Proposal summaries
B3476 - Validating the CIS-R for use as an online tool - 06/03/2020
The Clinical Interview Schedule â Revised (CIS-R) is a structured diagnostic measure developed from the Clinical Interview Schedule (CIS), a standardised interview designed to assess common mental disorders among community settings. The CIS was designed for use by clinical interviewers and required expert judgement to determine psychopathology. The CIS was standardised to enable interviewers without this expert knowledge to administer, the resulting CIS-R can thus be self-completed and returns results comparable to those from standardized interviews. The CIS-R has been validated across a number of populations and ages, and studies suggest that the instrument remains valid across a number of cultural settings and age groups. To date, little work has been done to validate the CIS-R administered using different modes of assessment.
Previously the CIS-R has been administered to ALSPAC participants via a computerised assessment during clinic time. To minimise participant burden during clinic time and maximise response rate to the CIS-R, it has been suggested that the assessment could be completed online, outside of the clinic. The CIS-R has not currently been validated as an online task, therefore we propose to investigate whether responses to this measure differ according to the setting in which it is completed, and whether it remains a valid diagnostic measure when completed online outside of the clinic setting.
B3474 - Exploration of the relationship between social cognition and PTSD within the ALSPAC cohort - 26/02/2020
Social cognition has been hypothesised to be important in the development of PTSD (1). Previous research has shown that individuals with PTSD have a variety of social cognitive deficits (2), but whether these existed prior to the development of PTSD has not yet been determined. Furthermore, it is not clear whether social cognitive deficits increase risk of trauma exposure, whether trauma causes social cognitive deficits, and whether social cognitive deficits mediate or moderate the relationship between trauma and PTSD
B3475 - Teachers psychological processes - 05/03/2020
Despite the common belief that teachers can impact various aspects of students' lives, the empirical evidence on the breadth and strength of their influence is relatively unclear. This project aims to examine the relative strength of the influence of teachers' characteristics and behaviours as perceived by multiple raters (i.e., teachers themselves, students, and parents) on multiple experiences and outcomes associated with the teacher (e.g., job satisfaction) and their students (e.g., academic achievement).
B3473 - Metabolomic quality control and association analyses - 24/02/2020
Metabolites are the ultimate end-point of a biological process and are therefore seen as a link between genotype and phenotype. Assigning individual metabolite changes to diseases is difficult because of the complexity of their interrelationships. Prior to analysis quality control of metabolomics data is required. We have developed a package that automates these quality control steps. We will use the raw metabolomic data as a use case for our package.
Body composition is known to affect metabolite concentrations. These changes may be implicated in disease development. Following quality control we will use the metabolomic data to investigate the relationship between metabolites and different body composition traits.
B3472 - Are knee DXA biomarkers related to lower limb biomechanics and gait in women with and without knee osteoarthritis - 05/03/2020
B3470 - predicting asthma beyond childhood - 18/02/2020
using same principle of pediatric asthma risk scores to predict asthma in childhood I have created risk factors to predict asthma at age 18 and 26 years old
B3465 - Genetic and Environmental Components of Parental Effects on Child Physical and Mental Health - 18/02/2020
Ultimately, the similarity between parents and their children can come from two sources: nature and nurture. Recently, methods have been introduced to identify the effects of âgenetic nurtureâ - effects of the parentally-provided environment which can be explained by the parentsâ genes through their influences on parental behavior (rather than through genetic transmission to their children). We have developed an extension of these methods which may allow us to find specific genetic factors which make up this effect, for nuclear families with genotype data available on at least 2 members (e.g., sibling pairs or parent-offspring pairs). This method involves imputing missing parental genotypes from the available genotypes of each nuclear family. Because of its detailed longitudinal phenotype data and genotyped mothers and children, ALSPAC is an ideal dataset to examine these effects across a number of traits important to human health and disease. The results of this study will better help us understand the important role of the parental environment in childhood development and identify specific genetic and environmental risk factors (and their interaction) for physical and mental health outcomes in children.
B3469 - Menstruation and womens health - 17/02/2020
There has been remarkably little research on women's experience of menstruation from a population health perspective, despite menstruation and pre-menstrual symptoms having wide-reaching consequences for women's physical and mental health. We need a better understanding of the biological (e.g. hormone levels, epigenetics) and lifestyle factors (e.g. smoking, alcohol, diet) that might predict and/or causally affect menstrual experiences (e.g. cycle length, heaviness, regularity, pain and premenstrual mood). This better understanding could inform ways to predict who is at risk of poor experiences, and develop strategies to prevent or improve those experiences. We also need a better understanding of the impact of different menstrual experiences on women's physical and mental health (e.g. fatigue, depression, life satisfaction). Again, this could inform strategies to predict which women are at risk of poor outcomes and help develop preventative interventions.
B3468 - Profiling the occupational and educational trajectories of individuals with special educational needs and disabilities - 17/02/2020
Educational and career decisions for school leavers are complex and influenced by multiple factors. These can include: factors at the level of an individual, such as cognitive abilities, motivations and self-beliefs; factors related to the family environment, such as parental education and beliefs, and family income; factors relating to the school setting, such as type of schooling; and finally factors relating to the broader economic and cultural context. These factors, besides having a direct and specific impact on individuals' educational and professional path, interact in complex ways. For individuals with special educational needs and disabilities (SEND), education and career decisions are likely to be even more complex, and we know that career advice for individuals with SEND is often patchy and incomplete.
In order to gain a thorough understanding of the factors involved in the post-secondary educational and occupational choices of individuals with SEND, we plan to combine two complementary data analysis techniques: a variable centred approach, which examines which variables play an important role in predicting outcome across the range, and a person centred approach, which is focused on a holistic analysis of the combined effect of multilevel factors. This allows us to understand whether there are different profiles of individuals with SEND who show different post-secondary choices.
B3467 - SoCial Reserve as buffer against psychosis development a psychological and molecular investigation SCORE - 03/03/2020
Social withdrawal (SocW) â defined as reduced social interaction â is a key feature of psychotic disorders and multiple other psychiatric outcomes. Despite growing recognition of its negative consequences, SocW remains one of the least studied human traits, and its underlying mechanisms remain subject of wide speculation. The overall goal of this project is to examine elucidate the role of SocW in the development of psychosis.
By combining clinical data with increasingly powerful âgenetic risk scoresâ (i.e. the sum of risk genes that have shown to be associated with a behavioral trait), we are now able to test whether SocW is a cause or merely a consequence of symptoms in psychosis development. Using the UK Biobank we will create a powerful genetic risk score for SocW, and use this score to examine the role of SocW in psychosis in two large developmental cohorts: The Avon Longitudinal Study of Parents and Children (ALSPAC) and Philadelphia Neurodevelopmental Cohort (PNC). Jointly, these studies followed nearly 16,000 young individuals from childhood to young adulthood, through ages encompassing typical onset of and peak onset age of psychosis. In ALSPAC, we will also test the association between changes in psychotic symptoms and changes in SocW behaviorally, and explore the effects of SocW and established environmental risk in the path to psychosis.
Overall, we aspire to better understand the well-established association between SocW and psychosis, determine critical windows during which individuals may be more or less prone to the influence of SocW, and facilitate much-needed preventive targeted therapies.
B3464 - Anxiety and mood disorders in young people a multivariate approach using the ALSPAC cohort - 12/02/2020
In this project, we will investigate the early life psychological, environmental and biological factors that may increase the risk of developing mood disorders (broadly defined) in late adolescence and early adulthood and the associated poor outcomes. Multi-factorial analyses will examine prospective impacts of diet, sleep, parental mental health, cognitive function, inflammatory markers, metabolomics and genetic susceptibility on the earliest symptoms of mood disorder.
B3466 - Investigating maternal cannabis exposure during pregnancy and epigenetic alterations in offspring - 12/02/2020
Cannabis is widely used for recreational and medical purposes with usage increasing rapidly following its legalization in parts of the world[1]. While there are well-documented effects of cannabis on the users themselves, the impact of its consumption during pregnancy on offspring is much less clear. Previous studies have reported that maternal cannabis usage during pregnancy is associated with lower birth weight and there is the suggestion of impaired neurodevelopment in both observational cohorts in humans and experimental studies in animal models[2-7]. However, how maternal cannabis exposure leads to these adverse health outcomes in offspring remains unclear.
Epigenetic mechanisms play an important role in regulating gene expression and cell homeostasis. Previous experimental studies showed that DNA methylation in offspring could be modified by maternal cannabis exposure[8-10]. In some cases this leads to dysregulation of the immune system of the fetus[11-13]. However, no human studies have yet been conducted, and no specific epigenetic signatures have been identified related to cannabis exposures. We hypothesize that maternal cannabis exposure during pregnancy alters the epigenetic profiles and leads to a specific epigenetic signature of the fetus through in utero exposure, and the epigenetic alterations can then lead to impaired neurodevelopment in the offspring. Therefore, we propose to investigate the association of maternal cannabis exposure around the time of pregnancy with DNA methylation profiles in offspring at birth in the ALSPC cohort.
B3458 - Indoor and outdoor tanning determinants in British young adults - 11/02/2020
Ultraviolet radiation (UVR) is the most important risk factor for skin cancer. Indoor tanning, defined as the use of an ultraviolet emission device to produce a cosmetic tan[1], has been associated with increased risk of melanoma and non-melanoma skin cancer (NMSC), and thus has been classified as a group I carcinogen by the International Agency for Research on Cancer[2]. Despite the risk posed by this activity, indoor tanning is common practice among young people in developed countries. A systematic review and meta-analysis of 12 studies of indoor tanning and NMSC showed that ever exposure to indoor tanning was associated with a higher risk of both, squamous cell carcinoma and basal cell carcinoma, and that exposure at a young age (< 25 years of age) increased these risks considerably[1]. Similarly, melanoma risk was significantly higher due to sunbed use, as reported by a systematic review and meta-analysis of 27 observational studies[3]. Since indoor tanning is a potentially modifiable exposure it is of interest to examine its frequency and the characteristics of its users in the ALSPAC cohort. Up until 2017 ALSPAC did not include questions regarding indoor tanning. The exceptions are the motherâs âYour environmentâ questionnaire administered in early gestation asking how often they had used a sun bed or lamp during their pregnancy, and the child-based KN questionnaire at 69 months old asking about ever use of sun bed or lamp and its frequency. On the other hand, ALSPAC children have been assessed with respect to natural sunlight exposure at regular intervals, although only up to the age of 12 years.
In one of the last waves of data collection for ALSPAC Young People (YP, Life@25+) we requested that a number of questions regarding indoor and outdoor tanning be included. This information is now available and we would like to investigate the determinants and the effects of tanning behaviour in the participants of ALSPAC at different life stages.
References
1. Wehner, M. R.; Shive, M. L.; Chren, M.-M.; Han, J.; Qureshi, A. A.; Linos, E. Indoor tanning and non-melanoma skin cancer: systematic review and meta-analysis. Br. Med. J. 2012, 345, 1â9, doi:10.1136/bmj.e5909.
2. El Ghissassi, F.; Baan, R.; Straif, K.; Grosse, Y.; Secretan, B.; Bouvard, V.; Benbrahim-Tallaa, L.; Guha, N.; Freeman, C.; Galichet, L.; Cogliano, V.; WHO International Agency for Research on Cancer Monograph Working Group A review of human carcinogens--part D: radiation. Lancet. Oncol. 2009, 10, 751â2.
3. Boniol, M.; Autier, P.; Boyle, P.; Gandini, S. Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis. BMJ 2012, 345, e4757âe4757, doi:10.1136/bmj.e4757.
B3462 - INFLUENCE OF EARLY-LIFE PET EXPOSURES ON THE RISK OF ALLERGIC SENSITISATION AND ASTHMA IN CHILDHOOD - 03/03/2020
Studies investigating the influence of early-life pet exposures on the risk of childhood asthma have been inconsistent: some studies have observed a decreased risk whilst others have observed no effect or even an increased risk of asthma following early-life pet exposure. This study aims to use data from several longitudinal studies to investigate how exposure to pets during pregnancy or early-life influences the likelihood of: a) the immune system recognising allergens (allergic sensitisation); b) developing asthma. The study will also investigated the relative influence of type (dogs vs. cats), timing (pregnancy, early life, never) and degree (number) of pet exposures on allergic sensitisation and asthma.
B3463 - Understanding the life course trajectories of adolescents who report psychotic and affective symptoms - 05/02/2020
Mental illness most frequently emerges during adolescence and early adulthood in both psychotic and affective mental illnesses. This developmental period of the life course is one with a vast amount of biological, social and psychological change, during which young people move from early school education to further education and employment. The onset of mental illness during this important period can interrupt this development (Yung et al, 2012).
There is a large body of evidence investigating the relationship between mental ill health and educational achievement and work-related disability (Marwaha et al, 2007; Hale et al., 2015). Most studies investigating this relationship focus on either cross-sectional comparisons, or test longitudinal repeated measures data against end-point relationships (e.g. a binary in work or not in work endpoint). Few explore the heterogeneity of these trajectories over time.
In this study, we aim to measure how differences in education and employment in people with and without psychotic experiences and depressive symptoms emerge over time. To do this, we will use sequence analysis, which is a statistical technique used to identify common patterns in sequences or states over time, aiding in the identification of common life course trajectories. Distinguishing typical and atypical education and employment trajectories over time could give us insight into how this developmental period differs in those with and without psychotic and depressive symptoms. It could also identify where, and at what point in time, interventions could be delivered to reduce these differences.
B3455 - Cardiorespiratory fitness adiposity and lean mass in relation to arterial structure and function from childhood to adulthood - 03/02/2020
Cardiovascular disease, a frontline cause of death worldwide, has some risk factors such as obesity, poor cardiorespiratory fitness (CRF), and vascular dysfunction whose primordial signs exist in childhood. Evidence suggests that excess body fat and poor CRF predict increased cardiometabolic risk and the progression of atherosclerosis. However, the mechanisms underlying vascular dysfunction with respect to predictors such as CRF, body fat, and lean mass in the young remains poorly understood.
It is unclear whether CRF in childhood and adolescence impact arterial structure and function in later life. Although several studies have assessed the influence of childhood CRF on early and or later arterial health, they are either of cross-sectional or short-term longitudinal design. Most of these studies have focused on a specific period (e.g. early or late childhood) and are restricted to a one-time measure of CRF. Moreover, inappropriate scaling measure of CRF such as not accounting for the confounding effect of body fat makes interpretation of existing evidence difficult.
Similarly, accumulation of body fat and lean mass during childhood through adolescence may significantly impact arterial health in early adulthood. But, studies that describe the physiological adaptation of vascular structure through adolescence to young adulthood in relation to increased body fat and lean mass are few. A repeated measure of CRF, body fat and lean mass is essential to determining critical periods of early life during which these factors implicate later arterial health. Evidence on suitable target ages for cardiovascular intervention, alongside unraveling the cryptic mechanisms by which CRF, body fat and lean mass relate to arterial health could be achieved. We would, therefore, assess the importance of early life exposures (e.g. CRF, body fat, lean mass, and/or endothelial function) from childhood through adolescence on vascular phenotypes between ages 9 to 24.
B3459 - Is the association between maternal pre-pregnancy BMI and breastfeeding outcome mediated by changes in maternal DNA methylation - 03/02/2020
Previous research has shown that maternal BMI (body mass index) is associated with reduced breastfeeding. Several studies have shown that increased maternal BMI can affect biological processes such as lactogenesis and that societal factors surrounding increased maternal BMI such as low body confidence can affect breastfeeding. Less is known, however, about any underlying genetic or epigenetic associations between maternal BMI and breastfeeding outcome. We ask to what extent the relationship between maternal BMI and breastfeeding outcome is mediated by changes in the motherâs epigenome, whether any differentially expressed genetic regions are associated with appetite or weight regulation, and how stable these epigenetic associations are across time.
B3460 - The power of the environment Environmental mediation of genetic liability - 03/02/2020
The consequences of childhood obesity remain one of the biggest public health burdens in the UK. 1 in 3 children are already overweight or obese by age 10 years. This is especially problematic because obesity has been linked to many health conditions, such as diabetes, cancer and depression. There is now substantive evidence that obesity runs in families, but genetics alone cannot explain the current rise of obesity in the population. So environmental factors have been proposed to be causal for this development. It is this dual determination, that remains paradoxical:
How is it possible that obesity is explained by both genes and environments and what does this complexity mean for public health interventions?
For childhood obesity, we already know that genetic and environmental factors are
important. However, it is not known how environmental factors might be protective of genetic
liability.
The main questions are:
1. Do parental feeding practices, such as offering food to soothe, enhance or buffer the
association between genetic liability and later childhood BMI, and what could be
achieved if we changed parental feeding strategies?
2. Does the childâs physical activity mediate the association between childhood genetic
liability and later BMI, and what would happen if levels of physical activity increased?
3. Can maternal genetic risk influence the childâs body size, even though the genetic liability
are not passed on?
4. What is the association between genetic liability and the built environment of the family
home, such as access to green spaces and public transport?
B3451 - Markers of infection within Twins - - 28/01/2020
B3452 - Physical activity and prediabetes in adolescents and young adults - 28/01/2020
This proposed project is to examine whether inactive youth are more likely to have prediabetes in adolescents and young adults.