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The investigators intend to investigate whether the rise in childhood obesity is caused by the loss of recurrent and chronic infections in modern, industrialized society, beginning in utero and extending through early childhood. The investigators will also examine whether the antimicrobial triclosan, present in numerous cleaning and hygiene products, decreases the incidence of infection within a household.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No triclosan / Triclosan | Participants are randomized to receive household and personal cleaning products from one of 2 arms: products that either do not contain triclosan or that may contain triclosan. Participants select products from an arm-specific list of commercially available items. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Removal of triclosan-containing cleaning products from household. | Other | An intervention is nested within the observational cohort study as a secondary outcome. Commercially available household and personal cleaning products that either do not contain triclosan or that may contain triclosan will be delivered to the household every 4 months for the duration of the study. All cleaning products will be formulated, packaged and labeled by the original manufacturer with no modification for this study. Use of these products will be as per each individual product's label and at the discretion of the participant. |
| Measure | Description | Time Frame |
|---|---|---|
| Height-for-weight Z scores | We will determine whether an association exists between height-for-weight Z-score (with adjustment for age and sex) and infectious disease load. | Age 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative sick-days | In utero to 3 years of age |
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Inclusion Criteria:
Subjects must meet all of the following inclusion criteria to participate in the study:
Exclusion Criteria:
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The study population will be enrolled from the population of pregnant women attending obstetric clinics for the first antenatal visit. Each woman will be followed throughout her pregnancy and then she and her baby will be followed over the first three years of the baby's life (and more if possible).
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| Name | Affiliation | Role |
|---|---|---|
| Catherine Ley, PhD | Senior Research Scientist | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford University | Stanford | California | 94305 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29030459 | Background | Ribado JV, Ley C, Haggerty TD, Tkachenko E, Bhatt AS, Parsonnet J. Household triclosan and triclocarban effects on the infant and maternal microbiome. EMBO Mol Med. 2017 Dec;9(12):1732-1741. doi: 10.15252/emmm.201707882. | |
| 28939492 | Background | Ley C, Pischel L, Parsonnet J. Triclosan and triclocarban exposure and thyroid function during pregnancy-A randomized intervention. Reprod Toxicol. 2017 Dec;74:143-149. doi: 10.1016/j.reprotox.2017.09.005. Epub 2017 Sep 20. |
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Blood, saliva, skin swabs, stool, urine.
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| 27075843 | Derived | Ley C, Sanchez Mde L, Mathur A, Yang S, Sundaram V, Parsonnet J. Stanford's Outcomes Research in Kids (STORK): a prospective study of healthy pregnant women and their babies in Northern California. BMJ Open. 2016 Apr 13;6(4):e010810. doi: 10.1136/bmjopen-2015-010810. |