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Exercise Matches Therapy and Medication in Major Review of Depression and Anxiety Treatment

The new BJSM umbrella analysis pinpoints optimal formats and priority groups for tailored exercise prescriptions.

Overview

  • The review pooled 81 meta-analyses from 1,079 trials with 79,551 participants and was published in the British Journal of Sports Medicine.
  • Exercise produced large reductions in depression symptoms and moderate reductions in anxiety, with benefits comparable to psychotherapy or antidepressants.
  • Aerobic activity showed the strongest effects across outcomes, while group-based and professionally supervised programs delivered greater gains for depression.
  • For anxiety, the most consistent improvements followed lower-intensity activity performed over programs lasting up to eight weeks.
  • Emerging adults and postnatal women saw the biggest improvements, prompting calls for clinicians to prescribe structured, social exercise despite evidence heterogeneity and quality limits.