Cited by 546Birth, Development, and HealthMaternal and Neonatal HealthcareHealth, Environment, Cognitive Aging

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The Generation R Study: design and cohort update 2012

Jaddoe, Vincent W. V., van Duijn, Cornelia M., Franco, Oscar H., van der Heijden, Albert J., van IIzendoorn, Marinus H., de Jongste, Johan C., van der Lugt, Aad, Mackenbach, Johan P., Moll, Henriëtte A., Raat, Hein, Rivadeneira, Fernando, Steegers, Eric A. P., Tiemeier, Henning, Uitterlinden, Andre G., Verhulst, Frank C., Hofman, Albert·2012·European Journal of Epidemiology

DOI 10.1007/s10654-012-9735-1

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Abstract

The Generation R Study is a population-based prospective cohort study from fetal life until adulthood. The study is designed to identify early environmental and genetic causes and causal pathways leading to normal and abnormal growth, development and health during fetal life, childhood and adulthood. The study focuses on six areas of research: (1) maternal health; (2) growth and physical development; (3) behavioural and cognitive development; (4) respiratory health and allergies; (5) diseases in childhood; and (6) health and healthcare for children and their parents. Main exposures of interest include environmental, endocrine, genetic and epigenetic, lifestyle related, nutritional and socio-demographic determinants. In total, n = 9,778 mothers with a delivery date from April 2002 until January 2006 were enrolled in the study. Response at baseline was 61 %, and general follow-up rates until the age of 6 years exceed 80 %. Data collection in mothers, fathers and children include questionnaires, detailed physical and ultrasound examinations, behavioural observations, and biological samples. A genome and epigenome wide association screen is available in the participating children. From the age of 5 years, regular detailed hands-on assessments are performed in a dedicated research center including advanced imaging facilities such as Magnetic Resonance Imaging. Eventually, results forthcoming from the Generation R Study contribute to the development of strategies for optimizing health and healthcare for pregnant women and children.

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Changes in Family Poverty Status and Child Health
Yang‐Huang, J., van Grieken, A., You, Y., Jaddoe, V. W. V., Steegers, E. A. P., Duijts, L., Boelens, M., Jansen, W., & Raat, H. (2021) · PEDIATRICS · doi:10.1542/peds.2020-016717 · Cited by 32
Neurodevelopmental Trajectories in Children With Internalizing, Externalizing and Emotion Dysregulation Symptoms
Blok, E., Geenjaar, E., Geenjaar, E. A. W., Calhoun, V. D., & White, T. J. H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.846201 · Cited by 33
An instrument for broadened risk assessment in antenatal health care including non-medical issues
Vos, A. A., van Veen, M. J., Birnie, E., Denktaş, S., Steegers, E. A. P., & Bonsel, G. J. (2015) · International Journal of Integrated Care · doi:10.5334/ijic.1512 · Cited by 29
A prospective study of fetal head growth, autistic traits and autism spectrum disorder
Blanken, L. M. E., Dass, A., Alvares, G. A., van der Ende, J., Schoemaker, N. K., Marroun, H. E., Hickey, M., Pennell, C. E., White, S. W., Maybery, M. T., et al. (2018) · Autism Research · doi:10.1002/aur.1921 · Cited by 30
Deceleration of fetal growth rate as alternative predictor for childhood outcomes: a birth cohort study
Broere-Brown, Z. A., Schalekamp–Timmermans, S., Jaddoe, V. W. V., & Steegers, E. A. P. (2019) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-019-2358-8 · Cited by 30
Sugar-containing beverage intake in toddlers and body composition up to age 6 years: The Generation R Study
Leermakers, E. T. M., Felix, J. F., Erler, N. S., Ćerimagić, A., Wijtzes, A. I., Hofman, A., Raat, H., Moll, H. A., Rivadeneira, F., Jaddoe, V. W. V., et al. (2015) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2015.2 · Cited by 29
Self-citation
Associations of maternal folic acid supplementation and folate concentrations during pregnancy with foetal and child head growth: the Generation R Study
Graaff, J. S., Roza, S. J., Walstra, A. N., Marroun, H. E., Steegers, E. A. P., Jaddoe, V. W. V., Albert Hofman, D., Verhulst, F. C., Tiemeier, H. W., & White, T. J. H. (2015) · Zeitschrift für Ernährungswissenschaft · doi:10.1007/s00394-015-1058-z · Cited by 29
Additive drug-specific and sex-specific risks associated with co-use of marijuana and tobacco during pregnancy: Evidence from 3 recent developmental cohorts (2003–2015)
Massey, S. H., Mroczek, D. K., Reiss, D., Miller, E. S., Jakubowski, J. A., Graham, E. K., Shisler, S., McCallum, M., Huestis, M. A., Ganiban, J. M., et al. (2018) · Neurotoxicology and Teratology · doi:10.1016/j.ntt.2018.06.002 · Cited by 30
Secular trend of dental development in Dutch children
Vučić, S., de Vries, E., Eilers, P. H. C., Willemsen, S. P., Kuijpers, M. A. R., Prahl‐Andersen, B., Jaddoe, V. W. V., Albert Hofman, D., Wolvius, E. B., & Ongkosuwito, E. M. (2014) · American Journal of Physical Anthropology · doi:10.1002/ajpa.22556 · Cited by 29
Socioeconomic and Sociodemographic Factors Associated with Asthma Related Outcomes in Early Childhood: The Generation R Study
Groen, E. H., der Voort, A. M. M. S., Mackenbach, J. P., Duijts, L., Jaddoe, V. W. V., Moll, H. A., Albert Hofman, D., de Jongste, J. C., & Raat, H. (2013) · PLoS ONE · doi:10.1371/journal.pone.0078266 · Cited by 32
Childhood Kidney Outcomes in Relation to Fetal Blood Flow and Kidney Size
Kooijman, M. N., Bakker, H., van der Heijden, A. J., Albert Hofman, D., Franco, O. H., Steegers, E. A. P., Taal, H. R., & Jaddoe, V. W. V. (2014) · Journal of the American Society of Nephrology · doi:10.1681/asn.2013070746 · Cited by 28
Gestational hypertensive disorders and retinal microvasculature: the Generation R Study
Benschop, L. H., Schalekamp–Timmermans, S., van Lennep, J. E. R., Jaddoe, V. W. V., Wong, T. Y., Cheung, C. Y.-L., Steegers, E. A. P., & Ikram, M. K. (2017) · BMC Medicine · doi:10.1186/s12916-017-0917-2 · Cited by 28
Validation of a Semi-Quantitative Food-Frequency Questionnaire for Dutch Pregnant Women from the General Population Using the Method or Triads
Voortman, T., Steegers‐Theunissen, R. P. M., Bergen, N. E., Jaddoe, V. W. V., Looman, C. W. N., Jong, J. C. K., & Schalekamp–Timmermans, S. (2020) · Nutrients · doi:10.3390/nu12051341 · Cited by 28
Environment‐Wide Association Study ( E n WAS ) of Prenatal and Perinatal Factors Associated With Autistic Traits: A Population‐Based Study
Amiri, M., Lamballais, S., Geenjaar, E., Blanken, L. M. E., Marroun, H. E., Tiemeier, H. W., & White, T. J. H. (2020) · Autism Research · doi:10.1002/aur.2372 · Cited by 28
Does maternal history of eating disorders predict mothers' feeding practices and preschoolers' emotional eating?
de Barse, L. M., Tharner, A., Micali, N., Jaddoe, V. V. W., Albert Hofman, D., Verhulst, F. C., Franco, O. H., Tiemeier, H. W., & Jansen, P. W. (2014) · Appetite · doi:10.1016/j.appet.2014.10.031 · Cited by 28
Television viewing through ages 2-5 years and bullying involvement in early elementary school
Verlinden, M., Tiemeier, H. W., Veenstra, R., Mieloo, C. L., Jansen, W., Jaddoe, V. W. V., Raat, H., Albert Hofman, D., Verhulst, F. C., & Jansen, P. W. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-157 · Cited by 28
Determinants of Maternal Health-Related Quality of Life after Childbirth: The Generation R Study
Bai, G., Korfage, I. J., Mautner, E., & Raat, H. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16183231 · Cited by 27
Early pregnancy maternal and fetal angiogenic factors and fetal and childhood growth: the Generation R Study
Bergen, N. E., Bouwland-Both, M. I., Steegers‐Theunissen, R. P. M., Albert Hofman, D., Russcher, H., Lindemans, J. W., Jaddoe, V. W. V., & Steegers, E. A. P. (2015) · Human Reproduction · doi:10.1093/humrep/dev070 · Cited by 26
Maternal C ‐Reactive Protein Concentration in Early Pregnancy and Child Autistic Traits in the General Population
Koks, N., Ghassabian, A., Greaves‐Lord, K., Albert Hofman, D., Jaddoe, V. W. V., Verhulst, F. C., & Tiemeier, H. W. (2015) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12261 · Cited by 29
Maternal and Neonatal Markers of the Homocysteine Pathway and Fetal Growth: The Generation R Study
Bergen, N. E., Schalekamp–Timmermans, S., Jaddoe, V. W. V., Albert Hofman, D., Lindemans, J. W., Russcher, H., Tiemeier, H. W., Steegers‐Theunissen, R. P. M., & Steegers, E. A. P. (2016) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12297 · Cited by 27
White matter microstructure in children with autistic traits
Blanken, L. M. E., Muetzel, R. L., Jaddoe, V. W. V., Verhulst, F. C., van der Lugt, A., Tiemeier, H. W., & White, T. J. H. (2017) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2017.03.015 · Cited by 25
Duration and exclusiveness of breastfeeding and school-age lung function and asthma
van Meel, E. R., de Jong, M., Elbert, N. J., den Dekker, H. T., Reiss, I. K. M., de Jongste, J. C., Jaddoe, V. W. V., & Duijts, L. (2017) · Annals of Allergy Asthma & Immunology · doi:10.1016/j.anai.2017.05.002 · Cited by 27
Does smoking during pregnancy mediate educational disparities in preterm delivery? Findings from three large birth cohorts
Poulsen, G., Andersen, A. N., Jaddoe, V. W. V., Magnus, P. M., Raat, H., Stoltenberg, C., Osler, M., & Mortensen, L. H. (2019) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12544 · Cited by 25
Psychological Distress and Weight Gain in Pregnancy: a Population-Based Study
Vehmeijer, F. O. L., Balkaran, S. R., Santos, S., Gaillard, R., Felix, J. F., Hillegers, M. H. J., Marroun, H. E., & Jaddoe, V. W. V. (2019) · International Journal of Behavioral Medicine · doi:10.1007/s12529-019-09832-0 · Cited by 28
Maternal soluble fms-like tyrosine kinase-1, placental growth factor, plasminogen activator inhibitor-2, and folate concentrations and early fetal size: the Generation R study
Bouwland-Both, M. I., Steegers, E. A. P., Lindemans, J. W., Russcher, H., Albert Hofman, D., Geurts-Moespot, A. J., Sweep, F. C. G. J., Jaddoe, V. W. V., & Steegers‐Theunissen, R. P. M. (2013) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2013.04.009 · Cited by 26
Early Caries Predicts Low Oral Health-Related Quality of Life at a Later Age
Kragt, L., van der Tas, J. T., Moll, H. A., Elfrink, M. E. C., Jaddoe, V. W. V., Wolvius, E. B., & Ongkosuwito, E. M. (2016) · Caries Research · doi:10.1159/000448599 · Cited by 26
Infant Feeding Patterns Are Associated with Cardiovascular Structures and Function in Childhood
de Jonge, L. L., Langhout Marianne, A., Taal, H. R., Franco, O. H., Hein, R., Albert Hofman, D., Lennie, V. O.-G., & Jaddoe Vincent, W. V. (2013) · Journal of Nutrition · doi:10.3945/jn.113.174326 · Cited by 25
Subcutaneous fat mass in infancy and cardiovascular risk factors at school‐age: The generation R study
Santos, S., Gaillard, R., Oliveira, A., Barros, H., Albert Hofman, D., Franco, O. H., & Jaddoe, V. W. V. (2016) · Obesity · doi:10.1002/oby.21343 · Cited by 25
Prenatal Substance Exposure
Eiden, R. D., Perry, K. J., Ivanova, M. Y., & Marcus, R. C. (2023) · Annual Review of Developmental Psychology · doi:10.1146/annurev-devpsych-120621-043414 · Cited by 30
Decreased Memory B Cells and Increased CD8 Memory T Cells in Blood of Breastfed Children: The Generation R Study
Jansen, M. A. E., van den Heuvel, D., van Zelm, M. C., Jaddoe, V. W. V., Albert Hofman, D., de Jongste, J. C., Hooijkaas, H., & Moll, H. A. (2015) · PLoS ONE · doi:10.1371/journal.pone.0126019 · Cited by 24
Mode of delivery and childhood fractional exhaled nitric oxide, interrupter resistance and asthma: the Generation R study
van Berkel, A. C., den Dekker, H. T., Jaddoe, V. W. V., Reiss, I. K. M., Gaillard, R., Albert Hofman, D., de Jongste, J. C., & Duijts, L. (2015) · Pediatric Allergy and Immunology · doi:10.1111/pai.12385 · Cited by 25
Maternal depressive symptoms and sensitivity are related to young children's facial expression recognition: The Generation R Study
Székely, E., Lucassen, N., Tiemeier, H. W., Bakermans‐Kranenburg, M. J., van IJzendoorn, M. H., Kok, R., Jaddoe, V. W. V., Albert Hofman, D., Verhulst, F. C., & Herba, C. M. (2014) · Development and Psychopathology · doi:10.1017/s0954579413001028 · Cited by 25
Bone Mass and Strength in School-Age Children Exhibit Sexual Dimorphism Related to Differences in Lean Mass: The Generation R Study
Medina‐Gómez, C., Heppe, D. H. M., Yin, J.-L., Trajanoska, K., Uitterlinden, A. G., Beck, T., Jaddoe, V. W. V., & Rivadeneira, F. (2015) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.2755 · Cited by 25
Associations of genetic risk scores based on adult adiposity pathways with childhood growth and adiposity measures
Monnereau, C., Vogelezang, S., Kruithof, C. J., Jaddoe, V. W. V., & Felix, J. F. (2016) · BMC Genetics · doi:10.1186/s12863-016-0425-y · Cited by 24
Childhood Estimates of Glomerular Filtration Rate Based on Creatinine and Cystatin C: Importance of Body Composition
Miliku, K., Bakker, H., Dorresteijn, E. M., Cransberg, K., Franco, O. H., Felix, J. F., & Jaddoe, V. W. V. (2017) · American Journal of Nephrology · doi:10.1159/000463395 · Cited by 25
Predicting hair cortisol levels with hair pigmentation genes: a possible hair pigmentation bias
Neumann, A., Noppe, G., Liu, F., Kayser, M., Verhulst, F., Jaddoe, V., van Rossum, E. V., & Tiemeier, H. (2017) · Scientific Reports · doi:10.1038/s41598-017-07034-w · Cited by 22
Growth in foetal life, infancy, and early childhood and the association with ocular biometry
Tideman, J. W. L., Polling, J. R., Jaddoe, V. W. V., Vingerling, J. R., & Klaver, C. C. W. (2019) · Ophthalmic and Physiological Optics · doi:10.1111/opo.12630 · Cited by 24
Associations of maternal early-pregnancy blood glucose and insulin concentrations with DNA methylation in newborns
Geurtsen, M. L., Jaddoe, V. W. V., Gaillard, R., & Felix, J. F. (2020) · Clinical Epigenetics · doi:10.1186/s13148-020-00924-3 · Cited by 24
Meal-Skipping Behaviors and Body Fat in 6-Year-Old Children
Wijtzes, A. I., Jansen, W., Bouthoorn, S. H., van Lenthe, F. J., Franco, O. H., Albert Hofman, D., Jaddoe, V. W. V., & Raat, H. (2015) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2015.09.039 · Cited by 24
Breastfeeding duration and non-verbal IQ in children
Sajjad, A., Tharner, A., Jong, J. C. K., Jaddoe, V. W. V., Albert Hofman, D., Verhulst, F. C., Franco, O. H., Tiemeier, H. W., & Roza, S. J. (2015) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2014-204486 · Cited by 24
Impact of birth parameters and early life growth patterns on retinal microvascular structure in children
Gishti, O., Jaddoe, V. W. V., Duijts, L., Steegers, E. A. P., Reiss, I. K. M., Albert Hofman, D., Wong, T. Y., Ikram, M. K., & Gaillard, R. (2015) · Journal of Hypertension · doi:10.1097/hjh.0000000000000561 · Cited by 24
Associations of Infant Subcutaneous Fat Mass with Total and Abdominal Fat Mass at School‐Age: The Generation R Study
Santos, S., Gaillard, R., Oliveira, A., Barros, H., Berkeveld, M. A., van der Beek, E. M., Albert Hofman, D., & Jaddoe, V. W. V. (2016) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12307 · Cited by 24
Influence of genetic variants associated with body mass index on eating behavior in childhood
Monnereau, C., Jansen, P. W., Tiemeier, H. W., Jaddoe, V. W. V., & Felix, J. F. (2017) · Obesity · doi:10.1002/oby.21778 · Cited by 24

Authors: Jaddoe, V. W. V., van Duijn, C. M., Franco, O. H., van der Heijden, A. J., van IIzendoorn, M. H., de Jongste, J. C., van der Lugt, A., Mackenbach, J. P., Moll, H. A., Raat, H., Rivadeneira, F., Steegers, E. A. P., Tiemeier, H., Uitterlinden, A. G., Verhulst, F. C., & Hofman, A.
Affiliations: Erasmus MC (NL)
Corresponding author: Jaddoe, Vincent W. V.
ORCID: Jaddoe, Vincent W. V.
Franco, Oscar H.
Rivadeneira, Fernando
Tiemeier, Henning
Venue: European Journal of Epidemiology
Publisher: Springer Science and Business Media LLC
Published: 2012-09
Volume: 27
Issue: 9
Pages: 739-756
ISSN: 0393-2990 (ISSN-L)
1573-7284
DOI: 10.1007/s10654-012-9735-1
OpenAlex: W2280586107
Cited by: 546
References: 195
Citations by year: 2026: 5 · 2025: 19 · 2024: 13 · 2023: 13 · 2022: 24 · 2021: 21 · 2020: 36 · 2019: 35 · 2018: 27 · 2017: 57 · 2016: 85 · 2015: 85 · 2014: 77 · 2013: 45 · 2012: 2
FWCI: 58.61
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: European Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Funders: ZonMw (907.00303, 916.10159)
Erasmus Universiteit Rotterdam
Erasmus Medisch Centrum
Nederlandse Organisatie voor Wetenschappelijk Onderzoek (90700303, 916.10159)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Health, Environment, Cognitive Aging
Keywords: Generation R Study, prospective cohort, fetal development, child growth, maternal health, physical development, cognitive development, behavioral development, respiratory health, allergy, childhood diseases, child health care, epigenetics, genome-wide association study, environmental exposure, prenatal exposure, birth cohort
MeSH terms: Adult, Child, Child Behavior, Child Development, Cognition, Data Collection, Environment, Family Characteristics, Female, Growth Disorders, Humans, Infant, Male, Maternal Health Services, Netherlands, Physical Examination, Pregnancy, Surveys and Questionnaires, Research Design, Cohort Studies, Epidemiologic Research Design, Fetal Development, Genome-Wide Association Study

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