Yu Haoran, Mu Qinglei, Lv Xunjin, Chen Shuainan, He Hao
Institute of Sports Training, Chengdu Sport University, Chengdu, Sichuan, China.
Institute of Physical Education, Chengdu University, Chengdu, Sichuan, China.
Front Psychol. 2024 Nov 18;15:1473710. doi: 10.3389/fpsyg.2024.1473710. eCollection 2024.
Existing meta-analyses suggest that exercise intervention may play a crucial therapeutic role in improving maternal depression, anxiety and fatigue symptoms. However, the efficacy varies across different exercise content, duration, frequency, cycle, intensity, format and intervention period.
Using meta-analysis to propose the best intervention program and examine the effect of exercise intervention on maternal depression, anxiety, and fatigue.
Five databases (PubMed, Web of Science, Embase, Cochrane Library, CNKI) were searched from inception to June 2024, a total of 37 literatures were included. The methodological quality of the included literatures was assessed using the Cochrane Risk of Bias tool and the PEDro scale. When heterogeneity was high, we used random-effects models. Funnel plots were used to assess publication bias. Sensitivity analysis was used to verify the robustness of the combined results. Subgroup analysis was used to explore sources of heterogeneity.
Exercise has beneficial effects on the improvement of maternal depression [ = -0.71, 95%CI (-0.93, -0.49), = 0.00], anxiety [ = -1.09, 95%CI (-1.42, -0.76), = 0.00] and fatigue [ = -0.64, 95%CI (-0.88, -0.40), = 0.00] symptoms. Postnatal interventions may be more effective than prenatal. Low-moderate intensity yoga with group + individual, 4-5 times/week, 40-60 min/time, duration 4-8 weeks is most effective in improving depressive symptoms. Low-intensity yoga with group + individual, 4-5 times/week, 40-60 min/time, duration 4-8 weeks is most effective for improving anxiety symptoms. Low-intensity Pilates with group, 1-2 times/week, 40-60 min/time, duration 4-8 weeks is most effective for improving fatigue symptoms.
This meta-analysis demonstrates the positive effect of exercise on improving maternal depression, anxiety and fatigue and suggests the best intervention program. Maternal perceptions that postpartum exercise is safer may account for the better outcomes of postpartum intervention. Further higher quality and large-scale trials are needed to substantiate our findings.
https://www.crd.york.ac.uk/PROSPERO/, CRD42024567987.
现有荟萃分析表明，运动干预可能在改善产妇抑郁、焦虑和疲劳症状方面发挥关键的治疗作用。然而，不同的运动内容、持续时间、频率、周期、强度、形式和干预期，其疗效各不相同。
采用荟萃分析提出最佳干预方案，并研究运动干预对产妇抑郁、焦虑和疲劳的影响。
检索了五个数据库（PubMed、Web of Science、Embase、Cochrane图书馆、中国知网）自建库至2024年6月的数据，共纳入37篇文献。采用Cochrane偏倚风险工具和PEDro量表评估纳入文献的方法学质量。当异质性较高时，我们使用随机效应模型。采用漏斗图评估发表偏倚。采用敏感性分析验证合并结果的稳健性。采用亚组分析探索异质性来源。
运动对改善产妇抑郁[效应量= -0.71，95%置信区间（-0.93，-0.49），P = 0.00]、焦虑[效应量= -1.09，95%置信区间（-1.42，-0.76），P = 0.00]和疲劳[效应量= -0.64，95%置信区间（-0.88，-0.40），P = 0.00]症状具有有益作用。产后干预可能比产前干预更有效。低-中等强度的团体+个人瑜伽，每周4-5次，每次40-60分钟，持续4-8周，对改善抑郁症状最有效。低强度的团体+个人瑜伽，每周4-5次，每次40-60分钟，持续4-8周，对改善焦虑症状最有效。低强度的团体普拉提，每周1-2次，每次40-60分钟，持续4-8周，对改善疲劳症状最有效。
本荟萃分析证明了运动对改善产妇抑郁、焦虑和疲劳的积极作用，并提出了最佳干预方案。产妇认为产后运动更安全，这可能是产后干预效果更好的原因。需要进一步开展更高质量和大规模的试验来证实我们的研究结果。
