Research confirms benefits of resistance exercise training in treatment of anxiety and depression.


resistance exercise

A new study by researchers at the University of Limerick in Ireland and at Iowa State University has demonstrated the impact resistance exercise training can have in the treatment of anxiety and depressive symptoms.

The new study provides evidence to support the benefits resistance exercise training can have on anxiety and depression and offers an examination of possible underlying mechanisms.

The research, published in the Trends in Molecular Medicine journal, was carried out by Professor Matthew P Herring at the University of Limerick and Professor Jacob D Meyer at Iowa State University.

The researchers said there was “exciting evidence” that resistance exercise training may be an accessible alternative therapy to improve anxiety and depression-like more established therapies while also improving other important aspects of health.

Dr. Herring explained, “Anxiety and depressive symptoms and disorders are prevalent and debilitating public health burdens for which successful treatment is limited.”

“The healthful benefits of resistance exercise training, or muscle-strengthening exercise involving exerting force against a load repeatedly for the purpose of generating a training response, are well-established,” said Dr. Herring, Associate Professor in the Physical Activity for Health Research Centre, Health Research Institute, and Department of Physical Education and Sport Sciences within the Faculty of Education and Health Sciences in UL.

“However, the potential impact of resistance exercise training in the treatment of anxiety and depressive symptoms and disorders remains relatively understudied. Moreover, the plausible psychobiological mechanisms, which help us to better understand how and why resistance exercise training may improve these mental health outcomes, are poorly understood.”

The researchers argue that, while the available studies in this area are focused on relatively small sample sizes, there is sufficient evidence from previous and ongoing research at UL and the research with Dr. Meyer and colleagues at Iowa State University to suggest that resistance exercise training does improve anxiety and depressive symptoms and disorders—though disorders themselves are scarcely studied.

“There is a critical need for confirmatory, definitive trials that adequately address limitations, including small sample sizes, but the limited evidence available to us provides initial support for the beneficial effects of resistance exercise training on these mental health outcomes, including increased insulin-like growth factor 1, cerebrovascular adaptations, and potential neural adaptations influenced by controlled breathing inherent to resistance exercise,” Dr. Herring explained.

“We are tremendously excited to have what we expect to be a highly cited snapshot of the promising available literature that supports resistance exercise training in improving anxiety and depression.”

“Notwithstanding the limitations of the limited number of studies to date, there is exciting evidence, particularly from our previous and ongoing research of the available studies, that suggests that resistance exercise training may be an accessible alternative therapy to improve anxiety and depression.”

“A more exciting aspect is that there is substantial promise in investigating the unknown mechanisms that may underlie these benefits to move us closer to maximizing benefits and to optimizing the prescription of resistance exercise via precision medicine approaches,” Dr. Herring added.

Professor Meyer, a co-author of the study, said, “The current research provides a foundation for testing if resistance training can be a key behavioral treatment approach for depression and anxiety.”

“As resistance training likely works through both shared and distinct mechanisms to achieve its positive mood effects compared to aerobic exercise, it has the potential to be used in conjunction with aerobic exercise or as a standalone therapy for these debilitating conditions.”

“Our research will use the platform established by current research as a springboard to comprehensively evaluate these potential benefits of resistance exercise in clinical populations while also identifying who would be the most likely to benefit from resistance exercise.”

Resistance exercise superior to aerobic exercise for sleep


A yearlong resistance exercise program for inactive adults with hypertension improved sleep quality and duration compared with aerobic exercise, combined aerobic and resistance exercises and no exercise, researchers reported.

Angelique Brellenthin

Poor sleep quality is associated with high BP and elevated cholesterol; regular short sleep, defined as less than 7 hours per night, can increase risk for CV events, Angelique Brellenthin, PhD, assistant professor of kinesiology at Iowa State University in Ames, Iowa, and colleagues wrote in an abstract. The American Heart Association recommends aerobic physical activity to improve sleep; however, there are limited data on the effects of other popular types of physical activity, such as resistance exercise, on sleep.

Graphical depiction of data presented in article
Data were derived from Brellenthin AG, et al. Abstract 38. Presented at: Epidemiology, Prevention, Lifestyle & Cardiometabolic Scientific Sessions; March 1-4, 2022; Chicago.

“While resistance exercise is not often considered a front-line lifestyle intervention to improve CV health — as opposed to aerobic or ‘cardio’ exercise — resistance exercise may have substantial indirect effects on CV health, nonetheless, by improving the duration and quality of sleep,” Brellenthin told Healio.

Brellenthin and colleagues analyzed data from 406 inactive adults aged 35 to 70 years (53% women) with overweight or obesity and stage 1 hypertension at high risk for CVD. Researchers randomly assigned participants to one of four exercise groups: aerobic exercise only (n = 101), resistance exercise only (n = 102), combined aerobic and resistance exercises (n = 101) and a no-exercise control group (n = 102) for 1 year. All exercise participants performed time-matched supervised exercise three times per week for 60 minutes per session; the combined exercise group performed 30 minutes each of aerobic and resistance exercises at 50% to 80% of their maximum intensity. Participants completed the Pittsburgh Sleep Quality Index (PSQI) at baseline and 12 months; only participants with complete baseline data on all PSQI subscales were included (n = 386).

Primary outcomes were the PSQI total sleep quality score, sleep duration in hours, sleep efficiency (defined as time asleep/time in bed), sleep latency (time to fall asleep) and sleep disturbances (a combination of the number and frequency of disturbances).

Within the cohort, 94% of participants completed the intervention with an 83% exercise adherence rate.

For all groups, including controls, PSQI total scores and sleep disturbances decreased significantly. Among participants who reported getting less than 7 hours of sleep at baseline, sleep duration increased by a mean of 40 minutes for participants in the resistance exercise group, by a mean of 23 minutes in the aerobic exercise group, a mean of 17 minutes in the combined exercise group and a mean of 16 minutes in the control group.

Within groups, sleep efficiency increased in the resistance exercise (P = .0005) and combined exercise groups (P = .03), but not in the aerobic exercise (P = .97) or control groups (P = .86; P = .04 for between-within groups interaction).

Sleep latency also decreased by a mean of 3 minutes for participants in the resistance exercise group (P = .003), although the overall between-within groups interaction effect was not significant.

Brellenthin said more research is needed regarding the ideal amount of resistance exercise for clinical improvements and the potential mechanisms linking resistance exercise with improved sleep, particularly those that might differ from traditional aerobic exercise mechanisms.