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DOHaD in science and society: emergent opportunities and novel responsibilities

Published online by Cambridge University Press:  23 November 2018

M. Penkler
Affiliation:
Munich Center for Technology in Society, Technical University of Munich, Munich, Germany
M. Hanson
Affiliation:
Institute of Developmental Sciences and NIHR Biomedical Research Centre, University of Southampton, Southampton, UK
R. Biesma
Affiliation:
Department of Health Sciences, University Medical Center Groningen, Groningen, The Netherlands
R. Müller*
Affiliation:
Munich Center for Technology in Society, Technical University of Munich, Munich, Germany
*
*Author for correspondence: Prof. Ruth Müller, Munich Center for Technology in Society, Technical University of Munich, Augustenstraße 46, Munich 80333, Germany. E-mail: ruth.mueller@tum.de

Abstract

The field of Developmental Origins of Health and Disease (DOHaD) has grown considerably in recent decades and is receiving increasing recognition from health policymakers. Today, DOHaD research aims to offer a comprehensive perspective on health and disease that traces how different life experiences shape health and disease risks over the entire life course. This integrative perspective opens up distinct possibilities for improving health. At the same time, it raises questions regarding the specific social responsibilities of DOHaD as a field and about possible pathways to a socially just and scientifically robust implementation of DOHaD knowledge in society. In this article, we review the history and key characteristics of DOHaD as a field of scientific knowledge production. We argue that based on its key assumptions – that life circumstances, health and disease are closely linked on a molecular scale – DOHaD is an inherently political research field. When tracing how life environments affect health and disease, it is of utmost social and political importance to specify how DOHaD understands and frames these life environments, which aspects of life worlds are included and which excluded, and how research results are interpreted and translated into health recommendations at individual, societal and policy levels. We suggest a number of ways by which the DOHaD community can constructively and responsibly meet the demands that these inherent characteristics place on knowledge production and dissemination in the field.

Type
Review
Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2018 

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