Abstract
Background: Exercise may be a potentially helpful strategy to improve mood during the perinatal period. However, little is known about the exercise behaviors and preferences of perinatal women seeking psychiatric care. This study was designed to shed light on the acceptability of exercise-based interventions for this population, and to examine the proportion of perinatal psychiatric patients who report engaging in regular exercise. Materials and Methods: Three hundred perinatal women (31% pregnant, 69% postpartum) seeking psychiatric care completed a survey assessing self-reported exercise behaviors, interest in participating in a perinatal exercise program, and perceived benefits of exercise. Respondents self-reported their presenting psychiatric symptoms and any comorbid health conditions. Results: Fewer than 25% of women surveyed reported any recent exercise, and far less (<9%) reported activity levels consistent with current exercise recommendations. However, 87% reported interest in participating in an exercise program and viewed numerous potential benefits (improved health and energy, sense of accomplishment, better sleep, reduced stress, and less anxiety and depression). More than 65% of women reported significant medical comorbidities; these women were equally interested in exercise programs. Conclusion: In this preliminary study, we found that pregnant and postpartum women seeking psychiatric care reported very low levels of exercise, yet women's interest in participating in a tailored exercise program was high. Findings underscore the potential value of an exercise program for distressed perinatal women. Implementing a tailored exercise program within the context of an existing perinatal care setting could promote access and bode well for initiation and adherence.
Highlights
Depression and anxiety during the perinatal period are associated with high levels of maternal distress and functional impairment, as well as with poor medical outcomes.[1]
Conclusions preliminary, findings from this investigation suggest that most perinatal women who are seeking psychiatric care do not engage in recommended levels of exercise; in addition, our findings suggest that many perinatal women are open to participating in an exercise program, if tailored to meet their specific needs
Even though regular exercise for healthy pregnant and postpartum women is endorsed in the Physical Activity Guidelines for Americans,[33] and is encouraged by the American College of Obstetricians and Gynecologists,[25] research suggests that a few healthy perinatal women meet those guidelines.[26]
Summary
Depression and anxiety during the perinatal period are associated with high levels of maternal distress and functional impairment, as well as with poor medical outcomes.[1]. Little is known about the exercise behaviors and preferences of perinatal women seeking psychiatric care. Materials and Methods: Three hundred perinatal women (31% pregnant, 69% postpartum) seeking psychiatric care completed a survey assessing self-reported exercise behaviors, interest in participating in a perinatal exercise program, and perceived benefits of exercise. 87% reported interest in participating in an exercise program and viewed numerous potential benefits (improved health and energy, sense of accomplishment, better sleep, reduced stress, and less anxiety and depression). Conclusion: In this preliminary study, we found that pregnant and postpartum women seeking psychiatric care reported very low levels of exercise, yet women’s interest in participating in a tailored exercise program was high. Implementing a tailored exercise program within the context of an existing perinatal care setting could promote access and bode well for initiation and adherence
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