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自我报告的身体健康状况与孕期抑郁和焦虑的有利关联。GESTAFIT 项目。

The favourable association of self-reported physical fitness with depression and anxiety during pregnancy. The GESTAFIT project.

机构信息

Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Granada, Spain.

Sport and Health University Research Institute (iMUDS), Granada, Spain.

出版信息

Eur J Sport Sci. 2022 Dec;22(12):1932-1940. doi: 10.1080/17461391.2021.1986141. Epub 2021 Oct 31.

DOI:10.1080/17461391.2021.1986141
PMID:34559596
Abstract

We explored the association of self-reported physical fitness with depressive symptoms and anxiety levels during pregnancy. One hundred fifty-five pregnant women (32.9 ± 4.7 years old) participated in the study. Self-reported physical fitness was assessed with the , depressive symptoms and state anxiety levels with the and the , respectively, at the 16 and 34 weeks of gestation. In model 1 (adjusted for age and gestational weight gain), greater overall self-reported physical fitness was associated with fewer depressive symptoms at the 16 weeks (= .004). Greater self-reported cardiorespiratory fitness and muscular strength were associated with lower anxiety levels at the 16 weeks (all, > .05). Greater overall self-reported physical fitness, cardiorespiratory fitness and speed-agility were associated with lower anxiety levels at the 34 weeks (all, > .05). These results were also confirmed in model 2 (additionally adjusted for the exercise intervention, sleep quality, educational level, working status and cohabitating), except for cardiorespiratory fitness and anxiety levels at the 16 weeks (= .09). Greater self-reported physical fitness was associated with lower psychological ill-being during pregnancy. Specifically, at the 16 weeks, greater self-reported overall physical fitness was associated with fewer depressive symptoms, greater self-reported muscular strength with lower anxiety levels; greater self-reported overall physical fitness and speed-agility with lower anxiety levels at the 34 weeks and greater self-reported cardiorespiratory fitness with lower anxiety levels during the pregnancy. Screening of physical fitness may reduce the risk of depression and anxiety and generally improve pregnancy mental health-related quality of life. Maternal depression and anxiety have prevalence rates between 8 and 36%.Physical fitness enhancement during pregnancy results in less depression and anxiety.Greater physical fitness may provide benefits for the mother mental health.Self-reported physical fitness screening during pregnancy may be useful in clinical settings.

摘要

我们探讨了自我报告的身体状况与怀孕期间抑郁症状和焦虑水平的相关性。共有 155 名孕妇(32.9±4.7 岁)参与了这项研究。自我报告的身体状况通过 进行评估,抑郁症状和状态焦虑水平分别通过 和 进行评估,在妊娠第 16 周和第 34 周进行。在模型 1(调整年龄和妊娠体重增加)中,整体自我报告的身体状况越好,第 16 周的抑郁症状越少(= .004)。更大的自我报告的心肺健康和肌肉力量与第 16 周的较低的焦虑水平相关(所有,> .05)。更大的自我报告的整体身体状况、心肺健康和速度敏捷性与第 34 周的较低的焦虑水平相关(所有,> .05)。在模型 2(另外调整运动干预、睡眠质量、教育水平、工作状况和同居状况)中也证实了这些结果,除了第 16 周的心肺健康和焦虑水平(= .09)。更大的自我报告的身体状况与怀孕期间较低的心理不适相关。具体来说,在第 16 周,更大的自我报告的整体身体状况与较少的抑郁症状相关,更大的自我报告的肌肉力量与较低的焦虑水平相关;在第 34 周,更大的自我报告的整体身体状况和速度敏捷性与较低的焦虑水平相关,以及在整个怀孕期间,更大的自我报告的心肺健康与较低的焦虑水平相关。身体状况筛查可能降低抑郁和焦虑的风险,总体上提高妊娠心理健康相关的生活质量。孕妇的抑郁和焦虑患病率在 8%至 36%之间。怀孕期间的身体状况增强可导致较少的抑郁和焦虑。更大的身体状况可能为母亲的心理健康提供益处。怀孕期间的自我报告的身体状况筛查可能在临床环境中有用。

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