Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: a randomised trial

Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: a randomised trial
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DOI:
10.1016/s1836-9553(12)70067-x
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发表时间:
2012-01-01
影响因子:
12.1
通讯作者:
Ramirez-Velez, Robinson
Ramirez-Velez, Robinson
中科院分区:
医学1区
文献类型:
--
作者:
Fernando Robledo-Colonia, Angelo;Sandoval-Restrepo, Natalia;Ramirez-Velez, Robinson

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问题:怀孕期间有监督的有氧运动是否可以减轻未产妇的抑郁症状?设计:采用隐藏分配、盲法评估者和意向治疗分析的随机试验。参与者:80 名未产妇,在哥伦比亚卡利三级医院之一接受产前护理。干预:实验组在妊娠 16 至 20 周时开始完成为期 3 个月的监督锻炼计划。每节课包括步行(10 分钟)、有氧运动(30 分钟)、伸展运动(10 分钟)和放松(10 分钟)。对照组继续日常活动,不进行任何特定运动。结果指标:主要结果是在基线时和 3 个月干预后立即通过流行病学研究中心抑郁量表 (CES-D) 评估的抑郁症状。结果:74 名女性完成了研究。经过3个月的干预后,实验组在CES-D问卷上的抑郁症状比对照组多减少了4分(95% Cl 1至7)。结论:怀孕期间在监督下进行为期 3 个月的主要有氧运动计划可减少抑郁症状。试用注册:NCT00872365。 [Robledo-Colonia AF、Sandoval-Restrepo N、Mosquera-Valderrama YF、Escobar-Hurtado C、Ramirez-Velez R (2012) 怀孕期间的有氧运动训练可减少未产妇的抑郁症状:一项随机试验。物理治疗杂志 58:9-15]
Question: Does supervised aerobic exercise during pregnancy reduce depressive symptoms in nulliparous women? Design: Randomised trial with concealed allocation, blinded assessors, and intention-to-treat analysis. Participants: 80 nulliparous, pregnant women attending for prenatal care at one of three tertiary hospitals in Cali, Colombia. Intervention: The experimental group completed a 3-month supervised exercise program, commencing at 16 to 20 weeks of gestation. Each session included walking (10 min), aerobic exercise (30 min), stretching (10 min), and relaxation (10 min). The control group continued usual activities and performed no specific exercise. Outcome measures: The primary outcome was symptoms of depression assessed by the Center for Epidemiological Studies Depression Scale (CES-D) at baseline and immediately after the 3-month intervention. Results: 74 women completed the study. After the 3-month intervention, the experimental group reduced their depressive symptoms on the CES-D questionnaire by 4 points (95% Cl 1 to 7) more than the control group. Conclusions: A supervised 3-month program of primarily aerobic exercise during pregnancy reduces depressive symptoms. Trial registration: NCT00872365. [Robledo-Colonia AF, Sandoval-Restrepo N, Mosquera-Valderrama YF, Escobar-Hurtado C, Ramirez-Velez R (2012) Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: a randomised trial. Journal of Physiotherapy 58: 9-15]