RESEARCH PAPER
Physical activity patterns, depressive symptoms and awareness of cardiovascular risk factors in postpartum women
 
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Clinic of Rehabilitation Medicine, Medical University of Gdańsk, Poland
 
 
Ann Agric Environ Med. 2016;23(3):502-505
 
KEYWORDS
ABSTRACT
Introduction and objectives:
Although physical activity has been found to reduce the risk of cardiovascular diseases and depression in the general population, little is known about physical patterns and the link with postnatal depressive symptoms and awareness of cardiovascular risk factors in postpartum women. The aim of this study was to examine physical activity patterns and their link to depressive symptoms in postpartum women. The secondary endpoint was the assessment of health awareness in women six months after delivery.

Material and Methods:
Eighty postpartum women with a mean age of 27±4 years (group A – 40 physically active women, group B – 40 women leading a sedentary lifestyle) completed a self-report questionnaire and The Edinburgh Postnatal Depression Scale (EPDS) questionnaire.

Results:
In group A, the types of physical activity undertaken in the six-month period after delivery were as follows: 20 women – housework (180 min/session), 18 women – gentle walks (180 min/session), 16 women – group fitness classes (60 min/session), 6 – rapid walking (40 min/session), 3 women – swimming (60 min/session), 2 women – jogging (45 min/session), 1 woman – squash, (45 min/session) 1 – dancing (90 min/session), 1 – tennis (60min/session). Group B declared a sedentary lifestyle and physical activity of less than 30 min a day. The level of health awareness was statistically better in women who were physically active six months after delivery than in women who led a sedentary lifestyle. On a scale with a maximum 55 points, the mean scores were 47.4 in group A and 31.2 in group B (p=0.001). Depressive symptoms were more pronounced in group B. Twenty seven women from group A and three women from group B returned to their pre-pregnancy weight (p=0.04).

Conclusions:
Women who were physically active after delivery were characterized by higher health awareness and more frequent return to pre-pregnancy weight. Physical activity may be important for reducing the risk of postnatal depression.

 
REFERENCES (18)
1.
Blum JW, Beaudoin CM, Caton-Lemos L. Physical activity patterns and maternal well-being in postpartum women. Matern Child Health J. 2004 Sep; 8(3): 163–9.
 
2.
South-Paul JE, Rajagopal KR, Tenholder MF. Exercise responses prior to pregnancy and in the postpartum state. Med Sci Sports Exerc. 1992; 24: 410–4.
 
3.
American College of Obstetricians and Gynecologists. Exercise during pregnancy and the pospartum period. Obstet Gynecol. 2002; 99: 171–73.
 
4.
Gibson J, McKenzie-McHarg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatr Scand. 2009; 119: 350–64.
 
5.
Boyd RC, Le HN, Somberg R. Review of screening instruments for postpartum depression. Arch Womens Ment Health. 2005; 8: 141–53.
 
6.
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987; 150: 782–6.
 
7.
Cramp AG, Bray SR. Postnatal women’s feeling state responses to exercise with and without baby. Matern Child Health J. 2010 May; 14(3): 343–9.
 
8.
Cramp AG, Brawley LR. Sustaining self-regulatory efficacy and psychological outcome expectations for postnatal exercise: effects of a group-mediated cognitive behavioural intervention. Br J Health Psychol. 2009 Sept; 14(Pt 3): 595–611.
 
9.
Teychenne M, York R. Physical activity, sedentary behavior, and postnatal depressive symptoms: a review. Am J Prev Med. 2013 Aug; 45(2): 217–27.
 
10.
Alzaman N, Wartak SA, Friderici J, Rothberg MB. Effect of patients’ awareness of CVD risk factors on health-related behaviors. South Med J. 2013 Nov; 106(11): 606–9.
 
11.
Wilkinson SA,van der Pligt P, Gibbons KS, McIntyre HD. Trial for reducing weight retention in new mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme. J Hum Nutr Diet. doi:10.1111.
 
12.
Wolfe H, Gross T. Obesity in pregnancy. Clin Obstet Gynecol. 1994; 37: 596–604.
 
13.
Lucas A, Morley R, Cole TJ, Bamford MF, Boon A, Crowle P, Dossetor JFB, Pearse, R. Maternal fatness and viability of preterm infants. BMJ 1998; 296: 1495–7.
 
14.
Cedergren MI, Källén BA. Maternal obesity and infant heart defects. Obes Res. 2003 Sep; 11(9): 1065–71.
 
15.
Linne, Y, Neovius, M. Identification of women at risk of adverse weight development following pregnancy. Int J Obes. 2006; 30: 1234–9.
 
16.
Rooney, B, Schauberger, C. Excess pregnancy weight gain and long-term obesity, one decade later. Obstet Gynecol. 2002; 100: 245–52.
 
17.
Linne, Y, Dye L, Barkeling B, Rossner S. Weight development over time in parous women – the SPAWN study – 15 years follow up. Int J Obes Relat Metab Disord. 2003; 27: 1516–22.
 
18.
Linne, Y, Dye, L, Barkeling, B, Rossner, S. Long-term weight development in women: a 15-year follow-up of the effects of pregnancy. Obesity. 2004; 12: 1166–78.
 
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ISSN:1232-1966
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