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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

A Proof-of-Concept Federated Analysis in 18 Birth Cohorts
Authors: Cadman, Tim; Elhakeem, Ahmed; Vinther, Johan Lerbech; Avraam, Demetris; Carrasco, Paula; Calas, Lucinda; Cardol, Marloes; +44 Authors

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

Abstract

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.

Countries
United Kingdom, France, United Kingdom, Italy, Denmark, Netherlands, Netherlands
Keywords

Male, Adult, Parks, Parks, Recreational/statistics & numerical data, Adolescent, Practice of Epidemiology, Epidemiology, Parks, Recreational, BMI; cohort data sharing; federated analyses; gestational diabetes; green spaces; maternal education, 610, green spaces, FOS: Health sciences, Proof of Concept Study, Body Mass Index, BMI, Prenatal Exposure Delayed Effects/epidemiology, SDG 3 - Good Health and Well-being, Pregnancy, Infant and child health, Humans, DIABETES, Preschool, Child, Public health, Diabetes, Recreational/statistics & numerical data, Infant, Newborn, Infant, Health sciences, EDUCATIONAL_ATTAINMENT, Newborn, BODY_WEIGHT, maternal education, Diabetes, Gestational, Gestational/epidemiology, COHORT_ANALYSIS, PREGNANCY, Child, Preschool, Prenatal Exposure Delayed Effects, Educational Status, federated analyses, Female, Birth Cohort, Diabetes, Gestational/epidemiology, cohort data sharing, gestational diabetes

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Top 10%
Green
hybrid