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Enablers and barriers to women's lifestyle behavior change during the preconception period: A systematic review
Author(s) -
Kandel Pragya,
Lim Siew,
Pirotta Stephanie,
Skouteris Helen,
Moran Lisa J.,
Hill Briony
Publication year - 2021
Publication title -
obesity reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.845
H-Index - 162
eISSN - 1467-789X
pISSN - 1467-7881
DOI - 10.1111/obr.13235
Subject(s) - cinahl , psycinfo , context (archaeology) , enabling , medicine , medline , physical activity , psychology , gerontology , nursing , psychological intervention , physical therapy , psychiatry , paleontology , political science , law , biology
Summary Healthy lifestyle behaviors during the preconception period are important to optimize maternal and child outcomes, including weight. However, the majority of women do not have optimal preconception lifestyle behaviors. This systematic review explored enablers and barriers to women's preconception lifestyle behaviors using the Capability, Opportunity, Motivation, Behaviour (COM‐B) model and Theoretical Domains Framework (TDF). Preconception was defined as the time before conception, capturing planned and unplanned pregnancies. Medline Complete, EMBASE, PsycINFO, and CINAHL were searched for peer‐reviewed, quantitative and qualitative primary studies (English, 2006–2020) that explored enablers and barriers to lifestyle behaviors (diet, physical activity, smoking, alcohol use, supplement intake). Forty‐two studies (of 3406) were included, assessing supplement use ( n = 37), diet ( n = 10), smoking ( n = 10), alcohol use ( n = 8), and physical activity ( n = 5). All three COM‐B components were identified only for diet and supplement use. Of the 14 TDF domains, 7 were identified: knowledge, beliefs about capabilities, beliefs about consequences, goals, intentions, social support, and environmental context and resources. The presence/absence of knowledge on healthy behaviors was the most commonly assessed enabler/barrier. Future studies should explore a wider range of factors influencing preconception women's capability, opportunity, and motivation to modify their lifestyle behaviors.