Physical activity for antenatal and postnatal depression in women attempting to quit smoking: randomised controlled trial

Daley, Amanda and Riaz, Muhammad and Lewis, Sarah and Aveyard, Paul and Coleman, Tim and Manyonda, Isaac and West, Robert and Lewis, Beth and Marcus, Bess and Taylor, Adrian and Ibison, Judith and Kent, Andrew and Ussher, Michael (2018) Physical activity for antenatal and postnatal depression in women attempting to quit smoking: randomised controlled trial. BMC Pregnancy and Childbirth, 18 . p. 156. ISSN 1471-2393

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Abstract

Background: Antenatal depression is associated with harmful consequences for both the mother and child. One intervention that might be effective is participation in regular physical activity although data on this question in pregnant smokers is currently lacking.

Methods: Women were randomised to six-weekly sessions of smoking cessation behavioural-support, or to the same support plus 14 sessions combining treadmill exercise and physical activity consultations.

Results: Among 784 participants (mean gestation 16-weeks), EPDS was significantly higher in the physical activity group versus usual care at end-of-pregnancy (mean group difference (95% confidence intervals (CIs)): 0.95 (0.08 to 1.83). There was no significant difference at six-months postpartum.

Conclusion: A pragmatic intervention to increase physical activity in pregnant smokers did not prevent depression at end-of-pregnancy or at six-months postpartum. More effective physical activity interventions are needed in this population.

Trial registration: Current Controlled Trials ISRCTN48600346. The trial was prospectively registered on 21/07/2008.

Item Type: Article
RIS ID: https://nottingham-repository.worktribe.com/output/931505
Keywords: Pregnancy; Physical activity; Antenatal; Postnatal; Depression
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health
Identification Number: https://doi.org/10.1186/s12884-018-1784-3
Depositing User: McCambridge, Mrs April
Date Deposited: 16 May 2018 09:53
Last Modified: 04 May 2020 19:35
URI: http://eprints.nottingham.ac.uk/id/eprint/51812

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