Cohort profile: The Copenhagen Analgesic Study-The COPANA cohort.
analgesics
cohort study
endocrine disruption
gonadal function
hypothalamic-pituitary-gonadal axis
minipuberty
Journal
Paediatric and perinatal epidemiology
ISSN: 1365-3016
Titre abrégé: Paediatr Perinat Epidemiol
Pays: England
ID NLM: 8709766
Informations de publication
Date de publication:
07 Mar 2024
07 Mar 2024
Historique:
revised:
30
01
2024
received:
26
10
2023
accepted:
07
02
2024
medline:
8
3
2024
pubmed:
8
3
2024
entrez:
7
3
2024
Statut:
aheadofprint
Résumé
Development of the gonads during fetal life is complex and vital for adult reproductive health. Cell and animal studies have shown an alarming effect of mild analgesics on germ cells in both males and females. More than 50% of pregnant women use mild analgesics during pregnancy, which potentially could compromise the reproductive health of the next generation. We present a research protocol designed to evaluate the effect of prenatal exposure to mild analgesics and endocrine-disrupting chemicals on gonadal function in the offspring. Healthy, singleton pregnant women and their partners. The COPANA cohort is a prospective, observational pregnancy and birth cohort. Participants were enrolled during the first trimester of pregnancy. Information on the use of mild analgesics was collected retrospectively 3 months prior to pregnancy and prospectively every 2 weeks throughout the study. We collected extensive data on lifestyle and reproductive health. Biospecimens were collected in the first trimester (maternal and paternal urine- and blood samples), in the third trimester in conjunction with a study-specific ultrasound scan (maternal urine sample), and approximately 3 months post-partum during the infant minipuberty period (maternal and infant urine- and blood samples). A comprehensive evaluation of reproductive function in the infants during the minipuberty phase was performed, including an ultrasound scan of the testis or ovaries and uterus. In total, 685 pregnant women and their partners were included between March 2020 and January 2022. A total of 589 infants (287 males) and their parents completed the follow-up during the minipuberty phase (December 2020-November 2022). The Copenhagen Analgesic Study holds the potential to provide novel and comprehensive insights into the impact of early and late prenatal exposure to mild analgesics and other endocrine-disrupting chemicals on future reproductive function in the offspring.
Sections du résumé
BACKGROUND
BACKGROUND
Development of the gonads during fetal life is complex and vital for adult reproductive health. Cell and animal studies have shown an alarming effect of mild analgesics on germ cells in both males and females. More than 50% of pregnant women use mild analgesics during pregnancy, which potentially could compromise the reproductive health of the next generation.
OBJECTIVES
OBJECTIVE
We present a research protocol designed to evaluate the effect of prenatal exposure to mild analgesics and endocrine-disrupting chemicals on gonadal function in the offspring.
POPULATION
METHODS
Healthy, singleton pregnant women and their partners.
DESIGN
METHODS
The COPANA cohort is a prospective, observational pregnancy and birth cohort.
METHODS
METHODS
Participants were enrolled during the first trimester of pregnancy. Information on the use of mild analgesics was collected retrospectively 3 months prior to pregnancy and prospectively every 2 weeks throughout the study. We collected extensive data on lifestyle and reproductive health. Biospecimens were collected in the first trimester (maternal and paternal urine- and blood samples), in the third trimester in conjunction with a study-specific ultrasound scan (maternal urine sample), and approximately 3 months post-partum during the infant minipuberty period (maternal and infant urine- and blood samples). A comprehensive evaluation of reproductive function in the infants during the minipuberty phase was performed, including an ultrasound scan of the testis or ovaries and uterus.
PRELIMINARY RESULTS
RESULTS
In total, 685 pregnant women and their partners were included between March 2020 and January 2022. A total of 589 infants (287 males) and their parents completed the follow-up during the minipuberty phase (December 2020-November 2022).
CONCLUSIONS
CONCLUSIONS
The Copenhagen Analgesic Study holds the potential to provide novel and comprehensive insights into the impact of early and late prenatal exposure to mild analgesics and other endocrine-disrupting chemicals on future reproductive function in the offspring.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Rigshospitalets Research Counsil
ID : E-22717-21
Organisme : Laege Sophus Carl Emil Friis og hustru Olga Doris Friis' Legat
ID : F-23936-01
Organisme : Aase og Ejnar Danielsens Foundation
ID : 20-10-0367
Organisme : Helsefonden
ID : 20-B-0388
Organisme : Axel Muusfeldt Foundation
ID : 2020-0385
Organisme : The Danish Centre for Endocrine Disrupting Substances (CeHoS)
ID : 2022-23219
Informations de copyright
© 2024 The Authors. Paediatric and Perinatal Epidemiology published by John Wiley & Sons Ltd.
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