{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T13:22:08Z","timestamp":1789392128889,"version":"build-2803163510"},"reference-count":76,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,5,30]],"date-time":"2021-05-30T00:00:00Z","timestamp":1622332800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI13\/02440"],"award-info":[{"award-number":["PI13\/02440"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The global prevalence of postpartum depression is about 20%. This disease has serious consequences for women, their infants, and their families. The aim of this randomized clinical trial was to analyze the effectiveness and safety of a moderate-intensity aerobic water exercise program on postpartum depression, sleep problems, and quality of life in women at one month after delivery. Methods: This was a multi-center, parallel, randomized, evaluator blinded, controlled trial in a primary care setting. Pregnant women (14\u201320 weeks gestational age) who had low risk of complications and were from five primary care centers in the area covered by the obstetrics unit of Son Llatzer Hospital (Mallorca, Spain) were invited to participate. A total of 320 pregnant women were randomly assigned to two groups, an intervention group (moderate aquatic aerobic exercise) and a control group (usual prenatal care). One month after birth, sleep quality (MOS sleep), quality of life (EQ-5D), and presence of anxiety or depression (EPDS) were recorded. Findings: Women in the intervention group were less likely to report anxiety or depression on the EQ5D (11.5% vs. 22.7%; p &lt; 0.05) and had a lower mean EPDS score (6.1 \u00b1 1.9 vs. 6.8 \u00b1 2.4, p &lt; 0.010). The two groups had no significant differences in other outcomes, maternal adverse events, and indicators of the newborn status. Conclusion: Moderate-intensity aquatic exercise during pregnancy decreased postpartum anxiety and depressive symptoms in mothers and was safe for mothers and their newborns.<\/jats:p>","DOI":"10.3390\/jcm10112432","type":"journal-article","created":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T01:51:37Z","timestamp":1622425897000},"page":"2432","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Effectiveness of Moderate-Intensity Aerobic Water Exercise during Pregnancy on Quality of Life and Postpartum Depression: A Multi-Center, Randomized Controlled Trial"],"prefix":"10.3390","volume":"10","author":[{"given":"Araceli","family":"Navas","sequence":"first","affiliation":[{"name":"Hospital Comarcal de Inca, Balearic Islands Health Services, 07300 Inca, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda del Carmen","family":"Carrascosa","sequence":"additional","affiliation":[{"name":"Mallorca Primary Health Care, Balearic Islands Health Services, 07002 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catalina","family":"Artigues","sequence":"additional","affiliation":[{"name":"Mallorca Primary Health Care, Balearic Islands Health Services, 07002 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Ortas","sequence":"additional","affiliation":[{"name":"Mallorca Primary Health Care, Balearic Islands Health Services, 07002 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Portells","sequence":"additional","affiliation":[{"name":"Mallorca Primary Health Care, Balearic Islands Health Services, 07002 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aina","family":"Soler","sequence":"additional","affiliation":[{"name":"Primary Care Research Unit of Mallorca, Balearic Islands Health Services, 07002 Palma, Spain"},{"name":"Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8527-3937","authenticated-orcid":false,"given":"Aina M.","family":"Ya\u00f1ez","sequence":"additional","affiliation":[{"name":"Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma, Spain"},{"name":"Nursing and Physiotherapy Department, Balearic Islands University, 07122 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1668-2141","authenticated-orcid":false,"given":"Miquel","family":"Bennasar-Veny","sequence":"additional","affiliation":[{"name":"Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma, Spain"},{"name":"Nursing and Physiotherapy Department, Balearic Islands University, 07122 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso","family":"Leiva","sequence":"additional","affiliation":[{"name":"Primary Care Research Unit of Mallorca, Balearic Islands Health Services, 07002 Palma, Spain"},{"name":"Health Research Institute of the Balearic Islands (IdISBa), 07120 Palma, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.jpsychires.2019.08.002","article-title":"Changes in the global burden of depression from 1990 to 2017: Findings from the Global Burden of Disease study","volume":"126","author":"Liu","year":"2020","journal-title":"J. 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