title: Barriers to addressing overweight and obesity before conception.
abstract: OBJECTIVE
  To investigate the issues that confront women when addressing overweight and obesity before conception.
  
  
  METHODS
  Questionnaire-based study of 412 unselected women in early pregnancy.
  
  
  METHODS
  255 women who attended a public, antenatal "first visit" clinic at a major urban obstetric hospital in Brisbane and 157 women who presented to a private obstetrician in Brisbane for a routine ultrasound scan during a 6-week period in 2006 were surveyed.
  
  
  METHODS
  Preconception health activities, prepregnancy body mass index (BMI), self-reported weight category, attempts to lose weight before pregnancy, and weight loss advice received before pregnancy.
  
  
  RESULTS
  Folic acid supplementation was reported by 56% of participants, and 53% attended a preconception health check. Of women who provided details of height and prepregnancy weight, 30% were overweight or obese before pregnancy. However, 23 of 65 women with a BMI in the overweight range categorised themselves as normal weight (36%), and only 8 of 50 women with a BMI in the obese range categorised themselves as obese (16%). As BMI increased, more women reported trying to lose weight (P < 0.001) and reported receiving advice regarding weight loss (P < 0.001). Prepregnancy weight loss was reported by 52 of 115 overweight and obese women (45%).
  
  
  CONCLUSIONS
  Potential barriers to addressing overweight and obesity before pregnancy include poor uptake of routine prepregnancy health activities, inaccurate self-categorisation of weight, unsuccessful weight loss attempts and inadequate advice regarding prepregnancy weight loss.
authors.affiliation: Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia. l.callaway@uq.edu.au
authors.forename: Leonie K
authors.initials: LK
authors.lastname: Callaway
authors.forename: Michael J
authors.initials: MJ
authors.lastname: O'Callaghan
authors.forename: H David
authors.initials: HD
authors.lastname: McIntyre
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D009765:Obesity / Q000517:prevention & control*; D016742:Preconception Care; D011247:Pregnancy