Evidence map›Paper›PMID 34802425›Full record

Trial reportBMC pregnancy and childbirth2021

Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress.

Beth A Lewis, Katie Schuver, Shira Dunsiger, Lauren Samson, Amanda L Frayeh, Carrie A Terrell, Joseph T Ciccolo, John Fischer, Melissa D Avery

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01883479 (Effect of Exercise and Wellness Interventions on Preventing Postpartum Depression.), which is not on this map. Cited by 19 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01883479 nacompletednot on this map

Effect of Exercise and Wellness Interventions on Preventing Postpartum Depression.

TypeinterventionalSponsorUniversity of MinnesotaRan2012 to 2017Enrolled450ConditionsPostpartum DepressionArmsExercise, Wellness/Support
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Beth A LewisUniversity of Minnesota, School of Kinesiology, 1900 University Ave SE, Minneapolis, MN, 55455, USA. blewis@umn.edu.
Katie SchuverUniversity of Minnesota, School of Kinesiology, 1900 University Ave SE, Minneapolis, MN, 55455, USA.
Shira DunsigerCenter for Health Promotion and Health Equity in the Department of Behavioral and Social Sciences, Brown University, Box G-S121-4, Providence, RI, 02912, USA.
Lauren SamsonUniversity of Minnesota, School of Kinesiology, 1900 University Ave SE, Minneapolis, MN, 55455, USA.
Amanda L FrayehUniversity of Minnesota, School of Kinesiology, 1900 University Ave SE, Minneapolis, MN, 55455, USA.
Carrie A TerrellDepartment of Obstetrics, Gynecology and Women's Health, University of Minnesota, 604 24th Ave S, Ste 300, Minneapolis, MN, 55454, USA.
Joseph T CiccoloDepartment of Biobehavioral Sciences, Teachers College Columbia University, 525 West 120th St., New York, NY, USA.
John FischerDepartment of Obstetrics, Gynecology and Women's Health, University of Minnesota, 604 24th Ave S, Ste 300, Minneapolis, MN, 55454, USA.
Melissa D AveryUniversity of Minnesota, School of Nursing, 308 Harvard St. SE, Minneapolis, MN, 55455, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 13-19% of postpartum women experience postpartum depression and a majority report at least some stress during the postpartum phase. Traditional interventions such as psychotherapy and antidepressant medications are often not feasible or desirable. The purpose of this study was to examine two low cost, brief, accessible interventions designed to prevent postpartum depression and perceived stress among women at high risk.

methodsParticipants (n = 450) who were on average four weeks postpartum, had a history of depression before pregnancy, and exercised less than 60 min per week were randomly assigned to one of the following three conditions: (1) 6-month telephone-based exercise intervention; (2) 6-month telephone-based wellness/support intervention (e.g., healthy eating, sleep, and perceived stress); or (3) usual care.

resultsOverall, 2.4% of participants met criteria for depression at 6 months and 3.6% at 9 months with no differences between groups. At 6 months following randomization, median symptoms of depression were significantly lower among wellness participants compared to usual care participants (b = - 1.00, SE = 0.46, p = .03). Perceived stress at 6 months post-randomization was significantly lower among exercise vs. usual care participants (b = - 2.00, SE = .98, p = .04) and exercise vs. wellness participants (b = - 2.20, SE = 1.11, p = .04).

conclusionsThe wellness intervention was efficacious for preventing symptoms of depression; however, postpartum depression that met the diagnostic criteria was surprisingly low in all conditions among this at risk sample of postpartum women. Exercise interventions may have a protective effect on perceived stress among women at risk for postpartum depression. Practitioners should consider integrating exercise and wellness interventions into postpartum care.

trial registrationClinical Trials Number: NCT01883479 (06/21/2013).

Indexed as

Health BehaviorAdultDepression, PostpartumExerciseFemaleHealth PromotionHumansPostpartum PeriodSingle-Blind MethodStress, PsychologicalTelephoneDepressionExercisePostpartum depressionStress

Identifiers

PMID34802425
PMCPMC8607568

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.