RT Journal Article
SR Electronic
T1 Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 1376
OP 1385
DO 10.1136/bjsports-2018-099697
VO 52
IS 21
A1 Margie H Davenport
A1 Ashley P McCurdy
A1 Michelle F Mottola
A1 Rachel J Skow
A1 Victoria L Meah
A1 Veronica J Poitras
A1 Alejandra Jaramillo Garcia
A1 Casey E Gray
A1 Nick Barrowman
A1 Laurel Riske
A1 Frances Sobierajski
A1 Marina James
A1 Taniya Nagpal
A1 Andree-Anne Marchand
A1 Megan Nuspl
A1 Linda G Slater
A1 Ruben Barakat
A1 Kristi B Adamo
A1 Gregory A Davies
A1 Stephanie-May Ruchat
YR 2018
UL http://bjsm.bmj.com/content/52/21/1376.abstract
AB Objective To examine the influence of prenatal exercise on depression and anxiety during pregnancy and the postpartum period.Design Systematic review with random effects meta-analysis and meta-regression.Data sources Online databases were searched up to 6 January 2017.Study eligibility criteria Studies of all designs were included (except case studies) if they were published in English, Spanish or French and contained information on the Population (pregnant women without contraindication to exercise), Intervention (subjective or objective measures of frequency, intensity, duration, volume or type of exercise), Comparator (no exercise or different frequency, intensity, duration, volume and type of exercise) and Outcome (prenatal or postnatal depression or anxiety).Results A total of 52 studies (n=131 406) were included. ‘Moderate’ quality evidence from randomised controlled trials (RCTs) revealed that exercise-only interventions, but not exercise+cointerventions, reduced the severity of prenatal depressive symptoms (13 RCTs, n=1076; standardised mean difference: −0.38, 95% CI −0.51 to –0.25, I2=10%) and the odds of prenatal depression by 67% (5 RCTs, n=683; OR: 0.33, 95% CI 0.21 to 0.53, I2=0%) compared with no exercise. Prenatal exercise did not alter the odds of postpartum depression or the severity of depressive symptoms, nor anxiety or anxiety symptoms during or following pregnancy. To achieve at least a moderate effect size in the reduction of the severity of prenatal depressive symptoms, pregnant women needed to accumulate at least 644 MET-min/week of exercise (eg, 150 min of moderate intensity exercise, such as brisk walking, water aerobics, stationary cycling, resistance training).Summary/Conclusions Prenatal exercise reduced the odds and severity of prenatal depression.