Journal of Obstetric, Gynecologic & Neonatal Nursing
ResearchPhysical Activity Prior to and During Pregnancy and Risk of Postpartum Depressive Symptoms
Section snippets
Study Design and Population
The Pregnancy Risk Assessment Monitoring System (PRAMS) is an annual, state-specific, population-based surveillance system conducted by the CDC and state health departments that collects information from women 2 to 6 months after they have delivered a live-born infant (Williams et al., 2006). Women who are selected to participate in PRAMS are asked to recall their attitudes and experiences before, during, and shortly after pregnancy (CDC, 2008; Williams et al.). There are 37 states that
Results
Among the 2,169 participants, approximately half (52.8%) were 25 to 34 years old and had more than a high school diploma (54.8%; Table 1). Just over two thirds (64.4%) were non-Hispanic White and 66.0% were married. More than half (59.6%) reported being physically active prepregnancy, while only 44.6% reported being physically active during the third trimester. Less than half of the participants reported feeling depressed or “down” (40.9%) or having little interest or pleasure (36.2%) in the
Discussion
In this large, population-based study, physical activity levels decreased from prepregnancy to the third trimester, and this finding is consistent with other studies that examined physical activity levels before and during pregnancy (Da Costa et al., 2003, Schmidt et al., 2006, Zhang and Savitz 1996). In the study by Da Costa et al., participating women's physical activity levels decreased from 40% before pregnancy to 29% in the first and second trimesters. The same pattern was observed by
Acknowledgments
The authors thank Fatma Simsek, North Carolina PRAMS Project Coordinator, Dr. Kenneth Huber, Wake Forest University, and Dr. Gwen Foss, University of North Carolina, Charlotte.
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Physical activity before and during pregnancy and maternal mental health: A systematic review and meta-analysis of observational studies
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2019, Journal of Affective DisordersCitation Excerpt :Previously, Teychenne and York (2013) presented outcomes of a systematic review of four observational studies and one randomized controlled trial studying PA during pregnancy and PPD. Among these studies, four (Demissie et al., 2013; Ersek and Brunner Huber, 2009; Songøygard et al., 2012; Symons Downs et al., 2008) were also included our meta-analysis. We did not include the fifth study (Sexton et al., 2012) because its study population was composed of women recovering from perinatal depressive symptoms.
Physical activity in pregnancy and postpartum depressive symptoms in a multiethnic cohort
2018, Journal of Affective DisordersCitation Excerpt :A lower risk of depression was reported in women who were moderately physically active in the 3rd trimester compared to inactive women (Nordhagen and Sundgot-Borgen, 2002). In contrast, in a retrospective study, no significant association was observed between physical activity in pregnancy and EPDS score three months after birth (Ersek and Brunner Huber, 2009). The use of self-reported physical activity in these two latter studies makes the results prone to measurement error, and to subsequently biased estimates.
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