The use of exercise and/or physical activity (PA) is gaining recognition within psychiatric treatment practices as a component of therapy that contributes to improved health. For many, targeting physical health via aerobic and/or resistance training leads to improved sleep patterns (1), reduced cortisol levels (2), and heightened overall mood (3). Other common effects of exercise training include reduced inflammation, endorphin release (4), and improved levels of fatigue and self-confidence (5).

The positive impact of exercise on overall health and well-being for patients with a severe mental illness (SMI) is established (6,7). Mental health treatment centers may even opt to include routine recreational PA for therapeutic purposes (8). This commonly includes walks or small group activities (9), which are features of treatment supported by the Royal Australian and New Zealand College of Psychiatrists...

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