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Chronic DiseaseNCT05807243

Description of Immunosenescence Biomarkers and Nutritional Intervention to Evaluate the Implementation of Digital Tools

A study testing Dietary intervention for healthy weight loss in people with Chronic Disease, run by IMDEA Food at 1 site in Spain.

Completed

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

Official record
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Trial summary

Descriptive comparative study of immunosenescence markers and their association with nutritional, metabolic, metabolomic and genetic characteristics in young (control), senior (age-associated immunosenescence), and populations susceptible to premature immunosenescence such as obese patients, cancer patients and… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Chronic Disease
What is being tested?
Dietary intervention for healthy weight loss
Could I receive a placebo?
No, everyone receives an active treatment
How many people
500 participants
Where
1 siteSpain
Study dates
9 May 2022to 18 Nov 2022
Phase
Interventional
Are there results?
None posted in the registry

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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Men/women
  • Minimum 18 years old
  • Adequate cultural level and understanding of the clinical study.
  • Agree to participate voluntarily in the study and give written informed consent.
  • Population-specific inclusion criteria:
  • Overweight/obese population:
Show all 18Show fewer
  • BMI 25-35 Kg/m2
  • Ability to handle electronic devices for data capture.
  • Healthy young population:
  • Between 18 and 25 years old (both inclusive).
  • Senior population
  • Over 55 years of age.
  • Oncology patients
  • Over 18 years of age.
  • With a clinical diagnosis of an active tumour process.
  • Patients who developed severe or persistent COVID-19:
  • Severe COVID-19: Patients who have suffered from COVID-19 disease and whose symptomatology is considered within the clinical pictures of severity of this disease, which may include: severe pneumonia, acute respiratory distress syndrome (ARDS), presence of respiratory failure (SaO2 <90% room air) or respiratory rate ≥ 30 breaths per minute, sepsis, septic shock, thromboembolism and multi-organ dysfunction (including acute cardiac and renal injuries).
  • COVID-19 persistence: Patients who have had COVID-19 disease and who remain with active symptomatology after what is considered the acute phase of the disease, after 4 or even 12 weeks, with symptoms persisting over time.

Who cannot join

  • Dementia, mental illness or diminished cognitive function that can hinder the subject's participation on the study.
  • Severe diseases (liver disease, kidney disease, etc.)
  • BMI > 35 Kg/m2
  • Pregnancy or breastfeeding.
  • Population-specific exclusion criteria:
  • Overweight/obese population:
Show all 12Show fewer
  • BMI <25 Kg/m2 or > 35 Kg/m2
  • Pharmacological treatment for weight loss.
  • Refusal to be monitored for one month by means of sensors and nutritional visits.
  • Refusal to follow healthy eating guidelines for weight loss.
  • Healthy young population:
  • Chronic or acute pathologies.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • IMDEA Food

    Madrid, 28049

Other trials in Spain

About this study

Official title: Descriptive Study of Molecular Markers of Immunosenescence With Nutritional Intervention to Evaluate the Implementation of Digital Tools in the Capture of Nutritional Data

Descriptive comparative study of immunosenescence markers and their association with nutritional, metabolic, metabolomic and genetic characteristics in young (control), senior (age-associated immunosenescence), and populations susceptible to premature immunosenescence such as obese patients, cancer patients and patients who developed severe forms of COVID19 or persistent COVID19.

In one of these populations of premature immunosenescence, the population group with overweight or obesity, a prospective and cross-sectional nutritional intervention study is proposed, with data capture and monitoring using digital tools, to evaluate the evolution of immunosenescence markers and assess more objectively and effectively the nutritional status and help in making personalised decisions thanks to the application of these tools. This nutritional intervention will be focused on controlled and safe weight loss that will allow the capture of a large number of variables on lifestyle and dietary habits, nutritional assessment, biochemical, metabolic, genetic, metagenomic, lipidomic and metabolomic markers measured statically and also continuously.

Read the detailed description

The study consists of data capturing to evaluate the differential pattern of molecular markers of immunosenescence in different population groups, and applying a hypocaloric diet in the obesity subgroup together with recommendations for improving lifestyle habits. The data capture of this group during the intervention will be carried out with different sensors and questionnaires for a month. To do this, they will have to follow the explanations of the researchers.

The data capture during the nutritional intervention (only for the overweight and obese population group) will be done as follows:

Group 1 (Traditional → Digital): will start with traditional data-collection methods, i.e. filling in nutritional and lifestyle questionnaires (Visit 1 to Visit 2). After two weeks, they will start capturing data digitally through the application of sensors (Visit 2 to Visit 3).

Group 2 (Digital → Traditional): will start with digital data-collection methods, using sensors and taking pictures of what they eat with a smartphone (Visit 1 to Visit 2). After two weeks, they will start capturing data traditionally, by filling in nutritional and lifestyle questionnaires (Visit 2 to Visit 3).

The nutritional intervention participant group will follow the tailored nutritional weight loss diet and lifestyle guidelines, which will be provided to them at the start of the study by the researchers. In addition, they should follow instructions for proper continuous data collection using sensors. This will avoid biases in the data collection process.

Conditions
Chronic Disease
Being tested
Dietary intervention for healthy weight loss
Keywords
Artificial Intelligence, Multi-modal learning, Nutrition, Biomarkers, Precision Nutrition, Immunosenescence
Medical subject headings
Chronic Disease

What participants receive

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

  • Dietary intervention for healthy weight lossOther

    Balanced and varied dietary plan adjusted to each participant's needs, with an approximate reduction of 500 Kcal from their total metabolic expenditure. The diet will be followed by the subjects during the 4 weeks of the study.

Study groups in NCT05807243
Study groupRoleWhat they receive
Group 1 (Traditional → Digital)ExperimentalParticipants in both groups will be monitored for a month while following an hypocaloric diet for healthy weight-loss. The first group (n=50) will start collecting data via questionnaires (traditional method) for the first two weeks, and switch to the digital data-collection method for the last two weeks.
Receives: Other: Dietary intervention for healthy weight loss
Group 2 (Digital → Traditional)ExperimentalParticipants in both groups will be monitored for a month while following an hypocaloric diet for healthy weight-loss. The second group (n=50) will start with the digital data-collection method for the first two weeks and switch to the data collection via questionnaires (traditional method) for the last two weeks. n=100)
Receives: Other: Dietary intervention for healthy weight loss
Group 3 - Young healthy populationNo interventionn=100) Descriptive part: Data capture (clinical, anthropometric, lifestyle, genetic, biochemical, metabolomic and lipidomic data, among others) and comparison with the other groups.
Group 4 - Senior populationNo interventionn=100) Descriptive part: Data capture (clinical, anthropometric, lifestyle, genetic, biochemical, metabolomic and lipidomic data, among others) and comparison with the other groups.
Group 5 - Oncological populationNo intervention(n=100) Descriptive part: Data capture (clinical, anthropometric, lifestyle, genetic, biochemical, metabolomic and lipidomic data, among others) and comparison with the other groups.
Group 6 - COVID-19 populationNo intervention(n=100) patients who developed severe forms of COVID-19 or persistent COVID-19. Descriptive part: Data capture (clinical, anthropometric, lifestyle, genetic, biochemical, metabolomic and lipidomic data, among others) and comparison with the other groups.

What is being measured

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

  1. BMI

    Only in the obese/overweight population.

    Change in body mass index (Kg/m2)

    Measured: 1 month

  2. Blood Glucose

    Change in blood glucose (mg/dl). Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  3. Concentration of interstitial glucose

    Only in the obese/overweight population.

    Change in Interstitial Glucose (mgl/dl) measured continuously with the Freestyle glucometer (Abbott Laboratories)

    Measured: 15 days

  4. Blood lymphocytes

    Variation in the percentage of blood lymphocytes analysed by flow cytometry in five different population groups (young healthy population, elderly, overweight-obese, cancer patients, and patients who developed severe forms of COVID-19 or persistent COVID-19).

    Other variables (described in the Secondary Outcomes), such as biochemical parameters, genetical data, microbiota, etc., will also be analyzed in order to identify specific molecular markers of immunosenescence.

    Measured: 12 months

Secondary outcomes (30)
  1. Weight

    Weight change (Kg)

    Measured: 1 month

  2. WC

    Change in waist circumference (cm)

    Measured: 1 month

  3. Body composition

    Change in % of fat mass

    Measured: 1 month

  4. Blood pressure

    During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured in the study visits with an automatic Digital Blood Pressure Monitor Model M3 (OMRON HEALTHCARE UK, Kyoto, Japan).

    And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense.

    Measured: 1 month

  5. Heart Rate

    During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured in the study visits with an automatic Digital Blood Pressure Monitor Model M3 (OMRON HEALTHCARE UK, Kyoto, Japan).

    And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense.

    Measured: 1 month

  6. Dietary intake

    Traditional data-collection method: Two 3-day dietary records (for two working days and a holiday); Digital data-collection method: Pictures of food taken with a smartphone.

    Measured: 1 month

  7. Physical activity

    One same outcome measured during 2 weeks with one method and during the other 2 weeks with another method:

    During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured via the validated International Physical Activity Questionnaire (USA Spanish version translated 3/2003 - Short last 7 DAYS self-administered version of the IPAQ - Revised August 2002).

    And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense.

    Measured: 1 month

  8. Sleep

    One same outcome measured during 2 weeks with one method and during the other 2 weeks with another method:

    During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured via the validated Oviedo Sleep Questionnaire. In the Oviedo Sleep Questionnaire, the higher the score, the greater insomnia's severity.

    And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense.

    Measured: 1 month

  9. Mental health state

    One same outcome measured during 2 weeks with one method and during the other 2 weeks with another method:

    During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be measured via the validated Depression Anxiety and Stress Scale - 21 (DASS-21). In the Depression Anxiety and Stress Scale, the higher the score, the greater the stress, anxiety and depression levels.

    And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured with the Smartwatch Fitbit Sense.

    Measured: 1 month

  10. Cognition

    Measured via the validated Mini-mental state examination (MMSE). In the Mini-mental state examination, the higher the score, the better the cognitive status.

    Measured: 1 month

  11. Health status and quality of life

    Measured via the validated Short Form-36 Health Survey (SF-36). In the Short Form-36 Health Survey, the higher the score, the better the quality of life and health status.

    Measured: 1 month

  12. Percentage of glycated haemoglobin

    During the 2 weeks in which the participant gathers the information via Traditional data-collection method, it will be only measured in the study visits with the blood tests.

    And during the 2 weeks in which the participant gathers the information via the Digital data-collection method, it will be measured continuously with the Freestyle glucometer (Abbott Laboratories), and in the study visits with the blood tests.

    Measured: 1 month

  13. Total cholesterol

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  14. Low density lipoprotein (LDL)

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  15. High density lipoprotein (HDL)

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  16. Triglycerides

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  17. Apo A1

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  18. Apo B

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  19. Insulin

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  20. Glycated hemoglobin (HbA1c)

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  21. Homeostatic model assessment (HOMA)

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  22. Albumin

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  23. Prealbumin

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  24. C-reactive protein (CRP)

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  25. Leptin

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  26. Adinopectin

    Blood samples are going to be collected in visit 1 and visit 3 in the obese population, and in the visit 1 in the other populations.

    Measured: 1 month

  27. Faecal microbiota

    Faecal microbiota taxonomic profiling through shotgun sequencing.

    Measured: 1 month

  28. Gut dysbiosis

    Lipopolysaccharide-binding protein (LBP) levels as an indirect measure of intestinal dysbiosis.

    Measured: 1 month

  29. Genotype

    Genotyping of single nucleotide genetic variants (SNPs) and specific mutations associated with metabolism, nutrition and immunodegenerative processes.

    Measured: 1 month

  30. Gene expression

    Expression panels in genes related to the regulation of metabolism, inflammation, immunity, oxidation, nutrition and immunodegenerative processes.

    Measured: 1 month

Timeline

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

  1. First posted11 Apr 2023
  2. Study start9 May 2022
  3. Primary completion23 Jun 2022
  4. Study completion18 Nov 2022

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
500 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05807243
Sponsor's protocol ID
IMD: PI-052
Status last verified
Mar 2023
First submitted
27 Feb 2023
Last updated
11 Apr 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Fontana L, Partridge L. Promoting health and longevity through diet: from model organisms to humans. Cell. 2015 Mar 26;161(1):106-118. doi: 10.1016/j.cell.2015.02.020.

    PubMed 25815989
  • GBD 2017 Diet Collaborators. Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019 May 11;393(10184):1958-1972. doi: 10.1016/S0140-6736(19)30041-8. Epub 2019 Apr 4.

    PubMed 30954305
  • Moore JB. From personalised nutrition to precision medicine: the rise of consumer genomics and digital health. Proc Nutr Soc. 2020 Aug;79(3):300-310. doi: 10.1017/S0029665120006977. Epub 2020 May 29.

    PubMed 32468984
  • Lacruz-Pleguezuelos B, Bazan GX, Romero-Tapiador S, Freixer G, Tolosana R, Daza R, Fernandez-Diaz CM, Molina S, Crespo MC, Laguna T, Marcos-Zambrano LJ, Aguilar-Aguilar E, Fernandez-Cabezas J, Cruz-Gil S, Fernandez LP, Vera-Rodriguez R, Fierrez J, Ramirez de Molina A, Ortega-Garcia J, Morales A, Carrillo de Santa Pau E, Espinosa-Salinas I. AI4Food, a feasibility study for the implementation of automated devices in the nutritional advice and follow up within a weight loss intervention. Clin Nutr. 2025 May;48:80-89. doi: 10.1016/j.clnu.2025.03.003. Epub 2025 Mar 11.

    PubMed 40168934

Questions about this trial

What is this clinical trial studying?

A study testing Dietary intervention for healthy weight loss in people with Chronic Disease, run by IMDEA Food at 1 site 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 18 inclusion and 12 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 11 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

BMI (time frame: 1 month). 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 NCT05807243, which also lists 4 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 11 Apr 2023.

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