Proposal summaries
B3993 - Use of a polygenic risk score to stratify for treatment for extreme short stature - 17/02/2022
Children with idiopathic short stature (ISS) are defined by height below 2 standard deviations (SD) of the mean for age and sex without any endocrine, metabolic or other disease explaining the short stature. Recently the US Food and Drug Administration has approved Vosoritide for individuals with extreme short stature which is caused by a single gene mutation.
However, there are causes of extreme short stature that are not due a single gene mutation. These include polygenic predisposition to disease. We have recently generated a polygenic risk score that can reliably predict adult height, and this was tested in the ALSPAC cohort. We hypothesize that children who are extremely short due to a polygenic cause may also benefit from Vosoritide therapy.
Therefore, we posit that a polygenic risk score can help to identify children at extreme short stature. It could also help to predict if Vosoritide therapy could be helpful, by assessing if genetic changes in the biological pathway that is influenced by Vosoritide influences height. Last, we can use this polygenic risk score to better understand if extreme short stature is associated with other diseases and medically-relevant traits.
B3981 - Parental age and offspring DNA methylation - 07/02/2022
Advanced parental age has been associated with adverse offspring health outcomes, but the biological mechanisms underlying these associations remain unclear. Research suggests that epigenetics may play a role, especially since advanced parental age has been associated with lower levels of offspring DNA methylation, which in turn, have been associated with adverse offspring outcomes. Nevertheless, the association between advanced parental age and epigenetics has only been explored in two studies with relatively small sample sizes. Larger epigenome-wide association studies are required to identify more CpG sites and improve our understanding of epigenetic mechanisms underlying the observed associations between advanced parental age and adverse offspring health outcomes.
References:
1. Adkins RM, Thomas F, Tylavsky FA, Krushkal J. Parental ages and levels of DNA methylation in the newborn are correlated. BMC Med Genet. 2011;12:47.
2. Markunas CA, Wilcox AJ, Xu Z, et al. Maternal Age at Delivery Is Associated with an Epigenetic Signature in Both Newborns and Adults. PLoS One. 2016;11(7):e0156361.
3. Pinheiro RL, Areia AL, Mota Pinto A, Donato H. Advanced Maternal Age: Adverse Outcomes of Pregnancy, A Meta-Analysis. Acta Med Port. 2019;32(3):219-226.
4. Ryer EJ, Ronning KE, Erdman R, et al. The potential role of DNA methylation in abdominal aortic aneurysms. Int J Mol Sci. 2015;16(5):11259-11275.
B3987 - Validation of the Our Future Health genotyping assay - 25/04/2022
Our Future Health will collect information from up to 5 million volunteers from across the UK to create one of the most detailed pictures we’ve ever had of people’s health. Researchers will be able to use this information to discover more effective ways to prevent, detect and treat diseases. As part of the programme, genetic information will be extracted from blood samples collected from the volunteers, using a new genetic test which will give information on over 600,000 genetic variants (DNA which may vary from person to person). Before it can be used, however, the test will require preliminary accuracy checks and other comparisons on a collection of samples where the correct genetic information is already known. We propose to conduct these checks on a set of 1800 samples from the ALSPAC cohort, which have established cell-lines for DNA extraction and whole genome sequence information as part of the UK10K programme. These samples will be tested by the supplier of the genetic test, and the results sent to Our Future Health for comparison against the reference genetic information. For any genetic variants that do not meet our pre-specified level of accuracy, this part of the test will be re-designed by the supplier and the assessments repeated. This work will help to ensure that the Our Future Health genetic tests are as accurate as possible, and through the Our Future Health programme will contribute to research to prevent, detect and treat disease for decades to come.
B3978 - Genome-wide association study of bone mineral density in ALSPAC children and mothers - 04/02/2022
Osteoporosis is a common age-related condition with a strong genetic component. Osteoporotic fractures significantly contribute to disease burden and costs. Whilst a number of genes responsible have been identified, many gene variants each contribute to the disease but each with subtle effect.
Previous GEnetic Factors for OSteoporosis Consortium (GEFOS) study identified a number of BMD-related loci using a genome-wide association study (GWAS). As part of this collaboration, an ongoing meta-analysis of four DXA-derived BMD traits is being conducted. Cohorts previously involved as well as new and updated cohorts are being invited to take part in this effort.
B3986 - Early Environmental quality and life-course mental health effects - Equal Life - 15/02/2022
Air pollution, road transport noise and other environmental exposures in pregnancy and early life may affect many aspects of a child's development and have long-term effects tracking into adult life. However, there are few studies on the impact of very early life exposures to environmental pollution. This study will focus on effects of environmental exposures in early life on mental health and cognition in childhood. The analyses will form part of a large European study with over 30 participating institutions. The answers will help develop environmental policies to protect children's health and development.
B3977 - Estimate the causal effect of maternal smoking during pregnancy on offsprings birth weight using ALSPAC data - 04/02/2022
Numerous studies have shed light on the effects of maternal smoking during pregnancy on the offsprings’ health outcomes. In particular, maternal smoking during pregnancy was found to be associated with lower offspring birthweight. Previous studies normally address confounding by adjusting for maternal age, socioeconomic status, breastfeeding and offspring gender. However, concerns about unmeasured confounding biases due to the mother’s lifestyle, the households’ socioeconomic status, and mother’s genotypes still remain.
The negative control method is a recently popularized approach that utilizes measured covariates as proxies of unmeasured confounders, in order to detect, reduce and correct for confounding bias. This method may help eliminate the confounding bias when studying the causal effect of maternal smoking on child birth weight. For example, paternal alcohol consumption during the mother’s pregnancy can serve as a potential negative control variable since it’s a proxy of the household’s socioeconomic status but shouldn’t directly affect the offspring’s birth weight. Therefore, any observed association between paternal alcohol consumption and the child’s birth weight is likely a result of confounding bias. Other negative control variables may include negative control exposures (NCEs) such as mother’s smoking behavior after giving birth, and negative control outcomes (NCOs) such as the child’s injuries since age 9.
In this project, we will utilize multiple negative control variables to obtain a more accurate estimate of the causal effect of maternal smoking during pregnancy on infants’ birthweight with the ALSPAC data.
B3982 - Maternal metabolic risk factors and prognosticators for offspring affected by congenital heart disease - 07/02/2022
Congenital anomalies complicate over 2% of births, with congenital heart disease (CHD) the most common accounting for approximately one third. However, understanding of potential causes is limited, with only 20% related to known genetic, chromosomal or teratogenic factors. Greater knowledge of maternal risk factors and causative mechanisms is essential. Assessing the maternal metabolome offers an opportunity to achieve these goals. Metabolomics describes the study of small molecules and substances created by the processes of the body. It reflects how the body functions and is influenced by genetics, our environment and other factors such as health conditions and pregnancy. This project will perform large scale metabolomic analysis utilising the Children-OMACp, ALSPAC and Surgical-PEARL cohort studies based in the South-West of England. Firstly, case control study will compare metabolomic profiles of non-pregnant mothers of children with CHD to controls with no congenital anomaly. Further study will then compare metabolomic profiles in pregnant mothers of fetuses with CHD and controls with no congenital anomaly. This research aims to elucidate potential maternal metabolic risk factors and causative pathways for fetal CHD. It will also allow us to greater understand the role the fetus has in influencing maternal metabolomic profiles in pregnancies complicated by CHD. This can be compared to underlying maternal metabolic variation that could represent a causative pathway for fetal CHD. This understanding could revolutionise care for women before and during pregnancy. Furthermore, it offers an exciting opportunity for primary prevention of CHD.
B3985 - Uncovering novel early life risk factors and molecular markers for cancer prevention - 09/02/2022
Cancer is a leading cause of morbidity and mortality worldwide. Its burden is expected to increase in the coming years as populations age and increase their exposure to unhealthy lifestyle factors. Most research on cancer aetiology has been conducted in adult populations. This has led to the identification of well-established risk factors in adulthood, such as smoking and obesity. Nevertheless, it is still unclear whether cancer risk may be influenced by early life exposures. Furthermore, the mechanisms by which early life exposures may influence cancer risk have not been fully elucidated. They possibly involve inflammation, changes in the microbiome, metabolism, insulin resistance, hormonal factors and epigenetic modifications. Therefore, the aim of this project will be to identify novel early life risk factors and molecular markers for the prevention of cancer.
B3976 - Is the Bike Drawing test a useful indicator of brain-related visual function in ALSPAC participants - 31/01/2022
I am PI for an exsting project (B3770) which uses ALSPAC data to explore whether a seletion of candidate genes (known to influence the brain's ability to respond to injury) are related to the presence or absence of brain-related vision problems.
In this add-on project, a medical student will examine some additional data from ALSPAC, to see whether the results of a task (the Bike Drawing task; BD) the ALSPAC children carried out at age 11 are in agreement with the results of the brain-related vision tests already requested and in use in B3770. The BD task is an adaptation (for ALSPAC) of a standard neuropsychology assesment called the Rey Osterrieth Complex Figure Test (ROCFT), which assesses visuoconstructive skills and visual memory. This project will therefore be a learning exercise for the student and will provide useful preliminary data as to whether the BD task may be useful in clinical paediatric ophthalmology practice.
B3953 - The Effects of Parenthood on Feelings of Competence Autonomy and Relatedness - 27/01/2022
Self-determination theory states that humans have three Basic Psychological Needs: competence, autonomy and relatedness. These needs are associated with motivation and self-regulation. When the needs are satisfied humans experience optimum well-being, so psychological need satisfaction is very important. This project will examine how parenthood effects competence, autonomy and relatedness. Becoming a parent is a life changing event and causes many changes to lifestyle and well-being so this project will investigate how the Basic Psychological Needs are affected by parenthood. There is limited previous literature which investigates this. Additionally, it will be explored how the effect is different for mothers and fathers. Several other exploratory questions will be assessed to investigate how the effect of parenthood on the Basic Psychological Needs is linked to other variables such as well-being, education level and relationship status.
B3954 - Understanding the Relationship Between Gratitude and Meaning in Life in the ALSPAC Cohort Study - 27/01/2022
This project will investigate the relationship between gratitude and meaning in life. There is a large body of evidence demonstrating a positive association between gratitude and wellbeing (Sansone & Sansone, 2010; Wood et al., 2010). However, research into the relationship between gratitude and specific aspects of wellbeing, namely eudaimonic wellbeing, is lacking. Eudaimonic wellbeing refers to the extent to which someone is fully functioning, focusing on meaning and self-realisation (Ryan & Deci, 2001). Meaning in life is a key indicator of eudaimonic wellbeing, therefore by investigating the predictive relationship between gratitude and meaning in life, this study will enable insights into the relationship between gratitude and eudaimonic wellbeing. In addition, this study aims to investigate whether the relationship between gratitude and meaning in life is stronger in some individuals than others, such that this study will investigate the moderating role of gender, qualification, and childhood socioeconomic status. The potential moderating role of these variables will be investigated because there is evidence suggesting that gender moderates the willingness to express gratitude, with men being less likely to feel and express gratitude than women (Kashdan et al., 2009). Additionally, there is evidence that measures of childhood socioeconomic status are associated with wellbeing, with more disadvantaged childhood socioeconomic status being associated with worse mental wellbeing at middle-age (Wood et al., 2021). Finally, there is mixed evidence regarding the relationship between educational attainment and wellbeing (Nikolaev, 2018). Time permitting, this study will also explore how the relationship between gratitude and eudaimonic wellbeing differs to the relationship between gratitude and hedonic wellbeing. Hedonic wellbeing focuses on pleasure and happiness (Ryan & Deci, 2001), and will be measured by subjective happiness and life satisfaction. Overall, this study will provide implications for gratitude interventions, which are increasingly being advocated to improve wellbeing (Rash et al., 2011). This research will enable conclusions to be made regarding who is likely to receive the optimum benefit from gratitude interventions, based on the findings of the moderation analysis.
B3955 - Exploring the impact of Autism Spectrum Disorder Traits on symptoms of depression and anxiety during the COVID-19 pandemic - 27/01/2022
The COVID-19 pandemic has severely impacted the lives of people across the world. There is increasing evidence that the mental health of the UK population was significantly worse as a result of the pandemic and restrictions put in place to stop the spread of COVID-19. Further research has identified groups within the population who were more at risk of an increase in symptoms of depression and anxiety. One of these high-risk groups are those with high levels of autistic spectrum traits (ASTs). Indeed, prior to the pandemic, previous studies have found that mental health conditions such as depression and anxiety amongst those with autistic spectrum disorder or ASTs are highly prevalent. However, of the studies investigating the influence of ASTs on mental health conditions during the pandemic published thus far, most have used convenience sampling, clinical samples, small sample sizes or retrospective reporting of mental health prior to the pandemic. Such methods decrease the validity of the findings, and by using only clinical samples (i.e. only including people who have a clinical diagnosis of autistic spectrum disorder), those who are not able to get a clinical diagnosis due to factors such as socioeconomic status are not represented in the sample, further reducing validity. Therefore, this study will not be using clinical diagnostic data, and instead will use data from a continuous measure of ASTs collected within ALSPAC. Research using birth cohorts such as ALSPAC allow for a comparison of symptoms of depression and anxiety before and after the pandemic, which can help establish whether changes in these symptoms coincide with the pandemic. Furthermore, due to the longitudinal nature of ALSPAC, potential confounding factors such as gender can be adjusted for. This current project will be investigating the influence of Autistic Spectrum Traits (ASTs) on symptoms of depression and anxiety experienced as a result of the COVID-19 pandemic within the ALSPAC population. Further to this, previous literature has highlighted the importance of social interaction and communication when considering the factors related to mental health concerns amongst those with ASTs. Specifically, adults with ASTs who report feelings of loneliness and lack of social contact also tend to report increased symptoms of anxiety and depression. In the context of this pandemic, this factor is highly relevant due to social distancing and self-isolation rules. Therefore, the second part of this study will aim to investigate whether the association between autistic spectrum traits and anxiety and depression depended on changes in social contact as a result of restriction arising from the COVID-19 pandemic.
B3956 - Investigating the effects on happiness life satisfaction and meaning in life following the transition to parenthood - 27/01/2022
The project will investigate the impact that the transition to parenthood has on wellbeing. In particular, the project will focus on understanding how becoming a parent impacts individuals’ happiness, life satisfaction and meaning in life using a longitudinal design.
Research investigating the impact of parenthood on wellbeing produces mixed findings. Some findings indicate that parenthood is associated with detrimental effects on wellbeing (Stanca, 2012), whilst others have suggested that parenthood is associated with improved aspects of wellbeing (Nelson et al., 2013). However, the research investigating the effects of parenthood on wellbeing is difficult to summarise, due to the varying definitions of wellbeing that are used within the literature and the different means of operationalising the term. For example, studies have measured wellbeing by examining symptoms of depression, alcohol abuse, happiness, life satisfaction and frequency of positive and negative emotions. Therefore, this study aims to look at how parenthood effects different aspects of wellbeing individually as there may be differential effects of parenthood on happiness, life satisfaction, and meaning in life. Prior studies have found that parents have higher levels of meaning in life than non-parents (Nelson et al., 2013). However, there are more mixed findings regarding happiness and life satisfaction (Umberson & Gove, 1989). Therefore, the findings regarding the relationship between parenthood and wellbeing do not represent one construct and making concluding statements about parenthood and wellbeing would fail to acknowledge the discrepancies among how wellbeing has been measured and defined.
Previous research has suggested that the relationship between parenthood and wellbeing differs depending on gender, relationship status and financial strain on the parent. It has been reported that mothers experience poorer wellbeing in comparison to fathers (Nelson et al., 2019). Parents who are married may have better wellbeing in comparison to single parents because of the proposed benefits such as division of labour in the home and for parenting tasks (Cunningham & Knoester, 2007). Stanca (2012) also reported that parenthood negatively impacts life satisfaction due to a lack of financial satisfaction and increased financial strain associated with parenthood. Whether the individual is a first-time parent may also be important to investigate because experiences of parenting might not match prior expectations with consequences for mental health in new parents (Harwood et al., 2007).
B3957 - Investigating the impact of anxiety on coping strategies during a pandemic - 27/01/2022
The unprecedented national lockdowns in 2020/21 in response to the COVID-19 pandemic gave many reasons for people to experience increased levels of stress and anxiety driven by potential factors such as fear of illness or death, social isolation, losing jobs and loss of autonomy. To manage the negative experiences of situations like this, people commonly engage in coping strategies to reduce their perceived stress. Potential coping strategies include engaging in exercise, changes in eating, drinking and smoking patterns, social interaction and engagement with news, media reports and conversation related to the pandemic.
We aim to investigate whether there is a relationship between the level of anxiety experienced early in the first UK lockdown and participants subsequent coping behaviours. Did those with higher levels of anxiety at the start of lockdown engage in different coping strategies to those less anxious? Furthermore, how does engaging in certain coping strategies impact levels of anxiety later in the pandemic? Through this further investigation, inferences can be made about how well certain coping strategies work for individuals with different levels of anxiety.
B3962 - The association of the Big 5 personality traits with social media usage in a UK population - 27/01/2022
This project will investigate the relationship between the Big 5 personality traits and social media usage of individuals in the ALSPAC cohort. The Five Factor Model of personality has been used extensively in psychology to predict attitudes and behaviour. The Big-Five personality traits act on a spectrum and consist of the following: Openness to Experience (characterised by one’s willingness to try new things as well as engage in imaginative and intellectual activities); Conscientiousness (associated with organisation, thoughtfulness and impulse control); Extroversion (characterised by the tendency and intensity to which someone seeks engagement with their environment); Agreeableness (concerned with how people tend to treat relationships with others) and Neuroticism: (associated with one’s overall emotional stability). With the recent rise in people using social media, there is growing interest in the association between personality and social media use. So far, this association has only been explored in US, Asian and Australian populations, with less focus on this association in a UK population. Further, past meta-analyses of the association between personality and social media use have arrived at different conclusions about which traits are associated with social media use and the effect size of these associations. This is likely due to varying definitions of social media use.
Current research has primarily focused on single platform use, but as the majority of people using social media use more than one platform, there is the need to investigate the relationship with multi-platform use. Most studies examining the relationship between social media use and the Big Five personality traits have measured social media usage by using the most popular site, Facebook and a few studies have focused on general use of platforms. Understanding the link between personality and social media use is important because Neuroticism is associated with anxiety and depression, therefore it may be a confounding variable that future studies should take into account when exploring the association between multiple social media usage and anxiety/depression. There is also evidence of a link between multiple platform use and mental health difficulties, so it is important to understand the link between personality and social media use within the context of more than one social media platform. Taking this into consideration, this study aims to elucidate the associations between personality and social media use by concentrating on just a single definition of social media use (frequency of visits to a social media site) and examining this by focusing on one specific platform as well as multi-platform use of social media.
Exploratory analyses will also be run to examine potential moderators of the association between personality and social media use, such as gender and ethnicity, to help further explain the relationship.
B3971 - The combined role of physical activity and dietary factors for musculoskeletal health during growth - 24/01/2022
Osteoporosis increases the risk of fracture due to decreased bone mass and deterioration of its structure which causes bone fragility. Low peak bone mass (PBM) at the end of adolescence or at the early stage of adulthood is a risk factor of osteoporosis. Bone development during growth is crucial for bone health throughout the whole life. Although the variation in bone outcomes is determined by heredity, lifestyle-related factors including physical activity (PA) and dietary habits can explain up to approximately 30% of the variation in PBM. It is known that sufficient moderate-to-vigorous PA levels and sufficient nutritional intakes, such as calcium, protein and vitamin D are needed to promote bone development. However, only a few studies focused on the combined and interactive effects between the dietary intakes and PA on bone health during growth. In addition, body mass is an important predictor of bone mineral content, according to previous studies, lean mass has a positive association with bone development, while the role of fat mass to bone is still controversial. Previous paediatric studies indicate the partial influence of endocrine markers on bone growth and especially during puberty, but the mediating role of endocrine markers on the relationship between body composition and PA with bone growth requires further research. Therefore, the overall objective of this research project is to assess the combined role of physical activity and dietary factors with bone development and examine the role of endocrine markers and body composition from childhood to early adulthood.
B3975 - Consequences of adolescent depression - 24/01/2022
Depression is a complex and multifaceted disease, that will commonly onset during adolescence. Those who experience an episode during adolescence are much more likely to experience future episodes throughout adolescence and later adulthood. Equally, they are much more likely to experience deficits in educational attainment, social functioning, along with a greater likelihood of poorer physical and mental health (including co-morbidities with other psychiatric traits and substance misuse). The overarching aim of this project is to quantify the burden of adolescent depression using the prospective data from the Avon Longitudinal Study of Parents and Children (ALSPAC). As a society, it is important to establish any links between depressive symptoms in childhood/adolescence and later deficits in early adulthood in order to inform public policies. This will help identify those who are at higher risk of encountering particular physical, psychosocial or economic problems in early adulthood and to ensure the necessary resources are in place for support.
B3943 - Disease risk prioritisation in early life using polygenic risk profiles - 24/01/2022
Polygenic risk score (PRS) have the potential to stratify individuals at high risk of disease. Using a PRS in conjunctioon with traditional risk factors has been shown to enhance the risk prediction of disease outcomes in multiple studies. Exploiting genetic variants associated with disease risk from multiple genome-wide association studies for different risk factors and disease have been reported to outperform single-disease PRS. We hypothesis that with the inclusion of genetic variants associated with modifiable risk factors and biomarkers for disease onset and progression, PRS may provide enhanced risk stratification before the presence of risk factors and enable disease prevention in early life.
In this study, we will develop both single and multi-trait PRS models for complex traits in the UK Biobank and validate their performance in terms of prediction and stratification over the life course using data from participants in the ALSPAC cohort study.
B3979 - Proposal Trauma mental health and educational outcomes - 24/01/2022
Using existing dataset B3837
Children exposed to trauma during their early childhood are at a higher risk of early onset of mental disorders. Bereavement is one of the most prevalent adversities that children face. Empirical literature has highlighted child bereavement to be associated with lower emotional, behavioural, and social wellbeing during adolescence. Early to mid-adolescence is a critical developmental period for the onset and maintenance of psychopathology. A combination of personal attributes, family circumstances, and the nature of supportive networks outside the immediate family are found to be crucial for resilience when faced with early life trauma such as loss. Yet, little research has examined protective factors for children that have experienced bereavement and of those that have, there is limited understanding of the role of amenable maternal factors in improving mental health outcomes. Identifying modifiable maternal factors that may contribute to the development of resilience in children who have been exposed to childhood loss provides opportunity for early intervention. Therefore, the current study aims to examine whether modifiable maternal factors mediate the relationship between child bereavement and internalising or externalising problems during adolescence and early adulthood.
B3968 - Contributions of fat and lean mass to structural vascular adaptations in the young - 17/01/2022
In the absence of hard CVD endpoints in the young, early structural changes within the heart and arteries - such as an increase in left ventricular mass or a thickening or stiffening of the major arteries - are often used in early prevention research as surrogate measures of early disease. Many studies have related changes in these phenotypes at a young age to increases in either BMI or body fat %, suggesting that excess adiposity at an early age may drive pathophysiological changes within the heart and vessels. Both of these are crude measures of adiposity, however, with the former unable to separate fat from lean mass, and the latter unable to quantify absolute levels of each tissue type. The extent to which these phenotypic changes are driven by fat mass per se rather than a combination of fat and lean mass remains equivocal.