• Breaking News

    Friday, January 10, 2014

    Need a New Year’s Resolution? Try Exercise!

    By Ahmed Raza Khan, MD, MPH

    Follow@AhmedRazaKhanMD

    Child and Adolescent Psychiatry Physician at Stanford University
    School of Medicine




    Most people know that exercise is beneficial for cardiac health and is prescribed by physicians for the prevention and alleviation of various medical complications. But what if I told you exercise can also significantly benefit your mental health in more ways than one? Let’s take a look at some of the ways exercise can improve mental health and how to incorporate this into your new year’s resolution list!



    Exercise and Depression Prevention:More than 350 million people in the world suffer from depression and it is the leading
    cause of disability worldwide.  Exercise
    has often been considered as a supplemental tool in treating depression, but
    recent evidence points to exercise playing a role in the prevention of future
    depressive episodes. These recent findings show that even low levels of
    physical activity (e.g., walking less than 150 minutes a week) can prevent
    future depression. There has been significant research in the last few years
    that links cardiovascular health’s role in the origin of depression. This would
    certainly be a plausible explanation for why exercise may prevent depression.




    Alzheimer’s Disease Prevention:Alzheimer’s
    disease
    is a chronic, degenerative disease of the brain that affects over
    25 million people in the world. This illness leads to a progressive mental
    decline, steering its victims to dependence on caregivers and, eventually,
    death. Amyloid plaques are abnormal clusters of protein fragments that are
    found in the brains of patients with Alzheimer’s disease and are thought to
    play a major role in its progression. Recent studies have found that people who
    exercised at or above the levels recommended by the American Heart Association
    had significantly lower numbers of amyloid plaques than those who exercised
    less. This was the case for even those who carried
    the APOE-e4 gene
    variant, which is an established risk factor for Alzheimer’s disease. When
    people with the APOE-e4 gene variant were compared, those with higher levels of
    exercise had lower levels of amyloid plaques.




    Improving Cognitive Functioning:Exercise has been shown
    to increase cognitive functioning in rats. As rats get older, their memory
    tends to diminish and this appears to be due to a drop of nerve synapses in the
    hippocampus, the memory center of the brain. But after 12 weeks of voluntary
    running, both memory and hippocampus nerve synapses were restored in these
    rats.




    Consistency in Exercise:Recent neuroscientific
    studies have shown that the cognitive benefit of exercise may have a window of
    time. In fact, rats that improved their cognitive functioning by exercise, had
    this improvement dissipate in 3-6 weeks of inactivity. This is similar to what
    is seen with muscle mass or heart rate when exercise is withdrawn. This
    evidence intimates that exercise is beneficial for the brain and should be
    performed consistently.




    The American Heart Association is a great
    resource for planning the amount and type of exercise one needs. They recommend
    at least 30 minutes of moderate-intensity aerobic activity at least 5 days a
    week for a total of 150 minutes or at least 25 minutes of vigorous aerobic
    activity 3 days a week for a total of 75 minutes. An easy target to remember:
    30 minutes a day, 5 days a week.






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