This is a cross-sectional study carried out on a sample of the adult population aged 18 to 69, distributed over the five archipelagos of French Polynesia. Participation in the study involves: agreement to answer a questionnaire to collect information on socio-demographic characteristics, lifestyle habits and medical history; physical measurements (height, weight, waist circumference, blood pressure and skin pigmentation); and agreement to take biological samples (blood, saliva and stool) for biological, genetic and microbiological analyses. The aim of the study is to assess the current health status of the population of French Polynesia and to evaluate the influence of contextual risk factors (lifestyle, place of residence, history of infection) and intrinsic susceptibility factors (genetics, age, gender, microbiota) in relation to non-communicable and infectious diseases.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
1,942
Questionnaire about socio-demographical status, health status and lifestyle habits
Measurement of height, weight, waist circumference, blood pressure and skin pigmentation
Collect venous blood, saliva and stool samples
Institut Louis Malardé
Papeete, Îles du Vent, French Polynesia
Prevalence of obesity
Proportion of participants with indicators of obesity based on physical measurements (BMI, waist circumference) and quantification of lipid levels from blood samples.
Time frame: 2 years
Prevalence of diabetes
Proportion of participants with indicators of diabetes based on self-reported data on diabetes history (previous diagnosis, antidiabetic treatment) and quantification of glycated haemoglobin from blood samples.
Time frame: 2 years
Prevalence of cardiovascular diseases
Proportion of participants with indicators of cardiovascular diseases based on self-reported data on history of hypertension (previous diagnosis, treatment for hypertension), blood pressure measurement, and quantification of lipid levels from blood samples.
Time frame: 2 years
Association between non-communicable diseases and behavioral factors
Calculation of odd ratios to investigate association between non-communicable diseases (obesity, diabetes, cardiovascular diseases) and behavioral factors such as tobacco smoking, alcohol consumption, diet or physical activity data self-reported by the participants in the questionnaire.
Time frame: 2 years
Association between non-communicable diseases and physical measurements
Calculation of odd ratios to investigate association between non-communicable diseases (obesity, diabetes, cardiovascular diseases) and physical measurements such as BMI (based on the BMI formula i.e., weight in kilograms divided by height in meters squared).
Time frame: 2 years
Association between non-communicable diseases and blood analyses
Calculation of odd ratios to investigate association between non-communicable diseases (obesity, diabetes, cardiovascular diseases) and blood analyses (such as glycated haemoglobin and lipid levels).
Time frame: 2 years
Seroprevalence of communicable diseases
Proportion of participants with IgG antibodies, detected in blood samples, specific for different pathogens : arboviruses (four dengue serotypes, Zika, chikungunya), hepatitis B and C viruses, hantaviruses, SARS-CoV-2 and other pathogens known to regularly cause infections in French Polynesia (including influenza viruses, human immunodeficiency virus…). Proportion of participants with positive filarial antigenemia to assess the prevalence of Bancroftian lymphatic filariasis.
Time frame: 2 years
Composition of microbiome
Bacterial DNA sequencing from stool and saliva samples to assess the gut and oral microbiota profiles and association with lifestyle behavior, diet and susceptibility to communicable and non-communicable diseases.
Time frame: 2 years
Level of exposure to heavy metals
Quantification of levels of heavy metals (including mercury and lead) from blood samples and association with lifestyle behavior and diet.
Time frame: 2 years
Level of exposure to pesticides
Quantification of levels of pesticides (including chlordane and toxaphene) from blood samples and association with lifestyle behavior and diet.
Time frame: 2 years
Level of exposure to mosquito bites
Proportion of participants with IgG antibodies targeting mosquito salivary proteins in blood samples to assess the risk of infection by mosquito-borne viruses
Time frame: 2 years
Prevalence of ciguatera poisoning
Estimation of the rate of ciguatera poisoning in the population based on data self-reported by the participants in the questionnaire e.g. the occurrence of symptoms suggestive for ciguatera poisoning at least once in their lifetime
Time frame: 2 years
Demographic and adaptive history of French Polynesians using genomics
Human Whole Genome Sequencing from saliva samples to reconstruct the genetic history of the population of French Polynesia, in terms of both demographic and adaptive history.
Time frame: 2 years
Genetic susceptibility to obesity
Genome-wide association studies to identify human genetic factors that are associated with BMI or lipids levels.
Time frame: 2 years
Genetic susceptibility to diabetes
Genome-wide association studies to identify human genetic factors that are associated with HbA1c.
Time frame: 2 years
Genetic susceptibility to communicable diseases
Genome-wide association studies to identify human genetic factors that are associated with the detection of IgG antibodies specific for different pathogens: arboviruses, hepatitis B and C viruses, hantaviruses, SARS-CoV-2 and other pathogens known to regularly cause infections in French Polynesia (including influenza viruses, human immunodeficiency virus…).
Time frame: 2 years
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