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Tracking the health & wellbeing of men as they age

The MAILES (Men Androgen Inflammation Lifestyle Environment and Stress) study is one of the most comprehensive and longest-running longitudinal cohort studies of male health and wellbeing in Australia, based in the FCMHW at the University of Adelaide and the South Australian Health & Medical Research Institute.

2563 South Australian men aged 35 to 80 years (at baseline) from the north-western suburbs of Adelaide, have been assessed for 20+ years to advance our understanding of the biological, psychological, social and environmental factors for the development of a range of health & health-related conditions, including diabetes, poorer heart & metabolic health, sleep health, sexual & urological function, mental health, men's use of health services, and many more. As the cohort ages, we are uncovering more information on conditions of the ageing process including cancer, osteoporosis and hip fracture, and dementia and capacity for independent living.

The MAILES study will continue to provide evidence to inform health policies & clinical practice, as well as improve screening and treatments for men. This approach is critical to maintaining a positive impact on the health and wellbeing of men, their families, and the broader community.

 
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A focus on NW Adelaide

MAILES is the harmonisation of 2 cohorts from NW metropolitan Adelaide

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The men of MAILES

A profile of the dedicated men of MAILES aged 35 years or older at recruitment.

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Data waves & data library

Comprehensive biopsychosocial data, multiple biomedical waves & dedicated studies

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Data access & collaboration

Contact us to discuss your project & data needs

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Latest MAILES news, media & publications

Visit Google Scholar for the full listing of the MAILES research publications

 
 
 

+ A focus on men across NW Adelaide

MAILES is the union of two separate representative longitudinal cohort studies, both including adults from the northern and western suburbs of Adelaide. These are

  • The Florey Adelaide Male Ageing Study (FAMAS)
  • Male participants of the North West Adelaide Health Study (NWAHS)

The northern and western suburbs of Adelaide represents approximately half of the total metropolitan area and almost one-third of the population in South Australia and, at the time of establishment of the study, had the second highest elderly population of all the Australian states and territories. This north-west catchment area includes highly disadvantaged sub-populations with the second highest index of relative socioeconomic disadvantage score for a capital city local government area in Australia. Prior OMNIBUS (SA Health) self-report surveys found that the northern and western regions of metropolitan Adelaide has high chronic disease prevalence and risk factors compared with the rest of South Australia.
An equity focus: The NWAHS and FAMAS Cohort studies were therefore set up recognising a need to focus on populations at greatest risk of poor health and unhealthy ageing.

+ Aims

MAILES was original established to investigate the:

  • relationships between obesity, sex steroids and inflammation conditions common in men and chronic disease cross-sectionally and over time
  • Effect of the modifying factors, on the independent variables (obesity, sex steroids, and inflammation) and their relationship cardiovascular disease and type 2 diabetes mellitus,
  • Direct effect of, clustering and pathways of modifying variables on conditions common in men and chronic disease

The MAILES study has had a retention rate of 90% highlighting the commitment of our men and also the benefits they receive through participation.

+ The men of MAILES

MAILES is the union of two separate representative longitudinal cohort studies. Data was harmonised from

  • The Florey Adelaide Male Ageing Study (FAMAS)
  • Male participants of the North West Adelaide Health Study (NWAHS)

FAMAS commenced in 2002 recruiting 1195 men aged 35 to 80 years with a baseline response rate of 45.1%. NWAHS includes 1389 men aged 35 to 80 years of age at baseline.

Participants were randomly selected from the population of the northern and western suburbs of Adelaide, with baseline response rates of 45.1% and 49.4% for FAMAS and NWAHS respectively.

+ Data Waves & Data Library

The study is based on three matched stages and dedicated sub-studies:

  • MAILES1 - baseline biomedical examination (2002-06)
  • MAILES2 - follow-up biomedical examination (2007-10)
  • MAILES3 - Computer Assisted Telephone Interviewing survey (2010)
  • MAILES4 - In-home PSG sub-study (2012)
  • MAILES5 - Mailed survey (incl. Masculinity & Chronic Disease questionnaire MCD1 - FAMAS cohort only) (2015-16)
  • MAILES - Mailed sleep survey and follow-up in-home polysomography sub-study (2019-2021)

The MAILES self-reported and biomedically measured data are summarised below. Please contact MAILES for the complete data library.

Psychosocial
  • Stress & Socio-economic status (SES)
  • Subjective (MacArthur scales) vs objective SES markers
  • Status inconsistency & health outcomes
  • Social dominance
  • Financial & social support
Sleep
  • In-home polysomnography testing (WatchPAT, Embletta)and repeat testing
  • Obstructive sleep apnea prevalence & disease
  • Shiftwork
  • Sympathetic nervous system (SNS) paper
  • Sleep & obesity
  • Obstructive sleep apnoea predictive measure
  • Posture & Sleep disordered breathing (SDB)
  • Instrument and scale comparison studies
Sex Steroids
  • Secular decline in sex steroids (testosterone (T), dihydrotestosterone (DHT), estradiol (E2), sex hormone binding globulin (SHBG), luteinising hormone (LH), follicle-stimulating hormone (FSH))
  • Comparison of various testosterone (T) measures (total testosterone (radioimmunoassay, mass spectrometry), free T, bioavailable T)
  • Sex steroids & endocrine disruptors (Bisphenol-A (BPA), phthalates)
  • T, sex hormone binding globulin (SHBG) and relation to incident diabetes
  • Geospatial changes & T
Sexual health / Lower Urinary Tract Symptoms (LUTS)
  • Lower urinary tract symptoms (LUTS) & erectile dysfunction (ED) - mechanisms
  • LUTS / ED and inflammation
  • LUTS / ED and endocrine disruptors
  • LUTS / ED and medication patterns
Diabetes
  • Prevalence (incl undiagnosed) and predictors
  • Sex hormone-binding globulin (SHBG), testosterone (T) & incident type 2 diabetes
  • Insulin resistance & changes to body composition
Health Service Usage
  • Pharmaco-epidemiology in men
  • Health service utilisation in men
  • Men's preferences for health services
Mental health
  • Depression and modifiable factors
  • Anxiety (PHQ)-prevalence and predictors
  • Quality of life determinants
  • Depression & cytokine exposure
Other
  • Environmental exposures
  • Health literacy
  • Fractures and body composition
  • Life events and health outcomes
  • Nutritional intake / alcohol & health
  • Health-related quality of life and disability
  • Behavioural (lifestyle) risk factors
  • Masculnity and chronic disease & self-perceived masculinity in the context of chronic disease (MCD-1 survey)

+ Data Access and Collaboration

Research collaborations using MAILES data are welcome. Initial approaches regarding the study data can be made to either the Principal Investigator Professor Gary Wittert or the Cohort Manager Dr Tiffany Gill. Permission to use the data may be obtained from the MAILES Executive and Investigator Committee, following the completion and submission of a MAILES data request form - manuscript proposal form.

+ Chief Investigators

  • Professor Gary Wittert - The University of Adelaide & SAHMRI
  • Professor Robert Adams - The University of Adelaide
  • Professor Anne Taylor - The University of Adelaide
  • Dr Sean Martin - The University of Adelaide & SAHMRI
  • Professor Alicia Jenkins - University of Sydney

The Chief Investigators acknowledge the volunteer support for MAILES provided by

  • Mr John Rand
  • Mrs Daina Shaw
  • Mr Terry Hall
  • Mr Roger Perry

+ Funding Acknowledgement

MAILES acknowledge the following organisations for their previous funding support:

  • The Florey Foundation
  • SA Health
  • Bellberry Limited
  • The Hospital Research Foundation
  • National Health and Medical Research Council of Ausralia

and the ongoing funding support of the Freemasons Foundation Centre for Men's Health, now the Freemasons Centre for Male Health & Wellbeing, and the University of Adelaide.


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Contact MAILES

Phone: +618 8313 0514
Email: tiffany.gill@adelaide.edu.au or famas.clinic@adelaide.edu.au
MAILES Research Group, L7 SAHMRI, North Tce, Adelaide SA 5000