Some forms of exercise are just as good as therapy and even better than anti-depressants at treating depression, according to a new study.
Walking, jogging, yoga and strength training appeared to be more effective than other types of exercise, according to a major new analysis prompting academics to say they should be a “core treatment” for the condition.
The more vigorous the exercise, the better, according to a research team led by academics in Australia, but even low intensity exercises such as walking and yoga had meaningful benefits.
The effect of exercise appeared superior to anti-depressants, according to the study which has been published in The BMJ.
But when exercise was combined with anti-depressants, this improved the effect of the drugs.
They also found that the benefit of exercise was comparable with that of cognitive behavioural therapy, but the quality of evidence supporting therapy was higher.
Researchers drew their findings from 218 clinical trials involving more than 14,000 people from multiple countries.
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“Exercise is an effective treatment for depression, with walking or jogging, yoga and strength training more effective than other exercises, particularly when intense.
“Yoga and strength training were well tolerated compared with other treatments.
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“Exercise appeared equally effective for people with and without comorbidities and with different baseline levels of depression.”
They added: “These forms of exercise could be considered alongside psychotherapy and antidepressants as core treatments for depression.”
Dr Paul Keedwell, consultant psychiatrist and fellow of the Royal College of Psychiatrists, said: “Social interaction might be almost as important as the physiological effects of exercise (with group activities such as yoga, dance and walking groups being particularly helpful), and context is probably important too, with additional benefits to be gained in green and natural environments.
“Many depressed individuals find exercise very challenging. But, taken together, the evidence supports exercise being an important part of a package of treatments for depression, and it will help with physical health too.”
But Professor Michael Bloomfield, consultant psychiatrist at UCL, added: “Whilst this paper adds to the evidence that exercise is good for you, it is not possible to say at this stage that exercise on its own is better than existing treatments including medication and psychological therapies.
“When people experience more severe forms of depression simply offering exercise may not be completely helpful, for example, when someone is struggling to get out of bed let alone get to the gym.
“Depression is often caused by a range of factors and it is more helpful to think about the pros and cons of a range of treatments including medication, talking therapy and exercise, that can be offered to patients, rather than an unhelpful division of medication vs. talking therapy vs. exercise.”
Anyone feeling emotionally distressed or suicidal can call Samaritans for help on 116 123 or email jo@samaritans.org in the UK. In the US, call the Samaritans branch in your area or 1 (800) 273-TALK
She said she was leaving to focus on family, but will remain part of the Radio 2 team and will give further details next year.
Announcing the news on her Tuesday show, she said: “After six years of fun times alongside you all on the breakfast show, I’ve decided it’s time to step away from the early alarm call and start a new chapter.
“You know I think the world of you all, listeners, and it truly has been such a privilege to share the mornings with you, to go through life’s little ups and downs, we got through the lockdown together, didn’t we?
“We’ve shared a hell of a lot, the good times, the tough times, there’s been a lot of laughter. And I am going to miss you cats.”
Scott Mills will replace Ball on the breakfast show following her departure next month.
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“Zoe and I have been such good friends now for over 25 years and have spent much of that time as part of the same radio family here at Radio 2 and also on Radio 1,” he said.
“She’s done an incredible job on this show over the past six years, and I am beyond excited to be handed the baton.”
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Hugging outside the BBC building on the day of the announcement, Ball said she was “really chuffed for my mate and really excited about it”.
Ball was the first female host of both the BBC Radio 1 and Radio 2 breakfast shows, starting at the Radio 1 breakfast show in 1998, and taking over her current Radio 2 role from Chris Evans in 2020 after he left the show.
She took a break from hosting her show over the summer, returning in September.
Ahead of her stint in radio, Ball – who is the daughter of children’s presenter Johnny Ball – co-hosted the BBC’s Saturday morning children’s magazine show Live & Kicking alongside Jamie Theakston for three years from 1996.
She has two children, Woody and Nelly, with her ex-husband, DJ and musician Norman Cook, known professionally as Fatboy Slim.
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Ball said in her announcement her last show towards the end of December will be “just in time for Christmas with plenty of fun and shenanigans”.
“While I’m stepping away from the Breakfast Show, I’m not disappearing entirely – I’ll still be a part of the Radio 2 family, with more news in the New Year,” she added.
“I’m excited to embrace my next chapter, including being a mum in the mornings, and I can’t wait to tune in on the school run!”
Helen Thomas, head of Radio 2, said: “Zoe has woken up the nation on Radio 2 with incredible warmth, wit and so much joy since January 2019, and I’d like to thank her for approaching each show with as much vim and vigour as if it were her first. I’m thrilled that she’ll remain an important part of the Radio 2 family.”
Mills, 51, got his first presenting role aged just 16 for a local station in Hampshire, and went on to present in Bristol and Manchester, before joining BBC Radio 1 in 1998.
He’s previously worked as a cover presenter on Radio 2, but this is his first permanent role on the station.
The prison service is starting to recategorise the security risk of offenders to ease capacity pressures, Sky News understands.
It involves lowering or reconsidering the threshold of certain offenders to move them from the closed prison estate (category A to C) to the open estate (category D) because there are more free cell spaces there.
Examples of this could include discounting adjudications – formal hearings when a prisoner is accused of breaking the rules – for certain offenders, so they don’t act as official reasons not to transport them to a lower-security jail.
Prisoners are also categorised according to an Incentives and Earned Privileges (IEP) status. There are different levels – basic, standard and enhanced – based on how they keep to the rules or display a commitment to rehabilitation.
Usually ‘enhanced’ prisoners take part in meaningful activity – employment and training – making them eligible among other factors, to be transferred to the open estate.
Insiders suggest this system in England and Wales is being rejigged so that greater numbers of ‘standard’ prisoners can transfer, whereas before it would more typically be those with ‘enhanced’ status.
Open prisons have minimal security and allow eligible prisoners to spend time on day release away from the prison on license conditions to carry out work or education.
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The aim is to help reintegrate them back into society once they leave. As offenders near the end of their sentence, they are housed in open prisons.
Many of those released as part of the early release scheme in October after serving 40% of their sentence were freed from open prisons.
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Overcrowding in UK prisons
They were the second tranche of offenders freed as part of this scheme, and had been sentenced to five years or more.
Despite early release measures, prisons are still battling a chronic overcrowding crisis. The male estate is almost full, operating at around 97% capacity.
Sky News understands there continue to be particular pinch points across the country.
Southwest England struggled over the weekend with three space-related ‘lockouts’ – which means prisoners are held in police suites or transferred to other jails because there is no space.
One inmate is believed to have been transported from Exeter to Cardiff.
A Ministry of Justice spokesperson said: “The new government inherited a prison system on the point of collapse. We took the necessary action to stop our prisons from overflowing and to protect the public.
“This is not a new scheme. Only less-serious offenders who meet a strict criteria are eligible, and the Prison Service can exclude anyone who can’t be managed safely in a category D prison.”