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Depression 'not helped by exercise'


A study into whether physical activity alleviates the symptoms of depression has found there is no benefit.

Research published in the British Medical Journal suggests that adding a physical activity intervention to usual care did not reduce symptoms of depression more than usual care alone.

This contrasts with current clinical guidance which recommends exercise to help those suffering from the mental illness, which affects one in six adults in Britain at any one time.

To carry out the study researchers recruited 361 patients aged 18 to 69 years who had recently been diagnosed with depression.

Trial participants were then split into two groups to receive either the physical activity intervention in addition to usual care, or usual care on its own and were followed up for 12 months to assess any change in their symptoms.

But the study found that adding exercise failed to alleviate symptoms of depression more than usual care alone, only increasing levels of physical activity.

The study, carried out by teams from the Universities of Bristol, Exeter and the Peninsula College of Medicine and Dentistry, is the first large-scale, randomised controlled trial to establish the effects of exercise on depression.

Previously most of the evidence for the positive effect of physical activity in treating depression has originated from studies of small, non-clinical samples using interventions that would not be practicable in an NHS setting.

John Campbell, professor of general practice and primary care at Peninsula College of Medicine and Dentistry (University of Exeter), said: “Many patients suffering from depression would prefer not to have to take traditional anti-depressant medication, preferring instead to consider alternative non-drug based forms of therapy.

“Exercise and activity appeared to offer promise as one such treatment, but this carefully designed research study has shown that exercise does not appear to be effective in treating depression.”

The study was funded as part of the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme, with contributions from the Department of Health and local primary care trusts.

The paper, Facilitated physical activity as a treatment for depressed adults: randomised controlled trial, will be presented as a keynote paper at the World Family Doctors Caring for People conference in Vienna next month.



Readers' comments (4)

  • i would like to ask what type of exercise was perfomed? was it patient 'choice' of activity, as taking part in a 'meaninful' activity can contribute to motivation for the activity.

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  • MPs reveal their battles with depression

    no room for comments on this page of DT.

    depression among MPs is such self indulgence. what about the rest of us?

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  • "Commons debate on mental illness."

    seems it was more a session of catharsis for MPs.

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  • I would like to add that although exercise as a stand alone intervention may not always be effective.However if it is individualised i.e meaningful to the person then it will aid recovery.Studies also highlight that anti depressants do not work for eveyone and often only have a limited benifit and all have side effects.
    CBT at times will involve exploring the clients world which will involve meaningful activty and this can often include exercise in some shape or form.
    While It is essential that we build interventions on a platform of evidence based practice,it is as essential not to lose sight of individualised care which at times need to be creative and meaningful to the person enduring and recovering from their experience of depression.

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