背景:围产期抑郁症的发病率正在增加,并已成为需要解决的全球性公共卫生问题。
目的:探讨不同运动方式对围产期抑郁症的防治作用。
方法:通过搜索已发表的“围产期抑郁症的运动干预”相关随机对照试验的数据库进行了荟萃分析,2022年7月20日
结果:共纳入48项随机对照试验,共有5282名孕妇。(1)运动预防产前抑郁的有效应激干预效果较低,排名从高到低,如瑜伽,有氧+抗性。(2)运动疗法对产前抑郁有显著的干预效果,其次是体操,盆底肌肉训练,有氧运动,有氧+抗性,还有瑜伽.(3)运动预防产后抑郁症的有效干预效果较低,其次是瑜伽,有氧运动,有氧+抗性,和体操。(4)运动对产后抑郁症具有中等等效应激干预作用,接着是有氧运动,水上锻炼,瑜伽,生育之舞,和婴儿车走路。
结论:由于关于单一运动方式的纳入文献数量较少,产妇是一个特殊人群,文本中包含的大多数审判程序都没有盲化,有一定的偏倚风险,影响Meta分析结果的准确性。
结论:运动对围产期抑郁症的防治作用优于预防作用,产前预防和治疗的效果优于产后,具有适度的效果。
BACKGROUND: The incidence of perinatal depression is increasing and has become a global public health problem to be addressed.
OBJECTIVE: To explore the prevention and treatment effects of different exercise methods on perinatal depression.
METHODS: A meta-analysis was conducted by searching databases for published \"exercise interventions for perinatal depression \"related randomized controlled trials, up to July 20, 2022.
RESULTS: 48 randomized controlled trials were included, with a total of 5282 pregnant women. (1) Exercise prevention of prenatal depression has a low effective stress intervention effect, ranking from high to low as yoga, aerobic+resistance. (2) Exercise therapy for prenatal depression has a significant intervention effect, followed by gymnastics, pelvic floor muscle training, aerobic exercise, aerobic+resistance, and yoga. (3) Exercise prevention of postpartum depression has a low effective intervention effect, followed by yoga, aerobic exercise, aerobic+resistance, and gymnastics. (4) Exercise has a moderate equivalent stress intervention effect on treating postpartum depression, followed by aerobic exercise, water exercise, yoga, fertility dance, and stroller walking.
CONCLUSIONS: Due to the small number of included literature on single exercise modalities, and maternity is a special population, most of the trial procedures included in the text were not blinded, which has a certain risk of bias and affects the accuracy of the Meta-analysis results.
CONCLUSIONS: The therapeutic effect of exercise in the prevention and treatment of perinatal depression is superior to the preventive effect, and the effect of prenatal prevention and treatment is better than that of postpartum, with a moderate effect.