Table 7.

General considerations for exercise in sarcoidosis.

Concept	Advisement	Comments
Exercise Initiation	All patients screened for clinically significant ILD and PH
	Assess current activity levels with FITT	FITT = Frequency, Intensity, Type, Time, an exercise program/prescription created by patient or clinician
	Consider assessing patient goals with PSFS	PSFS = Patient Specific Functional Scale, a patient created scale of their unique priorities
	Given the fairly high prevalence of sarcoid myopathy and neuropathy, aerobic and muscle testing prior start of exercise	Submaximal ergometer cycle test or treadmill test and muscle tests like TST, 30-sec CST and FI-2
Sustaining exercise	Anticipatory guidance of fluctuating fatigue/pain challenging exercise	Encourage mindfulness practice and pleasure principals during exercise to redirect frustration and disappointments
	Education on stretching safety	Emphasis on consistency of practice and expectations of incremental improvement
	Developing alternate options for inclement weather or GI exacerbations	Indoor options Online class options
	Consider monitoring achievement with PSFS
	Start gently and escalate with improvement
	Recommendation for home general physical activity (e.g., walks) 30 min/5 days weekly
	Aerobic and muscle testing after exercise period to evaluate intervention	Submaximal ergometer cycle test or treadmill test and muscle tests like TST, 30-sec CST and FI-2

CST: Chair to Stand Test; FI-2: Functional Index-2; FITT: Frequency, Intensity, Type, and Time (referring to an exercise program); GI: gastrointestinal; PSFS: Patient-Specific Functional Scale; TST: Timed Stands Test.