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

Daley, A; Riaz, M; Lewis, S; Aveyard, P; Coleman, T; Manyonda, I; West, R; Lewis, B; Marcus, B; Taylor, A; et al. Daley, A; Riaz, M; Lewis, S; Aveyard, P; Coleman, T; Manyonda, I; West, R; Lewis, B; Marcus, B; Taylor, A; Ibison, J; Kent, A; Ussher, MH (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 https://doi.org/10.1186/s12884-018-1784-3
SGUL Authors: Ussher, Michael Henry

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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
Additional Information: © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: Obstetrics & Reproductive Medicine, 1114 Paediatrics And Reproductive Medicine, 1117 Public Health And Health Services, 1110 Nursing
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: BMC Pregnancy and Childbirth
ISSN: 1471-2393
Dates:
DateEvent
10 May 2018Published
26 April 2018Accepted
Projects:
Project IDFunderFunder ID
07.01.14Health Technology Assessment programmehttp://dx.doi.org/10.13039/501100000664
URI: https://openaccess.sgul.ac.uk/id/eprint/109815
Publisher's version: https://doi.org/10.1186/s12884-018-1784-3

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