Permian Health Women's Lung Health Study (WLHS)
The goal of this cross-sectional observational study is to estimate the prevalence of lung function impairment as measured by spirometry in a population of Gambian women aged 15 and older. The main question[s] it aims to answer are:
- What is the prevalence of lung function impairment in Gambian women
- What is the prevalence of eosinophilic inflammation in Gambian women
Consenting participants will undergo
- Spirometry
- Fractional exhaled nitric oxide (FENO) testing
- α1-antitrypsin testing in patients with lung function impairment as assessed by spirometry
Study Overview
Status
Status
Conditions
Conditions
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Locations
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Kanifing, Gambia
- Gamcotrap
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Contact:
- Musa D Jallow
- Phone Number: +220-712-0569
- Email: musajah1979@yahoo.com
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Contact:
- Adjoa K Hackman-Stevens
- Phone Number: +220-219-4022
- Email: nanarays12@gmail.com
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Principal Investigator:
- Isatou Touray, DPhil
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Principal Investigator:
- Sunkaru Touray, MD
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion criteria:
- Self-identified female sex
- Age > 15 years: This age cutoff was chosen (as opposed to 18) because of the unique cultural norms and practices in the country where experiences and exposures occur at an earlier age than women in Western countries.
Exclusion criteria:
- Age < 15 years
- Non-resident household member
- Any acutely unwell individual
- Pregnancy
- Any known history of active pulmonary disease (including TB) on treatment.
- Individuals unable or unwilling to give consent.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
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Gambian Women
Gambian women aged 15 and older with lung function impairment as measured by spirometry
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Prevalence of lung function Impairment as measured by spirometry
Time Frame: Through study completion, an average of 1 year
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Certified technicians will perform Spirometry testing to measure lung function parameters such as FEV1, FVC, and FEV1/FVC ratio.
Results will be interpreted by two Pulmonologists using GLI reference equations and z-scores.
Bronchodilator reversibility is defined as an improvement of over 10% in FEV1 after albuterol sulfate administration.
Lung function impairment will be assessed based on z-scores, with normal lung function being z-scores greater than -1.645, mild impairment between -1.65 and -2.5, moderate impairment between -2.51 and -4, and severe impairment below -4.1.
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Through study completion, an average of 1 year
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Prevalence of Type II (Eosinophilic) inflammation in Gambian Women
Time Frame: Through study completion, an average of 1 year
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FENO measurements will be taken using handheld devices called NIOX VERO.
These devices are compliant with guidelines set by the American Thoracic Society and European Respiratory Society.
To measure FENO, participants will be instructed to exhale into the device through a filtered mouthpiece.
The exhaling process will be regulated to maintain a controlled flow rate and pressure for a duration of 10 seconds.
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Through study completion, an average of 1 year
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Halbert RJ, Natoli JL, Gano A, Badamgarav E, Buist AS, Mannino DM. Global burden of COPD: systematic review and meta-analysis. Eur Respir J. 2006 Sep;28(3):523-32. doi: 10.1183/09031936.06.00124605. Epub 2006 Apr 12.
- Ale BM, Ozoh OB, Gadanya MA, Li Y, Harhay MO, Adebiyi AO, Adeloye D. Estimating the prevalence of COPD in an African country: evidence from southern Nigeria. J Glob Health Rep. 2022;6:e2022049. doi: 10.29392/001c.38200. Epub 2022 Sep 15.
- Chan-Yeung M, Ait-Khaled N, White N, Ip MS, Tan WC. The burden and impact of COPD in Asia and Africa. Int J Tuberc Lung Dis. 2004 Jan;8(1):2-14.
- Stoller JK, Sandhaus RA, Turino G, Dickson R, Rodgers K, Strange C. Delay in diagnosis of alpha1-antitrypsin deficiency: a continuing problem. Chest. 2005 Oct;128(4):1989-94. doi: 10.1378/chest.128.4.1989.
- Chapman KR, Chorostowska-Wynimko J, Koczulla AR, Ferrarotti I, McElvaney NG. Alpha 1 antitrypsin to treat lung disease in alpha 1 antitrypsin deficiency: recent developments and clinical implications. Int J Chron Obstruct Pulmon Dis. 2018 Jan 31;13:419-432. doi: 10.2147/COPD.S149429. eCollection 2018.
- American Thoracic Society; European Respiratory Society. American Thoracic Society/European Respiratory Society statement: standards for the diagnosis and management of individuals with alpha-1 antitrypsin deficiency. Am J Respir Crit Care Med. 2003 Oct 1;168(7):818-900. doi: 10.1164/rccm.168.7.818. No abstract available.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- WLHS2023001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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