The benefits and risks of exercise: how exercise affects your body

Written by: Dr Taher Mahmud
Edited by: Emily Lawrenson

Just as everyone knows water is wet, the fact that exercise is good for you is common knowledge. However, as with many things in our daily lives, it comes with its own set of risks. In this article Dr Taher Mahmud of the London Osteoporosis Clinic discusses the ways that exercise can help your body, and how you can use it to your advantage rather than putting it under additional strain.

Exercise and common associated risks

The risks related to exercise are much, much fewer than the benefits associated with it. One of the most common occurrences is a musculoskeletal injury. These include strains, tears, stress fractures, traumatic fractures, and inflammation. Whilst injuries like this are relatively common, they are also less serious and the body can usually recover, particularly with the correct course of treatment. Some ways to reduce the risk of musculoskeletal injury include:

  • Regularly exercising so your body gets in the habit
  • Warming up before exercising, and stretching correctly after the exercise session is over
  • Knowing your limits, and participating in activities which are right for your body and its capabilities
  • Improving muscle strength and balance

Exercise and more serious risk

Some of the more serious risks surrounding exercise relate to cardiac problems, particularly in those who have a past history of heart problems. Arrhythmia, which refers to an irregular heartbeat, carries an increased risk during exercise. In those with heart problems, regular check-ups with a doctor are advised, but studies show that exercise training may reduce arrhythmia risk.

Habitual physical activity can help to lower the risk of cardiac problems, even in the case of rarer heart conditions such as sudden cardiac death. In those who have a history of heart problems, exercise programs should be planned and tailored to the individual. There are a number of ways to approach exercise, including endurance training, interval training, and resistance training.

In those with asthma or other respiratory conditions, care should be taken to avoid bronchoconstriction, a narrowing of the airways in the lungs. Many with these conditions can reduce the risk by altering their training techniques and taking certain medications.

Many of the risks associated with exercise are related to pre-existing conditions, or the incorrect management of medical conditions. With the correct approach to exercise, and where appropriate, medical advice and monitoring, risks can be greatly reduced and should be no reason to avoid regular exercise. If in doubt it is best to seek help from a exercise professional; at the London Osteoporosis Clinic we published some exercise videos to help with correct technique, and give our patients further support. 

Read more about the benefits of exercise in our second interview with Dr Mahmud here.

By Dr Taher Mahmud

Dr Taher Mahmud is a distinguished consultant rheumatologist based in central London and Tunbridge Wells. He is renowned for his expertise in osteoporosis, osteopenia, osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and inflammatory arthritis.

Dr Mahmud qualified in medicine from King's College London before undertaking training at various esteemed institutions including St Thomas', and Pembury Hospitals. He also completed an esteemed research fellowship at King’s College Hospital, also gaining an MD and a Master’s in biochemistry. He further honed his skills in rheumatology through specialist training at King's College, the Lupus Unit at St Thomas', and Guy's Hospital Rheumatology Units. Dr Mahmud has served as a consultant rheumatologist since 2000, and was awarded fellowship of the Royal College of Physicians in 2014. Boasting more than 30 years of experience, Dr Mahmud has held various prominent roles throughout his career, including as cofounder and clinical lead for osteoporosis at the London Osteoporosis Clinic, and has also received a Clinical Excellence Award in recognition of his excellence and dedication to his practice. He currently sees private patients at HCA UK, The Shard and 25 Harley Street.

Additional to his clinical practice, Dr Mahmud has held a number of esteemed positions in public associations throughout his career, with a particular focus on improving patient experience and outcomes, including as a member of the MTW Patient Experience Committee and as an organiser and chair of conferences on patient experience at the Royal Society of Medicine. In recognition of his commitment to drive improvement in this area, he was awarded an NHS Innovations award for patient feedback. He has also been actively involved in medical education throughout his career, having lectured and trained a wide range of medical students and fellow practitioners.

With a wealth of expertise and experience, Dr Mahmud continues to make significant contributions to the field of rheumatology. He has appeared in numerous peer-reviewed publications and has authored his own book on the subject of patient care and feedback. Dr Mahmud is passionate about raising awareness of the prevention of osteoporosis fractures and maintaining healthy bones. He has appeared on several podcasts as an expert speaker on bone health and osteoporosis and the menopause. Dr Mahmud is also a member of various professional organisations, including the American College of Rheumatology, British Medical Association, British Society of Rheumatology, General Medical Council and the Royal Society of Medicine.

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Overall assessment of their patients

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