Can you Spare just One Hour a Week for Depression?

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Regular exercise may prevent many cases of future depression, according to a new Australian study, and researchers say that as little as one hour a week can make a real difference. The paper, published in the American Journal of Psychiatry, followed more than 22,000 healthy Norwegian adults without symptoms of anxiety or depression for an average of 11 years, asking them about their exercise habits and symptoms of depression and anxiety at the beginning and end of the study. At the start, about 12% said they didn’t exercise, and the rest said they exercised anywhere from “up to 30 minutes” to “more than 4 hours” a week. Over the next decade, about 7% of people in the study developed depression, and about 9% developed anxiety. No relationship was observed between exercise and later anxiety, but the researchers did find a link between exercise and later depression.

 

People who said they didn’t exercise at the study’s start were 44% more likely to become depressed, compared to those who exercised at least 1 to 2 hours a week. For people who worked out more, no additional benefits were observed. The study could not prove a cause-and-effect relationship between exercise and the risk of depression, but the authors say it strongly suggests one—especially because they controlled for other potential factors, including age, gender, social support, smoking, drinking and body mass index. If their hypothesis is right, they say, 12% of depression cases could be prevented if everyone got just one hour of exercise a week. That exercise doesn’t have to be intense, either, they say. People seemed to have mental health benefits from physical activity regardless of whether they reported working out to the point of exhaustion or barely breaking a sweat.

 

“Given that the intensity of exercise does not appear to be important,” the authors wrote in their paper, “it may be that the most effective public health measures are those that encourage and facilitate increased levels of everyday activities, such as walking or cycling.” Of course, there are other benefits to more frequent and more intense bouts of exercise. Both the American Heart Association and the World Health Organization recommend getting at least 150 minutes of moderate- to high-intensity physical activity a week for cardiovascular and overall health. But when it comes to mental health benefits, “the majority of the protective effect comes from the first one or two hours of exercise each week,” said study author Samuel Harvey, associate professor of workplace mental health at the Black Dog Institute and the University of New South Wales, in an email.

 

The authors write that the combined physical and social benefits of exercise are likely responsible for its ability to help stave off depression. It’s also possible, they add, that exercise may trigger changes in self-esteem, the release of mood-boosting endorphins and the production of certain proteins. “There is good evidence that physical activity can help people recover from depression, though we recommend it be used in addition to the usual treatments we would prescribe for established depression, like medication and counseling,” says Harvey. “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.”

Time Magazine October 2017

So, can you spare just one hour a week for depression? I’ve always talked about how exercise has outperformed many antidepressant medications on the market with patients dealing with depression or anxiety for that matter. Going into the darker time of the year, I’ll see an influx of patients dealing with Seasonal Affective Disorder. Unfortunately, I wish that that was the only case, but it isn’t. I’ve had many patients from age ranges 20-55 that have been struggling with this problem for a while. And I do recommend exercise for many of them, but the type of exercise I recommend is dependent on if I feel there is an underlying cortisol adrenal problem going out. I’ll check this with either blood cortisol levels and saliva based cortisol testing. Low cortisol and under active thyroid conditions can create depression in many patients. Stay tuned for my next blog on dealing with S.A.D. and which type of exercising based on cortisol levels.

Dr. J

 

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