Physical activity and common mental disorders
- 1 November 2010
- journal article
- research article
- Published by Royal College of Psychiatrists in The British Journal of Psychiatry
- Vol. 197 (5), 357-364
- https://doi.org/10.1192/bjp.bp.109.075176
Abstract
Background Previous studies have suggested that physical activity may have antidepressant and/or anti-anxiety effects. Aims To examine the bidirectional relationship between physical activity and common mental disorders and establish the importance of context, type and intensity of activity undertaken. Method A clinical examination of 40 401 residents of Norway was undertaken. Participants answered questions relating to the frequency and intensity of both leisure-time and workplace activity. Depression and anxiety were measured using the Hospital Anxiety and Depression Scale (HADS). Biological and social data were also collected. Results There was an inverse relationship between the amount of leisure-time physical activity and case-level symptoms of depression. This cross-sectional association was only present with leisure-time (as opposed to workplace) activity and was not dependent on the intensity of activities undertaken. Higher levels of social support and social engagement were important in explaining the relationship between leisure activity and depression. Biological changes such as alterations to parasympathetic vagal tone (resting pulse) and changes to metabolic markers had a less important role. Conclusions Individuals who engage in regular leisure-time activity of any intensity are less likely to have symptoms of depression. The context and social benefits of exercise are important in explaining this relationship.Keywords
This publication has 35 references indexed in Scilit:
- The relationship between fatigue and psychiatric disorders: Evidence for the concept of neurastheniaJournal of Psychosomatic Research, 2009
- Measures of physical activity and their correlates: The Swedish National March CohortEuropean Journal of Epidemiology, 2009
- Dose-response relationship between physical activity and mental health: the Scottish Health SurveyBritish Journal of Sports Medicine, 2008
- Physical Activity: Depression, Anxiety, Physical Activity, and Cardiovascular Disease: What's the Connection?American Journal of Lifestyle Medicine, 2007
- Physical Activity and Common Mental Disorder: Results from the Caerphilly StudyAmerican Journal of Epidemiology, 2007
- Exercise treatment for depression: Efficacy and dose responseAmerican Journal of Preventive Medicine, 2005
- Relation between depressive symptoms and treadmill exercise capacity in the Heart and Soul StudyThe American Journal of Cardiology, 2004
- Health inequalities by socioeconomic status among men in the Nord-Trøndelag Health Study, NorwayScandinavian Journal of Public Health, 2002
- Physical Activity and Mental HealthSports Medicine, 2000
- The Hospital Anxiety and Depression ScaleActa Psychiatrica Scandinavica, 1983