How often should individuals with spina bifida aim for aerobic activity?

• A. At least 3 days per week
• B. Once per week
• C. Only during rehab
• D. Never due to risk

Answer: (A)

Regular aerobic activity helps maintain cardiovascular fitness and manage energy, obesity risk, and overall health in people with spina bifida. Because mobility limitations can affect endurance, spreading activity across multiple days is important rather than clustering it into a single session. The best approach is to aim for at least three days per week of aerobic exercise, with a gradual build toward about 150 minutes of moderate-intensity activity each week, or an equivalent amount of vigorous activity. Start at a comfortable level and progress gradually, choosing activities that fit ability and safety, such as wheelchair propulsion, swimming, cycling, or walking if feasible. This level of frequency supports improvement and maintenance better than once per week, and it’s not restricted to rehab settings or avoided due to risk when proper precautions and medical guidance are followed.