The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis

Background: No meta-analysis has analyzed the effect of physical activity level, period of physical activity intervention, and duration of intervention, on perinatal depression. This study was to evaluate the impact of physical activity intensity, dose, period, and duration on perinatal depression....

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Main Authors: He, Liping, Soh, Kim Lam, Huang, Feifei, Khaza'ai, Huzwah, Geok, Soh Kim, Vorasiha, Ponpun, Chen, Aixiang, Ma, Jiangping
Format: Article
Published: Elsevier BV 2023
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author He, Liping
Soh, Kim Lam
Huang, Feifei
Khaza'ai, Huzwah
Geok, Soh Kim
Vorasiha, Ponpun
Chen, Aixiang
Ma, Jiangping
author_facet He, Liping
Soh, Kim Lam
Huang, Feifei
Khaza'ai, Huzwah
Geok, Soh Kim
Vorasiha, Ponpun
Chen, Aixiang
Ma, Jiangping
author_sort He, Liping
collection UPM
description Background: No meta-analysis has analyzed the effect of physical activity level, period of physical activity intervention, and duration of intervention, on perinatal depression. This study was to evaluate the impact of physical activity intensity, dose, period, and duration on perinatal depression. Methods: The literature was searched via the PubMed, Embase, Cochrane Library, and Web of Science databases. Weighted mean difference (WMD) or the risk ratio (RR) was used as the effect indicator, and the effect size was represented by the 95 confidence interval (CI). Subgroup analysis based on the perinatal stage, physical activity intensity, physical activity equivalent, and intervention duration was performed. Results: Totally, 35 studies including 5084 women were included. Physical activity could reduce the incidence and severity of depression in perinatal women. Among depressed women with prenatal depression, low-intensity physical activity, with metabolic equivalents (METs)-min/week being <450, was associated with lower levels of depression. In the general population, the risk of postpartum depression was lower in the physical activity group when the duration of intervention was ≥12 weeks, being II, III stage, and ≥450 METs-min/week. Both low and moderate-intensity physical activity were beneficial to an improved depression severity among depressed women with postpartum depression, and moderate exercise intervention could decrease the risk of postpartum depression in general pregnant women. Limitations: Different types of physical activities may affect the effectiveness of interventions. Conclusion: Our study indicated physical activity specifically targeted at pregnant women could reduce depression risk and severity.
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spelling upm.eprints-1100862024-09-05T07:47:05Z http://psasir.upm.edu.my/id/eprint/110086/ The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis He, Liping Soh, Kim Lam Huang, Feifei Khaza'ai, Huzwah Geok, Soh Kim Vorasiha, Ponpun Chen, Aixiang Ma, Jiangping Background: No meta-analysis has analyzed the effect of physical activity level, period of physical activity intervention, and duration of intervention, on perinatal depression. This study was to evaluate the impact of physical activity intensity, dose, period, and duration on perinatal depression. Methods: The literature was searched via the PubMed, Embase, Cochrane Library, and Web of Science databases. Weighted mean difference (WMD) or the risk ratio (RR) was used as the effect indicator, and the effect size was represented by the 95 confidence interval (CI). Subgroup analysis based on the perinatal stage, physical activity intensity, physical activity equivalent, and intervention duration was performed. Results: Totally, 35 studies including 5084 women were included. Physical activity could reduce the incidence and severity of depression in perinatal women. Among depressed women with prenatal depression, low-intensity physical activity, with metabolic equivalents (METs)-min/week being <450, was associated with lower levels of depression. In the general population, the risk of postpartum depression was lower in the physical activity group when the duration of intervention was ≥12 weeks, being II, III stage, and ≥450 METs-min/week. Both low and moderate-intensity physical activity were beneficial to an improved depression severity among depressed women with postpartum depression, and moderate exercise intervention could decrease the risk of postpartum depression in general pregnant women. Limitations: Different types of physical activities may affect the effectiveness of interventions. Conclusion: Our study indicated physical activity specifically targeted at pregnant women could reduce depression risk and severity. Elsevier BV 2023 Article PeerReviewed He, Liping and Soh, Kim Lam and Huang, Feifei and Khaza'ai, Huzwah and Geok, Soh Kim and Vorasiha, Ponpun and Chen, Aixiang and Ma, Jiangping (2023) The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis. Journal Of Affective Disorders, 321. 304 -319. ISSN 0165-0327; ESSN: 1573-2517 https://www.sciencedirect.com/science/article/pii/S0165032722012174?via%3Dihub
spellingShingle He, Liping
Soh, Kim Lam
Huang, Feifei
Khaza'ai, Huzwah
Geok, Soh Kim
Vorasiha, Ponpun
Chen, Aixiang
Ma, Jiangping
The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis
title The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis
title_full The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis
title_fullStr The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis
title_full_unstemmed The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis
title_short The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis
title_sort impact of physical activity intervention on perinatal depression a systematic review and meta analysis
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