Preconception health in adolescence and adulthood across generations in the UK: Findings from three British birth cohort studies.

Optimising preconception health in women and men holds significant potential for improving pregnancy and offspring health outcomes. To create a picture of the state of preconception health in the UK, this study aimed to describe the prevalence of and changes in preconception health indicators report...

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Main Authors: Olivia Righton, Angela Flynn, Nisreen A Alwan, Danielle Schoenaker
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0299061
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author Olivia Righton
Angela Flynn
Nisreen A Alwan
Danielle Schoenaker
author_facet Olivia Righton
Angela Flynn
Nisreen A Alwan
Danielle Schoenaker
author_sort Olivia Righton
collection DOAJ
description Optimising preconception health in women and men holds significant potential for improving pregnancy and offspring health outcomes. To create a picture of the state of preconception health in the UK, this study aimed to describe the prevalence of and changes in preconception health indicators reported in three British birth cohort studies: the 1970 British Birth Cohort Study (BCS70; born in 1970; N = 17,198), Next Steps (1989-1990; N = 15,770), and Millennium Cohort Study (MCS; 2000-2002; N = 19,517). The analysis focused on data obtained during participants' adolescence (16-17 years) and subsequent follow-ups at 25-26 years for BCS70 and Next Steps. Self-reported preconception indicators were defined in line with a previously published review and reported as proportions. Across cohorts, data were available for 14 preconception indicators across four domains: health behaviours and weight, reproductive health and family planning, physical health conditions, and wider determinants of health. However, data for these indicators were not consistently available for all cohort members. Findings suggested persistent suboptimal health behaviours in both genders and across generations, including low intakes of fruit. While alcohol, tobacco, and soft drink intake decreased across generations, obesity prevalence surged. This study underscores the need for public health interventions targeting the root causes of adverse health behaviours towards improvement of fruit consumption, further reduction in alcohol, tobacco, and soft drink consumption, and addressing the escalating obesity rates among individuals of reproductive age. Ongoing monitoring is needed to continue tracking these existing indicators over time, while improved data quality and availability of a wider range of preconception indicators are crucial to comprehensively understanding the complexities of preconception health, enabling the development of more targeted and effective interventions.
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spelling doaj-art-ba07c481f483451994014ce7531b66af2024-12-15T05:31:34ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e029906110.1371/journal.pone.0299061Preconception health in adolescence and adulthood across generations in the UK: Findings from three British birth cohort studies.Olivia RightonAngela FlynnNisreen A AlwanDanielle SchoenakerOptimising preconception health in women and men holds significant potential for improving pregnancy and offspring health outcomes. To create a picture of the state of preconception health in the UK, this study aimed to describe the prevalence of and changes in preconception health indicators reported in three British birth cohort studies: the 1970 British Birth Cohort Study (BCS70; born in 1970; N = 17,198), Next Steps (1989-1990; N = 15,770), and Millennium Cohort Study (MCS; 2000-2002; N = 19,517). The analysis focused on data obtained during participants' adolescence (16-17 years) and subsequent follow-ups at 25-26 years for BCS70 and Next Steps. Self-reported preconception indicators were defined in line with a previously published review and reported as proportions. Across cohorts, data were available for 14 preconception indicators across four domains: health behaviours and weight, reproductive health and family planning, physical health conditions, and wider determinants of health. However, data for these indicators were not consistently available for all cohort members. Findings suggested persistent suboptimal health behaviours in both genders and across generations, including low intakes of fruit. While alcohol, tobacco, and soft drink intake decreased across generations, obesity prevalence surged. This study underscores the need for public health interventions targeting the root causes of adverse health behaviours towards improvement of fruit consumption, further reduction in alcohol, tobacco, and soft drink consumption, and addressing the escalating obesity rates among individuals of reproductive age. Ongoing monitoring is needed to continue tracking these existing indicators over time, while improved data quality and availability of a wider range of preconception indicators are crucial to comprehensively understanding the complexities of preconception health, enabling the development of more targeted and effective interventions.https://doi.org/10.1371/journal.pone.0299061
spellingShingle Olivia Righton
Angela Flynn
Nisreen A Alwan
Danielle Schoenaker
Preconception health in adolescence and adulthood across generations in the UK: Findings from three British birth cohort studies.
PLoS ONE
title Preconception health in adolescence and adulthood across generations in the UK: Findings from three British birth cohort studies.
title_full Preconception health in adolescence and adulthood across generations in the UK: Findings from three British birth cohort studies.
title_fullStr Preconception health in adolescence and adulthood across generations in the UK: Findings from three British birth cohort studies.
title_full_unstemmed Preconception health in adolescence and adulthood across generations in the UK: Findings from three British birth cohort studies.
title_short Preconception health in adolescence and adulthood across generations in the UK: Findings from three British birth cohort studies.
title_sort preconception health in adolescence and adulthood across generations in the uk findings from three british birth cohort studies
url https://doi.org/10.1371/journal.pone.0299061
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