One of the drawbacks to not digesting nutrients very well is that people with CF are often small.  Male or female, we tend to run on the petite side if we are pancreatic insufficient.  With earlier diagnosis and better enzyme replacement therapy, this is slowly improving, of course.  But for those of us who are already full grown, it can be a constant struggle to keep weight on. Not only do we want to maintain weight, it is often encouraged to have a few extra (I said, “a few”) pounds on board to stay strong and resilient to lung infections.

I don’t know about you, but when I need to gain weight—which is pretty much always—I would rather put on lean muscle tissue than fat.  This is not just an aesthetic issue, either.  The amount of lean body mass (LBM) you have (this includes everything but fat and water) correlates with disease severity.  The less LBM a CF patient has, the more severe their disease tends to be.  Additionally, LBM decreases with age, so as we get older it becomes more and more important to try to increase muscle mass.

So, what does it take to gain muscle?  Three things, well…maybe four.  If you are pancreatic sufficient, it takes doing three things, regularly.  If not, it takes four (the fourth being, obviously, sufficient supplementation with pancreatic enzymes).  This post is all about thing number one:  Resistance Training.

First, you have to lift weights.  Muscle tissue does not grow unless you impose a stress to it that it cannot handle.  When you do that, the muscle adapts by healing and coming back bigger and stronger.  In my opinion you should lift weights at least three times per week if you are serious about gaining muscle mass, and it is everyone’s opinion that you must lift heavy weights (for you).  So ladies, forget about the purple Barbie weights.  Soup cans will not work for long.  Sure, you may have to start there, but within a couple of weeks, you will be strong enough that you will have to put some energy into finding heavier resistance.  I realize most people are not training program junkies like me, and that you might not have a clue what to do with those heavy weights.  One great resource is The New Rules of Lifting for Life, by Lou Schuler and Alwyn Cosgrove.  You can probably find about a million training programs online, but the reason that I like this one is that it is scalable…you get to decide what level you begin at in each of the basic movements, and progress from that point.  So, brand new lifters or old pros have something to gain from this book.  I am also working on my own CF-specific training program, which will hopefully be available in a couple of months.  Don’t wait for me though…get started now.

So, in summary, if you want or need to gain weight, do it in style—by adding muscle.  There are three keys to doing this.  First, find a weight lifting program that works for you, and commit to it for at least three months.  If you do this, in addition to the two remaining steps outlined in the following posts, you will increase your lean body mass, and with it, your chances for a longer and healthier life.  When you see the progress that you have made in the three months, I’m betting that you will be hooked for life.