Abstract
BackgroundIt is recommended for women to have a healthy body mass index before conception. However, there is limited research on appropriate preconception interventions for weight loss. Furthermore, there is a lack of knowledge on providers’ willingness to refer to particular behavioral interventions and the degree to which patients would attend those interventions.MethodsA cross-section of 67 patients and 21 providers completed surveys related to their demographics and willingness to refer/attend a number of interventions for weight loss. A case study of three patients from the target audience was used to elicit detailed feedback on preconception weight status and weight loss intervention.ResultsOverall, patients were willing to attend a variety of interventions, regardless of BMI category. Focus group participants shared that weight loss prior to conception would be beneficial for them and their child, but cited barriers such as time, location, and the way providers encourage weight loss. Providers were willing to refer to a number of behavioral interventions, and were less willing to prescribe weight loss medications than other intervention options.ConclusionsA number of intervention strategies may be well received by both patients and providers in preconception care to assist with weight loss prior to conception. Future research is needed on intervention effects and sustainability.
Highlights
It is recommended for women to have a healthy body mass index before conception
Given that many reproductive aged women do not have healthcare practitioners other than their obstetrician or gynecologist (OBGYN), and the expectation that healthy lifestyle interventions may be translated into preconception care [5, 6], it is arguable that such interventions
Descriptive statistics of patient characteristics are reported for the total sample as well as for groups categorized by body mass index (BMI) status (Table 1)
Summary
It is recommended for women to have a healthy body mass index before conception. there is limited research on appropriate preconception interventions for weight loss. Given that many reproductive aged women do not have healthcare practitioners other than their obstetrician or gynecologist (OBGYN), and the expectation that healthy lifestyle interventions may be translated into preconception care [5, 6], it is arguable that such interventions. Integrating theory-based behavior change programs offered in community settings through clinical referral efforts can promote successful weight control in healthy, non-pregnant patient samples [7, 8]. A series of systematic reviews documented little evidence to support the effectiveness of brief counseling for healthful eating, physical activity, and weight control in a clinical setting [12,13,14]. More work is needed to determine the optimal dose, type, and delivery personnel to maximize preconception weight management care (including both weight loss and healthy weight maintenance) within clinical settings
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