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

24 juni 2026 uppdaterad 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.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Beräknad)

400

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

  • Frankrike
      • Nice, Frankrike
        • CHU de Nice - Hopital de Cimiez
        • Huvudutredare:
          • Olivier GUERIN, Pr
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Ja

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Övrig: Exposome assessment
Övrig: 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

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Frailty (health measure)
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Functional and health status
Tidsram: at baseline and 1 year
Disease presence : : Presence (yes/no) of chronic disease
at baseline and 1 year
Physical functional capacities (health measure)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: at baseline.
DNA damage will be obtained through epigenetic analysis by studying miRNAs.
at baseline.
exposure to air pollutants (external environmental exposome measure)
Tidsram: 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)
Tidsram: 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)
Tidsram: at baseline.
smoking/non-smoking status identified via questionnaire.
at baseline.
Alcohol habits (external personal exposome measure)
Tidsram: at baseline
consumption volume identified via questionnaire.
at baseline
Self-reported physical activity habits (external personal exposome measure)
Tidsram: at baseline
volume of physical activity practice over a week identified via questionnaire.
at baseline
Objective-measured physical activity habits (external personal exposome measure)
Tidsram: at baseline
volume of physical activity practice over a week identified via actigraphy.
at baseline
Socioeconomic characteristic (external personal exposome measure)
Tidsram: at baseline
level of study identified via questionnaire.
at baseline
Socioeconomic characteristic (external personal exposome measure)
Tidsram: at baseline
socio-professional category identified via questionnaire.
at baseline
Psychological health (external personal exposome measure)
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Centre Hospitalier Universitaire de Nice

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 september 2030

Primärt slutförande (Beräknad)

1 september 2031

Avslutad studie (Beräknad)

1 september 2031

Studieregistreringsdatum

Först inskickad

11 juni 2026

Först inskickad som uppfyllde QC-kriterierna

24 juni 2026

Första postat (Faktisk)

1 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

1 juli 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

24 juni 2026

Senast verifierad

1 juni 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • 25-PP-25

Läkemedels- och apparatinformation, studiedokument

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