Pub Date : 2022-09-01DOI: 10.1097/JWH.0000000000000270
Traci A. McCarthy, P. A. Reddy, Andrea M. Spaeth
Background: Sleep impairment during pregnancy can impact quality of life and lead to excessive gestational weight gain, gestational diabetes mellitus, postpartum depression, and delivery complications. In nonpregnant adults, exercise improves sleep quality, duration, and onset latency. Purpose: To determine whether exercise performed during pregnancy improves sleep outcomes. Methods: A systematic review was conducted from January 2021 to July 2022 using online databases and hand searching (PROSPERO registration number: CRD42021243477). Randomized controlled trials (RCTs) available in English were eligible if the sample included pregnant women, the intervention included exercise and was compared to a standard care group, and sleep was included as an outcome measure. Mean differences and standardized mean differences were calculated to compare sleep outcomes across studies. Heterogeneity of results was calculated using I2 and risk of bias was assessed using the Cochrane Risk of Bias tool. Results: A total of 2578 articles were found using the search terms, and 7 studies met inclusion criteria (n = 839). Prenatal exercise reduced the amount of self-reported sleep disturbances (2 RCTs n = 115; instrumental variable [IV] −0.53, 95% confidence interval [CI] −0.90, −0.16, z = 2.79, P = .005) and improved sleep quality (3 RCTs n = 477; IV −0.48, 95% CI −0.61, −0.36) during pregnancy. Other sleep outcomes were not analyzed due to variability of measurements. Conclusion: Compared with not exercising, exercise during pregnancy improves sleep quality during pregnancy; however, the quality of existing evidence was low. Given the importance of sleep for health and well-being, more research is needed to determine the utility of exercise for improving sleep in pregnancy.
背景:妊娠期睡眠障碍会影响生活质量，导致妊娠期体重过度增加、妊娠期糖尿病、产后抑郁和分娩并发症。在未怀孕的成年人中，锻炼可以改善睡眠质量、持续时间和发病潜伏期。目的:确定怀孕期间进行运动是否能改善睡眠结果。方法:使用在线数据库和人工检索(PROSPERO注册号:CRD42021243477)对2021年1月至2022年7月进行系统评价。如果样本包括孕妇，干预包括运动，并与标准护理组进行比较，并且将睡眠作为结果衡量标准，则可用英文随机对照试验(rct)符合条件。计算平均差异和标准化平均差异来比较不同研究的睡眠结果。使用I2计算结果的异质性，使用Cochrane偏倚风险工具评估偏倚风险。结果:使用检索词共检索到2578篇文献，其中7篇研究符合纳入标准(n = 839)。产前锻炼减少了自我报告的睡眠障碍(2项随机对照试验n = 115;工具变量[IV]−0.53,95%可信区间[CI]−0.90，−0.16,z = 2.79, P = 0.005)和睡眠质量改善(3个rct n = 477;IV - 0.48, 95% CI - 0.61， - 0.36)。由于测量结果的可变性，其他睡眠结果未被分析。结论:与不运动相比，孕期运动能改善孕期睡眠质量;然而，现有证据的质量较低。鉴于睡眠对健康和幸福的重要性，需要更多的研究来确定运动对改善怀孕期间睡眠的效用。
{"title":"The Effects of Exercise on Sleep During Pregnancy: A Systematic Review and Meta-analysis","authors":"Traci A. McCarthy, P. A. Reddy, Andrea M. Spaeth","doi":"10.1097/JWH.0000000000000270","DOIUrl":"https://doi.org/10.1097/JWH.0000000000000270","url":null,"abstract":"Background: Sleep impairment during pregnancy can impact quality of life and lead to excessive gestational weight gain, gestational diabetes mellitus, postpartum depression, and delivery complications. In nonpregnant adults, exercise improves sleep quality, duration, and onset latency. Purpose: To determine whether exercise performed during pregnancy improves sleep outcomes. Methods: A systematic review was conducted from January 2021 to July 2022 using online databases and hand searching (PROSPERO registration number: CRD42021243477). Randomized controlled trials (RCTs) available in English were eligible if the sample included pregnant women, the intervention included exercise and was compared to a standard care group, and sleep was included as an outcome measure. Mean differences and standardized mean differences were calculated to compare sleep outcomes across studies. Heterogeneity of results was calculated using I2 and risk of bias was assessed using the Cochrane Risk of Bias tool. Results: A total of 2578 articles were found using the search terms, and 7 studies met inclusion criteria (n = 839). Prenatal exercise reduced the amount of self-reported sleep disturbances (2 RCTs n = 115; instrumental variable [IV] −0.53, 95% confidence interval [CI] −0.90, −0.16, z = 2.79, P = .005) and improved sleep quality (3 RCTs n = 477; IV −0.48, 95% CI −0.61, −0.36) during pregnancy. Other sleep outcomes were not analyzed due to variability of measurements. Conclusion: Compared with not exercising, exercise during pregnancy improves sleep quality during pregnancy; however, the quality of existing evidence was low. Given the importance of sleep for health and well-being, more research is needed to determine the utility of exercise for improving sleep in pregnancy.","PeriodicalId":114037,"journal":{"name":"Journal of Women's & Pelvic Health Physical Therapy","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121211786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：