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Date of Award

Spring 2025

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Kelly Moss, PA-C

Abstract

In the modern practice of medicine, the primary care clinician must often treat major depressive disorder (MDD) in patients with comorbid type II diabetes mellitus (T2DM). While exercise has been proposed as a first-line treatment for this cohort of patients, existing research has yet to robustly define the best type of physical activity intervention for MDD in comparison to pharmacological and psychological interventions. For the aforementioned reasoning, this review aims to investigate the role of exercise as a treatment for MDD in patients with T2DM and to provide guidance based on current research for management in the primary care setting. This CME article will highlight relevant studies investigating the role of exercise and its utility in comparison to the current first line MDD treatments of psychiatric medication and talk therapy.

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Exercise as a First-Line Treatment for Major Depressive Disorder in Patients with Comorbid Type II Diabetes Mellitus

In the modern practice of medicine, the primary care clinician must often treat major depressive disorder (MDD) in patients with comorbid type II diabetes mellitus (T2DM). While exercise has been proposed as a first-line treatment for this cohort of patients, existing research has yet to robustly define the best type of physical activity intervention for MDD in comparison to pharmacological and psychological interventions. For the aforementioned reasoning, this review aims to investigate the role of exercise as a treatment for MDD in patients with T2DM and to provide guidance based on current research for management in the primary care setting. This CME article will highlight relevant studies investigating the role of exercise and its utility in comparison to the current first line MDD treatments of psychiatric medication and talk therapy.