Nursing School of Jilin University, Changchun, Jilin Province, China.
Department of Developmental Pediatrics, the Second Hospital of Jilin University, Changchun, Jilin Province, China.
Eur J Obstet Gynecol Reprod Biol. 2020 Oct;253:285-295. doi: 10.1016/j.ejogrb.2020.08.013. Epub 2020 Aug 27.
Fatigue is a common adverse experience in pregnant and postpartum women and is associated with poor outcomes and can seriously affect maternal and infant health and quality of life. However, data from existing studies are inconsistent, and no studies have examined the effects of exercise on pregnancy and postpartum fatigue. The aim of this review is to evaluate the effects of exercise on pregnancy and postpartum fatigue.
PubMed, EMBASE, Web of Science and the Cochrane Library database were used to retrieve literature. Eligible studies were clinical trials that reported the effects of exercise on pregnancy and postpartum fatigue in women. The methodological quality of the included studies was assessed using the Cochrane Collaboration Risk of Bias Assessment Tool. A fixed-effect model was used to analyse the pooled results. Subgroup analyses were used to explore sources of heterogeneity. Sensitivity analysis was used to validate the robustness of the pooled results.
Seven studies were included. The results of meta-analysis of five studies showed that exercise during pregnancy and the postpartum period may have beneficial effects on women's fatigue ([SMD = 0.29, 95 % CI (0.10, 0.47), P = 0.003]). Subgroup analyses reported that compared with the control, long exercise programmes, postpartum exercise and supervised exercise significantly improved fatigue levels.
Postpartum exercise in a supervised programme lasting more than eight weeks may be beneficial for reducing postpartum fatigue. More available data from large-scale and high-quality trials are needed to demonstrate the effects of exercise on pregnant and postpartum fatigue.
疲劳是孕妇和产后女性常见的不良体验，与不良结局有关，会严重影响母婴健康和生活质量。然而，现有研究的数据不一致，尚无研究探讨运动对妊娠和产后疲劳的影响。本综述旨在评估运动对妊娠和产后疲劳的影响。
检索PubMed、EMBASE、Web of Science 和 Cochrane Library 数据库，纳入报告运动对妊娠和产后女性疲劳影响的临床试验。使用 Cochrane 协作风险偏倚评估工具评估纳入研究的方法学质量。采用固定效应模型分析汇总结果。进行亚组分析以探讨异质性来源。敏感性分析用于验证汇总结果的稳健性。
纳入了 7 项研究。5 项研究的荟萃分析结果表明，孕期和产后运动可能对女性疲劳有益[SMD=0.29，95%CI（0.10，0.47），P=0.003]。亚组分析报告称，与对照组相比，长期运动方案、产后运动和监督运动显著改善了疲劳水平。
在持续超过 8 周的监督方案中进行产后运动可能有益于减轻产后疲劳。需要更多来自大规模、高质量试验的数据来证明运动对妊娠和产后疲劳的影响。
