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Preconception and pregnancy: opportunities to intervene to improve women's diets and lifestyles

Preconception and pregnancy: opportunities to intervene to improve women's diets and lifestyles
Preconception and pregnancy: opportunities to intervene to improve women's diets and lifestyles
Recently, large-scale trials of behavioural interventions have failed to show improvements in pregnancy outcomes. They have, however, shown that lifestyle support improves maternal diet and physical activity during pregnancy, and can reduce weight gain. This suggests that pregnancy, and possibly the whole periconceptional period, represents a ‘teachable moment’ for changes in diet and lifestyle, an idea that was made much of in the recent report of the Chief Medical Officer for England. The greatest challenge with all trials of diet and lifestyle interventions is to engage people and to sustain this engagement. With this in mind, we propose a design of intervention that aims simultaneously to engage women through motivational conversations and to offer access to a digital platform that provides structured support for diet and lifestyle change. This intervention design therefore makes best use of learning from the trials described above and from recent advances in digital intervention design.
epidemiology/public health, maternal pregnancy, outcome/system
1-4
Barker, M.
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Baird, J.
f4bf2039-6118-436f-ab69-df8b4d17f824
Lawrence, W.
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Vogel, C.
768f1dcd-2697-4aae-95cc-ee2f6d63dff5
Strommer, S.
16526689-c0a4-4d91-bcc3-a17b075b8c25
Rose, T.
ad05dc29-02db-434e-8f06-e88bf09d5adb
Inskip, H.
5fb4470a-9379-49b2-a533-9da8e61058b7
Godfrey, K.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
Barker, M.
374310ad-d308-44af-b6da-515bf5d2d6d2
Baird, J.
f4bf2039-6118-436f-ab69-df8b4d17f824
Lawrence, W.
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Vogel, C.
768f1dcd-2697-4aae-95cc-ee2f6d63dff5
Strommer, S.
16526689-c0a4-4d91-bcc3-a17b075b8c25
Rose, T.
ad05dc29-02db-434e-8f06-e88bf09d5adb
Inskip, H.
5fb4470a-9379-49b2-a533-9da8e61058b7
Godfrey, K.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6

Barker, M., Baird, J., Lawrence, W., Vogel, C., Strommer, S., Rose, T., Inskip, H., Godfrey, K. and Cooper, C. (2016) Preconception and pregnancy: opportunities to intervene to improve women's diets and lifestyles. Journal of Developmental Origins of Health and Disease, 1-4. (doi:10.1017/S2040174416000064). (PMID:26924188)

Record type: Article

Abstract

Recently, large-scale trials of behavioural interventions have failed to show improvements in pregnancy outcomes. They have, however, shown that lifestyle support improves maternal diet and physical activity during pregnancy, and can reduce weight gain. This suggests that pregnancy, and possibly the whole periconceptional period, represents a ‘teachable moment’ for changes in diet and lifestyle, an idea that was made much of in the recent report of the Chief Medical Officer for England. The greatest challenge with all trials of diet and lifestyle interventions is to engage people and to sustain this engagement. With this in mind, we propose a design of intervention that aims simultaneously to engage women through motivational conversations and to offer access to a digital platform that provides structured support for diet and lifestyle change. This intervention design therefore makes best use of learning from the trials described above and from recent advances in digital intervention design.

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More information

Accepted/In Press date: 31 January 2016
e-pub ahead of print date: 29 February 2016
Keywords: epidemiology/public health, maternal pregnancy, outcome/system
Organisations: MRC Life-Course Epidemiology Unit

Identifiers

Local EPrints ID: 388766
URI: http://eprints.soton.ac.uk/id/eprint/388766
PURE UUID: afcaeef9-57fc-4c82-95b4-115a35bfbf32
ORCID for M. Barker: ORCID iD orcid.org/0000-0003-2976-0217
ORCID for J. Baird: ORCID iD orcid.org/0000-0002-4039-4361
ORCID for H. Inskip: ORCID iD orcid.org/0000-0001-8897-1749
ORCID for K. Godfrey: ORCID iD orcid.org/0000-0002-4643-0618
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 02 Mar 2016 16:44
Last modified: 10 Dec 2019 01:56

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