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A large umbrella review and meta-meta-analysis published in the British Journal of Sports Medicine finds structured exercise substantially reduces symptoms of depression and anxiety, with effects comparable to or exceeding those of some pharmacological and psychological treatments.
Researchers synthesized 63 pooled reviews of randomized trials, covering nearly 80,000 participants across age groups.
Aerobic activities — such as running, swimming and dancing — showed the largest benefits.
Group and supervised formats produced the strongest reductions in depressive symptoms, while shorter, lower‑intensity programmes (up to eight weeks) were most effective for anxiety.
Effect sizes reported included a medium-sized reduction for depression (SMD ~ -0.61) and a small-to-medium reduction for anxiety (SMD ~ -0.47). Benefits were especially pronounced among young adults (18–30) and postnatal women.
The authors call for clinicians to consider exercise as a first‑line, evidence‑based intervention and urge translation of findings into clear, actionable public health and clinical guidelines, while noting heterogeneity in study quality and exercise definitions.

















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