AARP Hearing Center
It’s challenging enough to exercise even in the mildest of temperatures. But when it’s cold out, it can be particularly uncomfortable.
Even a brisk walk outdoors can trigger shortness of breath and chest discomfort. Turns out, the chilly air is to blame.
Cold air tends to be drier, explains Aryan Shiari, M.D., a pulmonologist at Mayo Clinic Health System in Eau Claire, Wisconsin. And even though the lungs work hard to warm and humidify the air we take in, that cold, dry air can irritate the airways and cause them to narrow and tighten — a condition known as bronchospasm. “You get that feeling of shortness of breath,” Shiari says. Wheezing and coughing can also ensue.
Symptoms can become especially noticeable when temperatures dip below 30 degrees Fahrenheit. And exercise can exacerbate matters. Rapid breathing, coupled with the loss of heat and water from the airways as a result of trying to humidify the cold, dry air, can trigger exercise-induced asthma, Shiari says. “This is why some people develop exercise-induced asthma primarily while exercising in the winter and are otherwise fine during other seasons,” he adds.
And while people with chronic lung conditions are more susceptible to the effects of cold air, even people with healthy lungs may find themselves coughing and wheezing.
“When it’s colder out, you need to be more careful with your workouts, even if you don’t have asthma or another underlying lung condition,” says Amit Mahajan, M.D., medical director of interventional pulmonology for the Inova Health System in Fairfax, Virginia.
Who is at risk?
Anyone with a chronic lung disease such as asthma or chronic obstructive pulmonary disease (COPD) is at risk of experiencing breathing difficulties when it’s cold out, says Rachel Taliercio, a pulmonologist at Cleveland Clinic.
“If you have any of these conditions, your airways are already inflamed,” she says. “Cold, dry air irritates them even more, which causes airway muscles to constrict and narrow and become clogged with mucus.”