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Narrative review of reviews of preconceptional interventions to prevent increased risk of obesity and non-communicable diseases in children

Narrative review of reviews of preconceptional interventions to prevent increased risk of obesity and non-communicable diseases in children
Narrative review of reviews of preconceptional interventions to prevent increased risk of obesity and non-communicable diseases in children
Evidence for the effect of preconception and periconceptional risk factors on childhood outcomes such as obesity and other non‐communicable diseases (NCDs) in later life is growing. Issues such as maternal malnutrition need to be addressed before pregnancy, to prevent a transgenerational passage of risk of NCDs. The aim of this review was to evidence for preconception interventions to prevent obesity and other risk factors for NCDs in children. A search for systematic reviews of interventions in the preconception period published between 2006 and 2018 was conducted on academic databases. Fifteen reviews were included, two of the reviews also included pregnant women. None of the reviews directly reported on obesity or NCD outcomes in children. Results suggest that exercise‐ and diet‐based interventions significantly reduced maternal weight postpartum, weight gain during pregnancy, and improved prevention and control of gestational diabetes. Balanced protein energy supplementation during and before pregnancy was associated with an increase in mean birth weight and a reduction of low birth weight babies. There is a dearth of evidence for preconception programmes that follow up on childhood outcomes related to a risk of NCDs. Nevertheless, results suggest that women who received preconception interventions were more likely to have improved pregnancy‐related and behavioural outcomes.
1467-7881
5-17
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Newell, Marie-Louise
c6ff99dd-c23b-4fef-a846-a221fe2522b3
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Newell, Marie-Louise
c6ff99dd-c23b-4fef-a846-a221fe2522b3
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f

Jacob, Chandni Maria, Newell, Marie-Louise and Hanson, Mark (2019) Narrative review of reviews of preconceptional interventions to prevent increased risk of obesity and non-communicable diseases in children. Obesity Reviews, 20 (S1), 5-17. (doi:10.1111/obr.12769).

Record type: Review

Abstract

Evidence for the effect of preconception and periconceptional risk factors on childhood outcomes such as obesity and other non‐communicable diseases (NCDs) in later life is growing. Issues such as maternal malnutrition need to be addressed before pregnancy, to prevent a transgenerational passage of risk of NCDs. The aim of this review was to evidence for preconception interventions to prevent obesity and other risk factors for NCDs in children. A search for systematic reviews of interventions in the preconception period published between 2006 and 2018 was conducted on academic databases. Fifteen reviews were included, two of the reviews also included pregnant women. None of the reviews directly reported on obesity or NCD outcomes in children. Results suggest that exercise‐ and diet‐based interventions significantly reduced maternal weight postpartum, weight gain during pregnancy, and improved prevention and control of gestational diabetes. Balanced protein energy supplementation during and before pregnancy was associated with an increase in mean birth weight and a reduction of low birth weight babies. There is a dearth of evidence for preconception programmes that follow up on childhood outcomes related to a risk of NCDs. Nevertheless, results suggest that women who received preconception interventions were more likely to have improved pregnancy‐related and behavioural outcomes.

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Accepted/In Press date: 21 August 2018
e-pub ahead of print date: 16 August 2019
Published date: August 2019
Additional Information: Supplement: Interventions During the Pre‐ and Peri‐conception Periods, Pregnancy and Childhood to Prevent Childhood Obesity and Reduce the Risk of Non‐communicable Diseases in Childhood. Guest Editor: Nigel Rollins. The systematic reviews were funded by the World Health Organization through an award from the Canadian Institutes for Health Research.

Identifiers

Local EPrints ID: 424245
URI: http://eprints.soton.ac.uk/id/eprint/424245
ISSN: 1467-7881
PURE UUID: 5419ca42-a024-46e8-abc2-8e116f8d5a69
ORCID for Chandni Maria Jacob: ORCID iD orcid.org/0000-0002-2024-0074
ORCID for Marie-Louise Newell: ORCID iD orcid.org/0000-0002-1074-7699
ORCID for Mark Hanson: ORCID iD orcid.org/0000-0002-6907-613X

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Date deposited: 05 Oct 2018 11:35
Last modified: 16 Mar 2024 07:03

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