Accepted Manuscript Preconception nutrition, physical activity, and birth outcomes in adolescent girls Yiqiong Xie, Aubrey Spriggs Madkour, Emily Wheeler Harville PII:

S1083-3188(15)00005-4

DOI:

10.1016/j.jpag.2015.01.004

Reference:

PEDADO 1818

To appear in:

Journal of Pediatric and Adolescent Gynecology

Received Date: 13 August 2014 Revised Date:

18 December 2014

Accepted Date: 7 January 2015

Please cite this article as: Xie Y, Madkour AS, Harville EW, Preconception nutrition, physical activity, and birth outcomes in adolescent girls, Journal of Pediatric and Adolescent Gynecology (2015), doi: 10.1016/j.jpag.2015.01.004. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

ACCEPTED MANUSCRIPT

Preconception nutrition, physical activity, and birth outcomes in adolescent girls Yiqiong Xie1 [email protected] Aubrey Spriggs Madkour2 [email protected]

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Emily Wheeler Harville3 [email protected]

PhD. Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St. SL-18, New Orleans, LA 70112, USA

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(Now at: Pay and Provider Research, HealthCore, Inc., 800 Delaware Ave, 5th Floor Wilmington, DE 19801 , USA) 2

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PhD. Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, Suite 2300 New Orleans, LA 70112, USA 3

PhD. Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St. SL-18, New Orleans, LA 70112, USA

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Acknowledgments

This research uses data from Add Health, a program project directed by Dr. Kathleen Mullan Harris and designed by Dr. J. Richard Udry, Dr. Peter S. Bearman, and Dr. Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by

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grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development, with cooperative funding from 23 other federal agencies and

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foundations. Special acknowledgment is due Dr. Ronald R. Rindfuss and Dr. Barbara Entwisle for assistance in the original design. Information on how to obtain the Add Health data files is available on the Add Health website (http://www.cpc.unc.edu/addhealth). No direct support was received from grant P01HD31921 for this analysis.

Source of funding This study was supported by National Institute of Child Health and Human Development grant R03 HD067240. 1

ACCEPTED MANUSCRIPT

Conflict of Interest Statement: The authors have no conflict of interests to disclose.

Abstract

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Background Recommendations for preconception care usually include optimal

nutrition and physical activity, but these have not been tested extensively for their relationship with birth outcomes such as low birthweight and preterm birth.

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Methods Data from Waves I, II and IV of the National Longitudinal Study of

Adolescent Health (Add Health) contractual dataset were utilized. In Wave I in-home

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interview, participants were asked to recall their frequency of having five types of food on the previous day, including milk, fruit, vegetables, grains, and sweets. At Wave II, participants reported the previous day’s intake of 55 items, and results were categorized into high-calorie sweet, high-calorie non-sweet, and low-calorie food. At Wave I in-

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home interview, participants were also asked how many times in a week or during the past week they were involved in types of physical activity. At Wave IV, female participants reported pregnancies and birth outcomes. Multivariable linear regression

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analysis with survey weighting was used to predict birthweight and gestational age. Results There were no associations between reported food intake and birth outcomes.

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Girls who engaged in more episodes of active behavior had higher birthweights (p

Preconception Nutrition, Physical Activity, and Birth Outcomes in Adolescent Girls.

Recommendations for preconception care usually include optimal nutrition and physical activity, but these have not been tested extensively for their r...
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