FEATURED IN ‘THE HEALTH TIMES’: Fitness in midlife lowers depression and cardiovascular mortality

Adam Monteith, Founder of Evoker, Sydney, CBD, has featured in an article in the Health Times about fitness in midlife having both considerable physical and mental benefits. It’s widely understood that exercise benefits physical health, but increasingly research is showing that it can also ward off mental health conditions like depression and anxiety.

A recent study in JAMA Psychiatry investigated whether higher cardiorespiratory fitness in midlife is associated with a lower risk of mortality after a diagnosis of depression in those over the age of 65.

The study showed that men and women who are more physically fit at midlife have a lower risk of depression and cardiovascular death after a diagnosis of depression in later life.

The cohort study of Medicare-eligible patients revealed that higher levels of fitness in midlife were associated with a 16 per cent lower risk of depression. Also, after a diagnosis of depression, higher levels of fitness were associated with a 56 per cent lower risk of cardiovascular mortality.

While many studies have shown the impact of physical fitness on mental health and cardiovascular disease, this study suggests that fitness is an integral part of a primary preventive strategy for cardiovascular disease and depression across the lifespan.

Director of epidemiology at The Cooper Institute and lead author of the study Dr Benjamin L. Willis reported two important findings: “First, in a large, generally healthy cohort of men and women, higher midlife fitness was associated with lower risk of a depression diagnosis after 65 years of age.

“Second, not only was higher midlife fitness associated with a lower risk of cardiovascular disease mortality, but importantly, it was also associated with a lower risk of cardiovascular disease mortality when cardiovascular disease death was preceded by depression.

“This association was notable in later life years after the fitness assessment,” Dr Willis stated.

Researchers concluded: “These findings suggest the importance of midlife fitness in primary prevention of depression and subsequent cardiovascular disease mortality in older age and should encourage physicians to consider fitness and physical activity in promoting healthy aging.”

This study is significant for Australians considering cardiovascular disease is one of the leading causes of death and depression affects about a million people in Australia every year.

However, fitness in midlife can present challenges, especially if those exercising haven’t been active for most of their younger lives, according to Evoker Sydney CBD Physiotherapist Adam Monteith.

One way to address complications that can arise with midlife cardiovascular activity is the use of anti-gravity treadmills, said Mr Monteith.

“It’s important to lower the load on the person’s ankles, knees and hips to get them moving pain-free.”

The use of Pilates reformers and physiotherapy-led Pilates classes also bring significant strength gains in a low weight bearing environment to aid in the prevention of pain, explained Mr Monteith.

“These two tools, or forms of exercise, are essential for the middle-aged person attempting to return to exercise.

Physio in Sydney city is making the media. Hit the link below to see this physio feature piece up in lights, exactly as the journalist had intended…



ADAM MONTEITH | FOUNDER & APA Musculoskeletal Physiotherapist
MHlth Sc (Manip Phty) BPhty BExSc

Connect with Adam Monteith on LinkedIn

After completing a rather unique double degree – a Bachelor of Physiotherapy & Exercise Science in 2003, & a Masters of Manipulative Physiotherapy at the University of Sydney in 2010 (a voluntary, yet brutal, undertaking for a physiotherapist who wants to be better), Adam established Evoker in 2011. A physiotherapy practice with a difference. & that difference, or ‘niche’, was absolute excellence. 100% of the time. Attention to customer service detail, & excellence in physiotherapy.

Adam’s career in physiotherapy began in the ‘elite’ sporting arena at the Brisbane Broncos Rugby League Club. The lessons learned in this ‘sink or swim’, high pressure environment of the 03/04/05 seasons, created a platform for Adam to really excel in this profession. Adam has accepted invitations to look after the physical health of other Physiotherapists, Doctors, Specialists, Surgeons & none other than the Prime Minister of this country.

Adam Monteith is a highly skilled musculoskeletal physiotherapist. You can be assured that when you see Adam, your complaint will be thoroughly assessed, and he will use the most appropriate and up to date techniques to treat your problem. Adam’s treatment will always be governed by research. He is constantly analysing the results of the most recent clinical trials so that you can receive the most up to date treatment, helping you to get better sooner. Adam only ever uses evidenced based and clinically proven treatment techniques. Adam Monteith is also a member of the Australian Physiotherapy Association.

Adam is very time aware and prides himself on seeing his patients on time. With a greater than 10 year history of treating and servicing the busy professional in Sydney city, he respects your time and does his best not to keep you waiting.

Adam has:
25 years combined study & clinical experience in physiotherapy/physical therapy
Worked in the heart of Sydney city for more than 15 years
Worked with both the elite athlete & ‘weekend warrior’
Had great success in treating:
– Acute sporting injuries
– Overuse running, cycling & swimming injuries
– Post operative shoulders, hips, knees and ankles
– Complex neck & back cases.
– Adam is often called on for 2nd and 3rd opinions in these complex scenarios.

Expect: A good listener, time spent in assessment phase, plenty of ‘hands on’ physio and exercise.