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体力活动与产后抑郁发生的关系:系统综述。

Physical Activity and the Occurrence of Postnatal Depression-A Systematic Review.

机构信息

Department of Ergonomics and Exercise Physiology, Faculty of Health Science, Jagiellonian University Medical College, Grzegorzecka 20, 31-531 Krakow, Poland.

出版信息

Medicina (Kaunas). 2019 Sep 2;55(9):560. doi: 10.3390/medicina55090560.

Abstract

During pregnancy and the postnatal period many changes occur in a woman's body, both in mental and physical spheres. The birth of a child and a new role-of a mother-can sometimes be associated with numerous negative emotions, uncertainty, fear, anxiety, disgust, depression, or sadness. In the puerperium period, the development of baby blues or postpartum depression may occur. Postpartum depression develops within one month of childbirth and may last up to one year. Depressive disorders that may develop in a young mother affect both her and the newborn's health. That is why it is so important to try to search for factors that could significantly reduce the likelihood of developing depression in this period. The study aims at assessing the relationship between physical activity during pregnancy and puerperium or in the postpartum and the development of postnatal depression. A review of the literature was carried out in the Medline-PubMed database. The search terms were "pregnancy" AND "physical activity AND postpartum depression". The study included only English-language publications published in the period 2000-2018. A total of 216 references were found. After establishing the inclusion and exclusion criteria based on the analysis of titles and abstracts, 173 articles were excluded from the review. A total of 43 publications were read in full. Finally, 16 articles were included in the review. It was shown that regular physical activity during pregnancy, pregnancy, and puerperium, or in the postnatal period itself as compared to inactivity, reduces the risk of developing depression in pregnant women and after the birth of a child. Physical activity can be an essential factor in the prevention of depressive disorders of women in the postnatal period.

摘要

在怀孕和产后期间,女性的身体在心理和生理两方面都发生了许多变化。孩子的出生和新的母亲角色有时会伴随着许多负面情绪、不确定性、恐惧、焦虑、厌恶、抑郁或悲伤。在产褥期,可能会出现婴儿蓝调或产后抑郁症。产后抑郁症在分娩后一个月内发展,并可能持续长达一年。年轻母亲可能患上的抑郁障碍会影响她和新生儿的健康。这就是为什么尝试寻找可能显著降低这一时期发生抑郁的可能性的因素非常重要的原因。本研究旨在评估怀孕期间和产后的身体活动与产后抑郁症发展之间的关系。在 Medline-PubMed 数据库中进行了文献综述。搜索词为“pregnancy” AND “physical activity AND postpartum depression”。研究仅包括 2000 年至 2018 年期间以英文发表的出版物。共发现 216 篇参考文献。在根据标题和摘要进行分析后建立纳入和排除标准后,从综述中排除了 173 篇文章。总共阅读了 43 篇全文。最后,有 16 篇文章被纳入综述。研究表明,与不活动相比,怀孕期间、怀孕期间和产褥期或产后期间的有规律的身体活动可降低孕妇和分娩后发生抑郁的风险。身体活动可能是预防女性产后抑郁障碍的重要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/152a/6780177/269e861eb3bc/medicina-55-00560-g001.jpg

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