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Review: "Do exercise and fitness protect against stress-induced health complaints?

Updated: May 31, 2023



I saw a TikTok recently that suggested if you did one very highly stress-inducing event for the body such as running a marathon or something similarly to get you out of your comfort zone that it improved your health overall, which led me to look at some of the literature reviews out there to see the mechanisms at play. Here is one review I found to be particularly interesting.


The article titled "Do exercise and fitness protect against stress-induced health complaints? A review of the literature" by Markus Gerber and Uwe Pühse is an illuminating review that explores the role of exercise as a potential buffer against stress-induced health complaints. The authors conducted a comprehensive review of literature published from 1982 to 2008 and found mixed yet promising results.


Approximately half of the studies reviewed provided at least partial support for the hypothesis that higher levels of exercise correlate with fewer health problems in stressful situations. The authors noted that these stress-moderating effects of exercise were found across different samples and methodological approaches, suggesting a potentially broad applicability.


While the review found more support from cross-sectional studies, the beneficial effects of exercise in mitigating stress were also observed in prospective, longitudinal, and quasi-experimental investigations, hinting at a complex relationship between exercise, stress, and health.


Implications for Personal Trainers:

  1. Stress Management: This review underscores the role of exercise in stress management. Personal trainers should integrate this knowledge into their practice and emphasize the importance of regular exercise not only for physical health but also for mental well-being and stress resilience.

  2. Customized Exercise Regimes: Given that the review suggests different types of exercise might have varying effects on stress, personal trainers could consider customizing exercise regimes based on individual stress levels and preferences.

  3. Education: Personal trainers can educate their clients on the stress-buffering effects of exercise, which could serve as additional motivation for maintaining consistent exercise habits.

  4. Promote Regular Exercise: Given that the effects were observed with "high exercise levels", personal trainers should encourage consistent and regular exercise routines with their clients to ensure they gain the maximum stress-buffering benefits.

Comments on Research:

The authors highlight that future research is needed to determine how much exercise is required to trigger stress-buffer effects and which types of exercise have the most significant impact on the stress-illness relationship. This underscores the need for more detailed, rigorous, and controlled studies in the field, especially those that can offer more direct causal evidence.


While this review does not provide a definite answer to the role of exercise in stress management, it certainly suggests that exercise can play a vital role in buffering the impact of stress on health. However, it does not mean that people should abstain from exercising due to a lack of definitive scientific evidence. Instead, the findings reinforce the multi-faceted benefits of regular exercise, including potential protective effects against stress-induced health complaints.



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