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This article collates large-scale evidence on how physical activity impacts mental health. With a keen aim to determine the effectiveness of exercise in reducing symptoms of depression, anxiety, and psychological distress across adult populations.

Exercise remains a highly effective and essential strategy for improving brain health and mental wellbeing. Exercise is also the most accessible for adults.

Here are some tips to continue including Exercise as a management tool for Brain Health:

  1. Prioritise regular physical activity as a core strategy for mental health management.
  2. Incorporate moderate to vigorous intensity exercise, as higher intensity shows greater benefits. Intensity considerations must also be compared to other disease exercise guidelines.
  3. Start with short-term, structured programmes (2 months @ 3 sessions per week) to maximise effectiveness.
  4. Include a healthy diversity of exercise types (aerobic, resistance, functional training).
  5. Individualisation is critical, especially for those with mental health or chronic conditions.
  6. Encourage consistency over perfection. Regular engagement is more important.
  7. Integrate exercise into daily routines to improve adherence. Consider behaviour economics for the person.
  8. Use exercise in combination with any other treatments or therapy currently included. Allow a combined approach and not an isolated one.
  9. Monitor progress and mental wellbeing outcomes, not only physical performance or fitness parameters.
  10. Promote accessibility and low-cost options to improve long-term adherence.

Remember to complete the Brain Health Module for more practical information and research, an elective of the Exercise is Medicine South Africa Accreditation.

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