产前运动及其对分娩后心理健康的影响:系统性审查和元分析
Lauren E Hicks1, Michelle D Graf2, SeonAe Yeo2
1School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. hicksl@unc.edu.
Archives of women's mental health
|November 7, 2024
概括
怀孕期间定期运动可以改善分娩后的心理健康,减少抑郁和焦虑. 像这样的低强度运动对新生母亲特别有益.
科学领域:
- 围产期心理健康问题
- 运动科学运动科学
- 公共卫生 公共卫生
背景情况:
- 围产期涉及显著的身体,心理和社会变化.
- 女性经历了许多压力因素,增加了对心理健康问题的脆弱性.
- 现有研究强调需要有效的干预措施来支持围产期福祉.
研究的目的:
- 系统地审查和元分析体育活动对围产期心理健康的影响.
- 确定有效的运动强度和类型,以改善产后心理健康结果.
- 为围产期的身体活动干预提供基于证据的建议.
主要方法:
- 来自PubMed,SPORTDiscus,PsycInfo和Scopus (2023年10月) 的研究的系统审查.
- 包括英语出版物;元分析仅限于使用爱丁堡产后抑郁量表 (EPDS) 的随机对照试验 (RCT).
- 两个使用Covidence的审稿人独立提取数据,重点关注研究特征,人口统计学,干预措施和结果.
主要成果:
- 系统性审查包括了19项研究;四个RCT被纳入了元分析.
- 怀孕期间较高的体力活动水平与更好的产后心理健康相关,包括减少抑郁和焦虑.
- 低强度的炼 (如) 有效地减少了产后抑郁症状;中等强度的效果各不相同. 分析证实,在身体活跃的产后妇女中,症状显著减少.
结论:
- 根据产周期量身定制的体力活动干预措施可以减轻心理痛苦.
- 开发各种强度的多样化炼方案可以最大限度地提高治疗效益.
- 促进身体活动对于在怀孕期间和怀孕后支持母亲的心理健康至关重要.
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