Preconception nutritional intake and lifestyle factors: first results of an explorative study

Weerd, Sabina de; Steegers, Eric A.P.; Heinen, Mirjam M.; Eertwegh, Sharon van den; Vehof, Rianne M.E.J; Steegers‐Theunissen, R.P.M.

doi:10.1016/s0301-2115(03)00290-2

Cited by 31 publications

(37 citation statements)

References 11 publications

(13 reference statements)

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“…Of the three studies reporting dietary intake as nutrients, the consumption of folate (Hure et al, ; Pinto et al, ) and vitamin E (Hure et al, ; Pinto et al, ) was most frequently reported as being inadequate in the diets of preconceptual women. On the other hand, protein intake was more likely to exceed daily recommendations (de Weerd et al, ; Olmedo‐Requena et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…The included studies comprised 15 cross-sectional and three casecontrol studies. These studies were conducted in Australia (n = 4) (Bookari, Yeatman, & Williamson, 2017;Hure, Young, Smith, & Collins, 2009;Malek, Umberger, Makrides, & Zhou, 2016;Mishra, Schoenaker, Mihrshahi, & Dobson, 2015), China (n = 4) (Gao et al, 2013;Liu et al, 2015;Yang et al, 2017;Zhang, Zhou, Perkins, Wang, & Sun, 2017), India (n = 3) (Dahiya, 2002;Jood, Bishnoi, & Khetarpaul, 2002;Panwar & Punia, 1998), Pakistan (n = 1) (Sajjad & Khan, 2012), Poland (n = 1) (Bojar, Wdowiak, Humeniuk, & Blaziak, 2006), Canada (n = 1) (Pick, Edwards, Moreau, & Ryan, 2005), Spain (n = 1) (Olmedo-Requena et al, 2017), Japan (n = 1) (Okubo et al, 2011), Portugal (n = 1) (Pinto, Barros, & Santos Silva, 2009), and the Netherlands (n = 1) (de Weerd et al, 2003). Seventeen studies reported the dietary intake of pregnant women, and five reported the dietary intake of women in the preconception period.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Dietary guideline adherence during preconception and pregnancy: A systematic review

Caut

Leach

Steel

2019

Maternal & Child Nutrition

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The aim of this study is to determine the level of adherence to dietary guidelines among men and women during preconception, and pregnant women, and factors associated with adherence. Searches were conducted in CINAHL, AMED, EMBASE, and Maternity and Infant Care from inception to March 2018. Observational studies assessing the primary outcome (adherence to dietary guidelines and/or nutritional recommendations) and/or secondary outcome (factors associated with adherence) were eligible. Study quality was assessed using the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross‐sectional studies. Men or women (aged ≥18 years) who identified as trying/intending to conceive or were pregnant. Eighteen studies were included. The quality of studies was fair (44%) to good (56%). Most studies indicated preconceptual and pregnant women do not meet recommendations for vegetable, cereal grain, or folate intake. Pregnant women did not meet iron or calcium intake requirements in 91% and 55% of included studies, respectively, and also exceeded fat intake recommendations in 55% of included studies. Higher level education was associated with improved guideline adherence in pregnant women, whereas older age and non‐smoking status were associated with greater guideline adherence in preconceptual and pregnant women. The findings of this review suggest that preconceptual and pregnant women may not be meeting the minimum requirements stipulated in dietary guidelines and/or nutritional recommendations. This could have potential adverse consequences for pregnancy and birth outcomes and the health of the offspring. Major knowledge gaps identified in this review, which warrant further investigation, are the dietary intakes of men during preconception, and the predictors of guideline adherence.

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Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Dietary guideline adherence during preconception and pregnancy: A systematic review

Caut

Leach

Steel

2019

Maternal & Child Nutrition

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“…Barriers for healthcare professionals are time constraints, limited expertise and interest and the lack of reimbursement of healthcare costs. However, it seems promising, based on our own experience and that of others, that individuals are much more likely to be motivated to modify their lifestyle during the preconception and pregnancy life course because of the short-term benefits of having a healthy baby (de Weerd et al 2003;Inskip et al 2009;Hammiche et al 2011). Therefore, the preconception and pregnancy window should be considered as the earliest and unique period in the life course during which individuals may be most likely to change their lifestyle.…”

Section: Introductionmentioning

confidence: 99%

Embryonic health: new insights, mHealth and personalised patient care

Steegers‐Theunissen

Steegers

2015

Reprod. Fertil. Dev.

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The worldwide epidemic of non-communicable diseases (NCD), including obesity, is a burden to which poor lifestyles contribute significantly. Events in early life may enhance susceptibility to NCD, with transmission into succeeding generations. This may also explain, in part, why interventions in adulthood are less effective to reduce NCD risk. New insights reveal that the early embryo, in particular, is extremely sensitive to signals from gametes, trophoblastic tissue and periconception maternal lifestyles. Embryonic size and growth as determinants of embryonic health seem to impact future health. A relatively small embryo for gestational age is associated with pregnancy complications, as well as with the risk of early features of NCD in childhood. Although personal lifestyles are modifiable, they are extremely difficult to change. Therefore, adopting a life course approach from the periconception period onwards and integrated into patient care with short-term reproductive health benefits may have important implications for future prevention of NCD. The current reproductive population is used to Internet and social media. Therefore, they can be reached via mobile phone (mHealth) platforms that provide personalised lifestyle (pre)pregnancy programs. This will offer opportunities and possibly great benefits for the health of current and succeeding generations.

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“…Furthermore, the literature primarily assesses pregnancy intentions retrospectively, potentially introducing bias [17]. The few studies measuring pregnancy intentions prospectively typically report no relationship between pregnancy intentions and smoking, alcohol, physical activity, or diet [18][19][20][21][22][23] and none measured psychological factors. Furthermore, only one study has been conducted outside the U.S. [23].…”

Section: Introductionmentioning

confidence: 99%

Lifestyle and Psychological Factors Associated with Pregnancy Intentions: Findings from a Longitudinal Cohort Study of Australian Women

Hill

Ling

Mishra

et al. 2019

IJERPH

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Background: Preconception is a critical time for the establishment of healthy lifestyle behaviours and psychological well-being to reduce adverse maternal and offspring outcomes. This study aimed to explore relationships between preconception lifestyle and psychological factors and prospectively assessed short-(currently trying to conceive) and long-term (future parenthood aspirations) pregnancy intentions. Methods: Data from Wave 3 (age 25-30 years; n = 7656) and Wave 5 (age 31-36 years; n = 4735) from the Australian Longitudinal Study of Women's Health were used. Pregnancy intentions and parenthood aspirations were evaluated. Logistic regressions explored cross-sectional associations between demographic, lifestyle and psychological factors and pregnancy intentions/parenthood aspirations. Results: In multivariable models, parity and marital status were associated consistently with pregnancy intentions and parenthood aspirations. Few lifestyle behaviours and no psychological factors were associated with pregnancy intentions. Alcohol intake was the only behaviour associated with aspirations to have a first child. Aspirations for a second/subsequent child were associated negatively with physical activity, sitting time, diet quality, lower anxiety and higher stress. Conclusions: It appears that women are not changing their behaviours when they form a decision to try to conceive. Interventions are needed that address women's preconception needs, to optimise lifestyle and improve health outcomes for women and their families.

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Preconception nutritional intake and lifestyle factors: first results of an explorative study

Cited by 31 publications

References 11 publications

Dietary guideline adherence during preconception and pregnancy: A systematic review

Dietary guideline adherence during preconception and pregnancy: A systematic review

Embryonic health: new insights, mHealth and personalised patient care

Lifestyle and Psychological Factors Associated with Pregnancy Intentions: Findings from a Longitudinal Cohort Study of Australian Women

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