So Like Your Mum! Is The Health Of Mothers In Far North Queensland Reflected In The Nutrition And Growth Of Their Children In Early Life?
Funder
National Health and Medical Research Council
Funding Amount
$96,631.00
Summary
The health, nutrition and growth of a baby reflect the health and nutrition status of its mother. We will link routine health service information for Indigenous mothers with information on the growth, haemoglobin and health of their young children to identify key factors in a mother’s pregnancy and before, influencing the future health and development of their babies. This study will shape interventions to improve the health of mothers, and thus improve the health of their children through life.
The Stunting Risk Assessment Tool: Identifying Infants At High Risk Of Impaired Growth And Development In Resource Poor Settings.
Funder
National Health and Medical Research Council
Funding Amount
$344,644.00
Summary
Stunting is a neglected global health crisis. After the age of 2, irreversible health, developmental and economic consequences occur that are perpetuated across generations. Early risk prediction is key to more effective interventions. By determining the contribution of risk factors in pregnancy and early infancy, I propose to develop a tool that can be used by health workers to identify infants at high risk of stunting in early life, so that early preventive measures can be introduced.
Exercise In Males Born Growth Restricted To Restore Sperm Function Preventing Adverse Offspring Health
Funder
National Health and Medical Research Council
Funding Amount
$708,363.00
Summary
Males born growth restricted transmit heart disease and diabetes to their children. The mechanism of this transmission is unknown, but is likely due to altered sperm function. We aim to determine the impact growth restriction has on sperm function in men and rats, and establish the optimal window for rat exercise intervention to prevent disease transmission. We expect that exercise in juvenile life will prevent, whereas exercise in adults may ameliorate disease outcomes by improving the sperm.
Analysis Of Perinatal Influences On Aboriginal Child Health And Potential Markers Of Chronic Adult Disease
Funder
National Health and Medical Research Council
Funding Amount
$151,130.00
Summary
Aboriginal babies in the Northern Territory have a low birth rate about twice that for non-Aboriginal Australians. Most of these babies are small because of poor intrauterine growth. At the same time Aboriginal children have high rates of infectious diseases and malnutrition and adults have high rates of obesity, cardiovascular diseases, diabetes, renal and chronic lung diseases with a life expectancy 20 years lower than non-Aboriginal Australians. An Aboriginal birth cohort of 686 with detailed ....Aboriginal babies in the Northern Territory have a low birth rate about twice that for non-Aboriginal Australians. Most of these babies are small because of poor intrauterine growth. At the same time Aboriginal children have high rates of infectious diseases and malnutrition and adults have high rates of obesity, cardiovascular diseases, diabetes, renal and chronic lung diseases with a life expectancy 20 years lower than non-Aboriginal Australians. An Aboriginal birth cohort of 686 with detailed information on maternal medical and obstetric health and birth size and gestation as well as childhood growth has been reexamined in detail at 10 -12 years of age. Information about current nutrition, health and social environment has been collected. Analysis linking all this information will contribute to an understanding of the factors which predict illness in childhood and influence the development of chronic respiratory, renal, metabolic and cardiovascular diseases in Aboriginal adults. The findings will have important implications for the prevention and early intervention of the excess childhood and adult illnesses in the Aboriginal community.Read moreRead less
The Gudaga Study is a unique study of Aboriginal children in an urban environment on the eastern seaboard of Australia. Children were recruited at birth and have been followed up at 6-monthly intervals to age 5 years. This research aims to describe the health, early learning and service context of these urban Aboriginal children from 5 to 9 years. Detailed longitudinal data on Aboriginal children's early life experiences have not previously been collected in an urban setting.
Measuring Hypoxia Induced MRNA In Maternal Blood To Determine Acidaemic Status Of Growth Restricted Fetuses In Utero
Funder
National Health and Medical Research Council
Funding Amount
$120,253.00
Summary
Small babies are at greater risk of dying while inside their mothers and the right time to deliver them is an obstetric conundrum. Currently obstetricians rely on ultrasound measures of the baby's wellbeing which do not always correspond with how sick the baby truly is. There is a great need for a more accurate test. This research intends to show that a blood test from the mother can more accurately tell how sick the baby is and provide an answer to when is the best time to deliver the baby.
A Record Linkage Study Of The Relationship Between Intra-uterine Growth, Birth Weight And Childhood Acute Leukaemia
Funder
National Health and Medical Research Council
Funding Amount
$126,000.00
Summary
Little is known about the causes of childhood leukaemia and cancer, and this has been the subject of intense study over many years. Acute Lymphoblastic Leukaemia (ALL) and Acute Myeloid Leukaemia (AML) are the most common types of childhood cancers. The early age of onset of diagnosis of cancer-leukaemia in childhood has focused attention on factors related to pregnancy. Many studies have investigated the relationship between birth weight and risk of leukaemia. Some studies have reported finding ....Little is known about the causes of childhood leukaemia and cancer, and this has been the subject of intense study over many years. Acute Lymphoblastic Leukaemia (ALL) and Acute Myeloid Leukaemia (AML) are the most common types of childhood cancers. The early age of onset of diagnosis of cancer-leukaemia in childhood has focused attention on factors related to pregnancy. Many studies have investigated the relationship between birth weight and risk of leukaemia. Some studies have reported finding an increasing risk of Acute Lymphoblastic Leukaemia with increasing birth weight, but not all studies have reported this relationship. The relationship between birth weight and Acute Myeloid Leukaemia has been even less well described. Many previous studies have not taken account of important factors when analysing the results. This study will use an existing pool of routinely recorded health information, thus ensuring accurate information on birth weight and factors such as maternal height and age and the length of the pregnancy. We will also have complete and accurate information on childhood cancer in Western Australia. Our results will contribute to knowledge about the causes of childhood leukaemia and the biological pathways involved in its development. If growth-related factors do prove to be integrally involved in the aetiology of childhood leukaemia, then the rapidly increasing prevalence of juvenile diabetes, overweight and obesity in Australia and other developed countries could have even more serious implications for the health of our children. It is important that we investigate this question as soon as possible.Read moreRead less
What Are The Clinical Predictors And Risk Factors For Impaired Child Growth And Development? Following Up The Ha Nam Cohort From Birth To 3 Years
Funder
National Health and Medical Research Council
Funding Amount
$1,189,570.00
Summary
Stunting affects about one third of children under five in developing countries and is a measure of chronic undernutrition. This project will identify pre and postnatal risk factors for impaired child growth and development by monitoring a cohort of infants in Vietnam to three years of age, and developing a predictive algorithm for early detection of those at risk of stunting. Effective preventative measures would improve child health, and prevent a huge burden of disease.
Repeated Prenatal Corticosteroids: Effects On Childhood Development, Behaviour, Growth And Health
Funder
National Health and Medical Research Council
Funding Amount
$265,900.00
Summary
Infants born preterm are at high risk of needing help with their breathing to survive. Corticosteroids given to the mother prior to preterm birth can substantially reduce these risks, although the beneficial effects of these drugs only seem to last seven days. Because of this there has been a tendancy to repeat the dose of prenatal steroids after seven days in women who remain at continued risk of very preterm birth. There has been no formal assessment of whether or not repeating the dose of pre ....Infants born preterm are at high risk of needing help with their breathing to survive. Corticosteroids given to the mother prior to preterm birth can substantially reduce these risks, although the beneficial effects of these drugs only seem to last seven days. Because of this there has been a tendancy to repeat the dose of prenatal steroids after seven days in women who remain at continued risk of very preterm birth. There has been no formal assessment of whether or not repeating the dose of prenatal corticosteroids is beneficial or harmful. In this clinical trial we will test what effect, if any, repeat doses of corticosteroids given to women who remain at risk of preterm birth, have on children at the age of two years Women are eligible for the trial if at of less than 32 weeks of pregnancy, they have received corticosteroids seven or more days ago, and they are considered to be at continued risk of preterm birth. Women are randomised to one of the two treatment groups. Half the women will receive a weekly intramuscular injection of corticosteroids up to the time of birth or 32 weeks gestation, whichever is earlier, whilst the risk of very preterm birth remains. The other half of the women will receive a saline placebo injection. Chance will decide which treatment the women receives. In this study all children who survive to 2 years corrected age will be assessed to see if they have any problems with their health, growth and development. In particular we will assess how well they can walk, talk, understand, see and hear. The trial will be able to assess whether repeat doses of prenatal corticosteroids are helpful or not for infants at risk of being born very preterm by comparing the short term effects on infant health after birth and whilst in hospital with the effects on the child's later health, growth and development. An economic assessment of repeat doses of prenatal corticosteroids will be made in these children.Read moreRead less
Being Born Small Is Not Good For The Heart:early Detection Of Cardiovascular Risk
Funder
National Health and Medical Research Council
Funding Amount
$486,757.00
Summary
Intra uterine growth restriction(IUGR) is linked to adult onset of cardiovascular disease. However, little is known about the mechanism(s) which underlie this link or which babies are most at risk. This study aims to assess cardiovascular function in infants and children who were growth restricted. Early identification of cardiovascular dysfunction may aid in new opportunities for monitoring and therapeutic targets to ultimately reduce later onset of cardiovascular morbidity in this population.