses]�.[W]e have a responsibility to keep fit and healthy for them. I get up...and go for a good speed walk with my baby in the sling. That�s all there is to it! Most people don�t have a pool, and most of us do not have money or time to spend away from family for gyms. That�s why walking works�[D]o a few weights every other day, stretch a little, and sometimes an exercise video when [you] can�t get out. You can even take the weekends off. �I�m too tired� is not an excuse, it�s a reason to start. from �What�s Wrong With Them? What�s Wrong With Us?� pp.18-19 by Evangeline Johnson in Above Rubies Magazine, September 2001 Issue No. 55. To subscribe go to http://aboverubies.org. WALKIES The easiest and least expensive exercise, above all others, is walking. The benefits of a brisk walk every day or several times a week are numerous. You get fresh air in your lungs, a clear head, as well as the calories you burn and the exercise to your muscles and joints. If the weather won�t co-operate, try going undercover for your brisk walk in a large shopping mall. HOUSEWORK Doing your housework briskly can be a good calorie burner and muscle stretcher. Cleaning windows, vacuuming, mopping the floors, heavy gardening work such as digging, and many other activities that you do without thinking, are good exercise. THE STEP AND STAIR INVENTIONS [T]he old-fashioned steps and stairs - real ones. They get the blood pumping and strengthen the legs, especially your calf muscles. If walking or jogging up and down a set of stairs is too much for you, try using a stack of sturdy books, a wooden box or a piece of wood as a �step� and use that to exercise on. Put on some music and set a goal to achieve. TV AND VIDEOS Browse your TV channels and search for a video aerobics style of programme that you can work out to on a regular basis� You can tape programmes to use at a later date, or even purchase, swap or hire exercise videos and DVD�s. Invite some friends over and make it a weekly date. (See Reading and Resources below for recommendations�ed.) SWIMMING If you are lucky enough to have a free council-ran pool in your area, or access to the beach or even have a pool in your back yard, use it for exercise, not just for sunbathing. Start with a few laps and gradually increase your distance. This is great for the lungs, arms and upper body. (Water aerobics is also good cardiovascular/resistance exercise�ed.) JOGGING This is another inexpensive option and one that burns more calories than walking�Be sure to wear good supportive shoes, or, in time, you�ll find yourself with shin splints (pain in your shins) and foot problems. (Jogging or walking with a soup can in each hand and pumping your arms is good exercise not only for your arms and laterals, but also for your lungs�ed.) BODY WEIGHT RESISTENCE EXERCISES The next time you are lying on the floor watching TV (because the children and the cat have all the good soft chairs), do some exercises like sit ups, push ups, back arch stretches, bike pedaling motions, squats and lunges during the commercials. They don�t take long and a few good sets of each exercise will show itself in your flexibility, strength, muscle fitness�and general health. Weight bearing and weight resistance exercises are deemed imperative for bone density, muscle strength and tone. SLIDING CANS Those machines that you place on the floor to slide or roll out and back causing a wonderful six-pack of stomach muscles in just a few minutes a day, can be substituted with a medium-size or large can. Get on your knees and grip the can firmly between both hands evenly. Slide it out and then slide it back making sure your stomach, shoulders and back muscles are given a workout. CYCLING Cycling outdoors is a great form of exercise and can replace your normal drive to the local shops to fetch bread and milk, provided you have a bike, of course. (Even if you are not toting children along, you can use a bike trailer to put your grocery sacks in. When you are toting children, you can put heavy things at their feet, lighter things on their laps and other things in between, on top of the trailer or on your handle-bars�ed.) SKIPPING Find a piece of rope or nick your daughter's skipping rope and have a go at regular skipping. It's a good anaerobic exercise (good for your lung capacity and general fitness) and doesn't take much in the way of equipment. WEIGHT LIFTING You don't need to fork out hundreds or thousands of dollars for a full gym and a set of weights that will probably gather dust in the corner. Grab some cans of food, heavy books or small bags of sand and use these to strengthen your arm, shoulder and back muscles. Use them like you would a pair of dumbbells and do sets of 6 or 12. Depending on the weight of the item, increase the number of sets as you feel yourself gradually growing stronger. It's good to give your muscles a rest every other day. You might do the upper body exercises on a Mondays, Wednesdays and Fridays. The muscle fibers need time to repair themselves overnight, so don't overdo the exercises on any part of your body. The alternate days, Tuesdays, Thursdays and Saturdays, could be dedicated to working on your torso or legs or used for anaerobic activities like swimming, cycling, running, walking, or for resting. (Provantage from Reliv is formulated to help muscles repair after workouts or other activity. From personal experience it really helps cut down on the soreness and fatigue of overworked muscles and seriously shortens the repair time by providing the specific nutrient balance needed by muscles to work and repair�ed). ADDITIONAL TIPS Additional tips for [reaching or maintaining your ideal body weight], getting trim and fit frugally include drinking lots of water�and using every opportunity to exercise, whether it be walking further when you park at the shopping mall or playing soccer with the children in the park. Make it a lifestyle choice and aim to get fit and healthy this year! from �Fitness for the Frugal� pp.18-19 by Victoria Purdie in Above Rubies Magazine, April 2003 Issue No. 58 . To subscribe go to http://aboverubies.org. Too much exercise leaves you exhausted; too little leaves you sluggish. The right amount is invigorating�The right amount of exercise contributes to your sense of well-being in a number of ways. Physically, regular moderate exercise is a powerful way of regulating blood sugar levels, which�is a major factor in your energy level�Right from the start, your exercise should be pleasant and invigorating. from Fertility, Cycles & Nutrition: How Your Diet Affects Your Menstrual Cycle & Fertility, pp.164-165 by Marilyn M. Shannon Regular, moderate exercise increases the white blood cell count, improving the body�s ability to fight off infection. Exercise also increases the number of �killer cells,� those special cells that are mobilized to fight serious diseases, and it increases the body�s production of the antibody immunoglobulin A (IgA). Another way exercise boosts immunity is by reducing stress, which can itself depress the body�s immune system. One of the great perks of the L.E.A.N. [lifestyle, exercise, attitude, nutrition] program is that it should improve your sex life. A study showed that a group placed on a program of improved diet, stress management, and exercise had heightened sexual arousal and pleasure. People who begin an exercise program often discover that they have so much more energy. At the muscular level, exercise improves the efficientcy with which the muscles can use oxygen. Exercise also helps the body deliver more oxygen to vital organs, such as the lings, brain, heart, and muscles. In a nutshell, exercise helps transport the oxygen through the body and into cells more efficiently. Nearly all the physiological changes that are associated with aging are delayed with exercise, including decreased muscle mass, increased body fat, reduced muscle strength and flexibility, decreased bone mass, decreased metabolic rate�, decreased carrdiovascular fitness, sleep difficulties, reduced sexual performance, diminished oxygen utilization by muscle, and reduced mental acuity. Exercise acts like a tonic, delaying or diminishing many of the symptoms of aging. A study of seventeen thousand male Harvard raduates aged thirty-five to seventy-four showed that men who exercise regularly live longer. The death rates declined as the number of calories burned in exercise increased, up to a weekly calorie expenditure of 2,000 calories (which would be an average of forty minutes of moderate exercise per day). The study suggested increase in death rate among men expending more than 3,000 calories per week, leading researchers to conclude that moderate exercise seems healthiest for most people. Between the ages of twenty and eighty years of age, the average male may lose a quarter of his total muscle mass, which leads us to conclude that the amount of exercise you do should increase with age rather than decrease. Exercise builds bone. Weight-bearing exercise is a good way to prevent osteoporosis, or softening of the bone. One reason exercise helps build bone is that exercising bodies tend to excrete less calcium through the kidneys than sedentary bodies do. Exercise releases endorphins, the body�s own internal opiates, or mood-elevating, pain-relieving hormones. It�s on the days when you least feel like exercising that you�ll notice the endorphin effect the most. It relieves tension and soothes stress�The neurochemicals that are released during exercise can not only calm you if you�re anxious but also pull you out of a depression. In studies, depressive symptoms decreased in women who engaged in regular exercise, such as walking briskly, jogging, lifting weights, or dancing, three to four times a week for eight to ten weeks. Psychiatrists often prescribe exercise to combat depression. It�s cheap, too, and the side effects are all good ones. Because exercise increases blood flow to the brain, it�can help you concentrate and also helps your brain relax when it�s time for sleep. Exercise improves digestion and speeds the passage of food through the intestines. Chronically constipated persons often notice a return to regular bowel movements when they begin the L.E.A.N program. A study of thriteen thousand men and women followed for fifteen years by aerobics expert Dr. Kenneth Cooper showed that the incidence of all forms of cancer was related to fitness. The fitter the subjects were, the less their risk of cancer. from The Family Nutrition Book pp.341-345 by William Sears, M.D., and Martha Sears, R.N. (See Nutrition for specific nutrient requirements for exercising�ed.) In addition to a proper diet, exercise and a positive attitude are two important elements that are needed to prevent sickness and disease. The closest thing to a �magic bullet� for maintaining youth and optimal health is a well-balanced combination of exercise and proper nutrition. The entire body benefits from this formula, both physically and psychologically. Regular exercise improves digestion and elimination, increases endurance and energy levels� Moderate fitness�can be achieved in ten weeks through many different forms of exercise, including daily sessions of walking, bicycling, or even gardening. Aerobic or endurance exercise improves the body�s capacity to use fuel and oxygen. Swimming, bicycle riding, jogging and power walking are examples of this type of exercise. The body�s cardiovascular system benefits through increased blood supply to the muscles and enhanced oxygen delivery throughout the body. Just twenty minutes a day of sustained aerobic activity can lower blood pressure and strengthen heart function. Range-of-motion exercise helps maintain a joint�s complete movement by putting a body part through its maximum available range of motion. Extending and moving one�s arms in wide circular motions is an example of this. Some degree of flexibility is required to perform range-of-motion exercises, so stretching is recommended beforehand. Strengthening exercise helps a muscle�s ability to contract and do work. Doing sit-ups, for example, is a way of strengthening abdominal muscles. One exercise rarely achieves two goals. For instance, a strengthening exercise will not significantly affect endurance, and range-of-motion exercises will not necessarily improve strength. A total exercise program must consider the individual�s goals and include activities designed to achieve those goals. Exercise should not be looked at as a chore. Try to select activities that you enjoy and look forward to doing. Whatever you choose, start out slowly, listen to your body, and gradually increase the intensity and duration of your workout. from Prescriptions For Nutritional Healing p.5,547-548, by James F. Balch, M.D. and Phyllis A. Balch, C.N.C. Pilates is a form of exercise which combines flexibility and strength training with body awareness, breathing and relaxation. Because Pilates targets the tummy and pelvic floor muscles and these muscles can weaken during pregnancy, Pilates exercises can be useful. Many Pilates exercies are performed on a "hands and knees" position, and this is an ideal position for pregnancy. It helps to take a lot of stress off your back and pelvis and towards the end of your pregnancy can help to position your baby ready for delivery. Some of the exercise positions especially lying on your tummy or back are not appropriate for mid-pregnancy and beyond. If you wish to attend a Pilates class during pregnancy, it is therefore advisable to find one specifically designed for pregnant women. Click www.babycentre.co.uk/pregnancy/fitness/pilates/ to view the article in entirety Regular exercise makes all the difference when you are pregnant or feeding a baby. Everything you do also influences your baby's development. In pregnancy, water exercise can help you to feel energetic and have a positive attitude towards your body and your baby. Swimming is a great way to exercise in pregnancy, the water buoyancy giving you some welcome respite from the weight you are carrying. Choose a stroke you enjoy such as freestyle, crawl, sidestroke, or backstroke. Breaststroke is best avoided in pregnancy. Because the pelvic ligaments are softer than usual, the pelvis is more vulnerable to injury. The joints can easily be overstretched by the breaststroke kick, especially the pubic joint in front, which may begin to separate in pregnancy in readiness for the birth and is easily over stretched. Swimming aids and floats are useful, especially in late pregnancy. Swim slowly, breathing at a comfortable rhythm, and stop before you get tired or rest between laps. The number of laps you do is up to you - so long as you do not get out of breath or tired. A US study showed that pregnant women who exercised in water had lower heart rates and blood pressure than women who did ordinary exercises. The babies also benefited by having lower foetal heart rates after water exercises, than when the same exercises were done on land. These are based on water aerobics and are sometimes taught by midwives. Benefits of swimming and water exercise Cardio-Respiratory - This is a gentle and effective way to improve your breathing and exercise your heart and lungs. It's ideal aerobic exercise for pregnancy, because your weight is supported by the buoyancy of the water. Flexibility - The warmth of the water generally increases the elastic quality of your muscles and enhances flexibility of the joints. This improves mobility and helps to prepare you to use upright positions in labour and for birth - whether on land or in water. Strength and Endurance - In water your body moves against resistance to the water increasing effort without strain. Due to the feeling of weightlessness, it is much easier to build up your strength without stress and to increase your physical endurance and fitness level. Muscle toning - Water exercise has a gentle, but powerful, toning effect on your muscles The 'water resistance effect' massages your whole body as you move, improving circulation and making you feel more energetic and alive. Body Composition - Water exercise helps your body to maintain the right balance between fat and muscle. This is the way to have a shapely pregnant figure and return to your pre-pregnant shape soon after the birth without dieting. For women who are unfit and overweight or uncomfortable during pregnancy, water exercise is the best way to improve your health and fitness level without stress. Start very gradually with the programme, pacing yourself slowly according to your ability and you will soon improve. Posture - Water exercises help your spine to accommodate the extra weight of pregnancy and reduce stress on the pelvis and lower back. Discomforts of Pregnancy - Common symptoms such as backache, swelling, heaviness or tiredness can be helped by water exercise. Women with high blood pressure often find that both gentle yoga on land and slow gentle water exercise can help to keep blood pressure down. It's essential to discuss any exercise programme with your doctor first, especially if you have a medical problem. Sleep, Relaxation and Energy - Swimming regularly can be an effective way to improve sleep, enhance relaxation and restore vitality. http://www.activebirthpools.com/exercise.html Reading and Resources Step-by-step Yoga for Pregnancy: Essential Exercises for the Childbearing Year by Wendy Teasdill Lindsey Jackson's "Pilates in Pregnancy" video/DVD "A New Dimension � after birth workout video" by Cindy Crawford |
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| Excerpts from various sources on exercise for men and women with CF. |
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| For bodily exercise profits a little, but godliness is profitable for all things, having promise of the life that now is and of that which is to come. 1 Timothy 4:8 |