Exercise questioned as depression treatment

Key points
- “Exercise doesn't help depression,” according to The Guardian.
- Exercise is among the treatments for depression currently recommended by the NHS, with many patients 'prescribed' a course of physical activity as an alternative to antidepressant medication or therapy.
- During the research, 361 adults with depression were randomly allocated to receive either standard treatment or standard treatment with additional encouragement and advice on exercise.
- The research found that encouraging activity increased physical activity levels but did not reduce depressive symptoms more than standard care alone.
“Exercise doesn't help depression,” according to The Guardian. The paper said that patients advised to exercise fare no better than those who receive only standard care.
Exercise is among the treatments for depression currently recommended by the NHS, with many patients 'prescribed' a course of physical activity as an alternative to antidepressant medication or therapy. Despite what several headlines have suggested, new research has not re-examined the effect of exercise on depression, but instead looked at whether giving depressed patients additional support to encourage exercise proved beneficial.
During the research, 361 adults with depression were randomly allocated to receive either standard treatment or standard treatment with additional encouragement and advice on exercise. Standard treatment can include medication, therapy and physical activity. This means that all participants could take up prescribed exercise, but some had greater encouragement to do so.
The research found that encouraging activity increased physical activity levels but did not reduce depressive symptoms more than standard care alone. This is a useful finding for NHS staff wishing to know the best way to help patients with depression. However, given that the study did not test the general effect of exercise, the results do not support the view that exercise is 'useless' for treating depression, as some news sources have suggested.
Exercise has a host of benefits for physical and mental health, which may help patients with depression in ways other than reducing their immediate depressive symptoms. These include reducing the risks of other diseases such as obesity, cardiovascular disease and diabetes.
Where did the story come from?
The study was carried out by researchers from the Universities of Bristol and Exeter, and the Peninsula Medical School. It was funded by the Department of Health as part of the National Institute for Health Research’s Health Technology Assessment programme.
The benefits of going for a run to alleviate stress after a tough day in the office are well known.
But a new study has found out why working up a sweat is so relaxing and mood-boosting.
Exercise actually detoxes harmful chemicals from the body and can alleviate depression.
Researchers at the Karolinska Institute in Sweden have discovered that physical activity purges the blood of a substance which accumulates during stress and can be harmful to the brain.
Previous studies have suggested that people feel more positive after exercise because it releases a rush of endorphins.
The study was published in the peer-reviewed British Medical Journal.
Media reports of this story were slightly misleading, and may have given the impression that the researchers specifically tested the effect of exercise. This was not the case, as the research compared two groups of people who were offered the same range of treatments, but with one group receiving additional support and advice designed to encourage exercise. This meant that all participants had access to exercise-based treatments, but some received some additional encouragement.
Written and revised by
Andrey Nailor, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
health.am provides general information, not medical advice. Always consult a qualified health professional about your own health.
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