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Physical activity and common mental disorders

  • Samuel B. Harvey (a1), Matthew Hotopf (a1), Simon Øverland (a2) and Arnstein Mykletun (a3)

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.

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Copyright

Corresponding author

Dr Samuel B. Harvey, Department of Psychological Medicine, Institute of Psychiatry, Weston Education Centre, 10 Cutcombe Road, London SE5 9RJ, UK. Email: samuel.b.harvey@kcl.ac.uk

Footnotes

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S.B.H. and M.H. are funded by the NIHR Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust, and Institute of Psychiatry, King's College London. S.B.H. was also supported by a grant from the Institute of Social Psychiatry. A.M. and S.O. were funded by the Norwegian Research Council.

Declaration of interest

None.

Footnotes

References

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Physical activity and common mental disorders

  • Samuel B. Harvey (a1), Matthew Hotopf (a1), Simon Øverland (a2) and Arnstein Mykletun (a3)

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Physical activity and common mental disorders

  • Samuel B. Harvey (a1), Matthew Hotopf (a1), Simon Øverland (a2) and Arnstein Mykletun (a3)
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