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December 20 2024
The British Journal of Sports Medicine recently published a systematic review that analyzed the effects of postpartum exercise on maternal postpartum ...
The British Journal of Sports Medicine recently published a systematic review that analyzed the effects of postpartum exercise on maternal postpartum depression and anxiety. This meta-analysis included 35 studies, together enrolling over 4,000 women, with data regarding the effect of various types of exercise on symptoms of depression and anxiety, as well as the odds of developing postpartum depression.
Using only randomized controlled trial (RCT) data, 19 RCTs suggest that exercise alone as an intervention reduced postpartum depressive symptoms, an effect size considered to be moderate, while 2 RCTs indicate that symptoms of anxiety were reduced, but only with a small effect size. Analysis of 4 RCTs evaluating the odds of postpartum depression found a 45% lower risk associated with exercise. To achieve at least a moderate reduction in the symptoms of depression, it was estimated that 350 MET-min/week of exercise were needed.
A Metabolic Equivalent Task, or MET, is an estimate of the resting metabolic rate, and is rated for various exercises. For example, a brisk walk (4 miles per hour) is rated as having a MET value of 5.0. The duration of the exercise (in minutes) multiplied by its MET value provides an estimate of how much exercise is recommended, in this case, 70 minutes per week would be needed for 350 MET-min per week (70 * 5.0). While this review evaluated the postnatal period, a previous systematic review published in the same journal found that prenatal exercise reduced the odds of depression and depressive symptoms during the prenatal (but not postnatal) period, suggesting that exercise would ideally be maintained throughout both time periods. Prenatally, 644 MET-min/week was found to be needed for a moderate reduction in the severity of symptoms.
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