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Exposome, Pollutants, Biology in the Older Subject: EXPOSAGE (EXPOSAGE)

24. juni 2026 oppdatert av: Centre Hospitalier Universitaire de Nice
Numerous factors, both individual and environmental, can influence aging, an individual's health, and their functional status. However, the understanding of the combined impact of lifestyle-related exposures (e.g., physical activity, diet, sleep) (personal external exposome), exposures to pollutants (environmental external exposome), and their biological responses (internal exposome)-in other words, the impact of the "exposome" on healthy aging-remains limited, particularly in characterizing the molecular mechanisms associated with these interactions. Exposome approaches identifying key exposures and molecular mechanisms could lead to a better understanding of how the environment, interacting with health behaviors, can affect functional status. Thus, the objective of this study is i) to evaluate the links between the external exposome, the internal exposome and the health of older and aging individuals, and ii) to identify biological markers associated with a vulnerable health status in older and aging individuals.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

400

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

Studiesteder

  • Frankrike
      • Nice, Frankrike
        • CHU de Nice - Hopital de Cimiez
        • Hovedetterforsker:
          • Olivier GUERIN, Pr
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Aged 55 or over
  • Affiliated with or beneficiaries of a social security scheme
  • Signed the informed consent form •-Persons residing in one of the following municipalities : Antibes, Le Bar-sur-Loup, Berre-les-Alpes, Beuil, Blausasc, Breil-sur-Roya, Cabris, Cannes, Carros, Clans, Contes, Drap, L'Escarène, Escragnolles, Fontan, La Gaude, Gilette, Grasse, Lantosque, Levens, Nice, Peillon, Peymeinade, Saint-André-de-la-Roche, Saint-Etienne-de-Tinée, Sospel, Tourrettes-sur-Loup, Vence, Tende

Exclusion Criteria:

  • patients currently undergoing intensive drug treatment, including chemotherapy

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Annen: Exposome assessment
Annen: Exposome assessment
Visit 1: blood sample, questionnaires on the personal exposome (lifestyle habits (e.g., physical activity, diet, stress) and social characteristics and health status) | ii) Outpatient assessment: wearing a silicone bracelet for 7 days to measure external environmental exposure to pollutants and quantify physical activity | iii) Visit 2: 1-year follow-up of health status

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Frailty (health measure)
Tidsramme: at baseline and 12 months later
Frailty is assessed using the Groningen Frailty Indicator. The scale comprises 15 items. The total score ranges from 0 to 25, with a higher score being worse.
at baseline and 12 months later

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Functional and health status
Tidsramme: at baseline and 1 year
Disease presence : : Presence (yes/no) of chronic disease
at baseline and 1 year
Physical functional capacities (health measure)
Tidsramme: at baseline and at 12 months
Physical functional capacities are assessed using the Short Physical Performance Battery which assess balance, walking capacities and strength via a sit to stand test
at baseline and at 12 months
Quality of life (health measure)
Tidsramme: at baseline and 12 months
Quality of life is assessed using the SF-12 questionnaire. The scale comprises 12 items.
at baseline and 12 months
Autonomy (health measure)
Tidsramme: at baseline and 12 months
Autonomy is assessed using the WHOQOL-OLD-AUT questionnaire. The scale comprises 4 items. The total score ranges from 4 to 20, with a higher score being better.
at baseline and 12 months
Comorbidity (health measure)
Tidsramme: at baseline and 12 months
Comorbidity is assessed using the Charlson Index which counts the number of comorbidities. Higher score means greater number of comorbidities and therefore a poorer health.
at baseline and 12 months
Pollutant metabolites (internal exposome/biological measure)
Tidsramme: at baseline.
Presence in the blood metabolome of molecules directly associated with pollutants (initial or biotransformed compounds). This outcome will be obtained through a metabolomic analysis by very high-resolution mass spectrometry (consisting of the analysis of all small organic molecules (or metabolites)) performed on blood samples taken by a blood sampling.
at baseline.
DNA and telomere damage (internal exposome/biological measure)
Tidsramme: at baseline.
DNA damage will be obtained through epigenetic analysis by studying miRNAs.
at baseline.
exposure to air pollutants (external environmental exposome measure)
Tidsramme: at baseline
characteristics in terms of air pollution of the living space (quantity of fine particulate matter (PM), ozone (O3), nitrogen dioxide (NO2), or sulfur dioxide (SO2))
at baseline
exposure to pesticides, hydrocarbons, plastics, flame retardant pollutants (external environmental exposome measure)
Tidsramme: at baseline
the exposure will be obtained through a silicone bracelet worn for 7 days by the participant, which will allow the measure of all exposures in the person's daily life.
at baseline
Smoking habits (external personal exposome measure)
Tidsramme: at baseline.
smoking/non-smoking status identified via questionnaire.
at baseline.
Alcohol habits (external personal exposome measure)
Tidsramme: at baseline
consumption volume identified via questionnaire.
at baseline
Self-reported physical activity habits (external personal exposome measure)
Tidsramme: at baseline
volume of physical activity practice over a week identified via questionnaire.
at baseline
Objective-measured physical activity habits (external personal exposome measure)
Tidsramme: at baseline
volume of physical activity practice over a week identified via actigraphy.
at baseline
Socioeconomic characteristic (external personal exposome measure)
Tidsramme: at baseline
level of study identified via questionnaire.
at baseline
Socioeconomic characteristic (external personal exposome measure)
Tidsramme: at baseline
socio-professional category identified via questionnaire.
at baseline
Psychological health (external personal exposome measure)
Tidsramme: at baseline
anxiety assessed using the Hospital Anxiety and Depression Scale (HAD). The scale comprises 14 items. The total score ranges from 0 to 21, with a higher score being worse.
at baseline

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Centre Hospitalier Universitaire de Nice

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. september 2030

Primær fullføring (Antatt)

1. september 2031

Studiet fullført (Antatt)

1. september 2031

Datoer for studieregistrering

Først innsendt

11. juni 2026

Først innsendt som oppfylte QC-kriteriene

24. juni 2026

Først lagt ut (Faktiske)

1. juli 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

1. juli 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

24. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • 25-PP-25

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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