“…There is evidence that physical exercise alleviates symptoms of depression among older people (Martinsen et al, 1989;Emery and Gatz, 1990;McNeil et al, 1991;Singh et al, 1997;Blumenthal et al, 1999;Babyak et al, 2000). Exercise is suggested to improve mood by multiple physiological and biological mechanisms, such as alterations in central monoamine activity (Ransford, 1982), reduced activity of hypothalamo-pituitary-adrenocortical axis (White et al, 1976) and increased secretion of beta endorphins (Thoren et al, 1990) as well as improved physical fitness (Blumenthal et al, 1999;McAuley et al, 2000a). Psychological mechanisms like enhanced self-esteem (Sonstroem and Morgan, 1989;McAuley et al, 1997), distraction from negative thoughts (Fennell and Teasdale, 1984;Morgan, 1985), improved sleep and adaptation to stress (Fox, 1999) are also suggested.…”