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Chunk #2 — Introduction

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Collider scope: when selection bias can substantially influence observed associations.
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study mothers and children, as well as non-attendance at data collection clinics, in the Avon Longitudinal Study of Parents and Children (ALSPAC)3 (see Box 1 The Avon Longitudinal Study of Parents and ChildrenBirth cohort studies are not immune to problems of selection bias, where retention in the study may be related to a variety of participant characteristics. The Avon Longitudinal Study of Parents and Children (ALSPAC) recruited pregnant women living in the administrative county of Avon, with expected delivery dates between 1 April 1991 and 31 December 1992. These women, their partners and their offspring have been followed up ever since via questionnaires and clinics. ALSPAC originally captured data on 14 541 pregnancies (75% of eligible women) (19, 36), but inevitably retention in subsequent data collection sweeps (postal questionnaires and clinic assessments) was less than 100%. We see that higher body mass index (BMI) is associated with lower odds of subsequent retention in both mothers (N = 11 319, OR per SD increase in BMI 0.85, 95% CI 0.81 to 0.88), for retention between 2008 and 2011 using pre-pregnancy BMI as a predictor, and offspring (N = 7954, OR 0.91, 95% CI 0.87 to 0.96), for retention at age 18