Evaluation of the Effect of Supervised Group Exercise on Self-Reported Sleep Quality in Pregnant Women with or at High Risk of Depression: A Secondary Analysis of a Randomized Controlled Trial

Lotte Broberg, Peter Damm, Vibe G. Frokjaer, Susanne Rosthøj, Mie Gaarskjaer de Wolff, Stinne Høgh, Ann Tabor and Hanne Kristine Hegaard
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Lotte Broberg: Department of Obstetrics, Copenhagen University Hospital–Rigshospitalet, 2100 Copenhagen, Denmark
Peter Damm: Department of Obstetrics, Copenhagen University Hospital–Rigshospitalet, 2100 Copenhagen, Denmark
Vibe G. Frokjaer: Neurobiology Research Unit, Department of Neurology, Copenhagen University Hospital–Rigshospitalet, 2100 Copenhagen, Denmark
Susanne Rosthøj: Danish Cancer Society Research Center, 2100 Copenhagen, Denmark
Mie Gaarskjaer de Wolff: Department of Obstetrics and Gynecology, Copenhagen University Hospital–Hvidovre, 2650 Hvidovre, Denmark
Stinne Høgh: Department of Obstetrics, Copenhagen University Hospital–Rigshospitalet, 2100 Copenhagen, Denmark
Ann Tabor: Department Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark
Hanne Kristine Hegaard: Department of Obstetrics, Copenhagen University Hospital–Rigshospitalet, 2100 Copenhagen, Denmark

IJERPH, 2022, vol. 19, issue 10, 1-13

Abstract: Poor sleep quality is common during pregnancy. Our objective was to evaluate the effect of supervised group physical exercise on self-reported sleep quality in pregnant women with or at high risk of depression, and secondly, to describe the association between sleep quality and psychological well-being during pregnancy and postpartum. This was a secondary analysis of a randomized controlled trial ( n = 282) (NCT02833519) at Rigshospitalet, Denmark. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), psychological well-being by the five-item WHO Well-Being Index (WHO-5). The intention-to-treat analysis showed no difference in mean global PSQI score neither at 29–34 weeks, 6.56 (95% CI: 6.05–7.07) in the intervention group and 7.00 (95% CI: 6.47–7.53) in the control group, p = 0.2, nor at eight weeks postpartum. Women with WHO-5 ≤ 50 reported higher mean global PSQI scores at baseline, 7.82 (95% CI: 7.26–8.38), than women with WHO-5 score > 50, mean 5.42 (95% CI: 5.02–5.82), p < 0.0001. A significant difference was also present post-intervention and eight weeks postpartum. No significant effect of group exercise regarding self-reported sleep quality was seen at 29–34 weeks of gestation or postpartum. Low psychological well-being was associated with poor sleep quality during pregnancy and postpartum.

Keywords: exercise; sleep quality; depression; self-reported; patient reported outcomes; pregnancy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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