How to Use Exercise to Treat Depression


Everyone knows that exercise is good for your body. Regular aerobic activity, from running to cycling or even practicing martial arts, makes it easier to lose weight, strengthen your heart, and reduce the chances of getting cancer. For many, the biggest and most tangible advantage is that exercising simply feels good. Exercising can release endorphins to make you feel better and to make it easier to keep coming back to exercise. For those suffering from depression or anxiety, regular exercise can even help lessen symptoms. Read on to learn about the beneficial effects of exercise and the science that backs them up. Growing Evidence Behind the Mental Health Benefits of Exercise For many, the first instinct is that exercise and improved mental health are matters of correlation rather than causation. However, the evidence may tell a different story. For example, in Mendelian randomization studies, it’s been shown that individuals who are genetically predisposed to exercising also happen to be less likely to suffer from depression. Furthermore, randomized controlled trials have suggested that exercise as an adjunct treatment may be an effective tool in preventing and mitigating depression. Most interestingly of all, some mechanistic studies have pointed at certain molecular mechanisms that connect improvements in mood to physical exertion. Molecular Mechanisms at Work There are a few molecules in particular that get a lot of focus, such as kynurenine, a compound made when tryptophan (an amino acid) is converted to niacin (a vitamin); brain-derived neurotrophic factor (BDNF), a growth factor that affects neurons; and several parts of the opioid and endocannabinoid systems, important factors when it comes to pain and mood regulation. Kynurenine, Neuroprotective or Neurotoxic? The importance of kynurenine is that it can be converted into either kynurenic acid (a neuroprotective agent) or quinolinic acid (a neurotoxic agent). As you might expect, you want more of the former and less of the latter. Specifically, too much quinolinic acid has been linked to depression and various other disorders. When you exercise, your body uses up kynurenine and ensures it won’t be converted to quinolinic acid. Brain-Derived Neurotrophic Factor and Neuroplasticity BDNF plays a major role everywhere from the hippocampus to the cortex, cerebellum, and basal forebrain. These areas are connected to learning, long-term memory, and executive functions. Most importantly of all, BDNF is a key player when it comes to neuroplasticity, which is how the brain readjusts itself physically. Individuals that have depression and other mental disorders tend to have reduced neuroplasticity. Conversely, exercise may be able to increase BDNF and therefore increase neuroplasticity, resulting in improved mood and cognition. Opioid and Endocannabinoid Systems, Contributors to the Runner’s High Endocannabinoids are responsible for a variety of physiological processes ranging from movement control and pain processing to mood. Mechanistics studies with animals have shown a link between exercise-induced endocannabinoids and lowered anxiety and pain perception. By the same token, endogenous opioids like beta-endorphins are measurably higher after aerobic exercise. Beta-endorphins are famously connected to the “runner’s high.” In conjunction, these two systems are responsible for many of the beneficial psychological effects associated with exercise. Not a Comprehensive Treatment While the research grows stronger every year, it’s important not to get too overzealous. The precise nature and extent of exercise’s impact on depression is still not fully understood. If you think you have a genuine clinical disorder, then seek the help of a qualified mental health expert for proper diagnosis and clinical treatment. Exercise can be effective in lessening the symptoms of depression and supplementing standard treatment regimens, but is no substitute for clinical treatment.

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