ABSTRACT

Background

Sleep problems are prevalent among perinatal women, contributing to the poor overall well-being of mother and child. Exercise is an inexpensive and sustainable intervention to improve sleep outcomes and can be personalized accordingly to individuals. This systematic review and meta-analysis aim to consolidate available evidence to evaluate the effectiveness of exercise on improving sleep outcomes among perinatal women.

Methods

Eight databases (CINAHL, Cochrane, EMBASE, PsycINFO, PubMed, Scopus, Web of Science and ProQuest) were used to perform a systematic search for studies in the English language from the inception of each database to 7 December 2019. The quality of studies was assessed using the risk of bias and GRADE. Review Manager was used for meta-analyses. Heterogeneity was determined by Cochran’s Q (chi-square) and I² values. The overall effect was evaluated using effect size and Z-statistics.

Results

A total of 2,139 records were identified. Ten randomized controlled trials were included, with seven in the meta-analysis, involving 998 pregnant and postpartum women across eight countries. With medium to very large effect sizes, the results favored exercise interventions on sleep quality, sleep efficiency, sleep duration, sleep latency, insomnia, diurnal tiredness and daytime dysfunction.

Conclusion

Exercise interventions produced significant effects on improving sleep among perinatal women. This can increase advocacy for exercise among perinatal women to improve sleep and general health. Future randomized controlled trial designs should adhere to the Consolidated Standards of Reporting Trials and Template to ensure reliability when conducting and reporting such studies.

中文翻译：

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运动对改善围产期妇女睡眠结果的有效性：随机对照试验的系统评价和荟萃分析

摘要

背景

睡眠问题在围产期妇女中普遍存在，导致母婴整体健康状况不佳。锻炼是一种廉价且可持续的干预措施，可以改善睡眠结果，并且可以针对个人进行个性化设置。这项系统评价和荟萃分析旨在巩固现有证据，以评估运动对改善围产期妇女睡眠结果的有效性。

方法

从每个数据库成立到 2019 年 12 月 7 日，我们使用八个数据库（CINAHL、Cochrane、EMBASE、PsycINFO、PubMed、Scopus、Web of Science 和 ProQuest）对英语研究进行系统搜索。研究质量为使用偏倚风险和 GRADE 进行评估。Review Manager 用于荟萃分析。异质性由 Cochran 的 Q（卡方）和 I ²值确定。使用效果大小和 Z 统计量评估整体效果。

结果

共识别出 2,139 条记录。纳入了 10 项随机对照试验，其中 7 项在荟萃分析中，涉及 8 个国家的 998 名孕妇和产后妇女。在中等到非常大的影响范围内，结果有利于对睡眠质量、睡眠效率、睡眠持续时间、睡眠潜伏期、失眠、昼夜疲劳和日间功能障碍进行运动干预。

结论

运动干预对改善围产期妇女的睡眠产生了显着影响。这可以增加围产期妇女运动的倡导，以改善睡眠和整体健康。未来的随机对照试验设计应遵守报告试验和模板的综合标准，以确保进行和报告此类研究时的可靠性。