Gipuzkoa

In May 2006 the INMA project was set up in Gipuzkoa with the aim of evaluating the role of the environmental pollutants present in the air, water and diet in the growth and development of the children. The incorporation of the women to the cohort was made coinciding with the first echography of pregnancy control. Biological samples were taken (blood, urine, hair, placenta, etc.) and a series of questionnaires were complimented (general, diet, labour, environmental, etc.) to evaluate the impact of the environmental pollutants present in the air and the water of consumption, as well as an estimation of the polluting agents contributed by the diet.

The mothers were recruited from population visiting at the Hospital of Zumarraga, which includes the municipalities of the Goierri and the Alto and Medio Urola. They were selected of this area because of the characteristics of the services of the hospital and primary attention centre, as well as by the environmental characteristics: hard presence of metallurgical industry, high density of traffic, low levels of products derived from the disinfection in the consumption water and a rich diet in fish, together with certain degree of hypothyroidism in the pregnant women.

Since then, the pursuit of 640 women has been made in first and the third trimester of pregnancy. At the moment the pursuit is being made of 623 children in aspects of growth and neurobehavioural development.

  • Funders of INMA-Gipuzkoa cohort:

This study was funded by grants from Instituto de Salud Carlos III (FIS-PI06/0867, FIS-PI09/00090, FIS-PI13/02187 and FIS-PI18/01142 incl. FEDER funds), CIBERESP, Department of Health of the Basque Government (2005111093, 2009111069, 2013111089 and 2015111065), and the Provincial Government of Gipuzkoa (DFG06/002, DFG08/001 and DFG15/221) and annual agreements with the municipalities of the study area (Zumarraga, Urretxu, Ordizia, Legazpi, Azkoitia y Azpeitia y Beasain).

  • Collaborating Entities:

 

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375 Results

Neurodevelopment -
Nutrition -


Maternal nut and fish consumption during pregnancy and child risky decision-making at 11 years old

Rivera MR, Pinar-Martí A, Babarro I, Ibarluzea J, Vioque J, Llop S, Fernández-Somoano A, Tardón A, Pascual-Rubio V, Fabregat-Sanjuan A, Fernández-Barrés S, Romaguera D, Guxens M, Julvez J. Maternal nut and fish consumption during pregnancy and child risky decision-making at 11 years old. Eur Child Adolesc Psychiatry. 2025 Nov;34(11):3643-3654. PMID: 40493090. Comment: Eur Child Adolesc Psychiatry. 2026 Jan;35(1):295-296. PMID: 40928651. Response: Eur Child Adolesc Psychiatry. 2026 Jan;35(1):301-302. PMID: 41042371


Epigenetics -
Neurodevelopment -


Telomere Length and Emotional and Behavioral Problems in Children from the Prospective Birth Cohort INfancia y Medio Ambiente (INMA) Study

Campos-Sánchez I, Navarrete-Muñoz EM, Barber-Valles JX, Martens DS, Riaño-Galán I, Irizar A, Llop S, Guxens M, Rodríguez-Dehli C, Babarro I, Lozano M, Vrijheid M, Nawrot T, Valera-Gran D. Telomere Length and Emotional and Behavioral Problems in Children from the Prospective Birth Cohort INfancia y Medio Ambiente (INMA) Study. Children (Basel). 2025 Jul 2;12(7):875. PMID: 40723068


Air pollution -
Neurodevelopment -


Early life exposure to fine particulate matter and fine motor function, attentional function, and working memory among Spanish school-aged children

Whitworth KW, Lertxundi A, Yuan M, Rector-Houze A, Chen WJ, Guxens M, Julvez J, Swartz M, Symanski E, Valentin A, Iniguez C, González-Safont LL, Ibarluzea J. Early life exposure to fine particulate matter and fine motor function, attentional function, and working memory among Spanish school-aged children. Environ Epidemiol. 2025 May 14;9(3):e396. PMID: 40375972


Neurodevelopment -
Nutrition -


Maternal prenatal nut and seafood consumption and child neuropsychological function from 4 to 15 years of age: a population-based cohort study

Pinar-Martí A, Ayala-Aldana N, Ruiz-Rivera M, Lertxundi N, Subiza-Pérez M, González-Safont L, Vioque J, Riaño-Galán I, Rodríguez-Dehli C, Iglesias-Vázquez L, Arija V, Fernández-Barrés S, Romaguera D, Pascual-Rubio V, Fabregat-Sanjuan A, Healy D, Basagaña X, Vrijheid M, Guxens M, Foraster M, Julvez J. Maternal prenatal nut and seafood consumption and child neuropsychological function from 4 to 15 years of age: a population-based cohort study. Am J Clin Nutr. 2025 Jul;122(1):274-284. PMID: 40334748.


Built environment and Greeness -
Respiratory health and atopy -


Residential greenspace and lung function throughout childhood and adolescence in five European birth cohorts. A CADSET initiative

Valencia-Hernández CA, Yu Z, Gehring U, Koppelman GH, Standl M, Flexeder C, Schikowski T, Kress S, Melén E, Gruzieva O, Lõhmus M, Faner R, Agusti A, Wedzicha JA, Garcia-Aymerich J, Koch S, Nieuwenhuijsen M, Lertxundi A, Esplugues A, Ballester F, Arregi A, Markevych I, Bloom CI, Fuertes E; CADSET Clinical Research Collaboration. Residential greenspace and lung function throughout childhood and adolescence in five European birth cohorts. A CADSET initiative. Environ Int. 2025 May;199:109493. PMID: 40311232


Air pollution -
Postnatal growth and Obesity -


Ambient air pollution and childhood obesity from infancy to late childhood: An individual participant data meta-analysis of 10 European birth cohorts

Warkentin S, Fossati S, Marquez S, Andersen AN, Andrusaityte S, Avraam D, Ballester F, Cadman T, Casas M, de Castro M, Chatzi L, Elhakeem A, d’Errico A, Guxens M, Grazuleviciene R, Harris JR, Hernandez CI, Heude B, Isaevska E, Jaddoe VWV, Karachaliou M, Lertxundi A, Lepeule J, McEachan RRC, Thorbjørnsrud Nader JL, Pedersen M, Santos S, Slofstra M, Stephanou EG, Swertz MA, Vrijkotte T, Yang TC, Nieuwenhuijsen M, Vrijheid M. Ambient air pollution and childhood obesity from infancy to late childhood: An individual participant data meta-analysis of 10 European birth cohorts. Environ Int. 2025 Jun;200:109527. PMID: 40378473


Hormonal disturbances -
Neurodevelopment -


Association of Maternal Thyroglobulin With Gestational Thyroid Function and Offspring IQ and Brain Morphology

Mulder TA, Guxens M, Rebagliato ML, Dineva M, Bath SC, Hunziker S, Sunyer J, Delgado-Saborit JM, Irizar Loibide A, Lertxundi N, Muetzel RL, Tiemeier H, Peeters RP, Korevaar TIM. Association of Maternal Thyroglobulin With Gestational Thyroid Function and Offspring IQ and Brain Morphology. J Clin Endocrinol Metab. 2025 Jun 17;110(7):2007-2015. PMID: 39329345


Respiratory health and atopy -


General population-based lung function trajectories over the life course: an accelerated cohort study

Garcia-Aymerich J, de Las Heras M, Carsin AE, Accordini S, Agustí A, Bui D, Dharmage SC, Dodd JW, Eze I, Gehring U, Gislason T, Granell R, Imboden M, Íñiguez C, Jeong A, Koch S, Koppelman GH, Leynaert B, Melén E, Perret J, Probst-Hensch N, Santa-Marina L, Torrent M, Vicendese D, Vonk JM, de Vries M, Walters EH, Wang G, Wedzicha JA, Jarvis D, Faner R. General population-based lung function trajectories over the life course: an accelerated cohort study. Lancet Respir Med. 2025 Jul;13(7):611-622. PMID: 40383131


Built environment and Greeness -
Neurodevelopment -


Exposure to different types of residential greenness during pregnancy and early childhood and attention-deficit/hyperactivity disorder diagnosis: A nested case-control study

Luque-García L, García-Baquero G, Lertxundi A, Al-Delaimy WK, Yang TC, Delgado-Saborit JM, Guxens M, McEachan RRC, Vrijheid M, Estarlich M, Nieuwenhuijsen M, Ibarluzea J. Exposure to different types of residential greenness during pregnancy and early childhood and attention-deficit/hyperactivity disorder diagnosis: A nested case-control study. Sci Total Environ. 2025 Mar 15;969:178907. PMID: 39999706


Air pollution -
Built environment and Greeness -
Neurodevelopment -
Noise -
Physical activity - sedentary lifestyle -
Stress -


Exploring the pathways linking prenatal and early childhood greenness exposure to attention-deficit/hyperactivity disorder symptoms during childhood: An approach based on robust causal inference

Luque-García L, García-Baquero G, Lertxundi A, Al-Delaimy WK, Julvez J, Estarlich M, De Castro M, Guxens M, Lozano M, Subiza-Pérez M, Ibarluzea J. Exploring the pathways linking prenatal and early childhood greenness exposure to attention-deficit/hyperactivity disorder symptoms during childhood: An approach based on robust causal inference. Int J Hyg Environ Health. 2025 Jan;263:114475. PMID: 39366079


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