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1. Changes in parental smoking during pregnancy and risks of adverse birth outcomes and childhood overweight in Europe and North America

Author

Philips, E.M. (Elise), Santos, S.M.S. (Susana), Trasande, L. (Leonardo), Aurrekoetxea, J.J. (Juan José), Barros, A.I. (Ana), Berg, A. (Andrea) von, Bergström, A. (Anna), Bird, P.K. (Philippa K.), Brescianini, S. (Sonia), Ní Chaoimh, C. (Carol), Charles, M.A., Chatzi, L. (Leda), Chevrier, C. (Cécile), Chrousos, G.P., Costet, N. (Nathalie), Criswell, R. (Rachel), Crozier, S. (Sarah), Eggesbø, M. (Merete), Fantini, M.P. (Maria), Farchi, S. (Sara), Forastiere, F. (Francesco), van Gelder, M.M.H.J. (Marleen M H J), Georgiu, V. (Vagelis), Godfrey, N., Gori, D. (Davide), Hanke, W. (Wojciech), Heude, B. (Barbara), Hryhorczuk, D.O. (Daniel), Iñiguez, C. (Carmen), Inskip, H.M. (Hazel), Karvonen, S.L., Kenny, L.C. (Louise C.), Kull, C.A. (Christian), Lawlor, D.A. (Debbie), Lehmann, I. (Irina), Magnus, P. (Per), Manios, Y., Melén, E. (Erik), Mommers, M. (Monique), Morgen, C.S. (Camilla S.), Moschonis, G. (George), Murray, D. (Deirdre), Nohr, C. (Christian), Nybo Andersen, A.-M. (Anne-Marie), Oken, E. (Emily), Oostvogels, A.J.J.M. (Adriëtte J J M), Papadopoulou, E. (Eleni), Pekkanen, J. (Juha), Pizzi, C. (Costanza), Polanska, K. (Kinga), Porta, D. (Daniela), Richiardi, L. (Lorenzo), Rifas-Shiman, S.L. (Sheryl), Roeleveld, N. (Nel), Rusconi, F. (Franca), Santos, A.C. (Ana Cristina), Sørensen, T.I.A. (Thorkild), Standl, M. (Marie), Stoltenberg, C. (Camilla), Sunyer, J. (Jordi), Thiering, E. (Elisabeth), Thijs, C. (Carel), Torrent, M. (Maties), Vrijkotte, T.G.M. (Tanja), Wright, J. (John), Zvinchuk, O. (Oleksandr), Gaillard, R. (Romy), Jaddoe, V.W.V. (Vincent), Philips, E.M. (Elise), Santos, S.M.S. (Susana), Trasande, L. (Leonardo), Aurrekoetxea, J.J. (Juan José), Barros, A.I. (Ana), Berg, A. (Andrea) von, Bergström, A. (Anna), Bird, P.K. (Philippa K.), Brescianini, S. (Sonia), Ní Chaoimh, C. (Carol), Charles, M.A., Chatzi, L. (Leda), Chevrier, C. (Cécile), Chrousos, G.P., Costet, N. (Nathalie), Criswell, R. (Rachel), Crozier, S. (Sarah), Eggesbø, M. (Merete), Fantini, M.P. (Maria), Farchi, S. (Sara), Forastiere, F. (Francesco), van Gelder, M.M.H.J. (Marleen M H J), Georgiu, V. (Vagelis), Godfrey, N., Gori, D. (Davide), Hanke, W. (Wojciech), Heude, B. (Barbara), Hryhorczuk, D.O. (Daniel), Iñiguez, C. (Carmen), Inskip, H.M. (Hazel), Karvonen, S.L., Kenny, L.C. (Louise C.), Kull, C.A. (Christian), Lawlor, D.A. (Debbie), Lehmann, I. (Irina), Magnus, P. (Per), Manios, Y., Melén, E. (Erik), Mommers, M. (Monique), Morgen, C.S. (Camilla S.), Moschonis, G. (George), Murray, D. (Deirdre), Nohr, C. (Christian), Nybo Andersen, A.-M. (Anne-Marie), Oken, E. (Emily), Oostvogels, A.J.J.M. (Adriëtte J J M), Papadopoulou, E. (Eleni), Pekkanen, J. (Juha), Pizzi, C. (Costanza), Polanska, K. (Kinga), Porta, D. (Daniela), Richiardi, L. (Lorenzo), Rifas-Shiman, S.L. (Sheryl), Roeleveld, N. (Nel), Rusconi, F. (Franca), Santos, A.C. (Ana Cristina), Sørensen, T.I.A. (Thorkild), Standl, M. (Marie), Stoltenberg, C. (Camilla), Sunyer, J. (Jordi), Thiering, E. (Elisabeth), Thijs, C. (Carel), Torrent, M. (Maties), Vrijkotte, T.G.M. (Tanja), Wright, J. (John), Zvinchuk, O. (Oleksandr), Gaillard, R. (Romy), and Jaddoe, V.W.V. (Vincent)

Abstract

BACKGROUND: Fetal smoke exposure is a common and key avoidable risk factor for birth complications and seems to influence later risk of overweight. It is unclear whether this increased risk is also present if mothers smoke during the first trimester only or reduce the number of cigarettes during pregnancy, or when only fathers smoke. We aimed to assess the associations of parental smoking during pregnancy, specifically of quitting or reducing smoking and maternal and paternal smoking combined, with preterm birth, small size for gestational age, and childhood overweight. METHODS AND FINDINGS: We performed an individual participant data meta-analysis among 229,158 families from 28 pregnancy/birth cohorts from Europe and North America. All 28 cohorts had information on maternal smoking, and 16 also had information on paternal smoking. In total, 22 cohorts were population-based, with birth years ranging from 1991 to 2015. The mothers' median age was 30.0 years, and most mothers were medium or highly educated. We used multilevel binary logistic regression models adjusted for maternal and paternal sociodemographic and lifestyle-related characteristics. Compared with nonsmoking mothers, maternal first trimester smoking only was not associated with adverse birth outcomes but was associated with a higher risk of childhood overweight (odds ratio [OR] 1.17 [95% CI 1.02-1.35], P value = 0.030). Children from mothers who continued smoking during pregnancy had higher risks of preterm birth (OR 1.08 [95% CI 1.02-1.15], P value = 0.012), small size for gestational age (OR 2.15 [95% CI 2.07-2.23], P value < 0.001), and childhood overweight (OR 1.42 [95% CI 1.35-1.48], P value < 0.001). Mothers who reduced the number of cigarettes between the first and third trimester, without quitting, still had a higher risk of small size for gestational age. However, the corresponding risk estimates were smaller than for women who continued the same amount of cigarettes throughout pregnancy (OR 1.

Published
2020
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2. Prenatal Particulate Air Pollution and DNA Methylation in Newborns: An Epigenome-Wide Meta-Analysis

Author

Gruzieva, O. (Olena), Xu, C.-J. (Cheng-Jian), Yousefi, P. (Paul), Relton, C.L. (Caroline), Merid, S.K. (Simon Kebede), Breton, C. (Carrie), Gao, L. (Lu), Volk, H.E. (Heather E.), Feinberg, J.I. (Jason I.), Ladd-Acosta, C. (Christine), Bakulski, K. (Kelly), Auffray, C. (C.), Lemonnier, N. (Nathanaël), Plusquin, M. (Michelle), Ghantous, A. (Akram), Herceg, Z. (Zdenko), Nawrot, T.S. (Tim S.), Pizzi, C. (Costanza), Richiardi, L. (Lorenzo), Rusconi, F. (Franca), Vineis, P. (Paolo), Kogevinas, M. (Manolis), Felix, J.F. (Janine), Duijts, L. (Liesbeth), Dekker, H.T. (Herman) den, Jaddoe, V.W.V. (Vincent), Ruiz, J.L. (José L), Bustamante, M. (Mariona), Anto, J.M. (Josep), Sunyer, J. (Jordi), Vrijheid, M. (Martine), Gutzkow, K.B. (Kristine B.), Grazuleviciene, R. (Regina), Hernandez-Ferrer, C. (Carles), Annesi-Maesano, I. (Isabella), Lepeule, J. (Johanna), Bousquet, J. (Jean), Bergström, A. (Anna), Kull, C.A. (Christian), Söderhäll, C. (Cilla), Kere, J. (Juha), Gehring, U. (Ulrike), Brunekreef, B. (Bert), Just, A.C. (Allan C.), Wright, R.J. (Rosalind J.), Peng, C. (Cheng), Gold, D.R. (Diane), Kloog, I. (Itai), Demeo, D.L. (Dawn), Pershagen, G. (Göran), Koppelman, G.H. (Gerard), London, S.J. (Stephanie J.), Baccarelli, A.A. (Andrea), Melén, E. (Erik), Gruzieva, O. (Olena), Xu, C.-J. (Cheng-Jian), Yousefi, P. (Paul), Relton, C.L. (Caroline), Merid, S.K. (Simon Kebede), Breton, C. (Carrie), Gao, L. (Lu), Volk, H.E. (Heather E.), Feinberg, J.I. (Jason I.), Ladd-Acosta, C. (Christine), Bakulski, K. (Kelly), Auffray, C. (C.), Lemonnier, N. (Nathanaël), Plusquin, M. (Michelle), Ghantous, A. (Akram), Herceg, Z. (Zdenko), Nawrot, T.S. (Tim S.), Pizzi, C. (Costanza), Richiardi, L. (Lorenzo), Rusconi, F. (Franca), Vineis, P. (Paolo), Kogevinas, M. (Manolis), Felix, J.F. (Janine), Duijts, L. (Liesbeth), Dekker, H.T. (Herman) den, Jaddoe, V.W.V. (Vincent), Ruiz, J.L. (José L), Bustamante, M. (Mariona), Anto, J.M. (Josep), Sunyer, J. (Jordi), Vrijheid, M. (Martine), Gutzkow, K.B. (Kristine B.), Grazuleviciene, R. (Regina), Hernandez-Ferrer, C. (Carles), Annesi-Maesano, I. (Isabella), Lepeule, J. (Johanna), Bousquet, J. (Jean), Bergström, A. (Anna), Kull, C.A. (Christian), Söderhäll, C. (Cilla), Kere, J. (Juha), Gehring, U. (Ulrike), Brunekreef, B. (Bert), Just, A.C. (Allan C.), Wright, R.J. (Rosalind J.), Peng, C. (Cheng), Gold, D.R. (Diane), Kloog, I. (Itai), Demeo, D.L. (Dawn), Pershagen, G. (Göran), Koppelman, G.H. (Gerard), London, S.J. (Stephanie J.), Baccarelli, A.A. (Andrea), and Melén, E. (Erik)

Abstract

BACKGROUND: Prenatal exposure to air pollution has been associated with childhood respiratory disease and other adverse outcomes. Epigenetics is a suggested link between exposures and health outcomes. OBJECTIVES: We aimed to investigate associations between prenatal exposure to particulate matter (PM) with diameter [Formula: see text] ([Formula: see text]) or [Formula: see text] ([Formula: see text]) and DNA methylation in newborns and children. METHODS: We meta-analyzed associations between exposure to [Formula: see text] ([Formula: see text]) and [Formula: see text] ([Formula: see text]) at maternal home addresses during pregnancy and newborn DNA methylation assessed by Illumina Infinium HumanMethylation450K BeadChip in nine European and American studies, with replication in 688 independent newborns and look-up analyses in 2,118 older children. We used two approaches, one focusing on single cytosine-phosphate-guanine (CpG) sites and another on differentially methylated regions (DMRs). We also related PM exposures to blood mRNA expression. RESULTS: Six CpGs were significantly associa

Published
2019
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3. Severe paediatric asthma collaborative in Europe (SPACE): Protocol for a european registry

Author

Liu, N.M. (Norrice M.), Aalderen, W.M.C. (Willem) van, Carlsen, K.C.L. (Karin C. L.), Coleman, C. (Courtney), Chalmers, J.D. (James D.), Cunningham, S. (Steve), Fernandes, R.M. (Ricardo M.), Fleming, L.J. (Louise J.), Gappa, M. (Monika), Karadag, B. (Bülent), Midulla, F., Pijnenburg, M.W.H. (Mariëlle), Rutjes, N.W. (Niels W.), Rusconi, F. (Franca), Grigg, J., Liu, N.M. (Norrice M.), Aalderen, W.M.C. (Willem) van, Carlsen, K.C.L. (Karin C. L.), Coleman, C. (Courtney), Chalmers, J.D. (James D.), Cunningham, S. (Steve), Fernandes, R.M. (Ricardo M.), Fleming, L.J. (Louise J.), Gappa, M. (Monika), Karadag, B. (Bülent), Midulla, F., Pijnenburg, M.W.H. (Mariëlle), Rutjes, N.W. (Niels W.), Rusconi, F. (Franca), and Grigg, J.

Abstract

The development of new asthma biologics and receptor blockers for the treatment of paediatric severe asthma raises challenges. It is unclear whether there are sufficient children in Europe to recruit into randomised placebo-controlled trials to establish efficacy and safety in this age group. In February 2016, the European Respiratory Society funded a clinical research collaboration entitled “Severe Paediatric Asthma Collaborative in Europe” (SPACE). We now report the SPACE protocol for a prospective pan-European observational study of paediatric severe asthma. Inclusion criteria are: 1) age 6–17 years, 2) severe asthma managed at a specialised centre for ≥6 months, 3) clinical and spirometry evidence of asthma, and 4) reaching a pre-defined treatment threshold. The exclusion criterion is the presence of conditions which mimic asthma symptoms. Eligible children will be prospectively recruited into a registry, recording demographics, comorbidities, quality of life, family history, neonatal history, smoking history, asthma background, investigations, and treatment. Follow-up will provide longitudinal data on asthma control and treatment changes. The SPACE registry, by identifying well-phenotyped children eligible for clinical trials, and the amount of overlap in eligibility criteria, will inform the design of European trials in paediatric severe asthma, and facilitate observational research where data from single centres are limited.

Published
2018
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4. Association of light-to-moderate alcohol drinking in pregnancy with preterm birth and birth weight: elucidating bias by pooling data from nine European cohorts

Author

Strandberg-Larsen, K. (Katrine), Poulsen, G. (Gry), Bech, B.H. (Bodil Hammer), Chatzi, L. (Leda), Cordier, S. (Sylvaine), Dale, M.T.G. (Maria Teresa Grønning), Fernandez, M. (Marieta), Henriksen, H.B. (Hege Berg), Jaddoe, V.W.V. (Vincent), Kogevinas, M. (Manolis), Kruithof, C.J. (Claudia), Lindhard, M.S. (Morten Søndergaard), Magnus, P. (Per), Nohr, C. (Christian), Richiardi, L. (Lorenzo), Rodriguez-Bernal, C.L. (Clara L.), Rouget, F. (Florence), Rusconi, F. (Franca), Vrijheid, M. (Martine), Nybo Andersen, A.-M. (Anne-Marie), Strandberg-Larsen, K. (Katrine), Poulsen, G. (Gry), Bech, B.H. (Bodil Hammer), Chatzi, L. (Leda), Cordier, S. (Sylvaine), Dale, M.T.G. (Maria Teresa Grønning), Fernandez, M. (Marieta), Henriksen, H.B. (Hege Berg), Jaddoe, V.W.V. (Vincent), Kogevinas, M. (Manolis), Kruithof, C.J. (Claudia), Lindhard, M.S. (Morten Søndergaard), Magnus, P. (Per), Nohr, C. (Christian), Richiardi, L. (Lorenzo), Rodriguez-Bernal, C.L. (Clara L.), Rouget, F. (Florence), Rusconi, F. (Franca), Vrijheid, M. (Martine), and Nybo Andersen, A.-M. (Anne-Marie)

Abstract

Women who drink light-to-moderately during pregnancy have been observed to have lower risk of unfavourable pregnancy outcomes than abstainers. This has been suggested to be a result of bias. In a pooled sample, including 193 747 live-born singletons from nine European cohorts, we examined the associations between light-to-moderate drinking and preterm birth, birth weight, and small-for-gestational age in term born children (term SGA). To address potential sources of bias, we compared the associations from the total sample with a sub-sample restricted to first-time pregnant women who conceived within six months of trying, and examined whether the associations varied across calendar time. In the total sample, drinking up to around six drinks per week as compared to abstaining was associated with lower risk of preterm birth, whereas no significant associations were found for birth weight or term SGA. Drinking six or more drinks per week was associated with lower birth weight and higher risk of term SGA, but no increased risk of preterm birth. The analyses restricted to women without reproductive experience revealed similar results. Before 2000 approximately half of pregnant women drank alcohol. This decreased to 39% in 2000–2004, and 14% in 2005–2011. Before 2000, every additional drink was associated with reduced mean birth weight, whereas in 2005–2011, the mean birth weight increased with increasing intake. The period-specific associations betwe

Published
2017
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5. Key paediatric messages from Amsterdam

Author

Grigg, J. (Jonathan), Barben, J. (Jürg), Bohlin, K. (Kajsa), Everard, M.L. (Mark L.), Hall, G.L. (G. L.), Pijnenburg, M.W.H. (Mariëlle), Priftis, K. (Kostas), Rusconi, F. (Franca), Midulla, F., Grigg, J. (Jonathan), Barben, J. (Jürg), Bohlin, K. (Kajsa), Everard, M.L. (Mark L.), Hall, G.L. (G. L.), Pijnenburg, M.W.H. (Mariëlle), Priftis, K. (Kostas), Rusconi, F. (Franca), and Midulla, F.

Abstract

The Paediatric Assembly of the European Respiratory Society (ERS) maintained its high profile at the 2015 ERS International Congress in Amsterdam. There were symposia on preschool wheeze, respiratory sounds and cystic fibrosis; an educational skills workshop on paediatric respiratory resuscitation; a hot topic session on risk factors and early origins of respiratory diseases; a meet the expert session on paediatric lung function test reference values; and the annual paediatric grand round. In this report the Chairs of the Paediatric Assembly’s Groups highlight the key messa

Published
2016
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6. Paediatrics: Messages from Munich

Author

Midulla, F., Lombardi, E. (Enrico), Pijnenburg, M.W.H. (Mariëlle), Balfour-Lynn, I.M. (Ian M.), Grigg, J. (Jonathan), Bohlin, K. (Kajsa), Rusconi, F. (Franca), Pohunek, P. (Petr), Eber, E. (Ernst), Midulla, F., Lombardi, E. (Enrico), Pijnenburg, M.W.H. (Mariëlle), Balfour-Lynn, I.M. (Ian M.), Grigg, J. (Jonathan), Bohlin, K. (Kajsa), Rusconi, F. (Franca), Pohunek, P. (Petr), and Eber, E. (Ernst)

Abstract

The aim of this article is to describe paediatric highlights from the 2014 European Respiratory Society (ERS) International Congress in Munich, Germany. Abstracts from the seven groups of the ERS Paediatric Assembly (Respiratory Physiology and Sleep, Asthma and Allergy, Cystic Fibrosis, Respiratory Infection and Immunology, Neonatology and Paediatric Intensive Care, Respiratory Epidemiology, and Bronchology) are presented in the context of the current literature.

Published
2015
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