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By Jeannine Stein

When Gaetano Vaccaro meets with depressed patients at Moonview Sanctuary, he sometimes moves part of the session outside, taking a walk while talking. The result: “People’s state of mind can shift.”

Depression can spawn a spiral of lethargy and hopelessness, so that the last thing someone wants to do is exercise. But regular, moderate physical activity may lessen depression symptoms as much as some medications.