The LIFE child study: a life course approach to disease and health

BMC Public Health - Tập 12 Số 1 - 2012
Mirja Quante1, Mara Hesse1, Mirko Döhnert1, Michael Fuchs2, Christian R Hirsch1, Elena Sergeyev3, Nora Casprzig1, Mandy Geserick1, Stephanie Naumann1, Christiane Koch1, Matthew A. Sabin4,5, Andreas Hiemisch1, Antje Körner1, Wieland Kieß1
1LIFE Leipzig Research Centre for Civilization Diseases, University of Leipzig, Leipzig, Germany
2Section of Phoniatrics and Audiology of the Department of Otorhinolaryngology, University of Leipzig, Leipzig, Germany
3LIFE - Leipzig Research Centre for Civilization Diseases, University of Leipzig, Leipzig, Germany
4Murdoch Children’s Research Institute and Royal Children’s Hospital, Melbourne, Australia
5University of Melbourne, Melbourne, Melbourne, Australia

Tóm tắt

Abstract Background Profound knowledge about child growth, development, health, and disease in contemporary children and adolescents is still rare. Epidemiological studies together with new powerful research technologies present exciting opportunities to the elucidation of risk factor-outcome associations with potentially major consequences for prevention, diagnosis and treatment. Aim To conduct a unique prospective longitudinal cohort study in order to assess how environmental, metabolic and genetic factors affect growth, development and health from fetal life to adulthood. Methods The ‘Leipzig Research Centre for Civilization Diseases (LIFE) Child Study’ focuses on two main research objectives: (1) monitoring of normal growth, development and health; (2) non-communicable diseases such as childhood obesity and its co-morbidities, atopy and mental health problems. Detailed assessments will be conducted alongside long-term storage of biological samples in 2,000 pregnant women and more than 10,000 children and their families. Results Close coordination and engagement of a multidisciplinary team in the LIFE Child study successfully established procedures and systems for balancing many competing study and ethical needs. Full participant recruitment and complete data collection started in July 2011. Early data indicate a high acceptance rate of the study program, successful recruitment strategies and the establishment of a representative cohort for the population of Leipzig. A series of subprojects are ongoing, and analyses and publications are on their way. Discussion This paper addresses key elements in the design and implementation of the new prospective longitudinal cohort study LIFE Child. Given the recognized need for long-term data on adverse effects on health and protective factors, our study data collection should provide magnificent opportunities to examine complex interactions that govern the emergence of non-communicable diseases.

Từ khóa


Tài liệu tham khảo

Golding J: Children of the nineties. A longitudinal study of pregnancy and childhood based on the population of Avon (ALSPAC). West Engl Med J. 1990, 105 (3): 80-82.

Schulz C, Babisch W, Becker K, Durkop J, Rosskamp E, Seiwert M, Steiner M, Szewzyk R, Ullrich D, Englert N, et al: Environmental Survey for Children-- the environmental module of KiGGS. I. Design and research program. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2004, 47 (11): 1066-1072. 10.1007/s00103-004-0932-2.

Olsen J, Melbye M, Olsen SF, Sorensen TI, Aaby P, Andersen AM, Taxbol D, Hansen KD, Juhl M, Schow TB, et al: The Danish National Birth Cohort–its background, structure and aim. Scand J Public Health. 2001, 29 (4): 300-307.

Jaddoe VW, Mackenbach JP, Moll HA, Steegers EA, Tiemeier H, Verhulst FC, Witteman JC, Hofman A: The generation R Study: design and cohort profile. Eur J Epidemiol. 2006, 21 (6): 475-484. 10.1007/s10654-006-9022-0.

Heinrich J, Bruske I, Schnappinger M, Standl M, Flexeder C, Thiering E, Tischer C, Tiesler CM, Kohlbock G, Wenig CM, et al: Two German birth cohorts: GINIplus and LISAplus. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012, 55 (6–7): 864-874.

Brug J, van Stralen MM, Chinapaw MJ, De Bourdeaudhuij I, Lien N, Bere E, Singh AS, Maes L, Moreno L, Jan N, et al: Differences in weight status and energy-balance related behaviours according to ethnic background among adolescents in seven countries in Europe: the ENERGY-project. Pediatr Obes. 2012, 7 (5): 399-411. 10.1111/j.2047-6310.2012.00067.x.

Lynch J, Smith GD: A life course approach to chronic disease epidemiology. Annu Rev Public Health. 2005, 26: 1-35. 10.1146/annurev.publhealth.26.021304.144505.

Birmingham K, Doyle A: Ethics and governance of a longitudinal birth cohort. Paediatr Perinat Epidemiol. 2009, 23 (Suppl 1): 39-50.

Declaration of Helsinki. http://www.wma.net/en/30publications/10policies/b3/,

Edwards P, Cooper R, Roberts I, Frost C: Meta-analysis of randomised trials of monetary incentives and response to mailed questionnaires. J Epidemiol Community Health. 2005, 59 (11): 987-999. 10.1136/jech.2005.034397.

Reich A, Muller G, Gelbrich G, Deutscher K, Godicke R, Kiess W: Obesity and blood pressure–results from the examination of 2365 schoolchildren in Germany. Int J Obes Relat Metab Disord. 2003, 27 (12): 1459-1464. 10.1038/sj.ijo.0802462.

Chatfield MD, Brayne CE, Matthews FE: A systematic literature review of attrition between waves in longitudinal studies in the elderly shows a consistent pattern of dropout between differing studies. J Clin Epidemiol. 2005, 58 (1): 13-19. 10.1016/j.jclinepi.2004.05.006.

Bayley Scales of Infant Development. http://www.pearsonassessments.com/haiweb/cultures/en-us/productdetail.htm?pid=015-8027-256&Community=AI_EC_Screening, 3,

Bretschneider T, Koop U, Schreiner V, Wenck H, Jaspers S: Validation of the body scanner as a measuring tool for a rapid quantification of body shape. Skin Res Technol. 2009, 15 (3): 364-369. 10.1111/j.1600-0846.2009.00374.x.

Simberg S, Sala E, Tuomainen J, Ronnemaa AM: Vocal symptoms and allergy–a pilot study. J Voice. 2009, 23 (1): 136-139. 10.1016/j.jvoice.2007.03.010.

Pabon P, Ternstrom S, Lamarche A: Fourier descriptor analysis and unification of voice range profile contours: method and applications. J Speech Lang Hear Res. 2011, 54 (3): 755-776. 10.1044/1092-4388(2010/08-0222).

Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C: The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005, 83 (9): 661-669.

Gift HC, Reisine ST, Larach DC: The social impact of dental problems and visits. Am J Public Health. 1992, 82 (12): 1663-1668. 10.2105/AJPH.82.12.1663.

Goor DA, Sheffy J, Schnall RP, Arditti A, Caspi A, Bragdon EE, Sheps DS: Peripheral arterial tonometry: a diagnostic method for detection of myocardial ischemia induced during mental stress tests: a pilot study. Clin Cardiol. 2004, 27 (3): 137-141. 10.1002/clc.4960270307.

Hamburg NM, Keyes MJ, Larson MG, Vasan RS, Schnabel R, Pryde MM, Mitchell GF, Sheffy J, Vita JA, Benjamin EJ: Cross-sectional relations of digital vascular function to cardiovascular risk factors in the framingham heart study. Circulation. 2008, 117 (19): 2467-2474. 10.1161/CIRCULATIONAHA.107.748574.

Rubinshtein R, Kuvin JT, Soffler M, Lennon RJ, Lavi S, Nelson RE, Pumper GM, Lerman LO, Lerman A: Assessment of endothelial function by non-invasive peripheral arterial tonometry predicts late cardiovascular adverse events. Eur Heart J. 2010, 31 (9): 1142-1148. 10.1093/eurheartj/ehq010.

Selamet Tierney ES, Newburger JW, Gauvreau K, Geva J, Coogan E, Colan SD, de Ferranti SD: Endothelial pulse amplitude testing: feasibility and reproducibility in adolescents. J Pediatr. 2009, 154 (6): 901-905. 10.1016/j.jpeds.2008.12.028.

Sabin MA, Clemens SL, Saffery R, McCallum Z, Campbell MW, Kiess W, Crimmins NA, Woo JG, Leong GM, Werther GA, et al: New directions in childhood obesity research: how a comprehensive biorepository will allow better prediction of outcomes. BMC Med Res Methodol. 2010, 10: 100-10.1186/1471-2288-10-100.

Tworoger SS, Hankinson SE: Collection, processing, and storage of biological samples in epidemiologic studies: sex hormones, carotenoids, inflammatory markers, and proteomics as examples. Cancer Epidemiol Biomarkers Prev. 2006, 15 (9): 1578-1581. 10.1158/1055-9965.EPI-06-0629.

Schuster S, Hechler C, Gebauer C, Kiess W, Kratzsch J: Leptin in maternal serum and breast milk: association with infants' body weight gain in a longitudinal study over 6 months of lactation. Pediatr Res. 2011, 70 (6): 633-637. 10.1203/PDR.0b013e31823214ea.

Wolf SM, Lawrenz FP, Nelson CA, Kahn JP, Cho MK, Clayton EW, Fletcher JG, Georgieff MK, Hammerschmidt D, Hudson K, et al: Managing incidental findings in human subjects research: analysis and recommendations. J Law Med Ethics. 2008, 36 (2): 219-248. 10.1111/j.1748-720X.2008.00266.x. 211

Knoppers BM, Joly Y, Simard J, Durocher F: The emergence of an ethical duty to disclose genetic research results: international perspectives. Eur J Hum Genet. 2006, 14 (11): 1170-1178. 10.1038/sj.ejhg.5201690.

Ries NM, LeGrandeur J, Caulfield T: Handling ethical, legal and social issues in birth cohort studies involving genetic research: responses from studies in six countries. BMC Med Ethics. 2010, 11 (1): 4-10.1186/1472-6939-11-4.

Andersen LB: Physical activity, fitness and health in children. Scand J Med Sci Sports. 2011, 21 (2): 155-156. 10.1111/j.1600-0838.2011.01302.x.

Birthcohorts.net. http://www.birthcohorts.net,

Korner A, Gelbrich G, Muller G, Reich A, Deutscher K, Godicke R, Gronemann B, Kiess W: Critical evaluation of methods for determination of body fat content in children: back to basic parameters?. Horm Metab Res. 2007, 39 (1): 31-40. 10.1055/s-2007-957353.

Kiess W, Sergejev E, Korner A, Hebebrand J: Is it possible to treat obesity in children and adolescents?. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011, 54 (5): 527-532. 10.1007/s00103-011-1265-6.

Muller MJ, Asbeck I, Mast M, Langnase K, Grund A: Prevention of obesity--more than an intention. Concept and first results of the Kiel obesity prevention study (KOPS). Int J Obes Relat Metab Disord. 2001, 25 (Suppl 1): S66-74.

Kromeyer-Hauschild K, Zellner K: Trends in overweight and obesity and changes in the distribution of body mass index in schoolchildren of Jena, East Germany. Eur J Clin Nutr. 2007, 61 (3): 404-411. 10.1038/sj.ejcn.1602533.

Bluher S, Meigen C, Gausche R, Keller E, Pfaffle R, Sabin M, Werther G, Odeh R, Kiess W: Age-specific stabilization in obesity prevalence in German children: a cross-sectional study from 1999 to 2008. Int J Pediatr Obes. 2011, 6 (2–2): e199-206.

Flegal KM, Tabak CJ, Ogden CL: Overweight in children: definitions and interpretation. Health Educ Res. 2006, 21 (6): 755-760. 10.1093/her/cyl128.

Holling H, Erhart M, Ravens-Sieberer U, Schlack R: Behavioural problems in children and adolescents. First results from the German health interview and examination survey for children and adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007, 50 (5–6): 784-793.

Erhart M, Holling H, Bettge S, Ravens-Sieberer U, Schlack R: The German health interview and examination survey for children and adolescents (KiGGS): risks and resources for the mental development of children and adolescents. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007, 50 (5–6): 800-809.

Birmaher B, Ryan ND, Williamson DE, Brent DA, Kaufman J, Dahl RE, Perel J, Nelson B: Childhood and adolescent depression: a review of the past 10 years. Part I. J Am Acad Child Adolesc Psychiatry. 1996, 35 (11): 1427-1439. 10.1097/00004583-199611000-00011.

Pearce N, Ait-Khaled N, Beasley R, Mallol J, Keil U, Mitchell E, Robertson C: Worldwide trends in the prevalence of asthma symptoms: phase III of the international study of asthma and allergies in childhood (ISAAC). Thorax. 2007, 62 (9): 758-766. 10.1136/thx.2006.070169.

von Mutius E: The rising trends in asthma and allergic disease. Clin Exp Allergy. 1998, 28 (Suppl 5): 45-49. discussion 50–41

Centres for Disease control and Prevention. http://www.cdc.gov/oralhealth/publications/library/burdenbook/index.htm,

Nicolai T, Bellach B, Mutius EV, Thefeld W, Hoffmeister H: Increased prevalence of sensitization against aeroallergens in adults in West compared with East Germany. Clin Exp Allergy. 1997, 27 (8): 886-892. 10.1111/j.1365-2222.1997.tb01228.x.

Golding J: The Avon longitudinal study of parents and children (ALSPAC)–study design and collaborative opportunities. Eur J Endocrinol. 2004, 151 (Suppl 3): U119-123.

Vandentorren S, Bois C, Pirus C, Sarter H, Salines G, Leridon H: Rationales, design and recruitment for the Elfe longitudinal study. BMC Pediatr. 2009, 9: 58-10.1186/1471-2431-9-58.

Alonso A, Segui-Gomez M, de Irala J, Sanchez-Villegas A, Beunza JJ, Martinez-Gonzalez MA: Predictors of follow-up and assessment of selection bias from dropouts using inverse probability weighting in a cohort of university graduates. Eur J Epidemiol. 2006, 21 (5): 351-358. 10.1007/s10654-006-9008-y.

Hirsch C, Turp JC: Temporomandibular pain and depression in adolescents–a case–control study. Clin Oral Investig. 2010, 14 (2): 145-151. 10.1007/s00784-009-0265-5.