Background: Geriatric depression is huge and important issue which comes with the economic burden of billions of dollars annually. It not only reduces quality of life but also affects overall health of geriatric patients suffering from it. Mostly older people do not do regular physical activity due to various reasons and rely on medication to manage depression. Such medicines provide fast response but they also pose severe side effects and the risk of dependency. That is why exercise in best approach to manage depression.

Methods: It was randomized controlled case study with 32 patients aged>65 divided into control and experimental group. Control group was only given antidepressants while experimental group received regular strength and aerobic training 3x/week for 8-weeks continuously for 45 minutes. Geriatric depression scale (GDS) was used to measure depression in pre and post intervention.

Results: Statistically significant results were observed in this case study. Experimental groups showed considerable decrease in GDS score (mean 14.69) whereas control group did not show much decrease in GDS score.

Conclusion: Regular strength and aerobic training are very beneficial in managing depression in elderly patients.

Key words: Depression, elderly, Strength training, aerobic exercises, medication.