Evidence map›Paper›PMID 29888739›Full record

ArticleHuman reproduction open2018

The Environment and Reproductive Health (EARTH) Study: A Prospective Preconception Cohort.

Carmen Messerlian, Paige L Williams, Jennifer B Ford, Jorge E Chavarro, Lidia Mínguez-Alarcón, Ramace Dadd, Joseph M Braun, Audrey J Gaskins, John D Meeker, Tamarra James-Todd and 9 more

Abstract read
In one paragraph

Article in Human reproduction open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Article
  6. Relevance and challenges of exposome studies for environmental health research.Environmental health : a global access science source · 2026
    Review
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39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Carmen MesserlianDepartment of Environmental Health, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Paige L WilliamsDepartment of Epidemiology, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Jennifer B FordDepartment of Environmental Health, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Jorge E ChavarroDepartment of Epidemiology, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Lidia Mínguez-AlarcónDepartment of Environmental Health, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Ramace DaddDepartment of Environmental Health, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Joseph M BraunDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Audrey J GaskinsDepartment of Nutrition, Harvard T.H. Chan School of Public Health Boston, MA, USA.
John D MeekerDepartment of Environmental Health Science, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Tamarra James-ToddDepartment of Environmental Health, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Yu-Han ChiuDepartment of Nutrition, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Feiby L NassanDepartment of Environmental Health, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Irene SouterMassachusetts General Hospital Fertility Center, Department of Obstetrics and Gynecology, Harvard Medical School, Boston, MA, USA.
John PetrozzaMassachusetts General Hospital Fertility Center, Department of Obstetrics and Gynecology, Harvard Medical School, Boston, MA, USA.
Myra KellerDepartment of Environmental Health, Harvard T.H. Chan School of Public Health Boston, MA, USA.
Thomas L TothMassachusetts General Hospital Fertility Center, Department of Obstetrics and Gynecology, Harvard Medical School, Boston, MA, USA.
Antonia M CalafatNational Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Russ HauserDepartment of Environmental Health, Harvard T.H. Chan School of Public Health Boston, MA, USA.
EARTH Study Team

Funding

University of Michigan ERC-supplement (TRT)T42OH008455 · OH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NEITZEL, RICHARD L · 2005 to 2025
$32.3M
Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
PCBs, Phthalates and Male Reproductive HealthR01ES009718 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HAUSER, RUSS B · 1999 to 2018
$11.6M
Maternal and Paternal Flame Retardant Exposure, Impact on Fertility and PregnancyR01ES022955 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI HAUSER, RUSS B, MEEKER, JOHN D. · 2014 to 2018
$2.9M
Prenatal Sex Steroids, Bisphenol A, Phthalates, and Sexually Dimorphic BehaviorsR00ES020346 · NIEHS · BROWN UNIVERSITY · PI BRAUN, JOSEPH M · 2013 to 2015
$683k
Maternal Phthalate Exposure and Infertility, Fetal LossR01OH008578 · OH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HAUSER, RUSS B · 2005 to 2007
$482k
Maternal Exposure to Air Pollution and Early Pregnancy OutcomesK99ES026648 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GASKINS, AUDREY JANE · 2017 to 2018
$246k
Prenatal Sex Steroids, Bisphenol A, Phthalates, and Sexually Dimorphic BehaviorsK99ES020346 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI BRAUN, JOSEPH M · 2012 to 2012
$84k
NIEHS NIH HHS K99 ES020346NIEHS NIH HHS K99 ES026648NIEHS NIH HHS P30 ES017885NIEHS NIH HHS R00 ES020346NIEHS NIH HHS R01 ES009718NIEHS NIH HHS R01 ES022955NIOSH CDC HHS R01 OH008578NIOSH CDC HHS T42 OH008455
6 · The paper itself

Abstract

backgroundThe Environment and Reproductive Health (EARTH) Study is an ongoing prospective preconception cohort designed to investigate the impact of environmental, nutritional, and lifestyle factors among both women and men on fertility and pregnancy outcomes.

methodsThe EARTH Study recruits women 18 to 45 years and men 18 to 55 years seeking fertility evaluation and treatment at the Massachusetts General Hospital (MGH) Fertility Center, Boston, USA. Women and men are eligible to join either independently or as a couple. Participants are followed from study entry throughout each fertility treatment cycle, once per trimester of pregnancy (for those achieving pregnancy), and up to labor and delivery, or until they discontinue treatment or withdraw from the study. The study collects biological samples, self-reported questionnaire data (including a food frequency questionnaire) and clinically abstracted information.

resultsAs of June 2017, the study cohort included 799 women and 487 men (447 couples; 40 men joined without female partners). Women were on average 34.7 years old at time of enrolment and predominantly Caucasian (81%), educated (49% have a graduate degree), and nulliparous (83%). Men were on average 36.6 years at baseline and mostly Caucasian (86%) and never-smokers (67%).

conclusionsThe EARTH Study is one of the few cohorts designed to examine multiple potentially critical windows of vulnerability, including the paternal and maternal preconception windows and the periconception and prenatal windows in pregnancy. It is also one of the few human studies that has assessed potential interactions between environmental exposures and dietary factors.

Indexed as

cohortdietenvironmental exposuresinfertilitymale and female reproductionpreconceptionpregnancyprospective

Identifiers

PMID29888739
PMCPMC5990043

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.