Rethinking Exercise: How Daily Movement Supports Children’s Mental Health | Brian J. Cole, MD, MBA

 We tend to think of exercise as a way for kids to burn energy or stay busy. But neuroscience tells a very different story. Movement isn’t just physical activity—it’s brain medicine. Research now shows that regular movement during childhood doesn’t just improve fitness; it shapes brain development, strengthens emotional regulation, and offers powerful protection against anxiety and depression later in life.

Large, long-term research following nearly 17,000 children has shown that kids who were more physically active at age 11 had significantly better mental health by age 18, including lower rates of depression, anxiety, and emotional distress. Importantly, this wasn’t a snapshot in time. These children were tracked over years, strengthening the case that movement itself plays a causal role in protecting mental health.

So, what’s actually happening in the brain?

When children move, their brains respond immediately and profoundly. Exercise increases levels of brain-derived neurotrophic factor (BDNF)—sometimes by as much as 300%. BDNF acts like fertilizer for the brain, promoting the growth of new neurons and strengthening existing connections. This is why children who move regularly demonstrate better memory, improved focus, and stronger emotional regulation. Their brains are literally becoming more resilient.

Movement also directly influences the same neurochemicals targeted by many medications. Physical activity reduces cortisol, the stress hormone, while increasing serotonin and dopamine, which are central to mood, motivation, and emotional balance. Remarkably, just 20 minutes of moderate exercise can improve mood and reduce anxiety for up to 12 hours. This helps explain why kids who move before school often perform better both academically and emotionally.

Over time, regular movement strengthens the prefrontal cortex, the area of the brain responsible for impulse control, decision-making, and emotional regulation. This neurological development translates into real-world benefits: better self-control, improved behavior, and lower aggression.

Perhaps most encouraging is what the research makes clear about how much movement is needed. This isn’t about hours in the gym or elite-level sports. Thirty to sixty minutes of daily movement—walking, running, jumping, dancing, climbing—creates measurable mental health protection.

Think of it this way: therapy treats symptoms. Movement helps prevent them.

Final Thoughts

For children, movement isn’t optional or a “nice-to-have.” It’s a fundamental way the developing brain maintains itself, adapts to stress, and builds lifelong mental resilience. As clinicians, parents, and educators, encouraging daily movement may be one of the most powerful tools we have to support children’s mental health—now and for years to come.

About the Author:

Dr. Brian Cole, MD, MBA - Orthopedic Sports Medicine Surgeon

Dr. Brian Cole is a board-certified orthopedic surgeon specializing in sports medicine and cartilage restoration at Midwest Orthopaedics at Rush. He serves as Managing Partner, Acting Department Chair, and Professor at Rush University Medical Center.

 

Credentials & Recognition

Dr. Cole earned his MD and MBA from the University of Chicago and completed his residency at the Hospital for Special Surgery. He was awarded the 2025 OREF Clinical Research Award and 2025 Golden GOAT Award for lifetime contributions to sports medicine. He's been listed in Best Doctors in America since 2004 and featured in Newsweek's 2025 Leading Doctors.

Clinical Expertise

Dr. Cole treats knee, shoulder, and elbow injuries using advanced cartilage restoration and orthobiologic techniques. He has published over 1,000 articles on orthopedic surgery and serves as team physician for the Chicago Bulls and Chicago White Sox.

Medical Disclaimer: This information is for educational purposes only and does not constitute medical advice. For diagnosis and treatment recommendations, please consult with Dr. Cole or another qualified orthopedic specialist at Midwest Orthopaedics at Rush.

Content authored by Dr. Brian Cole and verified against official sources.