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Strength Training and Depressive Symptoms: What the Trials Show

A meta-analysis of randomised trials found resistance exercise training was associated with a meaningful reduction in depressive symptoms — regardless of how much stronger people actually got.

Study title: Strength Training and Depressive Symptoms: What the Trials ShowGordon BR, McDowell CP, Hallgren M, Meyer JD, Lyons M, Herring MP, JAMA Psychiatry, 2018

Study type
Meta-analysis
Population
Pooled data from 33 randomised controlled trials of resistance exercise training, various adult populations
Published
2018
Evidence confidence
Moderate confidence

The short version

Pooling 33 trials, resistance training was linked to meaningfully lower depressive symptoms, and the effect didn't hinge on actual strength gains.

Why it matters

Resistance training may support mood in a way that isn't purely explained by physical strength gains, but this is a pooled result across varied studies rather than proof for any one individual or type of depression.

01

The question

Does resistance exercise training reduce depressive symptoms, and does this depend on how much strength participants gained?

02

How it was studied

Meta-analysis and meta-regression of 33 randomised controlled trials comparing resistance exercise training against control conditions, measuring change in depressive symptoms and testing whether effect size varied with training volume, intensity or improvements in strength.

03

What they found

Resistance exercise training was associated with a significant reduction in depressive symptoms compared with control conditions, with effects seen across different populations. Notably, the benefit did not depend on how much measurable strength people gained, suggesting the effect isn't simply a byproduct of getting physically stronger.

04

Limitations

Included trials varied widely in quality, duration, population and how depression was measured; publication bias toward positive results is a known risk in this literature, and most trials were relatively short and not powered specifically to detect harms or long-term durability.

05

What it may mean

Resistance training may support mood in a way that isn't purely explained by physical strength gains, but this is a pooled result across varied studies rather than proof for any one individual or type of depression.

In real life

If lifting weights has never felt urgent because you're not trying to 'get strong,' this evidence suggests the mood-related association shows up even for people whose strength barely changes.

Try this

If you're curious, try two short sessions of resistance-type movement a week (bodyweight, bands or weights) for a month and notice mood alongside — not instead of — anything else you're already doing for it.

Evidence confidence

Moderate confidence

A well-conducted meta-analysis with a reasonably large trial pool, but individual trial quality is mixed and effect sizes in this field are prone to inflation from smaller, less rigorous studies.

Source

Gordon BR, McDowell CP, Hallgren M, Meyer JD, Lyons M, Herring MP (2018). Strength Training and Depressive Symptoms: What the Trials Show. JAMA Psychiatry.

Peer-reviewed · Free full text available · Last reviewed 2026-08-14

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