Sunday, July 31, 2016

Exercise Really Does Help with Depression - Here's Why

There are many possible causes of depression. Some have biological explanations (or, at least, speculations) — genetic vulnerability, medications, chemicals in the brain. Others are personal and psychological: Stressful life events such as illness, divorce, a death, unemployment. (Personally, I would add, there’s also the philosophical despair that follows exposure to inequality, injustice, violence, suffering, and misogyny.) It’s much easier for biomedicine to study the biological causes rather than the psychological (or philosophical) ones.

Physical exercise is often recommended as a way to alleviate depression and to alter our mood. Biomedicine would like to know if exercise really does change the chemicals in our brain. A recent article in NEJM reports on a study that suggests it does: Muscling In on Depression.
The explanation is rather technical but here’s my summary in a nutshell. Tryptophan, an essential amino acid in the human diet, is found in foods containing protein (it’s also in chocolate). When we experience stress, organs such as the liver produce enzymes that cause tryptophan to produce. In order to metabolize tryptophane, our bodies produce kynurenine. Sometimes quite large amounts are produced, and that's not good. Kynurenine is associated with depression, cognitive deficits of schizophrenia, Alzheimer’s, and tics. Exercise produces an enzyme that converts kynurenine to kynurenic acid, which is much better than having kynurenine floating around, wreaking havoc and causing depression.

Admirable, no doubt, but do I detect here the possibility that the pharmaceutical industry may soon be at work on a pill it can market as an alternative to exercise? Possibly. But in the meantime, exercise! It really does help with depression both physically and psychologically.

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