Physical Activity and Mental Health
Promoting physical activity is widely recognized as effective for treating and preventing depression and anxiety.
Previous studies demonstrate that maintaining high physical activity levels reduces the risk of developing depression by approximately 20%. The standard benchmark for "high physical activity" is often defined as engaging in at least 150 minutes per week of moderate-to-vigorous activity (activities slightly raising heart rate, equal to or above walking intensity). However, even shorter durations help improve depressed mood and anxiety, provided activity time is maximized whenever possible.
Particularly, leisure-time physical activity shows a stronger association with mood improvement compared to occupational or transport-related activity, making it highly recommended for stress relief and fulfillment. Conversely, work-related physical activity may not contribute to mood improvement and could potentially impose a physical or mental burden.
In our 2025 effectiveness study (No. 4 in the list above), we reported evaluation results from a non-randomized controlled trial.
In this study, seven workplaces participated; among them, 67 individuals across 5 workplaces utilized ASHARE. Meanwhile, 17 individuals in the remaining 2 workplaces received an established conventional workplace physical activity promotion program.
Analysis was performed on 78 participants completing the 3-month follow-up. Physical activity levels increased in both groups. While the proportion of individuals showing depression and anxiety symptoms remained stable in the app group (n=61) at 31.1% → 31.1%, the proportion increased in the control group (n=17) from 29.4% → 47.1%. Although group differences were not statistically significant, findings suggest the app is oriented towards suppressing depression and anxiety compared to ordinary activity programs.
Additionally, among users who continued using the app consistently for the full 3 months (n=12), the proportion exhibiting depression and anxiety decreased significantly. However, since this subgroup analysis was not pre-specified and users displayed higher baseline symptom levels, isolated app efficacy requires cautious interpretation.
App retention over 3 months was 19.7% (12/61). Although higher than typical commercial health apps, this adherence was insufficient to yield statistically robust workplace-wide mental health improvements. Long-term user engagement remains a central challenge for mHealth applications.
A crucial key lies in collaborating with workplace health promotion coordinators. In our survey, health coordinators rated the app as highly as the conventional program. Conversely, individual employee ratings for the app were slightly lower than for the traditional alternative. When health initiatives are introduced corporate-wide, a gap naturally forms between highly motivated and less motivated employees, potentially triggering a sense of obligation. Establishing a supportive framework where health managers adequately understand the app's purpose and address employee feedback is essential.
Naturally, continuously enhancing built-in app features is paramount. ASHARE remains committed to advancing predictive accuracy and expanding functionality moving forward.