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Change in Lifestyle Behaviors After Preconception Care: A Prospective Cohort Study.


ABSTRACT:

Purpose

To evaluate the effects of preconception care (PCC) consultations by change in lifestyle behaviors.

Setting and intervention

Women in deprived neighborhoods of 14 Dutch municipalities were encouraged to visit a general practitioner or midwife for PCC.

Sample

The study included women aged 18 to 41 years who had a PCC consultation.

Design

In this community-based prospective cohort study, we assessed initiation of folic acid supplementation, cessation of smoking, alcohol consumption, and illicit drug use.

Measures

Self-reported and biomarker data on behavioral changes were obtained at baseline and 3 months later.

Analysis

The changes in prevalence were assessed with the McNemar test.

Results

Of the 259 included participants, paired analyses were available in 177 participants for self-reported outcomes and in 82 for biomarker outcomes. Baseline self-reported prevalence of no folic acid use was 36%, smoking 12%, weekly alcohol use 22%, and binge drinking 17%. Significant changes in prevalence toward better lifestyle during follow-up were seen for folic acid use (both self-reported, P < .001; and biomarker-confirmed, P = .008) and for self-reported binge drinking (P = .007).

Conclusion

Our study suggests that PCC contributes to initiation of folic acid supplementation and cessation of binge drinking in women who intend to become pregnant. Although based on a small sample, the study adds to the limited body of evidence regarding the benefits of PCC in improving periconception health.

SUBMITTER: Sijpkens MK 

PROVIDER: S-EPMC7747029 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Change in Lifestyle Behaviors After Preconception Care: A Prospective Cohort Study.

Sijpkens Meertien K MK   van Voorst Sabine F SF   Rosman Ageeth N AN   de Jong-Potjer Lieke C LC   Denktaş Semiha S   Koch Birgit C P BCP   Bertens Loes C M LCM   Steegers Eric A P EAP  

American journal of health promotion : AJHP 20200520 1


<h4>Purpose</h4>To evaluate the effects of preconception care (PCC) consultations by change in lifestyle behaviors.<h4>Setting and intervention</h4>Women in deprived neighborhoods of 14 Dutch municipalities were encouraged to visit a general practitioner or midwife for PCC.<h4>Sample</h4>The study included women aged 18 to 41 years who had a PCC consultation.<h4>Design</h4>In this community-based prospective cohort study, we assessed initiation of folic acid supplementation, cessation of smoking  ...[more]

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