You need to exercise for optimal health, and when
you’re managing hypothyroidism, a condition in which your thyroid gland doesn’t
make enough thyroid hormone, regular workouts can do double duty as part of
your overall treatment plan.
“Due to a slower metabolism, people with hypothyroidism are prone to
gain weight,” says Betul Hatipoglu, MD, an endocrinologist at the Cleveland
Clinic in Ohio. Your cholesterol levels might also go up, you may sense changes
in cognitive function, and even experience depression, she explains, but
"exercise can help with all of these
symptoms
of hypothyroidism.”
More specifically, Dr. Hatipoglu notes that regular aerobic exercise
improves good cholesterol and lowers bad cholesterol. “Exercise also causes a
net energy expenditure, which helps with weight loss and body fat loss,” she
adds.
In terms of mental health boosts, she says that both aerobic exercise
and weight training reduce anxiety and depression and improve cognitive
function.
Of course, there are the many other overall benefits of exercise, all
of which also reinforce your hypothyroidism treatment. “Exercise decreases
inflammation, reduces blood pressure, improves insulin sensitivity, and can
help prevent diabetes,” Hatipoglu says.
Regular workouts will also help
lower
risk for heart attack, stroke, some cancers, and bone loss; promote
better sleep; reduce stress; and help your body become stronger and more
flexible.
The Best Types of Exercise for Countering
Hypothyroidism
For her patients with hypothyroidism, Hatipoglu recommends both
aerobic exercise and weight training. “Aerobic exercise is beneficial for
hypothyroidism because it can help with fat burning and overall cardiovascular
health,” she says.
For moderate-intensity aerobic activities, she recommends walking
fast, water aerobics,
bike riding, playing tennis, using a push lawn mower, and dancing.
Want to step up to
vigorous-intensity aerobic exercise? Try jogging or running, swimming,
or playing basketball. “You can practice these more vigorous workouts once you
feel comfortable with the moderate activities,” she advises.
Hatipoglu stresses weight training as part of your hypothyroidism
treatment to build muscle mass and to keep the basal metabolism (your level of
calorie burning when your body is at rest) active, she says, adding that
strength training is particularly important when your hypothyroidism isn’t well
treated and your metabolism slows down.
Aim for at least two days of strength training each week (rest your
muscles for at least one day between sessions). Good strength-training
activities include lifting weights,
working out with resistance bands, doing exercises that use your own
body weight such as push-ups and sit-ups, and yoga.
Making Room for Regular Exercise
Before you start any exercise program, speak with your primary care
physician or endocrinologist to get the go-ahead.
Next, Hatipoglu recommends you take exercise one step at a time.
“Start with small goals and expectations and build upon them as you get
stronger,” she says. “You cannot run a marathon in one day if you’ve never run
in your life, but you can start with one minute of running and 10 minutes of walking
and build on that over time.”
In terms of frequency, she recommends the universal guidelines from
the U.S. Centers for Disease Control and Prevention (CDC), which recommend one
of two scenarios: 150 minutes of moderate-intensity aerobic exercise each week,
with strength-training activities that work all major muscle groups on two or
more days a week, or 75 minutes a week of a vigorous-intensity aerobic
activity, such as jogging or running, plus strength training.
Whether you choose to exercise moderately or vigorously to help combat
hypothyroidism, make sure you do activities you really like. “Exercise is a
lifelong commitment, so enjoying what you do is very important,” Hatipoglu
says.