Maternal characteristics and pregnancy outcomes in the NICE birth cohort: an assessment of self-selection bias.


Journal

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
ISSN: 1476-4954
Titre abrégé: J Matern Fetal Neonatal Med
Pays: England
ID NLM: 101136916

Informations de publication

Date de publication:
Dec 2022
Historique:
pubmed: 5 1 2022
medline: 24 11 2022
entrez: 4 1 2022
Statut: ppublish

Résumé

Prospective birth cohorts are essential for identifying associations between exposures and outcomes. However, voluntary participation introduces a potential bias due to self selection since the persons that chose to participate may differ in background characteristics and behaviors. To investigate potential bias due to self-selection in the Women in the NICE birth cohort ( NICE participants were more highly educated, older and more likely to cohabit than the non-participants. They more often took folic acid and multivitamin supplements and less often smoked during early pregnancy. Pregnancy outcomes (mode of delivery, gestational age at delivery, birth weight and APGAR score) did, however, not differ significantly between participants and non-participants. Smoking, BMI, education and parity affected gestational age and birth weight, but the associations were of similar magnitude in participants and non-participants, with no significant effect on the group. Self-selection to the NICE study was evident in some factors related to lifestyle and socioeconomic characteristics but did not appear to skew pregnancy outcomes or alter well-known effects of certain lifestyle parameters on pregnancy outcomes.

Sections du résumé

BACKGROUND UNASSIGNED
Prospective birth cohorts are essential for identifying associations between exposures and outcomes. However, voluntary participation introduces a potential bias due to self selection since the persons that chose to participate may differ in background characteristics and behaviors.
OBJECTIVES UNASSIGNED
To investigate potential bias due to self-selection in the
METHODS UNASSIGNED
Women in the NICE birth cohort (
RESULTS UNASSIGNED
NICE participants were more highly educated, older and more likely to cohabit than the non-participants. They more often took folic acid and multivitamin supplements and less often smoked during early pregnancy. Pregnancy outcomes (mode of delivery, gestational age at delivery, birth weight and APGAR score) did, however, not differ significantly between participants and non-participants. Smoking, BMI, education and parity affected gestational age and birth weight, but the associations were of similar magnitude in participants and non-participants, with no significant effect on the group.
CONCLUSION UNASSIGNED
Self-selection to the NICE study was evident in some factors related to lifestyle and socioeconomic characteristics but did not appear to skew pregnancy outcomes or alter well-known effects of certain lifestyle parameters on pregnancy outcomes.

Identifiants

pubmed: 34979877
doi: 10.1080/14767058.2021.2011854
doi:

Substances chimiques

Folic Acid 935E97BOY8

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

9014-9022

Auteurs

Linda Englund Ögge (LE)

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Obstetrics and Gynaecology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Fiona Murray (F)

Department of Odontology, Norrbotten County Council, Sunderby Research Unit, Umeå University, Umeå, Sweden.

Dominika Modzelewska (D)

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Robert Lundqvist (R)

Department of Public Health and Clinical Medicine, Norrbotten County Council, Sunderby Research Unit, Umeå University, Umeå, Sweden.

Staffan Nilsson (S)

Department of Mathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden.
Department of Laboratory Medicine, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Helena Carré (H)

Department of Clinical Sciences, Obstetrics and Gynecology, Sunderby Research Unit, Umeå University, Sweden.

Maria Kippler (M)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Agnes E Wold (AE)

Department of Infectious Diseases, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Sweden.

Ann-Sofie Sandberg (AS)

Department of Biology and Biological Engineering, Food and Nutrition Science, Chalmers University of Technology, Gothenburg, Sweden.

Anna Sandin (A)

Department of Clinical Science, Pediatrics, Sunderby Research Unit, Umeå University, Umeå, Sweden.

Bo Jacobsson (B)

Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Obstetrics and Gynaecology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Malin Barman (M)

Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Department of Biology and Biological Engineering, Food and Nutrition Science, Chalmers University of Technology, Gothenburg, Sweden.

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Classifications MeSH