School of Psychology and Exercise Science, Murdoch University, Australia; School of Medicine, University of Notre Dame, Australia.
School of Psychology and Exercise Science, Murdoch University, Australia.
J Psychosom Res. 2018 Aug;111:91-99. doi: 10.1016/j.jpsychores.2018.05.013. Epub 2018 May 24.
Since the potential mental health benefits of exercise during pregnancy remain unclear, this study examined longitudinally the bidirectional relationship between exercise and maternal mental health symptoms during the perinatal period, and included adjustment for both depression and antidepressant treatment.
Data were collected across pregnancy (first and third trimesters) and the postpartum (six and 12 months) for 258 women drawn from an Australian pregnancy cohort, the Mercy Pregnancy and Emotional Wellbeing Study (MPEWS). The women were assessed for depression using the EPDS, anxiety using the STAI and a clinical diagnostic interview (SCID-IV), and self-reported use of antidepressants. Exercise was measured using self-reported weekly frequency of 30-min bouts of moderate to vigorous exercise, and data were analyzed using parallel process growth curve modelling.
On average, women's weekly exercise frequency declined during pregnancy, returning to first trimester levels by 12 months postpartum. Women with depression and taking antidepressants reported lower first trimester exercise compared to control women. However, where non-medicated depressed women remained lower and continued to decline to 12 months, women taking antidepressants reported increasing levels of exercise during the perinatal period. Notably, a steeper decline in exercise frequency during the perinatal period was associated with a faster rate of increase in depressive and anxiety symptoms.
This study is the first to examine the longitudinal interaction between exercise and mental health symptoms across the perinatal period. These preliminary findings demonstrate potential benefits for depressive and anxious symptoms when maintaining levels of early-pregnancy exercise throughout pregnancy and the postpartum.
由于运动对孕妇心理健康的潜在益处仍不清楚，本研究纵向探讨了围产期运动与产妇心理健康症状之间的双向关系，并同时调整了抑郁和抗抑郁治疗的因素。
这项研究的数据是从澳大利亚妊娠队列 Mercy 妊娠和情绪健康研究（MPEWS）中抽取的 258 名女性在妊娠期间（第一和第三孕期）和产后（6 个月和 12 个月）收集的。使用 EPDS 评估女性的抑郁情况，使用 STAI 和临床诊断访谈（SCID-IV）评估焦虑情况，使用自我报告评估抗抑郁药物的使用情况。运动使用自我报告的每周 30 分钟适度到剧烈运动的频率来衡量，使用平行过程增长曲线模型进行数据分析。
平均而言，女性的每周运动频率在妊娠期间下降，到产后 12 个月时恢复到第一孕期的水平。患有抑郁症和服用抗抑郁药的女性与对照组女性相比，在第一孕期的运动频率较低。然而，未服用药物的抑郁女性的运动频率持续下降，到 12 个月时仍较低，而服用抗抑郁药的女性在围产期的运动水平则有所增加。值得注意的是，围产期运动频率的急剧下降与抑郁和焦虑症状的增加速度更快相关。
这项研究首次在围产期期间检查了运动和心理健康症状之间的纵向相互作用。这些初步发现表明，在整个孕期和产后保持孕早期运动水平对抑郁和焦虑症状可能有益。
