### Exercise and Depression: A Powerful Combination A new study published in The BMJ has found that many common forms of exercise, such as walking, yoga, jogging, and strength training, can be as effective as therapy in treating depression. The study highlights that these exercises are particularly effective when performed intensely. The authors of the study suggest that these forms of exercise should be considered alongside psychotherapy and antidepressants as core treatments for depression. Depression is a leading cause of disability worldwide and can lower life satisfaction more than debt, divorce, and diabetes. It also worsens other diseases like heart disease, anxiety, and cancer. While many people respond well to drugs and psychotherapy, some have depression that is resistant to medication or have limited access to treatments. About half of the people with depression seek treatment. The researchers analyzed data from 218 studies involving around 14,000 people to come to their conclusions. Despite some risk of bias in the studies, the overall benefits of exercise, combined with data suggesting it helps with depression, make it a strong treatment option. Michael Noetel of the University of Queensland in Australia, the study’s lead author, emphasized the whole-body benefits of exercise. Previous studies have also highlighted the benefits of exercise for mental health. Adam Chekroud of the Yale School of Medicine, who was not involved in this study, noted that exercise is a good approach to treating depression, along with therapy and medication. He mentioned that none of these treatments are silver bullets, but given how debilitating depression can be, almost all patients should be offered both exercise and therapy. The study found that more exercise and higher intensity workouts were better, but you don't need to start training like a professional athlete. The intensity of the exercise made the biggest difference.