Prevention of noncommunicable diseases by interventions in the preconception period: A FIGO position paper for action by healthcare practitioners
Prevention of noncommunicable diseases by interventions in the preconception period: A FIGO position paper for action by healthcare practitioners
With the increase in obesity prevalence among women of reproductive age globally, the risks of type 2 diabetes, gestational diabetes, pre‐eclampsia, and other conditions are rising, with detrimental effects on maternal and newborn health. The period before pregnancy is increasingly recognized as crucial for addressing weight management and reducing malnutrition (both under‐ and overnutrition) in both parents to reduce the risk of noncommunicable diseases (NCDs) in the mother as well as the passage of risk to her offspring. Healthcare practitioners, including obstetricians, gynecologists, midwives, and general practitioners, have an important role to play in supporting women in planning a pregnancy and achieving healthy nutrition and weight before pregnancy. In this position paper, the FIGO Pregnancy Obesity and Nutrition Initiative provides an overview of the evidence for preconception clinical guidelines to reduce the risk of NCDs in mothers and their offspring. It encourages healthcare practitioners to initiate a dialogue on women’s health, nutrition, and weight management before conception. While acknowledging the fundamental importance of the wider social and environmental determinants of health, this paper focuses on a simple set of recommendations for clinical practice that can be used even in short consultations. The recommendations can be contextualized based on local cultural and dietary practices as part of a system‐wide public health approach to influence the wider determinants as well as individual factors influencing preconception health.
FIGO, Noncommunicable diseases, Nutrition, Obesity, Perinatal health, Preconception, Pregnancy
6-15
Jacob, Chandni Maria
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Killeen, Sarah Louise
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McAuliffe, Fionnuala M.
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Stephenson, Judith
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Hod, Moshe
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Diaz Yamal, Ivonne
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Malhotra, Jaideep
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Mocanu, Edgar
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McIntyre, H. David
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Kihara, Anne Beatrice
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Ma, Ronald C.W.
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Divakar, Hema
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Kapur, Anil
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Ferriani, Rui
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Ng, Ernest Hung Yu
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Henry, Laurie
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Van Der Spuy, Zephne
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Rosenwaks, Zev
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Hanson, Mark
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September 2020
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Killeen, Sarah Louise
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McAuliffe, Fionnuala M.
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Stephenson, Judith
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Hod, Moshe
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Diaz Yamal, Ivonne
89cb0dbe-c00a-44ea-a65b-4260ff81898c
Malhotra, Jaideep
84997769-e769-4cad-955f-02953ecaa509
Mocanu, Edgar
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McIntyre, H. David
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Kihara, Anne Beatrice
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Ma, Ronald C.W.
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Divakar, Hema
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Kapur, Anil
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Ferriani, Rui
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Ng, Ernest Hung Yu
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Henry, Laurie
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Van Der Spuy, Zephne
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Rosenwaks, Zev
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Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Jacob, Chandni Maria, Killeen, Sarah Louise, McAuliffe, Fionnuala M., Stephenson, Judith, Hod, Moshe, Diaz Yamal, Ivonne, Malhotra, Jaideep, Mocanu, Edgar, McIntyre, H. David, Kihara, Anne Beatrice, Ma, Ronald C.W., Divakar, Hema, Kapur, Anil, Ferriani, Rui, Ng, Ernest Hung Yu, Henry, Laurie, Van Der Spuy, Zephne, Rosenwaks, Zev and Hanson, Mark
(2020)
Prevention of noncommunicable diseases by interventions in the preconception period: A FIGO position paper for action by healthcare practitioners.
International Journal of Gynecology & Obstetrics, 151 (S1), .
(doi:10.1002/ijgo.13331).
Abstract
With the increase in obesity prevalence among women of reproductive age globally, the risks of type 2 diabetes, gestational diabetes, pre‐eclampsia, and other conditions are rising, with detrimental effects on maternal and newborn health. The period before pregnancy is increasingly recognized as crucial for addressing weight management and reducing malnutrition (both under‐ and overnutrition) in both parents to reduce the risk of noncommunicable diseases (NCDs) in the mother as well as the passage of risk to her offspring. Healthcare practitioners, including obstetricians, gynecologists, midwives, and general practitioners, have an important role to play in supporting women in planning a pregnancy and achieving healthy nutrition and weight before pregnancy. In this position paper, the FIGO Pregnancy Obesity and Nutrition Initiative provides an overview of the evidence for preconception clinical guidelines to reduce the risk of NCDs in mothers and their offspring. It encourages healthcare practitioners to initiate a dialogue on women’s health, nutrition, and weight management before conception. While acknowledging the fundamental importance of the wider social and environmental determinants of health, this paper focuses on a simple set of recommendations for clinical practice that can be used even in short consultations. The recommendations can be contextualized based on local cultural and dietary practices as part of a system‐wide public health approach to influence the wider determinants as well as individual factors influencing preconception health.
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More information
Accepted/In Press date: 30 June 2020
e-pub ahead of print date: 7 September 2020
Published date: September 2020
Additional Information:
Funding Information:
CMJ is supported by the European Union?s Horizon 2020 LifeCycle Project under grant agreement No. 733206. MH is supported by the British Heart Foundation and the National Institute for Health Research, UK, through the Southampton Biomedical Research Centre. We are grateful to the members of the UK Preconception Partnership. The Preconception Partnership is a coalition of groups representing different aspects of preconception health in women and their partners, including the Royal College of General Practitioners, the Royal College of Obstetricians and Gynaecologists, the Faculty of Sexual and Reproductive Healthcare, Public Health England, Tommy?s Charity, and academics in reproductive and sexual health, obstetrics and gynecology, population health and epidemiology, nutritional sciences, behavioral sciences, and education in schools. It is run with support from UCL Public Policy and Policy Southampton. RCM acknowledges the RGC General Research Fund (14118718).
Publisher Copyright:
© 2020 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics
Keywords:
FIGO, Noncommunicable diseases, Nutrition, Obesity, Perinatal health, Preconception, Pregnancy
Identifiers
Local EPrints ID: 443892
URI: http://eprints.soton.ac.uk/id/eprint/443892
ISSN: 1879-3479
PURE UUID: 2fe1995d-93e7-4069-b58e-652b09ef5fba
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Date deposited: 16 Sep 2020 16:34
Last modified: 17 Mar 2024 03:44
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Contributors
Author:
Sarah Louise Killeen
Author:
Fionnuala M. McAuliffe
Author:
Judith Stephenson
Author:
Moshe Hod
Author:
Ivonne Diaz Yamal
Author:
Jaideep Malhotra
Author:
Edgar Mocanu
Author:
H. David McIntyre
Author:
Anne Beatrice Kihara
Author:
Ronald C.W. Ma
Author:
Hema Divakar
Author:
Anil Kapur
Author:
Rui Ferriani
Author:
Ernest Hung Yu Ng
Author:
Laurie Henry
Author:
Zephne Van Der Spuy
Author:
Zev Rosenwaks
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