Prenatal Anxiety and Exercise. Systematic Review and Meta-Analysis

Sánchez-Polán, Miguel; Silva, Cristina; Álvarez, Evelia Franco; Nagpal, Taniya S.; Gil, Javier; Lili, Qin; Barakat, Rubén; Refoyo, Ignacio

doi:10.3390/jcm10235501

Cited by 8 publications

(2 citation statements)

References 35 publications

(39 reference statements)

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“…The evidence found in the literature suggests that the combined risk of poor mental health and low levels of physical activity make women vulnerable to complications in pregnancy [ 51 ]. In contrast, supervised physical activity during pregnancy may be a good approach to preventing and reducing symptoms of anxiety and prenatal anxiety [ 52 ]. Regular physical exercise during pregnancy may be a factor in the prevention of mental health disorders in pregnant women [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Does Prenatal Physical Activity Affect the Occurrence of Postnatal Anxiety and Depression? Longitudinal Study

Baran

Kalandyk-Osinko

Baran³

2022

IJERPH

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The aim of the foregoing study was to assess whether physical activity during pregnancy affects the occurrence of anxiety and depression during pregnancy, postpartum and 6 months following childbirth. This study tried to answer the following questions: How was the incidence of depression and anxiety different in the pre- and postpartum periods? What intensity level of physical activity protects against the symptoms of anxiety and depression? Does the time spent engaged in sedentary activities and MVPA affect the occurrence of depression and anxiety before and after childbirth? The study group under analysis consisted of 187 women aged 19–41 years. The research was conducted between April 2016 and November 2020. The study was divided into four stages: T0—qualification to participate in the study; T1—medical history acquisition, consisting of a short questionnaire and two long questionnaires (the Edinburgh Postnatal Depression Scale (EPDS) and General Anxiety Disorder-7 (GAD-7)), as well as an assessment of 7-day physical activity using Actigraph accelerometers during the pregnancy; T2—the completion of the EPDS and GAD-7 questionnaires after the birth; T3—the completion of the EPDS and GAD-7 questionnaire 6 months after giving birth. The obtained results were statistically processed in the Statistica 13.3 software package. A significance level of p < 0.05 was assumed. The highest percentage of depression occurred immediately after the delivery, followed by 6 months after delivery, and the smallest number of women suffered from depression before the birth (p < 0.001). The analysis of correlations of physical activity with anxiety symptoms did not show significant correlations. However, the situation is different in the case of depression symptoms. Women taking fewer steps before delivery showed a greater tendency to develop depressive symptoms before, immediately after and 6 months after the delivery (p < 0.001). Women who were less active (took fewer steps per day, spent less time in moderate-to-vigorous physical (MVPA) activities or spent more time being sedentary) showed symptoms of depression on the EPDS scale. It appeared that those with severe anxiety symptoms had the highest sedentary time scores before the delivery (p = 0.020). Reduced physical activity promotes the onset of postnatal depression, while being active reduces this risk. Interestingly, even light physical activity “protects” against the occurrence of depression and is better than sedentary activities. Such clear conclusions cannot be drawn in relation to anxiety symptoms. Sedentary behaviour may promote anxiety symptoms immediately after childbirth, but this study should be continued in order to confirm it during other time periods.

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Section: Discussionmentioning

confidence: 99%

Does Prenatal Physical Activity Affect the Occurrence of Postnatal Anxiety and Depression? Longitudinal Study

Baran

Kalandyk-Osinko

Baran³

2022

IJERPH

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“…A meta-analysis including ten studies investigated the relationship between exercise and anxiety during pregnancy. The findings of this analysis showed that moderate exercise is effective in reducing anxiety scores [25]. Yoga is a type of mind-body practice [26].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Yoga on Maternal Anxiety in Women with Excessive Gestational Weight Gain: A Randomized Controlled Trial

Jalal Jumaah,

Faal Siahkal,

Behboodi Moghadam

et al. 2023

Complement Med Res

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Background Excessive Gestational Weight Gain (EGWG) and anxiety are co-morbid conditions that increase the risk of adverse maternal and neonatal outcomes. This study was conducted to investigate the effect of yoga on the anxiety of women with excessive pregnancy weight gain. Material and methods This randomized controlled trial was performed on EGWG pregnant women referring to comprehensive health centers in Qom city, Iran, between October 2021 and August 2022. Eighty-eight participants were assigned to the intervention (N= 44) and control group (N=44). The experimental group participated in six sessions of ninety-minute yoga classes, and the control group only received routine care. Two questionnaires including a demographic information questionnaire, and the State-Trait Anxiety Inventory (STAI) questionnaire were used for data collection. Data were analyzed using SPSS software version 22. Results The results of this study showed a statistically significant difference between the two groups in terms of trait anxiety (25.84±3.45 vs. 57.38±8.07; p<0.05) and state anxiety (27.93±3.72 vs. 60.13±8.13; p<0.05) after the intervention. On the other hand, the trait and state anxiety rate were stable in the experimental group before and after intervention, while they increased to the severe form of anxiety in the control group (effect size = -21.84±10.66 vs. - 19.43± 8.44). Conclusion The result of this study showed that yoga has a positive effect on the anxiety of pregnant women with EGWG, and can be used as a preventive or complementary solution to control the anxiety of these mothers.

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Effects of Sedentary Behavior on the Complications Experienced by Pregnant Women: A Systematic Review

Osumi,

Kanejima,

Ishihara

et al. 2023

Reprod. Sci.

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Prenatal Anxiety and Exercise. Systematic Review and Meta-Analysis

Cited by 8 publications

References 35 publications

Does Prenatal Physical Activity Affect the Occurrence of Postnatal Anxiety and Depression? Longitudinal Study

Does Prenatal Physical Activity Affect the Occurrence of Postnatal Anxiety and Depression? Longitudinal Study

The Effect of Yoga on Maternal Anxiety in Women with Excessive Gestational Weight Gain: A Randomized Controlled Trial

Effects of Sedentary Behavior on the Complications Experienced by Pregnant Women: A Systematic Review

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