Regular Muscle Activity
In treating generalized anxiety disorder (GAD) it should not remain unmentioned (1) that individually tailored endurance and strength training as a firm component of the overall treatment plan should be implemented increasingly, including in the outpatient setting (2). Regular muscle exercise has an anxiolytic effect in the acute and chronic settings. Movement related neurobiological adaptation processes seem to have a key part in this, including the increased expression of brain derived neurotrophic factor, vascular endothelial growth factor, insulin-like growth factor 1, β-endorphin, atrial natriuretic peptide, and serotonin, as do psychological factors such as self-efficacy and exposure (3). Patients with GAD are very likely to benefit even from simple, whole-body exercises, such as rising from a chair and sitting back down again, without using their arms to support them (10–15 repetitions, twice a day).
Dr. oec. troph. Martin Hofmeister
Verbraucherzentrale Bayern e. V., Referat Lebensmittel und Ernährung,
Conflict of interest statement
The author declares that no conflict of interest exists.
|1.||Bandelow B, Boerner RJ, Kasper S, Linden M, Wittchen HU, Möller HJ: The diagnosis and treatment of generalized anxiety disorder. Dtsch Arztebl Int 2013; 110(17): 300–10 VOLLTEXT|
|2.||Herring MP, Jacob ML, Suveg C, Dishman RK, O’Connor PJ: Feasibility of exercise training for the short-term treatment of generalized anxiety disorder: a randomized controlled trial. Psychother Psychosom 2012; 81: 21–8 CrossRef MEDLINE|
|3.||Anderson E, Shivakumar G: Effects of exercise and physical activity on anxiety. Front Psychiatry 2013; 4: 27 CrossRef MEDLINE PubMed Central|