AGEWISE: Unravelling the Gut-Hormone Axis in Women's Ageing
Studieoversigt
Status
Status
Betingelser
Betingelser
Detaljeret beskrivelse
AGEWISE aims to investigate the relationship between the gut microbiome, female sex hormones, chronic low-grade inflammation, and women's ageing across the menopausal transition.
The results will support the identification of microbiome-based and blood-based biomarkers associated with menopause and ageing, and contribute to the development of data-driven tools for personalised risk assessment and prevention strategies in women's health.
Primary Objective:
To identify and validate faecal microbiome biomarkers by analysing taxonomic and functional changes across different stages of menopause in women.
Secondary Objectives:
To explore associations between gut microbiome composition and female sex hormone levels, including estradiol, follicle-stimulating hormone (FSH), luteinizing hormone (LH), anti-Müllerian hormone (AMH), and cortisol.
To investigate the relationship between the gut microbiome and blood biomarkers of chronic low-grade inflammation (inflammaging).
To assess associations between microbiome profiles, clinical history, lifestyle, and dietary factors and the risk of conditions associated with menopause.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Ana S Almeida, PhD
- Telefonnummer: +351 217999411
- E-mail: ana.almeida@gimm.pt
Undersøgelse Kontakt Backup
- Navn: Madalena Reis
- Telefonnummer: +351 217999411
- E-mail: madalena.reis@gimm.pt
Studiesteder
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Lisbon, Portugal
- Rekruttering
- Gulbenkian Institute for Molecular Medicine, Lisbon
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Kontakt:
- Ana S Almeida, PhD
- Telefonnummer: +351 217999411
- E-mail: ana.almeida@gimm.pt
-
Kontakt:
- Madalena Reis
- Telefonnummer: +351 217999411
- E-mail: madalena.reis@gimm.pt
-
Ledende efterforsker:
- Ana S Almeida, PhD
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- Female sex
- Aged 40 to 64 years
- Resident in mainland Portugal or the islands
- Able and willing to provide written informed consent
- Willing to provide stool and blood samples and complete three questionnaires
Exclusion Criteria:
- Age below 40 years or 65 years and older
- Inability to give informed consent
- Refusal to provide stool or blood samples or complete questionnaires
- Pregnancy
- Diagnosed gastrointestinal disorders (including inflammatory bowel disease, Crohn's disease, ulcerative colitis, irritable bowel syndrome, chronic diarrhoea of unknown cause, or recurrent Clostridioides difficile infection)
- Active oncological disease
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
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Premenopausal women (self-reported)
Regular menstrual periods, with no signs of menopause yet.
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Perimenopausal women (self-reported)
Irregular menstrual periods, presence of some menopausal symptoms, such as hot flashes, mood changes, sleep disturbances, and brain fog.
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Menopausal/Postmenopausal women (self-reported)
Absence of menstruation for 12 consecutive months.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Gut microbiome functional profile.
Tidsramme: Baseline and every 2 years over a period of 10 years.
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Changes in microbial gene functions and metabolic pathways derived from metagenomic analysis.
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Baseline and every 2 years over a period of 10 years.
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Gut microbiome taxonomic composition
Tidsramme: Baseline and 2 years over a period of 10 years.
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Changes in faecal microbiome composition assessed by shotgun metagenomic sequencing across menopause stages.
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Baseline and 2 years over a period of 10 years.
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Female sex hormone levels.
Tidsramme: Baseline and every 2 years over a period of 10 years.
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Blood levels of estradiol, FSH, LH, AMH, and cortisol measured by immunoassays.
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Baseline and every 2 years over a period of 10 years.
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Inflammation biomarker levels.
Tidsramme: Baseline and every two years over a period of 10 years.
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Blood levels of C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-1β (IL-1β) and TNF-α.
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Baseline and every two years over a period of 10 years.
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Menopause-related symptoms
Tidsramme: Baseline and every two years over a period of 10 years.
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Self-reported menopausal symptoms will be assessed via online questionnaires that include reproductive, medical history and associated symptoms.
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Baseline and every two years over a period of 10 years.
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Nutritional data
Tidsramme: Baseline and every two years over a period of 10 years.
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Self-reported dietary intake will be assessed via telephone interview through two 24-hour recalls, following protocols validated by the Portuguese National Food and Physical Activity Survey (IAN-AF).
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Baseline and every two years over a period of 10 years.
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Effect of physical activity on gut microbiota composition
Tidsramme: Baseline and every two years over a period of 10 years.
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Physical activity will be assessed using International Physical Activity Questionnaire - Short Form a validated tool composed of 7 questions covering the last 7 days of physical activity across three intensity levels which allows classification of participants into three activity levels: low, moderate, or high.
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Baseline and every two years over a period of 10 years.
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Effect of sleeping habits on gut microbiota composition
Tidsramme: Baseline and every 2 years over a period of 10 years.
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Sleeping habits will be assessed by the Pittsburgh Sleep Quality Index (PSQI), a validated questionnaire that consists of 19 items which are distributed into seven "components": subjective sleep quality; sleep latency; sleep duration; habitual sleep efficiency; sleep disturbances; use of sleeping medication; day-time dysfunction.
Each component is scored from 0 to 2, and the sum of the component scores yields a global PSQI score.
A global PSQI score ≥6 will indicate poor sleep quality.
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Baseline and every 2 years over a period of 10 years.
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Effect of stress levels on gut microbiota composition
Tidsramme: Baseline and every 2 years over a period of 10 years.
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Stress levels will be assessed by the Perceived Stress Scale, a validated questionnaire composed of 10 questions.
Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress.
Scores ranging from 0-13 will be considered low stress, 14-26 will be considered moderate stress and scores ranging from 27-40 will be considered high perceived stress.
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Baseline and every 2 years over a period of 10 years.
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CAML Ref nº188/25
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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