Pregnancy
Conditions
Keywords
Pregnancy, outcomes, depression, mood, physical exercise
Brief summary
Due to physical and physiological changes that occur in pregnant women, depression is very common during this period. Recent research findings indicate that antenatal maternal mood state impacts on babies health. Nowadays, many researchers are focussed on examining the effects of physical exercise on foetal and maternal outcomes. The main aim of this study was to assess the effectiveness of a supervised exercise program consisted of 25-30 minutes of cardiovascular exercise,10 minutes of specific exercises (strength and balance exercises), and 10 minutes of pelvis floor muscles training, on the prevention and treatment of depression in pregnant women. Additionally, the other purpose of the study was to analyze the effects of depression and physical exercise on outcomes. Hypothesis: Pregnant women who do regular exercise during their pregnancies would have a better mood state than pregnant women who are sedentary, without having any negative effect on outcomes.
Detailed description
BACKROUND: Recent studies have estimated the prevalence of depression during pregnancy at between 10% and 30%. This state can produce negative effects on the fetus as: * Affect cerebral development * Increase the risk of preterm birth and low birth weight * Increase the risk of childhood overweight problems * Adverse impact on the cognitive, emotional, social, and behavioural development of infants Due to the possible side effect of antidepressants on mother and fetus, its necessary to examine alternative solutions to this state.
Interventions
BEHAVIORALExercise group
Supervised physical conditioning program of three 55-60 minute sessions per week during whole pregnancy (from week 9 to 38). Each session consists of 25-30 minutes of cardiovascular exercise,10 minutes of specific exercises (strength and balance exercises), and 10 minutes of pelvic floor muscles training. Aerobic activity was prescribed at light to moderate intensity, aiming for 55-60 of maximal heart rate. All subjects wore a heart rate (HR) monitor (Polar FT7) during the training sessions to ensure that exercise intensity was light to moderate.
Sponsors
Technical University of Madrid
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Being healthy and able to exercise following American College of Obstetricians and Gynecologists (ACOG) guidelines * Being able to communicate in spanish * Giving birth at Hospital Universitario de Fuenlabrada
Exclusion criteria
* Multiparity * Obstetrician complications * Being interested in the study after 18 weeks * Not being regular in physical exercise program * Younger than 18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from level of depression at the end of the pregnancy | Up to 36 weeks | The Center for Epidemiological Studies-Depression scale (CES-D) was administered to all pregnant women at the beginning and at the end of their pregnancies |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maternal outcome | Time spending in each stages of labor | Time of stages of labor (min) |
| Fetal outcome | 1-5 minutes after labor | Apgar score |
Other
| Measure | Time frame | Description |
|---|---|---|
| Maternal outcome | Between 12 and 38 weeks | Constipation (yes/not) |
Countries
Spain
Contacts
Primary ContactMaria Perales, PhD student
Backup ContactRuben Barakat, PhD
Outcome results
None listed