Chronic Disease Clinical Trial
Official title:
Descriptive Study of Molecular Markers of Immunosenescence With Nutritional Intervention to Evaluate the Implementation of Digital Tools in the Capture of Nutritional Data
Verified date | March 2023 |
Source | IMDEA Food |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Descriptive comparative study of immunosenescence markers and their association with nutritional, metabolic, metabolomic and genetic characteristics in young (control), senior (age-associated immunosenescence), and populations susceptible to premature immunosenescence such as obese patients, cancer patients and patients who developed severe forms of COVID19 or persistent COVID19. In one of these populations of premature immunosenescence, the population group with overweight or obesity, a prospective and cross-sectional nutritional intervention study is proposed, with data capture and monitoring using digital tools, to evaluate the evolution of immunosenescence markers and assess more objectively and effectively the nutritional status and help in making personalised decisions thanks to the application of these tools. This nutritional intervention will be focused on controlled and safe weight loss that will allow the capture of a large number of variables on lifestyle and dietary habits, nutritional assessment, biochemical, metabolic, genetic, metagenomic, lipidomic and metabolomic markers measured statically and also continuously.
Status | Completed |
Enrollment | 500 |
Est. completion date | November 18, 2022 |
Est. primary completion date | June 23, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria (commun for all groups): - Men/women - Minimum 18 years old - Adequate cultural level and understanding of the clinical study. - Agree to participate voluntarily in the study and give written informed consent. Population-specific inclusion criteria: - Overweight/obese population: - BMI 25-35 Kg/m2 - Ability to handle electronic devices for data capture. - Healthy young population: - Between 18 and 25 years old (both inclusive). - Senior population - Over 55 years of age. - Oncology patients - Over 18 years of age. - With a clinical diagnosis of an active tumour process. - Patients who developed severe or persistent COVID-19: - Severe COVID-19: Patients who have suffered from COVID-19 disease and whose symptomatology is considered within the clinical pictures of severity of this disease, which may include: severe pneumonia, acute respiratory distress syndrome (ARDS), presence of respiratory failure (SaO2 <90% room air) or respiratory rate = 30 breaths per minute, sepsis, septic shock, thromboembolism and multi-organ dysfunction (including acute cardiac and renal injuries). - COVID-19 persistence: Patients who have had COVID-19 disease and who remain with active symptomatology after what is considered the acute phase of the disease, after 4 or even 12 weeks, with symptoms persisting over time. Exclusion Criteria: - Dementia, mental illness or diminished cognitive function that can hinder the subject's participation on the study. - Severe diseases (liver disease, kidney disease, etc.) - BMI > 35 Kg/m2 - Pregnancy or breastfeeding. Population-specific exclusion criteria: - Overweight/obese population: - BMI <25 Kg/m2 or > 35 Kg/m2 - Pharmacological treatment for weight loss. - Refusal to be monitored for one month by means of sensors and nutritional visits. - Refusal to follow healthy eating guidelines for weight loss. - Healthy young population: - Chronic or acute pathologies. |
Country | Name | City | State |
---|---|---|---|
Spain | IMDEA Food | Madrid |
Lead Sponsor | Collaborator |
---|---|
IMDEA Food |
Spain,
Fontana L, Partridge L. Promoting health and longevity through diet: from model organisms to humans. Cell. 2015 Mar 26;161(1):106-118. doi: 10.1016/j.cell.2015.02.020. — View Citation
GBD 2017 Diet Collaborators. Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019 May 11;393(10184):1958-1972. doi: 10.1016/S0140-6736(19)30041-8. Epub 2019 Apr 4. Erratum In: Lancet. 2021 Jun 26;397(10293):2466. — View Citation
Moore JB. From personalised nutrition to precision medicine: the rise of consumer genomics and digital health. Proc Nutr Soc. 2020 Aug;79(3):300-310. doi: 10.1017/S0029665120006977. Epub 2020 May 29. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | BMI | Only in the obese/overweight population.
Change in body mass index (Kg/m2) |
1 month | |
Primary | Blood Glucose | Change in blood glucose (mg/dl). Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Primary | Concentration of interstitial glucose | Only in the obese/overweight population.
Change in Interstitial Glucose (mgl/dl) measured continuously with the Freestyle glucometer (Abbott Laboratories) |
15 days | |
Primary | Blood lymphocytes | Variation in the percentage of blood lymphocytes analysed by flow cytometry in five different population groups (young healthy population, elderly, overweight-obese, cancer patients, and patients who developed severe forms of COVID-19 or persistent COVID-19).
Other variables (described in the Secondary Outcomes), such as biochemical parameters, genetical data, microbiota, etc., will also be analyzed in order to identify specific molecular markers of immunosenescence. |
12 months | |
Secondary | Weight | Weight change (Kg) | 1 month | |
Secondary | WC | Change in waist circumference (cm) | 1 month | |
Secondary | Body composition | Change in % of fat mass | 1 month | |
Secondary | Blood pressure | During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured in the study visits with an automatic Digital Blood Pressure Monitor Model M3 (OMRON HEALTHCARE UK, Kyoto, Japan).
And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense. |
1 month | |
Secondary | Heart Rate | During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured in the study visits with an automatic Digital Blood Pressure Monitor Model M3 (OMRON HEALTHCARE UK, Kyoto, Japan).
And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense. |
1 month | |
Secondary | Dietary intake | Traditional data-collection method: Two 3-day dietary records (for two working days and a holiday); Digital data-collection method: Pictures of food taken with a smartphone. | 1 month | |
Secondary | Physical activity | One same outcome measured during 2 weeks with one method and during the other 2 weeks with another method:
During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured via the validated International Physical Activity Questionnaire (USA Spanish version translated 3/2003 - Short last 7 DAYS self-administered version of the IPAQ - Revised August 2002). And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense. |
1 month | |
Secondary | Sleep | One same outcome measured during 2 weeks with one method and during the other 2 weeks with another method:
During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured via the validated Oviedo Sleep Questionnaire. In the Oviedo Sleep Questionnaire, the higher the score, the greater insomnia's severity. And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense. |
1 month | |
Secondary | Mental health state | One same outcome measured during 2 weeks with one method and during the other 2 weeks with another method:
During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured via the validated Depression Anxiety and Stress Scale - 21 (DASS-21). In the Depression Anxiety and Stress Scale, the higher the score, the greater the stress, anxiety and depression levels. And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense. |
1 month | |
Secondary | Cognition | Measured via the validated Mini-mental state examination (MMSE). In the Mini-mental state examination, the higher the score, the better the cognitive status. | 1 month | |
Secondary | Health status and quality of life | Measured via the validated Short Form-36 Health Survey (SF-36). In the Short Form-36 Health Survey, the higher the score, the better the quality of life and health status. | 1 month | |
Secondary | Percentage of glycated haemoglobin | During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be only measured in the study visits with the blood tests.
And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured continuously with the Freestyle glucometer (Abbott Laboratories), and in the study visits with the blood tests. |
1 month | |
Secondary | Total cholesterol | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Low density lipoprotein (LDL) | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | High density lipoprotein (HDL) | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Triglycerides | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Apo A1 | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Apo B | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Insulin | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Glycated hemoglobin (HbA1c) | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Homeostatic model assessment (HOMA) | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Albumin | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Prealbumin | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | C-reactive protein (CRP) | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Leptin | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Adinopectin | Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations. | 1 month | |
Secondary | Faecal microbiota | Faecal microbiota taxonomic profiling through shotgun sequencing. | 1 month | |
Secondary | Gut dysbiosis | Lipopolysaccharide-binding protein (LBP) levels as an indirect measure of intestinal dysbiosis. | 1 month | |
Secondary | Genotype | Genotyping of single nucleotide genetic variants (SNPs) and specific mutations associated with metabolism, nutrition and immunodegenerative processes. | 1 month | |
Secondary | Gene expression | Expression panels in genes related to the regulation of metabolism, inflammation, immunity, oxidation, nutrition and immunodegenerative processes. | 1 month |
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