运动对产前抑郁的影响：一项系统评价与荟萃分析。
The effects of exercise on antenatal depression: a systematic review and meta-analysis.
作者信息
Zhang Zheng, Liu Yun Jia, Sun Lin, Zhao Xiao-Dong
机构信息
College of Sports Science, Kyonggi University, Suwon, Republic of Korea.
Wuhan Institute of Martial Arts, Wuhan Sports University, Wuhan, China.
出版信息
Front Psychiatry. 2024 Sep 23;15:1290418. doi: 10.3389/fpsyt.2024.1290418. eCollection 2024.
OBJECTIVE
The aim of this study was to conduct a systematic evaluation of exercise interventions' effectiveness on antenatal depressive symptoms in pregnant women and to investigate the impact of different intervention factors on the relationship between exercise and antenatal depressive symptoms.
METHODS
We conducted comprehensive searches in several databases, including PubMed, Embase, Web of Science, Cochrane Library, and others. The search period covered from database inception to May 2023. After thorough screening, a total of 7 papers with 524 subjects were included in the analysis.
RESULTS
The meta-analysis revealed that the overall effect size of exercise intervention on antenatal depressive symptoms in pregnant women was SMD = -0.41, with a 95% confidence interval of [-0.78, -0.05], and P = 0.03, indicating a significant improvement in depressive symptoms due to exercise intervention during the antenatal period. However, some degree of heterogeneity was observed among the studies, with I² = 74%, P = 0.0007.
CONCLUSION
The results indicate that exercise interventions significantly contribute to the improvement of antenatal depressive symptoms in pregnant women, as inferred from the combined findings of the studies. Notably, static exercise intervention showed better results than dynamic exercise intervention. Moreover, interventions conducted before 20 weeks' gestation had superior outcomes compared to those conducted after 20 weeks' gestation, and interventions lasting longer than the trimester duration exhibited more favorable effects than shorter interventions. However, to validate these findings and optimise exercise intervention protocols for better antenatal maternal depressive symptom management, larger sample sizes and more comprehensive studies are required, given the observed heterogeneity and potential limitations in the present study.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/ PROSPERO, identifier (CRD42023422315).
目的
本研究旨在对运动干预对孕妇产前抑郁症状的有效性进行系统评价，并探讨不同干预因素对运动与产前抑郁症状关系的影响。
方法
我们在多个数据库中进行了全面检索，包括PubMed、Embase、Web of Science、Cochrane图书馆等。检索期从数据库建立至2023年5月。经过全面筛选，共纳入7篇论文，涉及524名受试者进行分析。
结果
荟萃分析显示，运动干预对孕妇产前抑郁症状的总体效应量为标准化均数差（SMD）=-0.41，95%置信区间为[-0.78, -0.05]，P = 0.03，表明产前运动干预可显著改善抑郁症状。然而，研究间存在一定程度的异质性，I² = 74%，P = 0.0007。
结论
研究结果表明，综合各项研究结果推断，运动干预对改善孕妇产前抑郁症状有显著作用。值得注意的是，静态运动干预效果优于动态运动干预。此外，妊娠20周前进行的干预比20周后进行的干预效果更好，持续时间超过孕期的干预比持续时间较短的干预效果更有利。然而，鉴于本研究中观察到的异质性和潜在局限性，需要更大样本量和更全面的研究来验证这些发现，并优化运动干预方案以更好地管理产前孕妇的抑郁症状。
系统评价注册
https://www.crd.york.ac.uk/prospero/ PROSPERO，标识符（CRD42023422315）
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