====== ROAHD (ROAQ) ======

'Female Reproductive Health’ is the name of an [[additional assessments|additional questionnaire]].\\
The project was a collaboration between Lifelines and the [[https://www.umcg.nl/EN/Research/Paginas/default.aspx|University Medical Center Groningen]] Department of Obstetrics and Gynaecology.\\
The study is part of the program ‘Reproductive Origins of Adult Health and Disease' ([[https://www.umcg.nl/EN/Research/InstitutesProgrammes/SHARE/Programmes/Paginas/ROAHD.aspx|ROAHD]]) which aims to research the factors that influence the health of mother, father and child before, during and after pregnancy.\\ 
The goal of the questionnaire was to assess potential predictors (e.g. demographic, biological, lifestyle and social) for:
  * conception (with or without ART)
  * pregnancy (with or without complications)
  * birth (with/without interventions and outcomes for both mother and child)
  * health outcomes for mother and child (short and long-term). 

===== Protocol =====
Female participants in the age of 18-45 year were invited to fill out the questionnaire. All women filled out the first part of the questionnaire (on general female health), the second part of the questionnaire (on pregnancies) was filled out for all pregnancies that a participant had (independent of the outcome).

The ROAQ questionnaire was send out in the period March 2017 – February 2018. 

===== Subcohort =====

~23,000 women were invited for ROAQ.
The response rate on the general health questionnaire was: 23% (n=~5,500).
Of this group, 59% (~3,200) also filled out a questionnaire for one or more pregnancies.

===== Variables =====

ROAQ assessed variables in the following subsections:

**FEMALE HEALTH**\\

  - [[Menstruation]]
  - [[Medication]]
  - [[Contraception]]
  - [[Reproductive organ diseases]]
  - [[Kidney/bladder diseases]]
  - [[Adrenal gland disorders]]
  - [[Eating disorders]]
  - [[Cancer]]
  - [[STDs]]
  - [[Gynecological surgery]]
  - [[Fertility]]
  - [[Pregnancy outcomes]]
  - [[Prenatal environment|Prepartum environment]]
  - [[Birth (of offspring)]]
  - [[Postpartum health]]
  - [[Family planning]]

**PREGNANCY**

  - [[Pregnancy outcomes]]
  - [[Peripartum body weight]]
  - [[Fertility]]
  - [[Prenatal lifestyle|Prepartum lifestyle]]
  - [[Folic acid use]]
  - [[Pregnancy complications]]
  - [[Birth (of offspring)]]
  - [[Perinatal hospitalization|Peripartum hospitalization]]
  - [[Postnatal health]]
  - [[Postnatal wellbeing]]
  - [[Breastfeeding]]
  - [[Daycare use]]

==== Publications ====

Peters, L.L. et al. (2023) [[https://bmjopen.bmj.com/content/13/5/e063890.long|Women of reproductive age living in the North of the Netherlands: Lifelines Reproductive Origins of Adult Health and Disease (Lifelines-ROAHD) cohort]] BMJ Open 13(5): e063890