Shuai Yu, Wu Jinlong, Li Chenmu, Li Dong
Hanjiang Normal University, Shiyan, China.
Chodang University, Muan, Republic of Korea.
BMC Public Health. 2024 Jul 31;24(1):2076. doi: 10.1186/s12889-024-19564-w.
Perinatal depression can have profound impacts on both families and society. Exercise therapy is gradually becoming a widely used adjunct treatment for perinatal depression. Some studies have already focused on the relationship between physical activity and perinatal depression (PND). However, there is currently a lack of systematic and comprehensive evidence to address the crucial question of making optimal choices among different forms of physical activity. This study aims to compare and rank different physical activity intervention strategies and identify the most effective one for perinatal depression.
Four databases, namely PubMed, Cochrane Library, Embase, and Web of Science, were searched for randomized controlled trials assessing the impact of physical activity interventions on perinatal depression. The search covered the period from the inception of the databases until May 2024. Two researchers independently conducted literature screening, data extraction, and quality assessment. Network meta-analysis was performed using Stata 15.1.
A total of 48 studies were included in the analysis. The results indicate that relaxation therapy has the most effective outcome in reducing perinatal depression (SUCRA = 99.4%). Following that is mind-body exercise (SUCRA = 80.6%). Traditional aerobics and aquatic sports were also effective interventions (SUCRA = 70.9% and 67.1%, respectively).
Our study suggests that integrated mental and physical (MAP) training such as relaxation therapy and mind-body exercise show better performance in reducing perinatal depression. Additionally, while exercise has proven to be effective, the challenge lies in finding ways to encourage people to maintain a consistent exercise routine.
This study has been registered on PROSPERO (CRD 42,023,469,537).
围产期抑郁症会对家庭和社会产生深远影响。运动疗法正逐渐成为围产期抑郁症广泛使用的辅助治疗方法。一些研究已经关注身体活动与围产期抑郁症（PND）之间的关系。然而，目前缺乏系统全面的证据来解决在不同形式的身体活动中做出最佳选择这一关键问题。本研究旨在比较和排序不同的身体活动干预策略，并确定对围产期抑郁症最有效的策略。
检索了四个数据库，即PubMed、Cochrane图书馆、Embase和Web of Science，以查找评估身体活动干预对围产期抑郁症影响的随机对照试验。检索涵盖了从数据库创建到2024年5月的时间段。两名研究人员独立进行文献筛选、数据提取和质量评估。使用Stata 15.1进行网络荟萃分析。
共有48项研究纳入分析。结果表明，放松疗法在减轻围产期抑郁症方面效果最为显著（累积排序曲线下面积[SUCRA]=99.4%）。其次是身心运动（SUCRA=80.6%）。传统有氧运动和水上运动也是有效的干预措施（SUCRA分别为70.9%和67.1%）。
我们的研究表明，诸如放松疗法和身心运动等身心综合（MAP）训练在减轻围产期抑郁症方面表现更佳。此外，虽然运动已被证明有效，但挑战在于找到鼓励人们保持持续运动习惯的方法。
本研究已在PROSPERO上注册（注册号CRD 42,023,469,537）。
