The Preconception Period analysis of Risks and Exposures Influencing health and Development (PrePARED) consortium

Emily W Harville1, Gita D Mishra2, Edwina Yeung3

  • 1Department of Epidemiology, Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.

Insights

The PrePARED consortium unites 23 cohorts to study preconception exposures and their impact on maternal and child health outcomes. This research aims to improve health across generations by analyzing risks before conception.

Area of Science:

  • Reproductive Health
  • Perinatal Epidemiology
  • Intergenerational Health Studies

Background:

  • Preconception health is recognized for its potential intergenerational influences.
  • Existing literature faces methodological, conceptual, and generalizability challenges.
  • The Preconception Period Analysis of Risks and Exposures influencing health and Development (PrePARED) research consortium was established to address these gaps.

Purpose of the Study:

  • To investigate the effects of preconception exposures on key health outcomes.
  • To examine impacts on fertility, miscarriage, pregnancy complications, and perinatal/child health.
  • To explore long-term adult health outcomes influenced by preconception factors.

Main Methods:

  • Inclusion criteria require studies with preconception data, core data elements, and openness to collaboration and harmonization.
  • The consortium comprises prospective cohorts, clinical trials, and record linkages.
  • Data analysis will involve harmonizing data across cohorts, with initial focus on nutrition, obesity, substance use, and cardiovascular risk factors.

Main Results:

  • The PrePARED consortium includes 23 cohorts with data on nearly 200,000 women, initiated in 2018.
  • Participating studies encompass those actively planning pregnancy, general population cohorts, and others with linked preconception data.
  • Lack of prospectively collected preconception data was a primary reason for ineligibility in assessed cohorts.

Conclusions:

  • The PrePARED consortium represents a significant resource for advancing research in preconception health.
  • Findings have broad implications for scientific understanding, clinical practice, and public health policy.
  • This collaborative effort aims to enhance health outcomes across generations by understanding preconception influences.
Abstract

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