Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial
Background: The global prevalence of postpartum depression is about 20%. This disease has serious consequences for women, their infants, and their families. The aim of this randomized clinical trial was to analyze the effectiveness and safety of a moderate-intensity aerobic water exercise program on...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/11/2432 |
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| author | Araceli Navas María del Carmen Carrascosa Catalina Artigues Silvia Ortas Elena Portells Aina Soler Aina M. Yañez Miquel Bennasar-Veny Alfonso Leiva |
| author_facet | Araceli Navas María del Carmen Carrascosa Catalina Artigues Silvia Ortas Elena Portells Aina Soler Aina M. Yañez Miquel Bennasar-Veny Alfonso Leiva |
| author_sort | Araceli Navas |
| collection | DOAJ |
| description | Background: The global prevalence of postpartum depression is about 20%. This disease has serious consequences for women, their infants, and their families. The aim of this randomized clinical trial was to analyze the effectiveness and safety of a moderate-intensity aerobic water exercise program on postpartum depression, sleep problems, and quality of life in women at one month after delivery. Methods: This was a multi-center, parallel, randomized, evaluator blinded, controlled trial in a primary care setting. Pregnant women (14–20 weeks gestational age) who had low risk of complications and were from five primary care centers in the area covered by the obstetrics unit of Son Llatzer Hospital (Mallorca, Spain) were invited to participate. A total of 320 pregnant women were randomly assigned to two groups, an intervention group (moderate aquatic aerobic exercise) and a control group (usual prenatal care). One month after birth, sleep quality (MOS sleep), quality of life (EQ-5D), and presence of anxiety or depression (EPDS) were recorded. Findings: Women in the intervention group were less likely to report anxiety or depression on the EQ5D (11.5% vs. 22.7%; <i>p</i> < 0.05) and had a lower mean EPDS score (6.1 ± 1.9 vs. 6.8 ± 2.4, <i>p</i> < 0.010). The two groups had no significant differences in other outcomes, maternal adverse events, and indicators of the newborn status. Conclusion: Moderate-intensity aquatic exercise during pregnancy decreased postpartum anxiety and depressive symptoms in mothers and was safe for mothers and their newborns. |
| first_indexed | 2024-03-10T10:53:05Z |
| format | Article |
| id | doaj.art-daeabb44bf254661a0c1a4cd9a2871f5 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T10:53:05Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-daeabb44bf254661a0c1a4cd9a2871f52023-11-21T22:06:53ZengMDPI AGJournal of Clinical Medicine2077-03832021-05-011011243210.3390/jcm10112432Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled TrialAraceli Navas0María del Carmen Carrascosa1Catalina Artigues2Silvia Ortas3Elena Portells4Aina Soler5Aina M. Yañez6Miquel Bennasar-Veny7Alfonso Leiva8Hospital Comarcal de Inca, Balearic Islands Health Services, 07300 Inca, SpainMallorca Primary Health Care, Balearic Islands Health Services, 07002 Palma, SpainMallorca Primary Health Care, Balearic Islands Health Services, 07002 Palma, SpainMallorca Primary Health Care, Balearic Islands Health Services, 07002 Palma, SpainMallorca Primary Health Care, Balearic Islands Health Services, 07002 Palma, SpainPrimary Care Research Unit of Mallorca, Balearic Islands Health Services, 07002 Palma, SpainHealth Research Institute of the Balearic Islands (IdISBa), 07120 Palma, SpainHealth Research Institute of the Balearic Islands (IdISBa), 07120 Palma, SpainPrimary Care Research Unit of Mallorca, Balearic Islands Health Services, 07002 Palma, SpainBackground: The global prevalence of postpartum depression is about 20%. This disease has serious consequences for women, their infants, and their families. The aim of this randomized clinical trial was to analyze the effectiveness and safety of a moderate-intensity aerobic water exercise program on postpartum depression, sleep problems, and quality of life in women at one month after delivery. Methods: This was a multi-center, parallel, randomized, evaluator blinded, controlled trial in a primary care setting. Pregnant women (14–20 weeks gestational age) who had low risk of complications and were from five primary care centers in the area covered by the obstetrics unit of Son Llatzer Hospital (Mallorca, Spain) were invited to participate. A total of 320 pregnant women were randomly assigned to two groups, an intervention group (moderate aquatic aerobic exercise) and a control group (usual prenatal care). One month after birth, sleep quality (MOS sleep), quality of life (EQ-5D), and presence of anxiety or depression (EPDS) were recorded. Findings: Women in the intervention group were less likely to report anxiety or depression on the EQ5D (11.5% vs. 22.7%; <i>p</i> < 0.05) and had a lower mean EPDS score (6.1 ± 1.9 vs. 6.8 ± 2.4, <i>p</i> < 0.010). The two groups had no significant differences in other outcomes, maternal adverse events, and indicators of the newborn status. Conclusion: Moderate-intensity aquatic exercise during pregnancy decreased postpartum anxiety and depressive symptoms in mothers and was safe for mothers and their newborns.https://www.mdpi.com/2077-0383/10/11/2432exercisedeliverypostpartum depressionepidural anesthesiacaesariannatural childbirth |
| spellingShingle | Araceli Navas María del Carmen Carrascosa Catalina Artigues Silvia Ortas Elena Portells Aina Soler Aina M. Yañez Miquel Bennasar-Veny Alfonso Leiva Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial Journal of Clinical Medicine exercise delivery postpartum depression epidural anesthesia caesarian natural childbirth |
| title | Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial |
| title_full | Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial |
| title_fullStr | Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial |
| title_full_unstemmed | Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial |
| title_short | Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial |
| title_sort | effectiveness of moderate intensity aerobic water exercise during pregnancy on quality of life and postpartum depression a multi center randomized controlled trial |
| topic | exercise delivery postpartum depression epidural anesthesia caesarian natural childbirth |
| url | https://www.mdpi.com/2077-0383/10/11/2432 |
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