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| Name | Class |
|---|---|
| University of Stirling | OTHER |
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This is a pilot study of children attending the Glasgow feeding clinic (GFC) which looks after a range of children with severe feeding problems who commonly have low appetite and extreme thinness. The investigators want to find out if these children are more likely to carry genetic markers of thinness.
Thinness occurs as a result of undereating, but it is not always clear why an individual child has not eaten enough, or how to get them to eat more. There is a need to understand the child characteristics that predispose to undereating and the how these operate, in order to design more effective treatment and prevention programmes. The Glasgow feeding clinic (GFC) looks after a range of children with severe feeding problems who commonly have low appetite and extreme thinness. The investigators want to find out if these children are more likely to carry genetic markers of thinness.
The investigators will invite up to 60 families to complete a standardised online questionnaire (ICFET) about their child's eating behaviour and collect a saliva sample from their child, sent by post. The investigators will identify how many genetic markers for thinness each carries and relate this to their ICFET appetite scores and existing growth measurements as well as their feeding history.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Feeding clinic | Behavioral | These children have all attended a multidisciplinary feeding clinic with severe food refusal and were commonly receiving tube feeding or supplement drinks. The clinic helps children progress onto a normal oral diet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Genotype risk score | This the number of risk polymorphisms present for each child ranges from 0-20. a high score suggests more thinness | Within 1-2 months of recruitment |
| Measure | Description | Time Frame |
|---|---|---|
| Eating behaviour score | Measure of appetite and food refusal assessed using standard questionnaire (International Complementary Feeding Evaluation Tool (ICFET) Score from 1-5, hihger score suggests greater avidity | At recruitment or up to 2 months before |
| Body mass index |
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Inclusion Criteria:
All participants currently attending Glasgow Feeding Clinic or assessed there within the last 2 years. NB current ethical application is restricted to children aged 1-7 years, but the investigators plan to apply to extend that to age 16 years.
Exclusion Criteria:
Sample not to be collected with 2 weeks of any symptoms or recent contact with Covid 19
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This is a heterogeneous population, united by their difficulties in eating solid food. The majority are, or have previously been, tube fed and around half have some learning disability. Thinness is very common in this group, but we will include all children, whatever their current growth pattern.
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| Name | Affiliation | Role |
|---|---|---|
| Charlotte Wright, MD | University of Glasgow | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New Lister building, Royal Infirmary | Glasgow | Scotland | G31 2ER | United Kingdom |
The individual anonymized data would be made available on request for a collaborative genetic study
On request once initial write up is complete - after 2 years
Available on request
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| ID | Term |
|---|---|
| D044342 | Malnutrition |
| D001068 | Feeding and Eating Disorders |
| D013851 | Thinness |
| D005247 | Feeding Behavior |
| D000080146 | Avoidant Restrictive Food Intake Disorder |
| ID | Term |
|---|---|
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
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weight (kg)/Height (m) squared |
| Up to two years before genetic test |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
| D001835 | Body Weight |
| D001522 | Behavior, Animal |
| D001519 | Behavior |