AzTrials
AzTrials

Health, SubjectiveNCT03343886

Ageing and Health. Spanish Longitudinal Study

An observational study of Health, Subjective and Disability, Evaluation, run by Fundación de Investigación Biomédica - Hospital Universitario de La Princesa at 3 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Ageing with Health is a longitudinal cohort study aimed to examine trajectories of health, disability and wellbeing and their determinants for Spanish ageing population. The data that makes up the baseline was collected from a nationally representative sample of non-institutionalized adults as part of the… Read more about this study

Who is it for?
Ages 18 years and older
How many people
7,755 participants
Where
3 sitesSpain
Study dates
Jul 2011to Oct 2025
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Community-living individuals in Spain aged 18 years or older

Who may be able to join

  • Non-institutionalized Spanish residents
  • 18 years and over

Who cannot join

  • Institutionalized population

Trial locations and contacts

3 sites in 1 country.

Spain3 sites
  • Fundación de Investigación Biomédica - Hospital Universitario de La Princesa

    Madrid, Madrid, 28006

  • Universidad Autónoma de Madrid

    Madrid, Madrid, 28029

  • Fundació Sant Joan de Déu

    Sant Boi de Llobregat, Barcelona, 08830

Other trials in Spain

About this study

Official title: Ageing and Health. Spanish Longitudinal Study on Ageing, Physical and Mental Health, and Its Determinants

Ageing with Health is a longitudinal cohort study aimed to examine trajectories of health, disability and wellbeing and their determinants for Spanish ageing population. The data that makes up the baseline was collected from a nationally representative sample of non-institutionalized adults as part of the "Collaborative Research on Aging in Europe (COURAGE in Europe)" project between July 2011 and May 2012. The second wave was carried out as part of the "Age with Health" project between December 2014 and June 2015, and three years later, in 2018, the third wave was carried out. In 2019-2021, a new cohort of participants were brought in (2019 cohort), some of whom were interviewed again by telephone during the first Coronavirus (COVID-19) lockdown, in early 2020. In 2022, the fourth wave of the 2011 cohort was evaluated, and in 2023, the second wave of the 2019 cohort was evaluated. Finally, in 2025, the fifth wave of the 2011 cohort and the third wave of the 2019 cohort were evaluated, which are the last follow-ups in this study.

Read the detailed description

Study Design:

A prospective cohort general population study.

Sample:

Wave 1: A nationally representative sample of non-institutionalized adults aged 18 years or older from the Spanish population was collected (with an over-sampling of people aged 50+ years). A multi-stage clustered design was employed; four strata based on the number of inhabitants of the municipalities were built for each of the 17 Spanish autonomous communities. Clusters were selected within the strata with a probability of inclusion relative to their size. Within each cluster, households were randomly selected from a list of all households. In case there was more than one individual from the corresponding age group in the household, a random method was employed to select the individual participant.

Wave 2: Wave 1 sample was re-interviewed (Wave 2) in 2014-2015.

Wave 3: in 2018, participants were again evaluated. Complementarily, between 2019 and 2021 a new sample from the regions of Madrid and Barcelona were brought in, and it was interviewed again by telephone during the first COVID-19 lockdown, in May-June 2020.

Wave 4: a new evaluation of the participants of both cohorts 2011 and 2019 was carried out, in the fist case it terminated in 2022, while the data collection for 2019 cohort terminated in 2023.

Wave 5: the last follow-up of both cohorts was carried out in 2025.

Data collection:

Face-to-face interviews by Computer-Assisted Personal Interviewing at the respondents' homes by trained interviewers. All interviewers received a standardized training. Data quality control was also performed. A proxy interview was administered in those cases in which the participant presents physical or cognitive limitations that may impede the correct administration of the individual interview.

Main project objectives:

To assess trajectories of general health, disability and well-being in Spanish ageing population.

Secondary objectives:

To identify trajectories of healthy ageing (in terms of physical health, mental health, functioning and well-being) in Spanish adult population as well as their determinants To analyse prevalence and impact of chronic health conditions, mental health problems, well-being and loneliness on mortality in Spanish adult population.

To determine risk factors for incidence and persistence of mental and physical health problems in Spanish ageing population.

Main project hypotheses:

The trajectories of health, functioning and well-being will be encompassed by relevant environmental factors such as social support, loneliness and health care utilization, personal factors (socio-demographic characteristics, healthy lifestyles, and high cognitive reserve among others) and other biological and health-related factors (weight, height, waist circumference, executive functions, blood pressure, grip strength, vision acuity, presence of mental and physical health problems and quality of life).

Keywords
Health Status, Well-being, Mental Health, Risk Factors, Aging
Medical subject headings
Chronic Disease, Mental Disorders, Cognitive Dysfunction, Psychological Well-Being

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT03343886
Study groupRoleWhat they receive
Cohort 2011A nationally representative sample of 4753 non-institutionalized adults aged 18 years or older from the Spanish population was collected (with an over-sampling of people aged 50+ years). A multi-stage clustered design was employed. A total of 2528 individuals were re-interviewed in 2014. In 2018, 1577 were again evaluated. In 2022, 963 participants took part of another study's evaluation. The last follow-up of this cohort was conducted in 2025, when 595 participants were evaluated.
Cohort 20193002 participants from the regions of Madrid and Barcelona were brought in between 2019 and 2021. The second wave of this cohort was conducted in 2023, and 1,116 participants were evaluated. This cohort was last evaluated in 2025, with 844 participants. In 2020, during the first Coronavirus (COVID-19) lockdown, 1166 of the participants from the first wave of the cohort were telephonically interviewed, a lateral sub-study evaluation.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Heath Status

    Measure: Health composite total score. Construct: Health status. Final result: A global total score. Range: 0-100. 0 means lower health status.

    Measured: Baseline

  2. Disability

    Measure: World Health Organization's Disability Assessment Schedule-II (WHODAS-II). Construct: Disability. Final result: A global total score. Range: 0-100. 0 means lower disability

    Measured: Baseline

  3. Experienced Well-being

    Abbreviated Version of the Day Reconstruction Method. Construct: Experienced wellbeing.

    Final Result: The used scale reports two global scores:

    • Positive Affect total score. Range: 0-100 where 0 means lower positive affect.
    • Negative Affect total score. Range 0-100 where 0 means lower negative affect.

    Measured: Baseline

  4. Quality of Life (WHOQOL-AGE)

    Measure: World Health Organization Quality of Life-Age (WHOQOL-AGE) (Caballero, et al., 2013). Construct: Quality of life. Final Result: A global total score. Range 0-100. 0 means lower quality of life

    Measured: Baseline

Secondary outcomes (6)
  1. Number of Participants With Depression

    Measure: The World Health Organization Composite International Diagnostic Interview (CIDI). Depression module (WHO-CIDI, 1990).

    Construct: Presence of Depression. Final result: Two measures of depression according to Research Diagnostic Criteria.

    • Presence of 12 month depression. Values (yes/no).
    • Presence of lifetime depression. Values (yes/no).

    Measured: Baseline

  2. Presence of Suicide Behavior

    Measure: The World Health Organization Composite International Diagnostic Interview (CIDI). Suicide module (WHO-CIDI, 1990).

    Construct: Presence of Suicide behavior The instrument reports six measures of suicide behavior.

    • Presence of 12 month suicide ideation. Values (yes/no)
    • Presence of 12 month suicide planning. Values (yes/no)
    • Presence of 12 month suicide attempts. Values (yes/no)
    • Presence of lifetime suicide ideation. Values (yes/no)
    • Presence of lifetime suicide planning. Values (yes/no)
    • Presence of lifetime suicide attempts. Values (yes/no)

    Measured: Baseline

  3. Presence of Anxiety Disorders

    Measure: The World Health Organization Composite International Diagnostic Interview (CIDI). Anxiety disorders module (WHO-CIDI, 1990).

    Construct: Presence of anxiety Disorders Final Result: The instrument included in the study reports six measures of anxiety disorders according to Research diagnostic criteria.

    • Presence of 12 month panic disorder. Values (yes/no)
    • Presence of 12 month generalized anxiety disorder. Values (yes/no)
    • Presence of 12 month phobic disorder. Values (yes/no)
    • Presence of lifetime panic disorder. Values (yes/no)
    • Presence of lifetime generalized anxiety disorder. Values (yes/no)
    • Presence of lifetime phobic disorder. Values (yes/no)

    Measured: Baseline

  4. Presence of Diabetes

    Construct: Presence of diabetes Measure: Self-reported information of 12-month presence of diagnosis and/or of treatment for diabetes Values: (Yes/No)

    Measured: Baseline

  5. Presence of Lung Disease

    Construct: Presence of any lung disease Measure: Self-reported information of 12-month presence of diagnosis and/or of treatment for any lung disease Values: (Yes/No)

    Measured: Baseline

  6. Presence of Stroke

    Construct: Presence of stroke Measure: Self-reported information of 12-month presence of diagnosis and/or of treatment for stroke Values: (Yes/No)

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Nov 2017
  2. Study startJul 2011
  3. Primary completionMay 2012
  4. Study completionOct 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
7,755 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03343886
Sponsor's protocol ID
COURAGE2020
Other IDs
FP7/2007-2013- 316795, ACI2009-1010, PS09/00295, PS09/01845, PI12/01490, PI13/00059, PI16/01073, PI16/00812
Status last verified
Oct 2024
First submitted
8 Nov 2017
Last updated
29 Oct 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: A sharing plan description has to be still agreed between the different Principal Investigators

Publications

  • Gabarrell-Pascuet A, Varga TV, Moneta MV, Ayuso-Mateos JL, Lara E, Olaya B, Haro JM, Domenech-Abella J. What factors explain the changes in major depressive disorder symptoms by age group during the COVID-19 pandemic? A longitudinal study. J Affect Disord. 2023 May 1;328:72-80. doi: 10.1016/j.jad.2023.02.042. Epub 2023 Feb 16.

    PubMed 36806591
  • Bayes-Marin I, Fernandez D, Lara E, Martin-Maria N, Miret M, Moreno-Agostino D, Ayuso-Mateos JL, Sanchez-Niubo A, Haro JM, Olaya B. Trajectories of Immediate and Delayed Verbal Memory in the Spanish General Population of Middle-aged and Older Adults. Brain Sci. 2020 Apr 22;10(4):249. doi: 10.3390/brainsci10040249.

    PubMed 32331406
  • Olaya B, Moneta MV, Lara E, Miret M, Martin-Maria N, Moreno-Agostino D, Ayuso-Mateos JL, Abduljabbar AS, Haro JM. Fruit and Vegetable Consumption and Potential Moderators Associated with All-Cause Mortality in a Representative Sample of Spanish Older Adults. Nutrients. 2019 Aug 2;11(8):1794. doi: 10.3390/nu11081794.

    PubMed 31382535
  • Moreno-Agostino, D., de la Torre-Luque, A., de la Fuente, J., Lara, E., Martín-María, N., Moneta, M. V., … & Ayuso-Mateos, J. L. (2020). Determinants of Subjective Wellbeing Trajectories in Older Adults: A Growth Mixture Modeling Approach. Journal of Happiness Studies, 1-18.

  • Martin-Maria N, Caballero FF, Miret M, Tyrovolas S, Haro JM, Ayuso-Mateos JL, Chatterji S. Differential impact of transient and chronic loneliness on health status. A longitudinal study. Psychol Health. 2020 Feb;35(2):177-195. doi: 10.1080/08870446.2019.1632312. Epub 2019 Jun 25.

    PubMed 31237442
  • Lara E, Moreno-Agostino D, Martin-Maria N, Miret M, Rico-Uribe LA, Olaya B, Cabello M, Haro JM, Ayuso-Mateos JL. Exploring the effect of loneliness on all-cause mortality: Are there differences between older adults and younger and middle-aged adults? Soc Sci Med. 2020 Aug;258:113087. doi: 10.1016/j.socscimed.2020.113087. Epub 2020 May 30.

    PubMed 32554229
  • Gayete S, Gine A, Miret M, Ayuso-Mateos JL, Haro JM, Olaya B. Cognitive function associated with different diagnoses of anxiety disorders over the lifespan: Results from a Spanish representative sample. J Anxiety Disord. 2020 Oct;75:102296. doi: 10.1016/j.janxdis.2020.102296. Epub 2020 Aug 20.

    PubMed 32866758
  • Martin-Maria N, Caballero FF, Lara E, Domenech-Abella J, Haro JM, Olaya B, Ayuso-Mateos JL, Miret M. Effects of transient and chronic loneliness on major depression in older adults: A longitudinal study. Int J Geriatr Psychiatry. 2021 Jan;36(1):76-85. doi: 10.1002/gps.5397. Epub 2020 Sep 10.

    PubMed 32791563
  • Garcia-Esquinas E, Ortola R, Gine-Vazquez I, Carnicero JA, Manas A, Lara E, Alvarez-Bustos A, Vicente-Rodriguez G, Sotos-Prieto M, Olaya B, Garcia-Garcia FJ, Gusi N, Banegas JR, Rodriguez-Gomez I, Struijk EA, Martinez-Gomez D, Lana A, Haro JM, Ayuso-Mateos JL, Rodriguez-Manas L, Ara I, Miret M, Rodriguez-Artalejo F. Changes in Health Behaviors, Mental and Physical Health among Older Adults under Severe Lockdown Restrictions during the COVID-19 Pandemic in Spain. Int J Environ Res Public Health. 2021 Jul 1;18(13):7067. doi: 10.3390/ijerph18137067.

    PubMed 34281004
  • Gabarrell-Pascuet A, Moneta MV, Ayuso-Mateos JL, Miret M, Lara E, Haro JM, Olaya B, Domenech-Abella J. The effect of loneliness and social support on the course of major depressive disorder among adults aged 50 years and older: A longitudinal study. Depress Anxiety. 2022 Feb;39(2):147-155. doi: 10.1002/da.23236. Epub 2022 Jan 14.

    PubMed 35029840
  • Rodeiro, J., Olaya, B., Haro, J. M., Gabarrell-Pascuet, A., Ayuso-Mateos, J. L., Francia, L., … & Domènech-Abella, J. (2025). The longitudinal relationship among physical activity, loneliness, and mental health in middle-aged and older adults: Results from the Edad con Salud cohort. Mental Health and Physical Activity, 100667.

  • Francia L, De Giorgi R, Lara E, Del Castellar BD, Castelletti C, Rodriguez-Prada C, Domenech-Abella J, Olaya B, Haro JM, Ayuso Mateos JL. Treatment coverage for depression in the general Spanish population and the impact of the Covid-19 pandemic. Heliyon. 2024 Jun 8;10(11):e32594. doi: 10.1016/j.heliyon.2024.e32594. eCollection 2024 Jun 15.

    PubMed 38961986
  • Zhang Z, Domenech-Abella J, Rodeiro-Boliart J, Gete-Alejandro I, Ayuso-Mateos JL, Miret M, Perez EL, Godino-Cruz J, Haro JM, Olaya B. The impact of physical multimorbidity on common mental disorders and the role of loneliness and social support: A three-year follow-up study. J Affect Disord. 2026 Aug 15;407:121795. doi: 10.1016/j.jad.2026.121795. Epub 2026 Apr 13.

    PubMed 41985760
  • Rodriguez-Prada C, Cabello M, Caballero FF, Dolz-Del-Castellar B, Francia L, Miret M, Haro JM, Domenech-Abella J, Olaya B, Ayuso-Mateos JL. Analyzing the Impact of Depression on All-Cause Mortality in Different Sex and Age Groups: A 11-Year Follow-Up Study of Spanish Population. Int J Soc Psychiatry. 2026 Mar 22:207640261430311. doi: 10.1177/00207640261430311. Online ahead of print.

    PubMed 41865302
  • Longo V, Domenech-Abella J, Gete-Alejandro I, Ayuso-Mateos JL, Miret M, Godino-Cruz J, Lara E, Cristobal-Narvaez P, Haro JM. The association between loneliness and suicide ideation: A cross-sectional comparison of Latin American immigrants and Spanish natives in Spain. J Affect Disord. 2026 Aug 1;406:121347. doi: 10.1016/j.jad.2026.121347. Epub 2026 Feb 5.

    PubMed 41653995

Questions about this trial

What is this clinical trial studying?

An observational study of Health, Subjective and Disability, Evaluation, run by Fundación de Investigación Biomédica - Hospital Universitario de La Princesa at 3 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Oct 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Heath Status (time frame: Baseline). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03343886, which also lists 63 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in