Does aerobic exercise reduce postpartum depressive symptoms? a systematic review and meta-analysis

Pritchett, Ruth V; Daley, Amanda; Jolly, Kate

doi:10.3399/bjgp17x692525

Cited by 64 publications

(57 citation statements)

References 31 publications

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“…Complementary and alternative medicine treatments (for example, folate, s-adenosylmethionine, massage and acupuncture) are not well-supported by evidence. 198 However, using aerobic exercise for postpartum depression was recently examined in a systematic review and has good supporting evidence for mild symptomatology 199 . ECT can be considered in severe or treatment-refractory cases of depression.…”

Section: [H2] Mood Disorders and Anxietymentioning

confidence: 99%

Postpartum psychiatric disorders

Meltzer‐Brody

Howard

Bergink

et al. 2018

Nat Rev Dis Primers

239

173

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Pregnancy is a complex and vulnerable period that presents a number of challenges to women, including the development of postpartum psychiatric disorders (PPDs). These disorders can include postpartum depression and anxiety, which are relatively common, and the rare but more severe postpartum psychosis. In addition, other PPDs can include obsessive-compulsive disorder, post-traumatic stress disorder and eating disorders. The aetiology of PPDs is a complex interaction of psychological, social and biological factors, in addition to genetic and environmental factors. The goals of treating postpartum mental illness are reducing maternal symptoms and supporting maternal-child and family functioning. Women and their families should receive psychoeducation about the illness, including evidence-based discussions about the risks and benefits of each treatment option. Developing effective strategies in global settings that allow the delivery of targeted therapies to women with different clinical phenotypes and severities of PPDs is essential.

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Section: [H2] Mood Disorders and Anxietymentioning

confidence: 99%

Postpartum psychiatric disorders

Meltzer‐Brody

Howard

Bergink

et al. 2018

Nat Rev Dis Primers

239

173

View full text Add to dashboard Cite

show abstract

“…On the other hand, meta-analyses and systematic reviews support the notion that “exercise as medicine” ( Pedersen and Saltin, 2015 ; Gerber et al, 2016 ; Hallgren et al, 2016 ) also benefits patients with mental disorders such as major depressive disorders ( Knapen et al, 2015 ; Stubbs et al, 2016 ; Bailey et al, 2017 ; Krogh et al, 2017 ; Schuch et al, 2017 ; Sukhato et al, 2017 ; Vancampfort et al, 2017a ; Wu et al, 2017 ), including among elderly patients ( Mikkelsen et al, 2017 ; Perez-Lopez et al, 2017 ), post-partum depression ( McCurdy et al, 2017 ; Poyatos-Leon et al, 2017 ; Pritchett et al, 2017 ; Saligheh et al, 2017 ), bipolar disorders ( Vancampfort et al, 2017a ), post-traumatic stress disorders ( Rosenbaum et al, 2015 ; Vancampfort et al, 2016 ), anxiety disorders ( Gordon et al, 2017 ; Stubbs et al, 2017 ; Vancampfort et al, 2017b , c , d ), and psychosis/schizophrenia ( Pajonk et al, 2010 ; Keller-Varady et al, 2017 ; Mittal et al, 2017 ; Tarpada and Morris, 2017 ; Vancampfort et al, 2017a ), while among patients with substance use disorders the evidence supporting regular exercise is weaker [alcohol use disorder: ( Vancampfort et al, 2015a ; Hallgren et al, 2017 ); tobacco use disorder: ( Ussher et al, 2014 )].…”

Section: Introductionmentioning

confidence: 98%

Acute Bouts of Exercising Improved Mood, Rumination and Social Interaction in Inpatients With Mental Disorders

et al. 2018

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Background: Studies at the macro level (such as longer-term interventions) showed that physical activity impacts positively on cognitive-emotional processes of patients with mental disorders. However, research focusing on the immediate impact of acute bouts of exercise (micro level) are missing. The aim of the present study was therefore to investigate whether and to what extent single bouts of moderately intense exercise can influence dimensions of psychological functioning in inpatients with mental disorders.Method: 129 inpatients (mean age: 38.16 years; 50.4% females) took part and completed a questionnaire both immediately before and immediately after exercising. Thirty inpatients completed the questionnaires a second time in the same week. The questionnaire covered socio-demographic and illness-related information. Further, the questionnaire asked about current psychological states such as mood, rumination, social interactions, and attention, tiredness, and physical strengths as a proxy of physiological states.Results: Psychological states improved from pre- to post-session. Improvements were observed for mood, social interactions, attention, and physical strengths. Likewise, rumination and tiredness decreased. Mood, rumination, and tiredness further improved, when patients completed the questionnaires the second time in the same week.Conclusion: At micro level, single bouts of exercise impacted positively on cognitive-emotional processes such as mood, rumination, attention and social interactions, and physiological states of tiredness and physical strengths among inpatients with mental disorders. In addition, further improvements were observed, if patients participated in physical activities a second time.

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“…[12][13][14] Exercising also brings other benefits such as improved overall fitness, opportunities to socialise, and the potential for reduction in feelings of depression, all of which may help to moderate the symptom profile in PMS. 2,15,16 A previous systematic review of this topic found low-level evidence to support the recommendation of exercise for symptom management in PMS. 17 It is this review that provides the supporting basis for the RCOG recommendation in its PMS guidelines.…”

Section: Introductionmentioning

confidence: 99%

Exercise for premenstrual syndrome: a systematic review and meta-analysis of randomised controlled trials

et al. 2020

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BackgroundExercise is recommended as a treatment for premenstrual syndrome (PMS) in clinical guidelines, but this is currently based on poor-quality trial evidence.AimTo systematically review the evidence for the effectiveness of exercise as a treatment for PMS.Design & settingThis systematic review searched eight major databases, including MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL), and two trial registries from inception until April 2019.MethodRandomised controlled trials (RCTs) comparing exercise interventions of a minimum of 8-weeks duration with non-exercise comparator groups in women with PMS were included. Mean change scores for any continuous PMS outcome measure were extracted from eligible trials and standardised mean differences (SMDs) were calculated where possible. Random-effects meta-analysis of the effect of exercise on global PMS symptoms was the primary outcome. Secondary analyses examined the effects of exercise on predetermined clusters of psychological, physical, and behavioural symptoms.ResultsA total of 436 non-duplicate returns were screened, with 15 RCTs eligible for inclusion (n = 717). Seven trials contributed data to the primary outcome meta-analysis (n = 265); participants randomised to an exercise intervention reported reduced global PMS symptom scores (SMD = -1.08; 95% confidence interval [CI] = -1.88 to -0.29) versus comparator, but with substantial heterogeneity (I2 = 87%). Secondary results for psychological (SMD = -1.67; 95% CI = -2.38 to -0.96), physical (SMD = -1.62; 95% CI = -2.41 to -0.83) and behavioural (SMD = -1.94; 95% CI = -2.45 to -1.44) symptom groupings displayed similar findings. Most trials (87%) were considered at high risk of bias.ConclusionBased on current evidence, exercise may be an effective treatment for PMS, but some uncertainty remains.

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Does aerobic exercise reduce postpartum depressive symptoms? a systematic review and meta-analysis

Cited by 64 publications

References 31 publications

Postpartum psychiatric disorders

Postpartum psychiatric disorders

Acute Bouts of Exercising Improved Mood, Rumination and Social Interaction in Inpatients With Mental Disorders

Exercise for premenstrual syndrome: a systematic review and meta-analysis of randomised controlled trials

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