Study: 12 Percent of Depression Could Be Prevented With 1 Hour of Exercise a Week by Dr. Mercola
Study: 12 Percent of Depression Could Be Prevented With 1 Hour of Exercise a Week
October 19, 2017 • 10,979views
Story at-a-glance
In an
11-year study, people who engaged in regular leisure-time exercise for
one hour a week were less likely to become depressed
Those
who didn’t exercise were 44 percent more likely to become depressed
compared to those who did so for at least one to two hours a week
Twelve percent of depression cases could be prevented by exercising at least one hour a week
By Dr. Mercola
Exercise has long been viewed as an antidote to depression, but for
those in the throes of a depressive episode or even a blue mood, it can
be hard to summon up the motivation to get moving. Recent research
suggests, however, that even a minimal amount of exercise may be enough
to combat depression in some people — as minimal as one hour a week. The
study was large, involving nearly 34,000 adults who were healthy, with
no symptoms of common mental disorders, at the start of the study.
The participants were followed for 11 years, during which time it was
revealed that people who engaged in regular leisure-time exercise for
one hour a week were less likely to become depressed. On the flipside,
those who didn’t exercise were 44 percent more likely to become
depressed compared to those who did so for at least one to two hours a
week.1
“The majority of this protective effect occurred at low levels of
exercise and was observed regardless of intensity,” the researchers
said, adding that, “assuming the relationship is causal, 12 percent of
future cases of depression could have been prevented if all participants
had engaged in at least one hour of physical activity each week.”2
Study author Samuel Harvey, associate professor of workplace mental
health at the Black Dog Institute and the University of New South Wales,
told Time, “There is good evidence that physical activity can help
people recover from depression … Our study takes this a bit further and
shows that exercise may also have a role in preventing people developing
depression in the first place."3
In this case, part of the protective effect of exercise was
attributed to its social and physical health benefits, though there are
many routes by which exercise is good for your mental health and brain.
Staying Active Is Good for Your Mood
In my 2008 interview with Dr. James Gordon, a world-renowned expert
in using mind-body medicine to heal depression, he stated that physical exercise is at least as good as antidepressants
for helping people who are depressed, in part because it increases
serotonin in your brain and in part because it increases brain cells in
your hippocampus, which are sometimes reduced in people with depression.
He’s far from the only one to come to this conclusion.
In 2013, a meta-analysis published in the Cochrane Database of
Systematic Reviews found that exercise is moderately more effective than
a control intervention, which in some cases was pharmaceuticals, for
reducing symptoms of depression.4
Separate research published in the American Journal of Preventive
Medicine found that aerobic exercise “at a dose consistent with public
health recommendations” is an effective treatment for mild to moderate
depression.5
In addition, a 2017 study revealed that exercise appears to be a
“promising and acceptable” treatment for adolescents and young adults
with depression, adding that, for best results, the exercise should
potentially be engaged in multiple times per week over eight or more
weeks and involve:6
Supervision
Aerobic activity
Moderate to vigorous intensity
Similarly, but in contrast to the featured study, a 2014 study
reviewing exercise program variables in the treatment of depression also
found supervised aerobic exercise engaged in three times a week at moderate intensity for a minimum of nine weeks was useful for treating depression.7
So there are still some questions about what type of exercise, what
intensity and how often is best for treating depression, but what’s
clear is that exercise should be on your agenda if you’re struggling
with depression or low mood.
In addition to aerobic activity, mind-body exercise like yoga has also shown promise. For instance, Iyengar yoga,
which focuses on detail and precise alignment of posture combined with
deep breathing, reduces symptoms of depression in those who are not
taking medication or who have been taking the same medication for at
least three months.8
Still more research, this time involving nursing students, a
population among which depression is common, found that both physical
exercise and mindfulness meditation were effective in managing depression (with the meditation being even more effective than the exercise in this case).9
Exercise benefits your brain and mood via multiple mechanisms,
including creating new, excitable neurons along with new neurons
designed to release the GABA neurotransmitter, which inhibits excessive
neuronal firing, helping to induce a natural state of calm10
— similar to the way anti-anxiety drugs work, except that the
mood-boosting benefits of exercise both occur immediately after a
workout and continue on in the long term.
In addition to the creation of new neurons, including those that
release the calming neurotransmitter GABA, exercise boosts levels of
potent brain chemicals like serotonin, dopamine and norepinephrine,
which may help buffer some of the effects of stress.11
What’s more, anandamide levels are known to increase during and
following exercise. Anandamide is a neurotransmitter and endocannabinoid
produced in your brain that temporarily blocks feelings of pain and depression.
It's a derivative of the Sanskrit word "bliss," and a deficiency is associated with increased anxiety and stress.12 Even in the immediacy, if you’re looking for a quick way to boost your mood, doing a short, high-intensity workout
will likely do the trick. Undergraduate students who were more
physically active had higher pleasant-activated feelings like excitement
and enthusiasm overall than people who were less physically active, and
they reported feeling more of them on days when they engaged in more
physical activity than normal.13
Please keep in mind that physical activity should include not just “exercise” but also plenty of non-exercise daily movements,
such that you’re in motion more so than not (except while you’re
sleeping). Non-exercise movement is a foundational piece of optimal
health — even more so than a regimented fitness routine, but ideally you
should strive to do them both.
If you're currently sedentary, you can start by simply sitting less
but, ultimately, I recommend aiming for at least 7,000 to 10,000 steps
each day and limiting sitting to less than three hours. That being said,
if you want to give your mood a boost right now, try the nitric oxide (NO) dump exercise
developed by Dr. Zach Bush, which I demonstrate in the video below. In
addition to stimulating your brain, this simple exercise will help you
maintain homeostasis in your body, and it takes only about three
minutes.
I suggest doing this workout two to three times a day, unless you’re
injured or recovering from a hard workout, and it may serve as a way to
help keep your mood elevated. As you’ll see, you can do it anywhere —
and I do, at the airport, waiting for luggage, in the lounge. Don’t
worry about how it looks, focus instead on how great it makes you feel.
Sleep Is Also a Must for Relieving Depression
While the focus of this article is exercise, I do want to point out
the importance of healthy sleep for a healthy mind. Lack of sleep has
long been linked to depression, but it was thought that insomnia was a
symptom of depression and not the other way around. It now seems that
insomnia may precede depression in some cases and may even double your
risk of becoming depressed.14
Further, sleep therapy is regarded as a valuable form of treatment. A
2014 study funded by the National Institute of Mental Health found that
87 percent of depression patients who resolved their insomnia using
cognitive behavior therapy for insomnia (CBT-I) had major improvements
to their depression, with symptoms disappearing after eight weeks
whether the person took an antidepressant or a placebo pill.15
Unlike sleep hygiene therapy, which focuses on regular exercise,
avoiding caffeine and alcohol at night, and promotion of other healthful
habits for restful sleep, CBT-1 teaches people to reserve their bed
only for sleeping, and involves the following guidance:
Establish a regular wake-up time
Get out of bed when you’re awake
Avoid eating, reading, watching TV, or performing similar activities in bed
Avoid daytime napping
The study found that those who overcame their insomnia using this
program recovered from their depression at nearly twice the rate of
those who did not. People with evening chronotypes, otherwise known as night owls, also tend to have more symptoms of depression compared to those who go to bed early and wake early,16
so strategies to regulate your circadian rhythm, like exposure to
sunlight during the day and avoidance of blue light at night, could
benefit your mental health.
Ideally, go to bed by 9 p.m. or 10 p.m. and wear blue-light-blocking glasses after the sun goes down. EMFs are also known to disrupt sleep, so take steps to lower your exposure, especially at night while you’re sleeping.
Options include turning off your Wi-Fi at night or, even better,
don't use Wi-Fi and switch to wired Ethernet (and hardwire as many
devices as possible in your home and office to avoid Wi-Fi fields). You
can also install a Faraday cage (copper- and/or silver-threaded fabric)
around your bed. Getting back to exercise, this will also help to
improve your sleep, which is yet another way it may lower your risk of
depression.
No comments:
Post a Comment