By BeSund Editorial Team     11/07/2023     Modified Date: 26/09/2024

Understanding Mental Health and Physical Fitness

Mental health and physical fitness are closely knitted aspects of overall wellbeing. This connection is crucial in shaping our quality of life and daily functioning. Increasingly, research highlights physical activity’s profound impact on mental health outcomes. The concept of mental health extends beyond the absence of mental disorders. It encompasses a state of wellbeing where individuals can cope with life’s challenges, realise their potential, and contribute meaningfully to their communities. On the other hand, physical fitness refers to the body’s ability to function efficiently and effectively in work and leisure activities. Studies show that regular physical activity can significantly reduce the risk of developing mental health conditions. Moreover, exercise has been found to alleviate symptoms in those already experiencing mental health issues. This evidence shows the importance of integrating physical activity into mental health care strategies.

Defining Mental Health

Mental health is a fundamental component of overall health, influencing how we think, feel, and act. It affects our ability to handle stress, relate to others, and make decisions. The World Health Organization defines mental health as a state of well-being in which an individual realises their abilities, can cope with everyday life stresses, work productively, and contribute to their community. Mental health exists on a continuum, varying from positive mental health to severe mental illness. It’s influenced by complex biological, psychological, and social interactions. These factors can either protect or undermine an individual’s mental wellbeing, highlighting the dynamic nature of mental health.

The Global Burden of Mental Health Conditions

Mental health conditions represent a significant global health challenge. They affect millions worldwide, transcending age, gender, and socioeconomic boundaries. According to recent estimates, approximately one in eight people globally live with a mental disorder. The impact of mental health conditions goes beyond an individual suffering. They contribute substantially to the global disease burden, affecting productivity, social relationships, and overall quality of life. Depression alone is a leading cause of disability worldwide, affecting an estimated 280 million people. Despite their prevalence and impact, mental health conditions often go undiagnosed and untreated. This treatment gap is particularly pronounced in low and middle-income countries, where resources for mental health care are usually limited.

Mental Health and Physical Fitness

The relationship between mental health and physical fitness is bidirectional and complex. Regular physical activity has been shown to have positive effects on mental health, including reduced symptoms of depression and anxiety. Conversely, poor mental health can negatively impact physical activity levels and overall fitness. Exercise can influence mental health through various mechanisms. It promotes the release of endorphins, often called ‘feel-good’ hormones, which can improve mood and reduce stress. Physical activity enhances brain plasticity, improving cognitive function and resilience to mental health challenges. Moreover, regular physical activity can provide opportunities for social interaction, improve self-esteem, and offer a sense of accomplishment. These psychosocial benefits can significantly contribute to overall mental wellbeing, highlighting the holistic nature of the mental health and physical fitness connection.

The Impact of Mental Health on Physical Performance

Physical fitness and mental health are deeply interconnected, significantly influencing each other. How an individual’s mental state can overwhelmingly shape their physical capabilities and performance.

• Mood disorders like depression can decrease motivation for physical activity.
• Anxiety may lead to avoidance of exercise settings or certain types of activities.
• Mental health conditions often impact sleep and energy levels, affecting physical stamina.

This connection opens up opportunities for holistic approaches to health and wellness.

Mental Health and Exercise Motivation

Mental health significantly influences an individual’s motivation to engage in physical activities. Depression, for instance, can substantially reduce one’s drive to exercise. The relationship between mental health and physical fitness becomes evident when considering how psychological states affect exercise habits.

• Lack of interest in previously enjoyed activities.
• Decreased energy levels.
• Negative self-perception.

These factors can create a cycle where poor mental health leads to reduced physical activity, potentially exacerbating mental health symptoms.

Mental Health and Physical Stamina

The impact of mental health on physical stamina is also multifaceted, highlighting the relationship between psychological wellbeing and physical performance. Mental health and physical fitness affect overall endurance and energy levels.

1. Energy Levels: Mental health conditions often affect sleep patterns and overall energy, directly impacting physical endurance.
2. Stress Response: Chronic stress associated with anxiety can lead to physical exhaustion.
3. Cognitive Function: Mental health issues may impair concentration and focus during physical activities.

Research has shown that individuals with mental health conditions often report lower levels of physical performance and quality of life.

Mental Health and Physical Fitness Challenges and Opportunities

While mental health conditions can pose challenges to physical fitness, they also present unique opportunities for intervention and improvement. Challenges:

• Social anxiety may hinder participation in group fitness activities
• Panic disorders can make high-intensity exercises challenging
• Depression may lead to inconsistent exercise routines

Opportunities:

• Tailored exercise programmes can improve both mental and physical health
• Physical activity can serve as a complementary treatment for various mental health conditions
• Improved mental health often correlates with enhanced physical performance

These challenges and opportunities can lead to the development of effective, holistic health interventions that address mental and physical wellbeing. Studies highlight the bidirectional nature of this relationship. While poor mental health can negatively impact physical performance, engaging in regular physical activity has been shown to improve mental health outcomes. This creates a potential positive feedback loop, where improvements in one area can lead to benefits in the other. The impact of mental health on physical affects overall quality of life, daily functioning, and even long-term health outcomes. For instance, individuals with severe mental illness often face higher risks of cardiovascular diseases and metabolic disorders, partly due to reduced physical activity levels.

Exercise as a Management Tool for Mental Health and Physical Fitness

Physical activity serves as a powerful ally in maintaining and improving both mental health and physical fitness. Regular engagement in sports and physical activities during childhood and adolescence can set the stage for improved mental health later in life. A longitudinal study found that participating in recreational or competitive sports for at least four years during childhood predicted better mental health outcomes in late adolescence. This suggests that early, consistent involvement in physical activities may have long-lasting psychological benefits. The mental health benefits of exercise are not limited to a specific age group:

• Adolescents: Participation in school sports is associated with lower depressive symptoms and reduced perceived stress in early adulthood.
• Adults: Higher levels of physical activity correlate with a decreased risk of psychological distress.
• Older adults: Aquatic exercise programs, even at low intensity, can significantly reduce symptoms of depression and anxiety.

Exercise’s impact on mental health and physical fitness is attributed to various physiological mechanisms:

1. Neurotransmitter release: Physical activity stimulates the production of β-endorphins and dopamine, providing a natural tranquilising effect.
2. Oxidative stress reduction: Regular exercise can improve antioxidant defences, potentially contributing to improvements in depressive symptoms.
3. Brain structure changes: Physical activity can alter brain structure and function, enhancing cognitive performance and emotional regulation.

Different types of exercise offer unique benefits for mental health and physical fitness management:

• Aerobic exercises (running, cycling, swimming): Effective in reducing symptoms of anxiety and depression.
• Resistance training: Improves mental health outcomes and enhances cognitive function.
• Mind-body exercises (yoga, tai chi): Particularly beneficial for stress reduction and overall mental wellbeing.

The intensity of exercise may play a role in its effectiveness for mental health:

• High-intensity exercise: Some studies suggest it might be more favourable for mental health in children and adolescents.
• Moderate-intensity exercise: Consistently shows benefits across various age groups and fitness levels.

Cardiorespiratory fitness (CRF) is crucial in the relationship between exercise and mental health. Improved CRF is significantly associated with lower psychological difficulties, even when controlling for other factors like muscular strength and body composition. Interestingly, the environment in which exercise takes place can influence its mental health benefits. “Green exercise,” or physical activity in natural environments, may provide additional psychological benefits compared to indoor exercise. These include improved mood, reduced anxiety and depression, and increased feelings of revitalisation. Exercise as a management tool for mental health extends to various conditions:

• Depression: Regular aerobic exercise is linked to a reduced risk of developing major depressive disorders and can improve response to pharmacological therapy in patients with depression.
• Schizophrenia: Physical activity can reduce symptoms and improve the quality of life in individuals with severe mental illness.
• Burnout: A systematic review found that physical activity can reduce work-related burnout.

Physical activity can improve sleep quality, energy levels, and overall physical health, contributing to better mental wellbeing. Moreover, exercise can serve as a valuable coping mechanism, providing a healthy outlet for stress and negative emotions. While exercise shows excellent promise as a tool for managing mental health and physical fitness, it’s important to note that it should be part of a comprehensive approach to mental health care. Individual responses to exercise can vary, and what works best may differ from person to person. Tailoring exercise programs to personal preferences, abilities, and mental health needs is crucial for maximising its benefits.

Recommended Exercises for Individuals with Mental Health Concerns

Physical activity plays a crucial role in managing mental health. Various forms of exercise have demonstrated positive effects on psychological wellbeing, offering a range of options for individuals with mental health concerns.

FITT Recommendations for Mental Health and Physical Fitness

The FITT principle, which stands for Frequency, Intensity, Time, and Type, provides a framework for structuring exercise programmes. For individuals focusing on mental health and physical fitness, the FITT recommendations are as follows:

• Frequency: ≥5 days per week of moderate exercise, or ≥3 days per week of vigorous exercise, or a combination of moderate and vigorous exercise on ≥3-5 days per week.
• Intensity: Moderate to vigorous. Light-to-moderate intensity exercise may be beneficial for deconditioned individuals.
• Time: For moderate intensity, ≥30 minutes per day to 150 minutes per week. For vigorous intensity, ≥20 minutes per day to 75 minutes per week.
• Type: Regular, purposeful exercise involving major muscle groups and continuous, rhythmic movements is recommended.

Additional recommendations include:

• Resistance training: 2-3 days per week (non-consecutive days).
• Flexibility exercises: 2-3 days per week; static stretches held for 10-30 seconds, 2-4 repetitions of each exercise.

Tailored Exercise Approaches for Mental Health Conditions

Different mental health conditions may benefit from specific exercise approaches tailored to enhance both mental health and physical fitness: Anxiety and Depression:

• Aerobic exercises: Walking, jogging, swimming, and cycling can reduce symptoms of anxiety and depression.
• Strength training: Resistance exercises using body weights, free weights, or machines can boost mood and self-esteem.
• Mindfulness-based exercises: Yoga, tai chi, and meditation promote relaxation and stress reduction.

Schizophrenia:

• Combining aerobic and functional balance exercises can improve behavioural and psychological symptoms.
• Team sports and group activities may provide additional benefits through social interaction.

Eating Disorders:

• Tailored programmes addressing the ‘problematic use of physical activity’ (PPA) are crucial.
• Low to moderate-intensity exercises with a focus on enjoyment rather than calorie burning.

Older Adults with Mental Health Concerns:

• Aquatic exercises: Low-intensity aquatic training programmes can effectively reduce symptoms of depression and anxiety.
• Functional autonomy exercises: Activities focusing on balance, flexibility, and strength can improve confidence and reduce depressive symptoms.

For all mental health conditions, it’s essential to:

1. Start with low-intensity activities and gradually increase intensity and duration.
2. Tailor exercise programmes to individual needs, preferences, and limitations.
3. Consider the environment: ‘Green exercise’ in natural settings may provide additional mental health benefits.

Cardiorespiratory fitness (CRF) is a crucial factor in mental health outcomes. Activities that improve CRF, such as running, cycling, or swimming, may be particularly beneficial for optimising mental health and physical fitness.

Safety and Precautions for Exercising with Mental Health and Physical Fitness Considerations

When incorporating exercise into mental health management, safety is paramount. Consider these essential precautions to optimise mental health and physical fitness:

1. Start Gradually and Progress Slowly

• Begin with low-intensity exercises
• Incrementally increase duration and intensity
• Prevents physical injuries and overwhelming experiences

2. Monitor Mood and Anxiety Levels

• Track mood before, during, and after exercise
• Identify patterns in mental state changes
• Adjust routines based on observations

3. Personalise Exercise Programmes

• Consult mental health professionals and fitness experts
• Tailor activities to individual needs and preferences
• Consider medication effects on exercise tolerance

4. Be Aware of Potential Risks

• Excessive exercise can exacerbate certain conditions (e.g., anorexia nervosa)
• Compulsive exercising may indicate more severe psychopathology
• Moderation is vital for mental health and physical fitness benefits

5. Consider Environmental Factors

• ‘Green exercise’ in natural settings may offer additional benefits
• Indoor vs outdoor exercise can affect adherence and enjoyment
• Choose environments that support both mental and physical wellbeing

6. Address Barriers to Exercise

• Identify and overcome physical health issues
• Seek support from mental health professionals and loved ones
• Develop strategies to boost motivation

7. Implement Regular Check-ins

• Schedule follow-ups with mental health professionals
• Assess both physical and psychological health progress
• Make necessary adjustments to exercise programmes

8. Be Mindful of Medication Interactions

• Some psychiatric medications may affect exercise performance
• Antidepressants might interact with oxidative stress responses during exercise
• Consult healthcare providers about potential interactions

9. Listen to Your Body

• Pay attention to physical sensations during exercise
• Respect your limits, especially during challenging mental health periods
• Modify activities as needed to maintain comfort and safety

10. Gradually Increase Intensity

• Follow the principle of gradual overload
• Slowly increase duration, frequency, or intensity over time
• Allow for proper adaptation to increased physical activity

With these safety measures and precautions, individuals can maximise the benefits of exercise for both mental health and physical fitness while minimising potential risks.

Living with Mental Health: Fitness and Lifestyle Tips

Embracing a lifestyle that supports mental health and physical fitness involves adopting daily habits and practices that nurture the mind and body. Regular physical activity is a cornerstone of this approach, and research indicates its impact on mental wellbeing. Consistent engagement in sports or exercise, mainly when initiated in childhood or adolescence, can yield long-lasting positive effects on mental health extending into adulthood. Cardiorespiratory fitness, achieved through regular aerobic exercise, correlates with better emotional wellbeing and lower rates of depressive symptoms. Incorporating activities that enhance cardiovascular health can significantly contribute to mental health management. A holistic approach to mental health and physical fitness includes:

1. Balanced Nutrition:
   • Consume a variety of nutrients to support brain function and energy levels
   • Include omega-3 fatty acids, B vitamins, and antioxidants in your diet
   • Stay hydrated to maintain optimal cognitive function
2. Stress Management Techniques:
   • Practice deep breathing exercises, meditation, or progressive muscle relaxation
   • Consider mindfulness-based activities like yoga or tai chi
   • Engage in hobbies or creative pursuits to reduce stress
3. Consistent Sleep Patterns:
   • Establish a regular sleep schedule
   • Create a relaxing bedtime routine
   • Aim for 7-9 hours of quality sleep per night
4. Social Connections:
   • Maintain relationships with friends and family
   • Participate in community activities or support groups
   • Consider joining sports teams or fitness classes for social interaction
5. ‘Green Exercise’:
   • Engage in outdoor activities like walking, gardening, or nature hikes
   • Combine physical activity with exposure to natural environments for enhanced mental health benefits
6. Mindful Eating:
   • Pay attention to hunger and fullness cues
   • Choose nutrient-dense foods that support both physical and psychological health
   • Consider the potential role of gut health in mental wellbeing
7. Regular Health Check-ups:
   • Monitor both physical and mental health regularly
   • Consult healthcare professionals for personalised advice
   • Adjust lifestyle strategies as needed based on changing health needs

These elements incorporated into daily lives can create a robust foundation for managing mental health and physical fitness. The key lies in consistency and finding enjoyable ways to maintain these habits over the long term. Research suggests a potential link between the gut microbiome and mental health, highlighting the importance of a balanced diet that supports gut health. This emerging field of study opens new avenues for understanding the link between nutrition, physical health, and mental wellbeing. Living with mental health concerns while maintaining physical fitness is an ongoing journey. It requires patience, self-compassion, and a willingness to adapt strategies. The intertwining of mental and physical health highlights the importance of a comprehensive wellbeing approach. Integrating these lifestyle tips, individuals can create a supportive environment for both their mental health and physical fitness, paving the way for improved overall quality of life.

Sources

• American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 10th ed. Philadelphia (PA): Wolters Kluwer; 2018. 480 p.
• Andersen L, Andersen TE, Andersen E, Anderssen S. An intermittent running test to estimate maximal oxygen uptake: the Andersen test. J Sports Med Phys Fitness. 2008;48(4):434–437.
• Bailey AP, Hetrick SE, Rosenbaum S, Purcell R, Parker AG. Treating depression with physical activity in adolescents and young adults: a systematic review and meta-analysis of randomised controlled trials. Psychol Med. 2017;48(7):1–20.
• Bobes-García J, Saiz-Ruiz J, Bernardo-Arroyo M, Caballero-Martínez F, Gilaberte-Asín I, Ciudad-Herrera A. Delphi consensus on the physical health of patients with schizophrenia: evaluation of the recommendations of the Spanish societies of psychiatry and biological psychiatry by a panel of experts. Actas Esp Psiquiatr. 2012;40(3):114–128.
• Brown DR, Morgan WP, Raglin JS. Effects of exercise and rest on the state anxiety and blood pressure of physically challenged college students. J Sports Med Phys Fitness. 1993;33(3):300–5.
• Choi KW, Chen C-Y, Stein MB, Klimentidis YC, Wang M-J, Koenen KC, et al. Assessment of bidirectional relationships between physical activity and depression among adults: a 2-sample mendelian randomisation study. JAMA Psychiatry. 2019;76(4):399–408.
• Dalle Grave R. Features and management of compulsive exercising in eating disorders. Phys Sportsmed. 2009;37:20–28.
• Dalle Grave R, Soave F, Ruocco A, Dametti L, Calugi S. Quality of Life and Physical Performance in Patients with Obesity: A Network Analysis. Nutrients. 2020;12:602.
• Doré I, Sabiston CM, Sylvestre M-P, Brunet J, O’Loughlin J, Nader PA, Gallant F, Bélanger M. Years Participating in Sports During Childhood Predicts Mental Health in Adolescence: A 5-Year Longitudinal Study. J Adolesc Health. 2019;64:790–796.
• Dunn AL, Trivedi MH, Kampert JB, Clark CG, Chambliss HO. Exercise treatment for depression: efficacy and dose response. Am J Prev Med. 2005;28(1):1–8.
• Erickson, K. I., et al. (2011). Exercise training increases the size of the hippocampus and improves memory. Proceedings of the National Academy of Sciences, 108(7), 3017-3022.
• Fond GB, Lagier JC, Honore S, Lancon C, Korchia T, Sunhary De Verville PL, Llorca PM, Auquier P, Guedj E, Boyer L. Microbiota-Orientated Treatments for Major Depression and Schizophrenia. Nutrients. 2020;12:1024.
• Guddal MH, Stensland SØ, Småstuen MC, Johnsen MB, Zwart J-A, Storheim K. Physical Activity and Sport Participation among Adolescents: Associations with Mental Health in Different Age Groups. Results from the Young-HUNT Study: A Cross-Sectional Survey. BMJ Open. 2019;9:e028555.
• Herring MP, O’Connor PJ, Dishman RK. The effect of exercise training on anxiety symptoms among patients. Arch Intern Med. 2010;170(4):321–331.
• Jewett R, Sabiston CM, Brunet J, O’Loughlin EK, Scarapicchia T, O’Loughlin J. School Sport Participation During Adolescence and Mental Health in Early Adulthood. J Adolesc Health. 2014;55:640–644.
• Kandola, A., et al. (2019). Moving to beat anxiety: Epidemiology and therapeutic issues with physical activity for anxiety. Current Psychiatry Reports, 21(9), 63.
• Khanzode SD, Dakhale GN, Khanzode SS, Saoji A, Palasodkar R. Oxidative damage and major depression: the potential antioxidant action of selective serotonin re-uptake inhibitors. Redox Rep. 2003;8(6):365–70.
• Lubans, D., et al. (2016). Physical activity for cognitive and mental health in youth: A systematic review of mechanisms. Pediatrics, 138(3), e20161642.
• Mittal VA, Vargas T, Juston Osborne K, Dean D, Gupta T, Ristanovic I, Hooker CI, Shankman SA. Exercise Treatments for Psychosis: A Review. Curr Treat Options Psych. 2017;4:152–166.
• Moore KA, Babyak MA, Wood CE, Napolitano MA, Khatri P, Craighead WE, et al. The Association Between Physical Activity and Depression in Older Depressed Adults. J Aging Phys Act. 1999;7(1):55–61.
• Ochoa Martinez PY, Hall Lopez JA, Paredones Hernandez A, Martin Dantas EH. Effect of periodised water exercise training program on functional autonomy in elderly women. Nutr Hosp. 2014;31(1):351–6.
• O’Connor PJ, Herring MP, Caravalho A. Mental health benefits of strength training in adults. Am J Lifestyle Med. 2010;4(5):377–396.
• Pedersen BK, Saltin B. Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25:1–72.
• Rahman MS, Helgadóttir B, Hallgren M, Forsell Y, Stubbs B, Vancampfort D, et al. Cardiorespiratory fitness and response to exercise treatment in depression. BJPsych Open. 2018;4(5):346–351.
• Rastad C, Martin C, Asenlöf P. Barriers, benefits, and strategies for physical activity in patients with schizophrenia. Phys Ther. 2014;94(10):1467–1479.
• Rebar AL, Taylor A. Physical activity and mental health; it is more than just a prescription. Ment Health Phys Act. 2017;13:77–82.
• Rizk M, Mattar L, Kern L, Berthoz S, Duclos J, Viltart O, Godart N. Physical Activity in Eating Disorders: A Systematic Review. Nutrients. 2020;12:183.
• Rosenbaum S, Tiedemann A, Sherrington C, Curtis J, Ward PB. Physical activity interventions for people with mental illness. J Clin Psychiatry. 2014;75(9):964–974.
• Saeed SA, Cunningham K, Bloch RM. Depression and anxiety disorders: benefits of exercise, yoga, and meditation. Am Fam Physician. 2019;99:620–627.
• Schuch FB, Deslandes AC, Stubbs B, Gosmann NP, Silva CT, Fleck MP. Neurobiological effects of exercise on major depressive disorder: A systematic review. Neurosci Biobehav Rev. 2016;61:1–11.
• Stella F, Canonici AP, Gobbi S, Galduroz RFS, Cação J de C, Gobbi LTB. Attenuation of Neuropsychiatric Symptoms and Caregiver Burden in Alzheimer’s Disease by Motor Intervention: A Controlled Trial. Clinics. 2011;66:1353–1360.
• Stonerock GL, Hoffman BM, Smith PJ, Blumenthal JA. Exercise as treatment for anxiety: systematic review and analysis. Ann Behav Med. 2015;49(4):542–56.
• Thompson Coon J, Boddy K, Stein K, Whear R, Barton J, Depledge MH. Does Participating in Physical Activity in Outdoor Natural Environments Have a Greater Effect on Physical and Mental Wellbeing than Physical Activity Indoors? A Systematic Review. Environ Sci Technol. 2011;45:1761–1772.
• Vancampfort D, De Hert M, Skjerven LH, Gyllensten AL, Parker A, Mulders N, et al. International Organization of Physical Therapy in mental health consensus on physical activity within multidisciplinary rehabilitation programmes for minimising cardio-metabolic risk in patients with schizophrenia. Disabil Rehabil. 2012;34(1):1–12.
• Wegner M, Helmich I, Machado S, Nardi A, Arias-Carrion O, Budde H. Effects of exercise on anxiety and depression disorders: review of meta-analyses and neurobiological mechanisms. CNS Neurol Disord Targets. 2014;13:1002–1014.
• World Health Organization. Depression fact sheet.
• World Health Organization. Mental Health– Key Facts.
• World Health Organization. (2022). World mental health report: Transforming mental health for all.