title: Physical exercise in adults and mental health status findings from the Netherlands mental health survey and incidence study (NEMESIS).
abstract: OBJECTIVE
  To establish associations between physical exercise during leisure time and prevalence, incidence and course of mental disorders.
  
  
  METHODS
  Data were derived from the Netherlands Mental Health Survey and Incidence Study, a 3-wave cohort study in a representative sample (N=7,076) of Dutch adults. Mental disorders were assessed with the Composite International Diagnostic Interview. Physical activity was established by the number of hours per week people spent on taking physical exercise.
  
  
  RESULTS
  Physical exercise was negatively associated with presence and first-onset of mood and anxiety disorders after adjustment for confounders. Evidence for a dose-response relationship between exercise levels and mental health was not found. Among those with mental disorder at baseline, exercise participants were more likely to recover from their illness (OR=1.47) compared to their counterparts who did not take exercise.
  
  
  CONCLUSIONS
  Physical exercise is beneficial to mental health, but it remains uncertain whether this association truly reflects a causal effect of exercise.
authors: Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands. mhave@trimbos.nl
authors: Margreet
authors: M
authors: Ten Have
authors: Ron
authors: R
authors: de Graaf
authors: Karin
authors: K
authors: Monshouwer
mesh_terms: D000293:Adolescent; D000328:Adult; D015444:Exercise / Q000523:psychology*; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000209:etiology; D008603:Mental Health; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology