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Interventions to prevent maternal obesity before conception, during pregnancy, and post partum

Hanson, M; Barker, M; Dodd, JM; Kumanyika, S; Norris, S; Steegers, E; Stephenson, J; ... Yang, H; + view all (2017) Interventions to prevent maternal obesity before conception, during pregnancy, and post partum. Lancet Diabetes and Endocrinology , 5 (1) pp. 65-76. 10.1016/S2213-8587(16)30108-5. Green open access

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Abstract

Prevention of obesity in women of reproductive age is widely recognised to be important both for their health and for that of their offspring. Weight-control interventions, including drug treatment, in pregnant women who are obese or overweight have not had sufficient impact on pregnancy and birth outcomes, which suggests that the focus for intervention should include preconception or post-partum periods. Further research is needed into the long-term effects of nutritional and lifestyle interventions before conception. To improve preconception health, an integrated approach, including pregnancy prevention, planning, and preparation is needed, involving more than the primary health-care sector and adopting an ecological approach to risk reduction that addresses personal, societal, and cultural influences. Raising awareness of the importance of good health in the period before pregnancy will require a new social movement: combining bottom-up mobilisation of individuals and communities with a top-down approach from policy initiatives. Interventions to reduce or prevent obesity before conception and during pregnancy could contribute substantially to achievement of the global Sustainable Development Goals, in terms of health, wellbeing, productivity, and equity in current and future generations.

Type: Article
Title: Interventions to prevent maternal obesity before conception, during pregnancy, and post partum
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/S2213-8587(16)30108-5
Publisher version: http://doi.org/10.1016/S2213-8587(16)30108-5
Language: English
Additional information: © 2016 Elsevier Ltd. All rights reserved. This manuscript version is made available under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International license (CC BY-NC-ND 4.0). This license allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licenses are available at https://creativecommons.org/licenses/. Access may be initially restricted by the publisher.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
URI: https://discovery.ucl.ac.uk/id/eprint/1524684
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