The Trinity, Ulster and Department of Agriculture Cohort Study

NCT ID: NCT02664584

Last Updated: 2016-01-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

5186 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-12-31

Study Completion Date

2018-12-31

Brief Summary

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Background:

Cardiovascular disease (CVD), osteoporosis and dementia are chronic diseases of ageing that impact adversely on the lives of those affected and have major health, social and economic consequences. A number of factors are considered to be implicated in these diseases, ranging from the more established factors to those that are less well recognised. Lifestyle factors such as diet, body weight, smoking, physical activity and years of education are acknowledged as risk factors for the development of these chronic diseases of aging. Emerging research suggests that elevated homocysteine and/or sub-optimal status of the metabolically related B-vitamins (folate, vitamin B12, B6 and riboflavin) may be associated with a higher risk of age-related disease. The interplay between relevant genetic and nutrient factors (gene-nutrient interactions) is considered to be highly relevant in the development (and prevention) of chronic diseases of ageing, however this relatively new area of research is as yet poorly understood. The collection of clinical, lifestyle, nutritional and genetic data on large numbers of patients would permit the investigation of those nutrients which interact with specific genes to increase the likelihood of a person developing chronic diseases of ageing.

Aim:

The aim of the TUDA study is to collect detailed clinical, lifestyle, dietary, genetic and biochemical data to investigate gene-nutrient interactions (particularly from the perspective of the B-vitamins and vitamin D/calcium) in the development of CVD, osteoporosis and dementia by studying older adults exhibiting the early stages of these common diseases, namely hypertension, low bone mineral density, and early memory loss, respectively.

Secondary aim (follow up TUDA investigation):

The aim of this longitudinal investigation is to re-assess clinical, nutritional, genetic and biochemical factors in relation to the progression of disease outcomes in TUDA study participants, in subsequent years after initial investigation.

Study design:

A total of 6000 non-institutionalised older Irish people aged over 60 years with early predictors of either dementia, stroke and osteoporosis (namely early memory loss, high blood pressure and low bone mineral density, respectively) recruited from three centres (St James's Hospital Dublin, Ulster University Coleraine and The Clinical Translational Research and Innovation Centre (C-TRIC), Londonderry) across Ireland. Non-fasting blood samples were collected from all subjects and routine blood biochemistry profiles and biomarkers of relevance to B vitamin and vitamin D status were measured. Supplement use was recorded and a targeted food frequency questionnaire was used to record dietary intakes of specific vitamins of interest (folate, B12, B6, riboflavin and D) from major food sources, particularly fortified foods. Physiological function tests including blood pressure, bone health (DXA scans) and cognitive function tests and anthropometric measures were also taken.

Detailed Description

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Conditions

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Cardiovascular Disease Osteoporosis Alzheimer's Disease Hypertension

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Cross-sectional cohort

Cohort who took part in the cross-sectional study (n=5186)

No interventions assigned to this group

Cross-sectional cohort + follow-up

Cohort who took part in both the cross-sectional and follow-up study (planned n=500 (on-going))

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* \>60 years of age

Exclusion Criteria

* \<60 years of age
* Born outside the island of Ireland
* Severe dementia
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Dublin, Trinity College

OTHER

Sponsor Role collaborator

University College Cork

OTHER

Sponsor Role collaborator

University College Dublin

OTHER

Sponsor Role collaborator

University of Ulster

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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St James's Hospital

Dublin, Dublin8, Ireland

Site Status

Human Intervention Studies Unit, Ulster University

Coleraine, Londonderry, United Kingdom

Site Status

Clinical Translational Research and Innovation Centre (C-TRIC), Altnagelvin Hospital

Londonderry, Londonderry, United Kingdom

Site Status

Countries

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Ireland United Kingdom

References

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Gordon S, Hoey L, McNulty H, Keenan J, Pangilinan F, Brody LC, Ward M, Strain JJ, McAnena L, McCann A, Molloy AM, Cunningham C, McCarroll K, Hughes CF. Associations of one-carbon metabolism, related B-vitamins and ApoE genotype with cognitive function in older adults: identification of a novel gene-nutrient interaction. BMC Med. 2025 Jul 28;23(1):440. doi: 10.1186/s12916-025-04276-8.

Reference Type DERIVED
PMID: 40717068 (View on PubMed)

Jarrett H, McNulty H, Hughes CF, Pentieva K, Strain JJ, McCann A, McAnena L, Cunningham C, Molloy AM, Flynn A, Hopkins SM, Horigan G, O'Connor C, Walton J, McNulty BA, Gibney MJ, Lamers Y, Ward M. Vitamin B-6 and riboflavin, their metabolic interaction, and relationship with MTHFR genotype in adults aged 18-102 years. Am J Clin Nutr. 2022 Dec 19;116(6):1767-1778. doi: 10.1093/ajcn/nqac240.

Reference Type DERIVED
PMID: 36264281 (View on PubMed)

Other Identifiers

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08NIR03/113

Identifier Type: -

Identifier Source: org_study_id

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