Skip to main content

Table 2 Summary table

From: Paternal preconception modifiable risk factors for adverse pregnancy and offspring outcomes: a review of contemporary evidence from observational studies

First Author & Year

Location

Design & Duration

Sample

Exposure Measure

Paternal Exposure

Confounders

Outcome Measure

Outcome

Quality±

Body Composition

   Bowatte et al. 2022 [25]

Australia

Cohort [Prospective] Tasmanian Longitudinal Health Study (TAHS) 1968—2021

Mothers & Fathers (N= 836) of offspring (n = 1,938)

Paternal height and weight obtained from school medical records

BMI – BMI trajectory from early childhood (4–6 years) to late childhood (9–10 years) and adolescence (14–15 years)

1)Maternal report of asthma at 14 years 2) Paternal report of asthma at 14 years 3) Grandfather or Grandmother ever asthma 4) Smoking status of Grandfather or Grandmother during paternal childhood 5) Grandfather’s occupation

1) ‘Ever’ Allergic asthma 2) Asthma onset before 10 years old 3) Asthma onset after 10 years old

Offspring asthma

5

   Broadney et al. 2017 [35]

USA

Cohort [Retrospective] Upstate KIDS Study (Population-based) 2008–2010

Mothers & Fathers (N = 2,974) of infants (n = 3,555)

Maternal report of paternal weight & height on baseline questionnaire at 4 months postpartum

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Maternal age, 2) Race/ethnicity, 3) Education, 4) Private insurance, 5) Maternal smoking during pregnancy, 6) Alcohol use during pregnancy, 7) Parity, 8) Infant plurality, 9) Maternal pre-pregnancy BMI

Inflammatory biomarker [CRP] and Ig levels

Inflammation & immune response of neonates

6

   Casas et al. 2017 [36]

Spain

Cohort [Prospective] INfancia y Medio Ambiente- Environment and Childhood [INMA] (Population-based) 2003–2008

Pregnant couples & their expectant children (N= 1,827)

Maternal report of paternal weight & height at first prenatal visit approximately 14 weeks of gestation

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Parental age, 2) Sex of the child, 3) Parental education, 4) Parental social class, 5) Parity, 6) Maternal IQ, 7) Maternal employment status during pregnancy and at 5 years, 8) Breastfeeding duration, 9) Daycare attendance, 10) Child physical activity, 11) Maternal BMI

1) McCarthy Scales of Children's Abilities (MSCA) [contexualized to Spanish], & 2) The attention deficit hyoperactivity disorder [ADHD] Criteria of Diagnostic and Statistical Manual of Mental Health Disorders—4th Edition (ADHD-DSM-IV)

Neuropsychological development of preschool children around 5 years old

9

   Chen et al. 2021 [37]

China

Cohort [Retrospective] Women’s Hospital, School of Medicine, Zhejiang University (Hospital-based) 2013—2016

Subfertile couples (Males [N = 2,318]) undergoing IVF/ICSI fresh embryo transfer cycles resulting in singletons (n = 1,366) and twins (n = 952)

Third Party—Measurement of paternal weight and height by trained nurse

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1)Parental age, 2) type of infertility, 3) duration of infertility, 4) ovulatory dysfunction, 5) endometriosis, 6) maternal prepregnancy BMI

International classification of Diseases, 10th Revision (ICD-10) into 9 subcategories

Birth defect

5

   Fang et al. 2020 [38]

China

Cohort [Retrospective] National Free Preconception Health Examination Project (NFPHEP) (Population-based) 2012–2016

Couples planning to conceive [Males [N = 50,927])

Third Party—Measurement of paternal weight and height by physician

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1)Age, 2) type of household, 3) education, 4) smoking, 5) alcohol consumption, 6) psychosocial pressure and ready for pregnancy 7) cycle regularity, 8) age of menarche, 9) gravidity, 10) spontaneous abortion, 11) induced abortion

Time to pregnancy (TTP) = interval between the date of enrolment and last menstrual period (LMP)

Fecundability

5

   Fleten et al. 2012 [39]

Norway

Cohort [Prospective] Norwegian Mother and Child cohort study (MoBa) (Population-based) 1999–2009

Pregnant couples & their expectant children (N = 29,216)

Paternal self-report of weight and height (20%) OR maternal report of paternal weight and height (80%) at approximately 17 weeks of gestation

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Parental educational level (years), 2) Paternal and maternal prenatal smoking, 3) Maternal coffee consumption during pregnancy, 4) Parental BMI

Body mass index (BMI) at 3 years old

Offspring adiposity

6

   Guo et al. 2022 [40]

China

Cohort [Retrospective] National Free Pre-conception Check-up Projects (NFPCP) 2013–2017

Nulliparous couples attempting pregnancy (Males [N = 4,719,813])

Third Party—Physician measurement of paternal weight and height

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared) during participation in the NFPCP

1)Maternal and paternal age at last menstrual period, 2) Maternal and paternal height 3) Education level, 4) Parity, 5) Ethnicity, 6) Area of residence 7) Maternal Diabetes, 8) Maternal Hypertension, 9) Smoking 10) Alcohol use 11) Passive smoking 12) History of adverse pregnancy incl preterm birth, stillbirth, or spontaneous abortion in previous pregnancies

1) Large-for-gestational- age (LGA) = birthweight above 90th percentile according to birthweight centiles for a Chinese population, & 2) Small-for-gestational-age (SGA) = birthweight below the tenth percentile on birthweight centiles for a Chinese population

Offspring birthweight

6

   Hoek et al. 2022 [41]

The Netherlands

Cohort [Prospective] Rotterdam Periconception Cohort (PREDICT Study) (Hospital-based) 2017–2019

Subfertile couples (Males [N = 221]) undergoing IVF/ICSI with cultured embryos (n = 757)

Third party—Anthropometric assessment completed by a trained nurse at baseline

BMI—"Preconceptional" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Total motile sperm count [TMSC], 2) Age, 3) Ethnicity, 4) Smoking, 5) Alcohol use, 6) Education

1) Fertilization rate, 2) TMSC 3) Embryo developmental morphokinetics, 4) Embryo quality assessed by a time-lapse prediction algorithm (KIDScore), & 5) Live birth rate

IVF/ICSI induced live birth

8

   Johannessen et al. 2020 [33]

Northern Europe Denmark Norway Sweden Iceland Estonia & Spain Australia

Cohort [Prospective] The Respiratory Health in Northern Europe, Spain and Australia multigeneration study (RHINESSA) (Population-based) 2013–2016

Mothers & Fathers (N = 2044), of adult offspring (n = 2,822)

Paternal self-report based upon validated figural drawing scale of 9 sex-specific silhouettes

BMI—“Overweight status” To identify subjects at risk for overweight body size (BMI, 25–30 kg/m2) at 8 years old, at puberty, and at age 30 years before offspring conception

1)Paternal asthma status, 2) Education level 3) Maternal overweight status 4) Maternal asthma status 5) Offspring sex 6) Offspring age

Parent report in the RHINESSA questionnaire

Adult offspring asthma with or without nasal allergies

6

   Lonnebotn et al. 2022 [34]

Northern Europe Denmark Norway Sweden Iceland Estonia & Spain Australia

Cohort [Prospective] The Respiratory Health in Northern Europe, Spain and Australia multigeneration study (RHINESSA) (Population-based) 2013–2016

Mothers & Fathers (N = 308) of adult offspring (n = 420)

Paternal self-report based upon validated figural drawing scale of 9 sex-specific silhouettes

BMI—“Overweight status” To identify subjects at risk for overweight body size (BMI, 25–30 kg/m2) at 8 years old and at puberty

1)Maternal education 2) Paternal education 3) Offspring age 4) Smoking history

Pre/post bronchodilator forced expiratory volume in one second (FEV1) & forced vital capacity (FVC)

Adult offspring lung function

7

   Moss et al. 2015a [42]

USA

Longitudinal cohort [Prospective] National Longitudinal Study of Adolescent Health (Add Health) 1994–2008

Adolescents (grades 7 -12) followed into adulthood becoming Mothers & Fathers of infants (N = 372)

Third party—Anthropometric assessment completed by a trained professional at baseline

BMI—"Preconception" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Parents age at birth, 2) Race/ethnicity, 3) Immigrant status, 4) Education level, 5) Socioeconomic status, 6) Infant sex, 7) Initiation of prenatal care, 8) Parity, 9) Time between wave III interview and conception, 10) Relationship type at wave III

Respondent self-report on Wave IV questionnaire

Gestational age & offspring birthweight

7

   Mutsaerts et al. 2014a [43]

The Netherlands

Cohort [Prospective] Groningen Expert Center for Kids with Obesity [GECKO] Drenthe cohort (Population-based) 2006–2007

Pregnant couples & their expectant children (N = 2,264)

Paternal self-report of weight and height on baseline questionnaire during third trimester or within 6 months postpartum

BMI—"Prepregnancy" Body mass index [BMI] at conception

Nil

Questionnaire, shortly after birth, completed by midwife or gynaecologist

Spontaneous preterm birth & Small for gestational age (SGA)

3

   Noor et al. 2019 [44]

USA

Longitudinal cohort [Prospective] Project Viva birth cohort study of mothers and children 1999–2019

Pregnant couples & their expectant children (N = 429)

Maternal report of paternal weight & height at first prenatal visit approximately 10 weeks gestation

BMI—"Periconception" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Maternal prepregnancy BMI, 2) Maternal Age, 3) Gestational weight gain, 4) Household income, 5) Maternal education, 6) Maternal smoking, 7) Maternal alcohol use, 8) Marital status, 9) Infant's sex, 10) Race/ethnicity, 11) Gestational age at delivery, 12) Mode of delivery, 13) Birth weight, 14) Batch effects, 15) Estimated nucleated cell types from cord blood 16) WBC's

Blood samples collected at birth, age 3 years & 7 years

Genome-wide DNA methylation patterns and birthweight in offspring

7

   Pomeroy et al. 2015 [23]

Australia

Cohort [Prospective] Mater-University of Queensland Study of Pregnancy (MUSP) 1982–1983

Mothers and Fathers of infants (N= 1,041)

Maternal report of paternal weight and height at first prenatal visit approximately 18 weeks of gestation

BMI—"Pre-pregnancy" height & body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Parity, 2) Maternal education, 3) Maternal smoking in the last trimester, 4) Maternal age at birth

1) Birthweight, 2) Neck-rump length 3) Head circumference, 3) Absolute and proportional limb segment and trunk lengths & 4) Subcutaneous fat

Neonatal body measurements

6

   Retnakaran et al. 2021 [45]

China

Cohort [Prospective] Liuyang Preconception cohort 2009 -

Newly married couples attempting pregnancy and their expectant children (N = 1,292)

Third party—Anthropometric assessment completed by trained staff at baseline

BMI—"Pregravid" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Age, 2) Years of education, 3) Smoking status, 4) BMI, 5) Household income 6) Length of gestation, 7) Total gestational weight gain, 8) Gestational diabetes, 9) Preeclampsia, & 10) Infant sex

1) Large-for-gestational- age (LGA) = birthweight above 90th percentile according to birthweight centiles for a Chinese population, & 2) Small-for-gestational-age (SGA) = birthweight

below the tenth percentile on birthweight centiles for a Chinese population

Offspring birthweight

8

  Robinson et al. 2020 [46]

USA

Cohort [Prospective] Upstate KIDS study (Population-based) 2008–2010

Mothers and Fathers of children (N= 1,915)

Maternal report of paternal weight & height on baseline questionnaire at 4 months postpartum

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Maternal & paternal age, 2) Insurance status, 3) Child sex, 4) Maternal race/ethnicity, 5) Education, 6) Marital status, 7) History of polycystic ovary syndrome (PCOS) and/or diagnosis, 8) Smoking, 9) Alcohol intake, 10) Maternal & paternal history of affective disorders, 11) BMI, 12) Maternal prepregnancy BMI

1) Positive history of attention deficit hyperactivity disorder (ADHD) or anxiety disorder 2) Positive screening for ADHD and the inattentive or hyperactive/impulse sub scales OR report of clinical ADHD diagnosis 3) Parental report of child borderline behavioural problems at 7 or 8 years of age

Offspring behavioural problems and psychiatric symptoms at 7–8 years

7

   Sun et al. 2022 [47]

China

Cohort [Prospective] Hunan Maternal and Child Health Hospital (Hospital-based) 2013–2019

Couples receiving antenatal care (Males [N = 34,104)

Third party – Paternal height and weight measured at 14–16 weeks gestation

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1)Paternal age, 2) maternal age, 3) maternal BMI, 4) residence location, 5) education level, 6) nationality, 7) history of smoking, 8) history of drinking, 9) history of betel nut consumption, 10) history of drug use, 11) history of preterm birth, 12) per capita monthly household income

Delivery before 37 weeks gestation & Birth weight < 2,500 g

Preterm birth & Low birth weight

7

   Sundaram et al. 2017 [48]

USA

Cohort [Prospective] Longitudinal Investigation of Fertility and the Environment [LIFE]) 2005–2009

Couples attempting pregnancy (Males [N = 501])

Third party—Anthropometric assessment completed by a trained nurse at baseline

BMI—Body mass index [BMI] (Weight in kilograms over height in meters squared) and waist/hip measurements

1) Female partner's age, 2) Difference between the male and female age, 3) Both partner's smoking status, 4) Both partner's number of days of vigorous physical activity per week, 5) Both partner's free cholesterol level 6) Both partner's race 7) Both partner's education 8) Average acts of intercourse per menstrual cycle 9) Menstrual cycle regularity

Time to pregnancy (TTP) in menstrual cycles

Pregnancy

8

   Umul et al. 2015 [49]

Turkey

Cohort [Retrospective]

Couples (Males [N = 155]) undergoing intracytoplasmic sperm injection (ICSI) cycles (n = 177)

Third party—Anthropometric measurements

BMI—Body mass index [BMI] (Weight in kilograms over height in meters squared) during fertility treatment

Nil

1) Fertilization rate, 2) Implantation rate, 3) Clinical pregnancy rate, & 4) Live birth rate

ICSI induced live birth

2

   Wei et al. 2022 [50]

China

Cohort [Prospective] Hunan Provincial Maternal and Children Health Care Hospital (Hospital-based) 2013–2019

Pregnant couples (Males [N = 40,650])

Paternal self-report of weight and height on baseline antenatal questionnaire between 8- and 14-weeks’ gestation

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1)Maternal and paternal age 2) ethnicity, 3) educational level, 4) parity, 5) family income per month, 6) active smoking before pregnancy, 7) passive smoking before pregnancy, 8) alcohol consumption before pregnancy 9) folic acid consumption before or during pregnancy, 10) history of adverse pregnancy outcomes, 11) history of pregnancy complications, 12) gestational weight gain recommendation range, 13) pregnancy complications in this pregnancy, 14) smoking status before pregnancy, 15) alcohol consumption before pregnancy

Low birth weight =  < 2,500 g Very low birthweight =  < 1,500 g Extremely low birthweight < 1,000 g

Offspring birthweight

6

   Wei et al. 2021 [51]

China

Cohort [Retrospective] Guangxi Zhuang Birth Cohort (GZBC) (Hospital-based) 2015–2018

Parents with singleton birth (Males [N = 1,082])

Paternal self-report of weight and height at first antenatal interview

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1)Parental age at delivery, 2) offspring sex, 3) gestational age, 4) offspring birth weight), 5) maternal residential place, 6) gravidity, 7) parity, 8) drinking before pregnancy, 9) maternal passive smoking during pregnancy, 10) pregnancy comorbidities or complications, 11) caesarean section

Real-time polymerase chain reaction (qPCR)

Newborn telomere length (TL)

6

   Xu et al. 2021 [52]

China

Cohort [Prospective] Shanghai Jiao Tong University 2015

Pregnant couples and their expectant children (N = 1,810)

Paternal self-report of weight and height at first prenatal visit approximately 16 weeks of gestation

BMI—"Preconception" body mass index [BMI] (Weight in kilograms over height in meters squared) during fertility treatment

1) Delivery gestational week, 2) Maternal age, 3) Gestational weight gain (GWG), 4) Education, 5) Parity, 6) Family history of metabolic diseases, 7) Haemoglobin, 8) Systolic blood pressure, 9) Diastolic blood pressure, 10) Dyslipidemia, 11) Fasting plasma glucose at the first prenatal check-up 12) Offspring sex 13) Preconception BMI

Assessed within 1 h of birth using digital scales

Offspring birthweight

7

   Yang et al. 2015 [53]

China

Case–control [Retrospective] (Population-based) 2011–2013

Mothers & Fathers of cases (N = 870) and controls (N = 5,471)

Paternal self-report of weight and height at postpartum baseline interview

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Infant's gender, 2) Gestational age, 3) Parental age, 4) Family income, 5) Parental education level, 6) Gravidity, 7) Parity, 8) Paternal smoking status during pregnancy, 9) Parental prepregnancy weight,10) Parental height, 11) Parental BMI, 12) Maternal alcohol consumption during pregnancy, 13) Maternal weight gain during pregnancy, 14) Maternal BMI gain during pregnancy

Live macrosomic birth (> 4,000 g)

Macrosomia

6

   Zalbahar et al. 2017 [24]

Australia

Cohort [Prospective] Mater-University of Queensland Study of Pregnancy (MUSP) 1981–1983

Mothers and Fathers of infants (N = 1,494)

Maternal report of paternal weight and height at first prenatal visit at approximately 18 weeks of gestation

BMI—"Pre-pregnancy" weight and body mass index [BMI] (Weight in kilograms over height in meters squared)

1) Parental education, 2) Family annual income, 3) Maternal gestational weight gained, 4) Maternal smoking habit, 5) Offspring birth weight, 6) Offspring gender, 7) Gestational age, 8) Breastfeeding duration, 9) Offspring's lifestyle at 14 years, 10) Maternal or paternal BMI, 11) Maternal age at birth, 12) Offspring birth weight, 13) Offspring gender

Physical assessment using measuring tape and digital scales at 5, 14 and 21 year follow-ups

Offspring weight & BMI changes from childhood (5 years) into adulthood (21 years)

5

   Zhang et al. 2020 [54]

China

Cohort [Retrospective] National Free Pre-conception Check-up Projects (NFPCP) 2015–2017

Nulliparous couples attempting pregnancy (Males [N= 2,301,782])

Third Party—Physician measurement of paternal weight and height

BMI—"Pre-pregnancy" body mass index [BMI] (Weight in kilograms over height in meters squared) during participation in the NFPCP

1) Age, 2) Ethnic background, 3) Educational level, 4) Occupation, 5) Household registration and region, 6) Alcohol intake, 7) Tobacco exposure, 8) Hypertension, 9) HBsAg positive status based on male individual model A

Time to pregnancy (TTP) = [Date of the last menstruation (pregnant couples) or Date of the most recent follow-up (nonpregnant couples) -

Date of baseline questionnaire completion)]/Average menstrual

cycle length] + 1

Pregnancy

9

Alcohol

   Luan et al. 2022 [55]

China

Cohort [Prospective] Shanghai-Minhang Birth Cohort Study 2012 -

Mothers and Fathers of infants (N = 796)

Maternal report of paternal preconception alcohol consumption at 12–16 weeks gestation

Alcohol – 3 months before conception

1)Paternal age 2) Paternal BMI 3) Paternal education 4) Paternal smoking 5) Maternal age 6) Parity 7) Maternal depressive symptoms during pregnancy 8) Maternal preconception folic acid supplements, 9) Multivitamin supplements during pregnancy 10) Gestational weeks 11) Sex

Child Behaviour Checklist (CBCL) at offspring ages 2, 4, & 6 years old

Offspring behavioural problems

7

   Milne et al. 2013 [26]

Australia

Case–control [Retrospective] Aus-ALL 2003–2006 Aus-CBT 2005–2010

Mothers and Fathers of children with ALL (Cases [n = 281] Controls [n = 672) & CBTs (Cases [n = 221]) and Controls [n = 717]

Paternal self-report on baseline questionnaire

Alcohol –Any alcohol 12 months before pregnancy

1)Year of birth group 2) Maternal age, 3) Ethnicity 4) Household income 5) Birth order 6) Maternal smoking 7) Child’s age 8) Child’s sex 9) State of residence 10) Paternal smoking 11) Paternal age group 12) Household income

Diagnosis from one of 10 paediatric oncology centres in Australia

Childhood acute lymphoblastic leukemia (ALL) & Childhood brain tumours (CBTs)

6

   Moss et al. 2015a [42]

USA

Longitudinal cohort [Prospective] National Longitudinal Study of Adolescent Health (Add Health) 1994–2008

Adolescents (grades 7 -12) followed into adulthood becoming Mothers & Fathers of infants (N = 372)

Paternal self-report of health behaviours at wave III interview

Alcohol—preconception intake greater than once a month

1) Parents age at birth, 2) Race/ethnicity, 3) Immigrant status, 4) Education level, 5) Socioeconomic status, 6) Infant sex, 7) Initiation of prenatal care, 8) Parity, 9) Time between wave III interview and conception, 10) Relationship type at wave III

Respondent self-report on Wave IV questionnaire

Gestational age & offspring birthweight

7

   Mutsaerts et al. 2014a [43]

The Netherlands

Cohort [Prospective] Groningen Expert Center for Kids with Obesity [GECKO] Drenthe cohort (Population-based) 2006–2007

Pregnant couples & their expectant children (N = 2,264)

Paternal self-report on baseline questionnaire during third trimester or within 6 months following delivery

Alcohol intake (units/week) 6 months prior to conception and up to delivery

Nil

Questionnaire, shortly after birth, completed by midwife or gynaecologist

Spontaneous preterm birth & Small for gestational age (SGA)

3

   Xia et al. 2018 [56]

China

Cohort [Prospective] Shanghai-Minhang Birth Cohort Study 2012

Mothers and Fathers of infants (N = 980)

Paternal self-report at baseline interview between 12 to 16 weeks of gestation

Alcohol—intake at least once a week 3 months before conception

1) Parental age, 2) Parental BMI before conception, 3) Gestational age, 4) Gravidity, 5) Birth weight of offspring, 6) Paternal education, 7) Maternal passive smoking before conception (yes/no), 8) Paternal smoking (yes/no), 9) Days between birth and 12-month measurement

Males—AGD-AP (centre of anus to penis) AGD-AS (centre of anus to scrotum) Females—AGD-AC (centre of anus to clitrous) AGD-AF (centre of anus to fourchette)

Offspring anogenital distance (AGD)

8

   Zuccolo et al. 2016 [57]

Norway

Cohort [Prospective] The Norwegian Mother and Child Cohort Study (MoBa) (Population based) 1999–2009

Mothers & Fathers of children (N = 68,244)

Paternal self-report on baseline questionnaire at approximately 17 weeks of gestation

Alcohol—intake in the 6 months prior to pregnancy and up to week 18 of gestation

1) Year of birth, 2) Folic acid use around conception, 3) Whether the pregnancy was planned, 4) Maternal diabetes, 5) Parity, 6) Ethnicity, 7) Financial strain, 8) Parental age, 9) Height, 10) BMI, 11) Gross income, 12) Education, 13) Smoking/drug use in pregnancy, 14) Other parent's exposure

Sex-standardised head circumference (expressed as standard deviation [SD] scores), based on the distribution of all MoBa newborns by sex

Offspring head circumference

4

Cannabis

   Har-Gil et al. 2021 [58]

Canada

Cohort [Retrospective] (Clinic-based) 2016–2019

Female (n = 15) & male (N = 53) cannabis users & non-users (N = 654) undergoing IVF

Paternal self-report on baseline questionnaire

Cannabis—use prior to fertility treatment

Nil

1) Sperm volume 2) Sperm quality, 3) Fertilization rate 4) Implantation rate (IR) 5) Ongoing pregnancy rate (OPR)

IVF/ICSI induced live birth

2

   Kasman et al. 2018 [59]

USA

Cross sectional cohort [Retrospective] National Survey of Family Growth (NSFG) (Population-based) 2002–2015

Female (n = 1,076) & male (N = 758) respondents of the National Survery of Family Growth (NSFG)

Paternal self-report at baseline interview

Cannabis—use over the previous 12 months

1) Age, 2) Marital status, 3) Previous children, 4) Partner age (for men), 5) Previous fertility evaluation/treatment, 6) Year of survey, 7) Income, 8) Race, 9) Education

Estimated time to pregnancy (TTP) using the current-duration appaorach

Pregnancy

6

   Moss et al. 2015a [42]

USA

Longitudinal cohort [Prospective] National Longitudinal Study of Adolescent Health (Add Health) 1994–2008

Adolescents (grades 7 -12) followed into adulthood becoming Mothers & Fathers of infants (N = 372)

Paternal self-report of health behaviours at wave III interview

Cannabis—use in the last 12 months

1) Parents age at birth, 2) Race/ethnicity, 3) Immigrant status, 4) Education level, 5) Socioeconomic status, 6) Infant sex, 7) Initiation of prenatal care, 8) Parity, 9) Time between wave III interview and conception, 10) Relationship type at wave III

Respondent self-report on Wave IV questionnaire

Gestational age & offspring birthweight

7

   Nassan et al. 2019 [60]

USA

Cohort [Prospective] Environment and Reproductive Health Study [EARTH] 2005–2017

Subfertile couples (Males [N= 200]) undergoing IVF cycles (n = 368)

Paternal self-report on baseline questionnaire

Cannabis—use ever

1) Age, 2) Race, 3) BMI, 4) Tobacco smoking, 5) Coffee and alcohol consumption, 6) Cocaine use

1) Implantation, 2) Clinical pregnancy, 3) Live birth per assisted reproductive technology (ART) cycle, & 4) Pregnancy loss

IVF/ICSI induced live birth

7

   Wise et al. 2018 [61]

USA

Cohort [Prospective] Preconception pregnancy planner cohort study online (PRESTO) 2013–2017

Couples attempting pregnancy (Males N = 1,125)

Paternal self-report on baseline questionnaire

Cannabis—use in the previous 2 months

1) Age, 2) Race/ethnicity, 3) Education, 4) Annual household income, 5) Cigarette smoking history, 6) Alcohol intake, 7) Caffeine intake, 8) Intercourse frequency, 9) Doing something to improve chances of conception, 10) PSS-10 score, 11) MDI score, 12) Sugar-sweetened soda intake, 13) Average sleep duration 14) Employment status

Time to pregnancy (TTP) = (Menstrual cycles of attempt at study entry) + [(Last menstrual period [LMP] date from the most recent followup questionnaire − date of baseline questionnaire completion)/usualmenstrual cycle length] + 1

Fecundability

6

Physical activity

   Moss et al. 2015a [42]

USA

Longitudinal cohort [Prospective] National Longitudinal Study of Adolescent Health (Add Health) 1994–2008

Adolescents (grades 7 -12) followed into adulthood becoming Mothers & Fathers of infants (N = 372)

Paternal self-report of health behaviours at wave III interview

Physical activity—sessions in the last week

1) Parents age at birth, 2) Race/ethnicity, 3) Immigrant status, 4) Education level, 5) Socioeconomic status, 6) Infant sex, 7) Initiation of prenatal care, 8) Parity, 9) Time between wave III interview and conception, 10) Relationship type at wave III

Respondent self-report on Wave IV questionnaire

Gestational age & offspring birthweight

7

   Mutsaerts et al. 2014a [43]

The Netherlands

Cohort [Prospective] Groningen Expert Center for Kids with Obesity [GECKO] Drenthe cohort (Population-based) 2006–2007

Pregnant couples & their expectant children (N = 2,264)

Paternal self-report on baseline questionnaire during third trimester or within 6 months following delivery

Physical activity—moderate intensity for 30 min per day ≥ once a week 6 months prior to conception and up to delivery

Nil

Questionnaire, shortly after birth, completed by midwife or gynaecologist

Spontaneous preterm birth & Small for gestational age (SGA)

3

Smoking

   Accordini et al. 2021 [32]

Northern Europe Denmark Norway Sweden Iceland Estonia & Spain Australia

Cohort [Prospective] The Respiratory Health in Northern Europe, Spain and Australia multigeneration study (RHINESSA) (Population-based) 2013–2016

Mothers & Fathers (N = 274), investigated in the European Community Respiratory Health Survey (ECRHS), of adult offspring (n = 383)

Paternal self-report at baseline interview and ECRHS examinations

Smoking – Prepubertal smoking [smoking < 15 years old] & smoking ≥ 15 years old

1)Grand parents education level 2) Paternal age 3) Paternal education level 4) Paternal occupational class 5) Maternal smoking before or after offspring birth 6) Offspring age 7) Offspring sex 8) Offspring education level 9) Offspring smoking

Pre/post bronchodilator forced expiratory volume in one second (FEV1) & forced vital capacity (FVC)

Adult offspring lung function

8

   Accordini et al. 2018 [31]

Northern Europe Denmark Norway Sweden Iceland Estonia & Spain Australia

Cohort [Prospective] European Community Respiratory Health Survey (ECRHS) (Population-based) 1998–2013

Mothers and Fathers (N = 1,964) of adult offspring (n = 4,192)

Paternal self-report at baseline interview and ECRHS examinations

Smoking –Prepubertal smoking [smoking < 15 years old] & smoking ≥ 15 years old

1)Grandmother smoking 2) Father’s ever asthma 3) Education level 4) Smoking initiation 5) Offspring gender 6) Age

Parent report in the ECRHS questionnaire

Adult offspring asthma with or without nasal allergies

7

   Carslake et al. 2016 [62]

Norway

Combined cohort [Prospective] HUNT Study [Adult ≥ 20 years] (1984 – 2008)/ YoungHUNT Study [Child 13–19 years] (1995 – 2007)

Mothers and Fathers ([HUNT] of offspring [YoungHUNT] (N = 221)

Paternal self-report at baseline interview

Smoking –Prepubertal smoking [smoking < 11 years old]

1)Offspring birth order 2) Maternal education 3) Paternal employment 4) Maternal and Paternal smoking status at time of offspring conception 5) Offspring sex

Body Mass Index (BMI)

Offspring adiposity

6

   Deng et al. 2013 [63]

China

Case–control [Retrospective] Gene-environmental interaction study on CHD occurrence (Hospital-based) 2010–2011

Pregnant couples & their expectant children as CHD cases (N = 267) & controls (N = 386)

Maternal report at baseline interview during pregnancy but after prenatal diagnosis of CHD

Smoking—"Periconceptional" being 3 months before conception through to the first trimester of pregnancy

1) Maternal residence, 2) Age, 3) Education, 4) Prepregnancy BMI, 5) Parental alcohol use during the 3 months before and 3 months after conception, 6) Folic acid intake during the 3 months before and 3 months after conception, 7) Family history of CHD, 8) Parity

Diagnosed via prenatal echocardiography

Congenital heart defects (CHD) in offspring

8

   Frederiksen et al. 2020 [64]

Costa Rica

Case–control [Retrospective] Costa Rican Childhood Leukemia Study (CRCLS) (Population-based) 2001–2003

Mothers and Fathers (N = 198) of offspring suffering leukemia (N = 292) [Cases] & cancer free age matched offspring (N = 578) [controls]

Paternal self-report at baseline interview

Smoking –Tobacco smoking 12 months before conception

1)Child sex 2) Birth year 3) Parental education 4) Paternal age 5) Maternal smoking

Diagnosis, between 1995–2000 in Costa Rica while aged < 15 years, of Acute Lymphoblastic Leukemia (ALL) (N = 252) or Acute Myeloid Leukemia (AML) (N = 40)

Childhood leukemia

7

   Knudsen et al. 2020 [30]

Northern Europe Denmark Norway Sweden Iceland Estonia & Spain Australia

Cohort [Prospective] The Respiratory Health in Northern Europe, Spain and Australia multigeneration study (RHINESSA) (Population-based) 2013–2016

Mothers & Fathers (N = 2,111) of adult offspring (n = 2,939)

Paternal self-report at baseline interview and examinations

Smoking –Prepubertal smoking [smoking before 15 years old] & smoking ≥ 15 years old. Preconception smoking [≥ 2 years before offspring birth year]

1)Parental education 2) offspring sex

1) BMI [weight (kg)/height (m)2] 2) Bioelectrical impedance analysis 3) Fat mass index (FMI) [fat mass (kg)/height (m)2

Adult offspring BMI index and FMI index

5

   Ko et al. 2014 [65]

Taiwan

Longitudinal cohort [Prospective] Taiwan Birth Cohort Study (National) 2005–2006

Mothers & Fathers of infants (N = 21,248)

Maternal report at baseline interview 6 months postpartum

Smoking—Preconception tobacco being before pregnancy and up to four months postpartum

1) Maternal age, 2) Nationality, 3) Education, 4) Parity, 5) Total weight gain during pregnancy, 6) Infant gender, 7) Multifetus, 8) Paternal smoking in the same period

1) Low Birth weight (LBW) < 2,500 g, 2) Small for gestational age (SGA)—Birth below the 10th percentile of gender-specific birth weight for gestational age based on the 1998–2002 nationwide percentiles & 3) Preterm birth < 37 weeks

Offspring birthweight & incidence of preterm delivery

5

   Milne et al. 2013 [27]

Australia

Case–control [Retrospective] The Australian Study of Childhood Brain Tumors (Aus-CBT) (Population-based) 2005–2010

Mothers and Fathers (N = 1048) of children with childhood malignancy and brain tumors (CBT) (n = 247) & controls (n = 801)

Paternal self-report on mailed questionnaire

Smoking—Average number of cigarettes smoked per day in each calendar year from age 15 until year after child’s birth

1)Child’s ethnicity, 2) year of birth group, 3) Mother’s age group, 4) Father’s age group, 5) alcohol consumption during pregnancy, 6) household income

Diagnosis at one of 10 Australian paediatric oncology centres

Childhood brain tumors (CBT)

5

   Moss et al. 2015a [42]

USA

Longitudinal cohort [Prospective] National Longitudinal Study of Adolescent Health (Add Health) 1994–2008

Adolescents (grades 7 -12) followed into adulthood becoming Mothers & Fathers of infants (N = 372)

Paternal self-report of health behaviours at wave III interview

Smoking—At least one cigarette per day over the last 30 days

1) Parents age at birth, 2) Race/ethnicity, 3) Immigrant status, 4) Education level, 5) Socioeconomic status, 6) Infant sex, 7) Initiation of prenatal care, 8) Parity, 9) Time between wave III interview and conception, 10) Relationship type at wave III

Respondent self-report on Wave IV questionnaire

Gestational age & offspring birthweight

7

   Mutsaerts et al. 2014a [43]

The Netherlands

Cohort [Prospective] Groningen Expert Center for Kids with Obesity [GECKO] Drenthe cohort (Population-based) 2006–2007

Pregnant couples & their expectant children (N = 2,264)

Paternal self-report on baseline questionnaire during third trimester or within 6 months following delivery

Smoking- cigarettes per day in the 6 months prior to conception and up to delivery

Nil

Questionnaire, shortly after birth, completed by midwife or gynaecologist

Spontaneous preterm birth & Small for gestational age (SGA)

3

   Northstone et al. 2014 [66]

UK

Cohort [Prospective] The Avon Longitudinal Study of Parents and Children (ALSPAC) 1991–1992

Pregnant couples where fathers identified as smoking regularly (n = 5,376) including before 11 years old (N = 166)

Paternal self-report on baseline questionnaire completed during pregnancy

Smoking—Prepubertal tobacco before 11 years of age

1) Parity of the mother at the time of birth of the offspring (primiparae vs multiparae), 2) Highest maternal education level 3) Housing tenure 4) Maternal smoking during pregnancy 5) Paternal smoking at conception

1) BMI, 2) Waist circumference, 3) Total-body fat mass, & 4) Lean mass

Offspring adiposity

7

   Orsi et al. 2015 [67]

France

Case–Control [Retrospective] ESTELLE study (Population-based)

2010—2011

Mothers and fathers (N = 247) of offspring suffering childhood acute leukemia (CL) (N = 69) [Cases] & cancer free age matched offspring (N = 178) [Controls]

Paternal self-report on baseline questionnaire

Smoking –Tobacco smoking during the 3-month period preceding conception; the “pre-conception period”

1)Offspring Age 2) Offspring Sex 3) Mother’s age at child’s birth 4) Mother’s education 5) Birth order

Diagnosed with CL < 15 years old as per the National Registry of Childhood Hematopoietic Malignancies (NRCH) criteria

Childhood acute leukemia (CL)

7

   Sapra et al. 2016 [68]

USA

Cohort [Prospective] Longitudinal Investigation of Fertility and the Environment [LIFE]) 2005–2009

Couples attempting pregnancy (Males [N = 501])

Paternal self-report at baseline interview

Smoking—Lifetime exposure to tobacco products (including cigarettes, electronic cigarettes, cigars, pipes, waterpipes, chewing tobacco, snuff and dip)

1) Race/ethnicity, 2) Education, 3) Income, 4) Age, 5) Alcohol use, 6) Caffeine use, 7) BMI, 8) Blood cadmium in each partner, 9) Couple's mean age, 10) Difference in partners' ages

Time to pregnancy (TTP) in menstrual cycles

Pregnancy

7

   Svanes et al. 2017 [69]

Northern Europe Norway, Sweden, Iceland, Denmark, Estonia

Combined Cohort [Prospective] European Community Respiratory Health Survey (ECRHS) (1989–1992) & Respiratory Heath in Northern Europe (RHINE) (Population-based) 1991—2012

Mothers and Fathers (N= 3,777) of offspring aged 2–51 years (n = 24,168)

Paternal self-report on RHINE III questionnaire

Smoking – Tobacco smoking prior to conception including period around birth

1)Age 2) Study centre 3) Parental age 4) Parental asthma before age 10, 5) Parental education

Diagnosis via parental report

Offspring asthma before/after 10 years

6

   Wang et al. 2022 [70]

China

Cohort [Retrospective] National Free Pre-Pregnancy Checkups Project (NFPCP) (Population-based) 2010–2016

Non-smoking women and their smoking husbands (N = 190,529)

Paternal self-report at preconception health examination

Smoking—Tobacco while attempting conception in the following 6 months

1) Maternal and paternal age at last menstrual period, 2) Higher education, 3) Han ethnicity, 4) Preconception body mass index (BMI), 5) Alcohol drinking, 6) Parental passive smoking, 7) History of adverse pregnancy outcomes, 8) Region of the service station

Delivery before 37 completed gestational weeks

Preterm birth (PTB)

5

   Wang et al. 2018 [71]

China

Cohort [Retrospective] National Free Pre-Pregnancy Checkups Project (NFPCP) (Population-based) 2010–2016

Non-smoking women and their husbands (N = 5,770, 691)

Paternal self-report at preconception health examination

Smoking—Tobacco while attempting conception in the following 6 months

1) Maternal and paternal age at last menstrual period, 2) Higher education, 3) Han ethnicity, 4) Preconception body mass index (BMI), 5) Alcohol drinking, 6) Parental passive smoking, 7) History of adverse pregnancy outcomes, 8) Region of the service station

Fetal death before week 28 of gestation

Spontaneous abortion (SA)

6

   Wesselink et al. 2019 [72]

USA

Cohort [Prospective] Preconception pregnancy planner cohort study online (PRESTO) 2013–2018

Couples attempting pregnancy (Males N= 1,411)

Paternal self-report on baseline questionnaire

Smoking—Tobacco while attempting conception for ≤ 6 menstrual cycles

1) Age, 2) Race/ethnicity, 3) Education, 4) Annual household income, 5) BMI, 6) Sugar sweetened beverage intake, 7) Healthy eating index score, 8) Multivitamin or folic acid supplement use, 9) Sleep duration, 10) PSS-10 score, 11) MDI score, 12) Parity, 13) Intercourse frequency, 14) Doing something to improve chances of conception

Pregnancy attempt time = (Menstrual

cycles of attempt time at baseline) + [(Last menstrual period [LMP] date from most recent followup questionnaire—date of baseline questionnaire)/Cycle length] + 1

Fecundability

5

   You et al. 2022 [73]

China

Cohort [Prospective] Children lifeway Cohort 2018 -

Mothers and Fathers (N = 1,037) of first grade students (7–8 years old)

Paternal self-report at baseline interview

Smoking—Tobacco smoking before conception

1)Sex 2) Actual age 3) Father overweight, 4) Mother overweight 5) Percentage of food expenditure 6) Educational level of parents 7) Caesarean Sect. 8) Birthweight 9) Breastfeeding 10) Other household smoking 11) Mother exposed to SHS during pregnancy 12) Picky eaters 13) TV watching time 14) physical exercise 15) Frequency of eating fried/baked food 16) Late-night dinners 17) Vegetable and fruit 18) Snack consumption

Age and sex specific BMI cut-off points according to the growth standard of China “Screening for overweight and obesity among school-age children and adolescents”

Offspring overweight/obesity

7

   Zhou et al. 2020 [74]

China

Cohort [Prospective] National Preconception Health Care Project (NPHCP) (Population-based) 2010–2012 * with matched case control

Couples attempting pregnancy (Males [N = 566,439])

Paternal self-report at baseline interview

Smoking—Tobacco smoking before conception

1) Maternal age, 2) Education, 3) Occupation, 4) Residence status, 5) Self-reported medical history, 6) Smoking, 7) Second hand smoking, 8) Alcohol consumption, 9) Folic acid supplement, 10) Paternal alcohol consumption

[*Primary] Birth defects = diagnosis on hospital records of first 42 days after delivery [*Secondary] Birth defect types = congenital heart disease, limb anomalies, clefts, digestive tract anomalies, gastroschisis and neural tube defects

Offspring birth defects

7

   Zwink et al. 2016 [75]

Germany

Case–control [Retrospective] (Population based) 2009-Ongoing

Mothers & Fathers of cases (N = 158) and controls (N = 474)

Maternal report on baseline interview at approximately 8 years postpartum

Smoking -"Periconceptional" tobacco being 3 months before conception until the fourth month of pregnancy

1) Gender, 2) Birth year of the child, 3) Maternal age, 4) BMI, 5) Maternal body weight

Diagnosis of 1) Esophageal atresia with or without tracheoesophageal fistula (EA/TEF) or 2) Anorectal malformations (ARM) ARM's

Offspring malformations

4

Stress

   Bae et al. 2017 [76]

USA

Cohort [Prospective] Longitudinal Investigation of Fertility and the Environment [LIFE]) (Population-based) 2005–2009

Couples attempting pregnancy and their expectant children (N= 235)

Paternal self-report at baseline interview assessed by Cohen's Perceived Stress Scale [PSS-4]

Stress—& lifetime history of physician-diagnosed anxiety and/or mood disorders

1) Age, 2) Serum cotinine, 3) Annual income, 4) Maternal parity

Secondary sex ratio (SSR) [Males:Females at birth]

Offspring sex

6

   Mutsaerts et al. 2014a [43]

The Netherlands

Cohort [Prospective] Groningen Expert Center for Kids with Obesity [GECKO] Drenthe cohort (Population-based) 2006–2007

Pregnant couples & their expectant children (N = 2,264)

Paternal self-report on baseline questionnaire during third trimester or within 6 months following delivery

Stress—Paid working hours < 16 h per week

Nil

Questionnaire, shortly after birth, completed by midwife or gynaecologist

Spontaneous preterm birth & Small for gestational age (SGA)

3

   Wesselink et al. 2018 [77]

USA

Cohort [Prospective] Preconception pregnancy planner cohort study online (PRESTO) 2013–2018

Couples attempting pregnancy (Males N = 1,272)

Paternal self-report on baseline questionnaire assessed by the Perceived stress scale [PSS]

Stress—Perceived stress in the last month

1) Age, 2) BMI, 3) Race/ethnicity, 4) Education, 5) Household income, 6) Employment status, 7) Work duration, 8) Physical activity

Pregnancy attempt time = (Menstrual

cycles of attempt time at baseline) + [(Last menstrual period [LMP] date from most recent followup questionnaire—date of baseline questionnaire)/Cycle length] + 1

Fecundability

7

Nutrition

   Bailey et al. 2014 [29]

Australia

Case–control [Prospective] The Australian Study of Causes of acute lymphoblastic leukemia (ALL) in children (Aus-ALL). (Population-based) 2003–2007

Mothers and Fathers of children with ALL (n = 285) and controls (n = 595)

Paternal self-report on food frequency questionnaire (FFQ)

Folate & Vitamins B6/B12—during the 6 months before conception

1)Birth order 2) best parental education, 3) paternal age, 4) paternal smoking in the conception year, 5) year of agreement and FFQ version, 6) supplement use (folate, B6, or B12), 7) control state, 8) control sex, 9) control age

Diagnosis at one of 10 Australian paediatric oncology centres

Childhood acute lymphoblastic leukemia (ALL)

5

   Greenop et al. 2015 [28]

Australia

Case–control [Retrospective] The Australian Study of Childhood Brain Tumors (Aus-CBT) (Population-based) 2005–2010

Mothers and Fathers (N = 866) of children with childhood malignancy and brain tumors (CBT) (n = 237) & controls (n = 629)

Paternal self-report on food frequency questionnaire (FFQ)

Folate & Vitamins B6/B12—during the 6 months before conception

1)Control age, 2) control sex, 3) control state of residence, 4) child’s year of diagnosis/recruitment, 5) paternal age, 6) best parental education, 7) child’s ethnicity, 8) paternal preconceptional high alcohol consumption

Diagnosis at one of 10 Australian paediatric oncology centres

Childhood brain tumors (CBT)

5

   Hatch et al. 2018 [78]

USA

Cohort [Prospective] Preconception pregnancy planner cohort study online (PRESTO) 2013–2017

Couples attempting pregnancy (Males N = 1,045)

Paternal self-report on food frequency questionnaire (FFQ) at baseline

Sugar sweetened beverage intake –Servings per week in the past month

1)Male and female age, 2) male and female BMI, 3) age, 4) race/ethnicity, 5) education, 6) annual household income, 7) smoking history, 8) BMI, 9) physical activity, 10) caffeine intake, 11) alcohol intake, 12) sleep duration, 13) perceived stress scale score, 14) intercourse frequency

Time to pregnancy (TTP) [(menstrual cycles of attempt time at baseline) + [(LMP date from most recent follow-up questionnaire—date of baseline questionnaire)/cycle length] + 1]

Fecundability

6

   Hoek et al. 2019 [79]

The Netherlands

Cohort [Prospective] Rotterdam Periconception Cohort (PREDICT Study) (Hospital-based) 2010–2015

Pregnant couples (N = 511) producing spontaneous pregnancy (n = 303) or IVF/ICSI pregnancy (n = 208)

Paternal self-report on baseline questionnaire

Folate—"Periconceptional" status being 14 weeks before pregnancy and up to 10 weeks of gestation

1) Gestational age at the time of ultrasound, 2) Paternal age, 3) Paternal smoking and alcohol, 4) Geographic origin, 5) Maternal age, 6) Maternal BMI, 7) Maternal smoking and alcohol, 8) Parity, 9) RBC folate levels, 10) Education level, 11) Geographic origin, 12) Fetal gender

1) Crown-rump length (CRL) & 2) Embryonic volume (EV) at 7, 9 and 11 weeks of gestation

Embryonic growth trajectories

7

   Lippevelde et al.  2020 [80]

Norway

Combined cohort [Prospective] Young-Health Study in Nord-Trondelag (Young-HUNT 1 1995–1997 & Young-HUNT 3 2006–2008)

Adolescents (13–19 years old) followed into adulthood becoming Mothers & Fathers of infants. Young-HUNT 1 Father-offspring dyads (N = 2,140). Young-HUNT 3 Father-offspring dyads (N = 391)

Adolescent self-report on baseline questionnaire

Diet—Dietary exposures during adolescence

1) Adolescents age, 2) BMI z-score 3) Education plans 4) Chewing tobacco use 5) Smoking 6) Alcohol use

1) Birthweight (g) 2) Length (cm) 3) Head circumference (cm) 4) Placenta weight (g), 5) Gestational length (weeks) & 6) Ponderal index—Adiposity ([Birthweight (g) /Birth length3 (cm)]*100)

Neonatal health of offspring

8

   Martin-Calvo et al. 2019 [81]

USA

Cohort [Prospective] Environment and Reproductive Health Study [EARTH] 2007–2017

Subfertile couples undergoing fertility treatment (Males N = 108) producing singletons [n = 85), twins (n = 54) & triplets [n = 3])

Paternal self-report on baseline food frequency questionnaire (FFQ)

Folate—Preconception intake prior to or up to 12 weeks after the day of peak oestradiol concentration during a fertility treatment cycle (IVF/ICSI/IUI)

1) Age, 2) Choline, betaine, methionine, vitamin B6, vitamin B12, 3) Total energy intake, 4) Diet quality, 5) Maternal BMI, 6) Maternal smoking status, 7) Infertility diagnosis, 8) Type of fertility treatment

1) Gestational age at delivery (days), 2) Live birth of a neonate ≥ 24 weeks of gestation, & 3) Gestational age-adjusted birthweight

IVF/ICSI/IUI induced live birth

7

   Mitsunami et al. 2021 [82]

USA

Cohort [Prospective] Environment and Reproductive Health Study [EARTH] 2007–2018

Subfertile couples (Males [N= 231]) undergoing IVF cycles (n = 407)

Paternal self-report on baseline food frequency questionnaire (FFQ)

Diet—patterns 1 (processed foods) & 2 (whole/unprocessed foods) over the previous 12 months

1) Men's age, 2) Total caloric intake, 3) BMI, 4) Race, 5) Smoking status, 6) Education level, 7) Physical activity, 8) Women's age + BMI, 9) Couple's primary infertility diagnosis, 10) Treatment protocol, 11) Women's adherence to the two dietary patterns, 12) Women's race, 13) Women's smoking status

1) Fertilization rate, 2) Probability of implantation, 3) Clinical pregnancy, & 4) Probability of live birth per initiated treatment cycle

IVF/ICSI induced live birth

7

   Moss et al. 2015a [42]

USA

Longitudinal cohort [Prospective] National Longitudinal Study of Adolescent Health (Add Health) 1994–2008

Adolescents (grades 7 -12) followed into adulthood becoming Mothers & Fathers of infants (N = 372)

Paternal self-report of health behaviours at wave III interview

Diet—Fast food consumption

1) Parents age at birth, 2) Race/ethnicity, 3) Immigrant status, 4) Education level, 5) Socioeconomic status, 6) Infant sex, 7) Initiation of prenatal care, 8) Parity, 9) Time between wave III interview and conception, 10) Relationship type at wave III

Respondent self-report on Wave IV questionnaire

Gestational age & offspring birthweight

7

   Oostingh et al. 2019 [83]

The Netherlands

Cohort [Prospective] Rotterdam Periconception Cohort (PREDICT Study) (Hospital-based) 2010–2016

Pregnant couples (Males [N= 638])

Paternal self-report on baseline food frequency questionnaire (FFQ) before 8 weeks of gestation

Diet—Habitual food intake and dietary patterns in a four week period during periconception being 14 weeks before and up to 10 weeks following conception

1) Gestational age, 2) Maternal and paternal total energy intake, 3) Maternal and paternal BMI, 4) Maternal age, 5) Maternal and paternal smoking, 6) Nulliparous, 7) Fetal gender

1) Longitudinal crown-rump length (CRL), & 2) Embryonic volume (EV), via transvaginal ultrasound, at 7, 9 and 11 weeks of gestation

First trimester embryonic growth

6

   Twigt et al. 2012 [84]

The Netherlands

Cohort [Prospective] ‘Achieving a Healthy Pregnancy’ (AHP) (Hospital-based) 2007–2010

Subfertile couples (Males [N = 199]) with IVF treatment and embryo transfer within 6 months after AHP

Paternal self-report on baseline questionnaire

Diet –Main food groups 1)Whole wheat 2) Unsaturated oils 3) Vegetables 4) Fruits 5) Meat 6) Fish

1)Maternal age 2) Maternal smoking 3)Preconception Dietary Risk Score [PDR] of the partner 4) Maternal and Paternal BMI

A pregnancy with positive fetal heart action at around 10 weeks after embryo transfer confirmed by ultrasonography

IVF/ICSI induced ongoing pregnancy

5

   Wesselink et al. 2016 [85]

USA

Cohort [Prospective] Preconception pregnancy planner cohort study online (PRESTO) 2013–2017

Couples attempting pregnancy (Males N = 662)

Paternal self-report on food frequency questionnaire (FFQ) at baseline

Diet – Caffeinated beverages; approximate servings per week

1) Age, 2) race/ethnicity, 3) education, 4) BMI, 5) smoking history, 6) alcohol intake, 7) intercourse frequency, 8) sleep duration, 9) work time

Time to pregnancy (TTP) [(menstrual cycles of attempt time at baseline) + [(LMP date from most recent follow-up questionnaire—date of baseline questionnaire)/cycle length] + 1]

Fecundability

6

   Xia et al. 2016 [86]

USA

Cohort [Prospective] Environment and Reproductive Health Study [EARTH] 2007–2014

Subfertile couples (Males [N= 142]) undergoing IVF/ICSI cycles (n = 248)

Paternal self-report on baseline food frequency questionnaire (FFQ)

Diet—Dairy intake in the previous 12 months

1) Age, 2) BMI, 3) Smoking status, 4) Total exercise time, 5) Dietary patterns, 6) Alcohol, 7) Caffeine, 8) Total energy intake, 9) Female dairy intake, 10) Female age, 11) Prudent dietary pattern, 12) Western dietary pattern

1) Fertilization rate, 2) Implantation rate, 3) Clinical pregnancy rate & 4) Live birth rate per initiated cycle

IVF/ICSI induced live birth

7

   Xia et al. 2015 [87]

USA

Cohort [Prospective] Environment and Reproductive Health Study [EARTH] 2007–2014

Subfertile couples (Males [N = 141]) undergoing IVF/ICSI cycles (n = 246)

Paternal self-report on baseline food frequency questionnaire (FFQ)

Diet—Meat intake in the previous 12 months

1) Age, 2) Total energy intake, 3) BMI, 4) Alcohol, 5) Caffeine, 6) Prudent dietary pattern, 7) Western dietary pattern, 8) Infertility diagnoses, 9) Mode of insemination, 10) Female meat intake

1) Fertilization rate, 2) Implantation rate, 3) Clinical pregnancy rate & 4) Live birth rate per initiated cycle

IVF/ICSI induced live birth

7

  1. a Studies covered in multiple exposure sections
  2. bTotal scores from quality assessment using the Newcastle–Ottawa Scale