Associations Between Physical Activity and Postpartum Depressive Symptoms
Associations Between Physical Activity and Postpartum Depressive Symptoms
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DOI：
10.1089/jwh.2010.2091
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发表时间：
2011-07-01
影响因子：
3.5
通讯作者：
Gaynes, Bradley N.
中科院分区：
文献类型：
--
作者：
Demissie, Zewditu;Siega-Riz, Anna Maria;Gaynes, Bradley N.
背景：产后妇女患抑郁症的风险增加，这可能会导致母亲及其家人的健康状况不佳。先前的研究表明，在闲暇时进行身体活动的母亲比不活动的母亲经历的产后抑郁症状水平较低。本次调查的目的是检查总体和特定领域的中度至剧烈体力活动 (MVPA) 与产后抑郁症状之间的关联。方法：数据来自参与怀孕、感染和营养 (PIN) 产后研究的 550 名妇女，该研究是一个前瞻性队列，由 2002 年 10 月至 2005 年 12 月在北卡罗来纳州生下活产婴儿的母亲组成。研究将产后 3 个月 MVPA 作为 12 个月产后抑郁症状的预测因子。结果：参加 MVPA 的女性在产后 12 个月出现抑郁症状加重的几率是未参加 MVPA 的女性的两倍（比值比 [OR] 2.00，95% 置信区间 [CI] 0.71-6.75）。在检查特定领域的 MVPA 时，提出了不同的关联。产后 3 个月参加成人和儿童护理以及室内家庭 MVPA 的女性在产后 12 个月出现抑郁症状加重的几率是其两倍多（分别为 OR 2.66，95% CI 1.03、8.11 和 OR 2.72，95% CI 0.96-10.18）。工作 MVPA 使几率加倍（OR 1.95，95% CI 0.46-7.13），但娱乐和户外家庭 MVPA 与抑郁症状没有关联。结论：产后女性中 MVPA 与抑郁症状之间的关联因领域而异。未来对产后抑郁症状的研究应该探索不同领域身体活动差异的原因。
Background: Postpartum women are at increased risk for developing depression, which can contribute to the ill health of the mother and her family. Previous research indicates that mothers who are physically active during leisure experience lower levels of postpartum depressive symptoms than do inactive mothers. The objective of this investigation was to examine the associations between total and domain-specific moderate to vigorous physical activity (MVPA) and depressive symptoms postpartum.Methods: Data were obtained from 550 women who participated in the Pregnancy, Infection, and Nutrition (PIN) Postpartum Study, a prospective cohort of mothers who delivered liveborn infants from October 2002 to December 2005 in North Carolina. Three-month postpartum MVPA was investigated as a predictor of 12-month postpartum depressive symptoms.Results: Those who participated in MVPA had two times the odds of developing elevated depressive symptoms at 12 months postpartum than those with no MVPA (odds ratio [OR] 2.00, 95% confidence interval [CI] 0.71-6.75). Different associations were suggested when examining domain-specific MVPA. Those participating in adult and child care and indoor household MVPA at 3 months postpartum had more than double the odds of developing elevated depressive symptoms at 12 months postpartum (OR 2.66, 95% CI 1.03, 8.11 and OR 2.72, 95% CI 0.96-10.18, respectively). Work MVPA conferred a doubling of the odds (OR 1.95, 95% CI 0.46-7.13), but recreational and outdoor household MVPA showed no associations with depressive symptoms.Conclusions: Associations between MVPA and depressive symptoms differed by domain among postpartum women. Future studies of postpartum depressive symptoms should explore reasons for differences in physical activity by domain.