Favorable Lifestyle Behaviors as Reverse Risk Factors and Treatment for Postpartum Depression

Authors

  • Abigail Brunson University of South Carolina, Department of Exercise Science, Arnold School of Public Health
  • Marnie K. McLean University of Michigan, Department of Applied Exercise Science, School of Kinesiology
  • Jasmin Parker-Brown University of South Carolina, Department of Exercise Science, Arnold School of Public Health
  • Jamie Whitney Pennsylvania State University, Department of Kinesiology, College of Health and Human Development
  • Abbi Lane University of Michigan, Department of Applied Exercise Science, School of Kinesiology

DOI:

https://doi.org/10.29038/2220-7481-2023-04-95-103

Keywords:

physical activity, sedentary behavior, nutrition, sleep

Abstract

Background. Lifestyle behaviors such as sleep, sedentary behavior, physical activity (PA) or exercise, and diet may influence risk for postpartum depression (PPD) or serve as treatment options for those diagnosed with PPD. The purpose of this review was to summarize existing research about four key lifestyle behaviors (sleep, sedentary behavior, PA and exercise, and diet) and their potential influence on PPD. Methods. Studies that were published in English after 2000 were drawn from the PubMed database. Observational studies, systematic reviews, meta-analyses, and randomized, controlled trials that enrolled >50 participants were considered for inclusion. Results. Quality sleep and PA or exercise during pregnancy and the postpartum period may reduce PPD risk or help improve PPD symptoms. Data regarding the utility of intervening on diet patterns or specific nutrients for lessening PPD risk or serving as PPD treatment are inconsistent. Evidence for vitamin D supplementation is extensive, while evidence supporting other vitamins, nutrients, and minerals remains inconclusive. Research linking sedentary behavior and PPD is extremely limited. Conclusion. Sleep quality and PA or exercise may reduce the risk of PPD or mitigate its symptoms. Further high- quality research studies examining the relationship between sedentary behavior and PPD risk are necessary. Healthy lifestyle behaviors, alone or in conjunction with other evidence-based strategies recommended by healthcare providers, may serve as effective preventive measures and treatments for PPD in the pregnancy and postpartum periods.

References

Affonso, D. D., Liu-Chiang, C. Y., & Mayberry, L. J. (1999). Worry: conceptual dimensions and relevance to childbearing women. Health Care for Women International, 20(3), 227–236 (in English).

Barone Gibbs, B., Jones, M. A., Jakicic, J. M. [et al.] (2021). Objectively measured sedentary behavior and physical activity across 3 trimesters of pregnancy: The monitoring movement and health study. Journal of Physical Activity & Health, 18(3), 254–261 (in English).

Beck, C. T. (2006). Postpartum depression: It isn't just the blues. The American Journal of Nursing, 106(5), 40–51 (in English).

Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126–131 (in English).

Daley, A. J., Blamey, R. V., Jolly, K. [et al.] (2015). Pragmatic randomized controlled trial to evaluate the effectiveness of a facilitated exercise intervention as a treatment for postnatal depression: The PAM-PeRS trial. Psychological Medicine, 45, 2413–2425 (in English).

Dritsa, M., Da Costa, D., Dupuis, G., Lowensteyn, I., & Khalifé, S. (2008). Effects of a home-based exercise intervention on fatigue in postpartum depressed women: Results of a randomized controlled trial. Annals of Behavioral Medicine, 35(2), 179–187 (in English).

Fallah, M., Askari, G., Asemi, Z. (2020). Is vitamin D status associated with depression, anxiety and sleep quality in pregnancy: A systematic review. Advanced Biomedical Research, 9 (in English).

Fazzi, C., Saunders, D. H., Linton, K., Norman, J. E., & Reynolds, R. M. (2017). Sedentary behaviours during pregnancy: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 14(1) (in English).

Flor-Alemany, M., Migueles, J. H., Alemany-Arrebola, I., Aparicio, V. A., Baena-García, L. (2022). Exercise, Mediterranean diet adherence or both during pregnancy to prevent postpartum depression – GESTAFIT trial secondary analyses. International Journal of Environmental Research and Public Health, 19, 144–50 (in English).

Gould, J. F., Gibson, R. A., Green, T. J., & Makrides, M. (2022). A systematic review of vitamin d during pregnancy and postnatally and symptoms of depression in the antenatal and postpartum period from randomized controlled trials and observational studies. Nutrients, 14(11), 2300 (in English).

Guintivano, J., Manuck, T., & Meltzer-Brody, S. (2018). Predictors of postpartum depression: A comprehen- sive review of the last decade of evidence. Clinical Obstetrics and Gynecology, 61(3), 591–603 (in English).

Halman, L. J., Oakley, D., & Lederman, R. (1995). Adaptation to pregnancy and motherhood among subfecund and fecund primiparous women. Maternal- Child Nursing Journal, 23(3), 90–100 (in English).

Heh, S. S., Huang, L. H., Ho, S. M., Fu, Y. Y., Wang, L. L. (208). Effectiveness of an exercise support program in reducing the severity of postnatal depression in Taiwanese women. Birth, 35, 60–65 (in English).

Khadka, R., Hong, S. A., & Chang, Y. S. (2020). Prevalence and determinants of poor sleep quality and depression among postpartum women: A community- based study in Ramechhap district, Nepal. International Health, 12(2), 125– 131 (in English).

Khan, R., Waqas, A., Bilal, A., Mustehsan, Z. H., Omar, J., & Rahman, A. (2020). Association of Maternal depression with diet: A systematic review. Asian Journal of Psychiatry, 52, 102098 (in English).

Kim, H.-B., Hyun, A.-H. (2022). Psychological and biochemical effects of an online Pilates intervention in pregnant women during COVID-19: A randomized pilot study. International Journal of Environmental Research and Public Health. 19, 109–31 (in English).

Leistikow, N., Baller, E. B., Bradshaw, P. J. [et al.] (2022). Prescribing sleep: An overlooked treatment for postpartum depression. Biological Psychiatry. 92, e13-e15 (in English).

Lewis, B. A., Schuver, K., Dunsiger, S. [et al.] (2021). Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress. BMC Pregnancy and Childbirth, 21, 1–11 (in English).

Lin, P. Y., Chang, C. H., Chong, M. F., Chen, H., & Su, K. P. (2017). Polyunsaturated fatty acids in perinatal depression: A systematic review and meta-analysis. Biological Psychiatry, 82(8), 560–569 (in English).

Meltzer-Brody, S., Maegbaek, M. L., Medland, S. E. [et al.] (2017). Obstetrical, pregnancy and socio- economic predictors for new-onset severe postpartum psychiatric disorders in primiparous women. Psychological Medicine, 47, 1427–1441 (in English).

Mughal S, Azhar Y, Siddiqui W. Postpartum depression. 2018 (in English).

Nakamura, A., van der Waerden, J., Melchior, M., Bolze, C., El-Khoury, F., & Pryor, L. (2019). Physical activity during pregnancy and postpartum depression: Systematic review and meta-analysis. Journal of Affective Disorders, 246, 29–41 (in English).

Norman, E., Sherburn, M., Osborne, R. H., & Galea, M. P. (2010). An exercise and education program impro- ves well-being of new mothers: A randomized controlled trial. Physical Therapy, 90(3), 348–355 (in English).

Okun, M. L., Mancuso, R. A., Hobel, C. J., Schetter, C. D., & Coussons-Read, M. (2018). Poor sleep quality increases symptoms of depression and anxiety in postpartum women. Journal of Behavioral Medicine, 41(5), 703–710 (in English).

Opie, R. S., Uldrich, A. C., Ball, K. (2020). Maternal postpartum diet and postpartum depression: A systematic review. Maternal and Child Health Journal, 24, 966–978 (in English).

Özkan, S. A., Kücükkelepce, D. S., Korkmaz, B., Yılmaz, G., Bozkurt, M. A. (2020). The effectiveness of an exercise intervention in reducing the severity of postpartum depression: A randomized controlled trial. Perspectives in Psychiatric Care, 56, 844–850 (in English).

Pate, R. R., O'Neill, J. R., & Lobelo, F. (2008). The evolving definition of “sedentary”. Exercise and Sport Sciences Reviews, 36(4), 173–178 (in English).

Pietikäinen, J. T., Härkänen, T., Polo-Kantola, P. [et al.] (2021). Estimating the cumulative risk of postnatal depressive symptoms: The role of insomnia symptoms across pregnancy. Social Psychiatry and Psychiatric Epidemiology, 56(12), 225–2261 (in English).

Pritchett, R. V., Daley, A. J., & Jolly, K. (2017). Does aerobic exercise reduce postpartum depressive symptoms? A systematic review and meta-analysis. British Journal of General Practice, 67(663), e684–e691 (in English).

Sajjadi, S. S., Foshati, S., Haddadian-Khouzani, S., & Rouhani, M. H. (2022). The role of selenium in depression: A systematic review and meta-analysis of human observational and interventional studies. Scientific Reports, 12(1), 1045 (in English).

Songøygard, K. M., Stafne, S. N., Evensen, K. A. I., [et al.] (2012). Does exercise during pregnancy prevent postnatal depression? A randomized controlled trial. Acta obstetricia et gynecologica Scandinavica, 91, 62–67 (in English).

Sparling, T. M., Henschke, N., Nesbitt, R. C., & Gabrysch, S. (2017). The role of diet and nutritional supplementation in perinatal depression: A systematic review. Maternal & Child Nutrition, 13(1), 10.1111/mcn.12235 (in English).

Stewart, D. E., & Vigod, S. N. (2019). Postpartum depression: Pathophysiology, treatment, and emerging therapeutics. Annual Review of Medicine, 70, 183– 196 (in English).

Stremler, R., McMurray, J., Brennenstuhl, S. (2019). Self-reported sleep quality and actigraphic measures of sleep in new mothers and the relationship to postpartum depressive symptoms. Behavioral Sleep Medicine (in English).

Tan, Q., Liu, S., & Chen, D. (2021). Poor vitamin D status and the risk of maternal depression: A dose- response meta-analysis of observational studies. Public Health Nutrition, 24(8), 2161–2170 (in English).

Teo, C., Chia, A. R., Colega, M. T. [et al.] (2018). Prospective associations of maternal dietary patterns and postpartum mental health in a multi-ethnic Asian cohort: The growing up in Singapore towards healthy outcomes (GUSTO) study. Nutrients, 10(3), 299 (in English).

van Der Waerden, J., Nakamura, A., Pryor, L. [et al.] (2019). Group EMCCS. Domain-specific physical activity and sedentary behavior during pregnancy and postpartum depression risk in the French EDEN and ELFE cohorts. Preventive Medicine, 121, 33–39 (in English).

van Lee, L., Chia, A., Phua, D. [et al.] (2020). Multiple modifiable lifestyle factors and the risk of perinatal depression during pregnancy: Findings from the GUSTO cohort. Comprehensive Psychiatry, 103, 152–210 (in English).

Vargas-Terrones, M., Barakat, R., Santacruz, B. [et al.] (2019). Physical exercise programme during pregnancy decreases perinatal depression risk: A randomised controlled trial. British Journal of Sports Medicine, 53(6), 348–353 (in English).

Yali, A. M., & Lobel, M. (1999). Coping and distress in pregnancy: an investigation of medically high-risk women. Journal of Psychosomatic Obstetrics and Gynaecology, 20(1), 39–52 (in English).

Yun, B. S., Shim, S. H., Cho, H. Y. [et al.] (2021). The impacts of insufficient sleep and its change during pregnancy on postpartum depression: A prospective cohort study of Korean women. International Journal of Gynaecology and Obstetrics, 155(1), 125–131 (in English).

Zhou, H., Li, W., & Ren, Y. (2020). Poor sleep quality of third trimester exacerbates the risk of experiencing postnatal depression. Psychology, Health & Medicine, 25(2), 229–238 (in English).

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Published

2024-03-31

Issue

No. 1(65) (2024)

Section

Therapeutic physical training, sports medicine and physical rehabilitation

License

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite

Favorable Lifestyle Behaviors as Reverse Risk Factors and Treatment for Postpartum Depression. (2024). Physical Education, Sport and Health Culture in Modern Society, 1(65), 95-103. https://doi.org/10.29038/2220-7481-2023-04-95-103