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

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Ahmed Elhakeem
  • Demetris Avraam
  • Paula Carrasco
  • Lucinda Calas
  • Marloes Cardo
  • Marie-Aline Charles
  • Eva Corpeleijn
  • Sarah Crozier
  • Montserrat de Castro
  • Marisa Estarlich
  • Amanda Fernandes
  • Serena Fossatti
  • Dariusz Gruszfeld
  • Kathrin Gurlich
  • Veit Grote
  • Sido Haakma
  • Jennifer R Harris
  • Barbara Heude
  • Rae-Chi Huang
  • Jesús Ibarluzea
  • Hazel Inskip
  • Vincent Jaddoe
  • Berthold Koletzko
  • Veronica Luque
  • Yannis Manios
  • Giovenale Moirano
  • George Moschonis
  • Johanna Nader
  • Mark Nieuwenhuijsen
  • Rosie McEachen
  • Maja Popovic
  • Theano Roumeliotaki
  • Theodosia Salika
  • Loreto Santa Marina
  • Susana Santos
  • Sylvain Serbert
  • Evangelia Tzorovili
  • Marina Vafeiadi
  • Elvira Verduci
  • Martine Vrijheid
  • T G M Vrijkotte
  • Marieke Welten
  • John Wright
  • Tiffany C Yang
  • Daniela Zugna
  • Deborah Lawlor
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.
OriginalsprogEngelsk
TidsskriftAmerican Journal of Epidemiology
Antal sider11
ISSN0002-9262
DOI
StatusE-pub ahead of print - 2023

Bibliografisk note

© The Author(s) 2023. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.

ID: 387424629