Obstetrics outcome - length of gestational age
Length of gestational age
Obstetric - medication use
Medication use during labor
Obstetric - delivery mode
Delivery mode (rupture of membranes or premature contractions, vaginal, cesarean section, instrumental delivery, miscarriage and stillbirth).
Obstetric - pregnancy complications
Pregnancy complications e.g. miscarriage, abortion (induced and indication for abortion), hydramnios, gestational hypertension, preeclampsia, need for maternal corticosteroid treatment for fetal lung maturation, urinary tract infection) will be collected from medical record.
Obstetric - Neonatal unit admissions
Neonatal unit admissions
Obstetric - obstetrics complications
Obstetrics complications (e.g. preterm prelabour rupture of the membranes, shoulder dystocia, birth trauma (perinatal rupture), postpartum hemorrhage, maternal infections, maternal hospitalization).
Obstetrics - birth defects/abnormalities
Birth defects/abnormalities
Neonatal morbidities
Neonatal morbidity (e.g. major congenital malformations (ICD10 Q00-Q99 or requiring medical or surgical treatment), birth injury, respiratory distress, transient tachypnoea, neonatal hypoglycemia, systemic infections, admission to neonatal intensive care unit, number of admission days, hyperbilirubinemia), deaths.
Fetal and offspring growth - body weight
Fetal body weight will be measured with ultrasound during pregnancy and offspring body weight will be measured using an electronic scale.
Fetal and offspring growth - length
Fetal length will be measured with ultrasound during pregnancy and offspring length will be measured using an infantometer as appropriate for measuring infant, baby and toddler length.
Fetal and offspring growth - abdominal circumference
Abdominal circumference will be measured with ultrasound during pregnancy and offspring abdominal circumference will be measured three times to the nearest 0.1 cm using a stretch-resistant measuring tape
Fetal and offspring growth - crown circumference
Crown circumference will be measured with ultrasound during pregnancy
Fetal and offspring growth - femur length
Femur length will be measured with ultrasound during pregnancy
Fetal growth - fractional limb volume
Fractional limb volume will be measured with ultrasound during pregnancy
Offspring growth - BMI z-score
Offspring body mass index (BMI) z-score (BMI adjusted for age and sex).
Offspring growth - weight for gestational age
Weight for gestational age. Measured as percent of normal weight related to gestational age.
Offspring growth - large for gestational age
Large for gestational age. Prevalence of infants being large for gestational age (LGA).
Offspring growth - small for gestational age
Small for gestational age. Prevalence of offspring being small for gestational age (SGA).
Offspring growth - apgar score
Apgar score (0-10). The higher the score, the better health condition of the offspring)
Offspring growth
Offspring circumference (thigh and upper arm) and skinfold (triceps, subscapularis and suprailiac). Circumferences will be measured to the nearest 0.1 cm using a stretch-resistant measuring tape and skinfolds are measured to the nearest 0.02 cm using a caliper to lightly pinch the skin and the underlying fat.
Offspring growth - body composition by the POD system
Offspring fat free mass (g) and fat mass (g) will be assessed by air displacement plethysmography using the POD system (Pea POD for 1-8kg)
Offspring blood pressure
Offspring blood pressure (diastolic and systolic blood pressure) will be measured three times after 10 minutes rest using an automated device placed on the arm and in direct contact with the skin.
Offspring heart rate
Offspring heart rate will be measured three times after 10 minutes rest using an automated device placed on the arm and in direct contact with the skin.
Offspring growth - self-reported body weight
Self-reported body weight
Offspring growth - self-reported height
Self-reported height
Adult weight
Adult body weight is measured to the nearest 0.1 kg using a calibrated scale
Adult Height
Adult height will be measured to the nearest 0.5 cm using a wall-mounted stadiometer.
Adult BMI
Calculated as weight (kg)/height(m)^2
Adult anthropometric
Waist- and hip circumference will be measured to the nearest 0.1 cm. During pregnancy and at birth the waist of the female will not be measured.
Adult blood pressure
Blood pressure (diastolic and systolic blood pressure) will be measured three times with two minutes apart in right arm after 15 minutes rest using a validated automatic device. The reading is recorded to the nearest 1 mmHg.
Adult heart rate
Heart rate will be measured three times with two minutes apart in right arm after 5-10 minutes rest using a validated automatic device. The reading is recorded to the nearest 1 beats/minute for heart rate
Adult resting metabolic rate
Resting metabolic rate (calories/24-h) will be measured by indirect calorimetry using a ventilated hood system. Participants will lie in the supine position and rest for at least 30 min before measurements commence. The measurement will last for 20 min.
Adult resting respiratory quotient + substrate
Resting respiratory quotient (RQ), will be measured by indirect calorimetry using a ventilated hood system. Participants will lie in the supine position and rest for at least 30 min before measurements commence. The measurement will last for 20 min. Lipid, glucose and protein oxidation will be estimated.
Adult medication use
Use of medication will be collected throughout the study and for each medication the start date, stop date or continuing, form and indication will be noted in appropriate form.
Offspring medication use
Use of medication will be collected throughout the study and for each medication the start date, stop date or continuing, form and indication will be noted in appropriate form.
Adult reproduction - Time to pregnancy
Duration of time to conception defined from selfreported time point they started to try get pregnant to registration of pregnancy. The time of conception will be calculated from the ultrasound scan in week 12
Adult glucose metabolism (OGTT)
3-h oral glucose tolerance test (OGTT) will be performed at with 75g of glucose dissolved in 250 ml of water and added 1 gram of paracetamol. Blood will collected for measurements of blood glucose, hormones (insulin, C-Peptide, glucagon), paracetamol, glucagon-like-peptide-1 (GLP-1), Glucose insulinotropic polypeptide (GIP) and metabolites (FFA). Blood samples will be drawn at time 0, 15, 30, 45, 60, 90, 120 and 180 min
Adult Oral Glucose Tolerance Test (OGTT) during pregnancy (only female)
OGTT performed during pregnancy according to the screening guidelines for GDM will be obtained from the mother's medical journal in both pregnancies.
Placenta - weight (gram)
Placenta will be weighted after birth
VO2-max adult - cardiorespiratory fitness
The VO2-max test will be performed as an incremental exercise test on a bicycle ergometer.
Cardiac function offspring - Left ventricular and right ventricular morphology
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of Interventricular septal thickness diastole and valve- and chamber dimensions will be done.
Cardiac function offspring - left centricular ejection fraction
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of left ventricular ejection fraction will be done.
Cardiac function offspring - fractional shortening
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of fractional shortening will be done.
Cardiac function offspring - Systolic function, strain
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of strain will be done.
Cardiac function offspring - Systolic function, strain rate
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of strain rate will be done.
Cardiac function offspring - TAPSE and RV fractional area change
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of TAPSE and RV fractional area change will be done.
Cardiac function offspring - Diastolic function, left ventricular E/A-ratio
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of left ventricular E/A-ratio will be done.
Cardiac function offspring - Diastolic function, tissue velocities (E', A', S')
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of tissue velocities (E', A', S') will be done.
Cardiac function offspring - Diastolic function, strain
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of strain will be done.
Cardiac function offspring - Overall cardiac function
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of Myocardial performance index (MPI) and cardiac torsion will be done.
Cardiac function offspring - Pulmonary artery acceleration time
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of Pulmonary artery acceleration time will be done.
Cardiac function offspring - Pulmonary artery pressure
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of Pulmonary artery pressure will be done.
Cardiac function offspring - Persistent ductus arteriosus (PDA)
ECG and echocardiography will be performed according to standard imaging protocol. Assessment of PDA open or closed and PDA shunt will be done.
Cord blood - Telomore length
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for Telomore length.
Cord blood - pH
Cord blood will be drawn immediately after birth. pH will be assessed.
Cord blood - Epigenetics
Epigenetics analyses from whole blood. Will be analysed for methylation changes. metabolomics and exosome.
Adult body composition by DEXA scan
Lean mass (g), fat mass (g), abdominal fat (g), visceral fat (g) assessed by a Dual-energy X-ray absorptiometry (DEXA) -scan .
Adult bone markers by DEXA scan - bone mineral content
Bone mineral content (g) assessed by a Dual-energy X-ray absorptiometry-scan.
Adult bone markers by DEXA scan - bone area
Bone area (cm^2) assessed by a Dual-energy X-ray absorptiometry-scan.
Adult bone markers by DEXA scan - bone mineral density
Bone mineral density (g/cm^2) assessed by a Dual-energy X-ray absorptiometry-scan.
Adult blood sample - glucose
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for glucose
Adult blood sample - CD163
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for CD163
Adult blood sample - HbA1c
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for markers of glucose metabolism HbA1c
Adult blood sample - Kreatinin
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for kreatinin
Adult blood sample - eGFR
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for kreatinin and GFR will be estimated
Adult blood sample - C-reaktivt protein (CRP)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for CRP
Adult blood sample - Alanintransaminase (ALAT)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for ALAT
Adult blood sample - Gamma-GT (GGT)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for GGT
Adult blood sample - Basisk fosfatase (BASP)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for BASP
Adult blood sample - Bilirubin
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Bilirubin
Adult blood sample - Ferritin
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Ferritin
Adult blood sample - Hemoglobin
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Hemoglobin
Adult blood sample - Leukocytter
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Leucocytter
Adult blood sample - platelets
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for platelets
Adult blood sample - Triglyceride
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for triglyceride
Adult blood sample - Cholesterol HDL
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Cholesterol HDL
Adult blood sample - Cholesterol LDL
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Cholesterol LDL
Adult blood sample - Total Cholesterol
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Total Cholesterol
Adult blood sample - vitamin B12
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for B12
Adult blood sample - vitamin D3
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for vitamin D3
Adult blood sample - c-peptide
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for c-peptide
Adult blood sample - Insulin-like Growth Factor-1 (IGF-1)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for IGF-1
Adult blood sample - Insulin-like growth factor-binding protein-1 (IGFBP-1)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for IGFBP-1
Adult blood sample - Insulin-like growth factor-binding protein-3 (IGFBP-3)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for IGFBP-3
Adult blood sample - Fibroblast growth factor 21 (FGF-21)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for FGF-21
Adult blood sample - Leptin
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Leptin
Adult blood sample - Adiponectin
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Adiponectin
Adult blood sample - Ghrelin
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Ghrelin
Adult blood sample - Growth Hormone (GH)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for GH
Adult blood sample - Free fatty Acids (FFA)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for FFA
Adult blood sample - Interleukin 6 (IL-6)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for IL-6
Adult blood sample - Interleukin 6 (IL-10)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for IL-10
Adult blood sample - Interleukin-1 alpha (IL-1 alpha)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for IL-1 alpha
Adult blood sample - Interferon gamma (IFN-γ)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for IFN-γ
Adult blood sample - Tumor Necrosis Factor alfa (TNF-α)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for TNF-α
Adult female blood sample - Humant choriogonadotropin (hCG)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will only be collected from the female participant during pregnancy and be analysed for hCG
Adult female blood sample - Progesterone
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will only be collected from the female participant during pregnancy and be analysed for Progesterone
Adult female blood sample - Proinsulin C-peptide
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will only be collected from the female participant during pregnancy and be analysed for Proinsulin C-peptide
Adult female blood sample - sex hormone binding globulin (SHBG)
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will only be collected from the female participant during pregnancy and be analysed for SHBG
Adult female blood sample - Prolactin
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will only be collected from the female participant during pregnancy and be analysed for Prolactin
Adult blood sample -Cortisol
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will be analysed for Cortisol
Adult female blood sample -Estradiol
All blood samples will be collected by venous puncture in the antecubital vein after an overnight fast from at least 10 pm the night before. Samples will only be collected from the female participant during pregnancy and be analysed for Estradiol
Offspring blood sample - glucose
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for glucose
Offspring blood sample - c-peptide
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for c-peptide
Offspring blood sample - insulin
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Insulin
Offspring blood sample - IGF-1
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for IGF-1
Offspring blood sample - IGFBP-3
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for IGFBP-3
Offspring blood sample - IGFBP-1
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for IGFBP-1
Offspring blood sample - CD163
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for CD163
Offspring blood sample - Ferritin
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Ferritin
Offspring blood sample - HgbA1c
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for HgbA1c
Offspring blood sample - Hgb
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Hgb
Offspring blood sample - CRP
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for CRP
Offspring blood sample - Triglyceride
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Triglyceride
Offspring blood sample - Cholesterol HDL
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Cholesterol HDL
Offspring blood sample - Cholesterol LDL
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Cholesterol LDL
Offspring blood sample - Total Cholesterol
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Total Cholesterol
Offspring blood sample - FGF-21
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for FGF-21
Offspring blood sample - Leptin
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Leptin
Offspring blood sample - Adiponectin
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for Adiponectin
Offspring blood sample - FFA
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for FFA
Offspring blood sample - Growth Hormone (GH)
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for GH
Offspring blood sample - cTroponin I (cTnI)
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for cTnI
Offspring blood sample - BNP
A non-fasting venous blood will be drawn. Parents will be instructed that the offspring should not have eaten two hours prior to the assessment. Samples will be analysed for BNP
Cord blood - c-peptide
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for C-peptide
Cord blood -Insulin
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for Insulin
Cord blood -IGFBP-3
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for IGFBP-3
Cord blood -IGFBP-1
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for IGFBP-1
Cord blood -IGF-1
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for IGF-1
Cord blood -Ferritin
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for Ferritin
Cord blood -cTnI
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for cTnI
Cord blood -BNP
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for BNP
Cord blood -CRP
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for CRP
Cord blood -CD163
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for CD163
Cord blood -FGF21
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for FGF21
Cord blood -Leptin
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for Leptin
Cord blood -Adiponectin
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for Adiponectin
Cord blood -FFA
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for FFA
Cord blood - Vitamin D3
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for Vitamin D3
Cord blood - HbA1c
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for HbA1c
Cord blood - IL-6
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for IL-6
Cord blood - IL-10
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for IL-10
Cord blood - IL-1 alpha
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for IL-1 alpha
Cord blood -TNF- alpha
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for-TNF- alpha
Cord blood -IFN- gamma
Cord blood will be drawn immediately after birth and analysed. Blood will be analyzed for IFN- gamma