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The Role Of Metabolic And Inflammatory Factors In Cognitive Decline And Cerebrovascular Pathology In The Elderly
Funder
National Health and Medical Research Council
Funding Amount
$945,987.00
Summary
Metabolic factors and measures of inflammation in the body have recently been shown to influence mental function and increase the risk of developing age-related disorders such as Alzheimer’s disease. The influence metabolic factors and inflammation have on function of the ageing brain is likely to be determined by complex interplay between many factors, such as physical health, lifestyle, nutrition and our genes. By studying these factors and how they relate to one another in large groups of eld ....Metabolic factors and measures of inflammation in the body have recently been shown to influence mental function and increase the risk of developing age-related disorders such as Alzheimer’s disease. The influence metabolic factors and inflammation have on function of the ageing brain is likely to be determined by complex interplay between many factors, such as physical health, lifestyle, nutrition and our genes. By studying these factors and how they relate to one another in large groups of elderly individuals, we will be able to determine the role these factors play in brain ageing. In addition we will be able to determine an ‘at risk’ profile for elderly individuals for accelerated ageing effects. Identification of this profile is important as it will allow the development of interventions which may prevent or delay the onset of cognitive decline in late life. We plan to study the impact of metabolic and inflammatory factors on brain ageing and in two groups of elderly individuals both of which are currently being studied in detail by our research team. By using these existing groups we will minimize the costs associated with our research, but maximize the research benefit and the benefit to society. Our groups include a large community sample of elderly individuals aged 70-90 years and a large group of elderly twins aged over 65 years. Our use of twins for the study is particularly important as it will help us separate genetic and environmental influences on the measures. We will measure multiple metabolic and inflammatory factors in the body and determine their relationship to detailed tests of cognitive function and to cerebrovascular pathology on brain magnetic resonance imaging. We will look at how these factors relate to one another and which factors are most strongly associated with accelerated ageing. We will be able to follow subjects in each group over a 2 year interval to see which factors most strongly predict change in cognitive function and cerebrovascular pathology over time. Our research is unique in its inclusion of multiple factors which may affect brain ageing, its ability to look in detail at the contribution of genetic influences on metabolic and inflammatory factors, and in our planned follow-up of these individuals.Read moreRead less
Intergeneration Growth And Risk Of Metaboloc Disorders
Funder
National Health and Medical Research Council
Funding Amount
$2,095,469.00
Summary
A compelling raft of studies has now shown that low birth weight predisposes to later, impaired glucose tolerance, diabetes, cardiovascular disease, hypertension and high cholesterol. The associations are clearly evident even after adjusting for important lifestyle factors, occupation, income, adult diet and socio-economic status. This has resulted in a new paradigm for understanding the transmission of disease risk from one generation to the next. A team of researchers based at the University o ....A compelling raft of studies has now shown that low birth weight predisposes to later, impaired glucose tolerance, diabetes, cardiovascular disease, hypertension and high cholesterol. The associations are clearly evident even after adjusting for important lifestyle factors, occupation, income, adult diet and socio-economic status. This has resulted in a new paradigm for understanding the transmission of disease risk from one generation to the next. A team of researchers based at the University of Adelaide led by Dr Davies has gained international recognition for being at the forefront of this research. Thirty years ago, the group established the Lucina cohort to study intergenerational health among women, and how conditions in pregnancy can affect the reproductive health of offspring in successive generations. Dr Davies and his team of researchers will expand this study in ways that were designed at the outset, but not commenced until now. This includes enrolling the traced mothers to study how their clinical experiences in pregnancy predict their own later risk of diabetes. We will also be seeking to enrol the siblings of the daughters so that we can identify events in pregnancies that predict which sibling is at increased risk of diabetes. Finally, the study will enrol the grandchildren and trace their birth records so that we can study the relationship between diabetes risk, intergenerational growth and how that risk can be substantially influenced by factors as basic as pre-pregnancy body weight and weight gain in pregnancy. The objective of this research is to grow healthier Australian babies, children and thereby healthier adults.Read moreRead less
Understanding Factors Contributing To Nausea: Clinical And Patient Perspectives
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
This study aims to develop and validate indicators that can be used to more effectively identify nausea and its contributing factors in patients with advanced cancer receiving palliative care. Stage one involves a systematic review of the literature and qualitative interviews with patients and clinicians to identify clinical and psychosocial factors associated with nausea in the end stages of life. Stage 2 involves a study to evaluate the validity of the identified indicators in predicting patie ....This study aims to develop and validate indicators that can be used to more effectively identify nausea and its contributing factors in patients with advanced cancer receiving palliative care. Stage one involves a systematic review of the literature and qualitative interviews with patients and clinicians to identify clinical and psychosocial factors associated with nausea in the end stages of life. Stage 2 involves a study to evaluate the validity of the identified indicators in predicting patients’ experiences of nausea.Read moreRead less
Assessment To Service Outcomes - Care Pathways For Older Australians With Dementia, CVD And Arthritis
Funder
National Health and Medical Research Council
Funding Amount
$656,029.00
Summary
The project aims to use existing data source to answer questions similar to �What happens to people after they have been assessed and recommended for aged care? in respect of service delivery for people with one of the three chronic conditions dementia, arthritis or cardiovascular disease. The project is to provide information about issues such as �bed blockers� and determine if the outcomes are different for people who have been assessed for aged care while they are in hospital. It is to chart ....The project aims to use existing data source to answer questions similar to �What happens to people after they have been assessed and recommended for aged care? in respect of service delivery for people with one of the three chronic conditions dementia, arthritis or cardiovascular disease. The project is to provide information about issues such as �bed blockers� and determine if the outcomes are different for people who have been assessed for aged care while they are in hospital. It is to chart changes in service use over time and examine factors that affect the type of care used by older people.Read moreRead less
EuropeaN Energy Balance Research To Prevent Excessive Weight Gain Among Youth: The ENERGY Study
Funder
National Health and Medical Research Council
Funding Amount
$102,209.00
Summary
The objective of the ENERGY project is to examine the influence of existing programs on health behaviours in different populations and settings in order to develop an evidence and theory-based approach for promoting physical activity and healthy eating among youth in transition from childhood to adolescence. The results of this project will be translated into practical strategies and knowledge that can be used by schools, policymakers, health professionals and the general public. The ENERGY proj ....The objective of the ENERGY project is to examine the influence of existing programs on health behaviours in different populations and settings in order to develop an evidence and theory-based approach for promoting physical activity and healthy eating among youth in transition from childhood to adolescence. The results of this project will be translated into practical strategies and knowledge that can be used by schools, policymakers, health professionals and the general public. The ENERGY project involves a multidisciplinary team of investigators from 10 European countries and Australia (Deakin University; DU). DU will participate in two of the 10 work packages (WP) in the proposal. The aim of WP3 is to identify the personal, social and physical environmental determinants in family and school of children’s physical activity and healthy eating. The aim of WP5 is to identify moderators and mediators of successful interventions to prevent obesity among children aged 10-12 years.Read moreRead less
Early Influences Of Obesity And Fat Patterning In Children:critical Periods, Environmental Determinants, And Socio-cultu
Funder
National Health and Medical Research Council
Funding Amount
$1,152,711.00
Summary
Childhood obesity is an escalating public health problem both internationally and within Australia. Rates of childhood obesity in Australia are at one of the highest amongst developed nations. 25% of Australian children are currently overweight or obese. Obesity is a strong risk factor for chronic disease. In children, obesity is of concern because it is highly likely to persist and, during childhood, contributes to serious physical and mental health problems. A quarter of Australian children ar ....Childhood obesity is an escalating public health problem both internationally and within Australia. Rates of childhood obesity in Australia are at one of the highest amongst developed nations. 25% of Australian children are currently overweight or obese. Obesity is a strong risk factor for chronic disease. In children, obesity is of concern because it is highly likely to persist and, during childhood, contributes to serious physical and mental health problems. A quarter of Australian children are now carrying excess body fat. Because of these factors, prevention of obesity is paramount because success of current treatment options is limited and does not last. Especially harmful forms of fatness may originate in early life - the tendency to store fat in the abdominal region and the tendency to accrete fat rather than muscle (at any body size). For this reason, the early life determinants of obesity deserve special attention, even in the presence of society-wide factors conducive to obesity. Professor Moore and a group of researchers from the University of Adelaide will test the proposition that pre-birth and infancy is a ‘critical period’ for the development of obesity. The group aims to investigate whether there is a distinct period in early life for acquiring the predisposition to harmful forms of fatness. The project also aims to identify practical opportunities for prevention, focusing on mothers and their infants.Read moreRead less
The Pacific OPIC Study - A Four Country Study Of Obesity Prevention In Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,600,580.00
Summary
Obesity is a rapidly escalating, worldwide epidemic. Many countries recognise the need to prevent obesity but there is insufficient evidence about what interventions work. The Pacific Obesity Prevention in Communities (OPIC) Project will provide data on the effectiveness of a range of interventions to prevent obesity among young people in Fiji, Tonga, New Zealand and Australia. Prevention research is particularly required in countries such as Fiji and Tonga because their prevalence of obesity is ....Obesity is a rapidly escalating, worldwide epidemic. Many countries recognise the need to prevent obesity but there is insufficient evidence about what interventions work. The Pacific Obesity Prevention in Communities (OPIC) Project will provide data on the effectiveness of a range of interventions to prevent obesity among young people in Fiji, Tonga, New Zealand and Australia. Prevention research is particularly required in countries such as Fiji and Tonga because their prevalence of obesity is extremely high. The interventions used in this project will be culturally appropriate and include at least 1000 young people in each intervention group. The outcomes of this project will be applicable to both low- and high-income countries. This project will lead to a greater understanding of the socio-cultural, policy, and economic contexts and provide crucial evidence for public health action to prevent obesity.Read moreRead less
Early Intervention To Prevent Childhood Obesity Among A Disadvantaged Population: A Home-based Randomised Controlled Tri
Funder
National Health and Medical Research Council
Funding Amount
$675,082.00
Summary
This intervention research will conduct a randomised controlled trial, of a community-based early childhood home visiting intervention designed to improve family and behavioural risk factors for childhood obesity and overweight. This intervention which will be developed in collaboration with the Health Promotion Unit, Child and Family Health Nurses, university academic experts and mothers in the community promises to deliver significant health and social benefits, in particular, preventing early ....This intervention research will conduct a randomised controlled trial, of a community-based early childhood home visiting intervention designed to improve family and behavioural risk factors for childhood obesity and overweight. This intervention which will be developed in collaboration with the Health Promotion Unit, Child and Family Health Nurses, university academic experts and mothers in the community promises to deliver significant health and social benefits, in particular, preventing early onset of childhood obesity. It will result in a series of recommendations for policies and practical methods for promoting healthy feeding and physical activity of infants under two years of age with particular application to families who are socially and economically disadvantaged. These policies and practical methods for preventing childhood obesity could be used across Australia.Read moreRead less