A literature review on role of physical activity in the prevention and treatment of depression
DOI:
https://doi.org/10.12775/QS.2025.44.62852Keywords
physical activity in mental disorders, Older adults, depression, Mental Health, neurobiological mechanismsAbstract
Purpose
This review explores the role of physical activity in preventing and treating depression across diverse groups. It critically assesses recent evidence and identifies the most effective exercise interventions by systematically analysing studies published between 2017 and 2025.
Methods
The analysis covered peer-reviewed randomised controlled trials, systematic reviews, and meta-analyses focusing on links between various physical activities and depression symptoms in different age groups.
Results
The findings confirm that physical activity has clear antidepressant effects, with moderate to large effect sizes depending on exercise type and intensity. Aerobic exercise shows standardised mean differences (SMDs) from -0.496 to -1.156, resistance training shows SMDs between -0.66 and -1.06, and high-intensity interval training provides moderate effects (SMDs of -0.42 to -0.496). Suggested mechanisms include increased brain-derived neurotrophic factor, improved neurotransmitter function, lower inflammation, and balanced HPA-axis activity, which help reduce depressive symptoms.
Conclusion
Physical activity is a safe, evidence-based, and cost-effective option for preventing and treating depression. Adding structured exercise programmes to everyday routines and healthcare practice can improve mental wellbeing, quality of life, and help lower the global burden of depressive disorders across all age groups.
References
1. Augustin, N., Bendau, A., Heuer, S., Kaminski, J., and Ströhle, A. (2023). Resistance training in depression. Deutsches Ärzteblatt International, 120(45), 757. https://doi.org/10.3238/arztebl.m2023.0196
2. Bang-Kittilsen, G., Engh, J.A., Holst, R., Holmen, T.L., Bigseth, T.T., Andersen, E., Mordal, J. and Egeland, J. (2022). High-intensity interval training may reduce depressive symptoms in individuals with schizophrenia, putatively through improved VO2max: A randomised controlled trial. Frontiers in Psychiatry, 13, 921689. https://doi.org/10.3389/fpsyt.2022.921689
3. Borrega-Mouquinho, Y., Sánchez-Gómez, J., Fuentes-García, J. P., Collado-Mateo, D., & Villafaina, S. (2021). Effects of high-intensity interval training and moderate-intensity training on stress, depression, anxiety, and resilience in healthy adults during coronavirus disease 2019 confinement: a randomised controlled trial. Frontiers in Psychology, 12, 643069. https://doi.org/10.3389/fpsyg.2021.643069
4. Budde, H., Dolz, N., Mueller-Alcazar, A., Schacht, F., Velasques, B., Ribeiro, P., Machado, S. and Wegner, M. (2024). A 10 years update of effects of exercise on depression disorders—in otherwise healthy adults: A systematic review of meta-analyses and neurobiological mechanisms. PLOS ONE, 20(5), e0317610. https://doi.org/10.1371/journal.pone.0317610
5. Chekroud, S. R., Gueorguieva, R., Zheutlin, A. B., Paulus, M., Krumholz, H. M., Krystal, J. H., & Chekroud, A. M. (2018). Association between physical exercise and mental health in 1· 2 million individuals in the USA between 2011 and 2015: a cross-sectional study. The lancet psychiatry, 5(9), 739-746. https://doi.org/10.1016/S2215-0366(18)30227-X
6. Chen, F.F., Ru, F.F., Tsai, C.L. and Chang, Y.K. (2024). Effects of aerobic exercise on cognitive function in adults with major depressive disorder: A systematic review and meta-analysis. International Journal of Clinical and Health Psychology, 24(2), 100452. https://doi.org/10.1016/j.ijchp.2024.100452
7. Cunha, P.M., Nunes, J.P., Tomeleri, C.M., Nascimento, M.A., Schoenfeld, B.J., Antunes, M., Gobbo, L.A., Teixeira, D.C., Cyrino, E.S. and Ribeiro, A.S. (2024). Can resistance training improve mental health outcomes in older adults? A systematic review and meta-analysis of randomised controlled trials. Psychiatry Research, 333, 115765. https://doi.org/10.1016/j.psychres.2024.115765
8. Done, S. Y. T. B. (2024). Effect of exercise for depression: systematic review and network meta-analysis. BMJ, 384, e075847. https://doi.org/10.1136%2Fbmj-2023-075847
9. Friedrich, M.J. (2017). Depression is the leading cause of disability around the world. JAMA, 317(15), 1517. https://doi.org/10.1001/jama.2017.3826
10. Gordon, B.R., McDowell, C.P., Hallgren, M., Meyer, J.D., Lyons, M. and Herring, M.P. (2018). Association of efficacy of resistance exercise training with depressive symptoms: meta-analysis and meta-regression analysis of randomised clinical trials. JAMA Psychiatry, 75(6), 566-576. https://doi.org/10.1001/jamapsychiatry.2018.0572
11. Gujral, S., Aizenstein, H., Reynolds III, C. F., Butters, M. A., & Erickson, K. I. (2017). Exercise effects on depression: Possible neural mechanisms. General hospital psychiatry, 49, 2-10. https://doi.org/10.1016/j.genhosppsych.2017.04.012
12. Heissel, A., Heinen, D., Brokmeier, L.L., Skarabis, N., Kangas, M., Vancampfort, D., Stubbs, B., Firth, J., Ward, P.B., Rosenbaum, S., Hallgren, M. and Schuch, F.B. (2023). Exercise as medicine for depressive symptoms? A systematic review and meta-analysis with meta-regression. British Journal of Sports Medicine, 57(16), 1049-1057. https://doi.org/10.1136/bjsports-2022-106282
13. Herring, M.P. and Meyer, J.D. (2024). Resistance exercise for anxiety and depression: efficacy and plausible mechanisms. Trends in Molecular Medicine, 30(3), 204-206. https://doi.org/10.1016/j.molmed.2023.11.016
14. Gu, T., Hao, P., Chen, P., & Wu, Y. (2022). A systematic review and meta‐analysis of the effectiveness of high‐intensity interval training in people with cardiovascular disease at improving depression and anxiety. Evidence‐based Complementary and Alternative Medicine, 2022(1), 8322484. https://doi.org/10.1155/2022/8322484
15. Lange, K.W., Nakamura, Y. and Lange, K.M. (2023). Sport and exercise as medicine in the prevention and treatment of depression. Frontiers in Sports and Active Living, 5, 1136314. https://doi.org/10.3389/fspor.2023.1136314
16. Marinelli, A., Gordon, B.R., Nullis, B., Herring, M.P. and White, R.L. (2024). Resistance training and combined resistance and aerobic training as a treatment of depression and anxiety symptoms in young people: A systematic review and meta‐analysis. Early Intervention in Psychiatry, 18(6), 499-508. https://doi.org/10.1111/eip.13528
17. Martland, R., Korman, N., Firth, J., Vancampfort, D., Thompson, T. and Stubbs, B. (2022). Can high-intensity interval training improve mental health outcomes in the general population and those with physical illnesses? A systematic review and meta-analysis. British Journal of Sports Medicine, 56(5), 279-291. https://doi.org/10.1136/bjsports-2021-103984
18. Martland, R., Mondelli, V., Gaughran, F. and Stubbs, B. (2020). Can high intensity interval training improve health outcomes among people with mental illness? A systematic review and preliminary meta-analysis of intervention studies across a range of mental illnesses. Journal of Affective Disorders, 263, 629-660. https://doi.org/10.1016/j.jad.2019.11.039
19. Meyer, J. A. C. O. B., Crombie, K. M., Cook, D. B., Hillard, C. J., & Koltyn, K. F. (2019). Serum endocannabinoid and mood changes after exercise in major depressive disorder. Medicine and science in sports and exercise, 51(9), 1909. https://doi.org/10.1249/MSS.0000000000002006
20. Noetel, M., Sanders, T., Gallardo-Gómez, D., Taylor, P., del Pozo Cruz, B., Van Den Hoek, D., ... & Lonsdale, C. (2024). Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials. BMJ, 384. https://doi.org/10.1136/bmj-2023-075847
21. O'Sullivan, D., Gordon, B.R., Lyons, M., Meyer, J.D. and Herring, M.P. (2023). Effects of resistance exercise training on depressive symptoms among young adults: A randomised controlled trial. Psychiatry Research, 326, 115322. https://doi.org/10.1016/j.psychres.2023.115322
22. Pearce, M., Garcia, L., Abbas, A., Strain, T., Schuch, F.B., Golubic, R., Kelly, P., Khan, S., Utukuri, M., Laird, Y., Mok, A., Smith, A., Tainio, M., Brage, S. and Woodcock, J. (2022). Association between physical activity and risk of depression: A systematic review and meta-analysis. JAMA Psychiatry, 79(6), 550-559. https://doi.org/10.1001/jamapsychiatry.2022.0609
23. Ross, R.E., VanDerwerker, C.J., Saladin, M.E. and Gregory, C.M. (2023). The role of exercise in the treatment of depression: biological underpinnings and clinical outcomes. Molecular Psychiatry, 28(1), 298-328. https://doi.org/10.1038/s41380-022-01819-w
24. Singh, B., Olds, T., Curtis, R., Dumuid, D., Virgara, R., Watson, A., Szeto, K., O'Connor, E., Ferguson, T., Eglitis, E., Miatke, A., Simpson, C.E.M. and Maher, C. (2023). Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews. British Journal of Sports Medicine, 57(18), 1203-1209. https://doi.org/10.1136/bjsports-2022-106195
25. Sun, W., Lu, E. Y., Wang, C., & Tsang, H. W. H. (2023). Neurobiological mechanisms for the antidepressant effects of mind-body and physical exercises: A systematic review. Mental Health and Physical Activity, 25, 100538. https://doi.org/10.1016/j.mhpa.2023.100538
26. Wang, X., Cai, Z.D., Jiang, W.T., Fang, Y.Y., Sun, W.X. and Wang, X. (2022). Systematic review and meta-analysis of the effects of exercise on depression in adolescents. Child and Adolescent Psychiatry and Mental Health, 16(1), 16. https://doi.org/10.1186/s13034-022-00453-2
27. Xu, Y., Li, Y., Wang, C., Han, T., Wu, Y., Wang, S., & Wei, J. (2024). Clinical value and mechanistic analysis of HIIT on modulating risk and symptoms of depression: A systematic review. International Journal of Clinical and Health Psychology, 24(1), 100433. https://doi.org/10.1016/j.ijchp.2023.100433
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Copyright (c) 2025 Albert Lompart, Michał Wabiszewicz, Albert Kosarewicz, Łukasz Woźniak, Patrycja Krysiak

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