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The effects of nutrition and physical activity interventions on improving postpartum depression among postpartum women: A scoping review

摘要


Background and Objectives: Postpartum period is associated with mood depression with a high prevalence of postpartum depression globally (17.7%), as reported in a recent study. Postpartum depression may contribute to the poor health and well-being of newly delivered women. This scoping review investigates the effect of nutrition and physical activity interventions on improving and treating postpartum depression among postpartum women. Methods and Study Design: The scoping review was performed using Arksey and O'Malley's methodological framework. A thorough and systematic search was conducted using Scopus, Pubmed, EBSCOHost and Google Scholar in April 2020, and then was updated in March 2021. Only literature published between January 2010 until February 2021 were searched in each database. Results: A total of 25 articles were included in this study, of which 23 were randomised controlled trial studies, and 2 were quasi-experimental studies. A total of 76% of the study indicated a significant association on improving depression, while 24% of the study showed a non-significant effect. Based on the findings, nutrition or physical activity intervention was found to improve postpartum depression. In addition, the combination of nutrition and physical activity was believed to improve depression if a more thorough follow-up with the participants was conducted. Participants' positive involvement in the intervention was crucial to measure intervention's effectiveness. Conclusions: Nutrition and physical activity interventions through appropriate delivery and strategies are desirable in managing postpartum maternal mental health. This indicates a need for further research on non-pharmacological interventions to overcome depression among postpartum women.

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