Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis

Background: Prenatal depression is associated with an increased risk of physical, physiological, cardiovascular, and psychological diseases for mothers and future newborns. Prenatal depression and depressive symptoms could have negative effects on the cognitive, emotional, social, and behavioral dev...

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Main Authors: Miguel Sánchez-Polán, Evelia Franco, Cristina Silva-José, Javier Gil-Ares, Javier Pérez-Tejero, Rubén Barakat, Ignacio Refoyo
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.640024/full
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author Miguel Sánchez-Polán
Evelia Franco
Cristina Silva-José
Javier Gil-Ares
Javier Gil-Ares
Javier Pérez-Tejero
Javier Pérez-Tejero
Rubén Barakat
Rubén Barakat
Ignacio Refoyo
author_facet Miguel Sánchez-Polán
Evelia Franco
Cristina Silva-José
Javier Gil-Ares
Javier Gil-Ares
Javier Pérez-Tejero
Javier Pérez-Tejero
Rubén Barakat
Rubén Barakat
Ignacio Refoyo
author_sort Miguel Sánchez-Polán
collection DOAJ
description Background: Prenatal depression is associated with an increased risk of physical, physiological, cardiovascular, and psychological diseases for mothers and future newborns. Prenatal depression and depressive symptoms could have negative effects on the cognitive, emotional, social, and behavioral development of children.Objective: This study aimed to examine the influence of exercise during pregnancy on the prevalence of prenatal depression and depressive symptoms in the scientific literature.Data Sources: A search was carried out examining different online databases up to November 2020.Methods of Study Selection: A systematic review with random effects meta-analysis was performed. Only randomized controlled trials published in English or Spanish with pregnant populations and interventions with exercise programs carried out during pregnancy were included. The scores obtained by the tools that measured the emotional state and depressive symptoms as well as the number and percentage of depressed women of the study groups were analyzed.Tabulation, Integration, and Results: We analyzed 15 studies and found a negative association between moderate exercise during pregnancy and prenatal depression (ES = −0.36, 95% CI = −0.58, −13, I2 = 80.2%, Pheterogeneity = 0.001). In addition, the studies also showed that women who were inactive during pregnancy had a 16% higher probability of suffering prenatal depression [RR = 0.84 (95% IC = 0.74, 0.96) I2 = 61.9%, Pheterogeneity = 0.010].Conclusion: Supervised exercise during pregnancy may be useful for the prevention and reduction of prenatal depression and depressive symptoms.Systematic Review Registration: Registered in PROSPERO (Registration No. CRD42020164819).
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spelling doaj.art-9dfe102543a845dc8c528a64a39c66972022-12-21T20:38:01ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2021-06-011210.3389/fphys.2021.640024640024Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-AnalysisMiguel Sánchez-Polán0Evelia Franco1Cristina Silva-José2Javier Gil-Ares3Javier Gil-Ares4Javier Pérez-Tejero5Javier Pérez-Tejero6Rubén Barakat7Rubén Barakat8Ignacio Refoyo9AFIPE Research Group, Universidad Politécnica de Madrid, Madrid, SpainDepartment of Education, Research Methods and Evaluation, Comillas Pontifical University, Madrid, SpainAFIPE Research Group, Universidad Politécnica de Madrid, Madrid, SpainAFIPE Research Group, Universidad Politécnica de Madrid, Madrid, SpainDepartment of Physical Activity, Sports and Leisure Social Sciences, Universidad Politécnica de Madrid, Madrid, SpainAFIPE Research Group, Universidad Politécnica de Madrid, Madrid, SpainDepartment of Health and Human Performance, Universidad Politécnica de Madrid, Madrid, SpainAFIPE Research Group, Universidad Politécnica de Madrid, Madrid, SpainDepartment of Physical Activity, Sports and Leisure Social Sciences, Universidad Politécnica de Madrid, Madrid, SpainDepartment of Sports, Universidad Politécnica de Madrid, Madrid, SpainBackground: Prenatal depression is associated with an increased risk of physical, physiological, cardiovascular, and psychological diseases for mothers and future newborns. Prenatal depression and depressive symptoms could have negative effects on the cognitive, emotional, social, and behavioral development of children.Objective: This study aimed to examine the influence of exercise during pregnancy on the prevalence of prenatal depression and depressive symptoms in the scientific literature.Data Sources: A search was carried out examining different online databases up to November 2020.Methods of Study Selection: A systematic review with random effects meta-analysis was performed. Only randomized controlled trials published in English or Spanish with pregnant populations and interventions with exercise programs carried out during pregnancy were included. The scores obtained by the tools that measured the emotional state and depressive symptoms as well as the number and percentage of depressed women of the study groups were analyzed.Tabulation, Integration, and Results: We analyzed 15 studies and found a negative association between moderate exercise during pregnancy and prenatal depression (ES = −0.36, 95% CI = −0.58, −13, I2 = 80.2%, Pheterogeneity = 0.001). In addition, the studies also showed that women who were inactive during pregnancy had a 16% higher probability of suffering prenatal depression [RR = 0.84 (95% IC = 0.74, 0.96) I2 = 61.9%, Pheterogeneity = 0.010].Conclusion: Supervised exercise during pregnancy may be useful for the prevention and reduction of prenatal depression and depressive symptoms.Systematic Review Registration: Registered in PROSPERO (Registration No. CRD42020164819).https://www.frontiersin.org/articles/10.3389/fphys.2021.640024/fullexercisepregnancyprenatal depressionmodelfetus
spellingShingle Miguel Sánchez-Polán
Evelia Franco
Cristina Silva-José
Javier Gil-Ares
Javier Gil-Ares
Javier Pérez-Tejero
Javier Pérez-Tejero
Rubén Barakat
Rubén Barakat
Ignacio Refoyo
Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis
Frontiers in Physiology
exercise
pregnancy
prenatal depression
model
fetus
title Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis
title_full Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis
title_fullStr Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis
title_full_unstemmed Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis
title_short Exercise During Pregnancy and Prenatal Depression: A Systematic Review and Meta-Analysis
title_sort exercise during pregnancy and prenatal depression a systematic review and meta analysis
topic exercise
pregnancy
prenatal depression
model
fetus
url https://www.frontiersin.org/articles/10.3389/fphys.2021.640024/full
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