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Relationships between women's and men's modifiable preconception risks and health behaviors and maternal and offspring health outcomes: an umbrella review

Relationships between women's and men's modifiable preconception risks and health behaviors and maternal and offspring health outcomes: an umbrella review
Relationships between women's and men's modifiable preconception risks and health behaviors and maternal and offspring health outcomes: an umbrella review

Parental health before conception effects maternal and offspring health outcomes. Preconception care provides healthcare to prospective parents addressing modifiable preconception risks and health behaviors. This umbrella review aimed to consolidate evidence on women's and men's modifiable preconception risks or health behaviors associated with maternal and offspring health outcomes. MEDLINE, EMBASE, Maternity and Infant Care, CINAHL, and PsycINFO were searched from March 4, 2010, to March 4, 2020. Eligible studies were systematic reviews or meta-analyses of observational studies examining associations between modifiable preconception risks or health behaviors and maternal and offspring health outcomes. Screening, data extraction, and methodological quality assessment (AMSTAR 2) occurred independently by two reviewers. Degree of overlap was examined. Findings were summarized for evidence synthesis. Twenty-seven systematic reviews were included. Modifiable preconception risks and health behaviors were identified across categories: body composition (e.g., overweight, obesity), lifestyle behaviors (e.g., caffeine, smoking), nutrition (e.g., micronutrients), environmental exposures (e.g., radiation), and birth spacing (e.g., short interpregnancy intervals). Outcomes associated with exposures affected embryo (e.g., embryonic growth), maternal (e.g., gestational diabetes mellitus), fetal/neonate (e.g., preterm birth), and child (e.g., neurocognitive disorders) health. For real-world practice and policy relevance, evidence-based indicators for preconception care should include body composition, lifestyle, nutrition, environmental, and birth spacing.

health behavior, maternal health, preconception care, pregnancy complications, risk factors
170-183
Caut, Cherie
127cdbdd-53aa-49b0-947a-a795e614f39a
Schoenaker, Danielle
84b96b87-4070-45a5-9777-5a1e4e45e818
McIntyre, Erica
4ca0660d-5b4f-43ee-b384-e75c56a768b7
Vilcins, Dwan
d3edbfbb-2e2e-4666-a579-adeee084a92a
Gavine, Anna
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Steel, Amie
947b68e3-582e-4040-b2c0-1927f0d30932
Caut, Cherie
127cdbdd-53aa-49b0-947a-a795e614f39a
Schoenaker, Danielle
84b96b87-4070-45a5-9777-5a1e4e45e818
McIntyre, Erica
4ca0660d-5b4f-43ee-b384-e75c56a768b7
Vilcins, Dwan
d3edbfbb-2e2e-4666-a579-adeee084a92a
Gavine, Anna
7b621115-32fd-4355-88b9-a1102a209b37
Steel, Amie
947b68e3-582e-4040-b2c0-1927f0d30932

Caut, Cherie, Schoenaker, Danielle, McIntyre, Erica, Vilcins, Dwan, Gavine, Anna and Steel, Amie (2022) Relationships between women's and men's modifiable preconception risks and health behaviors and maternal and offspring health outcomes: an umbrella review. Seminars in Reproductive Medicine, 40 (3-4), 170-183. (doi:10.1055/s-0042-1744257).

Record type: Review

Abstract

Parental health before conception effects maternal and offspring health outcomes. Preconception care provides healthcare to prospective parents addressing modifiable preconception risks and health behaviors. This umbrella review aimed to consolidate evidence on women's and men's modifiable preconception risks or health behaviors associated with maternal and offspring health outcomes. MEDLINE, EMBASE, Maternity and Infant Care, CINAHL, and PsycINFO were searched from March 4, 2010, to March 4, 2020. Eligible studies were systematic reviews or meta-analyses of observational studies examining associations between modifiable preconception risks or health behaviors and maternal and offspring health outcomes. Screening, data extraction, and methodological quality assessment (AMSTAR 2) occurred independently by two reviewers. Degree of overlap was examined. Findings were summarized for evidence synthesis. Twenty-seven systematic reviews were included. Modifiable preconception risks and health behaviors were identified across categories: body composition (e.g., overweight, obesity), lifestyle behaviors (e.g., caffeine, smoking), nutrition (e.g., micronutrients), environmental exposures (e.g., radiation), and birth spacing (e.g., short interpregnancy intervals). Outcomes associated with exposures affected embryo (e.g., embryonic growth), maternal (e.g., gestational diabetes mellitus), fetal/neonate (e.g., preterm birth), and child (e.g., neurocognitive disorders) health. For real-world practice and policy relevance, evidence-based indicators for preconception care should include body composition, lifestyle, nutrition, environmental, and birth spacing.

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e-pub ahead of print date: 13 July 2022
Additional Information: Funding Information: Funding The lead reviewer was financially supported by an Australian Government Research Training Program Scholarship. This project is funded by a project grant from Endeavor College of Natural Health (grant approval number: PRO19-7927). Funding sources have not had any role in conducting the umbrella review. Acknowledgments The authors have no acknowledgments to make. Publisher Copyright: © 2022 Thieme Medical Publishers, Inc.. All rights reserved.
Keywords: health behavior, maternal health, preconception care, pregnancy complications, risk factors

Identifiers

Local EPrints ID: 469503
URI: http://eprints.soton.ac.uk/id/eprint/469503
PURE UUID: 49f210aa-ee3c-44fd-9e48-cd1e5e16c632
ORCID for Danielle Schoenaker: ORCID iD orcid.org/0000-0002-7652-990X

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Date deposited: 16 Sep 2022 16:38
Last modified: 17 Sep 2022 04:01

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Contributors

Author: Cherie Caut
Author: Erica McIntyre
Author: Dwan Vilcins
Author: Anna Gavine
Author: Amie Steel

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