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Does the developmental plasticity hypothesis have application to Irish Travellers? Findings from the all Ireland Traveller Health Study birth cohort 2008–2011

Published online by Cambridge University Press:  30 April 2013

N. A. Hamid
Affiliation:
School of Public Health, Physiotherapy and Population Science, University College Dublin, Belfield, Dublin, Ireland
P. Fitzpatrick
Affiliation:
School of Public Health, Physiotherapy and Population Science, University College Dublin, Belfield, Dublin, Ireland
A. Rowan
Affiliation:
School of Public Health, Physiotherapy and Population Science, University College Dublin, Belfield, Dublin, Ireland
C. McGorrian
Affiliation:
School of Public Health, Physiotherapy and Population Science, University College Dublin, Belfield, Dublin, Ireland
L. Daly
Affiliation:
School of Public Health, Physiotherapy and Population Science, University College Dublin, Belfield, Dublin, Ireland
C. C. Kelleher
Affiliation:
School of Public Health, Physiotherapy and Population Science, University College Dublin, Belfield, Dublin, Ireland
Corresponding
E-mail address:

Abstract

There is little record of birth weight of Irish Travellers, a minority group in Ireland. Travellers are known to have higher rate of adult chronic disease and to be exposed to life-long disadvantage. The aim of this study was to establish whether the birth weight and infant mortality rate patterns in Ireland's Travellers were consistent with the developmental plasticity hypothesis. A 1-year follow-up birth cohort study was conducted with linkage data from maternity hospital records of Traveller infants born on the island of Ireland over a 12-month period to self-identifying Traveller and general Irish population mothers from the Lifeways Cross-Generation Cohort Study. The main outcome measure was the rate of birth weight <3000 g in a cohort of Traveller children. There were 987 confirmed Traveller births, 500 of whose mothers consented to linkage to their records. A social gradient was observed in the distribution of birth weight in the general population and Traveller infants constituted the highest proportion of all social classes in the birth weight range of 3 kg or less (16.3%). There was a high rate of persistent smoking among Traveller mothers (53%). After adjustment for smoking and alcohol consumption in pregnancy, the birth weight differential persisted (OR 3.5, 95% CI 1.4–8.1). Infant mortality rate at 12.0/1000 births (95% CI 5.5–19.7) was almost four times that of the general population. This analysis confirms Travellers had a greater than expected incidence of low birth weight and high infant mortality with high rates of premature adult chronic diseases from all causes already demonstrated previously.

Type
Original Article
Copyright
Copyright © Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2013 

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References

1.Crawford, MH, Gmelch, G. Human biology of the Irish tinkers: demography, ethnohistory, and genetics. Biodemography and Social Biology. 1974; 21, 321331.CrossRefGoogle ScholarPubMed
2.Gmelch, SB, Gmelch, G. The emergence of an ethnic group: the Irish tinkers. AntQ. 1976; 49, 225238.Google Scholar
3.Binchy, A. Travellers’ language: a sociolinguistic perspective. In Irish Travellers: Culture and Ethnicity Belfast (eds. McCann M, Siochain SO, Ruane J), 1994; pp. 134154. Institute of Irish Studies: Belfast, Northern Ireland.Google Scholar
4.Harper, J, Hudson, C. Irish Traveler Cant. J Of Engl Linguistics. 1971; 5, 7886.CrossRefGoogle Scholar
5.McCann, M, Siochain, SO, Ruane, J. Irish Travellers: Culture and Ethnicity, 1994. The Institute of Irish Studies: Belfast.Google Scholar
6.All Ireland Traveller Health Study Team. All Ireland Traveller Health Study – Our Geels. Summary of Findings, 2010. Department of Health and Children, Department of Health and Children, Republic of Ireland: Dublin.Google Scholar
7.Abdalla, S, Quirke, B, Fitzpatrick, P, et al. Technical Report 2A: Demography and Vital Statistics, 2010. Department of Health and Children: Dublin.Google Scholar
8.Barry, J, Herity, B, Solan, J. The Travellers’ Health Status Study: Vital Statistics of Travelling People 1987, 1989. The Health Research Board: Dublin.Google Scholar
9.McGorrian, C, Daly, L, Fitzpatrick, P, et al. Cardiovascular disease and risk factors in an indigenous minority population. The All-Ireland Traveller Health Study. Eur J Prev Cardiol. 2012; 19, 14441453.CrossRefGoogle Scholar
10.Kelleher, CC, Whelan, J, Daly, L, Fitzpatrick, P. Socio-demographic, environmental, lifestyle and psychosocial factors predict self rated health in Irish Travellers: a minority nomadic population. Health Place. 2012; 18, 330338.CrossRefGoogle ScholarPubMed
11.Tan, S, Avalos, G, Dineen, B, et al. Traveller health: prevalence of diabetes, pre diabetes and the metabolic syndrome. Ir Med J. 2009; 102, 176178.Google ScholarPubMed
12.Barker, DJP. The origins of the developmental origins theory. J Intern Med. 2007; 261, 412417.CrossRefGoogle ScholarPubMed
13.West-Eberhard, MJ. Phenotypic plasticity and the origins of diversity. Annu Rev Ecol Syst. 1989; 20, 249278.CrossRefGoogle Scholar
14.Syddall, H, Aihie Sayer, A, Dennison, E, et al. Cohort profile: the Hertfordshire cohort study. Int J Epidemiol. 2005; 34, 12341242.CrossRefGoogle ScholarPubMed
15.Barker, D, Hales, C, Fall, C, et al. Type 2 (non-insulin-dependent) diabetes mellitus, hypertension and hyperlipidaemia (syndrome X): relation to reduced fetal growth. Diabetologia. 1993; 36, 6267.CrossRefGoogle ScholarPubMed
16.Barker, D, Osmond, C, Golding, J, et al. Growth in utero, blood pressure in childhood and adult life, and mortality from cardiovascular disease. Br Med J. 1989; 298, 564.CrossRefGoogle ScholarPubMed
17.Barker, DJ, Martyn, CN. The maternal and fetal origins of cardiovascular disease. J Epidemiol Community Health. 1992; 46, 811.CrossRefGoogle ScholarPubMed
18.Gluckman, PD, Hanson, MA. Developmental plasticity and the developmental origins of health and disease. In Early Life Origins of Human Health and Disease (eds. Newnham JP, Ross MG), 2006; pp. 110. Karger: London.Google Scholar
19.Whincup, PH, Kaye, SJ, Owen, CG, et al. Birth weight and risk of type 2 diabetes: a systematic review. JAMA. 2008; 300, 28862897.Google ScholarPubMed
20.Bateson, P, Barker, D, Clutton-Brock, T, et al. Developmental plasticity and human health. Nature. 2004; 430, 419421.CrossRefGoogle ScholarPubMed
21.Hamid, N, Daly, L, Fitzpatrick, P. Technical Report 2D: The Birth Cohort Follow Up, 2011. Department of Health and Children: Dublin.Google Scholar
22.Hamid, N, Turner, J, Abdalla, S, et al. Technical Report 2B: The Birth Cohort Study, 2010. Department of Health and Children: Dublin.Google Scholar
23.Institute of Public Health in Ireland. Unequal at Birth – Inequalities in the Occurrence of Low Birth Weight Babies in Ireland, 2006. Institute of Public Health in Ireland: Dublin.Google Scholar
24. Central Statistics Office. Appendix 2: Census 2002. Dublin: Stationery Office. Retrieved 17 April 2012 from http://www.cso.ie/en/media/csoie/census/documents/pser_entire.pdf.Google Scholar
25.Niedhammer, I, O'Mahony, D, Daly, S, et al. Occupational predictors of pregnancy outcomes in Irish working women in the Lifeways cohort. BJOG. 2009; 116, 943952.CrossRefGoogle ScholarPubMed
26.Kramer, MS. Determinants of low birth weight: methodological assessment and meta-analysis. Bull World Health Organ. 1987; 65, 663673.Google ScholarPubMed
27.Kongsri, S, Limwattananon, S, Sirilak, S, et al. Equity of access to and utilization of reproductive health services in Thailand: National Reproductive Health Survey data, 2006 and 2009. Reprod Health Matters. 2011; 19, 8697.CrossRefGoogle ScholarPubMed
28.Doyle, O, Kelleher, C. A comparative analysis of breastfeeding practices in Ireland and Northern Ireland. Ir J Med Sci. 2010; 179(Suppl 11), 444445.Google Scholar
29.Williams, J, Greene, S, McNally, S, et al. Growing Up in Ireland: The Infants and Their Families, Report 1, 2010. Economic and Social Research Institute: Dublin.Google Scholar
30.Ben-Shlomo, Y, Kuh, D. A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives. Int J Epidemiol. 2002; 31, 285293.CrossRefGoogle ScholarPubMed
31.Heikkinen, E. A life course approach: research orientations and future challenges. Eur Rev Aging Phys Act. 2011; 8, 16.CrossRefGoogle Scholar
32.Yusuf, S, Hawken, S, Ôunpuu, S, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case–control study. Lancet. 2004; 364, 937952.CrossRefGoogle ScholarPubMed
33.Hayes, CB, Collins, C, O'Carroll, H, et al. Effectiveness of motivational interviewing in influencing smoking cessation in pregnant and postpartum disadvantaged women. Nicotine Tob Res. 2012; http://ntr.oxfordjournals.org/content/early/2012/10/26/ntr.nts225.full.pdf+html [E-pub ahead of print].Google ScholarPubMed
34.Lawlor, D, Davey Smith, G, Clark, H, et al. The associations of birth weight, gestational age and childhood BMI with type 2 diabetes: findings from the Aberdeen Children of the 1950s cohort. Diabetologia. 2006; 49, 26142617.CrossRefGoogle ScholarPubMed
35.Shortt, E, McGorrian, C, Kelleher, C. A qualitative study of infant feeding decisions among low-income women in the Republic of Ireland. Midwifery. 2012; http://www.sciencedirect.com/science/article/pii/S0266613812000435 [E-pub ahead of print].Google Scholar
36.Shrivastava, A, Murrin, C, Sweeney, MR, et al. Familial intergenerational and maternal aggregation patterns in nutrient intakes in the Lifeways Cross-Generation Cohort Study. Public Health Nutr. 2012, 111. DOI: http://dx.doi.org/10.1017/S1368980012003667, available at: http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8661609 [E-pub ahead of print].Google ScholarPubMed
37.Murrin, C, Fallon, UB, Hannon, F, et al. Dietary habits of pregnant women in Ireland. Ir Med J. 2007; 100(Suppl), 1215.Google ScholarPubMed
38.Murrin, CM, Kelly, GE, Tremblay, RE, Kelleher, CC. Body mass index and height over three generations: evidence from the Lifeways cross-generational cohort study. BMC Public Health. 2012; 12, 81.CrossRefGoogle ScholarPubMed
39.McGorrian, C, Frazer, K, Daly, L, et al. The health care experiences of Travellers compared to the general population: the All-Ireland Traveller Health Study. J Health Serv Res Policy. 2012; 19, 14441453.Google Scholar
40.Barker, D. The developmental origins of chronic disease: the Richard Doll lecture 2011. Public Health. 2012; 126, 185189.CrossRefGoogle Scholar
41.Shrivastava, A, Murrin, C, O'Brien, J, et al. Grandparental morbidity and mortality patterns are associated with infant birth weight in the Lifeways cross-generation cohort study 2001–2010. J Dev Orig Health Dis. 2012; 3, 458468.CrossRefGoogle ScholarPubMed
42.Manor, O, Koupil, I. Birth weight of infants and mortality in their parents and grandparents: the Uppsala Birth Cohort Study. Int J Epidemiol. 2010; 39, 12641276.CrossRefGoogle ScholarPubMed
43.McCarron, P, Smith, GD, Hattersley, A. Type 2 diabetes in grandparents and birth weight in offspring and grandchildren in the ALSPAC study. J Epidemiol Community Health. 2004; 58, 517522.CrossRefGoogle ScholarPubMed
44.Smith, GCS, Wood, AM, White, IR, et al. Birth weight and the risk of cardiovascular disease in the maternal grandparents. Am J Epidemiol. 2010; 171, 736744.CrossRefGoogle ScholarPubMed
45.Larsen, SB, Dalton, SO, Schuz, J, et al. Mortality among participants and non-participants in a prospective cohort study. Eur J Epidemiol. 2012; 27, 837845.CrossRefGoogle Scholar
46.Drivsholm, T, Eplov, LV, Davidsen, M, et al. Representativeness in population-based studies: a detailed description of non-response in a Danish cohort study. Scand J Public Health. 2006; 34, 623631.CrossRefGoogle Scholar

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