ArticlePaediatric and perinatal epidemiology2016
Birth Outcomes in a Prospective Pregnancy-Birth Cohort Study of Environmental Risk Factors in Kuwait: The TRACER Study.
Article in Paediatric and perinatal epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Maternal and birth cohort studies in the Gulf Cooperation Council countries: a systematic review and meta-analysis.Systematic reviews · 2020Pooled it
- Current enteral feeding practices for premature infants in neonatal intensive care units in the Middle East and North Africa.JPGN reports · 2026Article
- Factors associated with small- and large-for-gestational-age in socioeconomically vulnerable individuals in the 100 Million Brazilian Cohort.The American journal of clinical nutrition · 2021Article
- Socioeconomic Risk Factors for Preterm Birth in the state of Qatar: A Population-based Study.Acta bio-medica : Atenei Parmensis · 2021Article
- Antenatal depressive symptoms and adverse perinatal outcomes.BMC pregnancy and childbirth · 2021Article
- The diabesity epidemic in the light of evolution: insights from the capacity-load model.Diabetologia · 2019Review
- Pre-pregnancy BMI, gestational weight gain and birth outcomes in Lebanon and Qatar: Results of the MINA cohort.PloS one · 2019Article
- Coupling external with internal exposure metrics of trihalomethanes in young females from Kuwait and Cyprus.Journal of exposure science & environmental epidemiology · 2018Article
- The Mother-Infant Study Cohort (MISC): Methodology, challenges, and baseline characteristics.PloS one · 2018Article
- Pregnancy outcomes in relation to different types of diabetes mellitus and modes of delivery in macrosomic foetuses in Bahrain.Journal of Taibah University Medical Sciences · 2017Article
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13 authors at 4 institutions in 3 countries.
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Abstract
backgroundRapid development and westernisation in Kuwait and other Gulf states have been accompanied by rising rates of obesity, diabetes, asthma, and other chronic conditions. Prenatal experiences and exposures may be important targets for intervention. We undertook a prospective pregnancy-birth cohort study in Kuwait, the TRansgenerational Assessment of Children's Environmental Risk (TRACER) Study, to examine prenatal risk factors for early childhood obesity. This article describes the methodology and results of follow-up through birth.
methodsWomen were recruited at antenatal clinical visits. Interviewers administered questionnaires during the pregnancy and collected and banked biological samples. Children are being followed up with quarterly maternal interviews, annual anthropometric measurements, and periodic collection of biosamples. Frequencies of birth outcomes (i.e. stillbirth, preterm birth, small and large for gestational age, and macrosomia) were calculated as a function of maternal characteristics and behaviours.
resultsTwo thousand four hundred seventy-eight women were enrolled, and 2254 women were followed to delivery. Overall, frequencies of stillbirth (0.6%), preterm birth (9.3%), and small for gestational age (7.4%) were comparable to other developed countries, but not strongly associated with maternal characteristics or behaviours. Macrosomia (6.1%) and large for gestational age (23.0%) were higher than expected and positively associated with pre-pregnancy maternal overweight/obesity.
conclusionsA large birth cohort has been established in Kuwait. The collected risk factors and banked biosamples will allow examination of the effects of prenatal exposures on the development of chronic disease in children. Initial results suggest that maternal overweight/obesity before pregnancy should be targeted to prevent macrosomia and its associated sequelae of childhood overweight/obesity.
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