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

Amanda Daley, Muhammad Riaz, Sarah Lewis, Paul Aveyard, Tim Coleman, Isaac Manyonda, Robert West, Beth A Lewis, Bess Marcus, Adrian Taylor, Judith Ibison, Andrew Kent, Michael Ussher

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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.

Original languageEnglish (US)
Article number156
JournalBMC Pregnancy and Childbirth
Volume18
Issue number1
DOIs
StatePublished - May 10 2018

Bibliographical note

Funding Information:
This study was funded by the NIHR Health Technology Assessment programme (grant 07.01.14). The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication.

Publisher Copyright:
© 2018 The Author(s).

Keywords

  • Antenatal
  • Depression
  • Physical activity
  • Postnatal
  • Pregnancy

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