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European Birth Cohorts for Environmental Health Research

机译:欧洲出生人群环境健康研究

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Background: Many pregnancy and birth cohort studies investigate the health effects of early-life environmental contaminant exposure. An overview of existing studies and their data is needed to improve collaboration, harmonization, and future project planning.Objectives: Our goal was to create a comprehensive overview of European birth cohorts with environmental exposure data.Methods: Birth cohort studies were included if they a) collected data on at least one environmental exposure, b) started enrollment during pregnancy or at birth, c) included at least one follow-up point after birth, d) included at least 200 mother–child pairs, and e) were based in a European country. A questionnaire collected information on basic protocol details and exposure and health outcome assessments, including specific contaminants, methods and samples, timing, and number of subjects. A full inventory can be searched on .Results: Questionnaires were completed by 37 cohort studies of > 350,000 mother–child pairs in 19 European countries. Only three cohorts did not participate. All cohorts collected biological specimens of children or parents. Many cohorts collected information on passive smoking (n = 36), maternal occupation (n = 33), outdoor air pollution (n = 27), and allergens/biological organisms (n = 27). Fewer cohorts (n = 12–19) collected information on water contamination, ionizing or nonionizing radiation exposures, noise, metals, persistent organic pollutants, or other pollutants. All cohorts have information on birth outcomes; nearly all on asthma, allergies, childhood growth and obesity; and 26 collected information on child neurodevelopment.Conclusion: Combining forces in this field will yield more efficient and conclusive studies and ultimately improve causal inference. This impressive resource of existing birth cohort data could form the basis for longer-term and worldwide coordination of research on environment and child health.
机译:背景:许多妊娠和出生队列研究调查了生命早期环境污染物暴露对健康的影响。需要对现有研究及其数据进行概述,以改善协作,协调和未来项目规划。目的:我们的目标是使用环境暴露数据对欧洲出生队列进行全面概述。方法:如果出生队列研究包括以下内容,则包括在内: )收集的有关至少一种环境暴露的数据,b)在怀孕或分娩时开始入学,c)包括至少出生后的一个随访点,d)包括至少200对母子,e)基于欧洲国家。一份调查表收集了有关基本治疗方案详细信息以及暴露和健康结果评估的信息,包括特定的污染物,方法和样品,时间和受试者人数。结果可以通过对19个欧洲国家的350,000对母婴进行37项队列研究来完成。只有三个队列没有参加。所有队列均收集了儿童或父母的生物学标本。许多队列收集了以下信息:被动吸烟(n = 36),母亲职业(n = 33),室外空气污染(n = 27)和过敏原/生物体(n = 27)。较少的人群(n = 12-19)收集了有关水污染,电离或非电离辐射,噪声,金属,持久性有机污染物或其他污染物的信息。所有队列均具有出生结局信息;几乎所有关于哮喘,过敏,儿童成长和肥胖的疾病;并收集了26篇关于儿童神经发育的信息。结论:在这一领域的合力将产生更有效和结论性的研究,并最终改善因果推理。现有出生队列数据的这一令人印象深刻的资源可以为环境和儿童健康研究的长期和全球协调奠定基础。

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