Evidence map›Paper›PMID 40976261›Full record

Trial reportBJOG : an international journal of obstetrics and gynaecology2026

Exercise in Pregnancy and Risk of Postpartum Depression: A Randomised Controlled Trial.

Gabriele Saccone, Giorgia Buonomo, Alessandra Ammendola, Luca Bardi, Mariarosaria Motta, Elisabetta Gragnano, Mariavittoria Locci

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BJOG : an international journal of obstetrics and gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06355375 (Exercise in Pregnancy and Risk of Postpartum Depression), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

NCT06355375 naunknown statusnot on this map

Exercise in Pregnancy and Risk of Postpartum Depression

TypeinterventionalSponsorFederico II UniversityRan2024 to 2025Enrolled398ConditionsDepression, Pregnancy RelatedArmsexercise in pregnancy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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

7 authors.

Gabriele SacconeDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.ORCID https://orcid.org/0000-0003-0078-2113
Giorgia BuonomoDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Alessandra AmmendolaDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Luca BardiDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Mariarosaria MottaDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Elisabetta GragnanoDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.
Mariavittoria LocciDepartment of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether regular aerobic exercise during pregnancy reduces the incidence of postpartum depression in women with low-risk singleton pregnancies.

designSingle-centre randomised controlled trial.

settingDepartment of Obstetrics and Gynaecology, University of Naples Federico II, Italy. POPULATION OR SAMPLE: A total of 398 women with low-risk singleton pregnancies enrolled during the first trimester of pregnancy.

methodsParticipants were randomly allocated in a 1:1 ratio to an exercise group or control group. The intervention consisted of a structured aerobic exercise programme (three 60-min sessions per week) from randomisation until 35 weeks' gestation, or earlier if delivery or obstetric complications occurred. The primary outcome was Edinburgh Postnatal Depression Scale (EPDS) score ≥ 12 3 months postpartum. Secondary outcomes included EPDS ≥ 9, clinical diagnosis of postpartum depression (DSM-V), and maternal/perinatal outcomes. Analyses were performed on an intention-to-treat basis, with relative risk (RR) and 95% confidence interval (CI) calculated.

main outcome measuresIncidence of postpartum depression, defined as EPDS ≥ 12 at 3 months postpartum.

resultsOf the 398 participants, 199 were randomised to the exercise group and 199 to the control group. Women in the exercise group had a significantly lower incidence of EPDS ≥ 12 and ≥ 9 at 3 months postpartum compared with controls, as well as lower mean EPDS scores. No significant differences in adverse maternal or perinatal outcomes were observed.

conclusionsRegular antenatal aerobic exercise significantly reduced the risk of postpartum depression, supporting its role as a preventive strategy in low-risk pregnancies.

trial registrationClinicaltrials.gov identifier: NCT06355375.

Indexed as

Depression, PostpartumExerciseExercise TherapyPrenatal CareAdultFemaleHumansIncidenceItalyPregnancyRisk FactorsYoung Adultantenatal exercisematernal mental healthpostpartum depressionpregnancyrandomised controlled trial

Identifiers

PMID40976261
PMCPMC12678040

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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.