Enablers and barriers to women's lifestyle behavior change during the preconception period: A systematic review

Kandel, Pragya; Lim, Siew; Pirotta, Stephanie; Skouteris, Helen; Moran, Lisa J.; Hill, Briony

doi:10.1111/obr.13235

Cited by 40 publications

(48 citation statements)

References 113 publications

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“…Although the preconception period can be a “teachable moment” for lifestyle modification, opportunities are often missed as nearly half of pregnancies are unplanned [ 169 ]. Furthermore, women preconception face several barriers to adopting a healthy lifestyle and weight including lack of knowledge, not planning pregnancy, beliefs about negative consequences of eating healthy food, family pressure and lack of resources [ 170 ].…”

Section: Interventions For Preventing Weight Gain In Womenmentioning

confidence: 99%

The Relationship of Diet and Physical Activity with Weight Gain and Weight Gain Prevention in Women of Reproductive Age

Awoke

Skouteris

Makama

et al. 2021

JCM

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Reproductive-age women often see increased weight gain, which carries an increased risk of long-term overweight and obesity and adverse maternal and child health outcomes. Supporting women to achieve optimal weight through lifestyle modification (diet and physical activity) is of critical importance to reduce weight gain across key reproductive life-stages (preconception, pregnancy and postpartum). This review comprehensively summarizes the current state of knowledge on the contribution of diet and physical activity to weight gain and weight gain prevention in reproductive-aged women. Suboptimal diets including a higher proportion of discretionary choices or energy intake from fats, added sugars, sweets or processed foods are associated with higher weight gain, whereas increased consumption of core foods including fruits, vegetables and whole grains and engaging in regular physical activity are associated with reduced weight gain in reproductive age women. Diet and physical activity contributing to excessive gestational weight gain are well documented. However, there is limited research assessing diet and physical activity components associated with weight gain during the preconception and postpartum period. This review highlights the need for further research to identify key dietary and physical activity components targeting the critical windows of reproductive life-stages in women to best guide interventions to prevent weight gain.

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Section: Interventions For Preventing Weight Gain In Womenmentioning

confidence: 99%

The Relationship of Diet and Physical Activity with Weight Gain and Weight Gain Prevention in Women of Reproductive Age

Awoke

Skouteris

Makama

et al. 2021

JCM

Self Cite

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“…Hence, there is an opportunity for being better prepared for one's health and the health of the next generation. 15 In our project, PREPARED, we will evaluate a newly developed digital intervention targeting young men and women aged 20-35 individually, in a randomised controlled trial. Our primary aim is to improve participants' diet and secondary aims are (1) to improve participants' quality of life and (2) improve maternal and child perinatal outcomes by following participants up to 20 years or until they have their first child.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Hence, there is an opportunity for being better prepared for one’s health and the health of the next generation. 15 …”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a digital dietary intervention program targeting young adults before parenthood: protocol for the PREPARED randomised controlled trial

et al. 2021

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IntroductionThe importance of preconception health for lifelong physical and mental health in the next generation has gained increasing recognition in recent years. Preconception paternal and maternal risk factors such as obesity and inadequate diet affect the metabolic and cardiovascular health of their offspring later in life. This highlights the importance of diet and dietary behaviour in the years before parenthood. In our project, PREPARED, we will evaluate the effectiveness of a digital intervention targeting young adults. Our primary aim is to improve participants’ preconception diet, and our secondary aim is to improve preconception quality of life and maternal and child perinatal outcomes.Methods and analysisWe plan to recruit 7000 men and women individually, aged 20–35 years without children, to be randomised to an intervention or a control group. The intervention group will receive access to a digital resource for 6 months promoting a healthy diet for their health now, later in life and for the next generation. Follow-up is up to 20 years or until they have their first child. To evaluate intervention effects, we will collect dietary data (2×24-hour dietary recalls and a screener). For those participants for which birth ensues, we will link study data with data from the Medical Birth Registry of Norway on maternal and child perinatal outcomes.Ethics and disseminationThe study is approved by the Regional Ethics Committee, the Norwegian Data Protection Service and our Faculty Ethical Committee (REC: 78104, NSD: 907212, FEC 20/10119). Participation is voluntary and all participants will provide informed consent. Participants can withdraw their consent without giving any reason. Findings will be communicated to the public through a project website and social media, and to professionals through conferences and peer-reviewed papers.Trial registration numberISRCTN44294662.

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“…Nevertheless, even among the referred individuals, the uptake of clinic visits is low [ 4 ]. There are many barriers to actions for disease prevention and health promotion [ 5 , 6 ]. Life-style-related diseases, such as hypertension, diabetes, and hyperlipidemia, often yield no symptoms even at very high risk, making it difficult for some of the patients to take actions for visiting clinics to seek treatment under the co-payment policy [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Health Counselor Characteristics and Counseling Impact on Individuals at High-Risk for Lifestyle-Related Disease: Sub-Analysis of the J-HARP Cluster-Randomized Controlled Trial

Noguchi

Kinuta²,

Sairenchi³

et al. 2022

IJERPH

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Early diagnosis and treatment are necessary to prevent lifestyle-related diseases among high-risk individuals. This study aimed to examine the impact of counselor characteristics on clinic visits among individuals at high risk for lifestyle-related diseases. A total of 8975 patients aged 40 to 74 years with lifestyle-related comorbidities, who underwent an annual health checkup and received health counseling, were included in this study. Data intervention timing, mode of counseling, number of counseling sessions, and explanation methods were collected. We assessed the impact of counselor characteristics, including profession (public health nurse, clinical nurse, and nutritionist), age, and years of counseling experience, on counseling outcomes. The probability ratios (95% confidence intervals) of clinic visits were 1.22 (1.11–1.35) for public health nurses and 1.04 (0.90–1.20) for nurses compared with nutritionists. After adjustment for participant and counselor characteristics and initial timing, mode, and number of counseling sessions, the corresponding probability ratios (95% confidence intervals) were 1.16 (1.05–1.29) and 1.12 (0.95–1.31), respectively. Counselor age and years of experience did not influence clinic visits of the target population. Public health nurses were more effective in increasing clinic visits among the target population owing to their profession-specific knowledge, skills, and experience.

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Enablers and barriers to women's lifestyle behavior change during the preconception period: A systematic review

Cited by 40 publications

References 113 publications

The Relationship of Diet and Physical Activity with Weight Gain and Weight Gain Prevention in Women of Reproductive Age

The Relationship of Diet and Physical Activity with Weight Gain and Weight Gain Prevention in Women of Reproductive Age

Effectiveness of a digital dietary intervention program targeting young adults before parenthood: protocol for the PREPARED randomised controlled trial

Relationship between Health Counselor Characteristics and Counseling Impact on Individuals at High-Risk for Lifestyle-Related Disease: Sub-Analysis of the J-HARP Cluster-Randomized Controlled Trial

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