The Evolution Of Childhood Obesity And Its Relationship To Adult Sleep Disordered Breathing
Funder
National Health and Medical Research Council
Funding Amount
$870,842.00
Summary
This project will characterise Obstructive Sleep Apnoea (OSA) in early adulthood. It will assess the prevalence of OSA in a well characterised cohort (the Raine Cohort), representative of the population of young adults in Western Australia. It will define the clinical picture and risk factors associated with abnormal breathing during sleep and will use the extensive longitudinal data collected from 18 weeks gestation until 23 years of age to quantify early life developmental and environmental pr ....This project will characterise Obstructive Sleep Apnoea (OSA) in early adulthood. It will assess the prevalence of OSA in a well characterised cohort (the Raine Cohort), representative of the population of young adults in Western Australia. It will define the clinical picture and risk factors associated with abnormal breathing during sleep and will use the extensive longitudinal data collected from 18 weeks gestation until 23 years of age to quantify early life developmental and environmental predictors that can inform public health policy.Read moreRead less
Pharmaceutical Opioid Prescription For Chronic Pain In Australia: Trajectories Of Prescribing, Risk Of Adverse Events, And Predictors Of Harm
Funder
National Health and Medical Research Council
Funding Amount
$1,086,274.00
Summary
There is concern about rising levels of opioid analgesic prescribing in Australia. This study is important because it will provide evidence about long term outcomes for patients using opioid therapy for chronic non-malignant pain. It will examine prescribing patterns and link them to other health outcomes such as overdose. We will also study patients beginning opioid therapy for chronic pain and follow them up over 2 years to examine outcomes such as pain relief and medication side effects.
Early Life And Contemporary Influences On Body Composition, Mental Health, And Chronic Disease Risk Markers In The Aboriginal Birth Cohort
Funder
National Health and Medical Research Council
Funding Amount
$3,117,044.00
Summary
The Aboriginal Birth Cohort study has been following the health of Aboriginal babies in the Northern Territory for the last 30 years. The participants were healthy till adolescence, but overweight and risk factors of diseases such as diabetes, kidney and heart disease are emerging. This follow-up will show when and whether these risk factors develop into disease, which factors are protective and which identify early those most at risk of developing diseases that cause the gap in life expectancy.
The Australian Peritoneal Dialysis Outcomes And Practice Patterns Study (PDOPPS)
Funder
National Health and Medical Research Council
Funding Amount
$489,749.00
Summary
Peritoneal dialysis (PD) is a form of home dialysis that is both substantially cheaper and associated with better early survival than standard hospital-based haemodialysis. Its use in Australia has been severely limited by poor outcomes compared to the rest of the world. This international study aims to identify “real world” PD centre practices that will lead to better outcomes for Australian patients, greater uptake of home dialysis and health savings of tens of millions of dollars annually.
A Prospective Study Of The Psychiatric & Medical Characteristics Of Post-infective Fatigue & Chronic Fatigue Syndrome.
Funder
National Health and Medical Research Council
Funding Amount
$500,000.00
Summary
This project forms the central component of a larger set of studies which investigate competing psychiatric, immunological and infective models of the causes of a number of chronic fatigue syndromes, including post-infective fatigue. The study takes place in western NSW where certain viral illnesses (Glandular Fever, Ross River Virus) and a non-viral infection (QF) are common and have been associated with prolonged fatigue states. The study follows patients from laboratory-documented infections ....This project forms the central component of a larger set of studies which investigate competing psychiatric, immunological and infective models of the causes of a number of chronic fatigue syndromes, including post-infective fatigue. The study takes place in western NSW where certain viral illnesses (Glandular Fever, Ross River Virus) and a non-viral infection (QF) are common and have been associated with prolonged fatigue states. The study follows patients from laboratory-documented infections with appropriate infective, immunological and psychological measures throughout the course of their acute illness, the early recovery period and for the next 12 months. These patients are compared with people who present to their doctor with other forms of medically-unexplained fatigue. Very few previous studies have used an appropriate prospective design and followed patients with documented illness from the onset through to the development of specific forms of chronic fatigue. Further, the study is unique in terms of the range of viral and non-viral agents being investigated. It relies on the combined psychiatric, immunological and infective disease expertise of a group of researchers with an international reputation for the successful completion of such multidisciplinary projects. The initial phase of the study has demonstrated that the research team has the capacity to complete this project. Initial results have already demonstrated the potential roles of psychological and immunological factors in causing some cases of prolonged fatigue. Further, the initial results indicate that two key symptom sets (fatigue, psychological distress) can be adequately measured during the recovery phase and are predicted by differing psychological factors. The study will result in the identification of different psychiatric risk factors to chronic fatigue, assist development of clear diagnostic guidelines for post-infective fatigue and guide relevant aetiological and treatment research.Read moreRead less
A Prospective Study Of The Influence Of Health-related Lifestyle Factors On DNA Methylation
Funder
National Health and Medical Research Council
Funding Amount
$640,074.00
Summary
It is known that DNA methylation can lead to disease. We aim to discover what causes DNA methylation to change. This could open the way for new methods of prevention and treatment of many diseases. We will study 1200 people to assess how the methylation of their DNA is influenced by changes in their smoking habits, alcohol consumption, vitamin intake, body size, blood sugar and cholesterol levels. We want to know whether these changes lead to undesirable (or desirable) changes in DNA methylation
Preconception Determinants Of Child Health And Development: A 4-year Follow Up Of Offspring Born To The Australian Temperament Project
Funder
National Health and Medical Research Council
Funding Amount
$1,065,799.00
Summary
This project will follow offspring born to a large population cohort study that has tracked the mental health and wellbeing of around 2000 participants across 30 years prior to parenthood. The aim is to understand how the lives parents lived before conception, as well as events during pregnancy, shape social and emotional outcomes for their children. Results will inform radically new approaches to promoting child health and development across generations.
Clinical Studies Of Diabetes And Tropical Infectious Diseases
Funder
National Health and Medical Research Council
Funding Amount
$568,892.00
Summary
The Fremantle Diabetes Study Phases I and II continue to make important contributions to our understanding of the natural history of diabetes and will be a major focus of the research supported by present application. Studies of malaria and severe bacterial infections in Papua New Guinean children that have regularly contributed to changes in national and regional treatment protocols will also continue under the supervision of the applicant.
We will investigate whether there are particular patterns of DNA methylation in people who develop gastric cancer. This could provide a means of identifying people at high risk of developing the disease, which may assist with early detection. This would be expected to markedly improve survival. If we can identify lifestyle factors associated with gastric cancer methylation there may be opportunities for prevention of the disease.
The Role Of Preconception And Perinatal Substance Use And Misuse In Childhood Social, Emotional And Behavioural Problems
Funder
National Health and Medical Research Council
Funding Amount
$1,562,250.00
Summary
This project will use perinatal and preconception data from three long-running Australian studies that have tracked the health and wellbeing of several thousand participants prior to parenthood. The aim is to understand how parental histories of substance use, and patterns of use during pregnancy, and in early life, shape offspring social, emotional and behavioural outcomes across childhood. Results will inform new approaches to preventing substance-related harms within and across generations.