El-Rafie Mervat M, Khafagy Ghada M, Gamal Marwa G
Department of Public Health, Cairo University, Giza, Egypt.
Department of Family Medicine, Faculty of Medicine, Cairo University, Giza, Egypt.
Int J Womens Health. 2016 Feb 24;8:53-7. doi: 10.2147/IJWH.S94112. eCollection 2016.
Antenatal depression is not uncommon and is associated with a greater risk of negative pregnancy outcomes.
Exploring the effect of exercise in preventing and treating antenatal depression.
This was a prospective interventional controlled study carried out in 100 pregnant women treated at the Ain-Shams Family Medicine Center and Maadi Outpatient Clinic, Cairo, Egypt. The participants were divided into two groups (n=50 in the exercise group and n=50 in the control group). The exercise group regularly attended supervised sessions for 12 weeks. The activities in each session included walking, aerobic exercise, stretching, and relaxation. The control group completed their usual antenatal care. The Center for Epidemiological Studies Depression Scale (CES-D) was used to assess depression symptoms at the first interview and immediately after the 12-week intervention.
Compared to the control group, the exercise group showed significantly improved depressive symptoms as measured with the CES-D after the 12-week intervention on the CES-D (P=0.001). Within groups, the exercise group demonstrated a significant improvement of depressive symptoms from baseline to intervention completion, while the control group demonstrated no significant changes over time.
Exercise during pregnancy was positively associated with reduced depressive symptoms.
产前抑郁并不罕见,且与不良妊娠结局风险增加有关。
探讨运动对预防和治疗产前抑郁的效果。
这是一项前瞻性干预对照研究,在埃及开罗艾因-沙姆斯家庭医学中心和马阿迪门诊所接受治疗的100名孕妇中进行。参与者被分为两组(运动组n = 50,对照组n = 50)。运动组定期参加为期12周的有监督的课程。每次课程的活动包括散步、有氧运动、伸展和放松。对照组接受常规产前护理。采用流行病学研究中心抑郁量表(CES-D)在首次访谈时和12周干预结束后立即评估抑郁症状。
与对照组相比,运动组在CES-D上进行12周干预后,用CES-D测量显示抑郁症状有显著改善(P = 0.001)。在组内,运动组从基线到干预结束抑郁症状有显著改善,而对照组随时间无显著变化。
孕期运动与抑郁症状减轻呈正相关。