Cited by 377Public Health and NutritionMaternal and Neonatal HealthcareGlobal Maternal and Child Health

The DOI matches its Crossref record; 95 of the 95 references it cites were found in a registry or an index.

Intervention strategies to improve nutrition and health behaviours before conception

Open access

Barker, Mary, Dombrowski, Stephan U, Colbourn, Tim, Fall, Caroline H D, Kriznik, Natasha M, Lawrence, Wendy T, Norris, Shane A, Ngaiza, Gloria, Patel, Dilisha, Skordis-Worrall, Jolene, Sniehotta, Falko F, Steegers-Theunissen, Régine, Vogel, Christina, Woods-Townsend, Kathryn, Stephenson, Judith·2018·The Lancet

DOI 10.1016/s0140-6736(18)30313-1PMC PMC6075694

Open this paper in CoChat — free account Open PDF

Abstract

The nutritional status of both women and men before conception has profound implications for the growth, development, and long-term health of their offspring. Evidence of the effectiveness of preconception interventions for improving outcomes for mothers and babies is scarce. However, given the large potential health return, and relatively low costs and risk of harm, research into potential interventions is warranted. We identified three promising strategies for intervention that are likely to be scalable and have positive effects on a range of health outcomes: supplementation and fortification; cash transfers and incentives; and behaviour change interventions. On the basis of these strategies, we suggest a model specifying pathways to effect. Pathways are incorporated into a life-course framework using individual motivation and receptiveness at different preconception action phases, to guide design and targeting of preconception interventions. Interventions for individuals not planning immediate pregnancy take advantage of settings and implementation platforms outside the maternal and child health arena, since this group is unlikely to be engaged with maternal health services. Interventions to improve women's nutritional status and health behaviours at all preconception action phases should consider social and environmental determinants, to avoid exacerbating health and gender inequalities, and be underpinned by a social movement that touches the whole population. We propose a dual strategy that targets specific groups actively planning a pregnancy, while improving the health of the population more broadly. Modern marketing techniques could be used to promote a social movement based on an emotional and symbolic connection between improved preconception maternal health and nutrition, and offspring health. We suggest that speedy and scalable benefits to public health might be achieved through strategic engagement with the private sector. Political theory supports the development of an advocacy coalition of groups interested in preconception health, to harness the political will and leadership necessary to turn high-level policy into effective coordinated action.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(18)30313-1

Cites

95 of 95 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

The Dynamics of Social Practice: Everyday Life and How it Changes
Shove, E., Pantzar, M., & Watson, M. (2012) · SAGE Publications Ltd eBooks · doi:10.4135/9781446250655 · Cited by 3,800
Our future: a Lancet commission on adolescent health and wellbeing
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)00579-1 · Cited by 3,785
Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost?
Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., Webb, P., Lartey, A., & Black, R. E. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60996-4 · Cited by 3,093
Is Adolescence a Sensitive Period for Sociocultural Processing?
Blakemore, S.-J., & Mills, K. L. (2014) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115202 · Cited by 2,264 · cited 1×
“(43, 44) Adolescents typically disengage with traditional health messages, 212 prioritising the immediate over the long-term; having a strong desire for autonomy causes them to 213 reject instructive health education.(45, 46) Effective interventions with adolescents need to 214 empower and encourage by giving rather t…”
Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition?
Ruel, M. T., & Alderman, H. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60843-0 · Cited by 1,820
Motivating Learning, Performance, and Persistence: The Synergistic Effects of Intrinsic Goal Contents and Autonomy-Supportive Contexts.
Vansteenkiste, M., Simons, J., Lens, W., Sheldon, K. M., & Deci, E. L. (2004) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.87.2.246 · Cited by 1,762
Theoretical explanations for maintenance of behaviour change: a systematic review of behaviour theories
Kwasnicka, D., Dombrowski, S. U., White, M., & Sniehotta, F. (2016) · Health Psychology Review · doi:10.1080/17437199.2016.1151372 · Cited by 1,476
Self-citation
Why is changing health-related behaviour so difficult?
Kelly, M. P., & Barker, M. E. (2016) · Public Health · doi:10.1016/j.puhe.2016.03.030 · Cited by 1,138
Self-citation
Preconceptional and maternal obesity: epidemiology and health consequences
Poston, L., Caleyachetty, R., Cnattingius, S., Corvalán, C., Uauy, R., Herring, S., & Gillman, M. W. (2016) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(16)30217-0 · Cited by 1,111
Tracking of obesity-related behaviours from childhood to adulthood: A systematic review
Craigie, A. M., Lake, A. A., Kelly, S. A., Adamson, A. J., & Mathers, J. C. (2011) · Maturitas · doi:10.1016/j.maturitas.2011.08.005 · Cited by 1,088

Show all 95 references

Sorted by citations

Items 101–200 of 377

Sex and fertility education in England: an analysis of biology curricula and students’ experiences
Maslowski, K., Biswakarma, R., Reiss, M. J., & Harper, J. C. (2022) · Journal of Biological Education · doi:10.1080/00219266.2022.2108103 · Cited by 20
Maternal Glycaemic and Insulinemic Status and Newborn DNA Methylation: Findings in Women With Overweight and Obesity
Lecorguillé, M., Mcauliffe, F., Twomey, P., Viljoen, K., Mehegan, J., Kelleher, C., Suderman, M., & Phillips, C. (2022) · Journal of Clinical Endocrinology and Metabolism · doi:10.1210/clinem/dgac553 · Cited by 14
Digital preconception interventions targeting weight, diet and physical activity: A systematic review
O'CONNOR, H. M., Willcox, J. C., de Jersey, S., Wright, C. M., & Wilkinson, S. A. (2023) · Nutrition & Dietetics · doi:10.1111/1747-0080.12842 · Cited by 26
Dutch trends in the use of potentially harmful medication during pregnancy
Houben, E., Winkel, B. T., Steegers, E. A. P., & Herings, R. M. C. (2020) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.14341 · Cited by 23
Perceptions and Practice of Preconception Care by Healthcare Workers and High-Risk Women in South Africa: A Qualitative Study
Ukoha, W. C., & Mtshali, G. N. (2021) · Healthcare · doi:10.3390/healthcare9111552 · Cited by 22
Periconceptional diet quality is associated with gestational diabetes risk and glucose concentrations among nulliparous gravidas
Lindsay, K. L., Milone, G. F., Grobman, W. A., Haas, D. M., Mercer, B. M., Simhan, H. N., Saade, G. R., Silver, R. M., & Chung, J. M. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.940870 · Cited by 22
Influence of Adiposity on the Gut Microbiota Composition of Arab Women: A Case-Control Study
Aljazairy, E. A., Al-Musharaf, S., Abudawood, M., Almaarik, B. M., Hussain, S. D., Alnaami, A. M., Sabico, S., Al‐Daghri, N. M., Clerici, M., & Aljuraiban, G. S. (2022) · Biology · doi:10.3390/biology11111586 · Cited by 19
Reproductive health education in the schools of the four UK nations: is it falling through the gap?
Maslowski, K., Reiss, M. J., Biswakarma, R., & Harper, J. C. (2023) · Human Fertility · doi:10.1080/14647273.2023.2216395 · Cited by 19
A Priori and a Posteriori Dietary Patterns in Women of Childbearing Age in the UK
Khaled, K., Hundley, V. A., Almilaji, O., Koeppen, M., & Tsofliou, F. (2020) · Nutrients · doi:10.3390/nu12102921 · Cited by 22
Effectiveness of Non-Pharmacological Interventions for Overweight or Obese Infertile Women: A Systematic Review and Meta-Analysis
Kim, S. Y., Park, E.-S., & Kim, H. W. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17207438 · Cited by 19
A landscape of micronutrient status in women through the reproductive years: Insights from seven regions in Asia
Chong, M. F., Bui, C. T., Jaisamrarn, U., Pacquing-Songco, D. F., Shaw, S. W., Tam, C. T., & Bardosono, S. (2020) · Women s Health · doi:10.1177/1745506520973110 · Cited by 21
Planning is not equivalent to preparing, how Dutch women perceive their pregnancy planning in relation to preconceptional lifestyle behaviour change - a cross-sectional study
Maas, V. Y. F., Poels, M., de Kievit, M. H., Hartog, A. P., Franx, A., & Koster, M. P. H. (2022) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-022-04843-4 · Cited by 20
A Study on Perceptions towards Organic and Local Production, and Individuals’ Socio-Demographic and Geographical Affiliation Influencing Fruit and Vegetable Purchasing Preferences of EU Households
Varaldo, A., Borra, D., Vassallo, E., Massimelli, F., Massaglia, S., & Merlino, V. M. (2022) · Horticulturae · doi:10.3390/horticulturae8080670 · Cited by 18
Preconception malnutrition among women and girls in south Asia: prevalence, determinants, and association with pregnancy and birth outcomes
Miller, F. A., Sethi, V., Schoenaker, D. A. J. M., Chowdhury, R., Verma, R. K., Hirst, J. E., Nair, M., Benedetto, C., Sriram, U., Murira, Z., et al. (2025) · The Lancet Regional Health - Southeast Asia · doi:10.1016/j.lansea.2025.100573 · Cited by 20
Preconception women’s views of promoting preconception women’s health in Australia
Walker, R., Drakeley, S. C., & Boyle, J. A. (2020) · Health Promotion Journal of Australia · doi:10.1002/hpja.402 · Cited by 18
The association between periconceptional folic acid supplementation and the risk of preterm birth: a population-based retrospective cohort study of 200,000 women in China
Wu, Y., Yuan, Y., Kong, C., Ma, Q., Ye, H., Jing, W., Liu, J., & Liu, M. (2020) · European Journal of Nutrition · doi:10.1007/s00394-020-02409-8 · Cited by 17
The Relationship of Diet and Physical Activity with Weight Gain and Weight Gain Prevention in Women of Reproductive Age
Awoke, M. A., Skouteris, H., Makama, M., Harrison, C. L., Wycherley, T. P., & Moran, L. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10112485 · Cited by 17
Effectiveness of a complex, pre-conception intervention to reduce the risk of diabetes by reducing adiposity in young adults in Malaysia: The Jom Mama project – A randomised controlled trial
Hanafiah, A. N., Aagaard‐Hansen, J., Cheah, J., Norris, S. A., Karim, Z. B., Skau, J. K. H., Ali, Z. M., Biesma, R. G., Matzen, P., Sulaiman, L. H., et al. (2022) · Journal of Global Health · doi:10.7189/jogh.12.04053 · Cited by 17
Self-citation
Randomised controlled trial of preconception lifestyle intervention on maternal and offspring health in people with increased risk of gestational diabetes: study protocol for the BEFORE THE BEGINNING trial
Sujan, M. A. J., Skarstad, H. M. S., Rosvold, G., Fougner, S. L., Nyrnes, S. A., Iversen, A., Follestad, T., Salvesen, K. Å., & Moholdt, T. T. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-073572 · Cited by 16
‘Weighty issues’ in GP-led antenatal care: a qualitative study
Walker, R., Choi, T. S. T., Alexander, K., Mazza, D., & Truby, H. (2019) · BMC Family Practice · doi:10.1186/s12875-019-1026-4 · Cited by 17
Effectiveness of a therapeutic multiple-lifestyle intervention taking into account the periconceptional environment in the management of infertile couples: study design of a randomized controlled trial – the PEPCI study
Dupont, C., Aegerter, P., Foucaut, A.-M., Reyre, A., Lhuissier, F., Bourgain, M., Chabbert‐Buffet, N., Cédrin‐Durnerin, I., Selleret, L., Cosson, E., et al. (2020) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-2855-9 · Cited by 17
Synergies between the Developmental Origins of Health and Disease framework and multiple branches of evolutionary anthropology
McKerracher, L., Fried, R. L., Kim, A. W., Moffat, T., Sloboda, D. M., & Galloway, T. (2020) · Evolutionary Anthropology Issues News and Reviews · doi:10.1002/evan.21860 · Cited by 18
Results of a Dutch national and subsequent international expert meeting on interconception care
Sijpkens, M., van den Hazel, C. Z., Delbaere, I., Tydén, T., Mogilevkina, I., Steegers, E., Shawe, J., & Rosman, A. (2019) · Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2018.1547375 · Cited by 10
Obesity risk in women of childbearing age in New Zealand: a nationally representative cross-sectional study
Hobbs, M., Tomintz, M. N., McCarthy, J. P., Marek, L., Vannier, C., Campbell, M. H., & Kingham, S. (2019) · International Journal of Public Health · doi:10.1007/s00038-019-01239-8 · Cited by 16
Using the theoretical domains framework to explore primary health care practitioner’s perspectives and experiences of preconception physical activity guidance and promotion
Sissons, A., Grant, A. M., Kirkland, A., & Currie, S. (2019) · Psychology Health & Medicine · doi:10.1080/13548506.2019.1679846 · Cited by 17
Addressing inequalities and improving maternal and infant outcomes: the potential power of nutritional interventions across the reproductive cycle
Nguyen, G. T., Boath, A., & Heslehurst, N. (2023) · Proceedings of The Nutrition Society · doi:10.1017/s002966512300006x · Cited by 16
Preconception Lifestyle and Weight-Related Behaviors by Maternal Body Mass Index: A Cross-Sectional Study of Pregnant Women
Lang, A. Y., Harrison, C. L., & Boyle, J. A. (2019) · Nutrients · doi:10.3390/nu11040759 · Cited by 16
Evaluating Online Continuing Professional Development Regarding Weight Management for Pregnancy Using the New World Kirkpatrick Model
Walker, R., Bennett, C., Kumar, A., Adamski, M. M., Blumfield, M., Mazza, D., & Truby, H. (2019) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000261 · Cited by 16
Implications of the Developmental Origins of Health and Disease concept for policy-making
Jacob, C. M., & Hanson, M. A. (2020) · Current Opinion in Endocrine and Metabolic Research · doi:10.1016/j.coemr.2020.08.001 · Cited by 17
Preconception and early-pregnancy risk prediction for birth complications: development of prediction models within a population-based prospective cohort
Wahab, R. J., Jaddoe, V. W. V., Klaveren, D. V., Vermeulen, M. J., Reiss, I. K. M., Steegers, E. A. P., & Gaillard, R. (2022) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-022-04497-2 · Cited by 15
Women’s views on moderate and low alcohol consumption: stages of the subjective transition from pregnancy to postpartum
Pehlke‐Milde, J., Radu, I., Gouilhers, S., Hammer, R., & Meyer, Y. (2022) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-022-05247-0 · Cited by 14
Perceived financial hardship and sleep in an adult population-based cohort: The mediating role of psychosocial and lifestyle-related factors
Chessa, A., Schrempft, S., Richard, V., Baysson, H., Pullen, N., Zaballa, M.-E., Lorthe, E., Nehme, M., Guessous, I., & Stringhini, S. (2025) · Sleep Health · doi:10.1016/j.sleh.2024.12.006 · Cited by 15
Intervention during the Perinatal Period: Synthesis of the Clinical Practice Guidelines from the French National College of Midwives
Barasinski, C., Zaros, C., Bercherie, J., Bernard, J. Y., Boisseau, N., Camier, A., Chanal, C., Doray, B., Dugravier, R., Evrard, A., et al. (2022) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.13421 · Cited by 14
Factors in early pregnancy predicting pregnancy‐related pain in the second and third trimester
Ertmann, R. K., Nicolaisdóttir, D. R., Siersma, V., Overbeck, G., de Voss, S. S., Modin, F. A., & Lutterodt, M. C. (2023) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.14670 · Cited by 14
What Does ‘Preconception Health’ Mean to People? A Public Consultation on Awareness and Use of Language
Schoenaker, D. A. J. M., Gafari, O., Taylor, E. J., Hall, J., Barker, C., Jones, B., Alwan, N. A., Watson, D., Jacob, C. M., Barker, M. E., et al. (2024) · Health Expectations · doi:10.1111/hex.14181 · Cited by 14
Self-citation
StudentKost: a cross-sectional study assessing college students’ diets: reason for concern?
Valen, E. N., Engeset, D., Øverby, N. C., & Hillesund, E. R. (2020) · Journal of Nutritional Science · doi:10.1017/jns.2020.33 · Cited by 18
Overnutrition and Associated Factors Among High School Adolescents in Mid COVID-19 Pandemic in Ethiopia: Neglected Public Health Concern
Belay, M., Oumer, A., Abdureshid, N., & Ale, A. (2022) · Adolescent Health Medicine and Therapeutics · doi:10.2147/ahmt.s349189 · Cited by 18
‘Men are not playing their roles’, maternal and child nutrition in Nanoro, Burkina Faso
Compaoré, A., Ouédraogo, K., Boua, P. R., Watson, D., Kehoe, S. H., Newell, M., Tinto, H., Barker, M. E., Sorgho, H., & for the INPreP group (2020) · Public Health Nutrition · doi:10.1017/s1368980020003365 · Cited by 19
Self-citation
Barriers to Optimal Maternal and Child Feeding Practices in Pastoralist Areas of Somali Region, Eastern Ethiopia: A Qualitative Study
Abas, A. H., Ahmed, A. T., Farah, A. E., & Wedajo, G. T. (2020) · Food and Nutrition Sciences · doi:10.4236/fns.2020.116038 · Cited by 13
Parental perspectives on negotiations over diet and physical activity: how do we involve parents in adolescent health interventions?
Shaw, S., Simao, S. C., Jenner, S., Lawrence, W. T., Woods‐Townsend, K., Vogel, C., Farrell, D., Inskip, H. M., Baird, J., Morrison, L. G., et al. (2021) · Public Health Nutrition · doi:10.1017/s1368980021000458 · Cited by 13
Self-citation
Evaluation and interpretation of latent class modelling strategies to characterise dietary trajectories across early life: a longitudinal study from the Southampton Women’s Survey
Dalrymple, K. V., Vogel, C., Godfrey, K. M., Baird, J., Hanson, M. A., Cooper, C. C., Inskip, H. M., & Crozier, S. (2022) · British Journal Of Nutrition · doi:10.1017/s000711452200263x · Cited by 14
Self-citation
Strengthening maternal nutrition counselling during routine health services: a gap analysis to guide country programmes
Kavle, J. A. (2022) · Public Health Nutrition · doi:10.1017/s1368980022002129 · Cited by 18
The effect of a locally tailored intervention on the uptake of preconception care in the Netherlands: a stepped-wedge cluster randomized trial (APROPOS-II study)
Maas, V. Y. F., Poels, M., Ista, E., Menge, L. F., Auweele, K. V., de Bie, R. W. A., de Smit, D. J., van Vliet‐Lachotzki, E. H., Franx, A., & Koster, M. P. H. (2022) · BMC Public Health · doi:10.1186/s12889-022-14343-x · Cited by 16
Inequalities in energy drink consumption among UK adolescents: a mixed-methods study
Vogel, C., Shaw, S., Strömmer, S., Crozier, S., Jenner, S., Cooper, C. C., Baird, J., Inskip, H. M., & Barker, M. E. (2022) · Public Health Nutrition · doi:10.1017/s1368980022002592 · Cited by 13
Self-citation
A conceptual framework for selecting appropriate populations for public health interventions
Aagaard‐Hansen, J., Hindhede, A. L., & Maindal, H. T. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1161034 · Cited by 13
Large-Scale Data Harmonization Across Prospective Studies
Pan, K., Bazzano, L., Betha, K., Charlton, B. M., Chavarro, J. E., Cordero, C., Gunderson, E. P., Haggerty, C. L., Hart, J. E., Jukic, A. M. Z., et al. (2023) · American Journal of Epidemiology · doi:10.1093/aje/kwad153 · Cited by 13
Poor maternal anthropometric status before conception is associated with a deleterious infant growth during the first year of life: a longitudinal preconceptional cohort
Agbota, G., Fiévet, N., Heude, B., Accrombessi, M., Ahouayito, U., Yovo, E., Dossa, D., Dramane, L., Gartner, A., Ezinmègnon, S., et al. (2019) · Pediatric Obesity · doi:10.1111/ijpo.12573 · Cited by 14
Evaluating the real-world implementation of the Family Nurse Partnership in England: a data linkage study
Cavallaro, F. L., Clery, A., Gilbert, R. E., van der Meulen, J., Kendall, S. A., Kennedy, E., Phillips, C., & Harron, K. L. (2024) · Health and Social Care Delivery Research · doi:10.3310/bvdw6447 · Cited by 12
A systematic review on clinical practice guidelines for managing pregnancy following metabolic‐bariatric surgery
Moradi, R., Kashanian, M., Sheidaei, A., & Kermansaravi, M. (2024) · Obesity · doi:10.1002/oby.24118 · Cited by 13
Health professionals’ beliefs and attitudes towards preconception care: a systematic review
Caut, C., Schoenaker, D. A. J. M., McIntyre, E., & Steel, A. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-13246-y · Cited by 12
Structured, multifactorial randomised controlled intervention to investigate physical activity levels, body composition and diet in obese and overweight adolescents
Srivastav, P., Vaishali, K., Bhat, V., & Broadbent, S. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-044895 · Cited by 14
Informational needs related to aspirin prophylactic therapy amongst pregnant women at risk of preeclampsia – A qualitative study
Vinogradov, R., Smith, V. J., Robson, S. C., & Araújo‐Soares, V. (2021) · Pregnancy Hypertension · doi:10.1016/j.preghy.2021.06.006 · Cited by 12
Evaluating implementation of the FIGO Nutrition Checklist for preconception and pregnancy within the Bukhali trial in Soweto, South Africa
Soepnel, L. M., Draper, C. E., Mabetha, K., Mogashoa, L., Mabena, G., McAuliffe, F. M., Killeen, S. L., Jacob, C. M., Hanson, M. A., & Norris, S. A. (2023) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.14541 · Cited by 12
Self-citation
Maternal diet quality and nutrient intakes across preconception and pregnancy are not consistent with Australian guidelines: Results from the pilot BABY1000 study
Maneschi, K., Geller, T., Collins, C. E., Gordon, A., & Grech, A. M. (2023) · Food Science & Nutrition · doi:10.1002/fsn3.3401 · Cited by 10
Preconception Care: A Concept Analysis of an Evolving Paradigm
Aynalem, Y. A., Paul, P., Olson, J. K., Lassi, Z. S., & Meherali, S. M. (2025) · Journal of Advanced Nursing · doi:10.1111/jan.16711 · Cited by 11
Correlates of minimum dietary diversity among pregnant women on antenatal care follow up at public health facility in Puntland, Somalia
Mohammed, F., Abdirizak, N., Jibril, A., & Oumer, A. (2023) · Scientific Reports · doi:10.1038/s41598-023-48983-9 · Cited by 11
The use of whole body calorimetry to compare measured versus predicted energy expenditure in postpartum women
Pereira, L. C. R., Purcell, S. A., Elliott, S. A., McCargar, L. J., Bell, R. C., Robson, P. J., & Prado, C. M. M. (2018) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqy312 · Cited by 11
Childbearing Age Women Characteristics in Latin America. Building Evidence Bases for Early Prevention. Results from the ELANS Study
Herrera‐Cuenca, M., Previdelli, Á. N., Koletzko, B. V., Hernández, P., Landaeta‐Jiménez, M., Sifontes, Y., Gómez, G., Kovalskys, I., García, M. C. Y., Pareja, R. G., et al. (2020) · Nutrients · doi:10.3390/nu13010045 · Cited by 13
Maternal Preconception Body Size and Early Childhood Growth during Prenatal and Postnatal Periods Are Positively Associated with Child-Attained Body Size at Age 6–7 Years: Results from a Follow-up of the PRECONCEPT Trial
Nguyen, P. H., Young, M. F., Long, K. Q., Tran, L. M., Duong, T. H., Nguyen, H. C., Martorell, R., & Ramakrishnan, U. (2021) · Journal of Nutrition · doi:10.1093/jn/nxab004 · Cited by 14
Australian women's information‐seeking preferences and needs in preparation for pregnancy
Lang, A. Y., Harrison, C. L., & Boyle, J. A. (2022) · Health Promotion Journal of Australia · doi:10.1002/hpja.619 · Cited by 11
Barriers to nutritional pregnancy preparation and support needs in women and men: Qualitative study based on the Theoretical Domains Framework
Quayyum, F., & Dombrowski, S. U. (2021) · Women s Health · doi:10.1177/17455065211042182 · Cited by 10
Self-citation
Developmental origins of health and disease knowledge is associated with diet quality in preconception young adult men and women
Salvesen, L., Valen, E. N., Wills, A. K., Hillesund, E. R., Vik, F. N., Engeset, D., Øverby, N. C., & Medin, A. C. (2023) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174423000314 · Cited by 10
Impact of preconception and antenatal supplementation with myo-inositol, probiotics, and micronutrients on offspring BMI and weight gain over the first 2 years
Lyons‐Reid, J., Derraik, J. G. B., Kenealy, T. W., Albert, B. B., Nieves, J. M. R., Monnard, C. R., Titcombe, P., Nield, H., Barton, S. J., El‐Heis, S., et al. (2024) · BMC Medicine · doi:10.1186/s12916-024-03246-w · Cited by 10
Preconception health policy, health promotion, and health services to achieve health in current and future generations: a narrative review
Steel, A., Strömmer, S., Adams, J., & Schoenaker, D. A. J. M. (2025) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-025-07176-0 · Cited by 10
The Impact of Diet During Adolescence on the Neonatal Health of Offspring: Evidence on the Importance of Preconception Diet. The HUNT Study
Lippevelde, W. V., Vik, F. N., Wills, A. K., Strömmer, S., Barker, M. E., Skreden, M., Anderson‐Berry, A., Hanson, C., Brantsæter, A. L., Hillesund, E. R., et al. (2019) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174420001087 · Cited by 10
Self-citation
Resilience in adolescence during the COVID-19 crisis in Canada
Chin, J., Maio, J. D., Weeraratne, T., Kennedy, K. M., Oliver, L. K., Bouchard, M., Malhotra, D., Habashy, J., Ding, J., Bhopa, S., et al. (2023) · BMC Public Health · doi:10.1186/s12889-023-15813-6 · Cited by 15
Self-citation
‘Turning the tide’ on hyperglycemia in pregnancy: insights from multiscale dynamic simulation modeling
Freebairn, L., Occhipinti, J., Qin, Y., Nolan, C. J., Kent, A. L., Kelly, P., Penza, L., Prodan, A., Safarishahrbijari, A., Qian, W., et al. (2020) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2019-000975 · Cited by 10
A scoping review of nutritional interventions and policy guidelines in the interconception period for prevention of noncommunicable diseases
Watson, D., Jacob, C. M., Giles, G., McAuliffe, F. M., Godfrey, K. M., & Hanson, M. A. (2022) · Reproductive Female and Child Health · doi:10.1002/rfc2.8 · Cited by 10
Foreign-born women’s lifestyle and health before and during early pregnancy in Sweden
Hultstrand, J. N., Tydén, T., Målqvist, M., Ekstrand, M., Larsson, M., & Jonsson, M. (2020) · The European Journal of Contraception & Reproductive Health Care · doi:10.1080/13625187.2019.1706078 · Cited by 10
Developmental origin of health and disease—Evidence and time for action
Holme, A. M., & Sitras, V. (2020) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/aogs.13915 · Cited by 10
Effects of an integrated mobile health lifestyle intervention among overweight and obese women planning for pregnancy in Singapore: protocol for the single-arm healthy early life moments in Singapore (HELMS) study
Chan, J. K. Y., Ku, C. W., Loy, S. L., Godfrey, K. M., Fan, Y., Chua, M. C., & Yap, F. K. P. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-061556 · Cited by 9
Integrating Women and Girls’ Nutrition Services into Health Systems in Low- and Middle-Income Countries: A Systematic Review
Menezes, R., Lelijveld, N., Wrottesley, S. V., Brennan, E., Mates, E., & James, P. (2022) · Nutrients · doi:10.3390/nu14214488 · Cited by 13
Factors associated with ultra-processed foods consumption in a cohort of Brazilian pregnant women
Fraga, A. C. S. A., Filha, M. M. T., & Bastos, M. P. (2023) · Cadernos de Saúde Pública · doi:10.1590/0102-311xen177022 · Cited by 10
Knowledge and practices of preconception care among rural Japanese women: findings from a mixed methods investigation
Shibata, Y., Abe, M., Narumoto, K., Kaneko, M., Tanahashi, N., Fetters, M. D., & Inoue, M. (2023) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-023-05940-8 · Cited by 9
A qualitative analysis of community health worker perspectives on the implementation of the preconception and pregnancy phases of the Bukhali randomised controlled trial
Soepnel, L. M., Norris, S. A., Mabetha, K., Motlhatlhedi, M., Nkosi, N. G., Lye, S. J., & Draper, C. E. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0002578 · Cited by 9
Self-citation
Preconception nutrition: building advocacy and social movements to stimulate action
Vogel, C., Kriznik, N. M., Stephenson, J., & Barker, M. E. (2020) · Journal of Developmental Origins of Health and Disease · doi:10.1017/s2040174420000197 · Cited by 9
Self-citation
Maternal weight change between successive pregnancies: an opportunity for lifecourse obesity prevention
Alwan, N. A., Grove, G., Taylor, E. J., & Ziauddeen, N. (2020) · Proceedings of The Nutrition Society · doi:10.1017/s0029665120007065 · Cited by 9
a D olescent and pr E conception health pe R specti V e of A dult N on-communicable diseases ( DERVAN): protocol for rural prospective adolescent girls cohort study in Ratnagiri district of Konkan region of India (DERVAN-1)
Patil, S. N., Patil, N., Joglekar, C. V., Yadav, A. K., Nillawar, A., Banavali, U., Bhat, R., Dombale, V. D., Warpe, B. M., Mohite, R., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-035926 · Cited by 9
A prospective population-based multicentre study on the impact of maternal body mass index on adverse pregnancy outcomes: Focus on normal weight
van Hoorn, F., de Wit, L., van Rossem, L., Jambroes, M., Groenendaal, F., Kwee, A., Ruiter, M. L.-D., Franx, A., van Rijn, B. B., Koster, M. P. H., et al. (2021) · PLoS ONE · doi:10.1371/journal.pone.0257722 · Cited by 11
Evaluation of questionnaire as an instrument to measure the level of nutritional and weight gain knowledge in pregnant women in Poland. A pilot study
Mierzejewska, E., Honorato-Rzeszewicz, T., Świątkowska, D., Jurczak-Czaplicka, M., Maciejewski, T., Fijałkowska, A., Szulc-Kamińska, J., Czach, A., Nałęcz, H., Szostak-Węgierek, D. E., et al. (2020) · PLoS ONE · doi:10.1371/journal.pone.0227682 · Cited by 10
A Scoping Review of Barriers and Facilitators for Preconception Care: Lessons for Global Health Policies and Programs
Puliani, R., Bhatt, Y., Gupta, S., Agnita, R. N., Tejaswini, B. D., & Jayanna, K. (2024) · Asia Pacific Journal of Public Health · doi:10.1177/10105395241252867 · Cited by 8
Effectiveness of nutrition literacy intervention on pregnancy weight and eating behavior: a randomized controlled trial
Li, Q., & Wang, J. (2025) · Scientific Reports · doi:10.1038/s41598-025-07979-3 · Cited by 8
Evaluation of machine learning models for early prediction of gestational diabetes using retrospective electronic health records from current and previous pregnancies
Germaine, M., O'Higgins, A. C., Egan, B., & Healy, G. F. (2025) · BMJ Digital Health & AI · doi:10.1136/bmjdhai-2025-000089 · Cited by 9
Effectiveness of a digital dietary intervention program targeting young adults before parenthood: protocol for the PREPARED randomised controlled trial
Øverby, N. C., Medin, A. C., Valen, E. N., Salvesen, L., Wills, A. K., Engeset, D., Vik, F. N., & Hillesund, E. R. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-055116 · Cited by 8
A Role for Data Science in Precision Nutrition and Early Brain Development
Morton, S. U., Leyshon, B. J., Tamilia, E., Vyas, R., Sisitsky, M. D., Ladha, I., Lasekan, J. B., Kuchan, M. J., Grant, P. E., & Ou, Y. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.892259 · Cited by 11
Modifiable Risk Factor Score and Fecundability in a Preconception Cohort in Singapore
Loy, S. L., Ku, C. W., Tiong, M. M. Y., Ng, C. S. T., Cheung, Y. B., Godfrey, K. M., Lim, S. X., Colega, M., Lai, J. S., Chong, Y. S., et al. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.55001 · Cited by 8
Types of fiber and gut microbiota composition and diversity among arab females
Aljuraiban, G. S., Algabsani, S., Sabico, S., Al-Shammari, S., Aljazairy, E. A., & Al-Musharaf, S. (2023) · Saudi Journal of Biological Sciences · doi:10.1016/j.sjbs.2023.103767 · Cited by 8
Embryonic size and growth and adverse birth outcomes: the Rotterdam Periconception Cohort
Roelants, J. A., Vermeulen, M. J., Willemsen, S. P., Been, J. V., Koning, A. H. J., Eggink, A. J., Joosten, K. F. M., Reiss, I. K. M., & Steegers‐Theunissen, R. P. M. (2024) · Human Reproduction · doi:10.1093/humrep/deae212 · Cited by 8
Self-citation
The Impact of Neighbourhood Deprivation on Embryonic Growth Trajectories: Rotterdam Periconception Cohort
Gootjes, D. V., Koster, M. P. H., Willemsen, S. P., Koning, A. H. J., Steegers, E. A. P., & Steegers‐Theunissen, R. P. M. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8111913 · Cited by 8
Self-citation
Cohort Profile: The Dutch Perined-Lifelines birth cohort
Salavati, N., Bakker, M. K., van der Beek, E. M., & Erwich, J. H. M. (2019) · PLoS ONE · doi:10.1371/journal.pone.0225973 · Cited by 8
Lessons learned from talking with adults about nutrition: A qualitative study in the PREPARED project
Valen, E. N., Øverby, N. C., Hardy‐Johnson, P., Vik, F. N., Salvesen, L., Omholt, M. L., Barker, M. E., & Hillesund, E. R. (2023) · Maternal and Child Nutrition · doi:10.1111/mcn.13540 · Cited by 7
Self-citation
The two extremes meet: pediatricians, geriatricians and the life-course approach
Cesari, M., Vanacore, N., & Agostoni, C. V. (2019) · Pediatric Research · doi:10.1038/s41390-019-0479-4 · Cited by 8
Do the concepts of “life course approach” and “developmental origins of health and disease” underpin current maternity care? Study protocol
Jacob, C. M., Lawrence, W. T., Inskip, H. M., McAuliffe, F. M., Killeen, S. L., & Hanson, M. A. (2019) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.12955 · Cited by 8
Self-citation
Tipping the scale: the role of a national nutritional supplementation programme for pregnant mothers in reducing low birth weight and neonatal mortality in India
Kumar, R., Kumar, S. S., Parasannanavar, D. J., Khandelwal, S., & Rajkumar, H. (2021) · British Journal Of Nutrition · doi:10.1017/s0007114521000982 · Cited by 8
GESTATIONAL DIABETES MELLITUS
de Wit, L. (2020) · Utrecht University Repository (Utrecht University) · doi:10.33540/195 · Cited by 9
Effect of social and behavioral change interventions on minimum dietary diversity among pregnant women and associated socio-economic inequality in Rajasthan, India
Sharma, A., Chanda, S., Porwal, A., Wadhwa, N., Santhanam, D., Ranjan, R., Shah, H., Adyanthaya, S., & Meena, R. (2024) · BMC Nutrition · doi:10.1186/s40795-024-00887-1 · Cited by 7
Could commercial meal kits be part of the solution to food insecurity during pregnancy? An Australian exploratory study
McKay, F. H., Zinga, J., & van der Pligt, P. (2023) · Nutrition & Dietetics · doi:10.1111/1747-0080.12845 · Cited by 8
Innovations in Preconception Care: Optimizing Health for All Individuals
Nypaver, C. F., & Yeager, A. L. (2024) · Journal of Midwifery & Women s Health · doi:10.1111/jmwh.13681 · Cited by 7
In Overweight or Obese Pregnant Women, Maternal Dietary Factors are not Associated with Fetal Growth and Adiposity
O’Brien, C. M., Louise, J., Deussen, A. R., & Dodd, J. M. (2018) · Nutrients · doi:10.3390/nu10070870 · Cited by 7
Cardiovascular risk factors before and during pregnancy: Does pregnancy unmask or initiate risk?
Harville, E. W., Crook, C. E., Bazzano, L., Woo, J. G., Burns, T. L., Raitakari, O. T., Urbina, E. M., Venn, A., Jacobs, D. R., Steinberger, J., et al. (2021) · Journal of obstetrics and gynaecology research · doi:10.1111/jog.14971 · Cited by 7

Authors: Barker, M., Dombrowski, S. U., Colbourn, T., Fall, C. H. D., Kriznik, N. M., Lawrence, W. T., Norris, S. A., Ngaiza, G., Patel, D., Skordis-Worrall, J., Sniehotta, F. F., Steegers-Theunissen, R., Vogel, C., Woods-Townsend, K., & Stephenson, J.
Affiliations: Southampton General Hospital (GB)
University of Stirling (GB)
University College London (GB)
University of Cambridge (GB)
University of the Witwatersrand (ZA)
United Kingdom Clinical Research Collaboration (GB)
Corresponding author: Stephenson, Judith
ORCID: Barker, Mary
Dombrowski, Stephan U
Colbourn, Tim
Fall, Caroline H D
Kriznik, Natasha M
Lawrence, Wendy T
Norris, Shane A
Ngaiza, Gloria
Patel, Dilisha
Sniehotta, Falko F
Vogel, Christina
Stephenson, Judith
Venue: The Lancet
Publisher: Elsevier BV
Published: 2018-05
Volume: 391
Issue: 10132
Pages: 1853-1864
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(18)30313-1
PMC: PMC6075694
OpenAlex: W2794603072
Cited by: 377
References: 95
Citations by year: 2026: 23 · 2025: 43 · 2024: 40 · 2023: 51 · 2022: 57 · 2021: 48 · 2020: 56 · 2019: 44 · 2018: 13
FWCI: 7.69
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
ePrints Soton (University of Southampton) (acceptedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by-nc-nd)
UCL Discovery (University College London) (submittedVersion)
University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Apollo (University of Cambridge) (submittedVersion, cc-by-nc-nd)
Apollo
Funders: Wellcome Trust (097899/A/11/Z, 097899/Z/11/Z)
National Institute for Health and Care Research (DRF-2011-04-015, NF-SI-0513-10099)
British Heart Foundation (PG/14/33/30827)
Academy of Medical Sciences (HOP001\1067)
Kementerian Kesihatan Malaysia
Medical Research Council (MC_PC_MR/R018545/1, MR/K02325X/1, MR/J000094/1, MC_UU_12011/4, MC_UU_12011/3, MR/N011848/1)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords: preconception health, maternal nutrition, preconception interventions, behaviour change interventions, life course framework, social determinants of health, gender inequality, social movements, advocacy coalitions, private sector participation, health policy, offspring outcomes
MeSH terms: Female, Financial Support, Humans, Pregnancy, Public Health, Public Policy, Health Behavior, Preconception Care, Prenatal Nutritional Physiological Phenomena

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Intervention strategies to improve nutrition and health behaviours before conception

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks