Postpartum Depression and Physical Activity Among Women Attending Postnatal Clinics in a Tertiary Hospital in Nigeria

Background: The reproductive years come with their own share of mental health issues with childbirth and the postpartum period being a particularly vulnerable time for mothers leading to an increase in the risk of depressive disorders. Postpartum depression has a huge public health effect on the mother with long-term consequences on the child and family. Research has shown that physical activity is beneficial; however, such studies are lacking in Nigeria. Therefore, this study sought to look at the association between postpartum depression and physical activity and determine its prevalence among women in a tertiary hospital in Nigeria. Methods: This cross-sectional study was conducted among 401 women attending immunization and postnatal clinics at the University College Hospital Ibadan. The data were collected using a self-administered questionnaire containing a self-developed socio-demographic section, Edinburgh postnatal depression scale to measure postpartum depression, and an International physical activity questionnaire (short type) to as sess physical activity. Analysis was done using the Chi-square test and multivariate analysis to determine independent factors. Significance was set at 0.05. Results: More than a third of the respondents (37.8%) had postpartum depression. Physical activity level was high (72.1%). High levels of physical activity increased the odds of postpartum depression compared to lower levels (95% CI= 0.797-0.97). Gender of the child, marital relationship satisfaction, and age of the child were independently associated with postpartum depression. Conclusion: This study showed that the prevalence of postpartum depression is greater than previously reported in past studies in southwest Nigeria and high levels of physical activity may increase the risk of postpartum depression.

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Postpartum depression and physical activity amongst women attending immunization and postnatal clinic in a tertiary hospital in Ibadan

10.21203/rs.3.rs-549695/v1 ◽

2021 ◽

Author(s):

Netochi Nwosu

Keyword(s):

Physical Activity ◽

Postpartum Depression ◽

Depressive Disorders ◽

Depression Scale ◽

Tertiary Hospital ◽

Activity Level ◽

Reproductive Age ◽

Public Health Issue ◽

College Hospital ◽

Cross Sectional

Abstract Background Depressive disorders are listed as one important public health issue among women of reproductive age. Postpartum depression is a mental health disorder occurring after childbirth and has disabling effect on mother and child. Amongst other alternative treatment methods, physical activity has been proposed as beneficial especially for mild postpartum depression. Therefore, this study sought to determine the prevalence of postpartum depression, and the association between postpartum depression and physical activity among women in a tertiary hospital in Ibadan. Methods The cross-sectional study was conducted among 401 women attending immunisation and postnatal clinics at the University College Hospital Ibadan. The data was collected using a self-administered questionnaire containing; a self-developed socio-demographic section, Edinburgh postnatal depression scale to measure postpartum depression and International physical activity questionnaire (short type) to assess physical activity. Analysis was done using chi square and a multivariate analysis to determine independent factors. Significance was set at 0.05. Results More than a third of the respondents (37.8%) had postpartum depression. Physical activity level was high (72.1%). High levels of physical activity had 1.25 the odds of postpartum depression as compared to lower levels (95% CI = 0.797–0.97). Gender of child, relationship satisfaction, age of child, were independently associated with postpartum depression. Conclusion This study shows that prevalence of postpartum depression is greater than previously reported in past studies in southwest Nigeria and high levels of physical activity may increase the risk of postpartum depression.

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Functional independence measure in patients with intermittent claudication

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420150000500007 ◽

2015 ◽

Vol 49 (5) ◽

pp. 756-761 ◽

Cited By ~ 3

Author(s):

Caroline Shihara de Assis ◽

Letícia de Carvalho Batista ◽

Nelson Wolosker ◽

Antonio Eduardo Zerati ◽

Rita de Cassia Gengo e Silva

Keyword(s):

Physical Activity ◽

Intermittent Claudication ◽

Functional Independence Measure ◽

Functional Independence ◽

Tertiary Hospital ◽

Cross Sectional Study ◽

Activity Level ◽

Walking Ability ◽

Cross Sectional ◽

Walking Velocity

AbstractOBJECTIVEOf this study were to evaluate the functional independence of patients with intermittent claudication and to verify its association with sociodemographic and clinical variables, walking ability and physical activity level.METHODThis was a descriptive, exploratory, cross-sectional study with a quantitative approach. Fifty participants (66.4 years; 68% male) were recruited from Claudication Unit of a tertiary hospital. Functional Independence Measure were used to evaluate functional incapacity; the Baltimore Activity Scale, to estimate the physical activity level and the Walking Impairement Questionnaire, the walking ability.RESULTSParticipants had complete functional independence (124.8 + 2.0), low levels of physical activity (4.2 + 2.0), and impairment of walking ability; the worst performance was found in walking velocity domain (21.2 + 16.4). The functional independence score was associated with physical activity (r=0,402) and walking ability scores (distance, r=0,485; speed, r=0,463; stairs, r=0,337).CONCLUSIONIn conclusion, the level of functionality is associated with functional capacity in these patients.

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Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

Fisioterapia e Pesquisa ◽

10.1590/1809-2950/49921022014 ◽

2014 ◽

Vol 21 (2) ◽

pp. 161-166

Author(s):

Cléssyo Tavares de Amorim Cavalcanti ◽

José Cândido de Araújo Filho ◽

Patrícia Érika de Melo Marinho

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Physical Activity Level ◽

Depression Scale ◽

Cross Sectional Study ◽

Activity Level ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship ◽

Activity Questionnaire

This study aimed to evaluate the association between the presence of depressive symptoms and physical activity level (PAL) in patients with chronic kidney disease undergoing hemodialysis (HD). Cross-sectional study comprising 101 patients on HD, mean age 47.4±12.5 years. Sociodemographic data, economic, clinical, assessment of depressive symptoms (Beck Depression Scale - BDI), PAL (International Physical Activity Questionnaire - IPAQ), guidance for performing physical activity (PA) and time of HD. The prevalence of sedentary and depressive symptoms was 79.2% and 39.6%, respectively. Depressive symptoms were observed in 47.5% of sedentary patients (χ2=10.029, p=0.002), the ratio of prevalence of these symptoms five times higher in this group. 68.3% of patients on HD received no guidance for PA. Under 49 months of hemodialysis treatment, 63.8% of sedentary (χ2=3.011, p=0.083) and 57.5% of patients with depressive symptoms (χ2=0.100, p=0.752) already had these features. Although little is known about the relationship between depression and PA among patients undergoing HD, this study found that depressive symptoms were more prevalent among inactive. The results of this study demonstrate that patients undergoing HD have low PAL, relative presence of depressive symptoms and high lack of guidance on PA.

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Is there a relationship between gestational diabetes and postpartum depression?

Current Women s Health Reviews ◽

10.2174/1573404816999200918115133 ◽

2020 ◽

Vol 16 ◽

Author(s):

Salman Khazaei ◽

Erfan Ayubi ◽

Saeid Bashirian ◽

Ronak Hamzehei ◽

Ensiyeh Jenabi

Keyword(s):

Gestational Diabetes ◽

Postpartum Depression ◽

Odds Ratio ◽

Depression Scale ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

University Education ◽

P Value ◽

Cross Sectional ◽

The Relationship

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.

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A focus on postpartum depression among Jordanian mothers

International Journal of Social Psychiatry ◽

10.1177/00207640211000100 ◽

2021 ◽

pp. 002076402110001

Author(s):

Esra’ O Taybeh

Keyword(s):

Social Support ◽

Postpartum Depression ◽

Marital Conflict ◽

Multivariate Logistic Regression Analysis ◽

Depression Scale ◽

Negative Attitude ◽

Cross Sectional Study ◽

Cross Sectional ◽

Web Based ◽

Unplanned Pregnancies

Background: The magnitude of postpartum depression in Jordan is under documented, and little is known about its potential sociodemographic and clinical correlates. Purpose: The aim of this study was to explore the prevalence and risk factors associated with postpartum depression among Jordanian mothers in the first 18 months after delivery. Method: This descriptive cross-sectional study was carried out from April to June 2020 in Jordan. A web-based survey was used for recruiting eligible participants. An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure postpartum depression with a cut-off score of ⩾12 which indicates probable depression. Results: A total of 1,071 Jordanian women participated in the study. Of those, 567 women had postpartum depression (52.9%). Multivariate logistic regression analysis revealed that postpartum depression was significantly associated with marital conflict (OR: 4.91; 95% CI: 2.36–10.20), negative attitude from the pregnancy (OR: 0.67; 95% CI: 0.45–0.99), unplanned pregnancies (OR: 1.73; 95% CI: 1.16–2.60), lack of social support (OR: 1.93; 95% CI: 1.12–3.32), time from last delivery (OR: 0.99; 95% CI: 0.98–1.00), insomnia (OR: 0.53; 95% CI: 0.35–0.82), and depression during the pregnancy (OR: 0.51; 95% CI: 0.33–0.78). Most of the participants (65.7%) sought social support to avoid, reduce, or treat postpartum depression. Conclusions: Postpartum depression among Jordanian women was the highest in comparison to that of women in other countries in the region. Therefore, screening for the presence of depressive symptoms should be implemented during regular pregnancy care visits. Social support should be encouraged in order to avoid, reduce, or treat postpartum depression.

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Relations of Food Pattern and Physical Activity with Academic Achievement and Cognitive Function

Green Medical Journal ◽

10.33096/gmj.v2i2.50 ◽

2020 ◽

Vol 2 (2) ◽

pp. 56-65

Author(s):

Ayu Wulandari ◽

Zulhaida Lubis ◽

Evawani Aritonang

Keyword(s):

Physical Activity ◽

Academic Achievement ◽

Cognitive Function ◽

Cross Sectional Study ◽

Activity Level ◽

P Value ◽

Moderate Physical Activity ◽

Cross Sectional ◽

Food Pattern ◽

Food Patterns

Introduction: The results of the initial survey showed that there were seven children with low food pattern and moderate physical activity was having a cognitive function and low academic achievement at school, and three children with good food pattern and moderate physical activity were having good cognitive and high academic achievement in school. This study was to determine the relations of food patterns and physical activity with academic achievement and cognitive function. Methods: This study was a cross-sectional study that was conducted at Elementary School 2 Blangkeujeren, West Labuhanhaji Sub-district, South Aceh District from March 2017 to June 2017. This study used a total sampling design is 81 students. Subjects are all students in grade five (42 students) and six (39 students). Data were collected by using questionnaires include Food Frequency Questionary (FFQ), Food Recall 24 hours, Physical Activity Level (PAL). Last year's report card value and the Mini-Mental State Examination (MMSE) were used to assess cognitive children. Results: The relationship between the type and the amount of macro and micronutrient intake obtained p-value<0.05. This study also showed a relationship between food patterns and cognitive function in children. Based on the research results, there is a relationship between physical activity and academic achievement (p<0.05). There is a relationship between physical activity and cognitive function in children. Conclusion: There is a relationship between food patterns, physical activity, academic achievement, and cognitive function.

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Analysis of physical activity level and sedentary behavior before and after stroke: A cross-sectional study

10.5327/1516-3180.487 ◽

2021 ◽

Author(s):

João Victor de Araújo Souza ◽

Monalisa Silva de França ◽

Nayara Karina Ferreira Pereira ◽

Denise Soares de Araújo ◽

Roberta de Oliveira Cacho ◽

...

Keyword(s):

Physical Activity ◽

Analytical Study ◽

Chronic Phase ◽

The Elderly ◽

Cross Sectional Study ◽

Activity Level ◽

Systemic Hypertension ◽

Cross Sectional ◽

Before And After ◽

Regular Practice

Introduction: Stroke is a major cause of death and mortality worldwide. The sedentary lifestyle is a modifiable risk factor and the regular practice of physical activity can reduce the recurrence of stroke and its symptoms. Objective: To characterize the level of physical activity of post-stroke patients before and after the event. Methodology: This is a cross-sectional, analytical study. The population of the study consisted of patients diagnosed with stroke, in the chronic phase under treatment or that have already been discharged from the Physiotherapy School Clinic of FACISA in Santa Cruz-RN. The individuals were evaluated by the Modified Baecker Questionnaire for the Elderly (QBMI) that classifies the level of physical activity in: sedentary (-9), active (9 to 16), and athletes (+16). The normality of the variables was verified by the Shapiro-Wilk test. Wilcoxon’s test was used for comparative analysis of QBMI before and after stroke. Results: Nineteen patients participated (8 male and 11 female) with a mean age of 63 years, of these, 11 had systemic hypertension. Before, 3 were classified as sedentary (score mean: 5.34), 5 active (score mean: 12.254) and 1 athlete ( score mean: 27.04). After the stroke, 18 were classified as sedentary (score mean: 1.46) (p=0.001). Conclusion: There was a reduction in the participants’ level of physical activity, showing greater sedentariness after stroke, although physical activity is essential for secondary prevention of stroke.

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Disordered Eating Attitudes and Exercise Behavior among Female Emirati College Students in the United Arab Emirates: A Cross- Sectional Study

Arab Journal of Nutrition and Exercise (AJNE) ◽

10.18502/ajne.v1i2.1224 ◽

2017 ◽

Vol 1 (2) ◽

pp. 62 ◽

Cited By ~ 1

Author(s):

Haleama Al Sabbah ◽

Shatha Muhsineh

Keyword(s):

Physical Activity ◽

College Students ◽

Disordered Eating ◽

United Arab Emirates ◽

Cross Sectional Study ◽

Eating Attitudes ◽

Activity Level ◽

Sectional Study ◽

Cross Sectional ◽

Disordered Eating Attitudes

Background: Growing evidence is showing high levels of physical inactivity and disordered eating attitudes among young females in the United Arab Emirates. This is clearly concerning, but little is known about the activity level of those with disordered eating attitudes and their dieting behavior. This study examines the female Emirati college students’ disordered eating attitudes and its relation to exercise behavior.Method: A cross- sectional study using a validated and reliable questionnaire was conducted on 242 Emirati female students attending a public university in Dubai. Eating Attitudes Test- 26 (EAT26) was used to measure eating attitudes and the short International Physical Activity Questionnaire (IPAQ) was included to measure physical activity level. A systematic random sampling from a list of classes in the fall 2014 semester was used for recruitment. The university’s Research Ethics Committee approved the study and consents were obtained from participants. SPSS v.21 was used for data analysis. Chi-square test was used to compare frequencies. Significance level was set at 0.05.Results: The participants’ mean age and standard deviation (Mean± SD) was 19 ±1.3 years. 31.4% of the participants showed disordered eating attitudes. The percentage of participants engaged in at least one concerning behavior in the past six months was 43.8%. A membership in a health club was significantly related to disordered eating attitudes (p <0.01). A high level of physical activity was correlated with laxative use, over the counter supplements, and exercising for more than 60 minutes to control weight (p<0.05). Conclusion: There is a great need for intervention programs and policies to contain the level of abnormal eating attitudes and promote healthy level of physical activity among college students.

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Relationship between postpartum depression and lactation status at a Japanese perinatal center: A cross-sectional study

F1000Research ◽

10.12688/f1000research.20704.2 ◽

2020 ◽

Vol 8 ◽

pp. 1845 ◽

Cited By ~ 1

Author(s):

Shunji Suzuki

Keyword(s):

Postpartum Depression ◽

Exclusive Breastfeeding ◽

Edinburgh Postnatal Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Face To Face ◽

Perinatal Center ◽

Feeding Methods

Background: Some studies have demonstrated that breastfeeding can protect mothers from postpartum depression; therefore, we examined the association between postpartum depression and lactation status at one month after delivery at a Japanese perinatal center. Methods: We reviewed the obstetric records of all (total 809) nulliparous healthy women with vaginal singleton delivery at 37-41 weeks’ gestation at our institute between July 2018 and June 2019. A face-to-face interview with the women was conducted on admission for delivery to ask whether or not they hoped to perform exclusive breastfeeding for their babies, and an additional interview was conducted one month after delivery to ask about their feeding methods currently. Maternal mental status was examined based on the scores using the Edinburgh Postnatal Depression Scale (EPDS), and women with EPDS scores of ≥9 points were regarded as ‘positive screening’. Results: 592 women (73.1%) hoped to perform exclusive breastfeeding for their babies on admission. Of these, at one month, 442 (74.7%) performed exclusive breastfeeding, while 150 (25.3%) performed mixed or artificial feeding. The average EPDS scores and the incidence of EPDS scores ≥9 points in the women performing exclusive breastfeeding were 4.3 ± 3.6 and 14.3% (63/442), respectively. They did not differ from those in the women performing mixed or artificial breast feeding [4.2 ± 3.7, p = 0.60 and 13.3% (20/150), p = 0.78]. Conclusion: Development of postpartum depression does not seem to be associated with incomplete breastfeeding at our hospital, and therefore there are other risk factors indicated in the development of postpartum depression.

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