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Letourneau N, Ntanda H, Jong VL, Mahinpey N, Giesbrecht G, Ross KM. Prenatal maternal distress and immune cell epigenetic profiles at 3-months of age. Dev Psychobiol 2021; 63:973-984. [PMID: 33569773 DOI: 10.1002/dev.22103] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 01/11/2021] [Accepted: 01/12/2021] [Indexed: 12/25/2022]
Abstract
BACKGROUND Prenatal maternal distress predicts altered offspring immune outcomes, potentially via altered epigenetics. The role of different kinds of prenatal maternal distress on DNA methylation profiles is not understood. METHODS A sample of 117 women (APrON cohort) were followed from pregnancy to the postpartum period. Maternal distress (depressive symptoms, pregnancy-specific anxiety, stressful life events) were assessed mid-pregnancy, late-pregnancy, and 3-months postpartum. DNA methylation profiles were obtained from 3-month-old blood samples. Principal component analysis identified two epigenetic components, characterized as Immune Signaling and DNA Transcription through gene network analysis. Covariates were maternal demographics, pre-pregnancy body mass index, child sex, birth gestational age, and postpartum maternal distress. Penalized regression (LASSO) models were used. RESULTS Late-pregnancy stressful life events, b = 0.006, early-pregnancy depressive symptoms, b = 0.027, late-pregnancy depressive symptoms, b = 0.014, and pregnancy-specific anxiety during late pregnancy, b = -0.631, were predictive of the Immune Signaling component, suggesting that these aspects of maternal distress could affect methylation in offspring immune signaling pathways. Only early-pregnancy depressive symptoms was predictive of the DNA Transcription component, b = -0.0004, suggesting that this aspect of maternal distress is implicated in methylation of offspring DNA transcription pathways. CONCLUSIONS Exposure timing and kind of prenatal maternal distress could matter in the prediction of infant immune epigenetic profiles.
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Affiliation(s)
| | | | - Victor L Jong
- University Medical Center Utrecht, Utrecht, The Netherlands
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Hamad R, Batra A, Karasek D, LeWinn KZ, Bush NR, Davis RL, Tylavsky FA. The Impact of the Revised WIC Food Package on Maternal Nutrition During Pregnancy and Postpartum. Am J Epidemiol 2019; 188:1493-1502. [PMID: 31094428 PMCID: PMC6670068 DOI: 10.1093/aje/kwz098] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 04/02/2019] [Accepted: 04/08/2019] [Indexed: 11/14/2022] Open
Abstract
The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutritional support for pregnant and postpartum women and young children. The typical food package provided to recipient families was revised in October 2009 to include more whole grains, fruits, vegetables, and low-fat milk. Little is known about whether these revisions improved nutrition among women during this critical period of the life course. We conducted a quasiexperimental difference-in-differences analysis, comparing WIC recipients ("treatment" group) before and after the WIC policy change, while accounting for temporal trends among nonrecipients ("control" group). We examined nutritional outcomes among a cohort of 1,454 women recruited during pregnancy in 2006-2011 in Memphis and surrounding Shelby County, Tennessee. We found improvements in several measures of dietary quality and nutrient intake during pregnancy, although these did not persist into the postpartum period. Results were robust to numerous sensitivity analyses. At a time when federal WIC funding is threatened, this study provides some of the first evidence of the benefits of recent WIC revisions among low-income women.
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Affiliation(s)
- Rita Hamad
- Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, California
- Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California
| | - Akansha Batra
- Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, California
| | - Deborah Karasek
- Department of Obstetrics and Gynecology, School of Medicine, University of California, San Francisco, San Francisco, California
| | - Kaja Z LeWinn
- Department of Psychiatry, Weill Institute for Neurosciences, School of Medicine, University of California, San Francisco, San Francisco, California
| | - Nicole R Bush
- Department of Psychiatry, Weill Institute for Neurosciences, School of Medicine, University of California, San Francisco, San Francisco, California
| | - Robert L Davis
- Center for Biomedical Informatics, College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
| | - Frances A Tylavsky
- Department of Preventive Medicine, College of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
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Ramos EKS, Fassina PV, Lemos MA. A mother's gift: consequences of unhealthy diet for offspring metabolism. J Physiol 2018; 596:4575-4577. [PMID: 30106479 PMCID: PMC6166073 DOI: 10.1113/jp276769] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Accepted: 08/13/2018] [Indexed: 12/22/2022] Open
Affiliation(s)
- Elisa Karen Silva Ramos
- Departamento de GenéticaEvoluçãoMicrobiologia e ImunologiaUniversidade Estadual de CampinasCampinasSão PauloBrasil
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Abera M, Tesfaye M, Hanlon C, Admassu B, Girma T, Wells JC, Kæstel P, Ritz C, Wibaek R, Michaelsen KF, Friis H, Andersen GS. Body Composition during Early Infancy and Mental Health Outcomes at 5 Years of Age: A Prospective Cohort Study of Ethiopian Children. J Pediatr 2018; 200:225-231. [PMID: 30060887 DOI: 10.1016/j.jpeds.2018.04.055] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Revised: 03/31/2018] [Accepted: 04/23/2018] [Indexed: 02/05/2023]
Abstract
OBJECTIVE To examine the relationship between body composition-specifically fat mass (FM) and fat-free mass (FFM)-in early infancy, and mental health outcomes in early childhood. STUDY DESIGN In the Infant Anthropometry and Body Composition birth cohort study from Ethiopia, body composition was measured at birth and 1.5, 2.5, 3.5, 4.5, and 6 months of age. Mental health was assessed at 5 years of age using the approved Amharic version of the Strengths and Difficulties Questionnaire (SDQ), a parent report scale covering 4 different domains providing a total difficulties score. The associations of FM or FFM at birth as well as during early infancy, with SDQ score at 5 years of age were examined using multiple linear regression analyses. RESULTS At 5 years of age, the mean ± SD for SDQ score was 10.4 ± 5.8. FM at birth was positively and FFM negatively associated with SDQ score. For each kg increase in FM at birth, the SDQ score at 5 years was 5.7 points higher (β = 5.7; 95% CI, 1.4-10.0). In contrast, for each kilogram increase in FFM at birth, the SDQ score was 3.9 points lower (β = -3.9; 95% CI, -7.0 to -0.8). Neither FM nor FFM accretion rate during early infancy were associated with SDQ score at 5 years of age. CONCLUSIONS Fetal rather than infant body composition was associated with SDQ score at 5 years of age. Greater FFM accretion during fetal life may have contributed to more optimal neurobehavioral development during early life. However, the potential mechanisms underlying the observed associations need further investigation.
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Affiliation(s)
- Mubarek Abera
- Department of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia; Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark.
| | - Markos Tesfaye
- Department of Psychiatry, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Charlotte Hanlon
- Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; Center for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
| | - Bitiya Admassu
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark; Department of Population and Family Health, Faculty of Public Health, Jimma University, Jimma, Ethiopia
| | - Tsinuel Girma
- Department of Pediatrics and Child Health, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia
| | - Jonathan C Wells
- Childhood Nutrition Research Center UCL Institute of Child Health, London, United Kingdom
| | - Pernille Kæstel
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark
| | - Christian Ritz
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark
| | - Rasmus Wibaek
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark; Steno Diabetes Center Copenhagen, Gentofte, Denmark
| | - Kim F Michaelsen
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark
| | - Henrik Friis
- Department of Nutrition, Exercise and Sports, University of Copenhagen, Denmark
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Molnar DS, Granger DA, Shisler S, Eiden RD. Prenatal and postnatal cigarette and cannabis exposure: Effects on Secretory Immunoglobulin A in early childhood. Neurotoxicol Teratol 2018; 67:31-36. [PMID: 29597003 PMCID: PMC5970978 DOI: 10.1016/j.ntt.2018.03.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 03/20/2018] [Accepted: 03/21/2018] [Indexed: 12/27/2022]
Abstract
AIMS Secretory Immunoglobulin A (SIgA) plays a critical role in immune functioning by preventing pathogens from adhering to epithelial mucosa. Most infectious agents enter the body via mucosal surfaces, thus SIgA serves in the defense against respiratory, intestinal, and urinogenitary infections, as well as periodontal disease and caries. This study examined the possibility that pre- and postnatal exposure to cigarette and cannabis is associated with individual differences in Secretory Immunoglobulin A (SIgA) levels in early childhood. METHODS Participants were 50 mother/infant (29 boys; 35% Caucasian) dyads recruited at their first prenatal appointment in a large northeastern community hospital in the United States. Repeated assessments of pre- and postnatal cigarette and cannabis were conducted beginning in the first trimester of pregnancy, using multiple methods (i.e., saliva, meconium, self-report). Infants were grouped into those prenatally exposed to either cigarette only (n = 19), cigarette and cannabis (n = 19), or with no prenatal substance exposure (n = 12). At age 5 years, the children's saliva was collected and assayed for SIgA. RESULTS There were group differences in SIgA levels as a function of prenatal exposure to cigarette and cannabis - children in the cigarette only and the cigarette and cannabis groups had higher SIgA levels compared to the non-exposed children. Children who experienced the combination of postnatal exposure to cigarette and cannabis had higher levels of SIgA, even after accounting for prenatal exposures and other covariates relevant to immune system functioning. CONCLUSIONS Prenatal and postnatal exposure to cigarette and cannabis may be associated with hyperactivity of mucosal immunity in early childhood. Links between cigarette and cannabis exposure and health problems in early childhood may be partially explained by prenatal and postnatal exposure-related changes in mucosal immunity.
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Affiliation(s)
- Danielle S Molnar
- Department of Child and Youth Studies, Brock University, St. Catharines, ON, Canada; Research Institute on Addictions, University at Buffalo, Buffalo, NY, USA.
| | - Douglas A Granger
- Institute for Interdisciplinary Salivary Bioscience Research, University of California at Irvine, USA; Johns Hopkins University School of Nursing, USA; Johns Hopkins Bloomberg School of Public Health, USA; Johns Hopkins University School of Medicine, USA
| | - Shannon Shisler
- Research Institute on Addictions, University at Buffalo, Buffalo, NY, USA
| | - Rina D Eiden
- Research Institute on Addictions, University at Buffalo, Buffalo, NY, USA
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Berghänel A, Heistermann M, Schülke O, Ostner J. Prenatal stress effects in a wild, long-lived primate: predictive adaptive responses in an unpredictable environment. Proc Biol Sci 2017; 283:rspb.2016.1304. [PMID: 27655764 PMCID: PMC5046897 DOI: 10.1098/rspb.2016.1304] [Citation(s) in RCA: 44] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Accepted: 08/18/2016] [Indexed: 12/11/2022] Open
Abstract
Prenatal maternal stress affects offspring phenotype in numerous species including humans, but it is debated whether these effects are evolutionarily adaptive. Relating stress to adverse conditions, current explanations invoke either short-term developmental constraints on offspring phenotype resulting in decelerated growth to avoid starvation, or long-term predictive adaptive responses (PARs) resulting in accelerated growth and reproduction in response to reduced life expectancies. Two PAR subtypes were proposed, acting either on predicted internal somatic states or predicted external environmental conditions, but because both affect phenotypes similarly, they are largely indistinguishable. Only external (not internal) PARs rely on high environmental stability particularly in long-lived species. We report on a crucial test case in a wild long-lived mammal, the Assamese macaque (Macaca assamensis), which evolved and lives in an unpredictable environment where external PARs are probably not advantageous. We quantified food availability, growth, motor skills, maternal caretaking style and maternal physiological stress from faecal glucocorticoid measures. Prenatal maternal stress was negatively correlated to prenatal food availability and led to accelerated offspring growth accompanied by decelerated motor skill acquisition and reduced immune function. These results support the ‘internal PAR’ theory, which stresses the role of stable adverse internal somatic states rather than stable external environments.
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Affiliation(s)
- Andreas Berghänel
- Department of Behavioural Ecology, University of Göttingen, 37077 Göttingen, Germany
| | | | - Oliver Schülke
- Department of Behavioural Ecology, University of Göttingen, 37077 Göttingen, Germany Research Group Primate Social Evolution, German Primate Center, 37077 Göttingen, Germany
| | - Julia Ostner
- Department of Behavioural Ecology, University of Göttingen, 37077 Göttingen, Germany Research Group Primate Social Evolution, German Primate Center, 37077 Göttingen, Germany
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Molnar DS, Rancourt D, Schlauch R, Wen X, Huestis MA, Eiden RD. Tobacco Exposure and Conditional Weight-for-Length Gain by 2 Years of Age. J Pediatr Psychol 2017; 42:679-688. [PMID: 28169405 PMCID: PMC5896634 DOI: 10.1093/jpepsy/jsw095] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Revised: 10/26/2016] [Accepted: 11/08/2016] [Indexed: 11/14/2022] Open
Abstract
Objective To prospectively examine dose-response and timing effects of prenatal (PTE) and postnatal tobacco exposure on obesity risk assessed by conditional weight-for-length gain (CWFLG), by 2 years of age. CWFLG over the first 2 years of life was examined for 117 PTE and 57 nonexposed children. Repeated assessments of PTE were conducted beginning in the first trimester of pregnancy, using multiple methods. PTE or postnatal exposure status was not predictive of CWFLG. However, there was a dose-response association and an association with fetal exposure ascertained by infant meconium positive for nicotine and metabolites. PTE is related to restricted growth at birth, yet associated with accelerated CWFLG by 2 years of age, a measure that controls for birthweight differences. Results highlight the importance of examining dose-response and timing of exposure associations, along with the importance of obesity risk-reduction interventions within the first 2 years of life among PTE children.
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Affiliation(s)
- Danielle S. Molnar
- Department of Child and Youth Studies, Brock University
- Research Institute on Addictions, State University of New York at Buffalo
| | | | | | - Xiaozhong Wen
- Division of Behavioral Medicine, Department of Pediatrics, School of Medicine and Biomedical Sciences, State University of New York at Buffalo
| | - Marilyn A. Huestis
- Chemistry and Drug Metabolism, National Institute on Drug Abuse, National Institutes of Health
| | - Rina D. Eiden
- Research Institute on Addictions, State University of New York at Buffalo
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Moog NK, Buss C, Entringer S, Shahbaba B, Gillen DL, Hobel CJ, Wadhwa PD. Maternal Exposure to Childhood Trauma Is Associated During Pregnancy With Placental-Fetal Stress Physiology. Biol Psychiatry 2016; 79:831-839. [PMID: 26444076 PMCID: PMC4777678 DOI: 10.1016/j.biopsych.2015.08.032] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2015] [Revised: 07/24/2015] [Accepted: 08/15/2015] [Indexed: 02/05/2023]
Abstract
BACKGROUND The effects of exposure to childhood trauma (CT) may be transmitted across generations; however, the time period(s) and mechanism(s) have yet to be clarified. We address the hypothesis that intergenerational transmission may begin during intrauterine life via the effect of maternal CT exposure on placental-fetal stress physiology, specifically placental corticotropin-releasing hormone (pCRH). METHODS The study was conducted in a sociodemographically diverse cohort of 295 pregnant women. CT exposure was assessed using the Childhood Trauma Questionnaire. Placental CRH concentrations were quantified in maternal blood collected serially over the course of gestation. Linear mixed effects and Bayesian piece-wise linear models were employed to test hypothesized relationships. RESULTS Maternal CT exposure (CT+) was significantly associated with pCRH production. Compared with nonexposed women, CT+ was associated with an almost 25% increase in pCRH toward the end of gestation, and the pCRH trajectory of CT+ women exhibited an approximately twofold steeper increase after the pCRH inflection point at 19 weeks gestation. CONCLUSIONS To the best of our knowledge, this finding represents the first report linking maternal CT exposure with placental-fetal stress physiology, thus identifying a potential novel biological pathway of intergenerational transmission that may operate as early as during intrauterine life.
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Affiliation(s)
- Nora K. Moog
- University of California, Irvine, Development, Health, and Disease Research Program, 333 The City Drive West, Suite 1200, Orange, CA 92868, USA,Department of Medical Psychology, Charité University Medicine Berlin, Luisenstrasse 57, 10117 Berlin, Germany
| | - Claudia Buss
- University of California, Irvine, Development, Health, and Disease Research Program, 333 The City Drive West, Suite 1200, Orange, CA 92868, USA,Department of Medical Psychology, Charité University Medicine Berlin, Luisenstrasse 57, 10117 Berlin, Germany,Department of Pediatrics, University of California, Irvine, School of Medicine, 505 S. Main St., Suite 525, Orange, CA 92868, USA
| | - Sonja Entringer
- University of California, Irvine, Development, Health, and Disease Research Program, 333 The City Drive West, Suite 1200, Orange, CA 92868, USA,Department of Medical Psychology, Charité University Medicine Berlin, Luisenstrasse 57, 10117 Berlin, Germany,Department of Pediatrics, University of California, Irvine, School of Medicine, 505 S. Main St., Suite 525, Orange, CA 92868, USA
| | - Babak Shahbaba
- Department of Statistics, University of California, Irvine, Bren Hall 2019, Irvine, CA 92697-1250, USA
| | - Daniel L. Gillen
- Department of Statistics, University of California, Irvine, Bren Hall 2019, Irvine, CA 92697-1250, USA
| | - Calvin J. Hobel
- Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USA
| | - Pathik D. Wadhwa
- University of California, Irvine, Development, Health, and Disease Research Program, 333 The City Drive West, Suite 1200, Orange, CA 92868, USA,Department of Pediatrics, University of California, Irvine, School of Medicine, 505 S. Main St., Suite 525, Orange, CA 92868, USA,Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048, USA,Department of Psychiatry and Human Behavior, University of California, Irvine, School of Medicine, 101 The City Drive South, Building 3, Route 88, Orange, CA 92697, USA,Department of Obstetrics and Gynecology, University of California, Irvine, School of Medicine, 200 S. Manchester Ave, Suite 600, Orange, CA 92868, USA,Department of Epidemiology, University of California, Irvine, School of Medicine, 224 Irvine Hall, Irvine, CA 92697, USA,Corresponding Author: Pathik D. Wadhwa, MD, PhD., Professor of Psychiatry & Human Behavior, Obstetrics & Gynecology, Pediatrics, and Epidemiology, Director, UC Irvine Development, Health and Disease Research Program, 3117 Gillespie Neuroscience Research Facility (GNRF), 837 Health Sciences Road, Irvine, CA 92697-4260, Phone: (949) 824-8238,
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Townsend ML, Riepsamen A, Georgiou C, Flood VM, Caputi P, Wright IM, Davis WS, Jones A, Larkin TA, Williamson MJ, Grenyer BFS. Longitudinal Intergenerational Birth Cohort Designs: A Systematic Review of Australian and New Zealand Studies. PLoS One 2016; 11:e0150491. [PMID: 26991330 PMCID: PMC4798594 DOI: 10.1371/journal.pone.0150491] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Accepted: 02/15/2016] [Indexed: 01/31/2023] Open
Abstract
Background The longitudinal birth cohort design has yielded a substantial contribution to knowledge of child health and development. The last full review in New Zealand and Australia in 2004 identified 13 studies. Since then, birth cohort designs continue to be an important tool in understanding how intrauterine, infant and childhood development affect long-term health and well-being. This updated review in a defined geographical area was conducted to better understand the factors associated with successful quality and productivity, and greater scientific and policy contribution and scope. Methods We adopted the preferred reporting items for systematic reviews and meta-analyses (PRISMA) approach, searching PubMed, Scopus, Cinahl, Medline, Science Direct and ProQuest between 1963 and 2013. Experts were consulted regarding further studies. Five inclusion criteria were used: (1) have longitudinally tracked a birth cohort, (2) have collected data on the child and at least one parent or caregiver (3) be based in Australia or New Zealand, (4) be empirical in design, and (5) have been published in English. Results 10665 records were initially retrieved from which 23 birth cohort studies met the selection criteria. Together these studies recruited 91,196 participants, with 38,600 mothers, 14,206 fathers and 38,390 live births. Seventeen studies were located in Australia and six in New Zealand. Research questions initially focused on the perinatal period, but as studies matured, longer-term effects and outcomes were examined. Conclusions This review demonstrates the significant yield from this effort both in terms of scientific discovery and social policy impact. Further opportunities have been recognised with cross-study collaboration and pooling of data between established and newer studies and international studies to investigate global health determinants.
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Affiliation(s)
- Michelle L. Townsend
- Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
- School of Psychology, University of Wollongong, Wollongong, NSW, Australia
| | - Angelique Riepsamen
- School of Women's and Children's Health, Discipline of Obstetrics and Gynaecology, University of New South Wales, Sydney, NSW, Australia
| | - Christos Georgiou
- Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
- Eastern Health, Melbourne, Victoria, Australia
- Monash University, Faculty of Medicine, Nursing and Health Services, Eastern Health Clinical School, Melbourne, Victoria, Australia
- Graduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia
| | - Victoria M. Flood
- Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia
- St Vincent’s Hospital, Darlinghurst, NSW, Australia
| | - Peter Caputi
- Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
- School of Psychology, University of Wollongong, Wollongong, NSW, Australia
| | - Ian M. Wright
- Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
- Illawarra Shoalhaven Local Health District, NSW Health, Sydney, NSW, Australia
| | - Warren S. Davis
- Illawarra Shoalhaven Local Health District, NSW Health, Sydney, NSW, Australia
| | - Alison Jones
- Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
| | - Theresa A. Larkin
- Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
- Graduate School of Medicine, University of Wollongong, Wollongong, NSW, Australia
| | - Moira J. Williamson
- School of Nursing and Midwifery, Central Queensland University, Rockhampton, Queensland, Australia
| | - Brin F. S. Grenyer
- Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia
- School of Psychology, University of Wollongong, Wollongong, NSW, Australia
- * E-mail:
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Relation between maternal antenatal anxiety and infants' weight depends on infants' sex: A longitudinal study from late gestation to 1-month post birth. J Psychosom Res 2015; 79:620-7. [PMID: 26227554 PMCID: PMC4679626 DOI: 10.1016/j.jpsychores.2015.07.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Revised: 07/02/2015] [Accepted: 07/11/2015] [Indexed: 11/20/2022]
Abstract
OBJECTIVE To test for gender-differences in the relation between mothers' antenatal anxiety and infants' body weight during gestation, at birth, and at 1-month of age. METHODS Two hundred and twelve randomly-recruited women were divided into two groups: Controls (n=105) and Anxious Group (n=107) based on a standard cut-off of the Beck Anxiety Inventory. Outcome measures were Fetal Weight derived from biometrics obtained from an ultrasound scan in the 3rd trimester and infants' weight at birth and at 1-month of age, both obtained from medical records. RESULTS Multivariate analyses showed main effects of Gender on infants' birth weight (P=.001) and on infants' weight at 1-month of age (P=.004), but no main effects of Anxiety Group at any time-point. Gender x Anxiety Group interactions at all three time points (Fetal weight: P=.05; Birth weight: P=.03; 1-month of age: P=.10) reflected gender differences (males>females) among infants in the anxious group, but not among controls. Distinct trends regarding same sex comparisons across groups (Control vs. Anxiety) were in line with predictions (male controls<male anxious; female controls>females anxious). Controlling for Postpartum Anxiety and Antenatal and Postpartum Depression in the models did not affect primary results. CONCLUSION Gender differences in fetal and birth weight were more substantial among infants of anxious mothers than among controls due to the seemingly accelerated growth of "anxious" males and the diminution of weight among "anxious" females.
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Bispo KP, de Oliveira Rodrigues L, da Silva Soares de Souza É, Mucci D, Tavares do Carmo MDG, de Albuquerque KT, de Carvalho Sardinha FL. Trans and interesterified fat and palm oil during the pregnancy and lactation period inhibit the central anorexigenic action of insulin in adult male rat offspring. J Physiol Sci 2015; 65:131-8. [PMID: 25398547 PMCID: PMC10717077 DOI: 10.1007/s12576-014-0351-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2014] [Accepted: 11/03/2014] [Indexed: 11/28/2022]
Abstract
Palm oil and interesterified fat have been used to replace partially hydrogenated fats, rich in trans isomers, in processed foods. This study investigated whether the maternal consumption of normolipidic diets containing these lipids affects the insulin receptor and Akt/protein kinase B (PKB) contents in the hypothalamus and the hypophagic effect of centrally administered insulin in 3-month-old male offspring. At 90 days, the intracerebroventricular injection of insulin decreased 24-h feeding in control rats but not in the palm, interesterified or trans groups. The palm group exhibited increases in the insulin receptor content of 64 and 69 % compared to the control and trans groups, respectively. However, the quantifications of PKB did not differ significantly across groups. We conclude that the intake of trans fatty acid substitutes during the early perinatal period affects food intake regulation in response to centrally administered insulin in the young adult offspring; however, the underlying mechanisms remain unclear.
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Affiliation(s)
- Kenia Pereira Bispo
- Laboratório de Bioquímica Nutricional, Instituto de Nutrição Josué de Castro da, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Av. Carlos Chagas, 373, Edificio do Centro de Ciências da Saúde, Bloco J, 2º andar, sala 021, Rio de Janeiro, RJ 219415-902 Brazil
| | - Letícia de Oliveira Rodrigues
- Laboratório de Bioquímica Nutricional, Instituto de Nutrição Josué de Castro da, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Av. Carlos Chagas, 373, Edificio do Centro de Ciências da Saúde, Bloco J, 2º andar, sala 021, Rio de Janeiro, RJ 219415-902 Brazil
| | - Érica da Silva Soares de Souza
- Laboratório de Bioquímica Nutricional, Instituto de Nutrição Josué de Castro da, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Av. Carlos Chagas, 373, Edificio do Centro de Ciências da Saúde, Bloco J, 2º andar, sala 021, Rio de Janeiro, RJ 219415-902 Brazil
| | - Daniela Mucci
- Laboratório de Bioquímica Nutricional, Instituto de Nutrição Josué de Castro da, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Av. Carlos Chagas, 373, Edificio do Centro de Ciências da Saúde, Bloco J, 2º andar, sala 021, Rio de Janeiro, RJ 219415-902 Brazil
| | - Maria das Graças Tavares do Carmo
- Laboratório de Bioquímica Nutricional, Instituto de Nutrição Josué de Castro da, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Av. Carlos Chagas, 373, Edificio do Centro de Ciências da Saúde, Bloco J, 2º andar, sala 021, Rio de Janeiro, RJ 219415-902 Brazil
| | - Kelse Tibau de Albuquerque
- Laboratório de Bioquímica Nutricional, Instituto de Nutrição Josué de Castro da, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Av. Carlos Chagas, 373, Edificio do Centro de Ciências da Saúde, Bloco J, 2º andar, sala 021, Rio de Janeiro, RJ 219415-902 Brazil
- Laboratório de Nutrição Experimental, LABNEX, Universidade Federal do Rio de Janeiro, Macaé, RJ Brazil
| | - Fatima Lucia de Carvalho Sardinha
- Laboratório de Bioquímica Nutricional, Instituto de Nutrição Josué de Castro da, Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Av. Carlos Chagas, 373, Edificio do Centro de Ciências da Saúde, Bloco J, 2º andar, sala 021, Rio de Janeiro, RJ 219415-902 Brazil
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Kaitz M, Mankuta D, Rokem AM, Faraone SV. Moderate antenatal anxiety symptoms and birth outcomes of boys and girls. J Psychosom Obstet Gynaecol 2014; 35:116-23. [PMID: 25204367 DOI: 10.3109/0167482x.2014.952279] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Women's antenatal anxiety, especially if paired with significant life stressors or comorbid physical or mental health disorders, can predict adverse birth outcomes, defined in terms of birth weight, gestational age at birth and obstetric complications. Here, we tested for an impact of moderate anxiety symptoms on these outcomes because many women experience these kinds of symptoms during pregnancy, and even subtle differences in birth outcomes can have significant effects on children's development. We also tested for moderation of anxiety effects by infant gender. The sample comprised 219 women with anxiety symptoms ranging from none to moderate levels on the Beck Anxiety Inventory. Multivariate models estimated main effects of Group (no/minimal versus moderate symptoms) and interactions between Group and infant Gender. Results indicate that moderate anxiety predicted more obstetric complications, particularly among mothers of daughters. Results also demonstrate a Group × Gender interaction on BW, indicating that sons of anxious mothers weighed more than sons of controls; whereas, daughters of anxious mothers weighed less than daughters of controls. These findings show that moderate anxiety symptoms may affect some birth outcomes, and differently for males and females.
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Affiliation(s)
- Marsha Kaitz
- Department of Psychology, Hebrew University , Mount Scopus, Jerusalem , Israel
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14
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Cao-Lei L, Massart R, Suderman MJ, Machnes Z, Elgbeili G, Laplante DP, Szyf M, King S. DNA methylation signatures triggered by prenatal maternal stress exposure to a natural disaster: Project Ice Storm. PLoS One 2014; 9:e107653. [PMID: 25238154 PMCID: PMC4169571 DOI: 10.1371/journal.pone.0107653] [Citation(s) in RCA: 201] [Impact Index Per Article: 20.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Accepted: 08/13/2014] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Prenatal maternal stress (PNMS) predicts a wide variety of behavioral and physical outcomes in the offspring. Although epigenetic processes may be responsible for PNMS effects, human research is hampered by the lack of experimental methods that parallel controlled animal studies. Disasters, however, provide natural experiments that can provide models of prenatal stress. METHODS Five months after the 1998 Quebec ice storm we recruited women who had been pregnant during the disaster and assessed their degrees of objective hardship and subjective distress. Thirteen years later, we investigated DNA methylation profiling in T cells obtained from 36 of the children, and compared selected results with those from saliva samples obtained from the same children at age 8. RESULTS Prenatal maternal objective hardship was correlated with DNA methylation levels in 1675 CGs affiliated with 957 genes predominantly related to immune function; maternal subjective distress was uncorrelated. DNA methylation changes in SCG5 and LTA, both highly correlated with maternal objective stress, were comparable in T cells, peripheral blood mononuclear cells (PBMCs) and saliva cells. CONCLUSIONS These data provide first evidence in humans supporting the conclusion that PNMS results in a lasting, broad, and functionally organized DNA methylation signature in several tissues in offspring. By using a natural disaster model, we can infer that the epigenetic effects found in Project Ice Storm are due to objective levels of hardship experienced by the pregnant woman rather than to her level of sustained distress.
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Affiliation(s)
- Lei Cao-Lei
- Department of Psychiatry, McGill University and Psychosocial Research Division, Douglas Hospital Research Centre, Montreal, Quebec, Canada
| | - Renaud Massart
- Department of Pharmacology and Therapeutics, McGill University, Montreal, Quebec, Canada
| | - Matthew J. Suderman
- Department of Pharmacology and Therapeutics, Sackler Program for Epigenetics and Developmental Psychobiology and McGill Centre for Bioinformatics, McGill University, Montreal, Quebec, Canada
| | - Ziv Machnes
- Department of Pharmacology and Therapeutics, McGill University, Montreal, Quebec, Canada
| | - Guillaume Elgbeili
- Psychosocial Research Division, Douglas Hospital Research Centre, Montreal, Quebec, Canada
| | - David P. Laplante
- Psychosocial Research Division, Douglas Hospital Research Centre, Montreal, Quebec, Canada
| | - Moshe Szyf
- Department of Pharmacology and Therapeutics and Sackler Program for Epigenetics and Developmental Psychobiology, McGill University, Montreal, Quebec, Canada
| | - Suzanne King
- Department of Psychiatry, McGill University and Psychosocial Research Division, Douglas Hospital Research Centre, Montreal, Quebec, Canada
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The Preconception Stress and Resiliency Pathways Model: A Multi-Level Framework on Maternal, Paternal, and Child Health Disparities Derived by Community-Based Participatory Research. Matern Child Health J 2014; 19:707-19. [DOI: 10.1007/s10995-014-1581-1] [Citation(s) in RCA: 74] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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16
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Kianbakht S, Mashhadi E, Jamillian HR, Ghazavi A. Immune phenomena in neonates of women with depression during pregnancy: a case-control study. J Matern Fetal Neonatal Med 2013; 26:608-10. [DOI: 10.3109/14767058.2012.741633] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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17
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Miller GE, Chen E. The Biological Residue of Childhood Poverty. CHILD DEVELOPMENT PERSPECTIVES 2013; 7:67-73. [PMID: 24032051 DOI: 10.1111/cdep.12021] [Citation(s) in RCA: 76] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Children raised in poverty are prone to physical health problems late in life. To understand these findings and address the scientific challenge they represent, we must formulate integrative conceptual frameworks at the crossroads of behavioral and biomedical science, with a strong developmental emphasis. In this article, we outline such a framework and discuss research bearing on its validity. We address how childhood poverty gets under the skin, at the level of tissues and organs, in a manner that affects later disease risks. We also tackle questions about resilience; Even with lengthy exposure to childhood poverty, why do only a subset of people acquire diseases? Why are some individuals protected while others remain vulnerable? Maternal nurturance might be a source of resilience, buffering children from the long-term health consequences of poverty. We conclude with research priorities.
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Affiliation(s)
- Gregory E Miller
- Department of Psychology and Cells to Society (C2S): The Center on Social Disparities and Health, Institute for Policy Research Northwestern University
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18
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Abstract
PURPOSE OF REVIEW To briefly review results of the latest research on the contributions of depression, anxiety, and stress exposures in pregnancy to adverse maternal and child outcomes, and to direct attention to new findings on pregnancy anxiety, a potent maternal risk factor. RECENT FINDINGS Anxiety, depression, and stress in pregnancy are risk factors for adverse outcomes for mothers and children. Anxiety in pregnancy is associated with shorter gestation and has adverse implications for fetal neurodevelopment and child outcomes. Anxiety about a particular pregnancy is especially potent. Chronic strain, exposure to racism, and depressive symptoms in mothers during pregnancy are associated with lower birth weight infants with consequences for infant development. These distinguishable risk factors and related pathways to distinct birth outcomes merit further investigation. SUMMARY This body of evidence, and the developing consensus regarding biological and behavioral mechanisms, sets the stage for a next era of psychiatric and collaborative interdisciplinary research on pregnancy to reduce the burden of maternal stress, depression, and anxiety in the perinatal period. It is critical to identify the signs, symptoms, and diagnostic thresholds that warrant prenatal intervention and to develop efficient, effective and ecologically valid screening and intervention strategies to be used widely.
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Willette AA, Lubach GR, Knickmeyer RC, Short SJ, Styner M, Gilmore JH, Coe CL. Brain enlargement and increased behavioral and cytokine reactivity in infant monkeys following acute prenatal endotoxemia. Behav Brain Res 2011; 219:108-15. [PMID: 21192986 PMCID: PMC3662233 DOI: 10.1016/j.bbr.2010.12.023] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2010] [Revised: 11/29/2010] [Accepted: 12/17/2010] [Indexed: 12/15/2022]
Abstract
Infections and inflammatory conditions during pregnancy can dysregulate neural development and increase the risk for developing autism and schizophrenia. The following research utilized a nonhuman primate model to investigate the potential impact of a mild endotoxemia during pregnancy on brain maturation and behavioral reactivity as well as the infants' hormone and immune physiology. Nine pregnant female rhesus monkeys (Macaca mulatta) were administered nanogram concentrations of lipopolysaccharide (LPS) on two consecutive days, 6 weeks before term, and their offspring were compared to nine control animals. When tested under arousing challenge conditions, infants from the LPS pregnancies were more behaviorally disturbed, including a failure to show a normal attenuation of startle responses on tests of prepulse inhibition. Examination of their brains at 1 year of age with magnetic resonance imaging (MRI) revealed the unexpected finding of a significant 8.8% increase in global white matter volume distributed across many cortical regions compared to controls. More selective changes in regional gray matter volume and cortical thickness were noted in parietal, medial temporal, and frontal areas. While inhibited neural growth has been described previously after prenatal infection and LPS administration at higher doses in rodents, this low dose endotoxemia in the monkey is the first paradigm to produce a neural phenotype associated with augmented gray and white matter growth.
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Affiliation(s)
- Auriel A Willette
- Harlow Primate Laboratory, University of Wisconsin, Madison, WI 53715, USA.
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Dunkel Schetter C. Psychological science on pregnancy: stress processes, biopsychosocial models, and emerging research issues. Annu Rev Psychol 2011; 62:531-58. [PMID: 21126184 DOI: 10.1146/annurev.psych.031809.130727] [Citation(s) in RCA: 534] [Impact Index Per Article: 41.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Psychological science on pregnancy is advancing rapidly. A major focus concerns stress processes in pregnancy and effects on preterm birth and low birth weight. The current evidence points to pregnancy anxiety as a key risk factor in the etiology of preterm birth, and chronic stress and depression in the etiology of low birth weight. Key mediating processes to which these effects are attributed, that is neuroendocrine, inflammatory, and behavioral mechanisms, are examined briefly and research on coping with stress in pregnancy is examined. Evidence regarding social support and birth weight is also reviewed with attention to research gaps regarding mechanisms, partner relationships, and cultural influences. The neurodevelopmental consequences of prenatal stress are highlighted, and resilience resources among pregnant women are conceptualized. Finally, a multilevel theoretical approach for the study of pregnancy anxiety and preterm birth is presented to stimulate future research.
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Coe CL, Lubach GR, Crispen HR, Shirtcliff EA, Schneider ML. Challenges to maternal wellbeing during pregnancy impact temperament, attention, and neuromotor responses in the infant rhesus monkey. Dev Psychobiol 2010; 52:625-37. [PMID: 20882585 PMCID: PMC3065369 DOI: 10.1002/dev.20489] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The relative maturity, alertness, and reactivity of an infant at birth are sensitive indices of the neonate's health, the quality of the pregnancy, and the mother's wellbeing. Even when fetal growth and gestation length have been normal, the maturing fetus can still be adversely impacted by both physical events and psychological challenges to the mother during the prenatal period. The following research evaluated 413 rhesus monkeys from 7 different types of pregnancies to determine which conditions significantly influenced the behavioral responsiveness and state of the young infant. A standardized test battery modeled after the Neonatal Behavioral Assessment Scale for human newborns was employed. The largest impairments in orientation and increases in infant emotional reactivity were seen when female monkeys drank alcohol, even though consumed at only moderate levels during part of the pregnancy. The infants' ability to focus and attend to visual and auditory cues was also affected when the gravid female's adrenal hormones were transiently elevated for 2 weeks by ACTH administration. In addition, responses to tactile and vestibular stimulation were altered by both this ACTH treatment and psychological disturbance during gestation. Conversely, a 2-day course of antenatal corticosteroids 1 month before term resulted in infants with lower motor activity and reactivity. These findings highlight several pregnancy conditions that can affect a young infant's neurobehavioral status, even when otherwise healthy, and demonstrate that alterations or deficits are specific to the type of insult experienced by the mother and fetus.
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Affiliation(s)
- Christopher L Coe
- Harlow Center for Biological Psychology, University of Wisconsin, Madison, 53715, USA.
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D'Onofrio BM, Singh AL, Iliadou A, Lambe M, Hultman CM, Neiderhiser JM, Långström N, Lichtenstein P. A quasi-experimental study of maternal smoking during pregnancy and offspring academic achievement. Child Dev 2010; 81:80-100. [PMID: 20331655 DOI: 10.1111/j.1467-8624.2009.01382.x] [Citation(s) in RCA: 64] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The current study, based on all births in Sweden from 1983 to 1991 (N = 654,707), explored the processes underlying the association between smoking during pregnancy (SDP) and offspring school grades and mathematic proficiency at age 15. The analyses compared relatives who varied in their exposure to SDP and who varied in their genetic relatedness. Although SDP was statistically associated with academic achievement (AA) when comparing unrelated individuals, the results suggest that SDP does not cause poorer academic performance, as full siblings differentially exposed to SDP did not differ in their academic scores. The pattern of results suggests that genetic factors shared by parents and their offspring help explain why offspring exposed to SDP have lower levels of AA.
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Affiliation(s)
- Brian M D'Onofrio
- Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN 47405, USA.
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Abstract
Research on the early development of fundamental cognitive and language capacities has focused almost exclusively on infants from middle-class families, excluding children living in poverty who may experience less cognitive stimulation in the first years of life. Ignoring such differences limits our ability to discover the potentially powerful contributions of environmental support to the ontogeny of cognitive and language abilities.
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Current world literature. Curr Opin Pediatr 2009; 21:272-80. [PMID: 19307901 DOI: 10.1097/mop.0b013e32832ad5c0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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