Thread by @simon_rosenbaum, Thread on exercise and mental health and potential considerations for COVID-19:1. Inducing [...]

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 ">https://www.ncbi.nlm.nih.gov/pubmed/27...

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 ">https://www.ncbi.nlm.nih.gov/pubmed/25...

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">https://www.ncbi.nlm.nih.gov/pubmed/29... robust evidence from genetic studies
https://www.ncbi.nlm.nih.gov/pubmed/30673066 ">https://www.ncbi.nlm.nih.gov/pubmed/30...

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/29... robust evidence from genetic studies https://www.ncbi.nlm.nih.gov/pubmed/30...

4. What about the mental health of first-responders and workers on & #39;front-line& #39;

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">https://www.ajpmonline.org/action/sh...

5. Evidence of a protective effect against other disorders including:

Anxiety
https://onlinelibrary.wiley.com/doi/abs/10.1002/da.22915

Weaker">https://onlinelibrary.wiley.com/doi/abs/1... evidence psychosis https://www.sciencedirect.com/science/article/abs/pii/S016517811931769X">https://www.sciencedirect.com/science/a...

Does physical activity reduce the risk of psychosis? A systematic review and meta-analysis of...

Longitudinal prospective cohorts have suggested that physical activity (PA) may be a protective factor against psychosis and schizophrenia. However, n…

https://onlinelibrary.wiley.com/doi/abs/10.1002/da.22915

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">https://www.ncbi.nlm.nih.gov/pubmed/31... guidelines from international orgs including @EP_Editors
http://dx.doi.org/10.1016/j.eurpsy.2018.07.004">https://dx.doi.org/10.1016/j...

7. Condition specific meta-analyses:

Depression:
https://www.ncbi.nlm.nih.gov/pubmed/26978184

Anxiety:
https://www.ncbi.nlm.nih.gov/pubmed/26... href=" https://www.ncbi.nlm.nih.gov/pubmed/28088704 ">https://www.ncbi.nlm.nih.gov/pubmed/28...

8. Prioritise enjoyment for sustainable change.
https://www.sciencedirect.com/science/article/pii/S1755296619301632?via%3Dihub

Don& #39;t">https://www.sciencedirect.com/science/a... focus on modality (type) or intensity, rather duration and overall volume is

https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔑" title="Key" aria-label="Emoji: Key">, especially for sedentary people or those new to exercise

Do we need physical activity guidelines for mental health: What does the evidence tell us?

The aims of this commentary are to (1) examine the current global physical activity recommendations for adults and its relation to mental health, base…

https://www.sciencedirect.com/science/article/pii/S1755296619301632?via%3Dihub

9. We don& #39;t have to & #39;get sweaty& #39; in order to experience mental health benefits

Resistance training (RT) (muscle exercises

https://abs.twimg.com/emoji/v2/... draggable="false" alt="🏋🏽‍♂️" title="Man lifting weights (medium skin tone)" aria-label="Emoji: Man lifting weights (medium skin tone)">) can be just as effective (relevant during lockdown)

RT & Depression:
https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2680311

RT">https://jamanetwork.com/journals/... & Anxiety:
https://www.ncbi.nlm.nih.gov/pubmed/28819746 ">https://www.ncbi.nlm.nih.gov/pubmed/28...

9. We don& #39;t have to & #39;get sweaty& #39; in order to experience mental health benefits Resistance training (RT) (muscle exerciseshttps://abs.twimg.com/emoji/v2/... draggable=

) can be just as effective (relevant during lockdown)RT & Depression: https://jamanetwork.com/journals/... & Anxiety: https://www.ncbi.nlm.nih.gov/pubmed/28..." title="9. We don& #39;t have to & #39;get sweaty& #39; in order to experience mental health benefits Resistance training (RT) (muscle exerciseshttps://abs.twimg.com/emoji/v2/... draggable="false" alt="🏋🏽‍♂️" title="Man lifting weights (medium skin tone)" aria-label="Emoji: Man lifting weights (medium skin tone)">) can be just as effective (relevant during lockdown)RT & Depression: https://jamanetwork.com/journals/... & Anxiety: https://www.ncbi.nlm.nih.gov/pubmed/28..." class="img-responsive" style="max-width:100%;"/>

10. Something is better than nothing and every minute counts.

Acute affective benefits of exercise: https://content.iospress.com/articles/brain-plasticity/bpl160040

WHO">https://content.iospress.com/articles/... COVID-19 physical activity recommendations: https://www.who.int/news-room/q-a-detail/be-active-during-covid-19">https://www.who.int/news-room...

Be Active during COVID-19

https://content.iospress.com/articles/brain-plasticity/bpl160040

11. Consider & #39;Exercise Snacks& #39; - 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/2019/01/2...

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