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Grant support

The research leading to these results has received funding from the European Community's Seventh Framework Programme (FP7/2007-206) under grant agreement no 308333-the HELIX project. Dr Maribel Casas and Dr Jordi Julvez received funding from Instituto de Salud Carlos III (Ministry of Economy and Competitiveness) (MS16/00128, MS14/00108). INMA data collections were supported by grants from the Instituto de Salud Carlos III, CIBERESP, the Conselleria de Sanitat, Generalitat Valenciana, Department of Health of the Basque Government; the Provincial Government of Gipuzkoa, and the Generalitat de Catalunya-CIRIT. KANC was funded by the grant of the Lithuanian Agency for Science Innovation and Technology (6-04-2014_31V-66). The Norwegian Mother and Child Cohort Study (MoBa) is supported by the Norwegian Ministry of Health and the Ministry of Education and Research, NIH/NIEHS (contract no. N01-ES-75558), and NIH/NINDS (grant no. 1 UO1 NS 047537-01 and grant no. 2 UO1 NS 047537-06A1). The Rhea project was financially supported by European projects, and the Greek Ministry of Health (Program of Prevention of Obesity and Neurodevelopmental Disorders in Preschool Children, in Heraklion district, Crete, Greece: 2011-2014; 'Rhea Plus': Primary Prevention Program of Environmental Risk Factors for Reproductive Health, and Child Health: 2012-2015). The work was also supported by MICINN (MTM2015-68140-R) and Centro Nacional de Genotipado-CEGEN-PRB2-ISCIII. CW received funding from the Fondation de France.

Analysis of institutional authors

Sunyer Deu, JordiAuthorNieuwenhuijsen, Mark JAuthorVrijheid, MartineCorresponding AuthorMaitre LAuthorCasas MAuthorBasagana XAuthorBustamante MAuthorDe Castro MAuthorFossati SAuthorR Gonzalez JAuthorJúlvez JAuthor

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March 25, 2020
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Article

Human Early Life Exposome (HELIX) study: a European population-based exposome cohort

Publicated to:Bmj Open. 8 (9): e021311- - 2018-09-01 8(9), DOI: 10.1136/bmjopen-2017-021311

Authors: Maitre, L; de Bont, J; Casas, M; Robinson, O; Aasvang, GM; Agier, L; Andrusaityte, S; Ballester, F; Basagaña, X; Borràs, E; Brochot, C; Bustamante, M; Carracedo, A; de Castro, M; Dedele, A; Donaire-Gonzalez, D; Estivill, X; Evandt, J; Fossati, S; Giorgis-Allemand, L; Gonzalez, JR; Granum, B; Grazuleviciene, R; Gützkow, KB; Haug, LS; Hernandez-Ferrer, C; Heude, B; Ibarluzea, J; Julvez, J; Karachaliou, M; Keun, HC; Krog, NH; Lau, CHE; Leventakou, V; Lyon-Caen, S; Manzano, C; Mason, D; McEachan, R; Meltzer, HM; Petraviciene, I; Quentin, J; Roumeliotaki, T; Sabido, E; Saulnier, PJ; Siskos, AP; Siroux, V; Sunyer, J; Tamayo, I; Urquiza, J; Vafeiadi, M; van Gent, D; Vives-Usano, M; Waiblinger, D; Warembourg, C; Chatzi, L; Coen, M; van den Hazel, P; Nieuwenhuijsen, MJ; Slama, R; Thomsen, C; Wright, J; Vrijheid, M

Affiliations

Barcelona Inst Sci & Technol, Ctr Genom Regulat CRG, Barcelona, Spain - Author
BioDonostia Hlth Res Inst, San Sebastian, Spain - Author
Bradford Teaching Hosp NHS Fdn Trust, Bradford Inst Hlth Res, Bradford, W Yorkshire, England - Author
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain - Author
Dexeus Womans Hlth, Genom Unit, Barcelona, Spain - Author
Fdn Publ Galega Med Xenom SERGAS, Santiago, Spain - Author
Govt Basque Country, Dept Hlth Publ Hlth Gipuzkoa, San Sebastian, Spain - Author
Harvard Univ, Dept Stat, Fac Arts & Sci, Cambridge, MA 02138 USA - Author
Hosp del Mar, Municipal Inst Med Res IMIM, Barcelona, Spain - Author
Imperial Coll London, Fac Med, Dept Surg & Canc, Div Canc, London, England - Author
Imperial Coll London, Fac Med, Dept Surg & Canc, Integrat Syst Med & Digest Dis, London, England - Author
Inst Natl Environm Ind & Risques INERIS, Unite Modeles Ecotoxicol & Toxicol METO, Verneuil En Halatte, France - Author
ISGlobal, Inst Global Hlth, Barcelona, Spain - Author
Maastricht Univ, Fac Hlth Med & Life Sci, Dept Genet & Cell Biol, Maastricht, Netherlands - Author
Norwegian Inst Publ Hlth, Oslo, Norway - Author
Sidra Med, Res Dept, Doha, Qatar - Author
Sorbonne Paris Cite CRESS, Ctr Rech Epidemiol & Biostat, Equipe Rech Origines Precoces Sante & Dev Enfant, Inserm,UMR 1153, Villejuif, France - Author
Univ Basque Country UPV EHU, Sch Psychol, San Sebastian, Spain - Author
Univ Crete, Fac Med, Dept Social Med, Iraklion, Greece - Author
Univ Grenoble Alpes, CNRS, CHU Grenoble Alpes, Team Environm Epidemiol,IAB,Inserm, Grenoble, France - Author
Univ Poitiers, CHU Poitiers, Ctr Invest Clin CIC1402, INSERM, Poitiers, France - Author
Univ Santiago de Compostela, CIBERER, Santiago, Spain - Author
Univ Southern Calif, Keck Sch Med, Dept Prevent Med, Los Angeles, CA USA - Author
Univ Valencia, Sch Nursing, Valencia, Spain - Author
Univ Valencia, Univ Jaume I, FISABIO, Joint Res Unit Epidemiol & Environm Hlth, Valencia, Spain - Author
UPF, Barcelona, Spain - Author
VGGM, Arnhem, Netherlands - Author
Vytautas Magnus Univ, Dept Environm Sci, Kaunas, Lithuania - Author
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Abstract

Essential to exposome research is the collection of data on many environmental exposures from different domains in the same subjects. The aim of the Human Early Life Exposome (HELIX) study was to measure and describe multiple environmental exposures during early life (pregnancy and childhood) in a prospective cohort and associate these exposures with molecular omics signatures and child health outcomes. Here, we describe recruitment, measurements available and baseline data of the HELIX study populations.The HELIX study represents a collaborative project across six established and ongoing longitudinal population-based birth cohort studies in six European countries (France, Greece, Lithuania, Norway, Spain and the UK). HELIX used a multilevel study design with the entire study population totalling 31 472 mother-child pairs, recruited during pregnancy, in the six existing cohorts (first level); a subcohort of 1301 mother-child pairs where biomarkers, omics signatures and child health outcomes were measured at age 6-11 years (second level) and repeat-sampling panel studies with around 150 children and 150 pregnant women aimed at collecting personal exposure data (third level).Cohort data include urban environment, hazardous substances and lifestyle-related exposures for women during pregnancy and their offspring from birth until 6-11 years. Common, standardised protocols were used to collect biological samples, measure exposure biomarkers and omics signatures and assess child health across the six cohorts. Baseline data of the cohort show substantial variation in health outcomes and determinants between the six countries, for example, in family affluence levels, tobacco smoking, physical activity, dietary habits and prevalence of childhood obesity, asthma, allergies and attention deficit hyperactivity disorder.HELIX study results will inform on the early life exposome and its association with molecular omics signatures and child health outcomes. Cohort data are accessible for future research involving researchers external to the project.© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords

Air-pollutionAreasBirth cohortChild cohortCommunity child healthEpidemiologyExposomeExposureHealthLand-useMotherOmicsPregnancyProfilePublic healthUse regression-models

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Bmj Open due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2018, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine (Miscellaneous).

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 6.98. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Weighted Average of Normalized Impact by the Scopus agency: 6.34 (source consulted: FECYT Feb 2024)
  • Field Citation Ratio (FCR) from Dimensions: 47.19 (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-06, the following number of citations:

  • WoS: 163
  • Scopus: 177
  • Europe PMC: 80

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-06:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 436.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 437 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 26.75.
  • The number of mentions on the social network Facebook: 1 (Altmetric).
  • The number of mentions on the social network X (formerly Twitter): 7 (Altmetric).
  • The number of mentions in news outlets: 3 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: France; Greece; Lithuania; Netherlands; Norway; United Kingdom; United States of America.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (MAITRE, LEA) .

the author responsible for correspondence tasks has been VRIJHEID, MARTINE.