← Feel Better, Live More with Dr Rangan Chatterjee

How Exercise Changes Your Brain and Reduces Your Risk of Depression with Brendon Stubbs #97

Feb 12, 2020 1h 53m 28 insights
Think of a physiotherapist and you probably think of someone who’s interested in muscles and joints; someone who gets you moving again after an injury, right? Well my guest this week is a physio with a difference. He’s concerned with the effect movement has, not on our bodies… but our minds.  Brendon Stubbs is head of physiotherapy at the South London and Maudsley NHS Foundation Trust, a clinical lecturer and a prolific researcher. His work is helping provide the medical profession with much-needed evidence for what we, as humans, feel instinctively: physical activity makes us feel good. For instance, did you know moderate exercisers are 30 per cent less likely to suffer a depressive episode? Or that being sedentary can actually cause depression? Finally, we have proof that exercise is as effective as many existing interventions for preventing and treating mental health conditions. And I would argue it goes one step further, by also boosting physical health and social connections. Whether you or someone you know is struggling with mental illness, you’re a healthcare professional, or you simply want to increase your emotional resilience, I think you’ll be persuaded into action by the surprising stories and evidence Brendon shares. And if you’re persuaded, please spread the word – let’s start a movement revolution. Show notes available at drchatterjee.com/97 Follow me on instagram.com/drchatterjee/ Follow me on facebook.com/DrChatterjee/ Follow me on twitter.com/drchatterjeeuk
Actionable Insights

1. Integrate Physical Activity

Integrate physical activity as a core strategy for improving mental health and as a viable intervention for existing mental health symptoms, as it is a credible option to prevent and treat mental health conditions.

2. Choose Enjoyable Activity

Select a physical activity that you genuinely enjoy and find pleasurable, as enjoyment is the key factor for long-term adherence and consistency in maintaining any behavior.

3. Focus on Small Changes

Concentrate on making small, achievable changes in your daily routine, because even minor, consistent actions can build agency, self-esteem, and lead to significant improvements, especially when motivation is low.

4. 10 Minutes Light Activity

Engage in just 10 minutes of light activity, such as gentle walking, as it can result in meaningful changes in electrical activity within the hippocampus and other emotional processing areas of the brain.

5. Track Daily Activity

Monitor and record your physical activity daily, for example, by tracking steps with a pedometer, to gain a sense of agency, achievement, and enhance self-esteem by observing objective progress.

6. Exercise Reduces Depression

Engage in exercise consistently for 12 to 16 weeks, as this can significantly and meaningfully reduce depressive symptoms over a relatively short period.

7. Regular Activity for Brain

Be regularly active, as consistent movement can change the size of the hippocampus, a crucial brain region involved in memory and emotion processing.

8. Exercise Reduces Inflammation

Engage in exercise, as it acts as a potent anti-inflammatory, reducing levels of inflammation in your body, which can contribute to mental health problems.

9. Exercise Despite Genetic Risk

Engage in physical activity even if you have a genetic predisposition to conditions like depression, as it can reduce the likelihood of developing them.

10. Avoid Sedentary Lifestyle

Actively avoid prolonged sedentary behavior, as being sedentary can actually cause depression and negatively impact mental well-being.

11. Maintain Regular Movement

Consistently continue moving regularly, even when feeling well, because stopping movement can lead to increased stress levels and negatively affect your mood.

12. Moderate Exercise Reduces Depression

Engage in moderate exercise, as individuals who do so are 30% less likely to suffer a depressive episode.

13. Combine Aerobic & Strength

Incorporating both aerobic exercise and resistance or strength training into your routine is beneficial, as both types have strong evidence for improving depressive symptoms.

14. Diverse Exercise for Mental Health

Explore various forms of exercise, including aerobic, resistance training, and mind-body interventions like yoga, as they are all beneficial for improving symptoms of depression, anxiety, and PTSD.

15. Light Activity Protects Mental Health

Engage in light physical activities, such as moving around or light playing, as this can protect against future mental health symptoms, particularly in adolescence.

16. Start with 5-Minute Dance

Begin with just five minutes of dancing daily, as this small, enjoyable change can improve mood, energy, and relationships, often leading to longer durations and other positive lifestyle shifts.

17. Cumulative Small Movements

Integrate small, cumulative movements throughout your day, such as getting up every 20-30 minutes or stepping outside for fresh air, as these can make a big difference to both physical and mental health.

18. Exercise Socially

Combine exercise with a social element, such as participating in group activities like Parkrun, to gain multiple benefits beyond just mental and physical health, including social connection and support.

19. Connect with Activity Groups

Seek out and connect with groups for physical activity, as this fosters a sense of community, belonging, and achievement, which are crucial for maintaining engagement and improving outcomes.

20. Move with Enjoyable Music

Combine your physical activity with enjoyable music, as this can enhance the experience, making movement more powerful and pleasurable.

21. Don’t Be Discouraged

Do not be discouraged if you cannot perform intense or long workouts, as even small amounts of activity are beneficial, and intense sessions are not the only way to achieve health benefits.

22. Evolve Your Activity

Continuously challenge yourself and adapt your physical activity routine as you progress, as this helps maintain engagement and ensures continued benefits over time.

23. Seek Specialist Guidance

For optimal outcomes in mental health, nutrition, or exercise interventions, seek guidance from trained specialists with appropriate backgrounds, such as exercise physiologists or dietitians.

24. Prioritize Lifestyle in Care

Healthcare professionals should prioritize and emphasize lifestyle interventions, including physical activity, in mental health care settings, as people in these environments are often sedentary and have numerous physical health complaints.

25. Initiate Movement for Connection

Clinicians or support individuals should initiate physical activities like walks or gym sessions with patients, as this creates a different dynamic, allowing them to open up and build therapeutic relationships focused on physical well-being.

26. Reduce Activity Barriers

Policymakers and community organizers should strive to create accessible and available physical activity interventions, actively reducing barriers to participation to ensure everyone can benefit.

27. Spread Movement Awareness

Spread the word about the profound benefits of movement for mental and physical health, to inspire others and contribute to a ‘movement revolution’.

28. Try Minimalist Footwear

Consider wearing minimalist shoes, such as Vivo Barefoot, as they can be beneficial for alleviating back, hip, and knee pain, and improving general mobility.