Investigating Early Life Exposure To Plastic Products In Australia And Subsequent Neurodevelopmental Effects
Funder
National Health and Medical Research Council
Funding Amount
$791,376.00
Summary
Child neurodevelopment disorders like autism are becoming more common. Recent work indicates almost all pregnant mothers in Australia harbour plastic chemicals – bisphenols and phthalates and foetus is also exposed. Human evidence is emerging that higher exposure to plastics during pregnancy may be associated with these disorders. Randomised controlled trials are not possible so high quality birth cohort studies, as proposed here, are required to investigate this issue comprehensively.
Long Term Impact Of A Community-based Cluster Randomized Controlled Trial Of Peer Counselling To Improve Infant Feeding On Growth & Cognitive Function Of Children Up To 5 Years In Urban Bangladesh
Funder
National Health and Medical Research Council
Funding Amount
$851,345.00
Summary
Bangladesh still faces high levels of inappropriate infant feeding leading to child undernutrition and delayed development. Effective programs are urgently needed to help reduce undernutrition and improve child development. This study in poor urban communities in Dhaka, Bangladesh will see if long-term counseling provided by local women to mothers about appropriate infant feeding can improve child’s nutritional status, growth and cognitive function in their children at 5 years.
M-SAKHI : Mobile Health Solutions To Help Community Providers Promote Maternal And Infant Nutrition And Health - A Community-based Cluster Randomized Controlled Trial In Rural India
Funder
National Health and Medical Research Council
Funding Amount
$2,379,427.00
Summary
The proposed research will examine the impact of the mobile phone counselling on child feeding practices, & undernutrition & cognitive development in a rural setting in India. The study aims to collect high-level evidence of whether mobile phone counselling about nutrition in pregnancy, and child feeding, directed at pregnant women and mothers in rural India will i) reduce low birthweight, ii) improve infant & child feeding, and iii) reduce child undernutrition at 24 months.
Determinants Of Child Health And Development: Populations, Partnerships, Pathways And Prevention
Funder
National Health and Medical Research Council
Funding Amount
$8,214,333.00
Summary
There are considerable challenges to the study of complex health and developmental problems in children and young people. Despite increasing prosperity in Australia, many of these problems are not abating and some appear to be increasing. These include low birthweight, behavioural and mental health problems, autism, obesity and, in Indigenous children, infections. This Program proposes investigating these problems with a view to prevention, thus meeting the national research priority of Promotin ....There are considerable challenges to the study of complex health and developmental problems in children and young people. Despite increasing prosperity in Australia, many of these problems are not abating and some appear to be increasing. These include low birthweight, behavioural and mental health problems, autism, obesity and, in Indigenous children, infections. This Program proposes investigating these problems with a view to prevention, thus meeting the national research priority of Promoting and Maintaining Good Health, particularly _a healthy start to life� and _preventive health care�. The Program is unique in that it brings together a multi-disciplinary team of researchers of international repute to investigate these complex issues. The research team comprises epidemiologists, clinicians, developmental psychologists, biostatisticians, sociologists and other social scientists. This team has a proven track record in producing research outcomes that have translated into innovative health policy and practice in areas as diverse as: - the use of folic acid in spina bifida prevention - understanding cerebral palsies - suicide prevention and mental health in children and young people - Aboriginal child health and development - intellectual disabilities including Rett syndrome and autism - in vitro fertilisation and birth defects. The factors influencing how children develop into young adults include genetic inheritance, nutrition and growth, and family, socioeconomic and environmental conditions. This work demands new ways of measuring and analysing these factors in populations of children and their families. Western Australia is one of only three sites in the world to have comprehensive linked health data on the whole of its population of children and their families. This Program comprises five overlapping themes of research planned around these unique population databases. The five themes are: - social, economic and psychological influences on child health and development - many paths to poor health are linked to social disadvantage. Examining these issues may explain why some childhood conditions are worsening or not improving - pathways to wellbeing, resilience and developmental disorders, including intellectual disability, autism, birth defects and cerebral palsy - nutrition and growth, particularly as it relates to low birthweight, childhood obesity and mental health - infectious disease, its causes and its influence on lifelong health problems and disabilities - Aboriginal health _ whilst spanning each of the research themes above, it presents its own unique challenges and requires it�s own unique solutions. This Program will investigate how children develop into young adults and will examine the influence of their families, nutrition and growth and socioeconomic and environmental conditions. It will develop new ways of measuring and analysRead moreRead less
Spatial analysis of a linked environmental, health and social data base. Extensive environmental, health and socio-demographic data are routinely collected by various agencies throughout Australia. To date, it has been difficult to link separate databases and investigate possible associations between the different parameters within them. In this proposal we plan to link routinely collected health, environment and socio-demographic data from a number of databases. We then plan to develop tools fo ....Spatial analysis of a linked environmental, health and social data base. Extensive environmental, health and socio-demographic data are routinely collected by various agencies throughout Australia. To date, it has been difficult to link separate databases and investigate possible associations between the different parameters within them. In this proposal we plan to link routinely collected health, environment and socio-demographic data from a number of databases. We then plan to develop tools for geo-referencing the data. Finally we plan to perform spatial analysis of the linked data, specifically investigating associations between environmental and social factors and childhood leukaemia, deliberate self harm and adverse birth outcomes. Linking separate databases and performing spatial analysis of georeferenced data will substantially improve the quality of public health surveillance and research in NSW. In addition, it will enable more detailed analysis of the effects of environmental exposures on health, using routine data.Read moreRead less
Early Life Stress, Adolescent Brain Development And Risk For Adverse Cognitive And Psychosocial Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$640,595.00
Summary
This project aims to study pre and postnatal childhood factors and examine their association with HPA-functioning, cognition, and mental health during adolescence in the Western Australian Pregnancy Cohort Study (Raine Study). Childhood exposures include not only trajectories of stressful life events, family functioning and mental health status during childhood, but also effects of intrauterine and postnatal growth patterns, and a comprehensive range of psychosocial, familial and environmental f ....This project aims to study pre and postnatal childhood factors and examine their association with HPA-functioning, cognition, and mental health during adolescence in the Western Australian Pregnancy Cohort Study (Raine Study). Childhood exposures include not only trajectories of stressful life events, family functioning and mental health status during childhood, but also effects of intrauterine and postnatal growth patterns, and a comprehensive range of psychosocial, familial and environmental factors. It is our objective to characterise functional polymorphisms for genes related to stress regulation and examine their interactions with early life exposures and their neurobiological consequences. We will also test 16 year old Raine subjects for cognitive ability, and in some we will image their brain activity while performing these tests. We anticipate to enhance the already comprehensive phenotypic Raine Study data base with neurobiological information for future neuroscience studies as the Raine cohort matures. We hypothesise that increased and sustained trajectories of early life stress, family dysfunction or poor mental health during childhood will increase the risk of Raine Study adolescents experiencing: (i) - increased stress sensitivity with higher baseline cortisol levels during adolescence; (ii) - increased adolescent stress sensitivity, if they are carriers of specific haplotypes of the glucocorticoid and mineralocorticoid receptor genes.;(iii) - depression during adolescence, if they are homozygous or heterozygous for the short allele of the serotonin transporter (5-HTT) gene; (iv) - poorer cognitive performance and increased atypical non-prefrontal cortex (PFC) brain activity during cognitive testing as measured by fMRI; and (v) -more mental health problems during adolescence.Read moreRead less