Postpartum depression, Physical activity, Postpartum depression therapy


Postpartum depression (PPD) occurs  in about 10-15% of women, this condition affects mother and baby interaction and also affects the mother's relationship with her husband and family. The prevalence of PPD in Asia ranges from 3.5% to 63.3%, while in Indonesia is around 15-22%. Therapy for postpartum depression considered  same as major depression cases, and known to respond well with the same antidepressant, but several conditions need to be considered in providing antidepressant therapy in PPD, namely metabolic changes in the postpartum period, the effect on breastfeed and the effect  on the mother ability to attend  the baby. Therefore, non-pharmacological therapy for PPD is preferred. Based on the results of studies, people who are physically active have better psychological conditions. This condition can also occur in pregnant women.This literature review discusses the impact of physical activity  on postpartum depression symptoms.   


Motzfeldt I, Andreasen S, Pedersen AL, Pedersen ML. Prevalence of postpartum depression in Nuuk, Greenland – a cross-sectional study using Edinburgh Postnatal Depression Scale. Int J Circumpolar Health. 2013;72

Klainin P, Arthur DG. Postpartum depression in Asian cultures: A literature review. Int J Nurs Stud. 2017;46(10):1355-1373.

Glynn LM, Davis EP, Sandman CA. New insights into the role of perinatal HPA-axis dysregulation in postpartum depression. Neuropeptides. 2013;47(6):363-370.

Bloch M, Rubinow DR, Schmidt PJ, Lotsikas A, Chrousos GP, Cizza G. Cortisol Response to Ovine Corticotropin-Releasing Hormone in a Model of Pregnancy and Parturition in Euthymic Women with and without a History of Postpartum Depression. J Clin Endocrinol Metab. 2005;90(2):695-699.

Brummelte S, Galea LAM. Postpartum depression: Etiology, treatment and consequences for maternal care. Horm Behav. 2016;77:153-166.

Frokjaer VG, Pinborg A, Holst KK, et al. Role of Serotonin Transporter Changes in Depressive Responses to Sex-Steroid Hormone Manipulation: A Positron Emission Tomography Study. Biol Psychiatry. 2015;78(8):534-543.

Guintivano J, Arad M, Gould TD, Payne JL, Kaminsky ZA. Antenatal prediction of postpartum depression with blood DNA methylation biomarkers. Mol Psychiatry. 2014;19(5):560-567.

Skrundz M, Bolten M, Nast I, Hellhammer DH, Meinlschmidt G. Plasma Oxytocin Concentration during Pregnancy is associated with Development of Postpartum Depression. Neuropsychopharmacology. 2011;36(9):1886-1893.

Ji E-S, Lee J-M, Kim T-W, Kim Y-M, Kim Y-S, Kim K. Treadmill exercise ameliorates depressive symptoms through increasing serotonin expression in postpartum depression rats. J Exerc Rehabil. 2017;13(2):130-135.

Navas A, Artigues C, Leiva A, et al. 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. 2018;18(1):94.

Gobinath AR, Richardson RJ, Chow C, Workman, Joanna L Lieblich SE, Barr AM, Galea LA. Voluntary running influences the efficacy of fluoxetine treatment in a 3 model of postpartum depression. Fac Res Publ. 2017.

Özkan SA, Kücükkelepce DS, Korkmaz B, Yılmaz G, Bozkurt MA. The effectiveness of an exercise intervention in reducing the severity of postpartum depression: A randomized controlled trial. Perspect Psychiatr Care. 2020;56(4):844-850.

Da Costa D, Lowensteyn I, Abrahamowicz M, et al. A randomized clinical trial of exercise to alleviate postpartum depressed mood. J Psychosom Obstet Gynaecol. 2009;30(3):191-200.

Ana Y, Lewis MG, van Schayck OCP, Babu GR. Is physical activity in pregnancy associated with prenatal and postnatal depressive symptoms?: Results from MAASTHI cohort study in South India. J Psychosom Res. 2021;144:110390.

Gerber M, Imboden C, Beck J, et al. Effects of Aerobic Exercise on Cortisol Stress Reactivity in Response to the Trier Social Stress Test in Inpatients with Major Depressive Disorders: A Randomized Controlled Trial. J Clin Med. 2020;9(5):1419.

Kumorojati R, Alfie, Warseno A. Effect of Yoga Exercise on Cortisol Hormone Levels in Pregnant Women in Kinik Pratama Asih Waluyojati Banguntapan Bantul Yogyakarta. Indones J Nurs Midwifery. 2020;8(4).

Caplin A, Chen FS, Beauchamp MR, Puterman E. The effects of exercise intensity on the cortisol response to a subsequent acute psychosocial stressor. Psychoneuroendocrinology. 2021;131:105336.




How to Cite

Sofiyanti, S. (2021). PERAN AKTIVITAS FISIK PADA DEPRESI POSTPARTUM: LITERATUR REVIEW. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 13(1), 254-261.