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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B3265 - Development of a widely applicable tool for phenome scans and data processing - 26/03/2019

B number: 
B3265
Principal applicant name: 
Louise AC Millard | MRC IEU, University of Bristol
Co-applicants: 
Dr Neil M Davies, Professor Kate Tilling, Professor Peter Flach
Title of project: 
Development of a widely applicable tool for phenome scans and data processing
Proposal summary: 

While studies examining the effect of an exposure of interest on specific health issues provides important understanding into the determinants of health and disease, it would be arguably more useful to determine, in a single study, the extent that the exposure affects a very large number of health-related traits and diseases. Phenome scans are a particular type of 'hypothesis-free' study, that test the association of a trait of interest with a comprehensive array of phenotypes – the “phenome”. They can be used with an approach called Mendelian randomization to search for the causal effects of a trait of interest with potentially many outcomes. Performing a phenome scan is typically non-trivial as the set of phenotypes available in a cohort tends to be highly heterogeneous. Recently, we developed a tool called PHESANT, that allows researchers to conduct phenome scans in UK Biobank. However, currently it is not easy to perform phenome scans in ALSPAC. In this project we will develop innovative software that enables researchers to easily perform their own comprehensive phenome scans in ALSPAC, searching across 'all' phenotypes is this cohort. We will demonstrate this software by searching for the causal effects of education, as an exemplar.

Impact of research: 
BENEFITS TO RESEARCHERS 1) Enabling researchers to easily conduct phenome scans in ALSPAC. For example, a researcher can use our software to systematically assess the causal effects of their exposure of interest on all phenotypes in ALSPAC, using MR-pheWAS. 2) Enabling researchers to perform other large scale data analytics using ALSPAC, e.g. machine learning. Our software can be used to automatically clean the ALSPAC data before learning machine learning models with these data. BENEFITS TO ALSPAC Setting up this system in ALSPAC will be of great benefit to the ALSPAC cohort, as it will enable researchers to perform phenome scans (and other large scale data analytics) hence help to maximise the impact of this world-leading cohort. We are aware that ALSPAC will move their data managment to new systems (e.g. using mongoDB) and we are keen to ensure that the software we develop is appropriate for this, to be of maximal value to ALSPAC and ALSPAC researchers.
Date proposal received: 
Tuesday, 5 March, 2019
Date proposal approved: 
Tuesday, 5 March, 2019
Keywords: 
Statistics/methodology, Hypothesis-free - we will search for effect across all phenotypes in ALSPAC., Statistical methods, Mendelian randomisation, Statistical methods

B3267 - Offspring adaptation to social isolation Testing a novel prenatal social environment adaptation hypothesis - 05/03/2019

B number: 
B3267
Principal applicant name: 
Jamie Murphy | Ulster University (United Kingdom)
Co-applicants: 
Amanda Spikol, Mark Shevlin, Donal McAteer
Title of project: 
Offspring adaptation to social isolation: Testing a novel prenatal social environment adaptation hypothesis
Proposal summary: 
Impact of research: 
Advancement of the prenatal environmental adaptation hypothesis
Date proposal received: 
Tuesday, 5 March, 2019
Date proposal approved: 
Tuesday, 5 March, 2019
Keywords: 
Mental health - Psychology, Psychiatry, Cognition, Mental health, Statistical methods, Statistical methods

B3263 - Shared genetic pathways influencing normal/abnormal facial shape medical conditions - an international collaboration - 09/04/2019

B number: 
B3263
Principal applicant name: 
Stephen Richmond | Cardiff University (UK)
Co-applicants: 
Peter Claes, Dr Alexei Zhurov, Evie Stergiakouli, Dr Sarah Lewis
Title of project: 
Shared genetic pathways influencing normal/abnormal facial shape & medical conditions - an international collaboration.
Proposal summary: 

Historically, craniofacial genetic research has understandably focused on identifying the causes of craniofacial anomalies and it has only been within the last 10 years, that there has been a drive to detail the biological basis of normal-range facial variation. This initiative has been facilitated by the availability of low-cost hi-resolution three-dimensional systems which have the ability to capture the facial details of thousands of individuals quickly and accurately. Simultaneous advances in genotyping technology have enabled the exploration of genetic influences on facial phenotypes, both in the present day and across human history. There are several important reasons for exploring the genetics of normal-range variation in facial morphology.
- Disentangling the environmental factors and relative parental biological contributions to heritable traits can help to answer the age-old question “why we look the way that we do?”
- Understanding the aetiology of craniofacial anomalies; e.g., unaffected family members of individuals with non-syndromic cleft lip/palate (nsCL/P) have been shown to differ in terms of normal-range facial variation to the general population suggesting an etiological link between facial morphology and nsCL/P.
- Many factors such as ancestry, sex, eye/hair colour as well as distinctive facial features (such as, shape of the chin, cheeks, eyes, forehead, lips, and nose) can be identified or estimated using an individual’s genetic data, with potential applications in healthcare and forensics.
- Improved understanding of historical selection and adaptation relating to facial phenotypes, for example, skin pigmentation and geographical latitude.
- Highlighting what is known about shared facial traits, medical conditions and genes.
This project will be an advancement on a previous studies undertaken at 15 years of age which has yielded a series of landmark articles. The 15 year old cohort will be recalled at 30 and 3D facial images will be collected for as many of the original 4747 15 year old faces as well as their mothers/fathers and their own offspring.
The computer generated 3D facial images/shells will be important in exploring:
- the link between normal variation and craniofacial anomalies
- heritability of facial features (e.g. overall face size/shape and local features nose, lips chin etc)
- Environmental and shared genetic influences on facial shape and reported medical conditions
- Facial ageing from 15 to 30 years of age
- Forensic science relating to identification of facial types from genetic data
- Engagement of the ALSPAC family in deriving relatedness in parents and offspring
- Enable the research team to lead and collaborate with other international cohort studies/cleft lip and palate/craniofacial anomalies/normal facial variation and shared genetic consortia.

There has been significant progress in the first 6 years of GWAS and facial genetics. With increased sample sizes, improved understanding of shared genetic influences on human traits and advancement in techniques there is likely to be significant further progress in the next 6 years. Understanding the face will explain “why we look the way we do” a range of normality and abnormality that
will be useful in a large number of healthcare applications and forensic science.

Impact of research: 
Will provide easy visual understanding/presentations to help answer "why we look the way we do". The impact of research is likely to be significant (based on the criteria a)- g) above) and will allow continued international collaborations with other cohort studies, normal facial variation and cleft lip and palate consortia.
Date proposal received: 
Tuesday, 26 February, 2019
Date proposal approved: 
Tuesday, 26 February, 2019
Keywords: 
Genetic epidemiology (including association studies and mendelian randomisation), • repeated/frequent childhood illnesses • sleep disorder breathing (including Adenoid and tonsil removal) • asthma, atopy, allergic rhinitis • Cardio-metabolic risk indicators (BMI, Fasting insulin/glucose, cholesterol, Triglycerides, HDL/LDL), Initially collecting the 3D faces of the original 4747 cohort @30 and family members., Face - face shape

B3264 - The continuation of interpersonal violence Investigation into the relationship between bullying and intimate partner violence - 26/02/2019

B number: 
B3264
Principal applicant name: 
Sania Shakoor | Queen Mary, Univeristy of London
Co-applicants: 
Professor Lucy Bowes, Professor Delphine Theobald
Title of project: 
The continuation of interpersonal violence: Investigation into the relationship between bullying and intimate partner violence
Proposal summary: 

It is well documented within academic and public policy literature that exposure to violence in all its forms has a detrimental impact on the well-being of all those involved, and is thus a serious public health issue. In particular, attention has been directed towards bullying and intimate partner violence (IPV) as these are two of the most common forms of violence perpetrated and experienced. Individuals who are involved in bullying or IPV as either perpetrators or victims are at an increased risk of experiencing mental health problems (i.e. depression, anxiety, substance use) and greater difficulties in life (i.e. academic decline, financial difficulties, poor physical health). To date the majority of research has investigated bullying and IPV independently of one another in the same individual. The small number of studies which have not, have found that bullying perpetrators are more likely to be perpetrators of IPV and victims of bullying are more likely to be victims of IPV. However these studies have predominantly been conducted in America, have focused on teen dating violence as a form of IPV and have investigated the relationship concurrently. Furthermore very few studies have investigated the continuation of exposure to violence from bullying to IPV by exploring underlying mechanisms which may explain why this is happening for some and not all. As bullying and IPV are interpersonal in nature, factors which influence social interactions and the processing of the social environment and cues may help us to understand the relationship between the two. For example these include the ability to correctly identify emotions and the causes of events and interactions. Identifying individuals who experience both forms of violence and thus experience violence across their lifespan could prove to be an important way to predict and improve the impact on their well-being.

Impact of research: 
This project will provide deeper aetiological knowledge and provide an insight into the behavioural profiles of those exposed to bullying and intimate partner violence (IPV). It will be of interest to academics as it will be the first to investigate the longitudinal association between bullying and IPV and explore possible underlying pathways. It will be of relevance to public health practitioners and policy makers as bullying and IPV are robustly associated with poorer mental health outcomes. Furthermore, through the identification of mediators, findings from this project could be used to inform interventions aimed at supporting and reducing the impact of bullying and IPV.
Date proposal received: 
Tuesday, 26 February, 2019
Date proposal approved: 
Tuesday, 26 February, 2019
Keywords: 
Mental health - Psychology, Psychiatry, Cognition, Mental health, Statistical methods, violence: intimate partner violence, bullying mental health emotion recognition cognitive attributions

B3262 - The association between pregnancy and change in cardiovascular health - 22/02/2019

B number: 
B3262
Principal applicant name: 
Gemma Clayton | MRC IEU and Population Health Sciences University of Bristol (United Kingdom)
Co-applicants: 
Dr Abigail Fraser, Dr Laura Howe, Kirsten Leyland
Title of project: 
The association between pregnancy and change in cardiovascular health
Proposal summary: 

It is currently unknown if and what effect pregnancy has on cardiac structure and function.

Impact of research: 
Date proposal received: 
Wednesday, 20 February, 2019
Date proposal approved: 
Friday, 22 February, 2019
Keywords: 
Epidemiology, Pregnancy - e.g. reproductive health, postnatal depression, birth outcomes, etc., Statistical methods, Cardiovascular

B3259 - The EWAS Catalog a database of epigenome-wide association studies - 19/02/2019

B number: 
B3259
Principal applicant name: 
James Staley | University of Bristol, MEC IEU
Co-applicants: 
Mr Thomas Battram, Dr Matthew Suderman, Dr Paul Yousefi
Title of project: 
The EWAS Catalog: a database of epigenome-wide association studies
Proposal summary: 

DNA methylation is the process of adding a methyl group to a DNA molecule, often changing how the molecule interacts with other cellular factors. Methylation mainly occurs at cytosines in humans, often in the context of a cytosine followed by a guanine (CpG). Epigenome-wide association studies (EWAS) seek to understand the link between DNA methylation patterns at thousands or millions of CpG sites across the genome to various traits and exposures. In recent years, the increase in availability of DNA methylation measures in population-based cohorts and case-control studies has resulted in a dramatic increase in the number of EWAS being performed and published. To make this rich source of molecular data more accessible, we have manually curated a database of CpG-trait associations (with p<1x10-4) from published EWAS, each assaying over 100,000 CpGs in at least 100 individuals. The database currently contains over 500,000 CpG associations for more than 150 EWAS. It is accompanied by a web-based tool and R package that allow these associations to be easily queried. In the near future, we hope this database will be extended to include genome-wide EWAS summary statistics, including over 200 million associations from over 500 EWAS of the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort (N~900). This database will give researchers the opportunity to quickly and easily query EWAS associations to gain insight into the molecular underpinnings of disease as well as the impact of traits and exposures on the DNA methylome. The EWAS Catalog is available at: http://www.ewascatalog.org.

Impact of research: 
Date proposal received: 
Saturday, 16 February, 2019
Date proposal approved: 
Tuesday, 19 February, 2019
Keywords: 
Molecular genetics and genomics, Microarrays, Biological samples -e.g. blood, cell lines, saliva, etc., Biomarkers - e.g. cotinine, fatty acids, haemoglobin, etc., Epigenetics

B3257 - Meta-analysis of association between MC3R Thr6Lys and Val81Ile polymorphisms and body mass index / obesity status - 12/03/2019

B number: 
B3257
Principal applicant name: 
David Meyre | McMaster University (Canada)
Co-applicants: 
Sagaana Thushiyenthan, Dr Raquel Granell
Title of project: 
Meta-analysis of association between MC3R Thr6Lys and Val81Ile polymorphisms and body mass index / obesity status
Proposal summary: 
Impact of research: 
Our aim is to identify a novel locus predisposing to childhood and adult obesity and BMI variation.
Date proposal received: 
Friday, 15 February, 2019
Date proposal approved: 
Tuesday, 19 February, 2019
Keywords: 
Genetic epidemiology (including association studies and mendelian randomisation), Obesity, GWAS, Genetic epidemiology

B3261 - Genetic and epigenetic approaches to identify factors influencing paternal participation in birth cohort studies - 19/02/2019

B number: 
B3261
Principal applicant name: 
Gemma Sharp | MRC Integrative Epidemiology Unit (United Kingdom)
Co-applicants: 
Dr Rebecca Richmond
Title of project: 
Genetic and epigenetic approaches to identify factors influencing paternal participation in birth cohort studies
Proposal summary: 

Paternal participation in cohort studies is lower than maternal
The mother is often considered the “gatekeeper” to paternal involvement
This can introduce selection bias that can make maternal effects appear relatively stronger than paternal effects
For example, a previous study found that paternal participation was lower for mothers from low SEP, ethnic minorities, and those who smoke. This would contribute to any paternal effect of these factors on offspring health appearing smaller and weaker than any maternal effect.
A better understanding of the factors that influence paternal participation will enable researchers to develop strategies to increase paternal participation, thereby reducing these issues with bias. It will also highlight scenarios that might be subject to selection bias, which will help with interpretation of results.
Hypothesis-free approaches, such as those involving genetic and epigenetic ‘omic data, can help identify factors that influence paternal participation without reliance on/bias from the researchers’ assumptions.
This project aims to use genetic and epigenetic approaches to identify factors associated with paternal participation in birth cohort studies.

Impact of research: 
A better understanding of the factors that influence paternal participation will enable researchers to develop strategies to increase paternal participation, thereby reducing these issues with bias. It will also highlight scenarios that might be subject to selection bias, which will help with interpretation of results.
Date proposal received: 
Monday, 18 February, 2019
Date proposal approved: 
Tuesday, 19 February, 2019
Keywords: 
Genetic epidemiology (including association studies and mendelian randomisation), Pregnancy - e.g. reproductive health, postnatal depression, birth outcomes, etc., Cohort studies - attrition, bias, participant engagement, ethics, Epigenetics, Fathers, Genetic epidemiology, Genome wide association study, Mendelian randomisation, Methods - e.g. cross cohort analysis, data mining, mendelian randomisation, etc.

B3258 - STOP Science and Technology in childhood Obesity Policy - 20/02/2019

B number: 
B3258
Principal applicant name: 
Oliver Robinson | School of Public Health, Imperial College London (United Kingdom)
Co-applicants: 
Prof Paolo Vineis, Prof Franco Sassi, Dr. Laura Howe, Prof Christopher Millett, Dr Michelle Plusquin, Dr Daniela Fecht
Title of project: 
STOP: Science and Technology in childhood Obesity Policy
Proposal summary: 
Impact of research: 
The STOP project as whole is multi-disciplinary and policy driven. As such the work proposed here will feed into downstream work packages that aim to provide policy toolkits to target the most modifiable components of causal pathways to child obesity. The use of molecular markers will strengthen the evidence regarding these causal models through the incorporation of biological and mechanistic information. Furthermore, a clinical trial will be conducted within STOP which will involve whole family intervention programmes with children who are obese. The molecular signature of obesity identified here will be measured in these children, before and after taking part in the trial, allowing highly detailed tracking of biological changes and providing further information regarding the role of these markers.
Date proposal received: 
Friday, 15 February, 2019
Date proposal approved: 
Tuesday, 19 February, 2019
Keywords: 
Epidemiology, Obesity, Epigenetics, Biomarkers - e.g. cotinine, fatty acids, haemoglobin, etc., Childhood - childcare, childhood adversity, Environment - enviromental exposure, pollution, Epigenetics, Metabolic - metabolism, Methods - e.g. cross cohort analysis, data mining, mendelian randomisation, etc.

B3254 - Exploring causal links between psychological factors and continence problems - 07/03/2019

B number: 
B3254
Principal applicant name: 
Carol Joinson | Population Health Sciences, University of Bristol
Co-applicants: 
Dr Jon Heron, Professor Kate Tilling, Dr Abigail Fraser, Professor Marcus Drake, University of Bristol, Dr Jack Bowden, Dr Nikki Cotterill
Title of project: 
Exploring causal links between psychological factors and continence problems
Proposal summary: 

It is commonly believed that continence problems affect only young children and the elderly, but these problems can affect people of all ages. Despite their high prevalence and adverse effects, research into the causes, prevention and treatment of continence problems is scarce. Clinicians recognise that psychological factors are strongly associated with continence problems but research is needed to examine whether these factors actually cause continence problems.
The proposed research will use cutting edge statistical methods to examine whether there are causal effects of psychological factors on continence problems in childhood, adolescence and adulthood. The psychological factors we will examine include depression, anxiety, emotional and behaviour problems, stressful life events, maternal mental health, parenting, and childhood adversity. We will investigate whether characteristics relating to the child (e.g. toilet anxiety), parents and wider influences (e.g. peers, school) may help to explain the association between psychological factors and continence problems. We will also examine the role of inflammation as a biological process that might underlie the link between psychological factors and continence problems.
If we find evidence that psychological factors cause continence problems, this could help clinicians to develop more effective interventions and treatments. Ultimately, our research could improve the lives of people affected by continence problems and help the NHS make better use of its resources.

Impact of research: 
Children, young people and adults with bladder/bowel problems, and parents/carers of children with bladder and bowel problems will benefit through raising the profile of these common and distressing health problems. A greater understanding of psychological factors in the aetiology of bladder/bowel problems could help to ensure appropriate psychological support is offered. An increased understanding of the origins of bladder/bowel problems and potentially modifiable factors in childhood could prevent these problems from becoming chronic and avert secondary impacts on quality of life. Clinicians in paediatric and adult continence services (urologists, nephrologists, pediatricians, psychiatrists, GPs, nurses, health visitors, urotherapists, gastroenterologists, colo-rectal specialists, uro-gynaecologists) will benefit from our contribution to the evidence base relating to the effect of psychological factors on bladder/bowel problems. Clinicians have long suspected that psychological factors are involved in bladder/bowel problems, but the exact nature of the relationship is unknown. If psychological factors do have causal effects on bladder and bowel problems, this could inform intervention development. Our contribution to the evidence base will also benefit stakeholders involved in designing paediatric and adult continence services and care pathways (Department of Health, NHS, NICE, ChiMat, policy makers, commissioners). Psychological interventions could help to relieve the persistence and treatment resistance that often characterise bladder/bowel problems, and this could ultimately help the NHS make better use of its resources. Researchers (epidemiologists, clinical academics, psychologists, statisticians) will benefit through signficant advances in understanding of the effects of psychological factors on bladder/bowel problems and the application of causal inference methods. The statistician employed on the project will develop research skills that will be invaluable in his career development. The Prevention of Lower Urinary Symptoms (LUTS) in Women (PLUS) Consortium (a US consortium which aims to conduct research to inform prevention and intervention studies for LUTS in females to improve prevention and intervention strategies) will benefit through us sharing findings, methods and expertise with Consortium members from a wide range of disciplines (medicine, nursing, epidemiology, biostatistics, social work, clinical practice, community health, sociology). Our research has the potential to contribute to the PLUS consortium's overall goal of improving prevention and intervention strategies for LUTS in females. Professional organisations and charities (Royal College of Nursing; Community Practitioners and Health Visitors Association; International Children's Continence Society; International Continence Society; The Paediatric Continence Forum; Association of Coloproctology of Great Britain and Ireland; The Pelvic Floor Society; Regional Pelvic Floor Multidisciplinary Team; British Society of Gastroenterology; School and Public Health Nurses Association; South West Paediatric Bladder and Bowel Care Group; The Children's Bowel and Bladder Charity; Bladder and Bowel UK; The Bladder & Bowel Community; The Urology Foundation; Core; Bowel Disease Research Foundation) will benefit through us providing empirical evidence to help them advance professional and public understanding of bladder/bowel problems. This will help these organisiations achieve their aim of providing support for and improving quality of life for children, young people and adults with bladder and bowel problems. The research will increase awareness and understanding among teachers and school nurses of the complex needs of children with continence problems and associated psychological issues experienced by these children. This will help them to provide better support for these children at school to allow them to reach their potential.
Date proposal received: 
Friday, 8 February, 2019
Date proposal approved: 
Wednesday, 13 February, 2019
Keywords: 
Epidemiology, Mental health, Statistical methods, Statistical methods

B3255 - Microalbuminuria causes and long-term consequences in the general population - 29/04/2019

B number: 
B3255
Principal applicant name: 
Valentina Gracchi | Beatrix Children's Hospital, University Medical Center Groningen (The Netherlands) (The Netherlands)
Co-applicants: 
Prof Hiddo Lambers Heerspink, PharmD, PhD, Prof Henkjan Verkade, MD, PhD, Richard Coward, MBChB FRCPCH PhD , Alix Groom, BsC, PhD
Title of project: 
Microalbuminuria: causes and long-term consequences in the general population.
Proposal summary: 

Albumin is a protein present in blood and excreted in urine. Slight increases of levels of albumin excretion in urine (so called microalbuminuria) are related to an increased risk for renal and cardiovascular disease, even in otherwise healthy individuals. Nevertheless, the exact cause and the underlying mechanism of microalbuminuria are still unknown. Moreover, data on microalbuminuria in young individuals are scarce.
With this project we intend to learn more about the prevalence of microalbuminuria in school-aged children and young adults. We also want to test the hypothesis that some individuals have higher urinary albumin levels already early in life, that these findings persist in time and that such individuals carry a higher risk for renal, cardiovascular and, possibly, metabolic disease.
Moreover, we intend to explore possible causes of microalbuminuria, evaluating genetic background and associations between albuminuria and antenatal and postnatal determinants.
We plan to integrate the extensive data from the ALSPAC cohort with data from the Dutch GECKO birth-cohort (Groningen, The Netherlands), where urine samples have been collected at a younger age and thorough information about obesity risk factors are available. By investigating these two cohorts, we aim to gather data describing the spectrum of albuminuria from early childhood into young adulthood.

Impact of research: 
If the results of this research project will confirm that some individuals have high urinary albumin levels already early in life and that these findings persist in time, this could support the hypothesis of microalbuminuria as an expression of congenital endothelial dysfunction, leading to an increased renal, cardiovascular and possibly also metabolic risk. It could also be possible to identify genetic risk profiles or antenatal and postnatal determinants. This can have relevant consequences for health care policies (ex. extra controls for at risk groups or earlier therapeutic interventions where needed). Investigating the possible causes can help to identify strategies for primary and secundary prevention and to define the at risk groups.
Date proposal received: 
Saturday, 9 February, 2019
Date proposal approved: 
Wednesday, 13 February, 2019
Keywords: 
Clinical research/clinical practice, Hypertension, cardiovascular (incl hypertension), renal, metabolic profile, GWAS, URINE samples: Albumin: immunoturbidimetric assay Creatinine: enzymatic assay Urea: kinetic test with urease and glutamate dehydrogenase Sodium: indirect ISE Potassium: indirect ISE PLASMA EDTA samples: Creatinine: enzymatic assay Urea: kinetic test with urease and glutamate dehydrogenase Uric acid: enzymatic assay , Biological samples -e.g. blood, cell lines, saliva, etc., Biomarkers - e.g. cotinine, fatty acids, haemoglobin, etc., Blood pressure, BMI, Cardiovascular, Genetics, Genome wide association study, Kidney function, Metabolic - metabolism

B3251 - The Relationship between Metabolic Dysfunction and Psychosis - 13/02/2019

B number: 
B3251
Principal applicant name: 
Golam Khandaker | University of Cambridge (United Kingdom)
Co-applicants: 
Dr Benjamin Perry, Professor Peter Jones, Professor Nicholas J Wareham
Title of project: 
The Relationship between Metabolic Dysfunction and Psychosis
Proposal summary: 
Impact of research: 
An improved knowledge of metabolic development in people who are at risk of developing psychosis will provide great detail in how we may better act, and earlier, to reduce the significant burden of physical comorbidity in psychosis. A specifically tailored metabolic risk calculator may help healthcare professionals who look after people with first-episode psychosis to better consider and address cardiometabolic risk.
Date proposal received: 
Friday, 8 February, 2019
Date proposal approved: 
Wednesday, 13 February, 2019
Keywords: 
Mental health - Psychology, Psychiatry, Cognition, Diabetes, Mental health, Obesity, Statistical methods, Biological samples -e.g. blood, cell lines, saliva, etc., Biomarkers - e.g. cotinine, fatty acids, haemoglobin, etc., Immunity, Physical - activity, fitness, function, Blood pressure, BMI, Cardiovascular, Childhood - childcare, childhood adversity, Development, Endocrine - endocrine disrupters, Environment - enviromental exposure, pollution, Hormones - cortisol, IGF, thyroid

B3256 - Using smartwatches to explore patterns of alcohol use - 14/02/2019

B number: 
B3256
Principal applicant name: 
Andy Skinner | University of Bristol
Co-applicants: 
Prof Debbie Lawlor, Prof Marcus Munafo, Chris Stone, Prof Kate Tilling , Dr Sally Adams
Title of project: 
Using smartwatches to explore patterns of alcohol use
Proposal summary: 

In this study we will explore the feasibility of using smartwatches to capture detailed information about individuals alcohol drinking behaviours. We will be using an approach called Ecological Momentary Assessment (EMA) to gather data about people's alcohol consumption as they go about their normal lives. Specifically, we will be using a new version of EMA called microEMA, which is designed to minimise the level of interuption and burden to people, whilst allowing us to capture detailed data about their drinking behaviours. We have developed a microEMA application to run on a normal, commercially available smartwatch, and will use this, alongside a more traditional questionnaire, to capture information about the type and quantity of alcoholic drinks consumed during each day, and if these drinks are consumed at home or outside the home, and in the company of others or alone. We will do this over a period of 3 months. Because we will ask people about their drinking behaviours throughout the day, we hope to capture more accurate and detailed information about their drinking behaviour with our smartwatch microEMA application than with traditional questionnaires, which people complete days afterwards, and which are known to suffer from problems related to remembering what was consumed, and other reporting biases. We can then use these data to explore differences in drinking behaviours between different groups. We will explore differences in drinking behaviour between high and low social economic position groups. This will allow us to understand, not just the differences in drinking behaviours between the two groups, but if there are differences in the way the two groups use and experience the new smartwatch-based microEMA approach, if this if different to the way they use and experience more traditional questionnaire approaches, and if new approaches like micro EMA might introduce other unexpected biases that could affect the data they collect.

Impact of research: 
1) To demonstrate the feasibility of using new wearable devices for the capture of high temporal density, longitudinal health data. These approaches could potentially be used to capture any self-report report data with high levels of detail, but low participant burden. Methods of this kind could be important in helping to address attrition in longitudinal cohort studies like ALSPAC. 2) To identify patterns in drinking behaviours, and differences in these by SEP, that could potentially be used to inform policy around alcohol and health, and interventions aimed at reducing alcohol consumption in specific groups.
Date proposal received: 
Wednesday, 13 February, 2019
Date proposal approved: 
Wednesday, 13 February, 2019
Keywords: 
Health behaviours, Addiction - e.g. alcohol, illicit drugs, smoking, gambling, etc., Advanced phenotyping, wearable data capture alcohol

B3252 - Genome Wide Association of Study of Adverse Childhood Experiences - 19/02/2019

B number: 
B3252
Principal applicant name: 
Hannah Sallis | IEU/Psychology
Co-applicants: 
Mr Alex Kwong, Dr Varun Warrier, Ms Jazz Croft, Dr Laura Howe, Professor Marcus Munafo
Title of project: 
Genome Wide Association of Study of Adverse Childhood Experiences
Proposal summary: 

Genome-wide association studies (GWAS) have been instrumental in highlighting associations between genetic variants and 1000s of traits. Adverse Childhood Events (ACEs) are associated with several adverse outcomes in life. We plan to include ALSPAC data from the mothers and the children in a GWAS of Adverse Childhood Events. This will be a big step towards incorporating ALSPAC data into psychiatric genetics. The summary statistics will contain no identifiable information.

Impact of research: 
These will be the largest GWAS of ACEs and provide insights into the genetics of ACE
Date proposal received: 
Friday, 8 February, 2019
Date proposal approved: 
Wednesday, 13 February, 2019
Keywords: 
Genetic epidemiology (including association studies and mendelian randomisation), Mental health, GWAS, Genome wide association study

B3250 - PACE maternal mid-pregnancy Vitamin D and offspring cord blood methylation - 07/02/2019

B number: 
B3250
Principal applicant name: 
Matthew Suderman | IEU (United Kingdom)
Co-applicants: 
Elizabeth Diemer
Title of project: 
PACE maternal mid-pregnancy Vitamin D and offspring cord blood methylation
Proposal summary: 

Low maternal vitamin D during pregnancy has been associated with a wide range of health outcomes in offspring, including bone health, symptoms of Attention Deficit-Hyperactivity Disorder, symptoms of Autism Spectrum Disorder, and autoimmune conditions. Methylation is one mechanism by which maternal vitamin D in the prenatal period might impact offspring health. We propose to test associations between maternal mid-pregnancy Vitamin D and offspring cord blood methylation. To maximise power, we will meta-analyze associations in multiple cohort studies including ALSPAC within the Pregnancy and Childhood Epigenetics consortium (https://www.niehs.nih.gov/research/atniehs/labs/epi/pi/genetics/pace/ind...).

Impact of research: 
A final answer about whether or not maternal serum vitamin D levels during pregnancy affects cord blood methylation. If the answer is positive, then we will be closer to understanding how maternal vitamin D levels affect offspring.
Date proposal received: 
Tuesday, 5 February, 2019
Date proposal approved: 
Thursday, 7 February, 2019
Keywords: 
Epigenetic epidemiology, Pregnancy - e.g. reproductive health, postnatal depression, birth outcomes, etc., Microarrays, Biological samples -e.g. blood, cell lines, saliva, etc., Biomarkers - e.g. cotinine, fatty acids, haemoglobin, etc., Epigenetics, Nutrition - breast feeding, diet

B3248 - Alcohol use breastfeeding and offspring neurodevelopment - 05/02/2019

B number: 
B3248
Principal applicant name: 
Luisa Zuccolo | University of Bristol, MRC Integrative Epidemiology Unit (United Kingdom)
Co-applicants: 
Matt Tudball, Jon Heron, Cheryl McQuire
Title of project: 
Alcohol use, breastfeeding and offspring neurodevelopment
Proposal summary: 

Breastfeeding is recommended as the best source of nutrition in early life by the WHO. However, mothers who consume large quantities of alcohol while breastfeeding might be harming their offspring because of this ‘passive’ alcohol exposure in the postnatal period. Realistically, in the UK and other developed countries, only a minority of mothers will be consuming alcohol to excess while breastfeeding and caring for a young baby, while most mothers would consume alcohol occasionally and in moderate quantities. These levels of consumption have not been linked with definite harms or benefits to the child so far, with only a few studies examining this question and achieving conflicting results. We propose to investigate the association between early post-natal alcohol exposure and measures of offspring physical and neurological development, including risk of Foetal Alcohol Spectrum Disorder (FASD), in a large UK-based sample representative of the population and followed-up since antenatal appointments, the Avon Longitudinal Study of Parents And Children (ALSPAC).

Impact of research: 
A deeper understanding of the impact of drinking while breastfeeding could be used to inform recommendations for mothers on safe drinking behaviour in the early post-natal period.
Date proposal received: 
Thursday, 31 January, 2019
Date proposal approved: 
Tuesday, 5 February, 2019
Keywords: 
Epidemiology, Cognitive impairment, Mental health, Pregnancy - e.g. reproductive health, postnatal depression, birth outcomes, etc., Statistical methods, Birth outcomes, Breast feeding, Cognition - cognitive function, Development, Nutrition - breast feeding, diet

B3249 - Utilising ALSPAC as a population control set for Head and Neck 5000 - 12/03/2019

B number: 
B3249
Principal applicant name: 
Tom Dudding | University of Bristol, Population Health Science, IEU (UK)
Co-applicants: 
Professor Andy NEss, Professor Nicholas Timpson
Title of project: 
Utilising ALSPAC as a population control set for Head and Neck 5000
Proposal summary: 

Genetic studies often need to compare diseased participants with healthy participants. In this project, a study of Head and Neck Cancer patients (HN5000) has no healthy participants to compare to. Therefore, participants in ALSPAC are going to be utilised as healthy genetic controls. To do this successfully some ALSPAC participants, who've already had their genetic data measured, will have it remeasured alongside the HN5000 participants. By doing this any errors that may occur in the laboratory process can be identified rather than potentially contributing to false findings. Once this cross-check is complete all ALSPAC participants (unless already diagnosed with HNC) can be used as healthy controls which will greatly increase the utility of the HN5000 study.

Impact of research: 
HN5000 is the largest case-only HNC study in the world. Currently approximately one quarter of its cases are genotypes and these contributed to a GWAS of HNC incidence which was published in Nature Genetics. This project will aim to genotyping the remaining cases in HN5000 and provide a set of genetic controls. This will place HN5000 as the leading HNC study for genetic studies of incidence and progression and ALSPAC will be acknowledged alongside this. HN5000 collaborated closely with the International Agency for Research on Cancer, the world leader in cancer research and contributed to at least two large projects which aim to improve many aspects of HNC detection and treatment.
Date proposal received: 
Monday, 4 February, 2019
Date proposal approved: 
Tuesday, 5 February, 2019
Keywords: 
Genetic epidemiology (including association studies and mendelian randomisation), Cancer, Microarrays, Genetic epidemiology

B3245 - Econometrics of loneliness - 30/01/2019

B number: 
B3245
Principal applicant name: 
Claryn Kung | Centre for Health Economics, Monash University (Australia)
Co-applicants: 
Professor Michael Shields, Professor David Johnston
Title of project: 
Econometrics of loneliness
Proposal summary: 

Loneliness has, in recent years, become a priority in national public health agendas in developed countries, given increasing recognition of the detrimental effects of loneliness on health and mortality. The literature has often focussed on loneliness among older adults, but recent surveys have revealed a similar prevalence among younger adults up to age 25.

The aim of this research project is to understand whether circumstances and experiences from childhood can be linked to loneliness and social isolation reported in adulthood. The ALSPAC also contains multiple reports of loneliness across teenage years and young adulthood, which would allow us to understand its dynamics; for example, whether there are different patterns of loneliness across time between individuals. Rich reports of physical and mental health, including disease-related biomarkers, would also aid in analysing relationships between loneliness and health, to complement evidence seen in later adulthood.

It is imperative to identify individuals at higher risk of loneliness in later life, and early life events or circumstances that can play an important role in predicting later life loneliness, towards reducing societal loneliness via public policy and private decisions. Identifying factors from early life, rather than contemporaneous factors, is beneficial to inform early preventive strategies, and to target such factors rather than mechanisms (via which these factors operate) for more efficient allocation of resources. Understanding whether and how loneliness is predictive of poor health earlier in life may also provide some insights into the mechanisms via which loneliness predicts excess mortality in late adulthood.

Impact of research: 
Loneliness and social isolation have been shown to be associated with premature mortality and poorer physical and mental health. It is therefore important to understand their risk factors, and in light of recent findings showing 'nature' (genetic heritability) to play a very small role in social interaction, the role of 'nurture' (environment including circumstances and experiences) may be particularly important to explore. Looking back into one's childhood circumstances in a systematic and comprehensive manner may aid in improve the design of policies and interventions designing earlier and/or more targeted interventions, towards alleviating this societal problem more efficiently. This research will also contribute to the sparse research literature on this topic, complementing the larger literature on risk factors of loneliness in later adulthood.
Date proposal received: 
Friday, 25 January, 2019
Date proposal approved: 
Wednesday, 30 January, 2019
Keywords: 
Health Economics, Behaviour - e.g. antisocial behaviour, risk behaviour, etc., Mental health, Statistical methods, Childhood - childcare, childhood adversity, Communication (including non-verbal), Social science, Statistical methods

B3246 - MAPS mapping the analytic paths of a crowdsourced data analysis - 04/02/2019

B number: 
B3246
Principal applicant name: 
Marcus Munafò | University of Bristol (UK)
Co-applicants: 
Mr Robert Arbon, Ms Katie Drax, Miss Natalie Thurlby, Prof Nic Timpson, Dr Kate Northstone, Mr Alex Kwong, Prof Kate Robson-Brown
Title of project: 
MAPS: mapping the analytic paths of a crowdsourced data analysis
Proposal summary: 

In order for the public to have faith in the conclusions of scientists it is important that the methods they employ are robust and transparent. This is especially important for controversial topics with major implications for mental health. The public should rightly demand that such findings are not contingent on the beliefs of the scientists, their particular methods, computational quirks or simple accident. This is of particular relevance when total transparency is not possible because the data is sensitive.

This study addresses the question of robustness by taking a controversial question, “Is there an association between screen time and depression and anxiety?”, recruiting teams of independent data analysts and looking at how they answer the question using the same data, effectively ‘crowd-sourcing’ the data analysis.

The study will use the answers teams provide to this controversial question to answer further questions such as: “Do the methods used to answer the question influence the result and if so by how much?” and, “Do the beliefs and particular expertise of the analysts influence their results?”. To do this, we will use a statistical technique called a ‘multiverse analysis’, whereby reasonable alternatives to choices made by the teams, during the data analysis, are explored and recorded to see how sensitive the results were to the choices made.

To ensure the study is transparent we will investigate the use of anonymised data. Using anonymised data is controversial as the anonymisation process may erase important features of the data. This study will ask “Does the anonymisation process affect the results and if so by how much?”.

The answer to all these questions will help us understand how scientists arrive at answers to controversial questions and whether crowd sourced analysis and data anonymisation techniques can ensure findings are robust and transparent.

Finally, our study will challenge the teams to come up with interesting ways to visualise the answers to these questions in exchange for a prize. Visualising the teams’ answers, along with how robust they are, in a clear, accessible way will be important to help communicate complex results both for this study and in the future.

Impact of research: 
Depending on results: Increased awareness of the effects of screen time. If appropriate, we will produce lay summaries of our findings for distribution in schools, colleges, the university and local GP practices. Increased awareness of the sensitivity of results from statistical analyses to different analytic choices Increased understanding of the logistics of carrying out a crowdsourced analysis of sensitive data
Date proposal received: 
Friday, 25 January, 2019
Date proposal approved: 
Wednesday, 30 January, 2019
Keywords: 
Statistics/methodology, Infection, Statistical methods, Childhood - childcare, childhood adversity, Statistical methods

B3244 - Are Different Face Shapes Related to Different Levels of Blood Pressure - 06/02/2019

B number: 
B3244
Principal applicant name: 
Stephen Richmond | Cardiff University
Co-applicants: 
Camilla Miles-Hobbs, Dr Alexei Zhurov, Dr Reneta Medeiros-Mirra
Title of project: 
Are Different Face Shapes Related to Different Levels of Blood Pressure?
Proposal summary: 
Impact of research: 
A reduction in blood pressure is a large public health benefit as high blood pressure is linked to many cardiovascular diseases. If a facial feature is identified to be linked to high blood pressure an appliance such as the MAD could be used to reduce this. It may provide a link between GMP and GDP, allowing shared care for patients.
Date proposal received: 
Thursday, 24 January, 2019
Date proposal approved: 
Wednesday, 30 January, 2019
Keywords: 
Dentistry, Sleep breathing disorders Facial shapes, Statistical methods, Face - face shape

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