European birth cohorts for environmental health research

Abstract

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 www.birthcohortsenrieco.net.

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.

Figure 1

European birth cohort studies collaborating in ENRIECO.

Figure 2

Start of enrollment and time points of follow-up^a (vertical bars) in European birth cohorts collaborating in ENRIECO. T1, T2, and T3 are first, second, and third trimesters. mo, months. See Table 1 for full names and locations of cohorts. ^aThese are points in predefined periods. Some cohorts have many more (e.g., yearly) follow-points not reflected in this figure. The four Faroes cohorts and the two Leicester cohorts are shown separately because they have different time lines.