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      KUNO-Kids birth cohort study: rationale, design, and cohort description

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          Abstract

          Background

          Birth cohort studies can contribute substantially to the understanding of health and disease — in childhood and over the life course. The KUNO-Kids birth cohort study was established to investigate various aspects of child health, using novel omics technologies in a systems medicine approach.

          Results

          After 3 years of recruitment, 2515 infants and their families have joined the study. Parents with higher education are overrepresented as in many other birth cohorts and are more likely to complete follow-up assessments via self-report questionnaires. The vast majority of participants consented to clinical examinations of their child and to the non-invasive collection of diverse biosamples, which were processed specifically for their integrated use in omics technology covering genomics, epigenomics, transcriptomics, metabolomics, and microbiome analyses of the skin, oral cavity, and stool.

          Conclusions

          The data and diverse biomaterial collected in the KUNO-Kids birth cohort study will provide extensive opportunities for investigating child health and its determinants in a holistic approach. The combination of a broad range of research questions in one study will allow for a cost-effective use of biomaterial and omics results and for a comprehensive analysis of biological and social determinants of health and disease. Aiming for low attrition and ensuring participants’ long-term commitment will be crucial to fully exploit the potential of the study.

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          Most cited references16

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          From developmental origins of adult disease to life course research on adult disease and aging: insights from birth cohort studies.

          Maturation of long-running birth cohort studies has fostered a life course approach to adult health, function, and disease and related to conceptual frameworks. Using broad concepts of human development including physical, cognitive, and emotional function, birth cohorts provide insights into the processes across the life course and between generations that link to adult outcomes. We discuss findings on the determinants and health consequences of lifetime trajectories of body size, cognitive and emotional function, and socioeconomic position. Findings from the studies suggest that, for some adult health outcomes, explanations will be incomplete unless exposures and processes from across the life course are taken into account. New birth cohort studies are poised to delineate further the nature and timing of life course relationships in contemporary generations of children.
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            What Happens after the ‘Daddy Months’? Fathers’ Involvement in Paid Work, Childcare, and Housework after Taking Parental Leave in Germany

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              Parenting and Digital Media

              Understanding the family dynamic surrounding media use is crucial to our understanding of media effects, policy development, and the targeting of individuals and families for interventions to benefit child health and development. The Families, Parenting, and Media Workgroup reviewed the relevant research from the past few decades. We find that child characteristics, the parent-child relationship, parental mediation practices, and parents' own use of media all can influence children's media use, their attitudes regarding media, and the effects of media on children. However, gaps remain. First, more research is needed on best practices of parental mediation for both traditional and new media. Ideally, this research will involve large-scale, longitudinal studies that manage children from infancy to adulthood. Second, we need to better understand the relationship between parent media use and child media use and specifically how media may interfere with or strengthen parent-child relationships. Finally, longitudinal research on how developmental processes and individual child characteristics influence the intersection between media and family life is needed. The majority of children's media use takes place within a wider family dynamic. An understanding of this dynamic is crucial to understanding child media use as a whole.
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                Author and article information

                Contributors
                +49 941 369-5826 , susanne.brandstetter@ukr.de
                antoaneta.toncheva@ukr.de
                jakobniggel@gmail.com
                christine.wolff@barmherzige-regensburg.de
                silvia.gran@barmherzige-regensburg.de
                birgit.seelbach-goebel@barmherzige-regensburg.de
                christian.apfelbacher@ukr.de
                michael.melter@ukr.de
                michael.kabesch@ukr.de
                Journal
                Mol Cell Pediatr
                Mol Cell Pediatr
                Molecular and Cellular Pediatrics
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                2194-7791
                9 January 2019
                9 January 2019
                December 2019
                : 6
                : 1
                Affiliations
                [1 ]ISNI 0000 0001 2190 5763, GRID grid.7727.5, University Children’s Hospital Regensburg (KUNO-Clinics), , University of Regensburg, ; Clinic St. Hedwig, Steinmetzstr. 1-3, 93049 Regensburg, Germany
                [2 ]ISNI 0000 0001 2190 5763, GRID grid.7727.5, Clinic of Obstetrics and Gynecology St. Hedwig, , University of Regensburg, ; Regensburg, Germany
                [3 ]ISNI 0000 0001 2190 5763, GRID grid.7727.5, Medical Sociology, Institute of Epidemiology and Preventive Medicine, , University of Regensburg, ; Regensburg, Germany
                Author information
                http://orcid.org/0000-0002-7021-8895
                Article
                88
                10.1186/s40348-018-0088-z
                6326917
                30627823
                a97c4305-778d-4629-861d-6547f0ebad67
                © The Author(s). 2019

                Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 27 September 2018
                : 10 December 2018
                Funding
                Funded by: EU
                Award ID: HEALS:603964
                Award Recipient :
                Funded by: Bundesministerium für Bildung, Wissenschaft, Forschung und Technologie (DE)
                Award ID: SYSINFLAME: 01ZX1306E
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2019

                birth cohort,child health,study design,participation,omics
                birth cohort, child health, study design, participation, omics

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