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Effect of exercise on reducing major depression appears to be long-lasting

DURHAM, N.C. After demonstrating that 30 minutes of brisk exercise three times a week is just as effective as drug therapy in relieving the symptoms of major depression in the short term, Duke University Medical Center researchers have now shown that continued exercise greatly reduces the chances of the depression returning.

Last year, the Duke researchers reported on their study of 156 older patients diagnosed with major depression which, to their surprise, found that after 16 weeks, patients who exercised showed statistically significant and comparable improvement relative to those who took anti-depression medication, or those who took the medication and exercised.

The new study, which followed the same participants for an additional six months, found that patients who continued to exercise after completing the initial trial were much less likely to see their depression return than the other patients. Only 8 percent of patients in the exercise group had their depression return, while 38 percent of the drug-only group and 31 percent of the exercise-plus-drug group relapsed.

"The important conclusion is that the effectiveness of exercise seems to persist over time, and that patients who respond well to exercise and maintain their exercise have a much smaller risk of relapsing," said lead researcher, Duke psychologist James Blumenthal, who published the results of his team's study in the October issue of the journal Psychosomatic Medicine.

The research was supported by grants from the National Institutes of Health (NIH). The Duke researchers are now using a new $3 million NIH grant to better understand the subtle factors that may explain the positive effects of exercise in a new trial that begins enrolling patients this month.

"We found that there was an inverse relationship between exercise and the risk of relapsing the more one exercised, the less likely one would see their depressive symptoms return," Blumenthal explained. "For eac
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Contact: Richard Merritt
merri006@mc.duke.edu
919-684-4148
Duke University Medical Center
20-Sep-2000


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