PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
April 19, 2026Bulletin of Faculty of Physical Therapy0 citationsOpen Access

Exercise as an effective non-pharmacological intervention for geriatric depression: a randomized controlled trial

QAQasim AliUAUmair AshfaqSASibgha Anum

Key Result

An 8-week combined aerobic and strength training intervention significantly reduced Geriatric Depression Scale scores by a mean of 3.56 points compared to a 0.88 point reduction with antidepressants alone.

Key Points

  • The study aims to evaluate the effectiveness of exercise as a non-pharmacological intervention for geriatric depression.
  • Participants aged ≥ 65 were randomly divided into control and experimental groups.
  • The control group received antidepressants only.
  • The experimental group underwent regular strength and aerobic training three times a week for eight weeks.
  • Depression levels were measured using the Geriatric Depression Scale before and after the intervention.
  • The experimental group showed a significant reduction in GDS scores from 18.63 to 15.06 after the intervention.
  • The control group had minimal change in GDS scores, decreasing from 13.06 to 12.19.
  • The improvement in the experimental group was statistically significant with a p-value of < 0.001.

Study Design

Type

RCT (n=32)

Blinding

Single-blind

Randomization

Computer-generated random sequence

Multicenter

No

Structured PICO

Does an 8-week combined aerobic and strength training intervention reduce depressive symptoms in older adults with geriatric depression compared to antidepressants alone?

P
Population
32 older adults (aged ≥ 65) diagnosed with geriatric depression, with no major health conditions preventing safe participation in an exercise program.
I
Intervention
8-week combined aerobic and strength training intervention delivered 3 times per week for 45 minutes per session, supervised by a qualified exercise instructor.
C
Comparator
Continued regular medication regimen (antidepressants) without participating in any exercise intervention.
O
Outcome
Change in Geriatric Depression Scale (GDS) score from baseline to 8 weeks post-intervention.patient reported

An 8-week combined aerobic and strength training program significantly improved depressive symptoms in older adults compared to standard antidepressant therapy.

Main Result

Absolute Event Rate: -3.56% vs -0.88%

p-value: p=< 0.001

Limitations

  • Small sample size
  • Lack of double-blinded study design
  • Need for clearer reporting of specific exercise program components
  • Specific medication regimen in the control group was not investigated for precise comparisons
  • Small sample size (n=32)
  • Randomization imbalance with higher baseline GDS scores in the experimental group
  • Greater improvement in the exercise group may partly reflect regression toward the mean

Abstract

Geriatric depression is an important issue which comes with the economic burden of billions of dollars annually. It not only reduces quality of life but also affects overall health of geriatric patients suffering from it. Mostly older people do not do regular physical activity due to various reasons and rely on medication to manage depression. Such medicines provide fast response but they also pose severe side effects and the risk of dependency. That is why exercise in best approach to manage depression. It was randomized controlled trial with 32 patients aged ≥ 65 divided into control and experimental group. Control group was only given antidepressants while experimental group received regular strength and aerobic training 3x/week for 8-weeks continuously for 45 min. Geriatric depression scale (GDS) was used to measure depression in pre and post intervention. Thirty two participants completed the randomized controlled trial (n = 16 per group). The experimental group showed a significant reduction in GDS scores, with decreasing mean scores from 18.63 ± 2.63 at baseline to 15.06 ± 1.83 after the intervention, resulting in a mean change of − 3.56 ± 0.63. In contrast, the control group showed only a minimal change in depression scores, decreasing from 13.06 ± 1.84 to 12.19 ± 1.47, with a mean change of − 0.88 ± 0.34. The improvement observed in the experimental group was statistically significant (p < 0.001) compared with the control group. Regular strength and aerobic training are very beneficial in managing depression in elderly patients.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Ali et al. (2026) conducted an RCT in Geriatric depression (n=32). Combined aerobic and strength training vs. Antidepressants (regular medication regimen) was evaluated on Mean change in Geriatric Depression Scale (GDS) score (p=< 0.001). An 8-week combined aerobic and strength training intervention significantly reduced Geriatric Depression Scale scores by a mean of 3.56 points compared to a 0.88 point reduction with antidepressants alone.

synapsesocial.com/papers/69e4734c010ef96374d8f12fhttps://doi.org/10.1186/s43161-026-00347-w
Ask AI
Helpful
Bookmark
Share
View Full Paper

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ACTIVEDEP: a randomised, controlled trial of a home-based exercise intervention to alleviate depression in middle-aged and older adults2013 · 39 citations
  2. 2Moderate exercise improves depression parameters in treatment-resistant patients with major depressive disorder2011 · 258 citations
  3. 3Anxiety and Depression Treatment in Primary Care Pediatrics2023 · 20 citations
  4. 4Difficult decision‐making in major depressive disorder: Practical guidance based on clinical research and experience2023 · 5 citations
  5. 5Beyond the Prescription: Medication Monitoring and Adverse Drug Events in Older Adults2011 · 165 citations