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The influence of physical activity on mental well-being

Published online by Cambridge University Press:  02 January 2007

Kenneth R Fox*
Affiliation:
Department of Exercise and Health Sciences, University of Bristol, Priory House, Woodlands Rd, Bristol, UK
*
*Corresponding author: Tel: +44/117 928 8810, Email: [email protected]
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Abstract

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Objective:

The case for exercise and health has primarily been made on its impact on diseases such coronary heart disease, obesity and diabetes. However, there is a very high cost attributed to mental disorders and illness and in the last 15 years there has been increasing research into the role of exercise a) in the treatment of mental health, and b) in improving mental well-being in the general population. There are now several hundred studies and over 30 narrative or meta-analytic reviews of research in this field. These have summarised the potential for exercise as a therapy for clinical or subclinical depression or anxiety, and the use of physical activity as a means of upgrading life quality through enhanced self-esteem, improved mood states, reduced state and trait anxiety, resilience to stress, or improved sleep. The purpose of this paper is to a) provide an updated view of this literature within the context of public health promotion and b) investigate evidence for physical activity and dietary interactions affecting mental well-being.

Design:

Narrative review and summary.

Conclusions:

Sufficient evidence now exists for the effectiveness of exercise in the treatment of clinical depression. Additionally, exercise has a moderate reducing effect on state and trait anxiety and can improve physical self-perceptions and in some cases global self-esteem. Also there is now good evidence that aerobic and resistance exercise enhances mood states, and weaker evidence that exercise can improve cognitive function (primarily assessed by reaction time) in older adults. Conversely, there is little evidence to suggest that exercise addiction is identifiable in no more than a very small percentage of exercisers. Together, this body of research suggests that moderate regular exercise should be considered as a viable means of treating depression and anxiety and improving mental well-being in the general public.

Type
Research Article
Copyright
Copyright © CABI Publishing 1999

References

1 WHO. Exercise for health. WHO/FIMS Committee on Physical Activity for Health. Bulletin of the World Health Organisation 1995; 73(2) 135–6.Google Scholar
2 US Department of Health and Human Services (PHS). Physical activity and health. A report of the Surgeon General (Executive Summary), 1996. Pittsburgh, PA: Superintendent of Documents.Google Scholar
3Berlin, JA, Colditz, GA. A meta-analysis of physical activity in the prevention of coronary heart disease. Am. J. Epidemiol. 1990; 132: 612–28.CrossRefGoogle ScholarPubMed
4Powell, KE, Thompson, PD, Casperson, CJ, Kendrick, JS. Physical activity and the incidence of coronary heart disease. Ann. Rev. Pub. Health. 1987; 8: 253–87.CrossRefGoogle ScholarPubMed
5Prentice, AM, Jebb, S. Obesity in Britain: Gluttony or sloth. Br. Med. J. 1995; 311: 437–9.CrossRefGoogle ScholarPubMed
6 Sports Council/HEA. Allied Dunbar National Fitness Survey: Main findings. 1992; London: Sports Council and HEA.Google Scholar
7Powell, KE, Blair, S. The public health burdens of sedentary living habits: theoretical but realistic estimates. Medicine and Science in Sports and Exercise 1994; 26: 851–6.CrossRefGoogle ScholarPubMed
8Morris, J. Exercise in the prevention of coronary heart disease: Today's best buy in public health. Medicine and Science in Sports & Exercise 1994; 26: 807–14.CrossRefGoogle ScholarPubMed
9Prescott-Clarke, P, Primatesta, P, eds. Health Survey for England 1995: findings: A survey carried out on behalf of the Department of Health. 1997; London: The Stationary Office.Google Scholar
10Kurtz, Z. With health in mind. 1992; London: Action for Sick Children.Google Scholar
11Rutter, M, Smith, DJ, eds. Psychosocial disorders in young people: Time trends and their causes. 1995; New York: John Wiley.Google Scholar
12Weismann, MM, Klerman, GL. Depression: Current understanding and changing trends. Ann. Rev. Pub. Health 1992; 13: 319–39.CrossRefGoogle Scholar
13Paykel, ES, Priest, RG. Recognition and management of depression in general practice: A consensus statement. Br. Med. J. 1992; 305: 1198–202.Google Scholar
14 Department of Health. NHS Executive. Burdens of disease: a discussion document. 1996; London: Department of Health.Google Scholar
15Morgan, WP, Goldston, SE, eds. Exercise and mental health 1987; Washington DC: Hemisphere.Google Scholar
16Biddle, SJH, Mutrie, N. Psychology of physical activity and exercise. 1991; London: Springer-Verlag.CrossRefGoogle Scholar
17Leith, LM. Foundations of exercise and mental health. 1994; Morgantown, WW: Fitness Information Technology.Google Scholar
18Morgan, WP, ed. Physical activity and mental health. 1997; Washington, DC: Taylor and Francis.Google Scholar
19Van de Vliet, P, Knapen, J, Joos, S, Van Coppenolle, H, Pieters, G. Psychomotor therapy for depressive psychiatric patients: Effects on the mood and self. Proceedings of the European Congress on Sport Psychology1999Prague, July. (part 2) pp. 271–3.Google Scholar
20Beck, AT, Ward, CH, Mendelsohn, M, Mock, J, Erbaugh, H. An inventory for measuring depression. Archives and General Psychiatry 1961; 4: 561–71.CrossRefGoogle ScholarPubMed
21 American Psychiatric Association. Diagnostic and statistical manual of mental disorders (4th edn) 1994; Washington, DC: APA.Google Scholar
22Spitzer, RL, Endicott, J, Robins, E. Research diagnostic criteria. Archives of General Psychiatry 1978; 35: 773–82.CrossRefGoogle ScholarPubMed
23Camacho, TC, Roberts, RE, Lazarus, NB, Kaplan, GA, Cohen, RD. Physical activity and depression. Evidence from the Alameda County Study. Am. J. Epidemiol. 1991; 134: 220–31.CrossRefGoogle ScholarPubMed
24Paffenbarger, RS, Lee, I-M, Leung, R. Physical activity and personal characteristics associated with depression and suicide in American college men. Acta Psychiatrica Scandinavia. 1994; 89 (S377): 1622.CrossRefGoogle Scholar
25Farmer, ME, Locke, BZ, Moscicki, EK, Dannenberg, AL, Larson, DB, Radloff, LS. Physical activity and depressive symptoms: The NHANES I Epidemiological Follow-Up Study. Am. J. Epidemiol. 1988; 128: 1340–51.CrossRefGoogle Scholar
26Mutrie, N. The relationship between physical activity and clinically defined depression. In: Biddle, SJH, Fox, KR, Boutcher, SH (eds) Physical activity and psychological well-being. London: Routledge (in press).Google Scholar
27Craft, LL, Landers, DM. The effect of exercise on clinical depression and depression resulting from mental illness: A meta analysis. J. Sport Exercise Psychol. 1998; 20(4) 339–57.CrossRefGoogle Scholar
28Calfas, KJ, Taylor, WC. Effects of physical activity on psychological variables in adolescents. Pediatric Exercise Sci. 1994; 6(4) 406–23.CrossRefGoogle Scholar
29McDonald, DG, Hodgdon, JA. Psychological effects of aerobic fitness training, 1991; London: Springer-Verlag.CrossRefGoogle Scholar
30Petruzzello, SJ, Landers, DM, Hatfield, BD, Kubitz, KA, Salazar, W. A meta-analysis on the anxiety-reducing effects of acute and chronic exercise. Outcomes and mechanisms. Sports Medicine 1991; 11(3) 143–82.Google Scholar
31Taylor, A. Physical activity stress and anxiety: A review. In: Biddle, SJH, Fox, KR, Boutcher, SH (eds) Physical activity and psychological well-being. London: Routledge (in press).Google Scholar
32Stephens, T. Physical activity and mental health in the United States and Canada: Evidence from four population surveys. Preventive Medicine 1988; 17: 3547.CrossRefGoogle ScholarPubMed
33Biddle, SJH. Emotion, mood and physical activity. In: Biddle, SJH, Fox, KR, Boutcher, SH (eds) Physical activity and psychological well-being. London: Routledge (in press).Google Scholar
34Fox, KR. The effects of exercise on self-perceptions and self-esteem. In: Biddle, SJH, Fox, KR, Boutcher, SH (eds) Physical activity and psychological well-being. London: Routledge (in press).Google Scholar
35Spence, JC, Poon, P. The effect of physical activity on self-concept: A meta-analysis. Alberta Centre for Well-Being: Research Update 1997; 4(3) 4.Google Scholar
36Fox, KR. The physical self and processes in self-esteem development. In: Fox, KR, ed. The physical self: From motivation to well-being Champaign, IL: Human Kinetics. 1997; 111–40.Google Scholar
37Sonstroem, RJ, Potts, SA. Life adjustment correlates of physical self-concepts. Med. Sci. Sports Exercise 1996; 28: 619–25.Google ScholarPubMed
38Boutcher, SH. Cognitive performance, fitness and ageing. In: Biddle, SJH, Fox, KR, Boutcher, SH (eds) Physical activity and psychological well-being. London: Routledge (in press).Google Scholar
39Etnier, JL, Salazar, W, Landers, DM, Petruzzello, SJ, Han, M, Nowell, P. The influence of physical fitness and exercise upon cognitive functioning: A meta-analysis. J. Sport Exercise Psychol. 1997; 19: 249–74.CrossRefGoogle Scholar
40 National Commission on Sleep Disorders Research. Wake up America: A national sleep alert. Executive summary and executive report. 1993; 176.Google Scholar
41Youngstedt, SD, O'Connor, PJ, Dishman, RK. The effects of acute exercise on sleep: A quantitative synthesis. Sleep 1997; 20(3) 203–14.CrossRefGoogle ScholarPubMed
42Szabo, A. Physical activity and psychological dysfunction. In: Biddle, SJH, Fox, KR, Boutcher, SH. (eds) Physical activity and psychological well-being. London: Routledge (in press).Google Scholar
43Davis, C. Body image, exercise and eating behaviours. In: Fox, KR ed. The physical self: From motivation to well-being Champaign, IL: Human Kinetics. 1997: 143–74.Google Scholar
44Hoffman, P. The endorphin hypothesis. In: Morgan, WP ed. Physical activity and mental health. Washington DC: Taylor & Francis 1997: 163–78.Google Scholar
45Dishman, RK. The norepinephrine hypothesis. In: Morgan, WP ed. Physical activity and mental health Washington DC: Taylor & Francis 1997: 199212.Google Scholar
46Chaouloff, F. The serotonin hypothesis. In: Morgan, WP ed. Physical activity and mental health Washington DC: Taylor & Francis. 1997: 179–98.Google Scholar
47Koltyn, KF. The thermogenic hypothesis. In: Morgan, WP ed. Physical activity and mental health. Washington DC: Taylor & Francis. 1997: 213–26.Google Scholar
48McAuley, E, Mihalko, SL. Measuring exercise-related self-efficacy. In: Duda, JL ed. Advances in sport and exercise psychology measurement Morgantown, WV: Fitness Information Technology. 1998: 371–92.Google Scholar
49Harter, S. Causes, correlates, and the functional role of global self-worth: A lifespan perspective. In: Sternberg, RJ and Kolligian, J. eds Competence considered. New York: Vail-Ballou. 1990: 6797.Google Scholar
50Epling, WF, Pierce, WD. Activity-based anorexia in rats as a function of opportunity to run on an activity wheel. Nutrition and Behavior 1984; 2: 3749.Google Scholar
51Davis, C, Kaptein, S, Kaplan, AS, Olmsted, MP, Woodside, DB. Obsessionality in anorexia nervosa: The moderating influence of exercise. Psychosomatic Medicine 1998; 60: 192–7.CrossRefGoogle ScholarPubMed
52Blundell, JE, King, NA. Effects of exercise on appetite control: loose coupling between energy expenditure and energy intake. Int. J. Obesity 1998; 22 (Suppl 2): S229.Google Scholar
53Biddle, SJH, Fox, KR. Motivation for physical activity and weight management. Int. J. Obesity 1998; 22 (Suppl 2): S3947.Google Scholar