Exercise routine change is associated with prenatal depression scores during the COVID-19 pandemic among pregnant women across the United States.
Exercise routine change is associated with prenatal depression scores during the COVID-19 pandemic among pregnant women across the United States.
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DOI：
10.1371/journal.pone.0243188
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Thayer ZM
中科院分区：
文献类型：
--
作者：
Gildner TE;Laugier EJ;Thayer ZM
COVID-19疫情对全球身心健康造成负面影响。与一般公众相比，孕妇患抑郁症的风险已经增加，预计这一模式将因大流行而加剧。某些生活方式因素，包括适度运动，可能有助于支持怀孕期间的心理健康，但目前尚不清楚大流行病如何影响不同地区的这些关联。在这里，我们测试是否：（i）报告的大流行期间运动常规改变与抑郁评分相关;（ii）报告大流行相关运动改变的可能性在居住在大都市地区和非大都市地区的妇女之间存在差异。这项横断面研究使用了COVID-19和生殖影响（CARE）研究的数据，这是一项针对美国孕妇的在线调查。参与者于2020年4月至6月招募（n = 1，856）。线性回归分析评估了报告的COVID-19相关运动变化是否与爱丁堡产后抑郁调查测量的抑郁评分相关。逻辑回归分析测试了参与者的城乡连续体代码分类“地铁”是否与“非地铁”分类相比报告运动变化的几率更高有关。在大流行期间报告锻炼变化的妇女与报告没有变化的妇女相比，抑郁得分明显更高。此外，与生活在非都市地区的女性相比，生活在各种规模的都市地区的个人更有可能报告运动变化。这些结果表明，在大流行期间保持日常锻炼的能力可能有助于支持产妇的心理健康。因此，医疗服务提供者明确询问患者大流行如何影响他们的日常锻炼，并将改变的日常锻炼视为抑郁症的潜在风险因素，可能是谨慎的。还应努力推荐适合个人空间限制和身体健康的锻炼。
The COVID-19 pandemic has negatively affected physical and mental health worldwide. Pregnant women already exhibit an elevated risk for depression compared to the general public, a pattern expected to be exacerbated by the pandemic. Certain lifestyle factors, including moderate exercise, may help support mental health during pregnancy, but it is unclear how the pandemic may impact these associations across different locations. Here, we test whether: (i) reported exercise routine alterations during the pandemic are associated with depression scores; and, (ii) the likelihood of reporting pandemic-related exercise changes varies between women living in metro areas and those in non-metro areas. This cross-sectional study used data from the COVID-19 And Reproductive Effects (CARE) study, an online survey of pregnant women in the United States. Participants were recruited April-June 2020 (n = 1,856). Linear regression analyses assessed whether reported COVID-19-related exercise change was associated with depression score as measured by the Edinburgh Postnatal Depression Survey. Logistic regression analyses tested whether a participant’s Rural-Urban Continuum Code classification of “metro” was linked with higher odds of reporting exercise changes compared to a “non-metro” classification. Women who reported exercise changes during the pandemic exhibited significantly higher depression scores compared to those reporting no changes. Moreover, individuals living in metro areas of all sizes were significantly more likely to report exercise changes compared to women living in non-metro areas. These results suggest that the ability to maintain an exercise routine during the pandemic may help support maternal mental health. It may therefore be prudent for providers to explicitly ask patients how the pandemic has impacted their exercise routines and consider altered exercise routines a potential risk factor for depression. An effort should also be made to recommend exercises that are tailored to individual space restrictions and physical health.
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DOI：
10.3389/fgwh.2020.00001
发表时间：
2020
期刊：
Frontiers in global women's health
影响因子：
--
作者：
Davenport MH;Meyer S;Meah VL;Strynadka MC;Khurana R
通讯作者：
Khurana R
影响因子：
12.1
作者：
Fernando Robledo-Colonia, Angelo;Sandoval-Restrepo, Natalia;Ramirez-Velez, Robinson
通讯作者：
Ramirez-Velez, Robinson
影响因子：
2.4
作者：
Mappa, Ilenia;Distefano, Flavia Adalgisa;Rizzo, Giuseppe
通讯作者：
Rizzo, Giuseppe
影响因子：
5.1
作者：
Mudd, Lanay M.;Nechuta, Sarah;Paneth, Nigel
通讯作者：
Paneth, Nigel
影响因子：
3.4
作者：
Brun, Chantale R.;Shoemaker, J. Kevin;Mottola, Michelle F.
通讯作者：
Mottola, Michelle F.