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1. Clusters of diet, physical activity, television exposure and sleep habits and their association with adiposity in preschool children: the EDEN mother-child cohort

Author

SALDANHA-GOMES, Cécilia, Marbac, Matthieu, Sedki, Mohammed, Cornet, Maxime, Plancoulaine, Sabine, Charles, Marie-Aline, Lioret, Sandrine, Dargent-Molina, Patricia, Equipe 6 : ORCHAD - Origines précoces de la santé du développement de l'enfant (CRESS - U1153), Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Université Paris-Saclay, Centre de Recherche en Économie et Statistique (CREST), Ecole Nationale de la Statistique et de l'Analyse de l'Information [Bruz] (ENSAI)-École polytechnique (X)-École Nationale de la Statistique et de l'Administration Économique (ENSAE Paris)-Centre National de la Recherche Scientifique (CNRS), Centre de recherche en épidémiologie et santé des populations (CESP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), The EDEN mother cohort is funded by National Institute for Research in Public Health (IRESP TGIR Cohorte Santé 2008 Program), National Agency for Research (ANR nonthematic program), French Speaking Association for the Study of Diabetes and Metabolism (Alfediam), Mutuelle Générale de l’Éducation Nationale, Nestlé, French National Institute for Health Education (INPES), Paris-Sud University, French National Institute for Population Health Surveillance (INVS), French Agency for Environment Security (AFFSET), French Ministry of Health Perinatal Program, INSERM Nutrition Research Program, Institut Fédératif de Recherche and Cohort Program, French Ministry of Research, Fondation pour la Recherche Médicale., Université Paris Descartes - Paris 5 (UPD5)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Université Paris Diderot - Paris 7 (UPD7)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Ecole Nationale de la Statistique et de l'Analyse de l'Information [Bruz] (ENSAI)-École polytechnique (X)-École Nationale de la Statistique et de l'Administration Économique (ENSAE ParisTech )-Centre National de la Recherche Scientifique (CNRS), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), and SALDANHA-GOMES, Cécilia

Subjects
Male, Preschoolers, Physical activity, lcsh:Public aspects of medicine, Research, Mothers, lcsh:RA1-1270, Feeding Behavior, Lifestyle clusters, Overweight, Diet, lcsh:Nutritional diseases. Deficiency diseases, TV exposure, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Child, Preschool, Latent class analysis, Humans, Female, Television, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Sleep, lcsh:RC620-627, Exercise, Adiposity
Abstract

International audience; Background: Despite the growing interest in the relation between adiposity in children and different lifestyle clusters, few studies used a longitudinal design to examine a large range of behaviors in various contexts, in particular eating-and sleep-related routines, and few studies have examined these factors in young children. The objectives of this study were to identify clusters of boys and girls based on diet, sleep and activity-related behaviors and their family environment at 2 and 5 years of age, and to assess whether the clusters identified varied across maternal education levels and were associated with body fat at age 5. Methods: At 2 and 5 years, respectively, 1436 and 1195 parents from the EDEN mother-child cohort completed a questionnaire including behavioral data. A latent class analysis aimed to uncover gender-specific behavioral clusters. Body fat percentage was estimated by anthropometric and bioelectrical impedance measurements. Association between cluster membership and body fat was assessed with mutivariable linear regression models. Results: At 2 years, two clusters emerged that were essentially characterized by opposite eating habits. At 5 years, TV exposure was the most distinguishing feature, but the numbers and types of clusters differed by gender. An association between cluster membership and body fat was found only in girls at 5 years of age, with girls in the cluster defined by very high TV exposure and unfavorable mealtime habits (despite high outdoor playing and walking time) having the highest body fat. Girls whose mother had low educational attainment were more likely to be in this high-risk cluster. Girls who were on a cluster evolution path corresponding to the highest TV viewing time and the least favorable mealtime habits from 2 to 5 years of age had higher body fat at 5 years. Conclusions: Efforts to decrease TV time and improve mealtime routines may hold promise for preventing overweight in young children, especially girls growing up in disadvantaged families. These preventive efforts should start as early in life as possible, ideally before the age of two, and should be sustained over the preschool years.

Published
2020

2. The LifeCycle Project-EU Child Cohort Network: a federated analysis infrastructure and harmonized data of more than 250,000 children and parents

Author

Jaddoe, Vincent W. V., Felix, Janine F., Andersen, Anne-Marie Nybo, Charles, Marie-Aline, Chatzi, Leda, Corpeleijn, Eva, Donner, Nina, Elhakeem, Ahmed, Eriksson, Johan G., Foong, Rachel, Grote, Veit, Haakma, Sido, Harris, Jennifer R., Heude, Barbara, Huang, Rae-Chi, Inskip, Hazel, Järvelin, Marjo-Riitta, Koletzko, Berthold, Lawlor, Deborah A., Lindeboom, Maarten, McEachan, Rosemary R. C., Mikkola, Tuija M., Nader, Johanna L. T., de Moira, Angela Pinot, Pizzi, Costanza, Richiardi, Lorenzo, Sebert, Sylvain, Schwalber, Ameli, Sunyer, Jordi, Swertz, Morris A., Vafeiadi, Marina, Vrijheid, Martine, Wright, John, Duijts, Liesbeth, El Marroun, Hanan, Gaillard, Romy, Santos, Susana, Geurtsen, Madelon L., Kooijman, Marjolein N., Mensink-Bout, Sara M., Vehmeijer, Florianne O. L., Voerman, Ellis, Nieuwenhuijsen, Mark, Basagaña, Xavier, Bustamante, Mariona, Casas, Maribel, de Castro, Montserrat, Cirugeda, Lourdes E., Fernández-Barrés, Sílvia, Fossati, Serena, Garcia, Raquel, Júlvez, Jordi, Lertxundi, Aitana C., Lertxundi, Nerea, Llop, Sabrina, López-Vicente, Mònica, Lopez-Espinosa, Maria-Jose B., Maitre, Lea, Murcia, Mario, Lea, Jose, Urquiza, H., Warembourg, Charline, Zugna, Daniela, Popovic, Maja, Isaevska, Elena, Maule, Milena, Moccia, Chiara, Moirano, Giovenale, Rasella, Davide, Hanson, Mark A., Inskip, Hazel M., Jacob, Chandni Maria, Salika, Theodosia, Cadman, Tim, Strandberg-Larsen, Katrine M., Pedersen, Marie, Vinther, Johan L., Wilson, Paul, Mason, Dan, Yang, Tiffany C., Cardol, Marloes, van Enckevoort, Esther, Hyde, Eleanor, Scholtens, Salome, Snieder, Harold, Thio, Chris H. L., Chatzi, Lida, Margetaki, Katerina C. A., Roumeliotaki, Theano, Nader, Johanna L., Knudsen, Gun Peggy, Magnus, Per, Panico, Lidia, Ichou, Mathieu, de Lauzon-Guillain, Blandine, Dargent-Molina, Patricia, Cornet, Maxime, Florian, Sandra M., Harrar, Faryal, Lepeule, Johanna, Lioret, Sandrine, Melchior, Maria, Plancoulaine, Sabine, Männikkö, Minna, Parmar, Priyanka, Rautio, Nina, Ronkainen, Justiina, Tolvanen, Mimmi, Mikkola, Tuija M, Aumüller, Nicole, Closa-Monasterolo, Ricardo, Escribano, Joaquin, Ferré, Natalia, Gruszfeld, Dariusz, Gürlich, Kathrin, Langhendries, Jean-Paul, Luque, Veronica, Riva, Enrica, Schwarzfischer, Phillipp, Totzauer, Martina, Verduci, Elvira, Xhonneux, Annick, Zaragoza-Jordana, Marta, Schwalber, Amelie, Foong, Rachel E., Hall, Graham L., Lin, Ashleigh, Carson, Jennie, Melton, Phillip, Rauschert, Sebastian, UNIVERSITY OF OULU, Economics, Tinbergen Institute, Clinicum, Research Programs Unit, Johan Eriksson / Principal Investigator, Department of General Practice and Primary Health Care, University of Helsinki, Helsinki University Hospital Area, Erasmus University Medical Center [Rotterdam] (Erasmus MC), Hospital Universitari de Sant Joan de Reus, Institut d’Investigació Sanitària Pere Virgili, Ciberdem, BIODonostia Research Institute, University of Turin, University of Southampton, University of Bristol [Bristol], IT University of Copenhagen, Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Conservatoire National des Arts et Métiers [CNAM] (CNAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Bradford Teaching Hospitals NHS Foundation Trust [Bradford, Royaume-Uni], University of Manchester [Manchester], University of Groningen [Groningen], University of Crete [Heraklion] (UOC), University of Southern California (USC), Norwegian Institute of Public Health [Oslo] (NIPH), Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana [Espagne] (FISABIO), IMIM-Hospital del Mar, Generalitat de Catalunya, Etude longitudinale française depuis l'enfance (UMS : Ined-Inserm-EFS) (ELFE), Institut national d'études démographiques (INED)-EFS-Institut National de la Santé et de la Recherche Médicale (INSERM), Institute for Advanced Biosciences / Institut pour l'Avancée des Biosciences (Grenoble) (IAB), Centre Hospitalier Universitaire [Grenoble] (CHU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang - Auvergne-Rhône-Alpes (EFS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), CIBER de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Global - Institute For Global Health [Barcelona] (ISGlobal), Universitat Pompeu Fabra [Barcelona] (UPF), University of the Basque Country [Bizkaia] (UPV/EHU), Universitat de València (UV), Conselleria de Sanitat, Laboratorio de Salud Pública de Valencia, European Project: 733206,H2020,H2020-SC1-2016-RTD,LIFECYCLE(2017), Università degli studi di Torino = University of Turin (UNITO), IT University of Copenhagen (ITU), Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK (BIHR), University of the Basque Country/Euskal Herriko Unibertsitatea (UPV/EHU), Erasmus MC other, Pediatrics, Lifestyle Medicine (LM), Reproductive Origins of Adult Health and Disease (ROAHD), and Groningen Institute for Gastro Intestinal Genetics and Immunology (3GI)

Subjects
Male, Parents, Databases, Factual, Epidemiology, Ethnic group, BLOOD-PRESSURE, consortium, 030204 cardiovascular system & hematology, Cohort Studies, 0302 clinical medicine, Pregnancy, Risk Factors, 030212 general & internal medicine, Marketing, Child, DNA METHYLATION, Public, Environmental & Occupational Health, life course, Birth cohorts, birth cohorts, SDG 10 - Reduced Inequalities, ASSOCIATION, non-communicable diseases, 3142 Public health care science, environmental and occupational health, 3. Good health, Exposome, PREGNANCY, Child, Preschool, Cohort, Life course approach, Generation R, Female, Life Sciences & Biomedicine, Environmental Health, EARLY NUTRITION, medicine.medical_specialty, Adolescent, LifeCycle Project Group, exposome, FOLIC-ACID SUPPLEMENTS, PROFILE, 1117 Public Health and Health Services, New Consortium, 03 medical and health sciences, SDG 3 - Good Health and Well-being, medicine, Humans, Consortium, Life course, Non-communicable diseases, European Union, Noncommunicable Diseases, Window of opportunity, Science & Technology, business.industry, Public health, Stressor, Infant, Environmental Exposure, COHORTS, LIFE_COURSE, BIRTH-WEIGHT, Socioeconomic Factors, GENERATION R, RISK-FACTORS, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, DATA_ANALYSIS, business
Abstract

Early life is an important window of opportunity to improve health across the full lifecycle. An accumulating body of evidence suggests that exposure to adverse stressors during early life leads to developmental adaptations, which subsequently affect disease risk in later life. Also, geographical, socio-economic, and ethnic differences are related to health inequalities from early life onwards. To address these important public health challenges, many European pregnancy and childhood cohorts have been established over the last 30 years. The enormous wealth of data of these cohorts has led to important new biological insights and important impact for health from early life onwards. The impact of these cohorts and their data could be further increased by combining data from different cohorts. Combining data will lead to the possibility of identifying smaller effect estimates, and the opportunity to better identify risk groups and risk factors leading to disease across the lifecycle across countries. Also, it enables research on better causal understanding and modelling of life course health trajectories. The EU Child Cohort Network, established by the Horizon2020-funded LifeCycle Project, brings together nineteen pregnancy and childhood cohorts, together including more than 250,000 children and their parents. A large set of variables has been harmonised and standardized across these cohorts. The harmonized data are kept within each institution and can be accessed by external researchers through a shared federated data analysis platform using the R-based platform DataSHIELD, which takes relevant national and international data regulations into account. The EU Child Cohort Network has an open character. All protocols for data harmonization and setting up the data analysis platform are available online. The EU Child Cohort Network creates great opportunities for researchers to use data from different cohorts, during and beyond the LifeCycle Project duration. It also provides a novel model for collaborative research in large research infrastructures with individual-level data. The LifeCycle Project will translate results from research using the EU Child Cohort Network into recommendations for targeted prevention strategies to improve health trajectories for current and future generations by optimizing their earliest phases of life. The LifeCycle project received funding from the European Union’s Horizon 2020 research and innovation programme (Grant Agreement No. 733206 LifeCycle). All study specific acknowledgements and funding are presented in the supplementary materials. This manuscript reflects only the author's view and the Commission is not responsible for any use that may be made of the information it contains

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