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Published in: Archives of Women's Mental Health 2/2011

01-04-2011 | Original Article

Physical activity and depressive symptoms among pregnant women: the PIN3 study

Authors: Zewditu Demissie, Anna Maria Siega-Riz, Kelly R. Evenson, Amy H. Herring, Nancy Dole, Bradley N. Gaynes

Published in: Archives of Women's Mental Health | Issue 2/2011

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Abstract

Prenatal depression confers health risks for both mother and family. Physical activity may promote better mental health; however, few studies have examined the influence of physical activity on prenatal depression. Data from 1,220 women enrolled in the third Pregnancy, Infection, and Nutrition Study (2001–2005) were used to examine the associations between overall and domain-specific moderate-to-vigorous physical activity (MVPA) and depressive symptoms during pregnancy. Self-reported, past week physical activity assessed at 17−22 weeks’ gestation was modeled in logistic regression with self-reported depressive symptoms assessed by the Center for Epidemiologic Studies—Depression Scale at 24–29 weeks’ gestation. Active women with ≤2.67 h/week of total MVPA had almost half the odds of having high depressive symptoms as compared to women with no MVPA (odds ratio [OR] = 0.56, 95% confidence interval [CI] = 0.38, 0.83). Increased odds of elevated depressive symptoms were found for women participating in some but ≤2.25 h/week of adult and child care MVPA (OR = 1.84; 95% CI = 1.08, 3.11) and >1 h of indoor household MVPA (OR = 1.63, 95% CI = 0.99, 2.70) when compared to women with no MVPA. While overall MVPA may play a role in reducing the odds of developing elevated depressive symptoms, adult and child care and indoor household activities may increase it.
Literature
go back to reference Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, Paffenbarger RS Jr (1993) Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 25(10):71–80PubMed Ainsworth BE, Haskell WL, Leon AS, Jacobs DR Jr, Montoye HJ, Sallis JF, Paffenbarger RS Jr (1993) Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 25(10):71–80PubMed
go back to reference Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9 Suppl):S498–S516PubMed Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32(9 Suppl):S498–S516PubMed
go back to reference Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103:698–709PubMedCrossRef Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103:698–709PubMedCrossRef
go back to reference Borg G, Linderholm H (1974) Perceived exertion and pulse rate during graded exercise in various age groups. Acta Med Scand 472:194–206 Borg G, Linderholm H (1974) Perceived exertion and pulse rate during graded exercise in various age groups. Acta Med Scand 472:194–206
go back to reference Bowen A, Muhajarine N (2006) Antenatal depression. Can Nurse 102(9):27–30 Bowen A, Muhajarine N (2006) Antenatal depression. Can Nurse 102(9):27–30
go back to reference Brown M-A, Solchany JE (2004) Two overlooked mood disorders in women: subsyndromal depression and prenatal depression. Nurs Clin N Am 39:83–95CrossRef Brown M-A, Solchany JE (2004) Two overlooked mood disorders in women: subsyndromal depression and prenatal depression. Nurs Clin N Am 39:83–95CrossRef
go back to reference Clapp JF III (2002) Exercising through your pregnancy. Addicus Books, Omaha Clapp JF III (2002) Exercising through your pregnancy. Addicus Books, Omaha
go back to reference Craft LL, Perna FM (2004) The benefits of exercise for the clinically depressed. Prim Care Companion J Clin Psychiat 6:104–111CrossRef Craft LL, Perna FM (2004) The benefits of exercise for the clinically depressed. Prim Care Companion J Clin Psychiat 6:104–111CrossRef
go back to reference Da Costa D, Rippen N, Drista M, Ring A (2003) Self-reported leisure-time physical activity during pregnancy and relationship to psychological well-being. J Psychosom Obstet Gynaecol 24(2):111–119PubMedCrossRef Da Costa D, Rippen N, Drista M, Ring A (2003) Self-reported leisure-time physical activity during pregnancy and relationship to psychological well-being. J Psychosom Obstet Gynaecol 24(2):111–119PubMedCrossRef
go back to reference Daley AJ, MacArthur C, Winter H (2007) The role of exercise in treating postpartum depression: a review of the literature. J Midwifery Womens Health 52:56–62PubMedCrossRef Daley AJ, MacArthur C, Winter H (2007) The role of exercise in treating postpartum depression: a review of the literature. J Midwifery Womens Health 52:56–62PubMedCrossRef
go back to reference Dunn AL, Trivedi MH, Kampert JB, Clark CG, Chambliss HO (2005) Exercise treatment for depression: efficacy and dose response. Am J Prev Med 28:1–8PubMedCrossRef Dunn AL, Trivedi MH, Kampert JB, Clark CG, Chambliss HO (2005) Exercise treatment for depression: efficacy and dose response. Am J Prev Med 28:1–8PubMedCrossRef
go back to reference Evenson KR, Wen F (2010) Measuring physical activity in pregnant women: validity and reliability of a structured one-week recall questionnaire. Int J Behav Nutr Phys Act 7:21PubMedCrossRef Evenson KR, Wen F (2010) Measuring physical activity in pregnant women: validity and reliability of a structured one-week recall questionnaire. Int J Behav Nutr Phys Act 7:21PubMedCrossRef
go back to reference Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Miller WC (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence report/technology assessment no. 119 (prepared by the RTI-University of North Carolina Evidence-Based Practice Center, under Contract No. 290-02-0016). AHRQ Publication No. 05-E006-2. Agency for Healthcare Research and Quality, Rockville Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Miller WC (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence report/technology assessment no. 119 (prepared by the RTI-University of North Carolina Evidence-Based Practice Center, under Contract No. 290-02-0016). AHRQ Publication No. 05-E006-2. Agency for Healthcare Research and Quality, Rockville
go back to reference Goodwin A, Astbury J, McMeeken J (2000) Body image and psychological well-being in pregnancy: a comparison of exercisers and non-exercisers. Aust N Z J Obstet Gynaecol 40:43–47CrossRef Goodwin A, Astbury J, McMeeken J (2000) Body image and psychological well-being in pregnancy: a comparison of exercisers and non-exercisers. Aust N Z J Obstet Gynaecol 40:43–47CrossRef
go back to reference Gregory M, Ulmer H, Pfeiffer KP, Lang S, Strasak AM (2008) A set of SAS macros for calculating and displaying adjusted odds ratios (with confidence intervals) for continuous covariates in logistic B-spline regression models. Comput Methods Programs Biomed 92:109–114PubMedCrossRef Gregory M, Ulmer H, Pfeiffer KP, Lang S, Strasak AM (2008) A set of SAS macros for calculating and displaying adjusted odds ratios (with confidence intervals) for continuous covariates in logistic B-spline regression models. Comput Methods Programs Biomed 92:109–114PubMedCrossRef
go back to reference Haas JS, Jackson RA, Fuentes-Afflick E, Stewart AL, Dean ML, Brawarsky P, Escobar G (2004) Changes in the health status of women during and after pregnancy. J Gen Intern Med 20:45–51CrossRef Haas JS, Jackson RA, Fuentes-Afflick E, Stewart AL, Dean ML, Brawarsky P, Escobar G (2004) Changes in the health status of women during and after pregnancy. J Gen Intern Med 20:45–51CrossRef
go back to reference Hammond S, Crozier K (2007) Depression: assessing the causes. Midwives 10(8):365–368PubMed Hammond S, Crozier K (2007) Depression: assessing the causes. Midwives 10(8):365–368PubMed
go back to reference Hoffman S, Hatch MC (2000) Depressive symptomatology during pregnancy: evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychol 19(6):535–543PubMedCrossRef Hoffman S, Hatch MC (2000) Depressive symptomatology during pregnancy: evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychol 19(6):535–543PubMedCrossRef
go back to reference Institute of Medicine (1990) Nutrition during pregnancy. National Academy, Washington, DC Institute of Medicine (1990) Nutrition during pregnancy. National Academy, Washington, DC
go back to reference Kessler RC, McGonagle KA, Swartz M, Blazer DG, Nelson CB (1993) Sex and depression in the National Comorbidity Survey 1: lifetime prevalence, chronicity, and recurrence. J Affect Disord 29:85–96PubMedCrossRef Kessler RC, McGonagle KA, Swartz M, Blazer DG, Nelson CB (1993) Sex and depression in the National Comorbidity Survey 1: lifetime prevalence, chronicity, and recurrence. J Affect Disord 29:85–96PubMedCrossRef
go back to reference Klein MH, Essex MJ (1994/1995) Pregnant or depressed? The effect of overlap between symptoms of depression and somatic complaints of pregnancy on rates of major depression in the second trimester. Depression 2(6):308–314 Klein MH, Essex MJ (1994/1995) Pregnant or depressed? The effect of overlap between symptoms of depression and somatic complaints of pregnancy on rates of major depression in the second trimester. Depression 2(6):308–314
go back to reference Koniak-Griffin D (1994) Aerobic exercise, psychological well-being, and physical discomforts during adolescent pregnancy. Res Nurs Health 17(4):253–263PubMedCrossRef Koniak-Griffin D (1994) Aerobic exercise, psychological well-being, and physical discomforts during adolescent pregnancy. Res Nurs Health 17(4):253–263PubMedCrossRef
go back to reference Larsson C, Sydsjö G, Josefsson A (2004) Health, sociodemographic data, and pregnancy outcome in women with antepartum depressive symptoms. Obstet Gynecol 104:459–466PubMedCrossRef Larsson C, Sydsjö G, Josefsson A (2004) Health, sociodemographic data, and pregnancy outcome in women with antepartum depressive symptoms. Obstet Gynecol 104:459–466PubMedCrossRef
go back to reference Lee DTS, Chung TKH (2007) Postnatal depression: an update. Best Pract Res Clin Obstet Gynaecol 21(2):183–191PubMedCrossRef Lee DTS, Chung TKH (2007) Postnatal depression: an update. Best Pract Res Clin Obstet Gynaecol 21(2):183–191PubMedCrossRef
go back to reference Lusskin SI, Pundiak TM, Habib SM (2007) Perinatal depression: hiding in plain sight. Can J Psychiatry 52:479–488PubMed Lusskin SI, Pundiak TM, Habib SM (2007) Perinatal depression: hiding in plain sight. Can J Psychiatry 52:479–488PubMed
go back to reference Manber R, Allen JJB, Morris MM (2002) Alternative treatments for depression: empirical support and relevance for women. J Clin Psychiatry 63:628–640PubMedCrossRef Manber R, Allen JJB, Morris MM (2002) Alternative treatments for depression: empirical support and relevance for women. J Clin Psychiatry 63:628–640PubMedCrossRef
go back to reference Marchesi C, Bertoni S, Maggini C (2009) Major and minor depression in pregnancy. Obstet Gynecol 113:1292–1298PubMed Marchesi C, Bertoni S, Maggini C (2009) Major and minor depression in pregnancy. Obstet Gynecol 113:1292–1298PubMed
go back to reference Martinsen EW (2008) Physical activity in the prevention and treatment of anxiety and depression. Nord J Psychiatry 62(Suppl 47):25–29PubMedCrossRef Martinsen EW (2008) Physical activity in the prevention and treatment of anxiety and depression. Nord J Psychiatry 62(Suppl 47):25–29PubMedCrossRef
go back to reference Misri S (2007) Suffering in silence: the burden of perinatal depression. Can J Psychiatry 52(8):477–478PubMed Misri S (2007) Suffering in silence: the burden of perinatal depression. Can J Psychiatry 52(8):477–478PubMed
go back to reference Molarius A, Berglund K, Eriksson C, Eriksson HG, Lindén-Boström M, Nordström E, Persson C, Sahlqvist L, Starrin B, Ydreborg B (2009) Mental health symptoms in relation to socio-economic conditions and lifestyle factors—a population-based study in Sweden. BMC Public Health 9:302PubMedCrossRef Molarius A, Berglund K, Eriksson C, Eriksson HG, Lindén-Boström M, Nordström E, Persson C, Sahlqvist L, Starrin B, Ydreborg B (2009) Mental health symptoms in relation to socio-economic conditions and lifestyle factors—a population-based study in Sweden. BMC Public Health 9:302PubMedCrossRef
go back to reference National Institute of Mental Health (2007) Depression. NIH Publication No. 07–3561. US Department of Health & Human Services, National Institutes of Health, National Institute of Mental Health, Bethesda National Institute of Mental Health (2007) Depression. NIH Publication No. 07–3561. US Department of Health & Human Services, National Institutes of Health, National Institute of Mental Health, Bethesda
go back to reference National Institute of Mental Health (2008) Women and depression: discovering hope. US Department of Health & Human Services, National Institutes of Health, National Institute of Mental Health, Bethesda National Institute of Mental Health (2008) Women and depression: discovering hope. US Department of Health & Human Services, National Institutes of Health, National Institute of Mental Health, Bethesda
go back to reference Orr ST, Miller CA (1995) Maternal depressive symptoms and the risk of poor pregnancy outcome: review of literature and preliminary findings. Epidemiol Rev 17:165–171PubMed Orr ST, Miller CA (1995) Maternal depressive symptoms and the risk of poor pregnancy outcome: review of literature and preliminary findings. Epidemiol Rev 17:165–171PubMed
go back to reference Orr ST, James SA, Garry J, Newton E (2006) Exercise participation before and during pregnancy among low-income, urban, Black women: the Baltimore Preterm Birth Study. Ethn Dis 16:909–913PubMed Orr ST, James SA, Garry J, Newton E (2006) Exercise participation before and during pregnancy among low-income, urban, Black women: the Baltimore Preterm Birth Study. Ethn Dis 16:909–913PubMed
go back to reference Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC, Kriska A, Leon AS, Marcus BH, Morris J, Paffenbarger RS Jr, Patrick K, Pollock ML, Rippe JM, Sallis J, Wilmore JH (1995) Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 273(5):402–407PubMedCrossRef Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, Buchner D, Ettinger W, Heath GW, King AC, Kriska A, Leon AS, Marcus BH, Morris J, Paffenbarger RS Jr, Patrick K, Pollock ML, Rippe JM, Sallis J, Wilmore JH (1995) Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 273(5):402–407PubMedCrossRef
go back to reference Pivarnik JM, Chambliss HO, Clapp JF, Dugan SA, Hatch MC, Lovelady CA, Mottola MF, Williams MA (2006) Impact of physical activity during pregnancy and postpartum on chronic disease risk. Med Sci Sports Exerc 38(5):989–1006CrossRef Pivarnik JM, Chambliss HO, Clapp JF, Dugan SA, Hatch MC, Lovelady CA, Mottola MF, Williams MA (2006) Impact of physical activity during pregnancy and postpartum on chronic disease risk. Med Sci Sports Exerc 38(5):989–1006CrossRef
go back to reference Pollock M, Gaesser G, Butcher J, Després J-P, Dishman RK, Franklin BA, Garber CE (1998) American College of Sports Medicine position stand: the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 30(6):975–991CrossRef Pollock M, Gaesser G, Butcher J, Després J-P, Dishman RK, Franklin BA, Garber CE (1998) American College of Sports Medicine position stand: the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 30(6):975–991CrossRef
go back to reference Pottinger AM, Trotman-Edwards H, Younger N (2009) Detecting depression during pregnancy and associated lifestyle practices and concerns among women in a hospital-based obstetric clinic in Jamaica. Gen Hosp Psychiatry 31:254–261PubMedCrossRef Pottinger AM, Trotman-Edwards H, Younger N (2009) Detecting depression during pregnancy and associated lifestyle practices and concerns among women in a hospital-based obstetric clinic in Jamaica. Gen Hosp Psychiatry 31:254–261PubMedCrossRef
go back to reference Poudevigne MS, O’Connor PJ (2005) Physical activity and mood during pregnancy. Med Sci Sports Exerc 37(8):1374–1380PubMedCrossRef Poudevigne MS, O’Connor PJ (2005) Physical activity and mood during pregnancy. Med Sci Sports Exerc 37(8):1374–1380PubMedCrossRef
go back to reference Proctor BD, Dalaker J (2002) US Bureau of the Census, current population reports, series P60-219. Poverty in the United States: 2001. US Government Printing Office, Washington, p 5 Proctor BD, Dalaker J (2002) US Bureau of the Census, current population reports, series P60-219. Poverty in the United States: 2001. US Government Printing Office, Washington, p 5
go back to reference Radloff LS (1977) The CES—D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401CrossRef Radloff LS (1977) The CES—D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401CrossRef
go back to reference Rothman KJ, Greenland S (1998) Modern epidemiology, 2nd edn. Lippincott-Raven, Baltimore, pp 256–257 Rothman KJ, Greenland S (1998) Modern epidemiology, 2nd edn. Lippincott-Raven, Baltimore, pp 256–257
go back to reference Ryan D, Milis L, Misri N (2005) Depression during pregnancy. Can Fam Physician 51:1087–1093PubMed Ryan D, Milis L, Misri N (2005) Depression during pregnancy. Can Fam Physician 51:1087–1093PubMed
go back to reference Sarason IG, Johnson JH, Siegel JM (1978) Assessing the impact of the life experiences survey. J Consult Clin Psychol 46:932–946PubMedCrossRef Sarason IG, Johnson JH, Siegel JM (1978) Assessing the impact of the life experiences survey. J Consult Clin Psychol 46:932–946PubMedCrossRef
go back to reference Sherborne CD, Stewart AL (1991) The MOS social support survey. Soc Sci Med 32(6):705–714CrossRef Sherborne CD, Stewart AL (1991) The MOS social support survey. Soc Sci Med 32(6):705–714CrossRef
go back to reference Symons Downs D, DiNallo JM, Kirner TL (2008) Determinants of pregnancy and postpartum depression: prospective influences of depressive symptoms, body image satisfaction, and exercise behavior. Ann Behav Med 36:54–63CrossRef Symons Downs D, DiNallo JM, Kirner TL (2008) Determinants of pregnancy and postpartum depression: prospective influences of depressive symptoms, body image satisfaction, and exercise behavior. Ann Behav Med 36:54–63CrossRef
go back to reference Teychenne M, Ball K, Salmon J (2008) Physical activity and likelihood of depression in adults: a review. Prev Med 46:397–411PubMedCrossRef Teychenne M, Ball K, Salmon J (2008) Physical activity and likelihood of depression in adults: a review. Prev Med 46:397–411PubMedCrossRef
go back to reference US Department of Agriculture, Food and Nutrition Service (2009) Special supplemental nutrition program for Women, Infants and Children (WIC): income eligibility guidelines. Fed Regist 74(43):9780–9782 US Department of Agriculture, Food and Nutrition Service (2009) Special supplemental nutrition program for Women, Infants and Children (WIC): income eligibility guidelines. Fed Regist 74(43):9780–9782
go back to reference US Department of Health and Human Services (1996) Physical activity and health: a report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta US Department of Health and Human Services (1996) Physical activity and health: a report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta
go back to reference Vladutiu C, Evenson KR, Marshall S (2010) Physical activity and injuries during pregnancy. J Phys Act Health (in press) Vladutiu C, Evenson KR, Marshall S (2010) Physical activity and injuries during pregnancy. J Phys Act Health (in press)
go back to reference Weissman MM, Sholomskas D, Pottenger M, Prusoff BA, Locke BZ (1977) Assessing depressive symptoms in five psychiatric populations: a validation study. Am J Epidemiol 106(3):203–214PubMed Weissman MM, Sholomskas D, Pottenger M, Prusoff BA, Locke BZ (1977) Assessing depressive symptoms in five psychiatric populations: a validation study. Am J Epidemiol 106(3):203–214PubMed
go back to reference Weissman MM, Bland R, Joyce PR, Newman S, Wells JE, Wittchen H-U (1993) Sex differences in rates of depression: cross-national perspectives. J Affect Disord 29(2–3):77–84PubMedCrossRef Weissman MM, Bland R, Joyce PR, Newman S, Wells JE, Wittchen H-U (1993) Sex differences in rates of depression: cross-national perspectives. J Affect Disord 29(2–3):77–84PubMedCrossRef
Metadata
Title
Physical activity and depressive symptoms among pregnant women: the PIN3 study
Authors
Zewditu Demissie
Anna Maria Siega-Riz
Kelly R. Evenson
Amy H. Herring
Nancy Dole
Bradley N. Gaynes
Publication date
01-04-2011
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 2/2011
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-010-0193-z

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