Proposal summaries

These are research proposals that have been approved by the ALSPAC exec. The titles include a B number which identifies the proposal and the date on which the proposals received ALSPAC exec approval.

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B566 - An investigation of language-impairment and dyslexia associated SNPs within the general population - 03/10/2007

B number: 
B566
Principal applicant name: 
Prof Anthony P Monaco (University of Oxford, UK)
Co-applicants: 
Dr Silvia Paracchini (University of Oxford, UK), D F Newbury (University of Oxford, UK)
Title of project: 
An investigation of language-impairment and dyslexia associated SNPs within the general population
Proposal summary: 

We are submitting this project proposal to obtain approval to analyse an additional gene for the project "An investigation of language-impairment and dyslexia associated SNPs within the general population".

We are proposing to include in our analysis the CNTNAP2 gene. This gene has recently been associated with language abilities in separate samples of individuals diagnosed with autism spectrum disorders. We have replicated the associations in our sample of families affected by SLI. This gene is located at 7q36 within the AUTS1 locus where several studies have mapped linkage to autism.

The panel of markers selected for the CNTNAP2 is listed at the end of the Appendix together to the other markers already approved for this project. The genotyping will be performed through the Sequenom system using the ALSPAC DNA samples we already have in our laboratory. Due to multiplex assays' constraints alternative markers might be selected to screen the listed genes. The statistical analysis we plan to perform is based on very standard single marker association approaches and will be very similar to what we conducted for the KIAA0319 gene.

Date proposal received: 
Wednesday, 3 October, 2007
Date proposal approved: 
Wednesday, 3 October, 2007
Keywords: 
Genetics
Primary keyword: 

B567 - How common is CFS/ME at age 13 and what factors increase the risk of developing it - 03/10/2007

B number: 
B567
Principal applicant name: 
Dr Esther Crawley (University of Bristol, UK)
Co-applicants: 
Prof Peter Fleming (University of Bristol, UK), Prof Alan Emond (University of Bristol, UK)
Title of project: 
How common is CFS/ME at age 13 and what factors increase the risk of developing it?
Proposal summary: 

No outline received

Date proposal received: 
Wednesday, 3 October, 2007
Date proposal approved: 
Wednesday, 3 October, 2007
Keywords: 
Primary keyword: 

B561 - Genetic contributions to childhood resilience - 01/10/2007

B number: 
B561
Principal applicant name: 
Prof Michael E Lamb (University of Cambridge, UK)
Co-applicants: 
Dr Tim Croudace (Not used 0, Not used 0), Prof Susan Golombok (University of Cambridge, UK), Prof George Davey Smith (University of Bristol, UK)
Title of project: 
Genetic contributions to childhood resilience
Proposal summary: 

During the last decade, a revolution has taken place among clinical and developmental psychologists. Whereas the emphasis was formerly on continuity and stability over time, with earlier experiences uniformly shaping developmental trajectories, many researchers have come to recognise that individuals are not uniformly plastic, so that some are more susceptible than others to influence. In perhaps the most widely cited demonstration of this, Caspi and colleagues showed in a retrospective study in New Zealand that individual differences in a specific genetic allele determined which children would be adversely affected by depriving early life experiences, whereas children without this allele emerged apparently unscathed from similarly debilitating experiences. The clarity of this finding quickly made believers of many researchers who had hitherto viewed with scepticism decades of scholarship on risk and vulnerability by such researchers as Rutter, Gottesman, and Masten, but empirical demonstration of the nature, extent, and limits of susceptibility to influence (both vulnerability and its obverse, strength in the face of adversity) has been limited. The goal of the proposed research is to examine multiple possible sources (both genetic and environmental) of these individual differences and an array of developmental outcomes using a large, representative, and rich data set collected by the ALSPAC team.

For many years (and with differing degrees of emphasis at different times on either side of the Atlantic) students of child development have recognised that psychological and behavioural development are neither predetermined nor infinitely malleable, although infants appear to be born with marked congenital individual differences. Child psychiatrists such as Thomas and Chess devoted their careers to illustrating the impact of such inborn temperamental attributes on children's developmental trajectories, whereas psychologists such as Rothbart have sought to understood the physiological bases of the major dimensions of temperament that have been identified (Rothbart & Bates, 2006). Students of temperament and behaviour genetics have thus emphasized the importance of biogenetic predispositions and have sought to unpack the ways in which experience might, in combination with congenital individual differences, shape children's development, by promoting stability over time (i.e., 'the child is father to the man'), leading some children to develop more poorly than anticipated, or ensuring that some children prosper, doing better than originally expected. To some extent, progress has been impeded by measurement difficulties, particularly by the challenge of making sense of differences between temperamental appraisals provided by parents (reflecting their subjective perceptions of the child) and those obtained through more objective and systematic observational and physiological means.

In addition, the focus has largely been on the temperamental factors that place some children at greater risk of developing behaviour problems, including serious psychological disturbances-especially because they are "difficult" or "irritable"-- and upon the stability of individual differences, that is, the degree to which children remain difficult across infancy, childhood and adolescence. By contrast, considerably less attention has been paid to such positive characteristics as cheerfulness, perseverance, the capacity to love and be loved, or resilience that might presage positive outcomes; and even less empirical work has focused upon the extent to which-and the reasons why-children's characteristics change. Even though developmental psychologists have shown more interest in the positive side of life than have clinical psychologists, investigating such topics as the origins of empathy, prosocial behaviour, and social skills, few researchers have explored why some children change from negative to positive developmental trajectories and vice versa.

Although it is seductive to assume that those most positively or negatively disposed early in life remain that way as they age, new findings reported by Sharp, Croudace, and Goodyer (2007) caution against such potentially simplistic reasoning. Not only were optimistic 7- to 11-year-olds more likely to change their orientations than peers who had an initial 'neutral' orientation, but those who initially scored highest on optimism scored highest on psychopathology two years later. Clearly, one cannot presume that continuity always characterises the process of human development, including positive development.

Attachment theory has played a particularly important role in shaping understanding of the ways in which early experiences (notably, the quality of parental behaviour and of infant-parent interaction) influence the quality of the close, emotional relationships that infants form to each of their attachment figures and which, in turn, help shape children's later social relationships and approaches to other challenging tasks and experiences. Over the last 40 years, and especially since Ainsworth developed the Strange Situation Procedure (SSP) to assess the security of infants' emotional ties ('attachments') to their mothers, fathers and other caregivers, developmental psychologists have made considerable progress in illuminating the origins and predictive implications of individual differences in child development, even those measured very early in life.

Date proposal received: 
Monday, 1 October, 2007
Date proposal approved: 
Monday, 1 October, 2007
Keywords: 
Genetics
Primary keyword: 

B559 - An investigation into the association between prenatal diet height body composition and IGF levels and subsquent cancer risk using a Mendelian randomization approach - 01/10/2007

B number: 
B559
Principal applicant name: 
Dr Sarah J Lewis (University of Bristol, UK)
Co-applicants: 
Prof David Gunnell (University of Bristol, UK), Prof Andy Ness (University of Bristol, UK), Prof George Davey Smith (University of Bristol, UK), Prof Jeff Holly (University of Bristol, UK)
Title of project: 
An investigation into the association between prenatal diet, height, body composition and IGF levels and subsquent cancer risk using a Mendelian randomization approach
Proposal summary: 

Outline

Height, body composition and IGF levels have all been shown to be associated with cancer risk, in particular breast and prostate cancer. The extent to which nutrient availability in the prenatal period affects these phenotypes and subsequent cancer risk is largely unknown. Genetic variation can influence dietary intake and metabolism of nutrients, thus affecting exposure to specific dietary components, such variation will be exploited in this project. The advantage of this method is that associations between genetic polymorphisms and height, body composition and IGF levels are not subject to the problems of measurement error, recall bias and confounding.[i] The use of genes as surrogates for measuring exposures in epidemiology has been termed Mendelian Randomisation, and is gaining recognition as an important research tool, marked by the establishment of an MRC Centre for Causal Analyses in Translational Epidemiology at the University of Bristol.

Suitable candidate genes include those which are; a) associated with nutrient intake, such as the lactase gene, polymorphisms of which determine lactose intolerance and therefore milk intake[ii] b) involved in nutrient metabolism, for example the MTHFR gene which is involved in the metabolism of folate,[iii] c) important in the transport and intern

Date proposal received: 
Monday, 1 October, 2007
Date proposal approved: 
Monday, 1 October, 2007
Keywords: 
Primary keyword: 

B558 - The structure and origins of schizotypal personality traits in adolescence - 01/10/2007

B number: 
B558
Principal applicant name: 
Prof Richard Bentall (University of Liverpool, UK)
Co-applicants: 
Dr Charles Fernyhough (Not used 0, Not used 0), Nick Shryane (Not used 0, Not used 0)
Title of project: 
The structure and origins of schizotypal personality traits in adolescence
Proposal summary: 

No outline received

Date proposal received: 
Monday, 1 October, 2007
Date proposal approved: 
Monday, 1 October, 2007
Keywords: 
ADHD, Antisocial Behaviour, Behavioural Problems
Primary keyword: 

B557 - Electronic patient records and database research - 28/09/2007

B number: 
B557
Principal applicant name: 
Mrs Rosie Cornish (University of Bristol, UK)
Co-applicants: 
Prof John Macleod (University of Bristol, UK), Prof John Henderson (University of Bristol, UK)
Title of project: 
Electronic patient records and database research.
Proposal summary: 

Aims

1. Obtain consent for and establish mechanisms of linkage between ALSPAC study participants and routine sources of health and social data to enable enrichment of the study database and cost-effective prospective follow-up.

2. Investigate challenges to linkage based epidemiological research and follow-up of population-based cohorts and develop generalisable solutions to these problems

3. Demonstrate the value of linkage-based research through a series of exemplar projects on key health and social outcomes in young adulthood.

4. Establish a training programme to share these methods and insights with other researchers.

Date proposal received: 
Friday, 28 September, 2007
Date proposal approved: 
Friday, 28 September, 2007
Keywords: 
Diet, Eating disorders, Data Linkage
Primary keyword: 

B560 - Pilot study of ALSPAC hearing data at age 11 work towards grant application - 27/09/2007

B number: 
B560
Principal applicant name: 
Dr Amanda J Hall (University of Bristol, UK)
Co-applicants: 
Prof Adrian Davis (Not used 0, Not used 0), Dr Judith Gravel (Not used 0, Not used 0)
Title of project: 
Pilot study of ALSPAC hearing data at age 11 ? work towards grant application
Proposal summary: 

The aim of the pilot work is to support an application for the proposed 17+ clinic. The following data are required for preliminary analyses:

1. Hearing threshold and hearing questionnaire data collected at the Focus11+ clinic.

2. Sex of child

3. Social status of child

The following analyses will be performed:

1. Comparison of the frequency distribution of hearing threshold at 11 years with the data currently being collected at age 15 years.

2. Comparison of the frequency distributions at age 11 and 15 with similar data from the 1958 cohort study

3. Estimation of the percentage of children with a permanent hearing loss at age 11 years

4. Effect of sex and social status on hearing thresholds at age 11

The results of these analyses will be used as part of a grant application, and may also be written up for publication.

Date proposal received: 
Thursday, 27 September, 2007
Date proposal approved: 
Thursday, 27 September, 2007
Keywords: 
Hearing
Primary keyword: 

B555 - The association between social functioning social cognition and psychosis-like symptoms in the ALSPAC birth cohort - 20/09/2007

B number: 
B555
Principal applicant name: 
Dr Sarah Sullivan (University of Bristol, UK)
Co-applicants: 
Prof Glyn Lewis (University of Bristol, UK), Dr Jonathan Evans (University of Bristol, UK), Dr Giovanni Salvi (University of Bristol, UK)
Title of project: 
The association between social functioning, social cognition and psychosis-like symptoms in the ALSPAC birth cohort
Proposal summary: 

Aims

1/ To examine the cross-sectional association between social functioning, as measured by the SCDC at age 13 and the presence of PLIKS at age 13 yrs

2/To examine the strength PLIKS, as measured at age 13, as a predictor of poor social functioning at age 15 years.

3/To examine the role of social cognitive ability, as measured by the Emotion Triangles Test, at age 13, as a mediator, in the above association.

4/To examine how social functioning and social cognition as measured at age 13, predict the future development of PLIKS, as measured by questionnaire at ages 14 and 16 years.

Date proposal received: 
Thursday, 20 September, 2007
Date proposal approved: 
Thursday, 20 September, 2007
Keywords: 
ADHD, Antisocial Behaviour, Behavioural Problems
Primary keyword: 

B556 - Relation of adverse psychosocial enviroment to childhood obesity and early puberty as markers of future breast cancer risk - 19/09/2007

B number: 
B556
Principal applicant name: 
Dejana Braithwaite (University of California, USA)
Co-applicants: 
Dr Ken Ong (University of Cambridge, UK), Dr Robert Hiatt (University of California, USA), Dr Pauline Emmett (University of Bristol, UK)
Title of project: 
Relation of adverse psychosocial enviroment to childhood obesity and early puberty, as markers of future breast cancer risk
Proposal summary: 

Objectives/aims:

  1. To establish whether markers of adverse psychosocial environment (such as adverse socioeconomic circumstances and stressful life events) are associated with biochemical markers of cortisol metabolism (fasting cortisol levels and urinary excretion of total cortisol metabolites at age 8), central fat patterning (by waist circumference and DXA), and earlier timing of thelarche and menarche (by questionnaire).
  2. To establish whether these associations are modified by level of physical activity and energy intake.

In addition to providing a test of our proposed stress-body fat-puberty model, the proposed study also has the potential to inform the scientific basis of targeted interventions to reverse the childhood obesity epidemic .

Date proposal received: 
Wednesday, 19 September, 2007
Date proposal approved: 
Wednesday, 19 September, 2007
Keywords: 
Diet, Eating disorders
Primary keyword: 

B552 - Meta-analyses of genetic association studies of psychiatric disorders - 17/09/2007

B number: 
B552
Principal applicant name: 
Prof Marcus Munafo (University of Bristol, UK)
Co-applicants: 
Title of project: 
Meta-analyses of genetic association studies of psychiatric disorders
Proposal summary: 

No outline received

Date proposal received: 
Monday, 17 September, 2007
Date proposal approved: 
Monday, 17 September, 2007
Keywords: 
Genetics
Primary keyword: 

B514 - Association between common variants in the adiponectin gene APM1 or ADIPOQ and childhood growth body composition adiponectin levels and insulin sensitivity - 15/09/2007

B number: 
B514
Principal applicant name: 
Ken Ong (University of Cambridge, UK)
Co-applicants: 
Title of project: 
Association between common variants in the adiponectin gene (APM1 or ADIPOQ) and childhood growth, body composition, adiponectin levels and insulin sensitivity"
Proposal summary: 

No outline received

Date proposal received: 
Saturday, 15 September, 2007
Date proposal approved: 
Saturday, 15 September, 2007
Keywords: 
Endocrine, Genetics, Growth, Weight, Obesiy
Primary keyword: 

B554 - Sexually transmitted infections and sexual behavior in an adolescent cohort - 14/09/2007

B number: 
B554
Principal applicant name: 
Dr Caroline Trotter (University of Bristol, UK)
Co-applicants: 
Prof Matt Hickman (University of Bristol, UK), Prof Jonathan Sterne (University of Bristol, UK), Prof John Macleod (University of Bristol, UK), Prof George Davey Smith (University of Bristol, UK), Dr Paddy Horner (University of Bristol, UK)
Title of project: 
Sexually transmitted infections and sexual behavior in an adolescent cohort
Proposal summary: 

Sexual health is an important component of physical and mental health. In the UK, rates of teenage pregnancy are among the highest in western Europe and sexually transmitted infections (STIs) such as chlamydia are common in teenagers and young adults. Sexual behaviour is a normal part of human development and it is crucial to understand the factors that influence sexual health and behaviour through this development process in adolescence to guide suitable public health interventions to improve sexual health.

The ALSPAC cohort is representative and extremely well characterised from before birth. The ALSPAC children are now teenagers, and this offers a unique opportunity to study adolescent sexual behaviour and adverse sexual health outcomes, including sexually transmitted infections. Sexual activity has been measured at age 11, 12, 13+, 15+ and factors affecting relationships between the individual and his/her environment have been measured across the life-course. We propose to repeat the sexual activity questionnaire at the age 17+ clinics and in addition, collect biological samples to test for current and past chlamydia and human papillomavirus (HPV) infection. These infections are common and important in terms of public health policy given the recent introduction of the National Chlamydia Screening Programme and imminent HPV vaccine introduction. Using this data, we will describe the sexual behaviour and prevalence and incidence of chlamdyia and HPV in teenagers, and identify risk factors for adverse sexual health outcomes. By doing so, we aim to identify potentially modifiable behaviours/ factors that can be used to develop sexual health interventions for young people.

Aims:

- To describe the sexual behaviour of ALSPAC participants attending the age 17+ clinics

- To establish the prevalence of current and past infection with chlamydia in ALSPAC participants attending the age 17+ clinics

- To establish the prevalence of current and past infection with HPV in ALSPAC participants attending the age 17+ clinics

- To measure associations between sexually transmitted infections with current and past sexual behaviour and other risk taking behaviours

- To establish early-life influences and predictors of adverse sexual health outcomes

Methods:

We propose to engage the cohort in the next round of clinics at age 17+ years. Participants attending the clinics will be invited to complete a computer assisted self-interview (CASI) on 'romantic relations' and other relevant risk behaviours, particularly substance use. The romantic relations questionnaire was first introduced at the age 11+ clinic and to maintain consistency between assessments we will retain this questionnaire. However, we will also assess whether further questions should be added, for example, to allow direct comparisons with NATSAL. Participants will be invited to give blood and first catch urine samples which will be used to test for active and past infection with chlamydia and HPV (see below). In addition, informed consent will also be sought to test stored samples collected in the age 15+ and 13+ clinics.

These data will be analysed to describe the age-specific sexual behaviour and the incidence and prevalence of HPV and chlamydia. We will then identify risk factors for HPV and/or chlamydia infection over life course and associations with other risk taking behaviours. Predictor variables from biological, individual, family, peer, social and cultural domains will be considered for inclusion in regression models.

Date proposal received: 
Friday, 14 September, 2007
Date proposal approved: 
Friday, 14 September, 2007
Keywords: 
Primary keyword: 

B490 - Determination of FT1 abundance in ALSPAC sample lysate - 14/09/2007

B number: 
B490
Principal applicant name: 
Prof George Davey Smith (University of Bristol, UK)
Co-applicants: 
Prof Jeff Holly (University of Bristol, UK), Nick Timpson (University of Bristol, UK)
Title of project: 
Determination of FT1 abundance in ALSPAC sample lysate.
Proposal summary: 

Project outline:

The recent swathe of genomewide analyses, which are essentially acephalous scientific experiments testing all available genetic variants for association with common disease traits, has thrown up a series of apparently novel pathways for further analysis. One of these is that of the FTO locus of chromosome 16 which has been shown now to have a association with T2D driven entirely by its robust associaion with fat mass (Zeginni et al Science 2007, Frayling et al Science 2007). As yet, neither the driving force behind this association, nor its biological foundation have been elucidated.

Returning to the work of Remy & Michnick (Molecular and Cellular Biology) and personal experience alongside Pof Jeremy Tavare, Prof Holly recalled that the adjacent locus to FTO, AKTIP (seen below)fundamentally involved in the insulin signalling pathway. This protein has been observed to enhance the PKB mediated recruitment of GLUT4 to the cell surface and hence the action of IGF1, IGF2, and consequent responsiveness to insulin.

Whilst not the actual site of association

Observed by Zeginni and Frayling, the

protein (FT1) encoded by AKTIP

may well lie in the 5' promoter of the

FTO locus, possibly having an impact on

the expression pattern and profile of the

locus concentrated on by these new

reports.

In efforts to verify this, a simple

experiment can be performed which can

enable one to assess the relative

abundance of this protein (FT1) in the

lysate of spent samples (here derived from

the ALSPAC cohort. With genotypes

already collected for this cohort, one simply

requires samples of cell pellets for examination via the use of FT1 antibody which has already been developed and delivered to Bristol (and lab in question here) by Remy and Michnick. This experiment will employ simple western blotting approaches for the examination of FT1 protein levels (measured in a semi-quantitative manner) in individuals organised by their respective FTO genotype. Under the hypothesis that the FTO locus is exerting its observed metabolic association through its interaction with the FT1 locus, one may anticipate a genotype specific difference in the yield of FT1 by this approach.

Date proposal received: 
Friday, 14 September, 2007
Date proposal approved: 
Friday, 14 September, 2007
Keywords: 
Primary keyword: 

B551 - Early origins of coronary heart disease Application of the Illumina50k chip to the Avon Longitudinal Study of Parents and Children - 14/09/2007

B number: 
B551
Principal applicant name: 
Prof George Davey Smith (University of Bristol, UK)
Co-applicants: 
Title of project: 
Early origins of coronary heart disease: Application of the Illumina50k chip to the Avon Longitudinal Study of Parents and Children
Proposal summary: 

No outline received

Date proposal received: 
Friday, 14 September, 2007
Date proposal approved: 
Friday, 14 September, 2007
Keywords: 
Genetics
Primary keyword: 

B550 - NIH Mercury - 13/09/2007

B number: 
B550
Principal applicant name: 
(Not used 0, Not used 0)
Co-applicants: 
Dr Philippe Grandjean (Harvard School of Public Health, USA)
Title of project: 
NIH Mercury
Proposal summary: 

Fish and seafood are regarded healthy components of a varied diet, particularly important for pregnant women so that they can pass on essential nutrients needed for fetal development of the brain and other organs1. On the other hand, fish may contain environmental pollutants, such as methylmercury, that can put fetal brain development at risk2. A balance has been sought by state and federal agencies in advising the public 3, but certain subpopulations (i.e. pregnant women or women of childbearing age) generally eat less fish than desirable in order to obtain the beneficial effects of fish 1. At the same time, U.S.EPA reports that over 300,000 children born every year exceed the Reference Dose (RfD) for methylmercury and may therefore be at risk at developing adverse effects4.

Tragic pollution episodes have clearly documented that the fetal brain is particularly susceptible to methylmercury toxicity; the adverse effects on the nervous system appear to be irreversible and are much more widespread and serious in children than in adults, especially when exposures have occurred prenatally5,6. While the existence of adverse effects at low exposure levels has been affirmed by national and international regulatory agencies,7-10 certain scientific questions remain unanswered. They relate to the possible occurrence of neurotoxic effects close to the U.S.EPA Reference Dose, the persistence of the cognitive deficits through adolescence, and the possible compensation of adverse effects by essential nutrients present in fish and seafood. The proposed research aims at developing new and more definite information on the benefits and risks associated with seafood intakes at levels relevant to the US general population.

This proposal builds upon the extensive data already collected on a cohort of 14,138 children born between April 1st 1991 and December 31st 1992 in Avon, England, as part of the Avon Longitudinal Study of Parents and Children (ALSPAC) study11. The focus was to identify features of the environment that affect the health and development of children. Detailed information and biological samples were collected at the time of birth and continue to be collected during the course of follow-up11. A10% sample randomly selected was seen at 4, 8 and every 6 months until age 5 years with data including motor and intellectual development. From age 7 years, all children were invited annually for neurobehavioral assessment (including IQ). A pilot project was carried out to measure cord-mercury wet-weight concentrations12, and frozen cords are available from 7,500 subjects to link to the outcome parameters already available.

Because cord tissue has been collected from over half of the children, and because the mercury concentration in the umbilical cord is an excellent biomarker of prenatal exposure levels13, the opportunity exists to assess the developmental mercury exposure level to determine its possible impact on highly relevant neurodevelopmental functions, and the possible interaction with beneficial effects of maternal fish intake.

The specific aims of this project are therefore: to determine if methylmercury-associated cognitive deficits are present at low-level prenatal methylmercury exposures and remain detectable through to adolescence;

  • to examine whether intake of fish containing beneficial nutrients affect the same outcomes and counterbalance the methylmercury-associated deficits; and
  • to identify other behavioral outcomes that are linked to prenatal methylmercury exposure for possible consideration in future research.
Date proposal received: 
Thursday, 13 September, 2007
Date proposal approved: 
Thursday, 13 September, 2007
Keywords: 
Genetics
Primary keyword: 

B553 - FAVOUR Fruit and Vegetables for our children FP7 - 11/09/2007

B number: 
B553
Principal applicant name: 
Dr Pauline Emmett (University of Bristol, UK)
Co-applicants: 
Alison Stephen (MRC Human Nutrition Research, UK), Dr Kate Northstone (University of Bristol, UK), Mrs Louise R Jones (University of Bristol, UK)
Title of project: 
FAVOUR Fruit and Vegetables for our children FP7
Proposal summary: 

FAVOUR work package 4

Epidemiological investigations of impact of fruit and vegetables introductions at weaning on subsequent intake

Data analysis of existing longitudinal studies - ALSPAC, DONALD

Objectives Statistical analysis of fruit and vegetable eating in childhood in relation to early introduction of fruit and vegetables

Exploration of the relationship of socio-economic background to early feeding and later intake of fruit and vegetables

Description of work

ALSPAC: The Avon Longitudinal Study of Parents and Children (ALSPAC) was devised specifically to determine the ways in which the environment influences the health and development of the child (Golding et al,2001; http://www.alspac.bris.ac.uk/). Detailed information was collected regarding weaning practice and records of the child's food/drink intake were kept at repeated time points. During infancy, mothers completed questionnaires covering the age of introduction and types of weaning and family foods given to the child (at ages 6 and 15 months). Frequency of intake of fruit and vegetables was assessed by questionnaire at age 7 years. Preliminary analysis of this data has shown that children introduced to raw and home-cooked fruit and vegetables by 6 months of age ate fruit and vegetables more often at age 7 years than did those introduced to ready-prepared foods. More detailed food and drink record data were collected using 3d unweighed diaries from 750 to 1000 of the children at 4, 8, 18 months, 3.5, 5, 7 and 10 years. A complete range of foods and drinks consumed at each age is available as well as socio-economic background.

DONALD: The DONALD study is an ongoing open cohort study with about 40 new infants recruited every year. Currently there are 750 children and adolescents taking part. Dietary assessment has been conducted in the DONALD study as 3d weighed dietary records at ages 3, 6, 9, 12, 18, 24, 36 months. Food consumption is broken down to single food items including those from composite foods such as baby jars, and it is possible to distinguish between home prepared meals and commercial products at each age.For both studies, the diet records have been coded and analysed and information about food/drink and nutrient intakes including details of actual fruits and vegetables eaten is available. Children will be grouped according to fruit and vegetable weaning practice. Intakes of fruits, vegetables and other foods at each age up to 10 years will be investigated to determine the likely influence of these weaning behaviours. The socio-economic position of the families will be taken into consideration to determine the influence of these external factors on weaning practice. At each of the two cohorts a research nutritionist will be employed to carry out this work. The work will complement the results of the intervention study in work package 3.

Task 4.1 Assembly of dietary dataset covering weaning and later childhood diet Incorporate data from diet records from various timepoints covering nutrients and foods/drinks consumed. Create groups of subjects according to their fruit and vegetable weaning practice at 6 months.

Task 4.2. Linking of dietary dataset to socio-economic background variables. Compile socio-economic background data including educational level and age of mother, housing tenure, marital status and incorporate into dietary dataset

Task 4.3. Establishment of protocol for statistical analysis. Provide descriptive statistics of fruit and vegetable intakes at various ages and discuss with partners to establish protocol for the statistical analysis

Task 4.4. Statistical analysis. Determine amount of fruit eaten at each age in relation to eating raw fruit, home cooked, and ready-prepared fruit. Determine amount of vegetables at each age in relation to eating raw vegetables, home-cooked vegetables, and ready-prepared vegetables by 6 months.Investigate differences in nutrient intakes at each age according to type of fruit and vegetables introduced by 6 monthsInvestigate differences in other food/drinks consumed at each age according to type of fruit and vegetables introduced by 6 months

Task 4.5 Adjustment for socio-economic influences. Investigate the influence of socio-economic position on fruit and of vegetable eating at each age in relation to weaning practice.

Date proposal received: 
Tuesday, 11 September, 2007
Date proposal approved: 
Tuesday, 11 September, 2007
Keywords: 
Diet, Eating disorders
Primary keyword: 

B548 - Outcomes of moderately premature infants born at 33-36 weeks of gestation - 10/09/2007

B number: 
B548
Principal applicant name: 
E Boyle (Not used 0, Not used 0)
Co-applicants: 
Title of project: 
Outcomes of moderately premature infants born at 33-36 weeks of gestation
Proposal summary: 

No outline received

Date proposal received: 
Monday, 10 September, 2007
Date proposal approved: 
Monday, 10 September, 2007
Keywords: 
ADHD, Antisocial Behaviour, Behavioural Problems
Primary keyword: 

B549 - Birthweight and subsquent levels of glucose and insulin a quantitative systematic review of published evidence - 06/09/2007

B number: 
B549
Principal applicant name: 
Prof Peter Whincup (St Georges University, London, UK)
Co-applicants: 
Miss S Kaye (Not used 0, Not used 0), Prof Derek Cook (Not used 0, Not used 0), Dr Charlie Owen (Not used 0, Not used 0)
Title of project: 
Birthweight and subsquent levels of glucose and insulin: a quantitative systematic review of published evidence
Proposal summary: 

Background:

Early life exposures have been hypothesised to affect subsequent levels of glucose and insulin. We aim to draw together all of the research done to date looking at this possible relationship in all normal populations in both children and adults.

Scientific hypothesis:

That there is an association between birthweight and subsequent levels of glucose and insulin.

Objectives:

To establish the difference in mean levels of fasting and post load glucose and insulin per one Kg increase in birthweight. We also wish to examine the effect of potential modifiers and confounders.

Methodology and planned statistical analyses:

The first stage is to identify all studies with published reports on the relationship between birthweight and subsequent levels of glucose and insulin in general populations of both children and adults. Investigators will be asked to provide data (preferably) or to carry out pre-defined analyses. Individual study data will be analysed with multiple logistic regression to obtain estimates for the differences in glucose and insulin that are associated with a 1 kg increase in birthweight, based on the full range of birthweights for each study. Models will be fitted without adjustment and then with additional adjustments for

* age and (if appropriate) gender

* for social class

* current body mass index

Analyses will also examine the effect of excluding subjects with

* birthweights greater than 4kg

* maternal diabetes.

The estimates will then be included in meta-analyses, carried out using fixed-effects modelling if there is not appreciable evidence of heterogeneity.

Date proposal received: 
Thursday, 6 September, 2007
Date proposal approved: 
Thursday, 6 September, 2007
Keywords: 
Weight
Primary keyword: 

B544 - The lifecourse determinants of oral health in a contemporary birth cohort - 31/08/2007

B number: 
B544
Principal applicant name: 
D Jagger (Not used 0, Not used 0)
Co-applicants: 
Title of project: 
The lifecourse determinants of oral health in a contemporary birth cohort
Proposal summary: 

No outline received

Date proposal received: 
Friday, 31 August, 2007
Date proposal approved: 
Friday, 31 August, 2007
Keywords: 
Primary keyword: 

B542 - A study of psychosis-like symptoms PLIKS in 17-year old adolescents in ALSPAC - 30/08/2007

B number: 
B542
Principal applicant name: 
Prof Mary Zanarini (Harvard School of Public Health, USA)
Co-applicants: 
Dr Stanley Zammit (University of Cardiff, UK), Prof Chris Hollis (Not used 0, Not used 0), Prof Glyn Lewis (University of Bristol, UK), Prof Glynn Harrison (University of Bristol, UK), Prof Peter Jones (University of Cambridge, UK), Prof Dieter Wolke (University of Warwick, UK), Prof David Gunnell (University of Bristol, UK)
Title of project: 
A study of psychosis-like symptoms (PLIKS) in 17-year old adolescents in ALSPAC
Proposal summary: 

AIMS The aim of this proposal is to examine risk factors for developing psychosis-like symptoms (PLIKS) during late adolescence within a population-based birth cohort. Furthermore, we will examine factors affecting persistence of PLIKS throughout adolescence, and the pathways from developing PLIKS in early adolescence through to disorder (PLIKS with concurrent functional impairment) in late adolescence, focusing on both risk and protective factors that are likely to be operating along this trajectory. More specifically, the aims of this proposal are:

1) To carry out an interview-based assessment of PLIKS, along with measures of functional impairment, in order to determine the prevalence and distribution of sub-clinical PLIKS, and of PLIKS related disorder (PLIKS and concurrent functional impairment) in 17-year olds.

2) To investigate whether established risk factors for adult onset psychotic illness (maternal exposures during pregnancy, pregnancy and birth complications, social relationships during childhood and adolescence, social cognition, emotional experiences, cognitive ability, substance use, and genetic variation) alter risk of developing PLIKS at age 17, or impact upon persistence of symptoms (from assessment at age 12 through to age 17 assessment) or transition into PLIKS related disorder.

3) To further refine and increase the validity and positive predictive value of a self-rated questionnaire-based assessment of PLIKS by comparing self-reported responses to structured questions with observer ratings of PLIKS from a semi-structured interview

Date proposal received: 
Thursday, 30 August, 2007
Date proposal approved: 
Thursday, 30 August, 2007
Keywords: 
Depression, Mental Health
Primary keyword: 

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