If you chose to start an exercise program as part of an effort to improve your mental functions, It is important to set up a regular specific time to exercise and to have a backup plan or alternate activities for weather changes, trips, etc. We can not stress enough how important it is to set realistic and appropriate goals over time. I try to identify a reward I really want for reaching each goal and then enjoy that reward! Sometimes I have to talk myself into following through with positive thoughts, visualization and other self-talk techniques.

Like any other lifestyle change, starting a regular exercise routine works best if you have a support system. If an exercise program is oriented toward social interactions, there could be exponential benefits for your brain. Just as physical exercise can be directed at improving different parts of your physical appearance, specific exercise can strengthen neurological pathways. These include the social skills that diminish most rapidly with Alzheimer's disease and other forms of dementia.

Of course, having social interactions is not the same as having support for changing your lifestyle. When starting to get more exercise it is important to find others who encourage your actions and to avoid those who discourage your efforts. We encourage our walking clients to disregard negative feedback from others when starting a new program since others may simply be fearful of what change might mean.

Some change is important to acknowledge and use in maintaining motivation. For example, you might change your self-image to a person who does exercise regularly and visualize yourself as a healthier and happier person. Not all exercise brings instant pleasure and happiness, however, so it is best to maintain realistic expectations. Many of our clients think that the first 6 weeks of walking are the hardest because their bodies are adjusting to more physical activity which can bring muscle discomfort and foot pain for those wearing sneakers or shoes without proper support for walking.