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Pediatric and respiratory epidemiology – Catarina Almqvist Malmros' research group

We study causes, consequences and comorbidities for asthma and other diseases in childhood and adolescence. We combine national health data with experimental and clinical data, use advanced family and twin design, and have large national and international collaborations.

Group photo of Catarina Almqvist Malmros' research group

Our research

Our pediatric and respiratory epidemiology research group is multidisciplinary and members contribute with expertise in pediatrics, epidemiology, physiology, psychology, molecular genetics, biostatistics, public health and clinical trials. We have up-to date population-based health linkages, clinical cohorts, genetic data and infrastructure in place. We also have several international and national collaborators in academia and with the health care and authorities. 

Appeasing the wheezing

The overall purpose of our ongoing research project Appeasing the wheezing is to understand causes and consequences of respiratory and allergic disorders and its comorbidity to neuropsychiatric, affective, autoimmune and other inflammatory disorders, as well as how genetic and early environmental factors contribute to the associations.

This will be accomplished by combining the national health-, sociodemographic- and quality registers with questionnaire data and biomarkers in the Swedish Twin Registry using novel analytical methods and innovative study designs. More information can be found on our ongoing study page here

The twin study STOPPA

In the Swedish Twin study On Perinatal characteristics to Prevent Asthma, STOPPA, we study environmental and genetic factors as determinants for asthmatic disease.

Based on parental interview at 9 or 12 years in the Child and Adolescent Twin Study in Sweden (CATSS), we identified monozygotic (MZ) and dizygotic (DZ) same-sexed twin pairs with and without asthma. A cohort of 752 (376 twin pairs) 9- to 14-year-old twins and their parents were invited to participate in a clinical examination. More information on the STOPPA study can be found here

Born into Life

The purpose of Born into Life is to investigate how conditions before pregnancy, during fetal life and the first years of life affect growth and health later in life. By collecting information about genetic predispositions, environmental exposures and lifestyles, unique opportunities are provided to shed light on risk factors for diseases as a basis for preventive measures. 

The study participants in the Pregnancy Study were recruited from participants in the LifeGene study who became pregnant. The women were examined on two occasions during pregnancy (questionnaires, saliva, blood and stool samples) and in connection with childbirth. Their children were then recruited into the Birth Cohort, and examined (questionnaires, height and weight, blood sampling, stool and saliva) at 6, 12 and 24 months of age and at 5-6 years of follow-up when lung function testing was also performed. More information on Born into Life can be found here

MAESTRO and MAESTRO-CHILD

In the Maternal Asthma Events, STRess and Offspring, MAESTRO study, we are interested to understand the factors related to the health of mothers with and without asthma during their pregnancy, delivery and in the postpartum period.

In total 1693 women were recruited the MAESTRO-study in the years 2013-2019. Questionnaires and saliva samples were collected from the women in early pregnancy (pregnancy week 8-12), towards the end of the pregnancy (pregnancy week 28-32) and 6 months after delivery.  Data was collected from the women’s ̽ѡ notes and the sonography results from the antenatal/midwife clinic and from delivery. We also measured lung function using spirometry in 250 study participants during and after their pregnancy. 

In the MAESTRO-CHILD study we are following up the children born to the mothers who participated in the MAESTRO study. More information on the MAESTRO and MAESTRO-CHILD studies can be found here.

MANTRA - Internet-delivered cognitive behaviour therapy for asthma-related anxiety

In the MANTRA studies, we investigate whether cognitive behavioral therapy (CBT) can be helpful in reducing anxiety and everyday obstacles related to asthma. The goal is to develop an effective internet-mediated CBT (Internet-CBT) that can give many people with asthma and anxiety access to good treatment. 

Recruitment is ongoing, more information (in Swedish) can be found here.

Publications

Selected publications

  • Article: INFLAMMATORY BOWEL DISEASES. 2024;30(9):1556-1565
    Gong T; Brew BK; Lundholm C; Smew AI; Harder A; Kuja-Halkola R; Ludvigsson JF; Lu Y; Almqvist C
  • Article: PEDIATRIC ALLERGY AND IMMUNOLOGY. 2024;35(2):e14085
    Brew BK; Gong T; Ohlin E; Hedman AM; Larsson H; Curman P; Lundholm C; Almqvist C
  • Letter: CLINICAL AND EXPERIMENTAL ALLERGY. 2023;53(11):1212-1215
    Mubanga M; Ploner A; Schuppe-Koistinen I; Magnusson PKE; Boulund F; Debelius JW; Almqvist C
  • Letter: ALLERGY. 2023;78(9):2556-2558
    Mubanga M; Brew BHH; Karim H; Curman P; Hedman A; Lundholm C; Almqvist C
  • Article: JOURNAL OF ASTHMA. 2023;60(8):1558-1565
    Bonnert M; Roelstraete B; Bergstrom S-E; Bjureberg J; Andersson E; Almqvist C
  • Article: PEDIATRIC RESEARCH. 2023;94(2):811-819
    Gunnerbeck A; Lundholm C; Rhedin S; Mitha A; Chen R; D'Onofrio BM; Almqvist C
  • Article: PSYCHOLOGICAL MEDICINE. 2023;53(7):3096-3104
    Gong T; Lundholm C; Lundström S; Kuja-Halkola R; Taylor MJ; Almqvist C
  • Article: BMJ OPEN DIABETES RESEARCH & CARE. 2023;11(2):e003303
    Smew AI; Lundholm C; Gong T; Saevendahl L; Lichtenstein P; Brew BK; Almqvist C
  • Article: PEDIATRIC ALLERGY AND IMMUNOLOGY. 2023;34(1):e13904
    Mubanga M; Lundholm C; Rohlin ES; Rejnoe G; Brew BK; Almqvist C
  • Review: CLINICAL AND EXPERIMENTAL ALLERGY. 2022;52(9):1035-1047
    Haasdyk BK; Osvald EC; Gong T; Hedman AM; Holmberg K; Larsson H; Ludvigsson JF; Mubanga M; Smew AI; Almqvist C
  • Article: LANCET REGIONAL HEALTH-EUROPE. 2022;19:100443
    Rhedin S; Lundholm C; Horne A; Smew AI; Osvald EC; Haddadi A; Alfven T; Kahn R; Krol P; Brew BH; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2022;52(7):868-877
    Brew BK; Almqvist C; Lundholm C; Andreasson A; Lehto K; Talley NJ; Gong T
  • Article: INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 2022;51(3):749-758
    Byberg KK; Lundholm C; Brew BK; Rejno G; Almqvist C
  • Article: PSYCHOSOMATIC MEDICINE. 2022;84(3):288-296
    Lundholm C; Rejno G; Brew B; Smew AI; Saltvedt S; Almqvist C
  • Article: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2022;191(1):38-48
    Brew BK; Lundholm C; Osvald EC; Chambers G; Oberg S; Fang F; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2022;52(1):94-103
    Osvald EC; Gong T; Lundholm C; Larsson H; Brew BK; Almqvist C
  • Article: INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH. 2021;25:100415
    Bonnert M; Sarnholm J; Andersson E; Bergstrom S-E; Lalouni M; Lundholm C; Serlachius E; Almqvist C
  • Article: CHEST. 2021;160(2):422-431
    Rhedin S; Lundholm C; Osvald EC; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2021;51(7):883-891
    Rejnö G; Lundholm C; Saltvedt S; Larsson K; Almqvist C
  • Article: PEDIATRIC ALLERGY AND IMMUNOLOGY. 2021;32(4):709-719
    Hedman AM; Kuja-Halkola R; Ortqvist AK; van Hage M; Almqvist C; Nordlund B
  • Article: JAMA NETWORK OPEN. 2021;4(4):e215245
    Mubanga M; Lundholm C; D'Onofrio BM; Stratmann M; Hedman A; Almqvist C
  • Article: SCANDINAVIAN JOURNAL OF PSYCHOLOGY. 2020;61(6):827-834
    Bonnert M; Andersson E; Serlachius E; Manninen I-K; Bergstrom S-E; Almqvist C
  • Article: THORAX. 2020;75(12):1040-1046
    Osvald EC; Bower H; Lundholm C; Larsson H; Brew BK; Almqvist C
  • Article: SCIENTIFIC REPORTS. 2020;10(1):17819
    Hedman AM; Lundholm C; Andolf E; Pershagen G; Fall T; Almqvist C
  • Article: ERJ OPEN RESEARCH. 2020;6(4):295-2020
    Robijn AL; Brew BK; Jensen ME; Rejno G; Lundholm C; Murphy VE; Almqvist C
  • Article: PLOS GENETICS. 2020;16(6):e1008725
    Ferreira MAR; Vonk JM; Baurecht H; Marenholz I; Tian C; Hoffman JD; Helmer Q; Tillander A; Ullemar V; Lu Y; Grosche S; Rueschendorf F; Granell R; Brumpton BM; Fritsche LG; Bhatta L; Gabrielsen ME; Nielsen JB; Zhou W; Hveem K; Langhammer A; Holmen OL; Loset M; Abecasis GR; Willer CJ; Emami NC; Cavazos TB; Witte JS; Szwajda A; Hinds DA; Huebner N; Weidinger S; Magnusson PKE; Jorgenson E; Karlsson R; Paternoster L; Boomsma DI; Almqvist C; Lee Y-A; Koppelman GH
  • Article: SCIENTIFIC REPORTS. 2020;10(1):7661
    Lundholm C; Brew BK; D'Onofrio BM; Osvald EC; Larsson H; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2020;50(5):597-608
    Lundholm C; Gunnerbeck A; D'Onofrio BM; Larsson H; Pershagen G; Almqvist C
  • Article: JAMA NETWORK OPEN. 2020;3(3):e200834
    Smew AI; Lundholm C; Savendahl L; Lichtenstein P; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2020;50(2):222-230
    Almqvist C; Ekberg S; Rhedin S; Fang F; Fall T; Lundholm C
  • Article: SCIENTIFIC REPORTS. 2019;9(1):13101
    Rejno G; Lundholm C; Oberg S; Lichtenstein P; Larsson H; D'Onofrio B; Larsson K; Saltvedt S; Brew BK; Almqvist C
  • Article: PHARMACOEPIDEMIOLOGY AND DRUG SAFETY. 2019;28(8):1109-1116
    Dahlén E; Ekberg S; Lundholm C; Jonsson EW; Kull I; Wettermark B; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2019;49(6):883-891
    Gong T; Lundholm C; Rejnoe G; Bolte S; Larsson H; D'Onofrio BM; Lichtenstein P; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2019;49(6):892-899
    Brew BK; Soderberg J; Lundholm C; Afshar S; Holmberg K; Almqvist C
  • Article: EUROPEAN RESPIRATORY JOURNAL. 2019;53(5):1801090
    Shaheen SO; Lundholm C; Brew BK; Almqvist C
  • Article: AMERICAN JOURNAL OF HUMAN GENETICS. 2019;104(4):665-684
    Ferreira MAR; Mathur R; Vonk JM; Szwajda A; Brumpton B; Granell R; Brew BK; Ullemar V; Lu Y; Jiang Y; Magnusson PKE; Karlsson R; Hinds DA; Paternoster L; Koppelman GH; Almqvist C
  • Letter: ALLERGY. 2019;74(3):625-628
    Hedman AM; Lundholm C; Scheynius A; Alm J; Andolf E; Pershagen G; Almqvist C
  • Article: GUT. 2019;68(2):218-225
    Örtqvist AK; Lundholm C; Halfvarson J; Ludvigsson JF; Almqvist C
  • Preprint: BIORXIV. 2019
    Lehto K; Pedersen NL; Almqvist C; Lu Y; Brew BK
  • Article: PLOS ONE. 2019;14(12):e0227091
    Brew BK; Chiesa F; Lundholm C; Ortqvist A; Almqvist C
  • Article: SCIENTIFIC REPORTS. 2018;8(1):16899
    Fall T; Ekberg S; Lundholm C; Fang F; Almqvist C
  • Article: PHARMACOEPIDEMIOLOGY AND DRUG SAFETY. 2018;27(10):1139-1146
    Hedman AM; Gong T; Lundholm C; Dahlén E; Ullemar V; Brew BK; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2018;48(6):703-711
    Brew BK; Lundholm C; Gong T; Larsson H; Almqvist C
  • Article: ACTA PAEDIATRICA. 2018;107(6):1003-1010
    Smew AI; Hedman AM; Chiesa F; Ullemar V; Andolf E; Pershagen G; Almqvist C
  • Article: JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE. 2018;6(3):916-922.e6
    Rejno G; Lundholm C; Larsson K; Larsson H; Lichtenstein P; D'Onofrio BM; Saltvedt S; Almqvist C
  • Article: INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 2018;47(1):166-174
    Brew BK; Lundholm C; Viktorin A; Lichtenstein P; Larsson H; Almqvist C
  • Article: NATURE GENETICS. 2017;49(12):1752-1757
    Ferreira MA; Vonk JM; Baurecht H; Marenholz I; Tian C; Hoffman JD; Helmer Q; Tillander A; Ullemar V; van Dongen J; Lu Y; Rueschendorf F; Esparza-Gordillo J; Medway CW; Mountjoy E; Burrows K; Hummel O; Grosche S; Brumpton BM; Witte JS; Hottenga J-J; Willemsen G; Zheng J; Rodriguez E; Hotze M; Franke A; Revez JA; Beesley J; Matheson MC; Dharmage SC; Bain LM; Fritsche LG; Gabrielsen ME; Balliu B; Nielsen JB; Zhou W; Hveem K; Langhammer A; Holmen OL; Loset M; Abecasis GR; Willer CJ; Arnold A; Homuth G; Schmidt CO; Thompson PJ; Martin NG; Duffy DL; Novak N; Schulz H; Karrasch S; Gieger C; Strauch K; Melles RB; Hinds DA; Huebner N; Weidinger S; Magnusson PKE; Jansen R; Jorgenson E; Lee Y-A; Boomsma DI; Almqvist C; Karlsson R; Koppelman GH; Paternoster L
  • Article: TWIN RESEARCH AND HUMAN GENETICS. 2017;20(5):380-388
    Lindemalm C; Nordlund B; Ortqvist AK; Lundholm C; van Hage M; Gong T; Almqvist C
  • Letter: JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE. 2017;5(5):1451-1454.e4
    Örtqvist AK; Lundholm C; Fang F; Fall T; Almqvist C
  • Article: TWIN RESEARCH AND HUMAN GENETICS. 2017;20(4):330-337
    Nordlund B; Lundholm C; Ullemar V; van Hage M; Ortqvist AK; Almqvist C
  • Article: ANNALS OF THE AMERICAN THORACIC SOCIETY. 2017;14(7):1147-1153
    Ortqvist AK; Ullemar V; Lundholm C; Kuja-Halkola R; Magnusson PKE; Lichtenstein P; Hallberg J; Almqvist C
  • Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2017;45(17_suppl):36-40
    Brew BK; Gong T; Williams DM; Larsson H; Almqvist C
  • Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2017;45(17_suppl):30-35
    Gong T; Brew B; Sjolander A; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2016;46(6):803-812
    Tedner SG; Lundholm C; Olsson H; Almqvist C
  • Article: ALLERGY. 2016;71(2):230-238
    Ullemar V; Magnusson PKE; Lundholm C; Zettergren A; Melén E; Lichtenstein P; Almqvist C
  • Article: DIABETES CARE. 2015;38(12):2308-2315
    Khashan AS; Kenny LC; Lundholm C; Kearney PM; Gong T; McNamee R; Almqvist C
  • Article: JAMA PEDIATRICS. 2015;169(11):e153219
    Fall T; Lundholm C; Örtqvist AK; Fall K; Fang F; Hedhammar Å; Kämpe O; Ingelsson E; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2015;45(8):1328-1336
    Ullemar V; Lundholm C; Almqvist C
  • Article: TWIN RESEARCH AND HUMAN GENETICS. 2015;18(3):256-265
    Ullemar V; Lundholm C; Örtqvist AK; Gumpert CH; Anckarsäter H; Lundström S; Almqvist C
  • Article: TWIN RESEARCH AND HUMAN GENETICS. 2015;18(3):273-280
    Almqvist C; Örtqvist AK; Ullemar V; Lundholm C; Lichtenstein P; Magnusson PKE
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2015;45(5):964-973
    Holmberg K; Lundholm C; Anckarsäter H; Larsson H; Almqvist C
  • Article: BMJ-BRITISH MEDICAL JOURNAL. 2014;349:g6979
    Örtqvist AK; Lundholm C; Kieler H; Ludvigsson JF; Fall T; Ye W; Almqvist C
  • Article: PEDIATRICS. 2014;134(3):e806-e813
    Khashan AS; Kenny LC; Lundholm C; Kearney PM; Gong T; Almqvist C
  • Article: PLOS ONE. 2014;9(9):e106579
    Gong T; Lundholm C; Rejnö G; Mood C; Långström N; Almqvist C
  • Article: PLOS ONE. 2014;9(8):e104755
    Rejnö G; Lundholm C; Gong T; Larsson K; Saltvedt S; Almqvist C
  • Article: PHARMACOEPIDEMIOLOGY AND DRUG SAFETY. 2013;22(8):850-860
    Örtqvist AK; Lundholm C; Wettermark B; Ludvigsson JF; Ye W; Almqvist C
  • Article: PLOS ONE. 2013;8(6):e66040
    Havland I; Lundholm C; Lichtenstein P; Neiderhiser JM; Ganiban JM; Spotts EL; Walum H; Reiss D; Almqvist C
  • Review: CLINICAL AND EXPERIMENTAL ALLERGY. 2012;42(10):1430-1447
    Tedner SG; Örtqvist AK; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2012;42(9):1369-1376
    Almqvist C; Cnattingius S; Lichtenstein P; Lundholm C
  • Article: ALLERGY. 2011;66(9):1224-1230
    Mogensen N; Larsson H; Lundholm C; Almqvist C
  • Article: PLOS ONE. 2011;6(11):e27202
    Fang F; Hoglund CO; Arck P; Lundholm C; Langstrom N; Lichtenstein P; Lekander M; Almqvist C
  • Article: CLINICAL AND EXPERIMENTAL ALLERGY. 2010;40(7):1044-1053
    Lundholm C; Ortqvist AK; Lichtenstein P; Cnattingius S; Almqvist C
  • Article: PEDIATRICS. 2009;124(4):e737-e743
    Ortqvist AK; Lundholm C; Carlstrom E; Lichtenstein P; Cnattingius S; Almqvist C
  • Show more

Funding

Grants

  • Swedish Research Council
  • Treatment of rhinoconjunctivitis with allergen immunotherapy in children and adolescents - long-term effects, asthma onset and compliance
    Region Stockholm, ALF
  • Asthma in children, pregnant women and adults; anxiety, socio-economy and familial factors – and internet-based treatment
    The Swedish Heart Lung Foundation
  • Food Allergies and Stress in Parents and Children – Heredity and Environment
    Swedish Asthma and Allergy Association

Staff and contact

Group leader

All members of the group

Visiting address

Nobels väg 12A; Stockholm, 17177

Appeasing the wheezing

We study causes, consequences and comorbidities for asthma and other diseases in childhood and adolescence. This is accomplished by combining questionnaire data and biomarkers in the Swedish Twin Registry with the national health-, sociodemographic- and quality registers using novel analytical methods and innovative study designs. 

Project leader

Profile image

Catarina Almqvist Malmros

Professor/Senior Physician

Co-investigators

Profile image

Samuel Rhedin

Postdoctoral Studies

Awad I. Smew

Postdoctoral Researcher
Profile image

Emma Caffrey Osvald

Affiliated to Research

Doctoral students

Hedvig von Ehrenheim

Affiliated to Research

We also have strong collaborations with several researchers at KI, nationally and internationally and contribute with data towards a number of consortia such as the SHARE, PACE and HEALS. More information can be found at the . 

Collaborations:  and

If you have a project proposal or would like to collaborate, please contact Catarina Almqvist Malmros

Grants: Vetenskapsrådet, Hjärt-lungfonden, Astma- och Allergiförbundet, Åke Wiberg, Stiftelsen Samariten, Sällskapet Barnavård, KI Fonder, Region Stockholm and KID funding.

Media

  • Swedish newspaper article in Dagens Nyheter:
  • Swedish newspaper article in Svenska Dagbladet:

Publications


Rhedin S, Lundholm C, Horne A, Smew AI, Osvald EC, Haddadi A, Alfvén T, Kahn R, Król P, , Brew BH, Almqvist C
Lancet Reg Health Eur 2022 Aug;19():100443


Gunnerbeck A, Lundholm C, Rhedin S, Mitha A, Chen R, D'Onofrio BM, Almqvist C
Pediatr Res 2023 Aug;94(2):811-819


Mubanga M, Lundholm C, Rohlin ES, Rejnö G, Brew BK, Almqvist C
Pediatr Allergy Immunol 2023 Jan;34(1):e13904


Smew AI, Lundholm C, Gong T, Sävendahl L, Lichtenstein P, Brew BK, Almqvist C
BMJ Open Diabetes Res Care 2023 Apr;11(2):


Mubanga M, Brew BH, Karim H, Curman P, Hedman A, Lundholm C, Almqvist C
Allergy 2023 Sep;78(9):2556-2558


Vartiainen P, Jukarainen S, Rhedin SA, Prinz A, Hartonen T, Vabalas A, Viippola E, Rodosthenous RS, Koskelainen S, Liu A, Lundholm C, Smew AI, Osvald EC, Helle E, Perola M, Almqvist C, Heinonen S, Ganna A
Lancet Digit Health 2023 Nov;5(11):e821-e830


Brew BK, Gong T, Ohlin E, Hedman AM, Larsson H, Curman P, Lundholm C, Almqvist C
Pediatr Allergy Immunol 2024 Feb;35(2):e14085


Gong T, Brew BK, Lundholm C, Smew AI, Harder A, Kuja-Halkola R, Ludvigsson JF, Lu Y, Almqvist C
Inflamm Bowel Dis 2024 Feb;():

Born into Life

Born into life is a longitudinal study before, during and in the first years of life. 

Background

The study participants in the Pregnancy Study were recruited from participants in the LifeGene study who became pregnant. The women were examined on two occasions during pregnancy (questionnaires, saliva, blood and stool samples) and in connection with childbirth. Some of the study participants in the Pregnancy Study also had partners who participated in the LifeGene study. Their children were then recruited into the Birth Cohort, and examined (questionnaires, height and weight, blood sampling, stool and saliva) at 6, 12 and 24 months of age and at 5-6 years of follow-up when lung function testing was also performed. Please read our cohort description of and see flowchart below on occasions and biosamples collected.

We have now examined 107 women and their children with repeated measurements before, during and after pregnancy. We have also completed the data collection for the 5-6 year follow-up, and data is processed and samples are analyzed.

Why research related to pregnancy?

We know that conditions before, during fetal life and in the first years of life affect growth, ill health and diseases later in life. Previous research studies have shown that factors in both heredity and the environment are involved in the reason why some children and young people develop, for example, asthma and allergies. However, it is still not clear how these factors interact at an early stage.

Collaboration

We welcome researchers to new and innovative collaborations on research issues using data from the Born-into-Life cohort.

Flowchart of the study

Contact

Profile image

Catarina Almqvist Malmros

Professor/Senior Physician
Profile image

Anna Hedman

Senior Research Specialist

Publications


Poganik JR, Zhang B, Baht GS, Tyshkovskiy A, Deik A, Kerepesi C, Yim SH, Lu AT, Haghani A, Gong T, Hedman AM, Andolf E, Pershagen G, Almqvist C, Clish CB, Horvath S, White JP, Gladyshev VN
Cell Metab 2023 May;35(5):807-820.e5


He S, Klevebro S, Baldanzi G, Pershagen G, Lundberg B, Eneroth K, Hedman AM, Andolf E, Almqvist C, Bottai M, Melén E, Gruzieva O
Environ Res 2022 Dec;215(Pt 2):114364


Wernroth ML, Peura S, Hedman AM, Hetty S, Vicenzi S, Kennedy B, Fall K, Svennblad B, Andolf E, Pershagen G, Theorell-Haglöw J, Nguyen D, Sayols-Baixeras S, Dekkers KF, Bertilsson S, Almqvist C, Dicksved J, Fall T
Sci Rep 2022 May;12(1):9080


Kheirkhah Rahimabad P, Arshad SH, Holloway JW, Mukherjee N, Hedman A, Gruzieva O, Andolf E, Kere J, Pershagen G, Almqvist C, Jiang Y, Chen S, Karmaus W
Reprod Sci 2021 Jan;28(1):218-227


Tobi EW, Almqvist C, Hedman A, Andolf E, Holte J, Olofsson JI, Wramsby H, Wramsby M, Pershagen G, Heijmans BT, Iliadou AN
Hum Reprod 2021 Jan;36(1):248-259


Thiagarajan D, Lundström SL, Pershagen G, Almqvist Malmros C, Andolf E, Hedman A, et al
J Immunol 2020 Oct;205(8):2109-2116


Hedman AM, Lundholm C, Andolf E, Pershagen G, Fall T, Almqvist C
Sci Rep 2020 10;10(1):17819


Luo R, Mukherjee N, Chen S, Jiang Y, Arshad SH, Holloway JW, Hedman A, Gruzieva O, Andolf E, Pershagen G, Almqvist C, Karmaus WJ
Epigenet Insights 2020 ;13():2516865720930701


Gruzieva O, Merid SK, Chen S, Mukherjee N, Hedman AM, Almqvist C, et al
Epigenet Insights 2019 ;12():2516865719867090


Kennedy B, Peura S, Hammar U, Vicenzi S, Hedman A, Almqvist C, et al
Sci Rep 2019 12;9(1):19025


Fall T, Hedman A, Pershagen G, Andolf E, Almqvist C, Helmersson-Karlqvist J, Larsson A
Clin Lab 2019 Jul;65(7):


Peura S, Fall T, Almqvist C, Andolf E, Hedman A, Pershagen G, et al
Scand. J. Clin. Lab. Invest. ;78(1-2):120-124


Hedman AM, Lundholm C, Scheynius A, Alm J, Andolf E, Pershagen G, et al
Allergy 2019 Mar;74(3):625-628


Smew AI, Hedman AM, Chiesa F, Ullemar V, Andolf E, Pershagen G, et al
Acta Paediatr. 2018 Jun;107(6):1003-1010

MAESTRO

In total 1693 women were recruited the MAESTRO-study in the years 2013-2019. Questionnaires and saliva samples were collected from the women in early pregnancy (pregnancy week 8-12), towards the end of the pregnancy (pregnancy week 28-32) and 6 months after delivery.  Data was collected from the women’s ̽ѡ notes and the sonography results from the antenatal/midwife clinic and from delivery. We also measured lung function using spirometry in 250 study participants during and after their pregnancy. More information can be found in our recent publications.

In the MAESTRO-CHILD study we are following up the children born to the mothers who participated in the MAESTRO-study.

Background and aims

Asthma is one of the most common chronic respiratory diseases in children and adults and is also prevalent among pregnant women. Knowledge surrounding how asthma impacts the pregnancy and offspring is lacking. Some studies suggest that stress during pregnancy effects pregnancy and delivery outcomes and increases the risk that the child develops asthma. The knowledge gained from this research is pivotal to allow for prevention. The aim with the MAESTRO-study is to understand how mothers with different levels of stress and asthma influences their pregnancy and delivery.  These women are then compared with women without asthma. We are interested to understand factors which contribute to the development of asthma, amount of asthma medication used during the pregnancy and if there is an association between stress levels and other factors in the environment.

Asthma in the mother and other factors during pregnancy and delivery (diet, infections, anxiety and environmental factors) can also be associated with the development of common diseases in the child. We are interested to study these factors and follow the woman during her pregnancy and the subsequent offspring and family after delivery and into childhood.

MAESTRO-study – data collection is complete. Analyses are ongoing and articles will be published in due course.

MAESTRO-CHILD 3-year follow up.

The children in the MAESTRO-CHILD study were recruited by contacting the mothers who had participated in the MAESTRO study. Parents/guardians who wanted their child to participate in the study received a questionnaire when the child was 3 years old. The parents were asked to answer questions regarding the child´s health since birth including breastfeeding, diet and environmental factors as well as which infections the children had had and which, if any, of the common childhood diseases the children had developed. We also asked questions regarding background factors in the parents and in the family (for example parental education).  Parents/guardians were asked for written consent for their child to be part of the study and to link the collected data to our national health registers.

Those parents/guardians who chose for their children to participate in the MAESTRO-CHILD study also received a test kit in the post for saliva samples which parents/guardians collected from their children and sent back to us. The saliva samples were tested for cortisol levels which is a measure of stress. In total we recruited 550 children to the MAESTRO-CHILD 3 year follow up.

MAESTRO-CHILD 8-year follow-up

We are now planning an 8 year follow-up of the children. The parents/guardians and children who participated in the 3 year follow-up will receive a questionnaire. They will be asked to answer questions on the child’s health since the 3 year follow-up, infections, diet and environmental factors as well as which if any of the common childhood diseases the children have developed. 

Those who choose to continue to participate in the study will again receive a test kit in the post for saliva samples which parents/guardians will collect from their children and send back to us. The saliva sample will be tested for cortisol levels which is a measure of stress. We will also ask a number of children to come for a health check-up where we will measure length, weight, lung function and take blood and faecal samples.

Contact information

Postal address
MEB/ MAESTRO
̽ѡ
Box 281
17177 Stockholm

Contact persons

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Catarina Almqvist Malmros

Professor, project leader
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Emma Caffrey Osvald

Affiliated to Research
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Samuel Rhedin

Postdoctoral Studies
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Aki Tuuliainen

System Developer

Publications from the MAESTRO-study


Rejnö G, Lundholm C, Saltvedt S, Larsson K, Almqvist C
Clin Exp Allergy 2021 07;51(7):883-891


Lundholm C, Rejnö G, Brew B, Smew AI, Saltvedt S, Almqvist C
Psychosom Med 2022 04;84(3):288-296

STOPPA

Asthma is a common childhood disease and several risk factors have been identified; however, the impact of genes and environment is not fully understood. Based on the Child and Adolescent Twin Study in Sweden (CATSS), which is part of the Swedish Twin Registry, parental interview at 9 or 12 years and an asthma and/or wheezing algorithm, we identified monozygotic (MZ) and dizygotic (DZ) same-sexed twin pairs. The twin pairs were classified as asthma concordant (ACC), asthma discordant (ADC) and healthy concordant (HCC). A sample of 9- to 14-year-old twins and their parents were invited to participate in a clinical examination.

Background characteristics were collected in questionnaires and obtained from the National Health Registers. A clinical examination was performed to test lung function and capacity (spirometry with reversibility test and exhaled nitric oxide) and collect blood (serology, genomics, epigenomics, transcriptomics and proteomics), urine (metabolites), feces (microbiota), and saliva (cortisol).

The data-collection is now completed and in total, 376 twin pairs (752 individual twins) contributed to the study, with a response rate of 52%. All participating twins answered the questionnaire and >90% participated in lung function testing, blood-, and saliva sampling. We have a number of ongoing and planned analyses in STOPPA and contribute towards consortia such as and the Genomic Agregation Project in Sweden (GAPS). Another collaborative project is .

We welcome fellow researchers to novel and innovative collaborations on research questions using data derived from the STOPPA cohort.

Contact

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Catarina Almqvist Malmros

Professor/Senior Physician
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Anna Hedman

Senior Research Specialist

Publications


Almqvist C, Örtqvist AK, Ullemar V, Lundholm C, Lichtenstein P, Magnusson PK
Twin Res Hum Genet 2015 Jun;18(3):273-80


Örtqvist AK, Ullemar V, Lundholm C, Kuja-Halkola R, Magnusson PKE, Lichtenstein P, et al
Ann Am Thorac Soc 2017 Jul;14(7):1147-1153


Nordlund B, Lundholm C, Ullemar V, van Hage M, Örtqvist AK, Almqvist C
Twin Res Hum Genet 2017 08;20(4):330-337


Lindemalm C, Nordlund B, Örtqvist AK, Lundholm C, van Hage M, Gong T, et al
Twin Res Hum Genet 2017 10;20(5):380-388


Silventoinen K, Jelenkovic A, Latvala A, Sund R, Yokoyama Y, Ullemar V, et al
Twin Res Hum Genet 2017 10;20(5):395-405


Ferreira MA, Vonk JM, Baurecht H, Marenholz I, Tian C, Hoffman JD, et al
Nat. Genet. 2017 Dec;49(12):1752-1757


Felix JF, Joubert BR, Baccarelli AA, Sharp GC, Almqvist C, Annesi-Maesano I, et al
Int J Epidemiol 2018 02;47(1):22-23u


Ferreira MAR, Vonk JM, Baurecht H, Marenholz I, Tian C, Hoffman JD, et al
J. Allergy Clin. Immunol. 2019 02;143(2):691-699


Reese SE, Xu CJ, den Dekker HT, Lee MK, Sikdar S, Ruiz-Arenas C, et al
J. Allergy Clin. Immunol. 2019 Jun;143(6):2062-2074


Ferreira MAR, Mathur R, Vonk JM, Szwajda A, Brumpton B, Granell R, et al
Am. J. Hum. Genet. 2019 04;104(4):665-684


Küpers LK, Monnereau C, Sharp GC, Yousefi P, Salas LA, Ghantous A, et al
Nat Commun 2019 04;10(1):1893


Brew BK, Chiesa F, Lundholm C, Örtqvist A, Almqvist C
PLoS One 2019 ;14(12):e0227091


Ferreira MAR, Vonk JM, Baurecht H, Marenholz I, Tian C, Hoffman JD, Helmer Q, Tillander A, Ullemar V, Lu Y, Grosche S, Rüschendorf F, Granell R, Brumpton BM, Fritsche LG, Bhatta L, Gabrielsen ME, Nielsen JB, Zhou W, Hveem K, Langhammer A, Holmen OL, Løset M, Abecasis GR, Willer CJ, Emami NC, Cavazos TB, Witte JS, Szwajda A, , , Hinds DA, Hübner N, Weidinger S, Magnusson PK, Jorgenson E, Karlsson R, Paternoster L, Boomsma DI, Almqvist C, Lee YA, Koppelman GH
PLoS Genet 2020 06;16(6):e1008725


Kere M, Gruzieva O, Ullemar V, Söderhäll C, Greco D, Kull I, Bergström A, Pershagen G, Almqvist C, Melén E
Allergy 2020 03;75(3):688-691


Vehmeijer FOL, Küpers LK, Sharp GC, Salas LA, Lent S, Jima DD, Tindula G, Reese S, Qi C, Gruzieva O, Page C, Rezwan FI, Melton PE, Nohr E, Escaramís G, Rzehak P, Heiskala A, Gong T, Tuominen ST, Gao L, Ross JP, Starling AP, Holloway JW, Yousefi P, Aasvang GM, Beilin LJ, Bergström A, Binder E, Chatzi L, Corpeleijn E, Czamara D, Eskenazi B, Ewart S, Ferre N, Grote V, Gruszfeld D, Håberg SE, Hoyo C, Huen K, Karlsson R, Kull I, Langhendries JP, Lepeule J, Magnus MC, Maguire RL, Molloy PL, Monnereau C, Mori TA, Oken E, Räikkönen K, Rifas-Shiman S, Ruiz-Arenas C, Sebert S, Ullemar V, Verduci E, Vonk JM, Xu CJ, Yang IV, Zhang H, Zhang W, Karmaus W, Dabelea D, Muhlhausler BS, Breton CV, Lahti J, Almqvist C, Jarvelin MR, Koletzko B, Vrijheid M, Sørensen TIA, Huang RC, Arshad SH, Nystad W, Melén E, Koppelman GH, London SJ, Holland N, Bustamante M, Murphy SK, Hivert MF, Baccarelli A, Relton CL, Snieder H, Jaddoe VWV, Felix JF
Genome Med 2020 11;12(1):105


Hedman AM, Kuja-Halkola R, Örtqvist AK, van Hage M, Almqvist C, Nordlund B
Pediatr Allergy Immunol 2021 May;32(4):709-719


Abdel-Aziz MI, Neerincx AH, Vijverberg SJH, Hashimoto S, Brinkman P, Gorenjak M, Toncheva AA, Harner S, Brandstetter S, Wolff C, Perez-Garcia J, Hedman AM, Almqvist C, Corcuera-Elosegui P, Korta-Murua J, Sardón-Prado O, Pino-Yanes M, Potočnik U, Kabesch M, Kraneveld AD, Maitland-van der Zee AH, On Behalf Of The SysPharmPediA Consortium 
J Pers Med 2021 May;11(6):


Mitselou N, Andersson N, Bergström A, Kull I, Georgelis A, van Hage M, Hedman AM, Almqvist C, Ludvigsson JF, Melén E
Allergy 2022 May;77(5):1570-1582


Shahbazi Khamas S, Van Dijk Y, Abdel-Aziz MI, Neerincx AH, Blankestijn J, Vijverberg SJH, Hashimoto S, Bush A, Kraneveld AD, Hedman AM, Toncheva AA, Almqvist C, Wolff C, Murray CS, Hedlin G, Roberts G, Adcock IM, Korta-Murua J, Bønnelykke K, Fleming LJ, Pino-Yanes M, Gorenjak M, Kabesch M, Sardón-Prado O, Montuschi P, Singer F, Corcuera-Elosegui P, Fowler SJ, Brandstetter S, Harner S, Dahlén SE, Potočnik U, Frey U, van Aalderen W, Brinkman P, Maitland-van der Zee AH
Am J Respir Crit Care Med 2024 Apr;():

Keywords:
Asthma Epidemiology Pediatrics Public Health, Global Health and Social Medicine Respiratory Medicine and Allergy
Content reviewer:
28-03-2025