Associations of Maternal Educational Level, Proximity to Green Space During Pregnancy, and Gestational Diabetes With Body Mass Index From Infancy to Early Adulthood: A Proof-of-Concept Federated Analysis in 18 Birth Cohorts

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Autores de FISABIO

Autores ajenos a FISABIO

  • Cadman, T
  • Elhakeem, A
  • Vinther, JL
  • Avraam, D
  • Calas, L
  • Cardol, M
  • Charles, MA
  • Corpeleijn, E
  • Crozier, S
  • de Castro, M
  • Estarlich, M
  • Fernandes, A
  • Fossatti, S
  • Gruszfeld, D
  • Guerlich, K
  • Grote, V
  • Haakma, S
  • Harris, JR
  • Heude, B
  • Huang, RC
  • Ibarluzea, J
  • Inskip, H
  • Jaddoe, V
  • Koletzko, B
  • Lioret, S
  • Luque, V
  • Manios, Y
  • Moirano, G
  • Moschonis, G
  • Nader, J
  • Nieuwenhuijsen, M
  • Andersen, AMN
  • Mceachen, R
  • de Moira, AP
  • Popovic, M
  • Roumeliotaki, T
  • Salika, T
  • Santa Marina, L
  • Santos, S
  • Serbert, S
  • Tzorovili, E
  • Vafeiadi, M
  • Verduci, E
  • Vrijheid, M
  • Vrijkotte, TGM
  • Welten, M
  • Wright, J
  • Yang, TC
  • Zugna, D
  • Lawlor, D

Grupos de Investigación

Abstract

International sharing of cohort data for research is important and challenging. We explored the feasibility of multicohort federated analyses by examining associations between 3 pregnancy exposures (maternal education, exposure to green vegetation, and gestational diabetes) and offspring body mass index (BMI) from infancy to age 17 years. We used data from 18 cohorts (n = 206,180 mother-child pairs) from the EU Child Cohort Network and derived BMI at ages 0-1, 2-3, 4-7, 8-13, and 14-17 years. Associations were estimated using linear regression via 1-stage individual participant data meta-analysis using DataSHIELD. Associations between lower maternal education and higher child BMI emerged from age 4 and increased with age (difference in BMI z score comparing low with high education, at age 2-3 years = 0.03 (95% confidence interval (CI): 0.00, 0.05), at 4-7 years = 0.16 (95% CI: 0.14, 0.17), and at 8-13 years = 0.24 (95% CI: 0.22, 0.26)). Gestational diabetes was positively associated with BMI from age 8 years (BMI z score difference = 0.18, 95% CI: 0.12, 0.25) but not at younger ages; however, associations attenuated towards the null when restricted to cohorts that measured gestational diabetes via universal screening. Exposure to green vegetation was weakly associated with higher BMI up to age 1 year but not at older ages. Opportunities of cross-cohort federated analyses are discussed.

Datos de la publicación

ISSN/ISSNe:
0002-9262, 1476-6256

AMERICAN JOURNAL OF EPIDEMIOLOGY  Oxford University Press

Tipo:
Article
Páginas:
753-763
PubMed:
37856700

Citas Recibidas en Web of Science: 3

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Keywords

  • BMI; cohort data sharing; federated analyses; gestational diabetes; green spaces; maternal education

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