Understanding the nutritional regulation of 'healthy' fetal and infant growth and development

Lead Research Organisation: King's College London
Department Name: Women's Health

Abstract

It is estimated that undernutrition (including deficiencies of key micronutrients) and sub-optimal breastfeeding is the cause of 3.1 million child deaths annually. Further, it is now widely accepted that nutrition during early life (including fetal life and early infancy) may 'programme' our future risk of a wide array of non-communicable diseases; the so called 'Developmental Origins of Health and Disease' (DOHaD) hypothesis. Taken together, this understanding of the importance of both the immediate and longer-term health consequences of undernutrition during our early life period, has placed a much greater focus on a 'life-course' strategy for disease prevention, recognising that there are periods in early-life that provide a 'window of opportunity' for nutrition interventions aimed at improving life-long health. In populations with widespread maternal and infant undernutrition, optimising growth during this critical phase of development is fundamental for improving health. The key ambition of this research is to provide an evidence base on the mechanisms that link undernutrition to growth failure, so effective interventions can be designed.

To meet this ambition, this research will focus on four main objectives:

1. To improve our understanding of what 'normal' and 'abnormal' fetal and infant development, with a specific focus on growth and brain development.
2. To identify mechanisms through which maternal nutrition (before and during pregnancy) impacts on fetal and infant growth and brain development.
3. To advance our understanding of the mechanisms linking infant nutrition to growth and development, with a specific focus on maternal nutrition and breast milk quality.
4. To use this research to identify possible nutrition interventions for improvements in women's nutrition and infant health outcomes globally, and to test these interventions in new trials.

This research will largely be focused in low- and middle-income settings, but with implications for nutritionally vulnerability globally.

Technical Summary

The overall aim of my research is to identify mechanisms through which maternal and infant nutrition may impact on maternal health and influence infant development and hence identify pathways by which nutritional interventions to mothers and/or infants can be effective. The specific focus is on the nutritional regulation of 'healthy' fetal and infant growth, and in gaining a detailed understanding of the mechanisms underpinning this. The research is concentrated on vulnerable populations, especially mothers and infants in settings of widespread undernutrition in resource poor settings, but with implications for nutritional inequalities globally.

Within this overall aim, the specific objectives of this research are to:
1. Improve understanding of normal and abnormal fetal and infant development, utilising detailed phenotypic data from existing and ongoing birth cohort studies and focusing specifically on growth and brain development.
2. Identify mechanisms through which maternal nutrition impact on fetal and infant growth and brain development.
3. Identify mechanisms linking infant nutrition to growth and brain development, with a specific focus on maternal nutrition and breast milk quality.
4. Identify and test nutritional interventions for improvements in women's nutrition and infant health outcomes globally.

Planned Impact

Who might benefit from this research?
Beyond the academic community, it is anticipated that this work will provide impact primarily through the provision of information that is relevant to public health professionals, clinicians and global health practitioners.

How might they benefit from this research?
In addition to the immediate health consequences of undernutrition, it is now widely accepted that the early life environment (especially the early life nutritional environment) has lifelong effects on human health. The 'Developmental Origins of Health and Disease' (DOHaD) hypothesis is built on a substantial body of evidence from epidemiological, animal and human intervention studies and demonstrates associations between the early environment and a wide range of health outcomes. These data have placed a much greater emphasis on a lifecourse strategy for disease prevention, recognising that there are periods in early life that provide a window of opportunity for both nutrition-specific and nutrition-sensitive interventions. A comprehensive understanding of the timing and mode of action of early nutrition is therefore needed before interventions can be developed for lifelong health. Within this portfolio of work, I seek to understand these mechanisms and provide tangible targets - accessible to both the academic and non-academic communities - for intervention to improve infant and childhood growth and development.

Publications

10 25 50

 
Description Development of MSc course module in Global Women's Health
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Bill & Melinda Gates Foundation Grant: Assessing pelvic size and bone plate growth and closure in girls and women in LIC - a systematic review
Amount $80,611 (USD)
Funding ID OPP1182346 
Organisation Bill and Melinda Gates Foundation 
Sector Charity/Non Profit
Country United States
Start 10/2017 
End 07/2018
 
Description Bill & Melinda Gates Foundation Grant: The Mothers, Infants and Lactation Quality (MILQ) Project: A Multi-Center Collaborative Study
Amount $5,221,000 (USD)
Funding ID OPP1148405 
Organisation Bill and Melinda Gates Foundation 
Sector Charity/Non Profit
Country United States
Start 12/2016 
End 01/2020
 
Description Confidence in Global Mental Health Research: Institutional "pump-priming" awards to develop new opportunities in Global Mental Health Research
Amount £199,000 (GBP)
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 03/2018 
End 02/2019
 
Description Confidence in Global Nutrition and Health Research: Institutional "pump-priming" awards to develop new opportunities in Global Nutrition and Health Research
Amount £199,999 (GBP)
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 02/2018 
End 01/2019
 
Description Confidence in Global Nutrition and Health Research: Institutional "pump-priming" awards to develop new opportunities in Global Nutrition and Health Research
Amount £144,260 (GBP)
Organisation Medical Research Council (MRC) 
Sector Academic/University
Country United Kingdom
Start 03/2018 
End 02/2019
 
Description ASSET 
Organisation King's College London
Country United Kingdom 
Sector Academic/University 
PI Contribution I am part of a network of researchers from across KCL, led by Professor Martin Prince, who have received funding from NIHR for a Global Health Center for ASSET: heAlth System StrEngThening in SSA.
Collaborator Contribution As a multidisciplinary group, all partners are providing relevant expertise into this network.
Impact No outputs as yet.
Start Year 2017
 
Description Global fNIRS 
Organisation Birkbeck, University of London
Country United Kingdom 
Sector Academic/University 
PI Contribution GlobalfNIRS is a multidisciplinary project dedicated to advancing global health initiatives through the use of a low cost, portable and non-invasive neuroimaging technology, functional near infrared spectroscopy (fNIRS). Our goal is to provide tools which supplement current methods for assessing cognitive function of the developing brain in resource poor settings. We believe that establishing earlier and more objective biomarkers of typical and atypical cognitive development will be of value in assessing interventional outcomes and risk prevention strategies. The role of the MCN Group at MRC Human Nutrition Research is to provide input into the application of fNIRS to assess the impact of early nutritional deprivation on infant cognitive development.
Collaborator Contribution Expertise by the lead partners in Medical engineering (UCL) and child psychology (Birkbeck)
Impact Published peer-reviewed papers: Lloyd-Fox S, Papademetriou M, Darboe MK, Everdell NL, Prentice AM, Moore SE, & Elwell, CE. (2014). Functional Near Infrared Spectroscopy (fNIRS) to assess cognitive function in infants in rural Africa. Nature Scientific Report, 4, 4740, doi: 10.1038/ srep04740. Publications in Press: Begus K, Lloyd-Fox S. Halliday D, Papademetriou M, Darboe MK, Prentice AM, Moore SE, Elwell CE. Using fNIRS to Study Working Memory of Infants in Rural Africa. Oxygen Transport to Tissue XXXVII. Advances in Experimental Medicine and Biology. Poster presentations: Applying fNIRS to study the effects of nutrition on cognitive development in infants: A pilot study of working memory in infants in UK and rural Africa. Begus K, Lloyd-Fox S, Halliday D, Papademetriou M, Everdell N, Darboe MK, Prentice AM, Moore SE, & Elwell CE. Poster presented at International Society Oxygen Transport Tissues, London, UK, June 28-July 3, 2014. Brain Imaging of Cognitive Development in Rural Gambia: Studies from Birth to 24 Months of Age. Halliday D, Lloyd-Fox S, Begus K, Maris H, Papademetriou M, Everdell N, Darboe MK, Prentice AM, Moore SE, & Elwell CE. Poster presented at Experimental Biology Conference, San Diego, USA, April 26-30, 2014.
Start Year 2014
 
Description Global fNIRS 
Organisation University College London
Country United Kingdom 
Sector Academic/University 
PI Contribution GlobalfNIRS is a multidisciplinary project dedicated to advancing global health initiatives through the use of a low cost, portable and non-invasive neuroimaging technology, functional near infrared spectroscopy (fNIRS). Our goal is to provide tools which supplement current methods for assessing cognitive function of the developing brain in resource poor settings. We believe that establishing earlier and more objective biomarkers of typical and atypical cognitive development will be of value in assessing interventional outcomes and risk prevention strategies. The role of the MCN Group at MRC Human Nutrition Research is to provide input into the application of fNIRS to assess the impact of early nutritional deprivation on infant cognitive development.
Collaborator Contribution Expertise by the lead partners in Medical engineering (UCL) and child psychology (Birkbeck)
Impact Published peer-reviewed papers: Lloyd-Fox S, Papademetriou M, Darboe MK, Everdell NL, Prentice AM, Moore SE, & Elwell, CE. (2014). Functional Near Infrared Spectroscopy (fNIRS) to assess cognitive function in infants in rural Africa. Nature Scientific Report, 4, 4740, doi: 10.1038/ srep04740. Publications in Press: Begus K, Lloyd-Fox S. Halliday D, Papademetriou M, Darboe MK, Prentice AM, Moore SE, Elwell CE. Using fNIRS to Study Working Memory of Infants in Rural Africa. Oxygen Transport to Tissue XXXVII. Advances in Experimental Medicine and Biology. Poster presentations: Applying fNIRS to study the effects of nutrition on cognitive development in infants: A pilot study of working memory in infants in UK and rural Africa. Begus K, Lloyd-Fox S, Halliday D, Papademetriou M, Everdell N, Darboe MK, Prentice AM, Moore SE, & Elwell CE. Poster presented at International Society Oxygen Transport Tissues, London, UK, June 28-July 3, 2014. Brain Imaging of Cognitive Development in Rural Gambia: Studies from Birth to 24 Months of Age. Halliday D, Lloyd-Fox S, Begus K, Maris H, Papademetriou M, Everdell N, Darboe MK, Prentice AM, Moore SE, & Elwell CE. Poster presented at Experimental Biology Conference, San Diego, USA, April 26-30, 2014.
Start Year 2014
 
Description INSPIRE 
Organisation Washington State University
Country United States 
Sector Academic/University 
PI Contribution I am part of an international collaborative network of research scientists interested in defining 'what is normal' when it comes to human breast milk. Initially, this was a research grant (funded by the National Science Foundation (US)), completed in 2017. We still engage collaboratively as a network, planning future, follow up work. My contribution is to engage scientifically with this group, contributing to new ideas.
Collaborator Contribution Input from research scientists from different disciplines (anthropology, laction physiology, microbiome research, immunology, nutrition etc) into the research network. Participation at meetings.
Impact https://www.ncbi.nlm.nih.gov/pubmed/28713365 https://www.ncbi.nlm.nih.gov/pubmed/28356278
Start Year 2014
 
Description MILQ: The Mothers, Infants and Lactation Quality Project 
Organisation University of California, Davis
Country United States 
Sector Academic/University 
PI Contribution Myself and my MRC HNR funded PhD student (Kamilla Eriksen) were part of a Technical Advisory Group formed in 2015 to create a multi-centre study to develop reference values for human milk nutrient concentrations. As a direct consequence of this collaboration, we formed a research group and received funding from the Bill and Melinda Gates Foundation for a multi-site study on this topic. We will lead the Gambian and Danish arms of this study.
Collaborator Contribution We have contributed intellectually to secure funding for a large research study.
Impact Funding from BMGF. No publications as yet.
Start Year 2015
 
Description PRECISE 
Organisation King's College London
Country United Kingdom 
Sector Academic/University 
PI Contribution I was part of a consortium of research scientists who applied for GCRF funding to establish a research network: The PRECISE (PREgnancy Care Integrating translational Science, Everywhere) Network: a sub-Saharan network for placental disorders. Led by Professor Peter von Dadelzsen (formally SGUL, now KCL), I lead on the diet and nutrition aspects across all participating countries, and also sit within the 'epidemiology' working group.
Collaborator Contribution This is a multidisciplinary group, and all collaborators contributed to the study design, and now to the implementation. The launch meeting was held in Nairobi in February 2018, where all partners contributed.
Impact Non as yet.
Start Year 2017
 
Description TALENT 
Organisation University of Southampton
Country United Kingdom 
Sector Academic/University 
PI Contribution I am part of a collaborative network, who secured GCRF "pump priming" funding to establish a network of research scientists with an interest in adolescent nutrition - "TALENT: Transforming Adolescent Lives Through Nutrition". In addition to contributing to the grant application, I attended the first project workshop in India in March 2018 and, together with colleagues from the MRC Unit The Gambia, I will lead on a qualitative study of factors determining diet, nutrition and health in adolescent boys and girls in rural Gambia.
Collaborator Contribution This is a multidisciplinary group of qualitative and quantitative research scientists, together with partners from India and sub-Saharan Africa, all working together to get essential pilot data for future grant applications for further research to improve adolescent nutrition and health.
Impact No outputs as yet. Project funding awarded 01/02/18.
Start Year 2017
 
Description Attendance to fNIRS Society conference in Tokyo, Japan - Ms Samantha McCann 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact 3 members of the BRIGHT project team attended the fNIRS Society conference in Tokyo, October 2018. An oral presentation was given on the topic of ' fNIRS habituation responses in infants between 1 and 8 months of age in Gambia and UK'. And a poster presentation was given on the topic of 'fNIRS Working memory responses in infants at 8 and 12 months in the UK and The Gambia'
Year(s) Of Engagement Activity 2018
 
Description Chair of the External Advisory Board for "INPreP3" (Improved Nutrition Preconception Pregnancy Post-Delivery), NIHR Southampton 1000DaysPlus Global Nutrition Research Group. 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Chair of the External Advisory Board for "INPreP3" (Improved Nutrition Preconception Pregnancy Post-Delivery), which is the NIHR Southampton 1000DaysPlus Global Nutrition Research Group (from September 2018 to 2021)
Year(s) Of Engagement Activity 2018,2019
 
Description Creating Global Health Science forum at KCL 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact Together with a colleague at KCL, Sophie Moore initiated the 'Global Health Science Cafe' a forum for networking/sharing of scientific ideas across global health with the Department of Women and Children's Health at KCL.
Year(s) Of Engagement Activity 2018
 
Description ENN Wasting and Stunting Technical Interest Group meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Early Nutrition Network Wasting and Stunting group open meeting
Year(s) Of Engagement Activity 2018
 
Description Early Nutrition Meeting, Munich. Lecture on "Early life nutritional programming of health and disease in The Gambia" 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Invited lecture at the Early Nutrition meeting in Munich, Germany. Spoke at session in session focused on research in low income settings.
Year(s) Of Engagement Activity 2016
 
Description FASEB meeting on the Origins and Benefits of Biologically Active Components in Human Milk (Lisbon, Portugal) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presnted a lecture as part of this FASEB meeting on my research from The Gambia looking at the importance of nutrition during the first 1000 days on life course health outcomes.
Year(s) Of Engagement Activity 2017
 
Description Greenman Festival 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Schools
Results and Impact Focus on nutritional biomarkers and future health. Public engagement activity, August 16-20.
Year(s) Of Engagement Activity 2018
 
Description Keynote Lecture delivered at the 26th Watson Memorial Study Day, Newcastle University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Invited keynote lecture to paediatric infectious disease expert, Northern Deanery.
Year(s) Of Engagement Activity 2018
 
Description Lecture - Global Health MSc, Oxford University 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Lecture MSc Global Health, University of Oxford (annually since 2016)
Year(s) Of Engagement Activity 2016,2017,2018,2019
 
Description Lecture to Global Health Nutrition MSc students at LSHTM 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Lecture on 'Micronutrient interventions in pregnancy and childhood' as part of the MSc module on Maternal and Child Nutrition and LSHTM.
Year(s) Of Engagement Activity 2014,2015,2016,2017,2018
 
Description Lecturing, Imperial College London. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Gave a lecture on International Nutrition as part of the Global Health MSc programme at Imperial College London.
Year(s) Of Engagement Activity 2016
 
Description Management Group of the London Metallomics Consortium. 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Management Group of the London Metallomics Consortium (September 2019 - ).
Year(s) Of Engagement Activity 2019
 
Description Micronutrient Forum, Mexico 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Together with my PhD student, led and spoke at a session on "Is maternal supplementation effective for increasing micronutrients in breast milk?"
Year(s) Of Engagement Activity 2016
 
Description Nestlé International Nutrition Symposium, Lausanne, Switzerland 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Attendance at 14th Nestlé International Nutrition Symposium on "Dietary Lipids and Carbohydrates - Impact on Human Health"
Year(s) Of Engagement Activity 2017
 
Description OpeN-Global Launch Meeting 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact London, May 2018. Partner meeting with ~35 international partners from academia, science and industry to launch the OpeN-Global project.
Year(s) Of Engagement Activity 2018
URL https://open-global.kcl.ac.uk
 
Description OpeN-Global website live launch - Drs Moore & Farebrother 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact This activity is the online launch of the OpeN-Global website, that was live streamed to an international audience.

OpeN-Global is an online knowledge resource that brings open-access information and technical support on nutrition biomarkers to nutrition researchers and other nutrition stakeholders globally.

The website was launched officially online with a launch event on 27 Feb 2019.
Year(s) Of Engagement Activity 2018,2019
URL https://open-global.kcl.ac.uk
 
Description Participation in Gates funded meeting on assessment of micronutrients, Oakland, March 2019 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Formal Advisory Committee meeting sponsored by the Micronutrient Forum and Bill & Melinda Gates Foundation, to contribute to projects relating to the broad topic on 'Determining optimal blood processing and handling parameters for micronutrient assessment'
Year(s) Of Engagement Activity 2019
 
Description Poster presentation at Nutrition & Growth conference (Paris) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Poster presentation on "MATERNAL MID-PREGNANCY LIPID LEVELS IMPACT ON INFANT ANTHROPOMETRY", given by Dr Sandra Okala from my group at KCL. Presentation led to interest from other research scientists, including suggestions for future research direction.
Year(s) Of Engagement Activity 2018
 
Description Presentation at DOHaD meeting 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation on "Critical windows for nutritional interventions to promote growth and development: Lessons from The Gambia" as part of a workshop on the First 1000 Days at the DOHaD meeting in Rotterdam, October 2017.
Year(s) Of Engagement Activity 2017
 
Description Presentation at the Nutrition and Growth 2019 meeting in Valencia, Spain (Sophie Moore, March 2019) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation of a research paper on the relationships between wasting and stunting among Gambian infants at a conference attending by a broad range of international academic and industry delegates.
Year(s) Of Engagement Activity 2019
URL http://2019.nutrition-growth.kenes.com/
 
Description Presentation of a poster at the Nutrition and Growth Conference - Dr Sandra Okala 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation of a poster titled "Maternal mid-pregnancy lipid levels impact on infant anthropometry".
Year(s) Of Engagement Activity 2018
URL https://academic.oup.com/cdn/article/2/11/nzy040/5048988
 
Description Programme Committee for the Micronutrient Forum 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Programme Committee for the Micronutrient Forum meeting (Thailand, March 2020).
Year(s) Of Engagement Activity 2019
URL https://micronutrientforum.org/conferences/bangkok2020/
 
Description Public Engagement event with participants of research sites in Cambridge and The Gambia - Ms Samantha McCann 
Form Of Engagement Activity Participation in an open day or visit at my research institution
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Study participants or study members
Results and Impact 80 participants (40 mothers and 40 fathers) attended a series of interactive workshops designed to educate the audience on the importance of the brain, brain development, mental health and our our research techniques (fNIRS and EEG). The day was run by local staff in the local language and activities were tailored to non-literate participants and children. We included evaluation questions at the start and end of the day which showed an increase in knowledge regarding the importance of mental health and how to cope with the stresses of parenthood, the role and importance of the brain and the function of our project equipment.
Year(s) Of Engagement Activity 2018
 
Description RCOG CSG meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Participation in the Global Health CSG at the RCOG in London
Year(s) Of Engagement Activity 2017
 
Description Rosie Midwifery Research Forum 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Gave an informal seminar as part of the Rosie Midwifery Research Forum, Addenbrooke's Hospital Cambridge on "The effects of pre-natal and infant nutrition on infant growth and development". The aim of this seminar was to raise awareness among midwives at the Rosie about our ongoing research, so they could help communicate to the pregnant women and their families.
Year(s) Of Engagement Activity 2016
 
Description Royal College of Obstetrians and Gynaecologists (RCOG) National Trainee Conference (NTC) 2018 - Ms Alice Maidwell Smith 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact "Description from conference website, available on [https://www.rcog.org.uk/en/departmental-catalog/Departments/postgraduate-and-scientific-meetings/2061---national-trainees-conference-2018/], cited 9th January 2019:

"" The National Trainees Conference 2018 is for trainees at all grades and is organised by trainees. This year's Conference aims to address morale and motivation within our specialty; and inject some vibrancy and balance into our training by showcasing the positives of being an O&G trainee in the NHS and beyond. If you love O&G but sometimes feel as if training is a tick box exercise, if you're considering your career options within O&G, or if you're simply looking for an update on a diverse range of topics within our specialty, then this is the Conference for you.

In an increasingly pressurised health service, the requirements on trainees continue to mount. The challenges facing a modern NHS and the challenges in our specialty need to be understood and we need the knowledge, tools and skills to allow us to successfully navigate our training."""
Year(s) Of Engagement Activity 2018
URL https://www.rcog.org.uk/en/departmental-catalog/Departments/postgraduate-and-scientific-meetings/206...
 
Description Sackler Foundation meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Participated in a meeting reviewing the results of studies using existing datasets to investigate the nutritional status of adolescent girls and young women, Part of a workshop held at the New York Academy of Sciences, November 3-4, 2016, which has led on to a Research Funding call in the area of adolescent nutrition.
Year(s) Of Engagement Activity 2016
 
Description Steering group for King's Global Health Institute 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The King's Global Health Institute was formally launched in 2018. I represent the School of Life Course Sciences and Department of Women and Children's Health as a member of the KGHI Steering group.
Year(s) Of Engagement Activity 2018,2019
URL https://www.kcl.ac.uk/kghi
 
Description Stellenbosch Institute for Advanced Study (STIAS) Workshop on the Developmental Origins of Health and Disease (DOHaD) and the SDGs, Stellenbosch South Africa 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Participation in a workshop to highlight the importance of DOHaD for helping sub-Saharan Africa to achieve the Sustainable Development Goals. Meeting led to a 'View Point' article in Global Health Action.
Year(s) Of Engagement Activity 2016
 
Description TALENT Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact GCRF funded workshop focused on adolescent nutrition. South Africa August 6-10 2018.
Year(s) Of Engagement Activity 2018
 
Description Transforming Nutrition Science for Better Health 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact A Joint Wellcome Trust - WHO consultation [15-17th October 2018]. Invited participant.
Year(s) Of Engagement Activity 2018
 
Description WHO meeting on Growth Failure in infants less than six months 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Invitation to, and participation at a WHO convened meeting in Geneva, January 2019.
Year(s) Of Engagement Activity 2019
 
Description Wellcome Trust Population Health Strategy Group Meeting 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Supporters
Results and Impact Participation (as part of Expert Review Group) at the Wellcome Trust's Population Health group meeting, London, January 17th 2018.
Year(s) Of Engagement Activity 2018