Asthma is the most common chronic disease of childhood in the developed world, and its prevalence in Western industrialized countries is increasing at an alarming rate. Maternal diet during pregnancy represents an important exposure with significant potential to modify immune function in offspring and hence the development of asthma and related atopic disorders in childhood. In addition, fetal growth may be a marker of prenatal processes that have large impact on asthma risk. Fetal growth is now known to be an indicator for risk of other chronic diseases, but the data regarding asthma are remarkably sparse. The goals of this application are to examine the potential impact of maternal dietary factors during pregnancy on the development of asthma and related disorders in early childhood, and to clarify the relationship between size at birth and incident asthma. A longitudinal prospective study is the most appropriate study design to evaluate these goals. This application takes advantage of the resources provided by Project Viva, an ongoing prospective cohort study of pregnant women and their infant offspring among members of Harvard Pilgrim Health Care, a large managed care organization in New England. Data already available from Project Viva include detailed dietary data on mother and infant, along with data on anthropometric, social, environmental, demographic, economic, psychological, and lifestyle variables. By following the Project Viva cohort until the ages of 3-4 years, the current application provides a relatively economical way to obtain updated exposure and outcome data and to answer scientific questions of major public health importance. This work also brings together a multidisciplinary research team with a proven track record of collaboration and expertise in nutritional, respiratory, and pediatric epidemiology.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL064925-08
Application #
7588868
Study Section
Special Emphasis Panel (ZRG1-HOP-M (02))
Program Officer
Noel, Patricia
Project Start
2000-09-15
Project End
2011-03-31
Budget Start
2009-04-01
Budget End
2010-03-31
Support Year
8
Fiscal Year
2009
Total Cost
$756,440
Indirect Cost
Name
Harvard Pilgrim Health Care, Inc.
Department
Type
DUNS #
071721088
City
Boston
State
MA
Country
United States
Zip Code
02215
Trivedi, Michelle K; Sharma, Sunita; Rifas-Shiman, Sheryl L et al. (2018) Folic Acid in Pregnancy and Childhood Asthma: A US Cohort. Clin Pediatr (Phila) 57:421-427
Blomberg, Maria; Rifas-Shiman, Sheryl L; Camargo Jr, Carlos A et al. (2017) Low Maternal Prenatal 25-Hydroxyvitamin D Blood Levels Are Associated with Childhood Atopic Dermatitis. J Invest Dermatol 137:1380-1384
Tse, Sze Man; Rifas-Shiman, Sheryl L; Coull, Brent A et al. (2016) Sex-specific risk factors for childhood wheeze and longitudinal phenotypes of wheeze. J Allergy Clin Immunol 138:1561-1568.e6
Gaillard, Romy; Rifas-Shiman, Sheryl L; Perng, Wei et al. (2016) Maternal inflammation during pregnancy and childhood adiposity. Obesity (Silver Spring) 24:1320-7
Perng, Wei; Rifas-Shiman, Sheryl L; Rich-Edwards, Janet W et al. (2016) Inflammation and weight gain in reproductive-aged women. Ann Hum Biol 43:91-5
Belfort, Mandy B; Rifas-Shiman, Sheryl L; Kleinman, Ken P et al. (2016) Infant Breastfeeding Duration and Mid-Childhood Executive Function, Behavior, and Social-Emotional Development. J Dev Behav Pediatr 37:43-52
Bunyavanich, Supinda; Rifas-Shiman, Sheryl L; Platts-Mills, Thomas A et al. (2016) Prenatal, perinatal, and childhood vitamin D exposure and their association with childhood allergic rhinitis and allergic sensitization. J Allergy Clin Immunol 137:1063-1070.e2
Oken, Emily; Rifas-Shiman, Sheryl L; Amarasiriwardena, Chitra et al. (2016) Maternal prenatal fish consumption and cognition in mid childhood: Mercury, fatty acids, and selenium. Neurotoxicol Teratol 57:71-78
Walter, Jessica R; Perng, Wei; Kleinman, Ken P et al. (2015) Associations of trimester-specific gestational weight gain with maternal adiposity and systolic blood pressure at 3 and 7 years postpartum. Am J Obstet Gynecol 212:499.e1-12
Sonneville, Kendrin R; Long, Michael W; Rifas-Shiman, Sheryl L et al. (2015) Juice and water intake in infancy and later beverage intake and adiposity: could juice be a gateway drink? Obesity (Silver Spring) 23:170-6

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