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Preconception Care to Reduce the Risks of Overweight and Obesity in Women of Reproductive Age: An Integrative Review

Cha, EunSeok and Smart, Michael J. and Braxter, Betty J. and Faulkner, Melissa Spezia (2021) Preconception Care to Reduce the Risks of Overweight and Obesity in Women of Reproductive Age: An Integrative Review. International Journal of Environmental Research and Public Health, 18 (9). p. 4582. ISSN 1660-4601

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Despite adverse pregnancy outcomes for women with overweight or obesity, preconception guidelines for achieving optimal wellness for women contemplating pregnancy regarding the risks of overweight or obesity are varied based upon national affiliation. The aim of this study was to synthesize the best evidence related to preconception counseling and care focused on overweight or obesity provided to women of reproductive age. An integrative review of original studies was conducted. PubMed, Cumulative Index in Nursing and Allied Health Literature, Ovid, Scopus, Web of Science, and Embase were included. Full-text, data-based articles were searched from 2009 to 2018, with reviews and synthesis completed in 2019 and 2020. Of 8703 initial articles, 31 articles remained in the review. Quality assessment and level of evidence were evaluated based upon criteria from the Joanna Briggs Institute and the Johns Hopkins Nursing Evidence-Based Practice Quality Guide. The level of evidence for the majority of studies was non-experimental but they were of good quality with appropriate methods, samples and relevant results. Limited attention and interest in preconception counseling regarding risks of overweight or obesity by health care professionals were noted, which may contribute to women’s unawareness of these risks on preconception health.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Cha, EunSeok
Smart, Michael J.
Braxter, Betty
Faulkner, Melissa Spezia
Date: 26 April 2021
Date Type: Publication
Journal or Publication Title: International Journal of Environmental Research and Public Health
Volume: 18
Number: 9
Publisher: MDPI AG
Page Range: p. 4582
DOI or Unique Handle: 10.3390/ijerph18094582
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
Uncontrolled Keywords: female, overweight, obesity, preconception care, counseling, lifestyle
ISSN: 1660-4601
Official URL:
Funders: Lewis Endowment Fund at the Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University
Article Type: Review
Date Deposited: 27 Jun 2022 18:17
Last Modified: 27 Jun 2022 18:17


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