Evidence for anxiety , psychological stress , psychological well-being , subjective well-being and social isolation and loneliness varied in volume and effectiveness , but no harmful effects were identified .
The setting and context of walking seems to be important variables .
Background / objectives Walking has well-established positive relationships with , and effects on , physical health .
In contrast , while poor mental health contributes substantially to global health burden , an overview of the benefits from walking has not previously been published .
We aim ed to scope the literature and present what is known , and highlight what is not known , about walking and mental health .
Improving the health behaviours of elderly people: randomised controlled trial of a general practice education programme
Abstract Objectives : To establish the effect of an educational intervention for general practitioners on the health behaviours and wellbeing of elderly patients . Design : R and omised controlled trial with 1 year follow up . Setting : Metropolitan general practice s in Melbourne , Australia . Subjects : 42 general practitioners and 267 of their patients aged over 65 years . Intervention : Educational and clinical practice audit programme for general practitioners on health promotion for elderly people . Main outcome measures : Patients ' physical activity , functional status , self rated health , immunisation status , social contacts , psychological wellbeing , drug usage , and rate of influenza vaccination .  Primary efficacy variables were changes in outcome measures over 1 year period . Results : Patients in the intervention group had increased ( a ) walking by an average of 88 minutes per fortnight , ( b ) frequency of pleasurable activities , and ( c ) self rated health compared with the control group . No change was seen in drug usage , rate of influenza vaccination , functional status , or psychological wellbeing as a result of the intervention . Extrapolations of the known effect of these changes in behaviour suggest mortality could be reduced by 22 % if activity was sustained for 5 years . Conclusions : Education of the general practitioners had a positive effect on health outcomes of their elderly patients . General practitioners may have considerable public health impact in promotion of health for elderly patients . Key messages Few educational interventions for doctors have shown benefit to the health of patients Elderly people were identified in the UK health initiatives as in need of additional attention , and levels of health protective behaviours were low in community surveys A multifaceted educational intervention for general practitioners was effective in improving walking behaviour , self rated health status , and the frequency of social contacts in elderly patients General practitioners are effective in improving health and health behaviours in their elderly
Evidence for anxiety , psychological stress , psychological well-being , subjective well-being and social isolation and loneliness varied in volume and effectiveness , but no harmful effects were identified .
The setting and context of walking seems to be important variables .
Background / objectives Walking has well-established positive relationships with , and effects on , physical health .
In contrast , while poor mental health contributes substantially to global health burden , an overview of the benefits from walking has not previously been published .
We aim ed to scope the literature and present what is known , and highlight what is not known , about walking and mental health .