Physical Activity During Pregnancy and Its Impact on Postpartum Depression Risk: A Narrative Review
DOI:
https://doi.org/10.12775/QS.2026.54.70404Keywords
physical activity, pregnancy, postpartum depression, exercise, maternal mental healthAbstract
Background. Pregnancy and the early postpartum period involve physiological and psychosocial changes that may increase vulnerability to depressive symptoms after childbirth. Safe and accessible preventive strategies, including physical activity, are therefore of growing interest.
Aim. The aim of this narrative review was to summarize current evidence on the relationship between physical activity during pregnancy and the risk of postpartum depression.
Material and methods. A structured search of PubMed, Scopus, and Google Scholar was conducted. Studies on pregnant women, prenatal physical activity, and postpartum depressive symptoms assessed with validated instruments, especially the Edinburgh Postnatal Depression Scale, were included.
Results. Available evidence suggests that women who remain physically active during pregnancy tend to report fewer postpartum depressive symptoms. Better outcomes were most often observed with regular moderate-intensity exercise, programs lasting at least 12 weeks, and activity levels meeting current recommendations. Aerobic exercise, yoga, mind-body exercise, and relaxation-oriented interventions appear particularly promising.
Conclusions. Prenatal physical activity may be an accessible and clinically relevant component of postpartum depression prevention. Further studies are needed to clarify the most effective dose, modality, and implementation strategy.
References
1. Kołomańska-Bogucka D, Mazur-Biały AI. Physical activity and the occurrence of postnatal depression: A systematic review. Medicina (Kaunas). 2019;55(9):560. https://doi.org/10.3390/medicina55090560
2. Seth S, Lewis AJ, Galbally M. Perinatal maternal depression and cortisol function in pregnancy and the postpartum period: A systematic literature review. BMC Pregnancy Childbirth. 2016;16:124. https://doi.org/10.1186/s12884-016-0915-y
3. DiPietro L, Evenson KR, Bloodgood B, et al. Benefits of physical activity during pregnancy and postpartum: An umbrella review. Med Sci Sports Exerc. 2019;51(6):1292-1302. https://doi.org/10.1249/MSS.0000000000001941
4. Gallo-Galán LM, Gallo-Vallejo MA, Gallo-Vallejo JL. Physical exercise and pregnancy. Evidence based medicine (EBM). Semergen. 2022;48(6):423-430. https://doi.org/10.1016/j.semerg.2022.02.008
5. Nakamura A, van der Waerden J, Melchior M, Bolze C, El-Khoury F, Pryor L. Physical activity during pregnancy and postpartum depression: Systematic review and meta-analysis. J Affect Disord. 2019;246:29-41. https://doi.org/10.1016/j.jad.2018.12.009
6. Cai C, Busch S, Wang R, Sivak A, Davenport MH. Physical activity before and during pregnancy and maternal mental health: A systematic review and meta-analysis of observational studies. J Affect Disord. 2022;309:393-403. https://doi.org/10.1016/j.jad.2022.04.143
7. He L, Soh KL, Huang F, et al. The impact of physical activity intervention on perinatal depression: A systematic review and meta-analysis. J Affect Disord. 2023;321:304-319. https://doi.org/10.1016/j.jad.2022.10.026
8. Ji M, Li R, Xu Y. Meta-analysis of the effect of different exercise modalities in the prevention and treatment of perinatal depression. J Affect Disord. 2024;350:442-451. https://doi.org/10.1016/j.jad.2024.01.076
9. Shuai Y, Wu J, Li C, Li D. Effect of different physical activity interventions on perinatal depression: A systematic review and network meta-analysis. BMC Public Health. 2024;24(1):2076. https://doi.org/10.1186/s12889-024-19564-w
10. Dong J, Chi J, Lei EFC. Effects of prenatal exercise on prenatal and postpartum depression and anxiety symptoms: A systematic review and network meta-analysis. J Affect Disord. 2026;393(Pt B):120438. https://doi.org/10.1016/j.jad.2025.120438
11. Shakeel N, Richardsen KR, Martinsen EW, Eberhard-Gran M, Slinning K, Jenum AK. Physical activity in pregnancy and postpartum depressive symptoms in a multiethnic cohort. J Affect Disord. 2018;236:93-100. https://doi.org/10.1016/j.jad.2018.04.081
12. Baran J, Kalandyk-Osinko K, Baran R. Does prenatal physical activity affect the occurrence of postnatal anxiety and depression? Longitudinal study. Int J Environ Res Public Health. 2022;19(4):2284. https://doi.org/10.3390/ijerph19042284
13. Rovcanin M, Tomic A, Sipetic Grujicic S, et al. The impact of physical activity on the development of postpartum depression. Depress Anxiety. 2024;2024:6539734. https://doi.org/10.1155/2024/6539734
14. Saccone G, Buonomo G, Ammendola A, et al. Exercise in pregnancy and risk of postpartum depression. BJOG. 2026;133(2):211-217. https://doi.org/10.1111/1471-0528.70010
15. Opara J, Mehlich K, Szczygieł J. Recommendations for lifestyle physical activity and exercise during the perinatal period: A narrative review. Healthcare (Basel). 2026;14(1):122. https://doi.org/10.3390/healthcare14010122
16. Drobni Z, Sobel G, Balla D, et al. Physical activity during pregnancy and the postpartum period: Recreational and competitive sport. Orv Hetil. 2025;166(52):2055-2063. https://doi.org/10.1556/650.2025.33438
17, Sun Y, Molitor J, Benmarhnia T, et al. Association between urban green space and postpartum depression, and the role of physical activity: A retrospective cohort study in Southern California. Lancet Reg Health Am. 2023;21:100462. https://doi.org/10.1016/j.lana.2023.100462
18. Nguyen NT, Pengpid S. Proactive approaches to preventing postpartum depression in non-depressive pregnant women: A comprehensive scoping review. Front Glob Womens Health. 2025;6:1497740. https://doi.org/10.3389/fgwh.2025.1497740
19. Loree AM, Santarossa S, Coyne P, et al. Virtually-delivered prenatal yoga to prevent postpartum depression (PRYD) in women with a history of depression: Protocol for an exploratory pilot randomized controlled trial. Contemp Clin Trials. 2025;156:108032. https://doi.org/10.1016/j.cct.2025.108032
20. Fuenzalida P, Droppelmann G, Mahecha S, Feijoo F. Impact of exercise dose-response on maternal mental health and perinatal depression prevention: A systematic review and meta-analysis. Int J Public Health. 2025;70:1608940. https://doi.org/10.3389/ijph.2025.1608940
21. Wang J, Carru C, Sedda S, Fiori PL, Li Z, Chen Z. Comparative impact of exercise-based interventions for postpartum depression: A Bayesian network meta-analysis. Int J Gynaecol Obstet. 2024;165(1):67-75. https://doi.org/10.1002/ijgo.15091
22. Lewis BA, Schuver K, Dunsiger S, et al. Randomized trial examining the effect of exercise and wellness interventions on preventing postpartum depression and perceived stress. BMC Pregnancy Childbirth. 2021;21(1):785. https://doi.org/10.1186/s12884-021-04257-8
23. Fotso MN, Gonzalez NA, Sanivarapu RR, et al. Association of physical activity with the prevention and treatment of depression during the postpartum period: A narrative review. Cureus. 2023;15(8):e44453. https://doi.org/10.7759/cureus.44453
24. Singh B, Olds T, Curtis R, et al. Effectiveness of physical activity interventions for improving depression, anxiety and distress: An overview of systematic reviews. Br J Sports Med. 2023;57(18):1203-1209. https://doi.org/10.1136/bjsports-2022-106195
25. Marconcin P, Peralta M, Gouveia ÉR, Ferrari G, Carraça E, Ihle A, Marques A. Effects of exercise during pregnancy on postpartum depression: A systematic review of meta-analyses. Biology (Basel). 2021;10(12):1331. https://doi.org/10.3390/biology10121331
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Copyright (c) 2026 Klaudia Czernic-Goławska, Joanna Falana, Jana Kozłowska, Maria Orłowska, Anna Kwiatkowska, Aleksandra Wielogórska, Karolina Trojnar, Agnieszka Przepióra, Anna Żmigrodzka, Maria Sanocka, Agnieszka Kamińska

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