妊娠瑜伽干预措施的特点和效果：系统评价和荟萃分析。
The characteristics and effectiveness of pregnancy yoga interventions: a systematic review and meta-analysis.
机构信息
School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.
School of Public Health, University College Dublin, Dublin, Ireland.
出版信息
BMC Pregnancy Childbirth. 2022 Mar 25;22(1):250. doi: 10.1186/s12884-022-04474-9.
BACKGROUND
Yoga is a popular mind-body medicine frequently recommended to pregnant women. Gaps remain in our understanding of the core components of effective pregnancy yoga programmes. This systematic review and meta-analysis examined the characteristics and effectiveness of pregnancy yoga interventions, incorporating the FITT (frequency, intensity, time/duration and type) principle of exercise prescription.
METHODS
Nine electronic databases were searched: MEDLINE, PsycINFO, EMBASE, CINAHL, WHOLiS, AMED, ScieLo, ASSIA and Web of Science. Randomised control trials and quasi-experimental studies examining pregnancy yoga interventions were eligible. Covidence was used to screen titles, abstracts, and full-text articles. Outcomes of interest were stress, anxiety, depression, quality of life, labour duration, pain management in labour and mode of birth. The Cochrane Collaboration's Risk of Bias Assessment tool was used to assess methodological quality of studies and GRADE criteria (GRADEpro) evaluated quality of the evidence. Meta-analysis was performed using RevMan 5.3.
RESULTS
Of 862 citations retrieved, 31 studies met inclusion criteria. Twenty-nine studies with 2217 pregnant women were included for meta-analysis. Pregnancy yoga interventions reduced anxiety (SMD: -0.91; 95% CI: - 1.49 to - 0.33; p = 0.002), depression (SMD: -0.47; 95% CI: - 0.9 to - 0.04, P = 0.03) and perceived stress (SMD: -1.03; 95% CI: - 1.55 to - 0.52; p < 0.001). Yoga interventions also reduced duration of labour (MD = - 117.75; 95% CI - 153.80 to - 81.71, p < 0.001) and, increased odds of normal vaginal birth (OR 2.58; 95% CI 1.46-4.56, p < 0.001) and tolerance for pain. The quality of evidence (GRADE criteria) was low to very low for all outcomes. Twelve or more yoga sessions delivered weekly/bi-weekly had a statistically significant impact on mode of birth, while 12 or more yoga sessions of long duration (> 60 min) had a statistically significant impact on perceived stress.
CONCLUSION
The evidence highlights positive effects of pregnancy yoga on anxiety, depression, perceived stress, mode of birth and duration of labour.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO, CRD42019119916. Registered on 11th January 2019.
背景
瑜伽是一种广受欢迎的身心医学方法，常被推荐给孕妇。然而，我们对于有效孕期瑜伽方案的核心要素仍缺乏了解。本系统评价和荟萃分析结合运动处方的 FITT（频率、强度、时间/持续时间和类型）原则，考察了孕期瑜伽干预的特征和效果。
方法
检索了 9 个电子数据库：MEDLINE、PsycINFO、EMBASE、CINAHL、WHOLiS、AMED、ScieLo、ASSIA 和 Web of Science。纳入了评估孕期瑜伽干预的随机对照试验和准实验研究。使用 Covidence 筛选标题、摘要和全文文章。感兴趣的结果是压力、焦虑、抑郁、生活质量、分娩持续时间、分娩时的疼痛管理和分娩方式。使用 Cochrane 协作风险偏倚评估工具评估研究的方法学质量，使用 GRADE 标准（GRADEpro）评估证据质量。使用 RevMan 5.3 进行荟萃分析。
结果
从 862 条引文检索中，有 31 项研究符合纳入标准。29 项研究纳入了 2217 名孕妇进行荟萃分析。孕期瑜伽干预降低了焦虑（SMD：-0.91；95% CI：-1.49 至-0.33；p=0.002）、抑郁（SMD：-0.47；95% CI：-0.9 至-0.04，p=0.03）和感知压力（SMD：-1.03；95% CI：-1.55 至-0.52；p<0.001）。瑜伽干预还缩短了分娩持续时间（MD=-117.75；95% CI-153.80 至-81.71，p<0.001），增加了正常阴道分娩的几率（OR 2.58；95% CI 1.46-4.56，p<0.001）和疼痛耐受能力。所有结局的证据质量（GRADE 标准）均为低至极低。每周/每两周进行 12 次或以上的瑜伽课程对分娩方式有统计学意义的影响，而每次时长超过 60 分钟的瑜伽课程进行 12 次或以上对感知压力有统计学意义的影响。
结论
证据表明孕期瑜伽对焦虑、抑郁、感知压力、分娩方式和分娩持续时间有积极影响。
系统评价注册
PROSPERO，CRD42019119916。于 2019 年 1 月 11 日注册。
Zotero 插件