“…It is increasingly used in environmental epidemiology, in particular in Developmental Origins of Health and Disease (DOHaD) research and in molecular epidemiology studies (Blum et al, 2020;Nakamura et al, 2021). With the development of high-throughput screening technologies, these methods have become key tools to investigate the pathways by which environmental exposures can affect health outcomes, and more specifically those involving epigenetic mechanisms such as DNA methylation (DNAm) variations (MacKinnon et al, 2007;VanderWeele, 2015VanderWeele, , 2016Zeng et al, 2021). High-dimensional mediation analysis is an extension of unidimensional mediation analysis including multiple mediators (Blum et al, 2020).…”