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Physical activity counters social isolation’s mental toll

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Physical activity counters social isolation’s mental toll

In a recent study published within the journal Nature Mental Health, a bunch of researchers investigated how physical activity serves as a compensatory mechanism for the adversarial effects of social isolation on mental health using electronic diaries, accelerometry, and neuroimaging.

Study: Real-life behavioral and neural circuit markers of physical activity as a compensatory mechanism for social isolation

Background 

Social isolation and loneliness are as lethal as significant health risks like obesity, heavy drinking, or smoking 15 cigarettes a day, significantly impairing emotional well-being, damaging emotion-regulating brain networks, and increasing the danger of mood disorders. The coronavirus disease 2019 (COVID-19) pandemic has heightened the necessity for interventions against the adversarial effects of social distancing on mental health. Physical activity, useful for emotional well-being and linked to crucial brain areas for emotion regulation, presents a promising solution. Nevertheless, further research is required to grasp the mechanisms, refine interventions, and ensure their effectiveness across different groups.

In regards to the study 

The current study was precisely designed to stick to the moral standards of medical research, in keeping with the Declaration of Helsinki 2013 version. Conducted at Heidelberg University’s Medical Faculty Mannheim, the institutional review board approved the research, with all participants providing written informed consent. To compensate for his or her effort and time, participants were offered monetary rewards. 

The research involved two phases: the primary study and a replication study. The participants comprised a various group of 317 healthy young adults aged 18–28, recruited between September 2014 and November 2018, and a replication sample of 30 healthy adults aged 18–63, recruited from December 2019 to July 2022 throughout the COVID-19 pandemic. These individuals, chosen to represent a broad demographic, participated within the study by wearing accelerometers to trace physical activity and using smartphone-based electronic diaries to record social contacts and emotional states. 

Along with behavioral data, a subset of participants underwent resting-state functional magnetic resonance imaging (fMRI) scans to investigate brain function, particularly specializing in the Default Mode Network (DMN), a neural marker related to social isolation and depression risk. The team determined the adequacy of their final sample size (n = 317) for detecting expected effects by referencing recent simulation studies, which indicated a requirement of not less than 200 participants for sufficient statistical power. Data evaluation involved sophisticated statistical software and methodologies to explore the complex relationships between social contact, physical activity, and emotional well-being. This included each within-participant effects and between-participant predictors of loneliness, utilizing advanced multilevel modeling techniques. Brain function data, specifically DMN connectivity, was also analyzed as an element. 

Study results 

Within the study, the connection between momentary social isolation and decreased affective valence was significantly moderated by individuals’ physical activity. Specifically, engaging in higher levels of physical activity was found to substantially mitigate the negative impact of social isolation on affective well-being. The research suggested that a mean of 349 milli-g (1 milli-g is one 1 thousandth of a G (the force of gravity on Earth’s surface) of physical activity over the course of an hour, comparable to walking at a pace of roughly three miles per hour, was essential to counteract the adversarial effects of social isolation on mood in every day life. This compensatory effect of physical activity on mood was consistently replicated in a second sample observed throughout the COVID-19 pandemic, further reinforcing the initial findings.

On the neurobiological level, the study revealed that individuals with higher resting-state functional connectivity throughout the DMN were particularly adept at compensating for momentary social-affective deficits through physical activity. This relationship underscored the potential of physical activity as a strong compensatory mechanism for those at greater psychological and neurobiological risk of experiencing loneliness and depression.

Moreover, the study explored the advantages of physical activity from a between-individual perspective, correlating it with established psychological risk aspects for mental health issues. Participants with smaller social networks but higher levels of habitual physical activity exhibited lower levels of trait loneliness in comparison with their less lively counterparts. Moreover, individuals who effectively used physical activity as a compensatory mechanism were found to be less more likely to experience frequent feelings of loneliness throughout the initial COVID-19 lockdown, highlighting the resilience provided by regular physical engagement.

Exploratory analyses prolonged these findings to pandemic conditions, demonstrating that even light physical activity or exercises performed at home could effectively counterbalance the social-affective deficit, offering practical implications for maintaining mental well-being under restrictions like curfews or gym closures. 

Conclusions 

To summarize, this study shows that physical activity mitigates the adversarial effects of social isolation on mood, using an electronic diary and accelerometer data for an in depth evaluation beyond traditional questionnaire-based research. Moderate walking was found to cut back social-affective deficits, much more so in those at higher risk for affective disorders. The findings suggest physical activity as a key strategy for enhancing mental health and guiding interventions post-pandemic.

Journal reference:

  • Benedyk, A., Reichert, M., Giurgiu, M. et al. Real-life behavioral and neural circuit markers of physical activity as a compensatory mechanism for social isolation. Nat. Mental Health (2024),  DOI: 10.1038/s44220-024-00204-6, https://www.nature.com/articles/s44220-024-00204-6

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