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According to their report in the Journal of the American Society of Nephrology, muscle wasting is one of the strongest predictors of death in these patients. It's clear that there are benefits to exercise for patients with POTS. But are there risks? No. As with any medical disease, there's always the risk of harm. But here's what's particularly intriguing: Exercise can help you. Dr. James T. Cavanaugh of the Cleveland Clinic and colleagues have studied the effects of physical activity on people with TBI, heart disease and diabetes. They've found exercise lowers inflammation and improves glucose tolerance, which may have significant health benefits for people with these conditions. "We know that exercise helps us in the short-term, but we don't know for sure if it's going to have a long-term impact," Mr. Cavanaugh says. "It's difficult to be certain of how much benefit exercise is going to have when your disease is such a chronic, multifaceted chronic illness." Mr. Cavanaugh says one of the biggest benefits, he believes, is not just cardiovascular health, but also mental health. The exercise may also improve the cognitive capabilities of people with these diseases. "It allows us to see people's face in situations in a way that just isn't possible before [with] the ability to see a patient and feel that sense of caring that is so important," he says. Of course, there is danger at any time of day for people with POTS. But, Mr. Toussaint says he doesn't find himself getting fidgety, or having to take breaks, or taking walks, or exercising vigorously for longer than three to five minutes. Dr. Eric Spangler, an emergency physician at the Cleveland Clinic, agrees that physical function, or lack of it, can be a significant problem. "Mostly [people with POTS] get to a point where they find it very difficult to perform physical activities that require fine motor skill," Dr. Spangler says. "For a patient to go out for a bike ride or take a bike ride or walk for an hour, or go for 30 minutes, that's not only difficult to make any sense of, but is extremely painful." He recommends that patients with POTS keep exercise levels down. "Take the stairs," he says, rather than a car ride or a jog. Also, if that's not an option, do as many things with your mind or body as you can. "We know that sitting and watching TV can have a very significant impact on your health," Dr Similar articles: