O efeito da prática regular de atividade física na redução da depressão pós-parto
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Resumo
Objetivo: Analisar o efeito da prática de atividade física regular na redução da depressão pós-parto (DPP). Métodos: Trata-se de uma revisão integrativa realizada nas bases de dados Portal Regional da Biblioteca Virtual em Saúde (BVS) e National Library of Medicine (PubMed). Foram utilizados os descritores “Depression, Postpartum” e “exercise”, utilizando o operador booleano “AND”. Foram incluídos artigos cujos estudos eram do tipo ensaio clínico, ensaio clínico controlado ou estudo observacional, em inglês, com texto completo e publicados nos últimos 5 anos (2018-2023). Resultados: Dos 19 artigos selecionados, doze constataram uma relação inversa entre prática regular de atividade física e DPP. Foi demonstrado que a prática de exercícios regularmente ao longo da gravidez e após o parto por gestantes e puérperas diminuiu a incidência da DPP e reduziu sua sintomatologia. sete estudos selecionados não observaram essa relação, no entanto houve limitações como a diminuição da adesão às intervenções propostas e a possibilidade das gestantes consideradas ativas não serem suficientemente ativas nos estudos observacionais. Considerações finais: Considera-se que a prática de atividade física regular possui efeito preventivo e terapêutico eficaz na redução da DPP, constituindo uma intervenção efetiva e segura em seu manejo.
##plugins.themes.bootstrap3.article.details##
Copyright © | Todos os direitos reservados.
A revista detém os direitos autorais exclusivos de publicação deste artigo nos termos da lei 9610/98.
Reprodução parcial
É livre o uso de partes do texto, figuras e questionário do artigo, sendo obrigatória a citação dos autores e revista.
Reprodução total
É expressamente proibida, devendo ser autorizada pela revista.
Referências
2. ANA Y, et al. Is physical activity in pregnancy associated with prenatal and postnatal depressive symptoms? Results from MAASTHI cohort study in South India. Journal of Psychosomatic Research, 2021; 144: 110390.
3. BARAN J, et al. Does prenatal physical activity affect the occurrence of postnatal anxiety and depression? Longitudinal Study. Int. J. Environ. Res. Public Health, 2022; 19(4): 2284.
4. BOGUCKA DK e BIALY AIM. Physical activity and the occurrence of postnatal depression—A systematic review. Medicina, 2019; 55(9): 560-576.
5. BROBERG L, et al. Effect of supervised group exercise on psychological well-being among pregnant women with or at high risk of depression (the EWE Study): A randomized controlled trial. Acta Obstet Gynecol Scand, 2021; 100(1):129–138.
6. BROBERG L, et al. Experiences of participation in supervised group exercise among pregnant women with depression or low psychological well-being: A qualitative descriptive study. Midwifery, 2020; 85: 102664.
7. CAMPOLONG K, et al. 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, 2018; 21(2): 215-224.
8. CARTER T, et al. The effectiveness of exercise-based interventions for preventing or treating postpartum depression: a systematic review and meta-analysis. Archives of Women's Mental Health, 2019; 22(1): 37-53.
9. CHOW R, et al. Appraisal of systematic reviews on interventions for postpartum depression: systematic review. BMC Pregnancy and Childbirth, 2021; 21(1): 1-11.
10. COLL CVN, et al. Efficacy of regular exercise during pregnancy on the prevention of postpartum depression: The PAMELA randomized clinical trial. JAMA Network Open, 2019; 2(1): 186861.
11. CORDERO MJA, et al. Moderate physical activity in an aquatic environment during pregnancy (SWEP Study) and its influence in preventing postpartum depression. Journal of the American Psychiatric nurse’s association, 2019; 25(2): 112-121.
12. DAVENPORT MH, et al. Impact of prenatal exercise on both prenatal and postnatal anxiety and depressive symptoms: a systematic review and meta-analysis. Br J Sports Med, 2018; 52(21): 1376–1385.
13. DIPIETRO L, et al. Benefits of Physical Activity during Pregnancy and Postpartum: An Umbrella Review. Medicine and science in sports and exercise, 2019; 51(6): 1292–1302.
14. EKELÖF K, et al. Depressive symptoms postpartum is associated with physical activity level the year prior to giving birth – A retrospective observational study. Sexual & Reproductive Healthcare, 2021; 29: 100645.
15. GARNEAS KK, et al. Effects of supervised exercise training during pregnancy on psychological well-being among overweight and obese women: secondary analyses of the ETIP-trial, a randomised controlled trial. BMJ Open, 2019; 9(11): 028252.
16. HAßDENTEUFEL K, et al. Reduction in physical activity signifcantly increases depression and anxiety in the perinatal period: a longitudinal study based on a self‐report digital assessment tool. Archives of Gynecology and Obstetrics, 2020; 302(1): 53-64.
17. LEWIS AB, et al. Randomized trial examining the efect of exercise and wellness interventions on preventing postpartum depression and perceived stress. BMC Pregnancy and Childbirth, 2021; 21(1): 1-11.
18. MARCONCIN P, et al. Effects of exercise during pregnancy on postpartum depression: A systematic review of meta-Analyses. Biology, 2021; 10(12): 1331-1343.
19. NAKAMURA A, et al. Physical activity during pregnancy and postpartum depression: Systematic review and meta-analysis. Journal of Affective Disorders, 2019; 246: 29–41.
20. NAVAS A, et al. Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial. J. Clin. Med, 2021; 10(11): 2432.
21. ÖZKAN SA, et al. The effectiveness of an exercise intervention in reducing the severity of postpartum depression: A randomized controlled trial. Perspectives in Psychiatric Care, 2020; 56(4): 844-850.
22. POLLAK MJ, et al. Total physical activity but not diet quality associated with postnatal depressive symptoms amongst women living in socioeconomically disadvantaged neighborhoods. Nutrition Research, 2019; 68: 54-61.
23. POYATOS‐LEÓN R, et al. Effects of exercise-based interventions on postpartum depression: A meta-analysis of randomized controlled trials. Birth, 2017; 44(3): 200-208.
24. PRITCHETT R, et al. Women’s experiences of exercise as a treatment for their postnatal depression: A nested qualitative study. Journal of Health Psychology, 2020; 25(5): 684-691.
25. RIESCO-GONZÁLEZ FJ, et al. Body Image Dissatisfaction as a Risk Factor for Postpartum Depression. Medicina, 2022; 58(6): 752-766.
26. SHAKEEL N, et al. Physical activity in pregnancy and postpartum depressive symptoms in a multiethnic cohort. Journal of Affective Disorders, 2018; 236: 93-100.
27. TERRONES MV, et al. Physical exercise programme during pregnancy decreases perinatal depression risk: a randomised controlled trial. Br J Sports Med, 2019; 53(6): 348-353.
28. TEYCHENNE M, et al. Mums on the Move: A pilot randomised controlled trial of a home-based physical activity intervention for mothers at risk of postnatal depression. Midwifery, 2021; 93: 102898.
29. WAERDEN JVD, et al. Domain-specific physical activity and sedentary behavior during pregnancy and postpartum depression risk in the French EDEN and ELFE cohorts. Preventive medicine, 2019; 121: 33-39.
30. WATSON SJ, et al. Exercise frequency and maternal mental health: Parallel process modelling across the perinatal period in an Australian pregnancy cohort. Journal of Psychosomatic Research, 2018; 111: 91–99.
31. YAHYA NFS, et al. Nutrition and physical activity interventions to ameliorate postpartum depression: A scoping review. Asia Pacific journal of clinical nutrition, 2021; 30(4): 662-674.