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Thread on exercise and mental health and potential considerations for COVID-19:
1. Inducing sedentary behaviour in healthy people, can increase depression after as little as 7 days.
Need messaging to replace sedentary time w any PA https://www.ncbi.nlm.nih.gov/pubmed/27492908
1. Inducing sedentary behaviour in healthy people, can increase depression after as little as 7 days.
Need messaging to replace sedentary time w any PA https://www.ncbi.nlm.nih.gov/pubmed/27492908
2. Consider mental health / mental illness continuum. Exercise can be an effective component of treatment
AND
as a prevention strategy regardless of quadrant.
Required messaging and support will likely differ.
E.g evidence in non-clinical adults: https://www.ncbi.nlm.nih.gov/pubmed/25739893
AND
as a prevention strategy regardless of quadrant.
Required messaging and support will likely differ.
E.g evidence in non-clinical adults: https://www.ncbi.nlm.nih.gov/pubmed/25739893
3. As little as 60mins of physical activity per week can prevent up to 17% of incident cases of depression
https://www.ncbi.nlm.nih.gov/pubmed/29690792
With robust evidence from genetic studies
https://www.ncbi.nlm.nih.gov/pubmed/30673066
https://www.ncbi.nlm.nih.gov/pubmed/29690792
With robust evidence from genetic studies
https://www.ncbi.nlm.nih.gov/pubmed/30673066
4. What about the mental health of first-responders and workers on 'front-line'
Decline in physical activity over time is related to symptoms of PTSD. More severe symptoms = less PA.
Could we prevent some cases of PTSD by keeping people active?
https://www.ajpmonline.org/action/showPdf?pii=S0749-3797%2817%2930105-8
Decline in physical activity over time is related to symptoms of PTSD. More severe symptoms = less PA.
Could we prevent some cases of PTSD by keeping people active?
https://www.ajpmonline.org/action/showPdf?pii=S0749-3797%2817%2930105-8
5. Evidence of a protective effect against other disorders including:
Anxiety
https://onlinelibrary.wiley.com/doi/abs/10.1002/da.22915
Weaker evidence psychosis https://www.sciencedirect.com/science/article/abs/pii/S016517811931769X
Anxiety
https://onlinelibrary.wiley.com/doi/abs/10.1002/da.22915
Weaker evidence psychosis https://www.sciencedirect.com/science/article/abs/pii/S016517811931769X
6. Evidence for exercise as a part of treatment for people living with mental illness?
Umbrella review by @Garcia__AF of 27 systematic reviews (152 individual RCTs)
https://www.ncbi.nlm.nih.gov/pubmed/31541410
Also guidelines from international orgs including @EP_Editors
http://dx.doi.org/10.1016/j.eurpsy.2018.07.004
Umbrella review by @Garcia__AF of 27 systematic reviews (152 individual RCTs)
https://www.ncbi.nlm.nih.gov/pubmed/31541410
Also guidelines from international orgs including @EP_Editors
http://dx.doi.org/10.1016/j.eurpsy.2018.07.004
7. Condition specific meta-analyses:
Depression:
https://www.ncbi.nlm.nih.gov/pubmed/26978184
Anxiety: https://www.ncbi.nlm.nih.gov/pubmed/28088704
Depression:
https://www.ncbi.nlm.nih.gov/pubmed/26978184
Anxiety: https://www.ncbi.nlm.nih.gov/pubmed/28088704
8. Prioritise enjoyment for sustainable change.
https://www.sciencedirect.com/science/article/pii/S1755296619301632?via%3Dihub
Don't focus on modality (type) or intensity, rather duration and overall volume is
, especially for sedentary people or those new to exercise
https://www.sciencedirect.com/science/article/pii/S1755296619301632?via%3Dihub
Don't focus on modality (type) or intensity, rather duration and overall volume is
, especially for sedentary people or those new to exercise
9. We don't have to 'get sweaty' in order to experience mental health benefits
Resistance training (RT) (muscle exercises
) can be just as effective (relevant during lockdown)
RT & Depression:
https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2680311
RT & Anxiety:
https://www.ncbi.nlm.nih.gov/pubmed/28819746
Resistance training (RT) (muscle exercises
) can be just as effective (relevant during lockdown)RT & Depression:
https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2680311
RT & Anxiety:
https://www.ncbi.nlm.nih.gov/pubmed/28819746
10. Something is better than nothing and every minute counts.
Acute affective benefits of exercise: https://content.iospress.com/articles/brain-plasticity/bpl160040
WHO COVID-19 physical activity recommendations: https://www.who.int/news-room/q-a-detail/be-active-during-covid-19
Acute affective benefits of exercise: https://content.iospress.com/articles/brain-plasticity/bpl160040
WHO COVID-19 physical activity recommendations: https://www.who.int/news-room/q-a-detail/be-active-during-covid-19
11. Consider 'Exercise Snacks' - short bouts of activity throughout the day - especially relevant for those working from home
https://www.nytimes.com/2019/01/23/well/move/20-second-exercise-fitness-interval-training.html
https://www.nytimes.com/2019/01/23/well/move/20-second-exercise-fitness-interval-training.html
