The effect of an exercise program during pregnancy on the Edinburgh depression score in pregnant women

Authors

Abstract

Background and Objective: Approximately 13-18.4% of pregnant women experience depression during pregnancy. There is currently not much information about the relationship between exercise during pregnancy and depressive symptoms in healthy pregnant women The present study assessed the effects of a prenatal exercise program on Edinburgh depression questionnaire score.
 
Materials and Methods: A total of 100 healthy pregnant women (age ≥ 18 years; gestational age 21-24 weeks) were divided into two groups in the experimental group (n=50) and in the control group (n=50). The experimental group was offered a 12-week exercise program (standard recommendations and included both aerobic and strength training) between 20 and 36 weeks of pregnancy, under supervision, every two weeks. They were encouraged to do exercise program at home three days a week. The control group received routine antenatal care. The primary outcome was symptoms of depression assessed by the Edinburgh Depression Inventory at the first interview and immediately after the 12-week intervention.
 
Results: The comparison of mean and standard deviation of the Edinburgh Depression Inventory in the two groups before intervention showed that there was no statistically significant difference between the two groups (p<0.10). After the 12-week intervention, as compared to the control group, the exercise group showed significantly reduced depressive symptoms on the Edinburgh Depression Inventory (p<0.01). Comparison of subtraction of mean and standard deviation of Edinburgh depression scores before and after intervention indicates a statistically significant difference between the two groups (p<0.001).
 
Conclusion: Exercise during pregnancy reduces depressive symptoms. It is recommended to promote exercise and physical activity in pregnancy as a useful measure for the physical and mental health of pregnant women.
 

Keywords

References

1. Cooney GM, Dwan K, Greig CA, Lawlor DA, Rimer J, Waugh FR, McMurdo M, Mead GE. Exercise for depression. Cochrane Database Systematic Reviews 2013; 12 (9). 2. Haakstad, L.A. and K. Bø. Effect of regular exercise on prevention of excessive weight gain in pregnancy: a randomised controlled trial. The European Journal of Contraception & Reproductive Health Care 2011; 16(2): 116-125. 3. Mottola, M.F. Exercise prescription for overweight and obese women: pregnancy and postpartum. Obstetrics and Gynecology Clinics of North America 2009; 36(2): 301-316. 4. Hui A, Back L, Ludwig S, Gardiner P, Sevenhuysen G, Dean H, et al. Effects of lifestyle intervention on dietary intake, physical activity level, and gestational weight gain in pregnant women with different pre-pregnancy Body Mass Index in a randomized control trial. BMC Pregnancy and Childbirth 2014 ;14(1): 331. 5. Marcus SM. Depression during pregnancy: rates, risks and consequences—Mother risk Update 2008. The Canadian Journal of Clinical Pharmacology 2009; 16(1): e15-22. 6. Committee on Obstetric Practice. The American College of Obstetricians and Gynecologists Committee Opinion no. 630. Screening for perinatal depression. Obstetrics & Gynecology 2015;125(5):1268-71. 7. Ahmadi kani Golzar A, GoliZadeh Z. Validation of Edinburgh Postpartum Depression Scale (EPDS) for screening postpartum depression in Iran. Iranian Journal of Psychiatric Nursing 2015; 3 (3) :1-10. 8. El-Rafie, M.M., G.M. Khafagy, and M.G. Gamal. Effect of aerobic exercise during pregnancy on antenatal depression. International Journal of Women's Health 2016; 8: 53. 9. Robledo-Colonia AF, Sandoval-Restrepo N, Mosquera-Valderrama YF, Escobar-Hurtado C, Ramírez-Vélez R. Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: a randomized trial. Journal of Physiotherapy 2012; 58(1):9-15. 10. Campolong K, Jenkins S, Clark MM, Borowski K, Nelson N, Moore KM, Bobo WV. The association of exercise during pregnancy with trimester-specific and postpartum quality of life and depressive symptoms in a cohort of healthy pregnant women. Archives of Women's Mental Health 2017; 1-10. 11. Tendais I, Figueiredo B, Mota J, Conde A. Physical activity, health-related quality of life and depression during pregnancy. Cadernos de Saúde Pública 2011; 27(2): 219-228. 12. Heh SS, Huang LH, Ho SM, Fu YY, Wang LL. Effectiveness of an exercise support program in reducing the severity of postnatal depression in Taiwanese women. Birth 2008; 35(1):.60-65. 13. Daley A, Winter H, Grimmett C, McGuinness M, McManus R, MacArthur C. Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial. British Journal of General Practice 2008; 58(548): 178-183. 14. Claesson IM, Klein S, Sydsjö G, Josefsson A. Physical activity and psychological well-being in obese pregnant and postpartum women attending a weight-gain restriction programme. Midwifery 2014; 30(1): 11-16. 15. Armstrong, K. and H. Edwards. The effects of exercise and social support on mothers reporting depressive symptoms: a pilot randomized controlled trial. International Journal of Mental Health Nursing 2003; 12(2): 130-138. 16. Songøygard KM, Stafne SN, Evensen KA, Salvesen KÅ, Vik T, Mørkved S. Does exercise during pregnancy prevent postnatal depression? Acta Obstetricia et Gynecologica Scandinavica 2012; 91(1): 62-67. 17. Nestler EJ, Barrot M, DiLeone RJ, Eisch AJ, Gold SJ, Monteggia LM. Neurobiology of Depression. Neuron 2002; 34(1):13–25. 18. Ploughman M. Exercise is brain food: the effects of physical activity on cognitive function. Developmental Neurorehabilitiation 2008; 11(3): 236–240.
Daneshvar Medicine
Volume 26, Issue 3 - Serial Number 136
September and October 2018
Pages 1-6

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