Effects of Exercise on Mild-to-Moderate Depressive Symptoms in the Postpartum Period

医学 严格标准化平均差 随机对照试验 产后抑郁症 奇纳 萧条(经济学) 置信区间 产后 物理疗法 荟萃分析 抑郁症状 人口 临床试验 梅德林 内科学 精神科 心理干预 怀孕 焦虑 宏观经济学 环境卫生 生物 政治学 法学 经济 遗传学
作者
Ashley McCurdy,Normand G. Boulé,Allison Sivak,Margie H. Davenport
出处
期刊:Obstetrics & Gynecology [Lippincott Williams & Wilkins]
卷期号:129 (6): 1087-1097 被引量:78
标识
DOI:10.1097/aog.0000000000002053
摘要

OBJECTIVE: To examine the influence of exercise on depressive symptoms and the prevalence of depression in the postpartum period. DATA SOURCES: A structured search of MEDLINE, EMBASE, CINAHL, Sport Discus, Ovid's All EBM Reviews, and ClinicalTrials.gov databases was performed with dates from the beginning of the databases until June 16, 2016. The search combined keywords and MeSH-like terms including, but not limited to, “exercise,” “postpartum,” “depression,” and “randomized controlled trial.” METHODS OF STUDY SELECTION: Randomized controlled trials comparing postpartum exercise (structured, planned, repetitive physical activity) with the standard care for which outcomes assessing depressive symptoms or depressive episodes (as defined by trial authors) were assessed. Trials were identified as prevention trials (women from the general postpartum population) or treatment trials (women were classified as having depression by the trial authors). Effect sizes with 95% confidence intervals (CIs) were calculated using Hedges' g method and standardized mean differences in postintervention depression outcomes were pooled using a random-effects model. TABULATION, INTEGRATION, AND RESULTS: Across all 16 trials (1,327 women), the pooled standardized mean difference was −0.34 (95% CI −0.50 to −0.19, I 2 =37%), suggesting a small effect of exercise among all postpartum women on depressive symptoms. Among the 10 treatment trials, a moderate effect size of exercise on depressive symptoms was found (standardized mean difference−0.48, 95% CI −0.73 to −0.22, I 2 =42%). In six prevention trials, a small effect (standardized mean difference−0.22, 95% CI −0.36 to −0.08, I 2 =2%) was found. In women with depression preintervention, exercise increased the odds of resolving depression postintervention by 54% (odds ratio 0.46, Mantel-Haenszel method, 95% CI 0.25–0.84, I 2 =0%). The trials included in this meta-analysis were small and some had methodologic limitations. CONCLUSION: Light-to-moderate intensity aerobic exercise improves mild-to-moderate depressive symptoms and increases the likelihood that mild-to-moderate depression will resolve.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
1秒前
爆米花应助成就茗采纳,获得10
3秒前
Akim应助15884134873采纳,获得10
3秒前
4秒前
roaring发布了新的文献求助10
4秒前
小屋完成签到,获得积分10
4秒前
6秒前
7秒前
8秒前
小屋发布了新的文献求助10
8秒前
9秒前
orixero应助roaring采纳,获得10
9秒前
张姐完成签到,获得积分10
9秒前
9秒前
842413119完成签到,获得积分10
10秒前
rrgogo发布了新的文献求助10
11秒前
直击灵魂完成签到 ,获得积分10
11秒前
醒醒完成签到,获得积分10
12秒前
张姐发布了新的文献求助10
12秒前
13秒前
13秒前
13秒前
13秒前
14秒前
15884134873发布了新的文献求助10
16秒前
俭朴的跳跳糖完成签到 ,获得积分10
16秒前
Mo完成签到,获得积分10
17秒前
tananna完成签到,获得积分10
17秒前
英俊的铭应助斯文念波采纳,获得10
17秒前
缥缈冬寒发布了新的文献求助10
18秒前
左肩微笑发布了新的文献求助10
19秒前
Rondab应助远山淡影_cy采纳,获得10
20秒前
yar应助张姐采纳,获得10
20秒前
CAOHOU应助张姐采纳,获得10
20秒前
Happyness应助张姐采纳,获得10
20秒前
22秒前
23秒前
yummy发布了新的文献求助10
26秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989550
求助须知:如何正确求助?哪些是违规求助? 3531774
关于积分的说明 11254747
捐赠科研通 3270278
什么是DOI,文献DOI怎么找? 1804966
邀请新用户注册赠送积分活动 882125
科研通“疑难数据库(出版商)”最低求助积分说明 809176