Cargando…
Physical exercise interventions for perinatal depression symptoms in women: A systematic review and meta-analysis
BACKGROUND: The previous meta-analysis indicated that physical exercise could play a crucially therapeutic role in reducing perinatal depression symptoms in women. However, the efficacy varies across different exercise types, forms, intensities, and duration. AIM: The purpose of this study was to re...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792692/ https://www.ncbi.nlm.nih.gov/pubmed/36582320 http://dx.doi.org/10.3389/fpsyg.2022.1022402 |
_version_ | 1784859690843242496 |
---|---|
author | Liu, Xueyan Wang, Guangpeng Cao, Yingjuan |
author_facet | Liu, Xueyan Wang, Guangpeng Cao, Yingjuan |
author_sort | Liu, Xueyan |
collection | PubMed |
description | BACKGROUND: The previous meta-analysis indicated that physical exercise could play a crucially therapeutic role in reducing perinatal depression symptoms in women. However, the efficacy varies across different exercise types, forms, intensities, and duration. AIM: The purpose of this study was to review and evaluate the effects of different types, forms, intensities, and duration of exercise for improving perinatal depressive symptoms. DESIGN: A systematic review and meta-analysis. METHODS: Randomized controlled trials until December 2021 were searched from seven databases, including PubMed, EMBASE, Medline, CINAHL, Web of Science, Cochrane Library, and PsycINFO. The risk of bias in eligible trials was evaluated using the Cochrane Risk of Bias tool. When high heterogeneity was tested, we used random-effects models. A funnel plot was used to assess the publication bias. This review was performed under the PRISMA guidelines, Consensus on Exercise Reporting (CERT) checklist and Cochrane Handbook. The certainty of the body of evidence was assessed using the GRADE method. RESULTS: Of 1,573 records, 20 trials were identified in this study. The results of this review revealed that women with perinatal depression symptoms gained benefits from physical exercise [OR = 0.62, 95% CI (0.45, 0.86), P = 0.004; MD = −0.57, 95% CI (−0.83, −0.30), P < 0.0001]. Type of walking [SMD = −1.06, 95% CI (−1.92, −0.19), P < 0.00001], form of “Individual + group-based”exercise [SMD = −0.91, 95% CI (−0.80, −0.03), P = 0.04], intensity of ≥150 min per week [SMD = −0.84, 95% CI (−1.53, −0.15), P = 0.02], and ≥12 weeks duration [SMD = −0.53, 95% CI (−0.75, −0.31), P < 0.00001] seemed to generate more prominent improvement on perinatal depression symptoms. CONCLUSION: Physical exercise showed a significant effect on reducing perinatal depressive symptoms. This meta-analysis provides an important update on exercise’s efficacy in treating perinatal depression. Further higher quality and large-scale trials are needed to substantiate our findings. SYSTEMATIC REVIEW REGISTRATION: [https://www.crd.york.ac.uk/prospero/], identifier [CRD42022296230]. |
format | Online Article Text |
id | pubmed-9792692 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97926922022-12-28 Physical exercise interventions for perinatal depression symptoms in women: A systematic review and meta-analysis Liu, Xueyan Wang, Guangpeng Cao, Yingjuan Front Psychol Psychology BACKGROUND: The previous meta-analysis indicated that physical exercise could play a crucially therapeutic role in reducing perinatal depression symptoms in women. However, the efficacy varies across different exercise types, forms, intensities, and duration. AIM: The purpose of this study was to review and evaluate the effects of different types, forms, intensities, and duration of exercise for improving perinatal depressive symptoms. DESIGN: A systematic review and meta-analysis. METHODS: Randomized controlled trials until December 2021 were searched from seven databases, including PubMed, EMBASE, Medline, CINAHL, Web of Science, Cochrane Library, and PsycINFO. The risk of bias in eligible trials was evaluated using the Cochrane Risk of Bias tool. When high heterogeneity was tested, we used random-effects models. A funnel plot was used to assess the publication bias. This review was performed under the PRISMA guidelines, Consensus on Exercise Reporting (CERT) checklist and Cochrane Handbook. The certainty of the body of evidence was assessed using the GRADE method. RESULTS: Of 1,573 records, 20 trials were identified in this study. The results of this review revealed that women with perinatal depression symptoms gained benefits from physical exercise [OR = 0.62, 95% CI (0.45, 0.86), P = 0.004; MD = −0.57, 95% CI (−0.83, −0.30), P < 0.0001]. Type of walking [SMD = −1.06, 95% CI (−1.92, −0.19), P < 0.00001], form of “Individual + group-based”exercise [SMD = −0.91, 95% CI (−0.80, −0.03), P = 0.04], intensity of ≥150 min per week [SMD = −0.84, 95% CI (−1.53, −0.15), P = 0.02], and ≥12 weeks duration [SMD = −0.53, 95% CI (−0.75, −0.31), P < 0.00001] seemed to generate more prominent improvement on perinatal depression symptoms. CONCLUSION: Physical exercise showed a significant effect on reducing perinatal depressive symptoms. This meta-analysis provides an important update on exercise’s efficacy in treating perinatal depression. Further higher quality and large-scale trials are needed to substantiate our findings. SYSTEMATIC REVIEW REGISTRATION: [https://www.crd.york.ac.uk/prospero/], identifier [CRD42022296230]. Frontiers Media S.A. 2022-12-13 /pmc/articles/PMC9792692/ /pubmed/36582320 http://dx.doi.org/10.3389/fpsyg.2022.1022402 Text en Copyright © 2022 Liu, Wang and Cao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology Liu, Xueyan Wang, Guangpeng Cao, Yingjuan Physical exercise interventions for perinatal depression symptoms in women: A systematic review and meta-analysis |
title | Physical exercise interventions for perinatal depression symptoms in women: A systematic review and meta-analysis |
title_full | Physical exercise interventions for perinatal depression symptoms in women: A systematic review and meta-analysis |
title_fullStr | Physical exercise interventions for perinatal depression symptoms in women: A systematic review and meta-analysis |
title_full_unstemmed | Physical exercise interventions for perinatal depression symptoms in women: A systematic review and meta-analysis |
title_short | Physical exercise interventions for perinatal depression symptoms in women: A systematic review and meta-analysis |
title_sort | physical exercise interventions for perinatal depression symptoms in women: a systematic review and meta-analysis |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9792692/ https://www.ncbi.nlm.nih.gov/pubmed/36582320 http://dx.doi.org/10.3389/fpsyg.2022.1022402 |
work_keys_str_mv | AT liuxueyan physicalexerciseinterventionsforperinataldepressionsymptomsinwomenasystematicreviewandmetaanalysis AT wangguangpeng physicalexerciseinterventionsforperinataldepressionsymptomsinwomenasystematicreviewandmetaanalysis AT caoyingjuan physicalexerciseinterventionsforperinataldepressionsymptomsinwomenasystematicreviewandmetaanalysis |