Publications by authors named "Kaja LeWinn"

Introduction: The placenta produces corticotrophin releasing hormone (CRH), which rises exponentially in maternal plasma across pregnancy. CRH plays a functional role in fetal development, labor initiation, and the regulation of gestational length. We aimed to understand how maternal plasma CRH during pregnancy reflects placental physiology during parturition by characterizing placental transcriptomic signatures of maternal plasma CRH and comparing to transcriptomic signatures of gestational age at birth.

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Purpose: The Environmental influences on Child Health Outcomes (ECHO) Cohort has enrolled over 60,000 children to examine how early environmental factors (broadly defined) are associated with key child health outcomes. The ECHO Cohort may be well-positioned to contribute to our understanding of rural environments and contexts, which has implications for rural health disparities research. The present study examined the outcome of child obesity to not only illustrate the suitability of ECHO Cohort data for these purposes but also determine how various definitions of rural and urban populations impact the presentation of findings and their interpretation.

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Background: PAH exposure is associated with adverse health outcomes, but exposure sources in pregnancy are not well-understood.

Objectives: We examined associations between urinary OH-PAHs during pregnancy and environmental tobacco smoke (ETS) and short-term ambient air pollution exposure. Participants included 1603 pregnant non-smokers in three cohorts from 7 sites across the USA.

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Background: Preeclampsia is a hypertensive disorder in pregnancy known to increase the risk of mortality and other pregnancy-related issues, such as prematurity. Currently, there no known prophylactics or treatment options available for preeclampsia. More research is needed to better understand factors that increase preeclampsia risk.

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  • Background research highlights that prenatal exposure to ambient fine particulate matter (PM) may negatively affect child lung health, yet studies specifically investigating the timing of exposure during critical lung development phases are limited.
  • The study involved 675 children, tracking prenatal PM exposure and assessing lung function at ages 8-9 through spirometry while controlling for various factors like maternal and child characteristics.
  • Results showed weak associations between PM exposure during specific fetal development phases and lung function measures (FEV1 and FVC), with no significant effect from factors like child sex or allergic sensitization.
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Background: Vitamin D is a hormone that regulates gene transcription. Prenatal vitamin D has been linked to immune and vascular function in the placenta, a key organ of pregnancy. Transcriptome-wide RNA sequencing can provide a more complete representation of the placental effects of vitamin D.

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  • Childhood sleep quality is influenced by factors such as maternal stress during pregnancy and can predict later health outcomes.
  • The study examined data to understand how prenatal stress relates to sleep quality in children aged 4-8, finding that both prenatal and postnatal stress have significant effects.
  • Results indicate that postnatal stress mediates the impact of prenatal stress on sleep issues, highlighting the need for further research on maternal mental health and child sleep disturbances.
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  • - National health policies during the COVID-19 pandemic led to school closures in the U.S., disrupting learning for many students in Spring 2020.
  • - A study analyzed data from 282 children aged 5-12, finding that those with more than 4 weeks of learning disruption scored significantly lower in math assessments compared to those with fewer disruptions.
  • - The findings highlight the need for educators to prioritize math support for students who faced prolonged learning interruptions, especially those impacted by their caregivers' pandemic-related stress and educational background.
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  • A study investigated the reciprocal relationship between parenting quality and children's externalizing behaviors (like aggression or hyperactivity) during early childhood, using data from a diverse group of 1,287 mother-child pairs over several years.
  • Findings indicated that better parenting quality at age one led to fewer externalizing symptoms in children at age two, while increased externalizing behaviors were linked to poorer parenting quality at subsequent ages.
  • The research highlights the importance of addressing parenting and child behaviors early on to prevent long-term psychological issues.
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  • Scientists are trying to understand how certain factors might affect the health of mothers and babies, especially when it comes to birth weight.
  • They studied data from over 28,000 mother-baby pairs to see how being exposed to certain environmental factors could impact birth weight and the chances of low birth weight.
  • They found that small changes in exposure have a bigger effect on vulnerable groups, showing that these groups face more health challenges than others.
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  • There is a lack of thorough longitudinal studies on how the COVID-19 pandemic has impacted children's mental health over time, particularly regarding variations among different subgroups.
  • The study aims to assess changes in youth mental health from before the pandemic to the middle of it, using data from the Environmental influences on Child Health Outcomes (ECHO) Program.
  • Results showed that of 1,229 participants, there were minor decreases in levels of externalizing behaviors, indicating subtle shifts in mental health throughout the pandemic while accounting for various sociodemographic factors.
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Background: We investigated the individual and interaction effects of maternal plasma 𝛂- and ϒ-tocopherol levels (vitamin E isomers) on child asthma and wheeze at age 8-9.

Methods: Mother-child dyads were enrolled between 2006 and 2011 into the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) prenatal cohort. Maternal second-trimester samples were analyzed for tocopherol and lipid concentrations.

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  • The study analyzed data from 2,518 participants in the NIH ECHO Program to assess the reliability of a brief caregiver support and cognitive stimulation scale for infants and toddlers.
  • The children in the study had a mean age of 1.51 years, with 48% being female and 43% identifying as Black.
  • An analysis plan confirmed the development of a reliable 10-item scale, demonstrating high precision, especially for children with lower cognitive stimulation levels (reliability >0.7).
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Background: Children from families with low socioeconomic status (SES), as determined by income, experience several negative outcomes, such as higher rates of newborn mortality and behavioral issues. Moreover, associations between DNA methylation and low income or poverty status are evident beginning at birth, suggesting prenatal influences on offspring development. Recent evidence suggests neighborhood opportunities may protect against some of the health consequences of living in low income households.

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Objective: Prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with adverse birth and developmental outcomes in children. We aimed to describe prenatal PAH exposures in a large, multisite U.S.

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Gene regulation is essential to placental function and fetal development. We built a genome-scale transcriptional regulatory network (TRN) of the human placenta using digital genomic footprinting and transcriptomic data. We integrated 475 transcriptomes and 12 DNase hypersensitivity datasets from placental samples to globally and quantitatively map transcription factor (TF)-target gene interactions.

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  • Executive functions, crucial for problem-solving and planning, develop rapidly in childhood, but prenatal exposure to environmental toxicants like polycyclic aromatic hydrocarbons (PAHs) may hinder this development.
  • The study analyzed 814 children from non-smoking mothers, measuring urine levels of PAH metabolites during pregnancy and evaluating their executive functions at age 8-9, focusing on cognitive flexibility, working memory, and inhibitory control.
  • Results showed mostly null associations between PAH exposure and executive functions, although some interactions between specific PAH metabolites and working memory were observed, highlighting the need for further research in this area.
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  • The study investigates the impact of early childhood air pollution on executive function in school-aged children, using data from 1235 participants across three US pregnancy cohorts.
  • It examines the effects of pollutants like PM 2.5, nitrogen dioxide (NO2), and ozone (O3) during the ages of 0-4, assessing various cognitive abilities such as working memory and cognitive flexibility.
  • Results suggest that air pollution exposure, particularly NO2, negatively affects executive function, with stronger effects observed in areas with higher educational opportunities; further research is needed to deepen understanding of these environmental influences on child development.
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Background: Vitamin D is a hormone regulating gene transcription. Prenatal vitamin D has been linked to immune and vascular function in the placenta, a key organ of pregnancy. To date, studies of vitamin D and placental gene expression have focused on a limited number of candidate genes.

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Background: Research and clinical practice rely heavily on caregiver-report measures, such as the Child Behavior Checklist 1.5-5 (CBCL/1.5-5), to gather information about early childhood behavior problems and to screen for child psychopathology.

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  • *The study analyzed data from 1012 mother-child pairs in Shelby County, Tennessee, using techniques like weighted quantile sum regression to assess how neighborhood factors impacted greenspace, measured by NDVI, tree canopy, and park proximity.
  • *Findings reveal that aspects like homeownership, nearby educational resources, and racial composition significantly contribute to greenspace quality, while adding individual-level data did not enhance prediction accuracy, emphasizing the need for targeted policies to promote equitable greenspace access.
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We examined associations between prenatal fine particulate matter (PM), nitrogen dioxide (NO), and ozone (O) exposures and child respiratory outcomes through age 8-9 years in 1279 ECHO-PATHWAYS Consortium mother-child dyads. We averaged spatiotemporally modeled air pollutant exposures during four fetal lung development phases: pseudoglandular (5-16 weeks), canalicular (16-24 weeks), saccular (24-36 weeks), and alveolar (36+ weeks). We estimated adjusted relative risks (RR) for current asthma at age 8-9 and asthma with recent exacerbation or atopic disease, and odds ratios (OR) for wheezing trajectories using modified Poisson and multinomial logistic regression, respectively.

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