{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T13:46:51Z","timestamp":1782568011962,"version":"3.54.5"},"reference-count":63,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100012226","name":"Fundamental Research Funds for the Central Universities","doi-asserted-by":"publisher","award":["2024CDJSKXYTY03"],"award-info":[{"award-number":["2024CDJSKXYTY03"]}],"id":[{"id":"10.13039\/501100012226","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Womens Ment Health"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s00737-026-01709-y","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T14:30:39Z","timestamp":1778855439000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Multidimensional psychological and neurophysiological effects of moderate- and low-intensity exercise on pregnant women: an integrative systematic review and Bayesian framework network meta-analysis"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4011-5543","authenticated-orcid":false,"given":"Lei","family":"He","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiping","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuang","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bolun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongyang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junfeng","family":"Jiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"issue":"5","key":"1709_CR1","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1002\/jrsm.1700","volume":"15","author":"AE Ades","year":"2024","unstructured":"Ades AE, Welton NJ, Dias S, Phillippo DM, Caldwell DM (2024) Twenty years of network meta-analysis: continuing controversies and recent developments. Res Synthesis Methods 15(5):702\u2013727. https:\/\/doi.org\/10.1002\/jrsm.1700","journal-title":"Res Synthesis Methods"},{"issue":"6","key":"1709_CR2","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1080\/07399332.2022.2164284","volume":"44","author":"S A\u011fap\u0131nar \u015eahin","year":"2023","unstructured":"A\u011fap\u0131nar \u015eahin S, Bekar M (2023) The influence of laughter yoga on pregnancy symptoms, mental well-being, and prenatal attachment: a randomized controlled study. Health Care Women Int 44(6):782\u2013801. https:\/\/doi.org\/10.1080\/07399332.2022.2164284","journal-title":"Health Care Women Int"},{"key":"1709_CR3","doi-asserted-by":"publisher","first-page":"107030","DOI":"10.1016\/j.psyneuen.2024.107030","volume":"164","author":"IF Almeida","year":"2024","unstructured":"Almeida IF, Rinne GR, Coussons-Read M, Dunkel Schetter C (2024) Placental corticotrophin-releasing hormone trajectories in pregnancy: associations with postpartum depressive symptoms. Psychoneuroendocrinology 164:107030. https:\/\/doi.org\/10.1016\/j.psyneuen.2024.107030","journal-title":"Psychoneuroendocrinology"},{"issue":"1","key":"1709_CR4","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1186\/s12884-020-03225-y","volume":"20","author":"C Amezcua-Prieto","year":"2020","unstructured":"Amezcua-Prieto C, Naveiro-Fuentes M, Arco-Jim\u00e9nez N, Olmedo-Requena R, Barrios-Rodr\u00edguez R, Vico-Z\u00fa\u00f1iga I, Gal\u00e1n M, Mozas-Moreno S, Jim\u00e9nez-Mole\u00f3n J, J. J., Gallo-Vallejo JL (2020) Walking in pregnancy and prevention of insomnia in third trimester using pedometers: study protocol of Walking_Preg project (WPP). A randomized controlled trial. BMC Pregnancy Childbirth 20(1):521. https:\/\/doi.org\/10.1186\/s12884-020-03225-y","journal-title":"BMC Pregnancy Childbirth"},{"issue":"3","key":"1709_CR5","doi-asserted-by":"publisher","first-page":"399.e391","DOI":"10.1016\/j.ajog.2015.12.032","volume":"214","author":"S Babbar","year":"2016","unstructured":"Babbar S, Hill JB, Williams KB, Pinon M, Chauhan SP, Maulik D (2016) Acute feTal behavioral Response to prenatal Yoga: a single, blinded, randomized controlled trial (TRY yoga). Am J Obstet Gynecol 214(3):399.e391\u2013399.e398. https:\/\/doi.org\/10.1016\/j.ajog.2015.12.032","journal-title":"Am J Obstet Gynecol"},{"issue":"4","key":"1709_CR6","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/j.srhc.2014.09.005","volume":"5","author":"MG Backhausen","year":"2014","unstructured":"Backhausen MG, Katballe M, Hansson H, Tabor A, Damm P, Hegaard HK (2014) A standardised individual unsupervised water exercise intervention for healthy pregnant women. A qualitative feasibility study. Sex Reprod Healthc 5(4):176\u2013181. https:\/\/doi.org\/10.1016\/j.srhc.2014.09.005","journal-title":"Sex Reprod Healthc"},{"key":"1709_CR7","doi-asserted-by":"publisher","unstructured":"Benito-Villena R, Guerrero-Mart\u00ednez I, Naveiro-Fuentes M, Cano-Ib\u00e1nez N, Femia-Marzo P, Gallo-Vallejo JL, Mozas-Moreno J, Amezcua-Prieto C (2022) Walking promotion in pregnancy and its effects on insomnia: results of Walking_Preg Project (WPP) clinical trial. Int J Environ Res Public Health 19(16). https:\/\/doi.org\/10.3390\/ijerph191610012","DOI":"10.3390\/ijerph191610012"},{"issue":"11","key":"1709_CR8","doi-asserted-by":"publisher","first-page":"777","DOI":"10.7326\/m14-2385","volume":"162","author":"P Brian Hutton","year":"2015","unstructured":"Brian Hutton P, MSc G, Salanti PD, Caldwell DM, PhD, et al (2015) The PRISMA Extension Statement for Reporting of Systematic Reviews Incorporating Network Meta-analyses of Health Care Interventions: Checklist and Explanations. Ann Intern Med 162(11):777\u2013784. https:\/\/doi.org\/10.7326\/m14-2385 26030634","journal-title":"Ann Intern Med"},{"key":"1709_CR9","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.jclinepi.2017.10.005","volume":"93","author":"R Brignardello-Petersen","year":"2018","unstructured":"Brignardello-Petersen R, Bonner A, Alexander PE, Siemieniuk RA, Furukawa TA, Rochwerg B, Hazlewood GS, Alhazzani W, Mustafa RA, Murad MH, Puhan MA, Sch\u00fcnemann HJ, Guyatt GH (2018) Advances in the GRADE approach to rate the certainty in estimates from a network meta-analysis. J Clin Epidemiol 93:36\u201344. https:\/\/doi.org\/10.1016\/j.jclinepi.2017.10.005","journal-title":"J Clin Epidemiol"},{"key":"1709_CR10","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1016\/j.jclinepi.2023.06.010","volume":"160","author":"R Brignardello-Petersen","year":"2023","unstructured":"Brignardello-Petersen R, Tomlinson G, Florez I, Rind DM, Chu D, Morgan R, Mustafa RA, Sch\u00fcnemann H, Guyatt GH (2023) Grading of recommendations assessment, development, and evaluation concept article 5: addressing intransitivity in a network meta-analysis. J Clin Epidemiol 160:151\u2013159. https:\/\/doi.org\/10.1016\/j.jclinepi.2023.06.010","journal-title":"J Clin Epidemiol"},{"issue":"1","key":"1709_CR11","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1111\/aogs.13982","volume":"100","author":"L Broberg","year":"2021","unstructured":"Broberg L, Tabor A, Rosth\u00f8j S, Backhausen M, Frokjaer VG, Damm P, Hegaard HK (2021) Effect of supervised group exercise on psychological well-being among pregnant women with or at high risk of depression (the EWE study): a randomized controlled trial. Acta Obstet Gynecol Scand 100(1):129\u2013138. https:\/\/doi.org\/10.1111\/aogs.13982","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"5","key":"1709_CR12","doi-asserted-by":"publisher","first-page":"2725","DOI":"10.1007\/s00404-024-07653-5","volume":"310","author":"G Buran","year":"2024","unstructured":"Buran G, Erim Avc\u0131 S (2024) The effect of pregnancy Pilates-assisted childbirth preparation training on urinary incontinence and birth outcomes: a randomized-controlled study. Arch Gynecol Obstet 310(5):2725\u20132735. https:\/\/doi.org\/10.1007\/s00404-024-07653-5","journal-title":"Arch Gynecol Obstet"},{"issue":"1","key":"1709_CR13","doi-asserted-by":"publisher","first-page":"79","DOI":"10.3109\/14767058.2016.1163541","volume":"30","author":"RE Carpenter","year":"2017","unstructured":"Carpenter RE, Emery SJ, Uzun O, Rassi D, Lewis MJ (2017a) Influence of antenatal physical exercise on heart rate variability and QT variability. J Matern Fetal Neonatal Med 30(1):79\u201384. https:\/\/doi.org\/10.3109\/14767058.2016.1163541","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"5","key":"1709_CR14","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1080\/14767058.2016.1179275","volume":"30","author":"RE Carpenter","year":"2017","unstructured":"Carpenter RE, Emery SJ, Uzun O, Rassi D, Lewis MJ (2017b) Influence of physical exercise on baroreceptor sensitivity during pregnancy. J Matern Fetal Neonatal Med 30(5):514\u2013519. https:\/\/doi.org\/10.1080\/14767058.2016.1179275","journal-title":"J Matern Fetal Neonatal Med"},{"key":"1709_CR15","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.ctim.2017.03.003","volume":"31","author":"PJ Chen","year":"2017","unstructured":"Chen PJ, Yang L, Chou CC, Li CC, Chang YC, Liaw JJ (2017) Effects of prenatal yoga on women\u2019s stress and immune function across pregnancy: a randomized controlled trial. Complement Ther Med 31:109\u2013117. https:\/\/doi.org\/10.1016\/j.ctim.2017.03.003","journal-title":"Complement Ther Med"},{"key":"1709_CR16","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1016\/j.neubiorev.2019.03.010","volume":"117","author":"LM Christian","year":"2020","unstructured":"Christian LM (2020) At the forefront of psychoneuroimmunology in pregnancy: implications for racial disparities in birth outcomes: PART 2: biological mechanisms. Neurosci Biobehav Rev 117:327\u2013333. https:\/\/doi.org\/10.1016\/j.neubiorev.2019.03.010","journal-title":"Neurosci Biobehav Rev"},{"issue":"1","key":"1709_CR17","doi-asserted-by":"publisher","first-page":"e186861","DOI":"10.1001\/jamanetworkopen.2018.6861","volume":"2","author":"CVN Coll","year":"2019","unstructured":"Coll CVN, Domingues MR, Stein A, da Silva BGC, Bassani DG, Hartwig FP, da Silva ICM, da Silveira MF, da Silva SG, Bertoldi AD (2019) Efficacy of regular exercise during pregnancy on the prevention of postpartum depression: the PAMELA randomized clinical trial. JAMA Netw Open 2(1):e186861. https:\/\/doi.org\/10.1001\/jamanetworkopen.2018.6861","journal-title":"JAMA Netw Open"},{"key":"1709_CR18","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1186\/1745-6215-14-390","volume":"14","author":"JR da Silva","year":"2013","unstructured":"da Silva JR Jr., Borges PS, Agra KF, Pontes IA, Alves JG (2013) Effects of an aquatic physical exercise program on glycemic control and perinatal outcomes of gestational diabetes: study protocol for a randomized controlled trial. Trials 14:390. https:\/\/doi.org\/10.1186\/1745-6215-14-390","journal-title":"Trials"},{"issue":"3","key":"1709_CR19","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1016\/j.ctcp.2015.06.005","volume":"21","author":"K Davis","year":"2015","unstructured":"Davis K, Goodman SH, Leiferman J, Taylor M, Dimidjian S (2015) A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety. Complement Ther Clin Pract 21(3):166\u2013172. https:\/\/doi.org\/10.1016\/j.ctcp.2015.06.005","journal-title":"Complement Ther Clin Pract"},{"issue":"8","key":"1709_CR20","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1136\/bjsports-2024-108478","volume":"59","author":"A Deprato","year":"2025","unstructured":"Deprato A, Ruchat S-M, Ali MU, Cai C, Forte M, Gierc M, Meyer S, Sjwed TN, Shirazi S, Matenchuk BA, Jones PAT, Sivak A, Davenport MH (2025) Impact of postpartum physical activity on maternal depression and anxiety: a systematic review and meta-analysis. Br J Sports Med 59(8):550\u2013561. https:\/\/doi.org\/10.1136\/bjsports-2024-108478","journal-title":"Br J Sports Med"},{"issue":"11","key":"1709_CR21","doi-asserted-by":"publisher","first-page":"3737","DOI":"10.1210\/en.2018-00677","volume":"159","author":"MJ Dickens","year":"2018","unstructured":"Dickens MJ, Pawluski JL (2018) The HPA Axis during the perinatal period: implications for perinatal depression. Endocrinology 159(11):3737\u20133746. https:\/\/doi.org\/10.1210\/en.2018-00677","journal-title":"Endocrinology"},{"key":"1709_CR22","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18136995","author":"C Feria-Ram\u00edrez","year":"2021","unstructured":"Feria-Ram\u00edrez C, Gonzalez-Sanz JD, Molina-Luque R, Molina-Recio G (2021) The effects of the Pilates method on pelvic floor injuries during pregnancy and childbirth: a quasi-experimental study. Int J Environ Res Public Health. https:\/\/doi.org\/10.3390\/ijerph18136995","journal-title":"Int J Environ Res Public Health"},{"issue":"2","key":"1709_CR23","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1016\/j.jbmt.2011.08.002","volume":"16","author":"T Field","year":"2012","unstructured":"Field T, Diego M, Hernandez-Reif M, Medina L, Delgado J, Hernandez A (2012) Yoga and massage therapy reduce prenatal depression and prematurity. J Bodyw Mov Ther 16(2):204\u2013209. https:\/\/doi.org\/10.1016\/j.jbmt.2011.08.002","journal-title":"J Bodyw Mov Ther"},{"issue":"7","key":"1709_CR24","doi-asserted-by":"publisher","first-page":"1152","DOI":"10.1111\/1471-0528.13570","volume":"123","author":"MK Gustafsson","year":"2016","unstructured":"Gustafsson MK, Stafne SN, Romundstad PR, M\u00f8rkved S, Salvesen K, Helvik AS (2016) The effects of an exercise programme during pregnancy on health-related quality of life in pregnant women: a Norwegian randomised controlled trial. BJOG 123(7):1152\u20131160. https:\/\/doi.org\/10.1111\/1471-0528.13570","journal-title":"BJOG"},{"key":"1709_CR25","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1186\/s12884-015-0576-2","volume":"15","author":"M Hawkins","year":"2015","unstructured":"Hawkins M, Braun B, Marcus BH, Stanek E 3rd, Markenson G, Chasan-Taber L (2015) The impact of an exercise intervention on C - reactive protein during pregnancy: a randomized controlled trial. BMC Pregnancy Childbirth 15:139. https:\/\/doi.org\/10.1186\/s12884-015-0576-2","journal-title":"BMC Pregnancy Childbirth"},{"issue":"3","key":"1709_CR26","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1007\/s00737-024-01525-2","volume":"28","author":"LE Hicks","year":"2025","unstructured":"Hicks LE, Graf MD, Yeo S (2025) Prenatal exercise and its effects on postpartum mental health: systematic review and meta-analysis. Arch Womens Ment Health 28(3):515\u2013524. https:\/\/doi.org\/10.1007\/s00737-024-01525-2","journal-title":"Arch Womens Ment Health"},{"issue":"6","key":"1709_CR27","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1177\/1941738115599358","volume":"7","author":"SK Hinman","year":"2015","unstructured":"Hinman SK, Smith KB, Quillen DM, Smith MS (2015) Exercise in pregnancy: a clinical review. Sports Health 7(6):527\u2013531. https:\/\/doi.org\/10.1177\/1941738115599358","journal-title":"Sports Health"},{"key":"1709_CR28","doi-asserted-by":"publisher","unstructured":"Khajehei M (2024) Endorphins, sexuality, and reproduction. In: Kerr PL, Sirbu C, Gregg M (Eds). Endogenous opioids: from basic science to biopsychosocial applications. Springer International Publishing, pp 397\u2013433 https:\/\/doi.org\/10.1007\/978-3-031-45493-6_20","DOI":"10.1007\/978-3-031-45493-6_20"},{"issue":"1","key":"1709_CR29","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1016\/j.ajcnut.2024.10.022","volume":"121","author":"JE Krzeczkowski","year":"2025","unstructured":"Krzeczkowski JE, Mortaji N, Atkinson S, Schmidt LA, Van Lieshout RJ (2025) Adaptive changes in multiple aspects of emotion regulation in the offspring of pregnant persons receiving a diet-and-exercise intervention relative to usual pregnancy care: a randomized controlled trial. Am J Clin Nutr 121(1):50\u201359. https:\/\/doi.org\/10.1016\/j.ajcnut.2024.10.022","journal-title":"Am J Clin Nutr"},{"issue":"3","key":"1709_CR30","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1515\/jpm-2024-0422","volume":"53","author":"L Kuder","year":"2025","unstructured":"Kuder L, Dinevski D, Dinevski IV, Taka\u010d I, Mujezinovi\u0107 F, Elve\u0111i Ga\u0161parovi\u0107 V (2025) Benefits of yoga in pregnancy: a randomised controlled clinical trial. J Perinat Med 53(3):350\u2013357. https:\/\/doi.org\/10.1515\/jpm-2024-0422","journal-title":"J Perinat Med"},{"issue":"15","key":"1709_CR31","doi-asserted-by":"publisher","first-page":"3582","DOI":"10.1002\/sim.8983","volume":"40","author":"H Li","year":"2021","unstructured":"Li H, Lim D, Chen M-H, Ibrahim JG, Kim S, Shah AK, Lin J (2021) Bayesian network meta-regression hierarchical models using heavy-tailed multivariate random effects with covariate-dependent variances. Stat Med 40(15):3582\u20133603. https:\/\/doi.org\/10.1002\/sim.8983","journal-title":"Stat Med"},{"key":"1709_CR32","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1016\/j.ejogrb.2020.08.013","volume":"253","author":"N Liu","year":"2020","unstructured":"Liu N, Wang J, Chen D-d, Sun W-j, Li P, Zhang W (2020) Effects of exercise on pregnancy and postpartum fatigue: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol 253:285\u2013295. https:\/\/doi.org\/10.1016\/j.ejogrb.2020.08.013","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"issue":"1","key":"1709_CR33","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1186\/s40359-024-02054-4","volume":"12","author":"M Meza-Rodr\u00edguez","year":"2024","unstructured":"Meza-Rodr\u00edguez M, Leff-Gelman P, Medina-Bastidas D, Avila-Garc\u00eda M, Figueroa-Dami\u00e1n R, Camacho-Arroyo I (2024) Serotonin, cortisol, and DHEA-S levels in anxious and depressive pregnant women living with HIV. BMC Psychol 12(1):563. https:\/\/doi.org\/10.1186\/s40359-024-02054-4","journal-title":"BMC Psychol"},{"issue":"2","key":"1709_CR34","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1515\/jcim-2019-0291","volume":"18","author":"E Mohyadin","year":"2020","unstructured":"Mohyadin E, Ghorashi Z, Molamomanaei Z (2020) The effect of practicing yoga during pregnancy on labor stages length, anxiety and pain: a randomized controlled trial. J Complement Integr Med 18(2):413\u2013417. https:\/\/doi.org\/10.1515\/jcim-2019-0291","journal-title":"J Complement Integr Med"},{"issue":"4","key":"1709_CR35","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/s1836-9553(10)70008-4","volume":"56","author":"AV Montoya Arizabaleta","year":"2010","unstructured":"Montoya Arizabaleta AV, Orozco Buitrago L, Aguilar de Plata AC, Mosquera Escudero M, Ramirez-Velez R (2010) Aerobic exercise during pregnancy improves health-related quality of life: a randomised trial. J Physiother 56(4):253\u2013258. https:\/\/doi.org\/10.1016\/s1836-9553(10)70008-4","journal-title":"J Physiother"},{"key":"1709_CR36","doi-asserted-by":"publisher","first-page":"1201371","DOI":"10.3389\/fpubh.2023.1201371","volume":"11","author":"P Nadholta","year":"2023","unstructured":"Nadholta P, Kumar K, Saha PK, Suri V, Singh A, Anand A (2023) Mind-body practice as a primer to maintain psychological health among pregnant women-YOGESTA-a randomized controlled trial. Front Public Health 11:1201371. https:\/\/doi.org\/10.3389\/fpubh.2023.1201371","journal-title":"Front Public Health"},{"issue":"1","key":"1709_CR37","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1186\/s12884-018-1715-3","volume":"18","author":"A Navas","year":"2018","unstructured":"Navas A, Artigues C, Leiva A, Portells E, Soler A, Cladera A, Ortas S, Alomar M, Gual M, Manzanares C, Brunet M, Juli\u00e0 M, L\u00f3pez L, Granda L, Bennasar-Veny M, Carrascosa MC (2018) Effectiveness and safety of moderate-intensity aerobic water exercise during pregnancy for reducing use of epidural analgesia during labor: protocol for a randomized clinical trial. BMC Pregnancy Childbirth 18(1):94. https:\/\/doi.org\/10.1186\/s12884-018-1715-3","journal-title":"BMC Pregnancy Childbirth"},{"issue":"8","key":"1709_CR38","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1002\/da.22268","volume":"31","author":"JJ Newham","year":"2014","unstructured":"Newham JJ, Wittkowski A, Hurley J, Aplin JD, Westwood M (2014) Effects of antenatal yoga on maternal anxiety and depression: a randomized controlled trial. Depress Anxiety 31(8):631\u2013640. https:\/\/doi.org\/10.1002\/da.22268","journal-title":"Depress Anxiety"},{"issue":"2","key":"1709_CR39","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1038\/s41593-023-01513-2","volume":"27","author":"M Paternina-Die","year":"2024","unstructured":"Paternina-Die M, Mart\u00ednez-Garc\u00eda M, Mart\u00edn de Blas D, Noguero I, Servin-Barthet C, Pretus C, Soler A, L\u00f3pez-Montoya G, Desco M, Carmona S (2024) Women\u2019s neuroplasticity during gestation, childbirth and postpartum. Nat Neurosci 27(2):319\u2013327. https:\/\/doi.org\/10.1038\/s41593-023-01513-2","journal-title":"Nat Neurosci"},{"issue":"1","key":"1709_CR40","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1177\/0163278714533566","volume":"38","author":"M Perales","year":"2015","unstructured":"Perales M, Refoyo I, Coteron J, Bacchi M, Barakat R (2015) Exercise during pregnancy attenuates prenatal depression: a randomized controlled trial. Eval Health Prof 38(1):59\u201372. https:\/\/doi.org\/10.1177\/0163278714533566","journal-title":"Eval Health Prof"},{"issue":"5","key":"1709_CR41","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1249\/mss.0000000000000837","volume":"48","author":"M Perales","year":"2016","unstructured":"Perales M, Santos-Lozano A, Sanchis-Gomar F, Luaces M, Pareja-Galeano H, Garatachea N, Barakat R, Lucia A (2016) Maternal cardiac adaptations to a physical exercise program during pregnancy. Med Sci Sports Exerc 48(5):896\u2013906. https:\/\/doi.org\/10.1249\/mss.0000000000000837","journal-title":"Med Sci Sports Exerc"},{"issue":"4","key":"1709_CR42","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1093\/ajcn\/nqac182","volume":"116","author":"M Perreault","year":"2022","unstructured":"Perreault M, Mottola MF, Atkinson SA (2022) Individualized high dairy protein\u2009+\u2009walking program supports bone health in pregnancy: a randomized controlled trial. Am J Clin Nutr 116(4):887\u2013896. https:\/\/doi.org\/10.1093\/ajcn\/nqac182","journal-title":"Am J Clin Nutr"},{"issue":"1","key":"1709_CR43","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/s1836-9553(12)70067-x","volume":"58","author":"AF Robledo-Colonia","year":"2012","unstructured":"Robledo-Colonia, A. F., Sandoval-Restrepo, N., Mosquera-Valderrama, Y. F., Escobar-Hurtado, C., & Ram\u00edrez-V\u00e9lez, R. (2012). Aerobic exercise training during pregnancy reduces depressive symptoms in nulliparous women: a randomised trial. J Physiother, 58(1), 9\u201315. https:\/\/doi.org\/10.1016\/s1836-9553(12)70067-x","journal-title":"J Physiother"},{"key":"1709_CR44","doi-asserted-by":"publisher","unstructured":"Rodr\u00edguez-Blanque R, Aguilar-Cordero MJ, Mar\u00edn-Jim\u00e9nez AE, Menor-Rodr\u00edguez MJ, Montiel-Troya M, S\u00e1nchez-Garc\u00eda JC (2020) Water exercise and quality of life in pregnancy: a randomised clinical trial. Int J Environ Res Public Health 17(4). https:\/\/doi.org\/10.3390\/ijerph17041288","DOI":"10.3390\/ijerph17041288"},{"issue":"1","key":"1709_CR45","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1186\/s12874-015-0060-8","volume":"15","author":"G R\u00fccker","year":"2015","unstructured":"R\u00fccker G, Schwarzer G (2015) Ranking treatments in frequentist network meta-analysis works without resampling methods. BMC Med Res Methodol 15(1):58. https:\/\/doi.org\/10.1186\/s12874-015-0060-8","journal-title":"BMC Med Res Methodol"},{"issue":"7","key":"1709_CR46","doi-asserted-by":"publisher","first-page":"e99682","DOI":"10.1371\/journal.pone.0099682","volume":"9","author":"G Salanti","year":"2014","unstructured":"Salanti G, Del Giovane C, Chaimani A, Caldwell DM, Higgins JPT (2014) Evaluating the quality of evidence from a network meta-analysis. PLoS One 9(7):e99682. https:\/\/doi.org\/10.1371\/journal.pone.0099682","journal-title":"PLoS One"},{"key":"1709_CR47","doi-asserted-by":"publisher","unstructured":"S\u00e1nchez-Pol\u00e1n M, Franco E, Silva-Jos\u00e9 C, Gil-Ares J, P\u00e9rez-Tejero J, Barakat R, Refoyo I (2021) Exercise during pregnancy and prenatal depression: a systematic review and meta-analysis [Systematic Review]. Front Physiol 12\u20132021. https:\/\/doi.org\/10.3389\/fphys.2021.640024","DOI":"10.3389\/fphys.2021.640024"},{"issue":"null","key":"1709_CR48","doi-asserted-by":"publisher","first-page":"2077","DOI":"10.2147\/JMDH.S370453","volume":"15","author":"R Santos-Rocha","year":"2022","unstructured":"Santos-Rocha R, Pajaujiene S, Szumilewicz A (2022) ACTIVE PREGNANCY: Workshop on promotion of physical activity in pregnancy for exercise professionals. J Multidiscip Healthc 15(null):2077\u20132089. https:\/\/doi.org\/10.2147\/JMDH.S370453","journal-title":"J Multidiscip Healthc"},{"issue":"4","key":"1709_CR49","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1016\/j.ctcp.2013.06.003","volume":"19","author":"M Satyapriya","year":"2013","unstructured":"Satyapriya M, Nagarathna R, Padmalatha V, Nagendra HR (2013) Effect of integrated yoga on anxiety, depression & well being in normal pregnancy. Complement Ther Clin Pract 19(4):230\u2013236. https:\/\/doi.org\/10.1016\/j.ctcp.2013.06.003","journal-title":"Complement Ther Clin Pract"},{"issue":"1","key":"1709_CR50","doi-asserted-by":"publisher","first-page":"2076","DOI":"10.1186\/s12889-024-19564-w","volume":"24","author":"Y Shuai","year":"2024","unstructured":"Shuai Y, Wu J, Li C, Li D (2024) Effect of different physical activity interventions on perinatal depression: A systematic review and network meta-analysis. BMC Public Health 24(1):2076. https:\/\/doi.org\/10.1186\/s12889-024-19564-w","journal-title":"BMC Public Health"},{"issue":"3","key":"1709_CR51","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1159\/000528801","volume":"30","author":"E Simsek Sahin","year":"2023","unstructured":"Simsek Sahin E, Can G\u00fcrkan \u00d6 (2023) The effect of prenatal yoga on pregnancy-related symptoms: A pilot quasi-experimental study. Complement Med Res 30(3):195\u2013203. https:\/\/doi.org\/10.1159\/000528801","journal-title":"Complement Med Res"},{"issue":"1","key":"1709_CR52","doi-asserted-by":"publisher","first-page":"69","DOI":"10.3233\/bmr-191810","volume":"34","author":"E Sonmezer","year":"2021","unstructured":"Sonmezer E, \u00d6zk\u00f6sl\u00fc MA, Yosmao\u011flu HB (2021) The effects of clinical Pilates exercises on functional disability, pain, quality of life and lumbopelvic stabilization in pregnant women with low back pain: A randomized controlled study. J Back Musculoskelet Rehabil 34(1):69\u201376. https:\/\/doi.org\/10.3233\/bmr-191810","journal-title":"J Back Musculoskelet Rehabil"},{"issue":"6","key":"1709_CR53","doi-asserted-by":"publisher","first-page":"e31","DOI":"10.1016\/j.midw.2009.01.005","volume":"26","author":"YC Sun","year":"2010","unstructured":"Sun YC, Hung YC, Chang Y, Kuo SC (2010) Effects of a prenatal yoga programme on the discomforts of pregnancy and maternal childbirth self-efficacy in Taiwan. Midwifery 26(6):e31-36. https:\/\/doi.org\/10.1016\/j.midw.2009.01.005","journal-title":"Midwifery"},{"issue":"2","key":"1709_CR54","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1097\/aog.0000000000004266","volume":"137","author":"H Syed","year":"2021","unstructured":"Syed H, Slayman T, DuChene Thoma K (2021) ACOG Committee Opinion No. 804: Physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol 137(2):375\u2013376. https:\/\/doi.org\/10.1097\/aog.0000000000004266","journal-title":"Obstet Gynecol"},{"issue":"5","key":"1709_CR55","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1111\/ijn.12453","volume":"22","author":"C Taniguchi","year":"2016","unstructured":"Taniguchi C, Sato C (2016) Home-based walking during pregnancy affects mood and birth outcomes among sedentary women: a randomized controlled trial. Int J Nurs Pract 22(5):420\u2013426. https:\/\/doi.org\/10.1111\/ijn.12453","journal-title":"Int J Nurs Pract"},{"key":"1709_CR56","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/1742-4755-8-14","volume":"8","author":"AL Vallim","year":"2011","unstructured":"Vallim AL, Osis MJ, Cecatti JG, Baciuk \u00c9 P, Silveira C, Cavalcante SR (2011) Water exercises and quality of life during pregnancy. Reprod Health 8:14. https:\/\/doi.org\/10.1186\/1742-4755-8-14","journal-title":"Reprod Health"},{"issue":"6","key":"1709_CR57","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1136\/bjsports-2017-098926","volume":"53","author":"M Vargas-Terrones","year":"2019","unstructured":"Vargas-Terrones M, Barakat R, Santacruz B, Fernandez-Buhigas I, Mottola MF (2019) Physical exercise programme during pregnancy decreases perinatal depression risk: a randomised controlled trial. Br J Sports Med 53(6):348\u2013353. https:\/\/doi.org\/10.1136\/bjsports-2017-098926","journal-title":"Br J Sports Med"},{"issue":"3","key":"1709_CR58","doi-asserted-by":"publisher","first-page":"517","DOI":"10.11124\/jbies-24-00308","volume":"23","author":"AA Veroniki","year":"2025","unstructured":"Veroniki AA, Hutton B, Stevens A, McKenzie JE, Page MJ, Moher e (2025) Update to the PRISMA guidelines for network meta-analyses and scoping reviews and development of guidelines for rapid reviews: a scoping review protocol. JBI Evid Synth 23(3):517\u2013526. https:\/\/doi.org\/10.11124\/jbies-24-00308","journal-title":"JBI Evid Synth"},{"issue":"11","key":"1709_CR59","doi-asserted-by":"publisher","first-page":"e075212","DOI":"10.1136\/bmjopen-2023-075212","volume":"13","author":"Y Wang","year":"2023","unstructured":"Wang Y, Xia R, Pericic TP, Bekkering GE, Hou L, Bala MM, Gao Y, Wu M, Gloss D, Siemieniuk RA, Fei Y, Rochwerg B, Guyatt G, Brignardello-Petersen R (2023) How do network meta-analyses address intransitivity when assessing certainty of evidence: a systematic survey. BMJ Open 13(11):e075212. https:\/\/doi.org\/10.1136\/bmjopen-2023-075212","journal-title":"BMJ Open"},{"key":"1709_CR60","doi-asserted-by":"publisher","unstructured":"Wilczy\u0144ska D, Walczak-Koz\u0142owska T, Santos-Rocha R, Laskowski R, Szumilewicz A (2024) Stress is not so bad\u2014cortisol level and psychological functioning after 8-week HIIT program during pregnancy: a randomized controlled trial [Original Research]. Front Public Health 11\u20132023. https:\/\/doi.org\/10.3389\/fpubh.2023.1307998","DOI":"10.3389\/fpubh.2023.1307998"},{"key":"1709_CR61","doi-asserted-by":"publisher","unstructured":"Yu H, Mu Q, Lv X, Chen S, He H (2024) Effects of an exercise intervention on maternal depression, anxiety, and fatigue: a systematic review and meta-analysis [Systematic Review]. Front Psychol 15\u20132024. https:\/\/doi.org\/10.3389\/fpsyg.2024.1473710","DOI":"10.3389\/fpsyg.2024.1473710"},{"key":"1709_CR62","doi-asserted-by":"publisher","unstructured":"Zhang Z, Liu YJ, Sun L, Zhao XD (2024) The effects of exercise on antenatal depression: a systematic review and meta-analysis [Systematic Review]. Front Psychiatry 15\u20132024. https:\/\/doi.org\/10.3389\/fpsyt.2024.1290418","DOI":"10.3389\/fpsyt.2024.1290418"},{"issue":"9","key":"1709_CR63","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1111\/cns.13385","volume":"26","author":"J-L Zhao","year":"2020","unstructured":"Zhao J-L, Jiang W-T, Wang X, Cai Z-D, Liu Z-H, Liu G-R (2020) Exercise, brain plasticity, and depression. CNS Neurosci Ther 26(9):885\u2013895. https:\/\/doi.org\/10.1111\/cns.13385","journal-title":"CNS Neurosci Ther"}],"container-title":["Archives of Women's Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00737-026-01709-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00737-026-01709-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00737-026-01709-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T03:26:28Z","timestamp":1781321188000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00737-026-01709-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,15]]},"references-count":63,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["1709"],"URL":"https:\/\/doi.org\/10.1007\/s00737-026-01709-y","relation":{},"ISSN":["1434-1816","1435-1102"],"issn-type":[{"value":"1434-1816","type":"print"},{"value":"1435-1102","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,15]]},"assertion":[{"value":"4 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"82"}}