Department of Health and Human Development, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Human Movement Science, Oakland University, Rochester, Michigan, USA.
J Womens Health (Larchmt). 2024 Aug;33(8):1128-1138. doi: 10.1089/jwh.2023.0419. Epub 2024 Feb 6.
Mental health is critical for a healthy pregnancy, yet few studies have evaluated its associations with best practice, objectively measured moderate- to vigorous-intensity physical activity (MVPA) or sedentary behavior (SED). This study evaluated associations of MVPA and SED with mental health across pregnancy. Two cohort studies (total = 125, mean [standard deviation] 31 [5] years, and 14.4% Black) measured MVPA (waist-worn ActiGraph GT3X) and SED (thigh-mounted activPAL) as well as self-reported depressive symptoms and mood disturbance in each trimester. Associations of group-based trajectories of MVPA and SED with depressive symptoms and mood disturbance were analyzed using regression analyses, both overall and by trimester. Overall, the medium versus low trajectory of MVPA was associated with lower levels of depressive symptoms ( = -1.82, 95% confidence interval [CI] -2.97 to -0.68). In the second trimester, women in either the medium or high MVPA trajectories had lower levels of depressive symptoms compared with women in the low MVPA trajectory ( = -8.73, 95% CI -15.74 to -1.71; and = -2.18, 95% CI -3.80 to -0.56). SED trajectories were not associated with depressive symptoms. Higher trajectories of MVPA and lower trajectories of SED were associated with lower total mood disturbance, with significant associations in the second trimester for MVPA and the first and second trimesters for SED. Higher MVPA trajectories were associated with higher tension, fatigue, and confusion subscales, while higher SED trajectories were associated with higher anger and fatigue and lower esteem and vigor subscales. MVPA and SED levels appear to affect mental health during pregnancy, although larger prospective studies are warranted. Clinical Trail Registration Number: NCT03084302.
心理健康对于健康怀孕至关重要，但很少有研究评估其与最佳实践、客观测量的中等到剧烈强度体力活动（MVPA）或久坐行为（SED）的关联。本研究评估了整个孕期中 MVPA 和 SED 与心理健康的关联。两项队列研究（共 125 名参与者，平均[标准差]31[5]岁，14.4%为黑人）在每个孕期测量了 MVPA（腰部佩戴的 ActiGraph GT3X）和 SED（大腿佩戴的 activPAL）以及自我报告的抑郁症状和情绪障碍。使用回归分析，分别在整个孕期和每个孕期分析了 MVPA 和 SED 的基于群组轨迹与抑郁症状和情绪障碍的关联。总体而言，与低 MVPA 轨迹相比，中 MVPA 轨迹与较低水平的抑郁症状相关（ = -1.82，95%置信区间[CI]为-2.97 至-0.68）。在第二个孕期，与低 MVPA 轨迹相比，处于中或高 MVPA 轨迹的女性抑郁症状水平较低（ = -8.73，95% CI -15.74 至-1.71；和 = -2.18，95% CI -3.80 至-0.56）。SED 轨迹与抑郁症状无关。更高的 MVPA 轨迹和更低的 SED 轨迹与更低的总情绪障碍相关，MVPA 在第二个孕期，SED 在第一个和第二个孕期存在显著关联。较高的 MVPA 轨迹与更高的紧张、疲劳和困惑子量表相关，而较高的 SED 轨迹与更高的愤怒和疲劳以及较低的自尊和活力子量表相关。MVPA 和 SED 水平似乎会影响孕期的心理健康，但需要更大规模的前瞻性研究。临床试验注册号：NCT03084302。
