Exercise and The Mind: Exploring Psychophysiological Mechanisms Underlying The Mental Health Benefits of Physical Activity

Main Article Content

Arya Satya Rajanagara
Hana Athiyah Rahmi
Rudi Margono
Sutan Kahfi Alif Widianto
David Christopher Tjandra

Abstract

Exercise or Physical activity (PA) is increasingly recognized as a potent, multidimensional intervention for promoting mental health and mitigating symptoms of stress, anxiety, and depression. This review synthesizes evidence from psychophysiological and biopsychosocial perspectives, highlighting the mechanisms through which exercise influences mental well-being. Chronic exercise modulates neuroendocrine function, reduces systemic inflammation, enhances brain-derived neurotrophic factor (BDNF), and improves autonomic balance, collectively supporting neuroplasticity and emotional regulation. Concurrently, psychological benefits such as increased self-efficacy, body image, coping skills, and reduced depressive and anxiety symptoms are reinforced, particularly in group-based settings that foster social support, cohesion, and exercise identity. Integrating these biological, psychological, and social pathways, physical activity functions as a sustainable, non-pharmacological strategy to optimize long-term mental health outcomes. This multidimensional model underscores the critical role of structured exercise interventions as an accessible and scalable approach to enhance resilience and overall well-being across populations.

Article Details

Section
Articles

References

1. Nay, K., Smiles, W. J., Kaiser, J., McAloon, L. M., Loh, K., Galic, S., Oakhill, J. S., Gundlach, A. L., & Scott, J. W. (2021). Molecular mechanisms underlying the beneficial effects of exercise on brain function and neurological disorders. International Journal of Molecular Sciences, 22(8), 4052. https://doi.org/10.3390/ijms22084052

2. Kandola, A., Ashdown Franks, G., Hendrikse, J., Sabiston, C. M., & Stubbs, B. (2019). Physical activity and depression: Towards understanding the antidepressant mechanisms of physical activity. Neuroscience and Biobehavioral Reviews, 107, 525–539. https://doi.org/10.1016/j.neubiorev.2019.09.040

3. El Sayes, J., Harasym, D., Turco, C. V., Locke, M. B., & Nelson, A. J. (2019). Exercise induced neuroplasticity: A mechanistic model and prospects for promoting plasticity. The Neuroscientist, 25(1), 65–85. https://doi.org/10.1177/1073858418771538

4. Silverman, M. N., & Deuster, P. A. (2014). Biological mechanisms underlying the role of physical fitness in health and resilience. Interface Focus, 4(5), 20140040. https://doi.org/10.1098/rsfs.2014.0040

5. Khairunnisa, I. A., & Pratama, A. D. (n.d.). ENHANCING MENTAL HEALTH THROUGH MIND-BODY EXERCISES IN SEDENTARY STUDENTS: A SYSTEMATIC REVIEW WITH AN INDONESIAN PERSPECTIVE. Jurnal Sosial Humaniora Terapan, 7(1), 7.

6. Ahsan, M., & Abualait, T. (2025). Investigation of the relationship between mental health and physical activity among university students. Frontiers in Psychology, 15, 1546002.

7. Szuhany, K. L., Bugatti, M., & Otto, M. W. (2015). A meta-analytic review of the effects of exercise on brain-derived neurotrophic factor. Journal of Psychiatric Research, 60, 56–64.

8. White, R. L., Vella, S., Biddle, S., Sutcliffe, J., Guagliano, J. M., Uddin, R., Burgin, A., Apostolopoulos, M., Nguyen, T., & Young, C. (2024). Physical activity and mental health: a systematic review and best-evidence synthesis of mediation and moderation studies. International Journal of Behavioral Nutrition and Physical Activity, 21(1), 134.

9. Mikkelsen, K., Stojanovska, L., Polenakovic, M., & Bosevski, M. (2017). Maturitas Exercise and mental health. Maturitas, 106(August), 48–56. https://doi.org/10.1016/j.maturitas.2017.09.003

10. Mahindru, A., Patil, P., & Agrawal, V. (2023). Role of Physical Activity on Mental Health and Well-Being : A Review. 15(1), 1–7. https://doi.org/10.7759/cureus.33475

11. Wang, W., Yu, L., Huang, L., & Gao, X. (2023). Mechanisms of the impact of exercise intervention on college students ’ mental health : a longitudinal experimental study using swimming as an example.

12. Sugiharto, S., Merawati, D., Pranoto, A., & Susanto, H. (2023). Decreased activity of the hypothalamic–pituitary–adrenal axis after acute aerobic exercise in obese women. Natural and Life Sciences Communications, 22(2), e2023037. https://doi.org/10.12982/NLSC.2023.037

13. Anderson, T., Berry, N. T., & Wideman, L. (2019). Exercise and the hypothalamic–pituitary–adrenal axis: A special focus on acute cortisol and growth hormone responses. Current Opinion in Endocrine and Metabolic Research, 9, 74–77. https://doi.org/10.1016/j.coemr.2019.08.002

14. Duclos, M., & Tabarin, A. (2016). Exercise and the hypothalamo–pituitary–adrenal axis. Frontiers of Hormone Research, 47, 12–26. https://doi.org/10.1159/000445151

15. Zhang, T., & Kong, J. (2025). How does exercise regulate the physiological responses of post-traumatic stress disorder? The crosstalk between oxidative stress and the hypothalamic–pituitary–adrenal axis. Frontiers in Physiology, 16, 1567603. https://doi.org/10.3389/fphys.2025.1567603

16. Fu, Q., & Levine, B. D. (2013). Exercise and the autonomic nervous system. Handbook of Clinical Neurology, 117, 147–160. https://doi.org/10.1016/B978-0-444-53491-0.00012-1

17. Chiang, J.-K., Lin, Y.-C., Hung, T.-Y., Kao, H.-H., & Kao, Y.-H. (2024). The impact on autonomic nervous system activity during and following exercise in adults: A meta-regression study and trial sequential analysis. Medicina (Kaunas), 60(8), 1223. https://doi.org/10.3390/medicina60081223

18. Mourot, L., Bouhaddi, M., Perrey, S., Cappelle, S., Henriet, M. T., Wolf, J. P., Rouillon, J. D., & Regnard, J. (2024). Impact of exhaustive exercise on autonomic nervous system activity: Insights from heart rate variability analysis. Frontiers in Physiology, 15, 1462082. https://doi.org/10.3389/fphys.2024.1462082

19. Korsak, A., Kellett, D. O., Aziz, Q., Gourine, A. V., & Machhada, A. (2023). Immediate and sustained increases in the activity of vagal preganglionic neurons during exercise and after exercise training. Cardiovascular Research, 119(12), 2476–2488. https://doi.org/10.1093/cvr/cvad105

20. Wang, Y.-H., Tan, J., Zhou, H.-H., Cao, M., & Zou, Y. (2023). Long-term exercise training and inflammatory biomarkers in healthy subjects: A meta-analysis of randomized controlled trials. Frontiers in Psychology, 14, 1253329. https://doi.org/10.3389/fpsyg.2023.1253329

21. Hamer, M., Stamatakis, E., & Batty, G. D. (2012). Physical activity and inflammatory markers over 10 years: Follow-up in men and women from the Whitehall II cohort study. Circulation, 126(8), 928–933. https://doi.org/10.1161/CIRCULATIONAHA.112.103879

22. Rahimi, M. R., & Mehrwand, Z. (2024). The impact of resistance training on IL-6, TNF-α, and CRP levels in the elderly: A systematic review and meta-analysis study. International Journal of Sport Studies for Health, 6(2), 1–10. https://doi.org/10.61838/kman.intjssh.6.2.1

23. Mathot, E., Hemadeh, A., Knoop, V., Bautmans, I., Lema-Arranz, C., Lorenzo-López, L., Valdiglesias, V., & Laffon, B. (2025). The effect of physical interventions in older adults on inflammatory markers (IL-6, IL-10, CRP, TNF-α): An umbrella review of systematic reviews and meta-analyses. Innovation in Aging, 9(7), igaf072. https://doi.org/10.1093/geroni/igaf072

24. Effects of aerobic exercise on inflammatory markers and lipid profile in patients with chronic kidney disease. Seminar Nasional Ilmu Kesehatan dan Dietetik – Seminar Series 62. Journal Universitas Muslim Indonesia. Retrieved from https://journal.unm.ac.id/index.php/Semnasdies62/article/view/5352

25. Waśkiewicz, Z., Mukhambet, Z., Azerbayev, D., & Bondarev, S. (2025). Inflammatory response to ultramarathon running: A review of IL-6, CRP, and TNF-α. International Journal of Molecular Sciences, 26(13), 6317. https://doi.org/10.3390/ijms26136317

26. Mahindru, A., Patil, P., & Agrawal, V. (2023). Role of physical activity on mental health and well-being: A review. Cureus, 15(1), e33475. https://doi.org/10.7759/cureus.33475

27. Golaszewski, N. M., LaCroix, A. Z., Hooker, S. P., & Bartholomew, J. B. (2022). Group exercise membership is associated with forms of social support, exercise identity, and amount of physical activity. International Journal of Sport and Exercise Psychology. https://doi.org/10.1080/1612197X.2021.1891121

28. White, R. L., Vella, S. A., Biddle, S. J. H., Sutcliffe, J., Guagliano, J. M., Uddin, R., Burgin, A., Apostolopoulos, M., Nguyen, T., Young, C., Taylor, N., Lilley, S., & Teychenne, M. (2024). Physical activity and mental health: A systematic review and best-evidence synthesis of mediation and moderation studies. International Journal of Behavioral Nutrition and Physical Activity, 21(1), 134. https://doi.org/10.1186/s12966-024-01676-6