Open research questions in Birth, Development, and Health
212 unresolved questions extracted from the limitations and future-work sections of 891 Birth, Development, and Health papers in our library. Each links back to the study that raised it.
What the literature leaves open
The complexity of the gut–redox axis and its role in the development of CKD. The need to integrate early-life programming into preventive strategies. The challenge of translating findings from experimental studies to human populations.
Life-Course Programming of Kidney Disease: Roles of Gut Microbiota Dysbiosis and Oxidative Stress · 2026 · DOICurrent strategies for preventing CKD are limited and primarily target downstream manifestations rather than upstream developmental and early-life determinants of disease. There is a need to integrate early-life programming into preventive strategies to shift CKD management from reactive treatment toward true risk reduction.
Life-Course Programming of Kidney Disease: Roles of Gut Microbiota Dysbiosis and Oxidative Stress · 2026 · DOIinvestigation of the effects of MS and HFD on female mice, - examination of the molecular mechanisms underlying the observed effects, - study of the long-term consequences of early-life stress and metabolic overload on renal function
Early-Life Stress Programs a Vulnerable Renal Phenotype Under Metabolic Challenge in a Murine Model · 2026 · DOIThe study identifies a gap in understanding the association between early-life famine exposure and the risk of multimorbidity in later adulthood. There is a need to evaluate the discrepancy in gender, residence, and famine severity. The research aims to address this gap by investigating the impact of early-life famine exposure on chronic diseases and multimorbidity.
Early-life famine exposure and subsequent risk of chronic diseases in later adulthood: a population-based retrospective cohort study · 2025 · DOIThere is a lack of knowledge on the prevalence and predictors of short stature in children in Hainan Province, China. Previous studies have reported varying prevalence rates of short stature in different populations, highlighting the need for regional-specific studies.
Prevalence and predictors of short stature in children aged 3–18 years in Hainan Province, China: a cross-sectional study · 2025 · DOIUnderstanding how maternal diets can control developmental programming of innate and adaptive immunity - Identifying cause and effect on neonatal innate and adaptive immune development - Refining the understanding of the mechanisms whereby maternal diet-induced obesity impacts fetal liver and immune system development and function
Developmental Programming of the Fetal Immune System by Maternal Western-Style Diet: Mechanisms and Implications for Disease Pathways in the Offspring · 2024 · DOIThe paper identifies the challenge of developing effective therapies for hypertensive nephropathy. It highlights the need for further research into the epigenetic regulation of hypertensive nephropathy. The paper mentions the challenge of identifying reliable biomarkers for early clinical diagnosis of chronic kidney disease.
The limitations of Renin-Angiotensin-Aldosterone System inhibitors underscore the need for alternative treatments targeting epigenetic pathways. There is a lack of reliable biomarkers for early clinical diagnosis of chronic kidney disease.
Critical knowledge gaps remain regarding the mechanisms of fetal and postnatal immune cell development. The impact of maternal diet on neonatal innate and adaptive immune development is not well understood. The mechanisms whereby factors such as changes in gut microbiota, metabolites, and epigenetic modifications impact fetal and postnatal immune cell development are not well understood.
Developmental Programming of the Fetal Immune System by Maternal Western-Style Diet: Mechanisms and Implications for Disease Pathways in the Offspring · 2024 · DOIThe interaction between early-life stress and high-fat diet on renal susceptibility to metabolic challenges is not well understood. There is a need to evaluate the effects of early-life stress and post-weaning high-fat diet on renal structure and function.
Early-Life Stress Programs a Vulnerable Renal Phenotype Under Metabolic Challenge in a Murine Model · 2026 · DOIBackground Intrauterine inflammation is associated with increased lifetime cardiovascular disease (CVD) risk in offspring, yet long-term molecular mechanisms remain underexplored.
Prenatal Inflammation as a Determinant of Long-Term Cardiovascular Risk: Evidence from a Murine Model · 2026 · DOIBACKGROUND: The critical age window during which early-life adiposity impacts liver health remains unclear.
Early childhood weight gain and alanine aminotransferase at age 8: an adjunct study of the Japan Environment and Children’s Study · 2026 · DOICONCLUSIONS: is not generalisable across self-described racial identities or GPA groups, highlighting the need for globally representative genetic discovery cohorts as well as further investigation into the complex role of race, ethnicity, and epigenetic influences on foetal growth.
Generalisability of Maternal Genetic Risk Score for Birth Weight Across Racial Identity and Ancestry: A Secondary Analysis of a Prospective Cohort Study · 2025 · DOIFuture research should explore why men benefited less cognitively from education.
Education Narrows Gender Disparities in Cognitive Function in China: Evidence From a Cross-Cohort Comparison Study · 2025 · DOIGestational diabetes during pregnancy is associated with an increased risk of developmental abnormalities in offspring, but the underlying mechanisms remain unclear.
Background: Short stature is a global health-related problem and remains to be evaluated in children in Hainan Province.
Prevalence and predictors of short stature in children aged 3–18 years in Hainan Province, China: a cross-sectional study · 2025 · DOILong-term follow-up in high-risk neonatal populations is warranted, along with further research into underlying biological mechanisms.
Birth weight and neonatal morbidity as early-life risk factors for childhood cancer: a nationwide cohort study · 2025 · DOIHowever, the potential impact of neonatal interventions on subsequent cancer development remains poorly understood.
Birth weight and neonatal morbidity as early-life risk factors for childhood cancer: a nationwide cohort study · 2025 · DOIAn advanced maternal age (AMA ≥ 35 years) has been linked to increased risks of obstetric complications and adverse neonatal outcomes, yet its specific nutritional profile remains underexplored.
This finding highlights the importance of considering broader ecological/life-history contexts when interpreting physiological–behavioural correlations and offers a possible explanation for previous contradictory results regarding the personality–RMR relationship.
Associations between metabolic rate and personality in a free-living small mammal are driven by date of birth · 2025 · DOIPhysiological states are often regarded as drivers of personality differences, although the causal link between them remains unclear.
Associations between metabolic rate and personality in a free-living small mammal are driven by date of birth · 2025 · DOIAlthough rarely studied, normal pregnancies also protect later maternal cardiovascular health.
G-Protein–Coupled Estrogen Receptor 1 and Pregnancy Confer Protection Against Hypertension in Older Females · 2025 · DOIBACKGROUND AND AIMS: Statins and other lipid-modifying agents (LMAs) have traditionally been contraindicated during pregnancy due to concerns about harmful fetal effects; however, the risks associated with exposure to statins and other LMAs in human pregnancies remain unclear.
Statin use in pregnancy and risk of congenital malformations: a Norwegian nationwide study · 2025 · DOIDiet-induced obesity can cause long-term alterations in ovarian functions, but the acute effects of obesogenic diets on the follicular cells and their progression over time, when intake is continued and obesity develops, remain unclear.
Acute and long-term transcriptomic responses of granulosa cells to obesogenic diet and concomitant effects on oocyte quality: insight from an outbred mouse model · 2025 · DOIHowever, it remains elusive if prenatal ∆9-tetrahydrocannabinol exposure induces this schizophrenia signature of placental gene expression.
Identifying established human placental markers of schizophrenia in rodents after gestational ∆9-tetrahydrocannabinol exposure · 2025 · DOI
Most-cited papers in Birth, Development, and Health
- The Lifelong Effects of Early Childhood Adversity and Toxic Stress · PEDIATRICS · 2011 · 4,046 citations
- Effect of In Utero and Early-Life Conditions on Adult Health and Disease · New England Journal of Medicine · 2008 · 3,281 citations
- Developmental effects of endocrine-disrupting chemicals in wildlife and humans. · Environmental Health Perspectives · 1993 · 2,725 citations
- The genetics of ageing · Nature · 2010 · 2,499 citations
- INFANT MORTALITY, CHILDHOOD NUTRITION, AND ISCHAEMIC HEART DISEASE IN ENGLAND AND WALES · The Lancet · 1986 · 2,190 citations
- Fetal nutrition and cardiovascular disease in adult life · The Lancet · 1993 · 2,164 citations
- Neuroscience, Molecular Biology, and the Childhood Roots of Health Disparities · JAMA · 2009 · 1,902 citations
- INTRAUTERINE GROWTH AS ESTIMATED FROM LIVEBORN BIRTH-WEIGHT DATA AT 24 TO 42 WEEKS OF GESTATION · PEDIATRICS · 1963 · 1,352 citations
- Killing Me Softly: The Fetal Origins Hypothesis · The Journal of Economic Perspectives · 2011 · 1,203 citations
- Quantitative growth and development of human brain · Archives of Disease in Childhood · 1973 · 1,200 citations
Most recent work
- Biological aging and generational shifts in early-onset cancer risk · Nature Medicine · 2026
- Maternal high fat diet and acute viral mimic exposure impact placental inflammation, lipid peroxidation and cellular proliferation-to-death ratio across mouse pregnancy · bioRxiv · 2026
- Sex-Dependent Epigenomic and Transcriptomic Reprogramming Links Maternal Obesity to Cardiac Remodeling in Adult Offspring · bioRxiv · 2026
- Trajectories into famine: observations of patterns and implications for prevention · Food Policy · 2026
- Placental and juvenile immune responses to maternal immune activation are differentially regulated by sex chromosomes and gonads across gestation · Journal of Neuroinflammation · 2026
- Evidence of maternal resilience in two mouse strains in the context of permanent mouse breeding strategies · bioRxiv · 2026
- Cataloguing the mouse small intestinal transcriptome in duodenum and ileum during the first postnatal month · bioRxiv · 2026
- Thyroid antibody positivity in pregnancy is associated with altered reproductive hormone concentrations and placental growth in Lewis rats · The Journal of Physiology · 2026
- Low socioeconomic status as a major risk factor for early-onset type 2 diabetes with limited lifestyle mediation: Cross-Sectional evidence from US and South Korean populations · Social Science & Medicine · 2026
- Preconception health and fertility health: overlapping, yet distinct domains · Human Reproduction · 2026
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