Pilates Egzersizlerinin Doğum Sonu Dönemde Depresyon ve Uyku Kalitesine Etkisi: Randomize Kontrollü Bir Çalışma

Abstract

Amaç: Doğum sonrası dönem kadınlar için en kritik süreçlerden biridir. Bu süreçte kadın vücudunda birçok değişiklik meydana gelir. Egzersiz, bu değişiklikleri yönetmenin en kolay yöntemidir. Çalışmamız, pilates egzersizi yapan kadınların doğum sonrası depresyon, uyku kalitesi ve fonksiyonel düzeylerinin nasıl etkilediğini anlamayı amaçlamaktadır. Gereç ve Yöntemler: Randomize kontrollü çalışmamızda, 25-38 yaş arası, tek bebeği olan 28 pilates ve 29 kontrol grubunda rastgele olacak şekilde 57 postpartum gönüllü kadın dahil edildi. Pilates grubuna 12 hafta boyunca haftada iki gün, günde bir saat fizyoterapist tarafından pilates egzersizleri verildi. Kontrol grubuna gevşeme ve nefes egzersizlerinden oluşan 12 haftalık ev programı verildi. Çalışma öncesi ve sonrasında doğum sonrası depresyon; Edinburgh Postpartum Depresyon Ölçeği ile (EPDÖ), uyku kalitesi; Postpartum Uyku Kalitesi Ölçeği (PUKÖ) ve fonksiyonel düzey; Doğum Sonrası Fonksiyonel Durum Envanteri (DSFDE) ile değerlendirildi. Bulgular: Pilates grubunda EPDÖ (8,71±1,42’ye karşı 7,06±1,21, p=0,001), PUKÖ (25,69±3,40’a karşı 22,91±3,04, p=0,001), DSFDE (2,47±0,41’e karşı 2,93±0,21, p=0,001) skorlarında istatistiksel olarak anlamlı iyileşmeler gözlendi. Kontrol grubu depresyon düzeylerinde anlamlı fark göstermezken (8,85±1,50’ye karşı 8,95±1,23, p=0,479), uyku kalitesi (26,17±3,41’e karşı 27,59±2,94, p=0,009) ve doğum sonrası fonksiyonel düzey parametrelerinde istatistiksel olarak bozulmalar gözlendi (2,65±0,42’ye karşı 2,48±0,46, p=0,016). Sonuç: Sonuçlar, doğum sonrası dönemde uygulanan 12 haftalık pilates egzersizlerinin kadınların postpartum fonksiyonel düzeylerini, depresyon düzeylerini ve uyku kalitelerini iyileştirebileceğini göstermiştir.

Keywords

• Pilates egzersizleri
• Postpartum dönem
• Postpartum depresyon
• Uyku kalitesi

Effects of Pilates Exercises to Depression and Sleep Quality on the Postpartum Period: A Randomized Controlled Study

Abstract

Aim: Postpartum is one of the most critical processes in women. Many changes occur in the female body during this process. Exercise is the easiest method to manage these changes. Our study aimed to understand how postpartum depression, sleep quality, and functional levels affect women who perform pilates exercises. Material and Methods: In this randomized controlled study, 57 postpartum volunteer women between six weeks and six months, aged 25-38, with a single baby, were randomly included in 28 pilates and 29 control groups. The pilates group was given pilates exercises for one hour a day, two days a week for 12 weeks, by a physical therapist. The control group was given a home program consisting of relaxation and breathing exercises. Before and after the study, depression was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), sleep quality, the Postpartum Sleep Quality Scale (PSQS), and postnatal functional levels, the Inventory of Functional Status After Childbirth (IFSAC) was evaluated using the questionnaire form-filling method. Results: EPDS (8.71±1.42 versus 7.06±1.21, p=0.001), PSQS (25.69±3.40 versus 22.91±3.04, p=0.001), IFSAC (2.47±0.41 versus 2.93±0.21, p=0.001) scores statistically significant improvements were observed in pilates group. While the control group did not show a significant difference in depression levels (8.85±1.50 versus 8.95±1.23, p=0.479), statistically worsening of sleep quality (26.17±3.41 versus 27.59±2.94, p=0.009) and postpartum functional level parameters were observed (2.65±0.42 versus 2.48±0.46, p=0.016). Conclusion: The results showed that 12-week pilates exercises applied during the postpartum period could improve postpartum women’s functional levels, depression levels, and sleep quality.

Keywords

• Pilates exercises
• postpartum period
• postpartum depression
• sleep quality

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