NEST Cohort Study
Purpose of the study
The overall goals of this research study are to identify epigenetic features in the genome that affect gene regulation and that can be altered by endogenous and exogenous influences. We hypothesize that such differences in the global epigenetic profile may be due to differences in race, maternal behaviors (e.g., nutritional status, cigarette smoking, etc.) before and throughout pregnancy, or result from conception via assisted reproductive technologies. Approximately 2000 parent-child pairs remain in the study as of January 2020.
Data Collected
Univariate Glimpse | Bivariate GlimpseWe collect questionnaire data from mothers, and blood samples from mothers and infants for analyses of DNA, RNA, serum, micronutrients and proteins. Analyses will focus on comparing epigenetic differences among subjects with respect to race, in utero exposure to micronutrients and to cigarette smoking. Comparison of the maternal and infant profiles will assist in interpretation of findings regarding heritability of epigenetic changes. Data and samples collected include:
- Maternal blood sample during pregnancy
- Cord blood
- Yearly height & weight
- Medical records prenatally, from delivery, and post delivery for the child
- Baseline surveys:
- Socio-demographics
- Occupational history
- Height and weight history
- Tobacco and alcohol use
- Major medical conditions overall and pregnancy specific
- Depression
- Reproductive history including use of assisted reproductive technology
- Diet and use of nutritional supplements
- Medication use
- Residential history
- Environmental exposures including water source
- Physical activity during pregnancy
- Perceived stress
- Follow-up surveys:
- Feeding practices
- Child development
- Socio-demographics
- Health
- Medication use
- Physical activity
- Neighborhood characteristics
- Parental tobacco use & and other environmental exposures
- Sleep habits
- Weight and height
- Buccal Swabs used for DNA analysis in order to estimate changes in methylation fractions.
- Diet Recalls or questionnaires for the child which use the foods, beverages, preparation methods, amounts, and recipes reported by the subject from the day prior (index day) to obtain an estimate of nutrient intake through entry into the core into the NDSR software package.
- Accelerometer on the child to measure physical activity for three days.
- Environmental samples such as dust, hand wipes, water, and soil.
- Urine
- Deciduous teeth
- Related Databases such as education records and state led data.