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Post Menopausal WomenEMILENCT07918287

The Role of Diet Quality in Sleep Among Women in Postmenopause

A study testing Intensive High-Fiber Mediterranean Diet Counseling and Low-Intensity Mediterranean Diet Counseling in people with Post Menopausal Women, run by University of Barcelona at 1 site in Spain.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This single-center, randomized controlled trial with parallel groups, consists of an intensive nutritional intervention based on a high-fiber Mediterranean diet (target intake: 30-35 g/day of dietary fiber), which will be compared with a control group receiving low-intensity nutritional counseling on the Mediterranean… Read more about this study

Who is it for?
Ages 50 to 60 years, women onlyHealthy volunteers can take part
Conditions the study is for
Post Menopausal Women
What is being tested?
Intensive High-Fiber Mediterranean Diet Counseling and Low-Intensity Mediterranean Diet Counseling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
136 participants
Where
1 siteSpain
Study dates
17 Nov 2026to 31 May 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

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 50 to 60 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Postmenopausal women aged 50 to 60 years
  • Having a poor subjective sleep quality (assessed using the Pittsburgh Sleep Quality Index, with scores of 5 points or higher)
  • Having a BMI between 20 and 30 kg/m²
  • Performing a moderate level of physical activity
  • Having no recent history of weight changes greater than 2-3 kg during the previous 3 months.

Who cannot join

  • Having any acute, chronic, or psychiatric illness
  • Being current smoker
  • Taking antibiotics
  • Following a specific diet or have dietary restrictions
  • Work rotating or night shifts
  • Have undergone bariatric surgery or endoscopic bariatric procedures
  • Being unable to provide written informed consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Maria Izquierdo-Pulido, PhD contact

+34

maria_izquierdo@ub.edu

Maria Fernanda Fernanda Zerón-Rugerio, PhD contact

fernanda.zeron@ub.edu

Spain1 site
  • Centro de Investigación del Medicamento (CIM Sant Pau)

    Barcelona, 08041

    Rosa Antonijoan-Arbós, PhD, +34 935 53 78 55, rantonijoana@santpau.cat

    Isabella Parilli-Moser, PhD

Other trials in Spain

About this study

Official title: The Impact of Diet Quality and Gut Microbiota on Sleep Quality in Postmenopausal Women

This single-center, randomized controlled trial with parallel groups, consists of an intensive nutritional intervention based on a high-fiber Mediterranean diet (target intake: 30-35 g/day of dietary fiber), which will be compared with a control group receiving low-intensity nutritional counseling on the Mediterranean diet. The intervention will last 16 weeks, followed by an 8-month follow-up period to evaluate its impact and the sustainability of long-term effects.

Participants allocated to the intervention group will receive nutritional counseling and guidance to achieve the intervention target of a daily dietary fiber intake of 30 to 35 g. To this end, they will be provided with a personalized weekly meal plan and will undergo intensive follow-up throughout the intervention period.

Participants in the control group will receive educational materials on how to follow a Mediterranean diet; however, no specific dietary fiber intake targets will be established, and they will not receive a personalized weekly meal plan.

Read the detailed description

Eligible volunteers will be invited to participate in this 16-week parallel-group randomized controlled trial. All eligible participants will receive detailed information about the study and provide written informed consent prior to enrollment. Upon enrollment, participants will be assigned a unique identification code to maintain the confidentiality of their data throughout the study.

Participants will then attend a baseline assessment visit (T0), during which data on all study variables will be collected and a blood sample will be obtained for the assessment of cardiometabolic parameters. During this visit, participants will also receive instructions and materials for the assessment of sleep quality, including an actigraph to be worn on the non-dominant wrist for seven consecutive days, as well as materials and guidance for the collection of biological samples (urine and stool).

After seven days, participants will return to the study site to return the actigraph and biological samples. In addition, during this visit, they will be randomly assigned to either the intervention or control arm of the trial and will receive nutritional information according to their allocated group. After receiving the corresponding dietary instructions, participants will be asked to commence the intervention allocated to their study arm.

All participants will attend two main study visits: a baseline visit (T0) and a final assessment visit at week 16 (T2), during which all study outcomes will be evaluated. In addition, a sleep-monitoring visit will be conducted at week 8 (T1) to assess sleep-related parameters.

Follow-up procedures will differ according to group allocation:

  • Intervention group: Participants will receive individualized telehealth nutrition counseling at weeks 4 and 12, together with telehealth follow-up visits at weeks 2, 6, 10, and 14.
  • Control group: Participants will receive telehealth follow-up visits at weeks 4 and 12 and brief follow-up telephone calls at weeks 2, 6, 10, and 14, without nutrition counseling.

Throughout the intervention period, participants in both groups will be encouraged to maintain regular contact with the research team and to report any adverse events or relevant changes in their health status.

Being tested
Intensive High-Fiber Mediterranean Diet Counseling, Low-Intensity Mediterranean Diet Counseling
Keywords
Mediterranean diet, Dietary fiber, Sleep, Post menopausal women

What participants receive

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

  • Intensive High-Fiber Mediterranean Diet CounselingBehavioural

    Consists of an intensive nutritional intervention based on a high-fiber Mediterranean diet (target intake: 30-35 g/day of dietary fiber).

  • Low-Intensity Mediterranean Diet CounselingBehavioural

    Consists of receiving low-intensity nutritional counseling on the Mediterranean diet.

Study groups in NCT07918287
Study groupRoleWhat they receive
High-Fiber Mediterranean Diet With Intensive CounselingExperimentalParticipants assigned to this arm will follow a high-fiber Mediterranean diet targeting a daily dietary fiber intake of 30-35 g for 16 weeks. They will receive individualized nutritional counseling, a personalized weekly meal plan, and intensive follow-up to support adherence to the dietary recommendations.
Receives: Behavioral: Intensive High-Fiber Mediterranean Diet Counseling
Mediterranean Diet With Low-Intensity CounselingActive comparatorParticipants assigned to this arm will receive low-intensity nutritional guidance on following a Mediterranean diet for 16 weeks. They will be provided with educational materials on Mediterranean dietary recommendations, without specific dietary fiber intake targets or personalized weekly meal plans.
Receives: Behavioral: Low-Intensity Mediterranean Diet Counseling

What is being measured

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

  1. Subjective Sleep Quality From Baseline to Week 8 and 16

    The Spanish version of the Pittsburgh Sleep Quality Index (PSQI) will be used to assess subjective sleep quality. The global score is calculated by summing seven component scores, resulting in a total score ranging from 0 to 21. Higher scores indicate poorer sleep quality.

    Measured: Baseline, weeks 8 and 16.

  2. Changes in Sleep Onset Latency From Baseline to Weeks 8 and 16

    Defined as the length of time, in min, it takes to transition from wake to sleep onset. Measured with an actigraph (ActTrust, CONDOR, Brazil)

    Measured: Baseline, weeks 8 and 16.

  3. Changes in Sleep Efficiency From Baseline to Weeks 8 and 16

    Calculated in percentage as the ratio of total sleep time (TST) to time in bed (TIB).

    Sleep efficiency (percent) = (TST/TIB)*100

    Measured: Baseline, weeks 8 and 16.

  4. Changes in Wake After Sleep Onset (WASO) From Baseline to Weeks 8 and 16

    Measured in minutes of WASO with an actigraph (ActTrust, CONDOR, Brazil)

    Measured: Baseline, weeks 8 and 16.

  5. Changes in Urinary 6-sulphatoxymelatonin From Baseline to Week 8 and 16

    Quantified using urine Melatonin-Sulfate ELISA kit

    Measured: Baseline, weeks 8 and 16.

Secondary outcomes (26)
  1. Daytime sleepiness From Baseline to Week 16

    The Epworth Sleepiness Scale (ESS) will be used to assess daytime sleepiness. The questionnaire consists of eight items, each scored from 0 to 3, yielding a total score ranging from 0 to 24. Higher scores indicate greater daytime sleepiness.

    Measured: Baseline and week 16.

  2. Changes in Body Mass Index (BMI) From Baseline to Weeks 8 and 16

    Calculated as weight (kg) divided by height (in squared meters), BMI= kg/m^2

    Measured: Baseline, weeks 8 and 16.

  3. Changes in Body Fat From Baseline to Weeks 8 and 16

    Measured as the percentage of body fat with a body composition analyzer (Inbody 120, Korea)

    Measured: Baseline, weeks 8 and 16.

  4. Changes in Waist Circumference From Baseline to Weeks 8 and 16

    Measured midway between the lower rib margin and the iliac crest with the subject standing and wearing only underwear, at the end of gentle expiration with an anthropometric tape (CESCORF, Brazil)

    Measured: Baseline, weeks 8 and 16.

  5. Changes in Hip Circumference From Baseline to Weeks 8 and 16

    Measured at the level of the greater trochanter, at the widest portion of the buttocks with an anthropometric tape (CESCORF, Brazil)

    Measured: Baseline, weeks 8 and 16.

  6. Changes in the composition of the gut microbiota from baseline to week 16.

    The composition and functionality of the gut microbiota will be assessed in collected samples through sequencing of the 16S rRNA gene fragment (V3-V4 region). Sequencing will be performed using the Illumina MiSeq 300 × 2 platform (Illumina Inc., San Diego, CA, USA), and sequence reads will be merged and processed using the MiSeq Run and MiSeq Reporter software packages.

    From this data we will estimate:

    • Alpha diversity: defined as the number of observed operational taxonomic units (OTUs; representing richness), through Pielou's evenness index and Shannon diversity indices.
    • Beta diversity will be assessed using the unweighted UniFrac distance.
    • Taxonomic assignment of phylotypes will be performed using a Bayesian classifier trained on the SILVA database, version 132, which includes full-length sequences clustered at 99% OTU similarity.

    Measured: Baseline and week 16.

  7. Changes in intestinal permeability from baseline to week 16.

    Intestinal permeability will be evaluated by measuring two widely used biomarkers, calprotectin and zonulin, in fecal samples using ELISA kits (MyBioSource, San Diego, CA, USA). Lower concentrations of calprotectin and zonulin indicate improved intestinal barrier function and suggest reduced intestinal permeability.

    Measured: Baseline to week 16

  8. Changes in short-chain fatty acids (SCFAs) from baseline and week 16

    SCFAs will be quantified will be quantified using a headspace gas chromatography-mass spectrometry (HS-GC-MS)-based method. Higher concentrations of short-chain fatty acids, particularly butyric acid, will be indicative of greater dietary fiber intake.

    Measured: Baseline and week 16.

  9. Changes in Fasting Blood Glucose From Baseline to Week 16

    Serum levels of Glucose (mg/dL) will be determined according to the procedures and protocols established by the Biochemical Analysis Laboratory of Sant Pau Hospital.

    Measured: Baseline and week 16

  10. Changes in Total Cholesterol From Baseline to Week 16

    Serum levels of Total cholesterol (mg/dL) will be determined according to the procedures and protocols established by the Biochemical Analysis Laboratory of Sant Pau Hospital.

    Measured: Baseline and week 16

  11. Changes in HDL Cholesterol From Baseline to Week 16

    Serum levels of High-density lipoprotein cholesterol (HDL-C) (mg/dL) will be determined according to the procedures and protocols established by the Biochemical Analysis Laboratory of Sant Pau Hospital.

    Measured: Baseline and week 16

  12. Changes in LDL Cholesterol From Baseline to Week 16

    Serum levels of Low-density lipoprotein cholesterol (LDL-C) (mg/dL) will be determined according to the procedures and protocols established by the Biochemical Analysis Laboratory of Sant Pau Hospital.

    Measured: Baseline and week 16

  13. Changes in Triglycerides From Baseline to Week 16

    Serum levels of Triglycerides (mg/dL) will be determined according to the procedures and protocols established by the Biochemical Analysis Laboratory of Sant Pau Hospital.

    Measured: Baseline and week 16

  14. Changes in Glycated Hemoglobin (HbA1c) From Baseline to Week 16

    Serum levels of Glycated hemoglobin (HbA1c) (%) will be determined according to the procedures and protocols established by the Biochemical Analysis Laboratory of Sant Pau Hospital.

    Measured: Baseline and week 16

  15. Changes in diet quality from baseline to week 16.

    Diet quality will be assessed using the Mediterranean Diet Adherence Screener, which has been validated for the Spanish population. This questionnaire evaluates dietary habits such as daily consumption of fruits and vegetables, regular intake of legumes and fish, and preference for olive oil as the main culinary fat. Each item is scored as either 0 or 1, depending on whether the response is negative (0) or affirmative (1). Based on the total score, adherence to the Mediterranean diet is classified as low (0-5 points), moderate (6-9 points), or high (≥10 points).

    Measured: Baseline and week 16

  16. Changes in eating behavior from baseline to week 16

    This variable will be assessed using the Three-Factor Eating Questionnaire (TFEQ-R21C). This questionnaire consists of 21 items designed to evaluate the following dimensions of eating behavior:

    • Cognitive restraint, which refers to an individual's conscious effort to control food intake in order to maintain or lose weight.
    • Uncontrolled eating, which reflects the tendency to overeat in response to a perceived loss of control over eating.
    • Emotional eating, which refers to the tendency to overeat when an individual is unable to cope with negative emotional situations or mood states.

    Scores for each dimension are calculated as the mean of all items within that dimension, with higher scores indicating a greater expression of the corresponding eating behavior.

    Measured: Baseline and week 16.

  17. Changes in neuropsychological performance from baseline to week 16

    These outcomes will be assessed using a computerized test battery administered with E-Prime 3.0 software (Psychology Software Tools, USA). Test results will be recorded automatically by the software and exported directly to the investigator's computer. The assessment battery will last approximately 45-50 minutes and will include the following tasks:

    • Rey Auditory Verbal Learning Task, which assesses verbal memory and learning.
    • Corsi Blocks Task, which asesses visuospatial working memory
    • Task Switching Task (TST), which assesses attention and cognitive flexibility.
    • Finger Tapping Task (FTT), which assesses motor speed and dexterity.

    Measured: Baseline to week 16.

  18. Changes in mental fatigue from baseline to week 16

    Assessed using a visual analog or numeric rating scale integrated into the computerized battery. Participants will rate their perceived level of mental fatigue at the time of assessment.

    Measured: Baseline and week 16

  19. Changes in anxiety and depression symptoms from baseline to week 16.

    The Hospital Anxiety and Depression Scale (HADS) consists of 14 items divided into two seven-item subscales assessing anxiety (HADS-A) and depression (HADS-D). Each subscale yields a score ranging from 0 to 21, with higher scores indicating greater severity of anxiety or depressive symptoms, respectively.

    Measured: Baseline and week 16.

  20. Changes in well-being from baseline to week 16.

    The World Health Organization-Five Well-Being Index (WHO-5) will be used to assess subjective mental well-being. The questionnaire comprises five items, each scored from 0 to 5, yielding a raw total score ranging from 0 to 25. Higher scores indicate better mental well-being.

    Measured: Baseline to week 16.

  21. Changes in health-related quality of life for menopausal women from baseline to week 16

    Health-related quality of life will be assessed using the Cervantes Scale, a 31-item questionnaire specifically developed for menopausal women. The total score ranges from 0 to 155, with higher scores indicating poorer health-related quality of life.

    Measured: Baseline to week 16

  22. Changes in food noise from baseline to week 16

    Food noise will be assessed using the Food Noise Questionnaire (FNQ), a five-item instrument measuring the frequency and intrusiveness of food-related thoughts. Each item is scored from 0 to 4, yielding a total score ranging from 0 to 20. Higher scores indicate greater food noise

    Measured: Baseline and week 16.

  23. Changes in physical activity from baseline to week 16

    Physical activity levels will be measured in Metabolic Equivalents of Task (METs) using the short version of the International Physical Activity Questionnaire (IPAQ), validated in the Spanish population . Higher scores reflect a greater intensity of physical activity.

    Additionally, physical activity levels will be objectively measured using an actigraphy device (ActTrust, Condor, Brazil), as the mean value of motor activity. Higher values reflect a greater intensity of motor activity.

    Measured: Baseline and week 16.

  24. Changes in flourishing from baseline to week 16

    Flourishing will be assessed using the eight-item Flourishing Scale. Each item is rated on a seven-point Likert scale from 1 to 7, yielding a total score ranging from 8 to 56. Higher scores indicate greater psychological flourishing.

    Measured: Baseline and week 16.

  25. Changes in 3-day dietary intake from baseline to week 16.

    Dietary intake will be evaluated throug a 3-day image-based dietary records. Data from dietary records will be processed by a registered dietitian using PCN Pro 1.0 software to estimate the average daily energy (kcal/day) and nutrient intake.

    Measured: Baseline and week 16.

  26. Adherence to the Dietary Intervention

    Adherence to the intervention will be subjectively assessed by the dietitian using a 4-point ordinal scale:

    • 3 = Very good adherence: Consistent adherence to the dietary recommendations.
    • 2 = Good adherence: Occasional deviations from dietary recommendations.
    • 1 = Moderate adherence: Adherence during weekdays but not on weekends.
    • 0 = Poor adherence: Failure to follow the dietary recommendations.

    Measured: Weeks 2, 4, 6, 10, and 12.

Timeline

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

  1. First posted5 Nov 2026
  2. Study start17 Nov 2026 (estimated)
  3. Primary completion20 Dec 2027 (estimated)
  4. Study completion31 May 2028 (estimated)

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
Parallel groups
Masking
None (open label)
Enrolment
136 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07918287
Sponsor's protocol ID
PID2023-147086OB-I00
Acronym
EMILE
Status last verified
Nov 2026
First submitted
22 Oct 2026
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The data collected from human participants are not available publicly for confidentiality reasons, but they will be made available by the PI, Maria Izquierdo-Pulido (maria\_izquierdo@ub.edu), upon reasonable request.

Questions about this trial

What is this clinical trial studying?

A study testing Intensive High-Fiber Mediterranean Diet Counseling and Low-Intensity Mediterranean Diet Counseling in people with Post Menopausal Women, run by University of Barcelona 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 5 inclusion and 7 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: opening soon, as of the sponsor's last update on 5 Nov 2026. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Maria Izquierdo-Pulido, PhD (+34, maria_izquierdo@ub.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Subjective Sleep Quality From Baseline to Week 8 and 16 (time frame: Baseline, weeks 8 and 16.). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 5 Nov 2026.

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