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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B4471 - Age and diet quality may have modify effect on the relationship between chronotype and depression - 18/12/2023

B number: 
B4471
Principal applicant name: 
Po-Hsiu, Kuo | National Taiwan University, Taiwan
Co-applicants: 
Meng-Chieh, Tsao
Title of project: 
Age and diet quality may have modify effect on the relationship between chronotype and depression
Proposal summary: 

This study aims to explore the potential protective effects of an early bedtime and waking routine against depression. It also seeks to examine how factors like age and diet quality might influence this relationship. By understanding these dynamics, the research could offer insights into simple lifestyle adjustments for mitigating depression risks.

Impact of research: 
Our research is poised to make significant contributions to the understanding of the relationship between chronotype and depression, particularly considering the dynamic nature of chronotype across different life stages. Key impacts include: 1. Exploring chronotype variability across ages: While existing literature suggests a causal relationship between chronotype and depression, we recognize that chronotype is not static throughout life. Adolescents typically experience a delay in chronotype, whereas the elderly often exhibit an advance. Our study aims to delve deeper into this relationship through a gene-environment (GE) interaction analysis. By examining effect modifications by age in various groups, including adolescents and adults, we hope to provide a more comprehensive understanding of the influential factors in this relationship. 2. Investigating the Roles of Diet: Additionally, we will investigate the potential effect modification by diet quality. This aspect of our research will particularly focus on whether diet quality modifies the relationship between chronotype and depression in adults, as opposed to adolescents. This could offer new insights into how dietary habits influence mental health and contribute to a more nuanced understanding of depression's etiology. Overall, our research aims to broaden the understanding of how chronotype, age, and diet interact to influence depression while considering other sleep and mental health influences, potentially informing more targeted and effective interventions.
Date proposal received: 
Monday, 11 December, 2023
Date proposal approved: 
Monday, 18 December, 2023
Keywords: 
Epidemiology, Mental health, Statistical methods, Mendelian randomisation

B4462 - The architecture of health and labour market outcomes - 24/01/2024

B number: 
B4462
Principal applicant name: 
Jakub Hlávka | Masaryk University (Czech Republic)
Co-applicants: 
Jaroslav Groero PhD, Štěpán Mikula
Title of project: 
The architecture of health and labour market outcomes
Proposal summary: 

The environments we live and work in affect our physiological functions and health, which in turn can affect behavior, productivity, and overall labor market performance. Air pollution in particular is a pervasive environmental issue with far-reaching consequences for human health and well-being, as has been suggested by e.g., Currie, Neidell, and Schmieder (2009), Currie et al. (2014), Greenstone and Hanna (2014), or Newell et al. (2018). Exposure to air pollution can affect human health even during the gestation period resulting in poorer health at birth (Chay and Greenstone 2003; Currie and Neidell 2005; Bharadwaj et al. 2017), which in turn negatively impacts human capital accumulation (Black et al. 2007; Zivin and Neidell 2013) and life-long health and labor market outcomes (Rangel and Vogl 2019). Poor health in childhood also affects labor markets indirectly as poorer development status in childhood can potentially decrease parents’ labor supply in terms of hours worked, and thus the household’s overall income (Lafférs and Schmidpeter 2021).

In this project we propose to investigate the effect of in-utero exposure on cognitive abilites of the children. Moreover, we plan to investigate how the negative effect of pollution on child's human capital affects productivity and social capital of their parents.

Impact of research: 
We plan to publish our research in top peer-reviewed journal
Date proposal received: 
Monday, 18 December, 2023
Date proposal approved: 
Monday, 18 December, 2023
Keywords: 
Health Economics, Hypertension, Obesity, Pregnancy - e.g. reproductive health, postnatal depression, birth outcomes, etc., Statistical methods, Blood pressure, BMI, Cardiovascular, Childhood - childcare, childhood adversity, Cognition - cognitive function, Statistical methods

B4489 - Estimating the age-varying genetic association between the rs9939609 SNP at the FTO locus and body mass index BMI - 06/12/2023

B number: 
B4489
Principal applicant name: 
Kate Tilling | Population Health Sciences, Bristol Medical School (UK)
Co-applicants: 
Miss Panagiota Pagoni
Title of project: 
Estimating the age-varying genetic association between the rs9939609 SNP at the FTO locus and body mass index (BMI)
Proposal summary: 
Impact of research: 
Provide guidance on methods that could be used to combine summary-level data from studies that provide summary-level data on both SNP-phenotype associations and SNP by age interactions and studies that provide summary-level data only on the SNP-phenotype association.
Date proposal received: 
Wednesday, 6 December, 2023
Date proposal approved: 
Wednesday, 6 December, 2023
Keywords: 
Genetic epidemiology (including association studies and mendelian randomisation), Obesity, Computer simulations/modelling/algorithms, GWAS, Statistical methods, BMI, Genome wide association study

B4486 - Childhood respiratory disease and lung function trajectories - 18/12/2023

B number: 
B4486
Principal applicant name: 
James Dodd | University of Bristol; Academic Respiratory Unit, Southmead Hospital;
Co-applicants: 
Dr Rachel Scott, Dr Raquel Granell, Dr George Nava
Title of project: 
Childhood respiratory disease and lung function trajectories
Proposal summary: 

G1 participants of ALSPAC have had their lung function measured at the ages of 8, 15 and 24 years. This data has been used to plot trajectories of their lung function, from which four distinct patterns have been identified: persistently high, normal, below average, and persistently low. It is known that below normal lung function trajectories are associated with chronic obstructive pulmonary disease, cardiovascular disease and all-cause mortality. It is therefore important that we identify and target any modifiable risk factors. We propose using linked GP and hospital records to compare the prevalence of childhood respiratory disease in each trajectory group. By looking at hospital admissions, inhaler use and the prescription of antibiotics and steroids we can also assess the severity of respiratory disease, particularly in asthma and chest infections. Identifying conditions that increase the risk of below normal lung function gives us the opportunity to target them in childhood by optimising their clinical management.

Impact of research: 
This research will provide new insight into the clinical history of individuals in different lung function trajectory groups. To our knowledge, this will be the first study, looking at predictors of lung function trajectories, to use GP and hospital records. Childhood asthma and chest infections within the first four years of life have been associated with below normal lung function trajectories. However, previous studies have been limited by their reliance on survey data, which can be less reliable and less detailed compared to GP and hospital records. GP and hospital records also allow for severity of respiratory disease to be assessed by analysing admission rates as well as prescriptions of oral steroids, antibiotics, and inhaled corticosteroids. Our research will give a clearer picture of the prevalence and severity of respiratory disease during the development of lung function trajectories. This is crucial to understanding the pathophysiology of these trajectories and finding therapeutic targets to prevent chronic respiratory disease in this population.
Date proposal received: 
Monday, 4 December, 2023
Date proposal approved: 
Wednesday, 6 December, 2023
Keywords: 
Epidemiology, Respiratory - asthma, Statistical methods, Lung function trajectories

B4487 - Macronutrient balance and carbohydrate quality for optimal growth trajectory and cardiometabolic health of children - 06/12/2023

B number: 
B4487
Principal applicant name: 
Caroline Taylor | CACH, BMS, University of Bristol (United Kingdom)
Co-applicants: 
Dr Manuel Ramos, Dr Jibran Wali, Dr Pauline Emmett, Dr Nicholas Hays
Title of project: 
Macronutrient balance and carbohydrate quality for optimal growth trajectory and cardiometabolic health of children
Proposal summary: 

Our diets are made up of a mixture of different nutrients that can impact our health in various ways. Nutrition studies that only look at one thing at a time, like comparing high-fat to low-fat diets, often miss out on how these nutrients interact with each other and affect our metabolism. This can lead to confusing and conflicting conclusions about how nutrients influence diseases like diabetes or obesity. To truly understand what diet is best for our health, we need to consider how nutrients work together. A nutrition science methodology called nutritional geometry (NG) helps with this. It's a tool that shows how different nutrients (proteins, fats, carbohydrates) in our food can affect things like our body weight, our appetite, our blood glucose and cholesterol levels. This approach has been used successfully in various animals, from flies to humans, to figure out how different diets affect markers of health and lifespan.

In recent years, scientists have been using the NG approach to study the diets of children and adults. For example, in Australian children, they found that having less protein compared to fat and carbs in the diet was linked to starting puberty earlier. In Finnish children, the amount of energy they got from protein affected how many calories they ate in a day. So, it's not just about how much of each nutrient we eat, but also about how they work together. In this project, we aim to use the NG methodology to study how diets with different ratios of protein, fat and carbohydrate influence their health status and risk of obesity and diabetes across different stages of childhood.

When it comes to carbohydrates, the quality matters too, not just the quantity. Carbs are the major source of energy for the majority of population, but not all carbs are the same. The glycemic index (GI) is a way to measure how quickly a food makes our blood sugar rise and glycemic load (GL) is a measure of how much the food will raise a person's blood glucose level after eating it. In this project, we will generate evidence for the relationship between GI and GL of the diet in childhood and its link with growth, development, obesity and various markers of health. In addition, sugary drinks with fructose can be bad for our health, even if they have a lower GI compared to other sugars. This is because fructose can make our liver create more fat, leading to weight gain and other issues. So, it's not just about the type of carbs we eat, but how they affect our bodies in different ways. Therefore, we will assess how the level of fructose in the diet predisposes a child to the risk of obesity and diabetes.

Impact of research: 
This research project will generate scientific evidence for the relationship between dietary parameters (macronutrient balance, GI, GL and dietary fructose content) and markers of growth, development and cardiometabolic health in childhood. This knowledge will identify the ratios and balance of nutrients that could optimize growth and health of the children, minimizing the risk of obesity and associated metabolic disease. This will have wide-ranging implications for public health policy and food industry practices.
Date proposal received: 
Tuesday, 5 December, 2023
Date proposal approved: 
Wednesday, 6 December, 2023
Keywords: 
Physiology, Diabetes, Obesity, Computer simulations/modelling/algorithms, Statistical methods, Biological samples -e.g. blood, cell lines, saliva, etc., Biomarkers - e.g. cotinine, fatty acids, haemoglobin, etc., Physical - activity, fitness, function, Statistical methods, Blood pressure, BMI, Cardiovascular, Development, Growth, Hormones - cortisol, IGF, thyroid, Metabolic - metabolism, Nutrition - breast feeding, diet

B4482 - Epigenome-wide DNA methylation associations with mental health and brain structure - 22/01/2024

B number: 
B4482
Principal applicant name: 
Sylvane Desrivieres | King's College London
Co-applicants: 
Xinyang Yu
Title of project: 
Epigenome-wide DNA methylation associations with mental health and brain structure
Proposal summary: 

Adolescence is the age of onset of many common mental disorders. The roles of epigenetic modifications, such as DNA methylation (DNAm), has increasingly been recognised in neurological and psychiatric disorders, brain development, and aging. Investigating the relationships between DNAm and mental health, particularly in children and adolescents, is crucial for identifying early biomarkers and for enhancing our understanding of biological mechanisms underlying risk for and onset of mental illness at this developmentally sensitive period.

Impact of research: 
This work will identify and validate blood-based DNAm biomarkers and related genes that are crucial for pubertal development, mental disorders, and brain development, aiming to provide targets for early interventions. High impact publications and conference presentations will be expected from this research.
Date proposal received: 
Sunday, 3 December, 2023
Date proposal approved: 
Wednesday, 6 December, 2023
Keywords: 
Mental health - Psychology, Psychiatry, Cognition, Addiction - e.g. alcohol, illicit drugs, smoking, gambling, etc., Behaviour - e.g. antisocial behaviour, risk behaviour, etc., Eating disorders - anorexia, bulimia, Mental health, GWAS, Microarrays, RNA, Statistical methods, Ageing, BMI, Cognition - cognitive function, Development, Equipment - MRI, Environment - enviromental exposure, pollution, Epigenetics, Expression, Psychology - personality, Statistical methods

B4483 - Exploring the impact of cardiopulmonary fitness on exercise blood pressure cardiac output and peripheral blood flow - 06/12/2023

B number: 
B4483
Principal applicant name: 
Siana Jones | University College London (United Kingdom)
Co-applicants: 
Miss Annali Olivelle
Title of project: 
Exploring the impact of cardiopulmonary fitness on exercise blood pressure, cardiac output and peripheral blood flow
Proposal summary: 

Blood pressure rises during exercise as a result of changes in the amount of blood the heart pumps and changes in the circulation within skeletal muscle. An exaggerated blood pressure response to exercise can indicate poor cardiovascular health but recent work suggests an exaggerated exercise BP only indicates poor cardiovascular health when cardiopulmonary fitness (aerobic fitness) is low. In this project we propose to explore the effect of fitness on exercise blood pressure and the mechanisms underlying this relationship. Sex differences in all metrics and associations will also be explored to get a better understanding of cardiovascular health in young men and women.

Impact of research: 
Date proposal received: 
Monday, 4 December, 2023
Date proposal approved: 
Wednesday, 6 December, 2023
Keywords: 
Physiology, Statistical methods, Cardiovascular

B4484 - Student 2 Exploring the impact of cardiopulmonary fitness on exercise blood pressure cardiac output and peripheral blood flow - 06/12/2023

B number: 
B4484
Principal applicant name: 
Siana Jones | University College London (United Kingdom)
Co-applicants: 
Mr Abdul Bakhi
Title of project: 
Student 2: Exploring the impact of cardiopulmonary fitness on exercise blood pressure, cardiac output and peripheral blood flow
Proposal summary: 

Blood pressure rises during exercise as a result of changes in the amount of blood the heart pumps and changes in the circulation within skeletal muscle. An exaggerated blood pressure response to exercise can indicate poor cardiovascular health but recent work suggests an exaggerated exercise BP only indicates poor cardiovascular health when cardiopulmonary fitness (aerobic fitness) is low. In this project we propose to explore the effect of fitness on exercise blood pressure and the mechanisms underlying this relationship. Sex differences in all metrics and associations will also be explored to get a better understanding of cardiovascular health in young men and women.

Impact of research: 
Date proposal received: 
Monday, 4 December, 2023
Date proposal approved: 
Wednesday, 6 December, 2023
Keywords: 
Physiology, Statistical methods, Cardiovascular

B4485 - Student 3 Exploring the impact of cardiopulmonary fitness on exercise blood pressure cardiac output and peripheral blood flow - 06/12/2023

B number: 
B4485
Principal applicant name: 
Siana Jones | University College London (United Kingdom)
Co-applicants: 
Mr Elion Tmava
Title of project: 
Student 3: Exploring the impact of cardiopulmonary fitness on exercise blood pressure, cardiac output and peripheral blood flow
Proposal summary: 

Blood pressure rises during exercise as a result of changes in the amount of blood the heart pumps and changes in the circulation within skeletal muscle. An exaggerated blood pressure response to exercise can indicate poor cardiovascular health but recent work suggests an exaggerated exercise BP only indicates poor cardiovascular health when cardiopulmonary fitness (aerobic fitness) is low. In this project we propose to explore the effect of fitness on exercise blood pressure and the mechanisms underlying this relationship. Sex differences in all metrics and associations will also be explored to get a better understanding of cardiovascular health in young men and women.

Impact of research: 
Date proposal received: 
Monday, 4 December, 2023
Date proposal approved: 
Wednesday, 6 December, 2023
Keywords: 
Physiology, Statistical methods, Cardiovascular

B4477 - The role of attachment in infancy with mental and physical health and relationship outcomes in early adulthood - 04/12/2023

B number: 
B4477
Principal applicant name: 
Alexandria Andrayas | School of Psychological Science (UK)
Co-applicants: 
Professor Marcus Munafo, Anna Howard
Title of project: 
The role of attachment in infancy with mental and physical health, and relationship outcomes, in early adulthood
Proposal summary: 

Attachment theory suggests that when babies are born, their main aim is to connect with and stay close to their caregiver. This behaviour has developed over time to help them survive. Scientists have come up with different attachment styles, like secure, avoidant, anxious, and disorganised. Previous studies have found that how well a child bonds with their caregiver can affect things like blood pressure, stress, habits, self-esteem, wellbeing and how they form and keep stable adult relationships. The upcoming research project will investigate the strength and direction of the relationship between attachment and later health and relationship outcomes.

Impact of research: 
If attachment does influence physical and mental health outcomes, and relationship satisfaction, then interventions to improve attachment may improve these outcomes. Health promotion related to these outcomes may also be specifically targeted to those with insecure attachment, given that they will be more likely to experience adverse mental and physical health and relationship outcomes.
Date proposal received: 
Thursday, 30 November, 2023
Date proposal approved: 
Monday, 4 December, 2023
Keywords: 
Epidemiology, Behaviour - e.g. antisocial behaviour, risk behaviour, etc., Statistical methods, Development

B4478 - The role of attachment in infancy with mental and physical health and relationship outcomes in early adulthood 2 - 04/12/2023

B number: 
B4478
Principal applicant name: 
Alexandria Andrayas | School of Psychological Science (UK)
Co-applicants: 
Professor Marcus Munafo, Emily Thomas
Title of project: 
The role of attachment in infancy with mental and physical health, and relationship outcomes, in early adulthood 2
Proposal summary: 

Attachment theory suggests that when babies are born, their main aim is to connect with and stay close to their caregiver. This behaviour has developed over time to help them survive. Scientists have come up with different attachment styles, like secure, avoidant, anxious, and disorganised. Previous studies have found that how well a child bonds with their caregiver can affect things like blood pressure, stress, habits, self-esteem, wellbeing and how they form and keep stable adult relationships. The upcoming research project will investigate the strength and direction of the relationship between attachment and later health and relationship outcomes.

Impact of research: 
If attachment does influence physical and mental health outcomes, and relationship satisfaction, then interventions to improve attachment may improve these outcomes. Health promotion related to these outcomes may also be specifically targeted to those with insecure attachment, given that they will be more likely to experience adverse mental and physical health and relationship outcomes.
Date proposal received: 
Thursday, 30 November, 2023
Date proposal approved: 
Monday, 4 December, 2023
Keywords: 
Epidemiology, Behaviour - e.g. antisocial behaviour, risk behaviour, etc., Statistical methods, Development

B4479 - The role of attachment in infancy with mental and physical health and relationship outcomes in early adulthood 3 - 04/12/2023

B number: 
B4479
Principal applicant name: 
Alexandria Andrayas | School of Psychological Science (UK)
Co-applicants: 
Professor Marcus Munafo, Noah Chambers
Title of project: 
The role of attachment in infancy with mental and physical health, and relationship outcomes, in early adulthood 3
Proposal summary: 

Attachment theory suggests that when babies are born, their main aim is to connect with and stay close to their caregiver. This behaviour has developed over time to help them survive. Scientists have come up with different attachment styles, like secure, avoidant, anxious, and disorganised. Previous studies have found that how well a child bonds with their caregiver can affect things like blood pressure, stress, habits, self-esteem, wellbeing and how they form and keep stable adult relationships. The upcoming research project will investigate the strength and direction of the relationship between attachment and later health and relationship outcomes.

Impact of research: 
If attachment does influence physical and mental health outcomes, and relationship satisfaction, then interventions to improve attachment may improve these outcomes. Health promotion related to these outcomes may also be specifically targeted to those with insecure attachment, given that they will be more likely to experience adverse mental and physical health and relationship outcomes.
Date proposal received: 
Thursday, 30 November, 2023
Date proposal approved: 
Monday, 4 December, 2023
Keywords: 
Epidemiology, Behaviour - e.g. antisocial behaviour, risk behaviour, etc., Statistical methods, Development

B4480 - The role of attachment in infancy with mental and physical health and relationship outcomes in early adulthood 4 - 04/12/2023

B number: 
B4480
Principal applicant name: 
Alexandria Andrayas | School of Psychological Science (UK)
Co-applicants: 
Professor Marcus Munafo, Ella Snape
Title of project: 
The role of attachment in infancy with mental and physical health, and relationship outcomes, in early adulthood 4
Proposal summary: 

Attachment theory suggests that when babies are born, their main aim is to connect with and stay close to their caregiver. This behaviour has developed over time to help them survive. Scientists have come up with different attachment styles, like secure, avoidant, anxious, and disorganised. Previous studies have found that how well a child bonds with their caregiver can affect things like blood pressure, stress, habits, self-esteem, wellbeing and how they form and keep stable adult relationships. The upcoming research project will investigate the strength and direction of the relationship between attachment and later health and relationship outcomes.

Impact of research: 
If attachment does influence physical and mental health outcomes, and relationship satisfaction, then interventions to improve attachment may improve these outcomes. Health promotion related to these outcomes may also be specifically targeted to those with insecure attachment, given that they will be more likely to experience adverse mental and physical health and relationship outcomes.
Date proposal received: 
Thursday, 30 November, 2023
Date proposal approved: 
Monday, 4 December, 2023
Keywords: 
Epidemiology, Behaviour - e.g. antisocial behaviour, risk behaviour, etc., Statistical methods, Development

B4474 - Exploring the Interplay of Genetic Psychosocial and Metabolic-Immune Nexus in Mental Development Trajectories - 18/12/2023

B number: 
B4474
Principal applicant name: 
Jianhua Chen | Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine (China)
Co-applicants: 
Title of project: 
Exploring the Interplay of Genetic, Psychosocial, and Metabolic-Immune Nexus in Mental Development Trajectories
Proposal summary: 

Unraveling the Link Between Our Bodies and Minds

Ever wondered why our mental well-being is so unique to each of us? Our research project is like a treasure hunt for answers. We believe our mental health is indeed influenced by a complex web of factors, with a spotlight on our immune and metabolic systems.

What We're Doing:
We're investigating the interrelationships among our genes, the surrounding environment, and the internal mechanisms of our bodies. These factors significantly impact how we think, feel, and live. Our objective is to comprehend the roles played by our immune and metabolic systems in this intricate web of connections.

Why It's Important:
Mental health is a big part of life, and we want to help people live their best lives. By studying how our genes, environment, and our body's inner processes influence our mental well-being, we aim to uncover new insights into mental health and develop effective interventions.

How We're Doing It:
We're collecting information from a diverse group of individuals, collecting information, and studying their genes. Additiionally, brain imaging is being conducted to gain a better understanding of how the brain works. We'll keep following these individuals over time to observe any changes that may occur.

What We Hope to Discover:
Our goal is to explore the connetion between our immune and metabolic systems and our mental well-being. By connecting the dots between genes, our environment, and how our bodies function, we aimto uncover new ways to enhance people's happiness and overall quality of life.

In a nutshell, our research is like solving a puzzle. We're dedicated to understanding how our genes, the environment, and our body's inner workings come together to create our unique stories and help us live our best lives.

Impact of research: 
Our research will advance the understanding of the complex interplay between genetic, psychosocial, metabolic, and immune factors in mental health, contributing to scientific progress. By uncovering novel pathways and mechanisms, our study has the potential to lead to more effective, personalized interventions and treatments, enhancing mental health outcomes. We hope our findings may foster interdisciplinary collaboration, enhancing research and practice.
Date proposal received: 
Tuesday, 28 November, 2023
Date proposal approved: 
Friday, 1 December, 2023
Keywords: 
Genetic epidemiology (including association studies and mendelian randomisation), Allergy, Behaviour - e.g. antisocial behaviour, risk behaviour, etc., Cognitive impairment, Diabetes, Eating disorders - anorexia, bulimia, Eczema, Hypertension, Mental health, Obesity, Computer simulations/modelling/algorithms, DNA sequencing, Gene mapping, GWAS, Microarrays, NMR, Proteomics, Biomarkers - e.g. cotinine, fatty acids, haemoglobin, etc., Blood pressure, Genetic epidemiology, Genetics, Genomics, Genome wide association study, Hormones - cortisol, IGF, thyroid, Immunity, Mendelian randomisation, Metabolic - metabolism, Methods - e.g. cross cohort analysis, data mining, mendelian randomisation, etc., Nutrition - breast feeding, diet, BMI, Parenting, Psychology - personality, Whole genome sequencing, Cohort studies - attrition, bias, participant engagement, ethics, Childhood - childcare, childhood adversity, Cognition - cognitive function, Development, Endocrine - endocrine disrupters, Environment - enviromental exposure, pollution, Epigenetics

B4469 - Investigating whether religion/spiritual beliefs and behaviours moderate associations between hearing and mental health - 01/12/2023

B number: 
B4469
Principal applicant name: 
Neil Goulding | Centre for Academic Child Health, Population Health Sciences, Bristol Medical School, University of Bristol (United Kingdom)
Co-applicants: 
Dr Amanda Hall
Title of project: 
Investigating whether religion/spiritual beliefs and behaviours moderate associations between hearing and mental health
Proposal summary: 

Hearing loss is in the top ten disabilities in England and second globally for prevalence of impairment. In the UK, around 40% of people aged 50 years old and 71% of people aged 70 years and older have hearing loss. Deterioration of hearing typically starts in the 4th decade of life and risk is increased by noise exposure, genetics and social determinants of health.

Acquired hearing loss can affect communication, mental health, social participation, employment and quality of life. Hearing loss is associated with both anxiety and depression. Hearing loss is also associated with higher risk of loneliness and social isolation, with a potentially greater impact for women compared to men. The impact of hearing loss also extends to communication partners, affecting partners’ social life, quality of life and relationship satisfaction.

Religious and spiritual beliefs and behaviours (RSBB) may provide mechanisms by which people are able to cope with stress, or provide a source of social and emotional support. Recent data supports that RSBB can have a positive influence on living with sensory impairment, both hearing and vision loss. Lee and Park (2022) examine activities of successful ageing and health, and the influence of sensory impairment using data from the US 2015–2017 National Survey on Drug Use and Health. They identified that for those with sensory impairment, participation in religious activity was associated with better reported health. A study of older adults living with age related macular degeneration identified that spirituality and religion were important coping factors promoting emotional well-being. This project will investigate whether self-reported hearing difficulties of study parents are associated with poorer mental health, social isolation and loneliness. If poorer outcomes are identified, we will examine whether RSBB moderates the association, using relevant RSBB-linked questions from ALSPAC questionnaires

Impact of research: 
Identification of associations between hearing impairment and depression/anxiety.
Date proposal received: 
Tuesday, 21 November, 2023
Date proposal approved: 
Friday, 1 December, 2023
Keywords: 
Mental health - Psychology, Psychiatry, Cognition, Mental health, Statistical methods, Statistical methods

B4476 - DNA methylation proxy of alcohol intake - 01/12/2023

B number: 
B4476
Principal applicant name: 
Matthew Suderman | IEU, University of Bristol (UK)
Co-applicants: 
Professor Riccardo Marioni, Aleksandra Chybowska
Title of project: 
DNA methylation proxy of alcohol intake
Proposal summary: 

DNA methylation patterns in blood samples are known to be influenced by a variety of exposures including lifestyle factors including smoking, alcohol consumption and diet. Although many of these exposures can be reasonably accurately assessed by self-report questionnaire, there are significant advantages to having objective measures of these exposures using biological samples over self-report which is known to be unreliable, especially for long-term exposures. We therefore propose to construct and validate an accurate DNA methylation-based model of long-term alcohol intake using data from a large number of cohort studies including ALSPAC.

Impact of research: 
The alcohol intake DNA methylation model will allow researchers to objectively assess long-term alcohol consumption behaviors to better understand the causes and effects of alcohol consumption.
Date proposal received: 
Wednesday, 29 November, 2023
Date proposal approved: 
Friday, 1 December, 2023
Keywords: 
Epidemiology, Addiction - e.g. alcohol, illicit drugs, smoking, gambling, etc., Behaviour - e.g. antisocial behaviour, risk behaviour, etc., Microarrays, Biomarkers - e.g. cotinine, fatty acids, haemoglobin, etc., Epigenetics

B4473 - Association between ideal cardiovascular health and grey matter phenotypes in the young - 01/12/2023

B number: 
B4473
Principal applicant name: 
Scott Chiesa | UCL (UK)
Co-applicants: 
Fatehah Jahan
Title of project: 
Association between ideal cardiovascular health and grey matter phenotypes in the young
Proposal summary: 

Accumulating evidence implicates poor cardiovascular health in later life as a major risk factor for compromised brain health and eventual dementia. How early the association between cardiovascular and brain health begins to emerge, however, is unclear. In 2022, the American
Heart Association (AHA) created ‘Life’s Essential 8 (LE8)’ – a risk score aimed at quantifying ideal cardiovascular health behaviours within large populations in order to predict future disease. This risk score consists of eight modifiable factors known to influence cardiovascular
disease – namely body weight, physical activity, diet, sleep, smoking, total cholesterol, glucose, and blood pressure – and has been shown to already associate with the subclinical development of early cardiovascular risk in from as early as childhood.

Impact of research: 
First evidence in large adolescent cohort (at time of outcome measurement) showing association between cumulative CV risk assessed through recognised metric and early differences in brain health.
Date proposal received: 
Monday, 27 November, 2023
Date proposal approved: 
Friday, 1 December, 2023
Keywords: 
Epidemiology, cardiovascular health, brain health, phenotyping, risk scores, Blood pressure, BMI, Cardiovascular, Neurology, Physical - activity, fitness, function, Sleep

B4470 - Tinnitus and depression in children young adults and the role of religion/spiritual beliefs and behaviours - 05/12/2023

B number: 
B4470
Principal applicant name: 
Amanda Hall | Aston University
Co-applicants: 
Nadia Donald, Professor Jean Golding, Yaz Iles-Caven, Dr Dan Green
Title of project: 
Tinnitus and depression in children & young adults, and the role of religion/spiritual beliefs and behaviours
Proposal summary: 

Tinnitus is defined as a sound in the head or ears that occurs in the absence of any external acoustic source and while there is no single agreed-upon definition of tinnitus, it is estimated to affect between 5.1% to 42.7 % of the population, with a higher prevalence in men than women. Most people habituate to tinnitus, however, in some individuals it has a significant impact on their quality of life and causes debilitating problems such as depression, anxiety, frustration and insomnia. Current research suggests a strong association between tinnitus, psychiatric symptoms and psychological distress. Severe tinnitus can lead to distressing catastrophic thoughts, and although suicide is rare, suicidal thoughts are common amongst severe sufferers.

Tinnitus is also a common experience in children and prevalence rates are reported to be similar to the adult population. Insomnia, listening and attention difficulties are the main psychological factors associated with tinnitus in children. However, little is known about the psychological impact of tinnitus in children, yet emerging studies in this field have identified anxiety and depression as problematic emotional response to tinnitus. Furthermore, there has been limited research on how tinnitus manifests in children, and addressing this knowledge gap is crucial in understanding and predicting the relationship between tinnitus and psychological disorders presenting in adulthood, as children develop into adults with or without tinnitus. Therefore, there is a need for further studies to define the life course of tinnitus from childhood to adulthood in order to gain a better understanding of the role early tinnitus and psychological disorders play in the development of tinnitus severity and distress in to adulthood.

Religious and spiritual beliefs and behaviours (RSBB) may provide mechanisms by which people are able to cope with stress or provide a source of social and emotional support. Recent data supports that RSBB can have a positive influence on adults living with sensory impairment, both hearing and vision loss. For children, longitudinal data indicates that RSBB can support psychological adjustment. These data suggest that children in families with RSBB may be at lower risk of psychological disorders if they experience tinnitus.

Impact of research: 
Increase understanding of the generation of severe tinnitus, which has potential to improve clinical interventions Further understanding of how religious & spiritual beliefs and behaviours do or do not interact with health conditions
Date proposal received: 
Wednesday, 22 November, 2023
Date proposal approved: 
Friday, 1 December, 2023
Keywords: 
Epidemiology, Tinnitus & mental health, Statistical methods, ENT - hearing

B4468 - Fish intakes in childhood and neurodevelopmental outcomes - 27/11/2023

B number: 
B4468
Principal applicant name: 
Dr Caroline Taylor | University of Bristol (United Kingdom)
Co-applicants: 
Louisa Nel, Dr Pauline Emmett
Title of project: 
Fish intakes in childhood and neurodevelopmental outcomes
Proposal summary: 

Seafood is a major source of essential nutrients such as long chain fatty acids, selenium, iodine and vitamin D. There is debate over whether these essential nutrients offset the potential adverse effects of mercury - a widespread environmental toxin which can accumulate in seafood. Current NHS guidance for pregnancy advises eating no more than 2 portions (approximately 280g) oily fish a week. Previous studies have utilised ALSPAC data to assess the possible benefits and harms of different levels of maternal seafood intake during pregnancy on a child's development, e.g., Hibbeln et al. (2007) modelled the association between maternal fish intake during pregnancy and cognitive development in offspring.
However, there is no current modelling of the relationship between childhood intake of fish and neurodevelopmental outcomes in ALSPAC. This project aims to use existing data from ALSPAC, to examine the possibility of a connection between childhood fish intake and cognitive development. We will look at ALSPAC data collected from food frequency questionnaires on fish intake during childhood, as well as later data on neurodevelopmental indicators (IQ, DDS, SDS). This may subsequently assist with informing nutrition guidance on fish intake in childhood.

Impact of research: 
The project intends to examine the relationship between childhood intake of fish and neurodevelopmental outcomes. This relationship has not been modelled previously. This would increase knowledge in this area and influence nutrition guidance on fish consumption in childhood.
Date proposal received: 
Tuesday, 21 November, 2023
Date proposal approved: 
Monday, 27 November, 2023
Keywords: 
Epidemiology, Neurodevelopmental indicators - IQ etc, Statistical methods, Childhood - childcare, childhood adversity

B4467 - SITAR enhancements to support generalisable reproducible and efficient state-of-the-art analysis of individual growth curves - 01/12/2023

B number: 
B4467
Principal applicant name: 
Ahmed Elhakeem | MRC IEU (UK)
Co-applicants: 
Title of project: 
SITAR enhancements to support generalisable, reproducible, and efficient state-of-the-art analysis of individual growth curves
Proposal summary: 

Adolescence is characterised by rapid growth in height and changes in body composition. These growth patterns can be influenced by early life factors and have consequences for adult health. The SITAR (Super Imposition by Translation and Rotation) method of growth curve analysis summarises individual growth patterns using three parameters (size, timing, and intensity) that are estimated as random effects, plus a cubic spline estimate of the average growth curve. SITAR was designed to simplify the analysis of adolescent height growth curves in individuals and it explains over 95% of the age-specific variance in height, making it an effective summary of individual growth patterns. However, SITAR assumes a plateau or constant growth at the end of the growth spurt which means it fails to properly fit outcomes whose growth continues into adulthood (e.g., weight, adiposity, lean mass and bone mass) and as such its use beyond height remains limited. SITAR also depends on arbitrary selection of the number and spacing of knots in the cubic spline which makes it susceptible to overfitting and confirmation bias, and it uses older (slower) software to fit models. SITAR random effects can be related to earlier growth-affecting exposures or later health outcomes making it relevant for translational medicine and life course epidemiology however, these analyses are often performed in two-stages which can lead to bias due to underestimated standard errors. Lastly, to overcome data sharing challenges, international consortia are increasingly turning to privacy-preserving software that can facilitate remote multicohort research, with the DataSHIELD platform, one of the most widely used software, however, DataSHIELD currently lacks implementation of SITAR. The aim of this project is improve the generalisability, reproducibility, and efficiency of SITAR and to empower researchers with essential information and tools for the best-practice analysis of individual growth patterns and their determinants and outcomes. The project will address the current limitations described above by tackling the outstanding methodological issues, creating R software to implement the new insights and developing resources to guide researchers through their analyses. Methodological developments will include generalising SITAR to allow it to accurately fit weight, adiposity, lean mass, and bone mass, approaches to fit SITAR models in more efficient software, implementing P-splines as alternatives to estimate of the average growth curve, approaches to obtain unbiased standard errors when relating growth curve features to exposures or outcomes, and DataSHIELD modules to implement SITAR. Methods will be tested using repeated data from four prospective cohort studies from the UK, USA, and Canada, and simulation studies. An R library, workshop, and interactive guidance will enable statisticians and epidemiologists to apply the method relatively simply.

Impact of research: 
Date proposal received: 
Tuesday, 21 November, 2023
Date proposal approved: 
Monday, 27 November, 2023
Keywords: 
Epidemiology, Obesity, Statistical methods, Growth, Methods - e.g. cross cohort analysis, data mining, mendelian randomisation, etc.

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