Department of Physical Medicine and Rehabilitation, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 600, Taiwan.
Department of Obstetrics and Gynecology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 600, Taiwan.
Int J Environ Res Public Health. 2022 Apr 28;19(9):5368. doi: 10.3390/ijerph19095368.
Women commonly suffer from depression during pregnancy. For reducing depression, yoga seems to be more suitable for pregnant women than other physical activities because of its low exercise intensity. The objective of this study was to assess the efficacy of prenatal yoga on the treatment of depression during pregnancy. Three electronic databases were searched for relevant articles from their inception to May 2021, including PubMed, Cochrane Library, and ScienceDirect. Pre- and post-test outcomes were adopted to estimate standardized mean difference with a 95% confidence interval for assessing the efficacy of yoga. Heterogeneity among articles was detected using I2 value. A total of 13 articles that contained 379 subjects were included for meta-analysis. No significant improvement in depression scores after practicing yoga was observed for women without depression (p = 0.09) but significant improvement was observed for women with depression (p = 0.001). Although significant improvement in anxiety scores after yoga was observed for women without depression (p = 0.02), the results of the sensitivity analysis were not consistent, while significant improvement in anxiety scores after yoga was also observed for women with depression (p < 0.00001). The current evidence has suggested that yoga had significant improvement in depression and anxiety scores in pregnant women with depression. However, the level of evidence of this study was not high. More articles with high levels of evidence should be conducted to confirm our conclusion in the future.
女性在怀孕期间通常会患有抑郁症。为了降低抑郁症的发病率，瑜伽似乎比其他体育活动更适合孕妇，因为它的运动强度较低。本研究的目的是评估产前瑜伽对治疗孕妇抑郁症的疗效。从数据库建立到 2021 年 5 月，我们在三个电子数据库（PubMed、Cochrane Library 和 ScienceDirect）中搜索了相关文章。采用治疗前后的结果来评估瑜伽的疗效，使用 95%置信区间的标准化均数差进行评估。使用 I2 值检测文章之间的异质性。共有 13 篇包含 379 名受试者的文章纳入荟萃分析。对于没有抑郁的女性，练习瑜伽后抑郁评分没有显著改善（p = 0.09），但对于有抑郁的女性，抑郁评分有显著改善（p = 0.001）。虽然对于没有抑郁的女性，瑜伽后焦虑评分有显著改善（p = 0.02），但敏感性分析的结果并不一致，而对于有抑郁的女性，瑜伽后焦虑评分也有显著改善（p < 0.00001）。目前的证据表明，瑜伽对患有抑郁症的孕妇的抑郁和焦虑评分有显著的改善作用。然而，本研究的证据水平不高。未来应开展更多具有较高证据水平的文章来证实我们的结论。
