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Proefschriftmaken Prenatal exposure to polyunsaturated fatty acids and child health Citation for published version (APA): Stratakis, N. (2018). Prenatal exposure to polyunsaturated fatty acids and child health: a population-based approach. Maastricht University. https://doi.org/10.26481/dis.20180302ns Document status and date: Published: 01/01/2018 DOI: 10.26481/dis.20180302ns Document Version: Publisher's PDF, also known as Version of record Please check the document version of this publication: • A submitted manuscript is the version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website. • The final author version and the galley proof are versions of the publication after peer review. • The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal. If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license above, please follow below link for the End User Agreement: www.umlib.nl/taverne-license Take down policy If you believe that this document breaches copyright please contact us at: [email protected] providing details and we will investigate your claim. Download date: 04 Oct. 2021 Prenatal exposure to polyunsaturated fatty acids and child health: a population-based approach Nikos Stratakis ACKNOWLEDGMENTS The MEFAB cohort study was financially supported by the Dutch Organization for Scientific Research (NWO, Grant number 904 62 186) and the University Hospital of Maastricht (Profilerings Fonds). The 23-year follow-up of the MEFAB cohort was financially supported by the Nutricia Research Foundation (2015-24), and Universiteitsfonds Limburg/SWOL. The Mother-Child “RHEA” cohort was financially supported by European projects [EU FP6-003-Food-3-NewGeneris - contract no. 16320, EU FP6 STREP Hiwate - contract no. 36224, EU FP7 ENV.2007.1.2.2.2. Project No. 211250 Escape, EU FP7-2008-ENV-1.2.1.4 Envirogenomarkers contract no. 226756, EU FP7-HEALTH-2009-single stage CHICOS contract no. 241604, EU FP7 ENV.2008.1.2.1.6. proposal no. 226285 ENRIECO, EU-FP7, proposal no. 264357 MeDALL, EU- FP7- HEALTH-2012 proposal no. 308333 HELIX], and the Greek Ministry of Health (Program of Prevention of obesity and neurodevel- opmental disorders in preschool children, in Heraklion district, Crete, Greece: 2011-2014; “Rhea Plus”: Prevention Program of Environmental Risk Factors for Reproductive Health, and Child Health: 2012-2015. The work presented in this thesis was conducted at the Section of Complex Genetics and Epidemiology, Department of Genetics and Cell Biology, School for Nutrition and Translational Research in Metabolism (NUTRIM), Faculty of Health, Medicine and Life Sciences in Maastricht University, and at the Depart- ment of Social Medicine, Faculty of Medicine in the University of Crete. We are grateful to the participants of the MEFAB and RHEA cohorts for their time and commitment. ISBN: 978-94-6295-839-5 Cover and logo design: Nikos Chrysanthakopoulos Layout and printed by: ProefschriftMaken // www.proefschriftmaken.nl Copyright © 2018 N. Stratakis, Maastricht, The Netherlands All rights reserved. No part of this thesis may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, record- ing or any information storage or retrieval system, without permission in writing from the author, or, when appropriate, from the publishers of the publications. Prenatal exposure to polyunsaturated fatty acids and child health: a population-based approach DISSERTATION to obtain the degree of Doctor at Maastricht University, on the authority of the Rector Magnificus, Prof.dr. Rianne M. Letschert in accordance with the decision of the Board of Deans, to be defended in public on Friday March 2 2018, at 12:00 hours by Nikos Stratakis Promotiecommissie Promotoren: Prof. dr. M.P. Zeegers Prof. dr. R.H.M de Groot (Open University, Heerlen) Co-promotoren: Dr. L. Chatzi (University of Crete, Greece) Dr. M. Gielen Beoordelingscommissie: Prof. dr. P.C. Dagnelie (chair) Prof. dr. A. Schols Prof. dr. L. Zimmermann Dr. L. Lauritzen (University of Copenhagen, Denmark) Dr. V. Benetou (National and Kapodistrian University of Athens, Greece) Στον αδερφό μου Contents Chapter 1 General introduction 13 Chapter 2 Effect of maternal n-3 long-chain polyunsaturated fatty 33 acid supplementation during pregnancy and/or lactation on adiposity in childhood: a systematic review and meta- analysis of randomized controlled trials Chapter 3 Polyunsaturated fatty acid status at birth, childhood 67 growth and cardiometabolic risk: a pooled analysis of the MEFAB and RHEA cohorts Chapter 4 Polyunsaturated fatty acid levels at birth and child-to-adult 107 growth: results from the MEFAB cohort Chapter 5 Polyunsaturated fatty acid status at birth and allergy- 141 related phenotypes in childhood: a pooled analysis of the MEFAB and RHEA birth cohorts Chapter 6 Maternal fish intake during pregnancy and effects on the 181 offspring Chapter 7 Fish intake in pregnancy and child growth: a pooled analy- 209 sis of 15 European and US birth cohorts Chapter 8 Fish and seafood consumption during pregnancy and the 253 risk of asthma and allergic rhinitis in childhood: a pooled analysis of 18 European and US birth cohorts. Chapter 9 General discussion 291 Chapter 10 Summary 315 Samenvatting 318 Valorization addendum 322 Chapter 11 List of publications-Presentations 329 About the author 332 Dankwoord 333 Manuscripts that form the basis of this thesis Chapter 2 Stratakis N, Gielen M, Chatzi L, Zeegers MP. Effect of maternal n-3 long-chain polyunsaturated fatty acid supplementation during pregnancy and/or lactation on adiposity in childhood: a systematic review and meta-analysis of randomized controlled trials. Eur J Clin Nutr. 2014 Dec;68(12):1277-87. Chapter 3 Stratakis N, Gielen M, Margetaki K, de Groot RHM, Apostolaki M, Chalkiadaki G, Vafeiadi M, Leventakou V, Karachaliou M, Godschalk RW, Kogevinas M, Stephanou EG, MP Zeegers*, L Chatzi*. Polyunsaturated fatty acid status at birth, childhood growth and cardiometabolic risk: a pooled analysis of the MEFAB and RHEA cohorts. Provisionally accepted Eur J Clin Nutr. * shared senior co-authorship Chapter 4 Stratakis N, Gielen M, Margetaki K, Godschalk RW, van der Wurff I, Rouschop S, Ibrahim A, Antoniou E, Chatzi L, de Groot RHM, MP Zeegers MP. Polyun- saturated fatty acid levels at birth and child-to-adult growth: results from the MEFAB cohort. Prostaglandins Leukot Essent Fatty Acids. 2017 Nov;126:72-78. Chapter 5 Stratakis N, Gielen M, Margetaki K, de Groot RHM, Apostolaki M, Chalkiadaki G, Vafeiadi M, Leventakou V, Godschalk RW, Kogevinas M, Stephanou EG, MP Zeegers*, L Chatzi*. Polyunsaturated fatty acid status at birth and allergy-related phenotypes in childhood: a pooled analysis of the MEFAB and RHEA birth cohorts. Br J Nutr (in press). * shared senior co-authorship Chapter 6 L Chatzi, N Stratakis. Maternal fish intake during pregnancy and effects on the offspring. R Rajendram, VR Preedy, VB Patel (Eds.). Diet, Nutrition, and Fetal Programming. Humana Press. 2017. Chapter 7 Stratakis N, Roumeliotaki T, Oken E, Barros H, Basterrechea M, Charles MA, Eggesbø M, Forastiere F, Gaillard R, Gehring U, Govarts E, Hanke W, Heude B, Iszatt N, Jaddoe VW, Kelleher C, Mommers M, Murcia M, Oliveira A, Pizzi C, Polańska K, Porta D, Richiardi L, Rifas-Shiman SL, Schoeters G, Sunyer J, Thijs C, Viljoen K, Vrijheid M, Vrijkotte TG, Wijga AH, Zeegers MP, Kogevinas M, Chatzi L. Fish Intake in Pregnancy and Child Growth: A Pooled Analysis of 15 European and US Birth Cohorts. JAMA Pediatr. 2016 Apr;170(4):381-90. Stratakis N, Zeegers MP, Chatzi L. Fish Intake During Pregnancy and Offspring Adiposity-Reply. JAMA Pediatr. 2016 Aug 1;170(8):809-10. Chapter 8 Stratakis N, Roumeliotaki T, Oken E, Ballester F, Barros H, Basterrechea M, Cordier S, de Groot R, den Dekker HT, Duijts L, Eggesbø M, Pia Fantini M, Forastiere F, Gehring U, Gielen M, Gori D, Govarts E, Inskip HM, Iszatt N, Jansen M, Kelleher C, Mehegan J, Moltó-Puigmartí C, Mommers M, Oliveira A, Olsen SF, Pelé F, Pizzi C, Porta D, Richiardi L, Rifas-Shiman SL, Robinson SM, Schoeters G, Strøm M, Sunyer J, Thijs C, Vrijheid M, Vrijkotte TG, Wijga AH, Kogevinas M, Zeegers MP, Chatzi L. Fish and seafood consumption during preg- nancy and the risk of asthma and allergic rhinitis in childhood: a pooled analysis of 18 European and US birth cohorts. Int J Epidemiol. 2017 Oct 1;46(5):1465- 1477. CHAPteR 1 General Introduction Introduction INTRODUCTION Improving child health and development is likely to bring substantial benefits over the whole lifespan1 and ensure a sustainable future.2 Among the health is- sues that the youth of today is facing in developed countries, obesity and allergic disease are two of the most serious ones, with life-long consequences.3-5 Indeed, the European Commission classifies childhood obesity and allergy as two chronic conditions of major public health importance.6 Over the last years, efforts to improve population health have focused to a large extent on the earliest stage of human development (the intrauterine period), during which the individual is highly vulnerable to environmental influences.
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