怀孕期间的体力活动和抑郁,焦虑和压力:随机临床试验
Miguel Sánchez-Polán1, Maia Brik2, Cristina Silva-Jose3
1GICAF Research Group, Department of Education, Research and Evaluation Methods, Universidad Pontificia Comillas, Madrid, Spain (Sánchez-Polán).
American journal of obstetrics & gynecology MFM
|November 9, 2025
概括
对孕妇进行监督的体育活动计划显著减少了抑郁和焦虑症状. 对这些计划的更高的坚持 (超过90%) 在怀孕期间和怀孕后的心理健康状况得到了更大的改善.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 运动医学 运动医学
背景情况:
- 怀孕涉及荷尔蒙波动导致情绪不稳定.
- COVID-19 流行病加剧了心理困扰,增加了孕妇的抑郁和焦虑率.
- 在大流行期间减少体力活动增加了久坐不动的行为,需要对母亲心理健康进行非侵入性干预.
研究的目的:
- 评估监督体育活动计划对孕妇产前和产后抑郁,焦虑和压力症状的影响.
- 为了比较两个不同的监督体育活动干预措施的有效性.
主要方法:
- 两项随机临床试验涉及564名孕妇,在西班牙的五个健康中心进行.
- 参与者被分配到干预组 (监督体育活动) 或对照组.
- 会议包括每周三次体育活动 (在线和面对面) 直到怀孕结束,使用验证的尺度 (CES-D,EPDS,STAI,PSS) 测量抑郁,焦虑和压力症状.
主要成果:
- 与对照组相比,干预组的抑郁症状显著减少.
- 超过90%的参加计划的孕妇表现出明显较低的抑郁症和状态焦虑评分.
- 一项试验表明,干预组与对照组相比,干预组的抑郁,状态焦虑和特征焦虑显著减少.
结论:
- 在怀孕期间监督体育活动可以有效地减少产前抑郁症症状.
- 更多地坚持体育活动计划 (超过90%) 放大了积极的影响,特别是在减少状态焦虑和抑郁方面.
- 这些发现支持身体活动作为一种有价值的非侵入性策略,用于在怀孕期间管理母亲的心理健康.
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