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Harvard Chan NIEHS Center for Environmental Health

The Harvard Chan National Institute of Environmental Health Sciences (NIEHS) Center for Environmental Health is a coordinated set of resources and facilities supporting environmental health research and training activities throughout the greater Boston area. The center promotes integration between basic and applied environmental science, and fosters collaborations that cross departmental and institutional boundaries.

Location

Building 1-1402

Microscope

Pilot Project Program Old

Our Pilot Project Program aims to encourage innovation and creativity in environmental health science research, to develop new collaborations across disciplines and institutions, and to attract new investigators to environmental health science research. Grants of up to $30,000 are offered twice each year. Funds are typically used for feasibility studies and to produce preliminary data to compete for NIH funding.

Next Deadline: TBD

Application Process

Frequently Asked Questions

All Harvard NIEHS Center members are eligible to apply for pilot project funds. Other faculty or research scientist level researchers may apply in collaboration with a Center member co-investigator. Applications are accepted from Harvard Research Associates or Fellows working under the supervision of Center faculty, but the role of the sponsoring faculty member must be specified. Doctoral students are not eligible for pilot project support.

Requests for Pilot Project applications are announced twice a year via postings at the Harvard T.H. Chan School of Public Health, email, and on our website. Due dates are usually the first Friday of March and October (can vary).

Funding decisions are typically announced within 6-8 weeks from the application deadline.

Applications follow an abbreviated NIH structure, including a narrative section (2-3 single-spaced pages) with background, specific aims, experimental protocols; a brief budget and justification; and an NIH format biosketch for the principal investigator and co-investigators.

Email completed Application Form with biosketch(es) to niehsctr@hsph.harvard.edu (cc sunninayar@hsph.harvard.edu) and fill out the Qualtrics form.

  • Total requested costs for a one-year project period may not exceed $30,000 total costs.
    • Subcontracts are allowed, however, if the sub-institution requires indirect costs, it will be included in the $30K total.
  • The PI is required to have a minimum of 1% effort devoted to project.
    • PI Salary between 1-3% commensurate with effort is allowable.
    • The NIH Salary cap should be applied if faculty salary is over the cap.
  • In some cases, postdoc salary or technical support salary may be appropriate (e.g., biostatistical support).
  • The budget may include funds for supplies and other appropriate costs directly related to the project.
  • Travel costs are not supported except those essential to carry out the project.
  • Unallowable costs include: graduate student stipends, publication costs/page fees, food, and costs usually allocated to overhead (e.g., data storage).

No, clinical trials are not allowed under the terms of the award.

Funds are awarded for a period of one year. A one-year extension may be requested but carry forward is not guaranteed.  To request carry forward, fill out this Pilot Project No Cost Extension Request form.

Each application is reviewed by three or more reviewers, at least one of whom is not a Harvard Chan NIEHS Center member. Evaluation criteria include:

  1. Innovation
  2. Study Design
  3. Project team
  4. Potential for future funding
  5. Relevance to the Harvard NIEHS Center mission
  6. Potential for stimulating collaborative research

The Pilot Project Review Committee meets to consider the reviews, rank the proposals and make funding decisions.

Funding is determined by the Review Committee ratings, and the availability of funds in a particular cycle. Funding decisions are provided to the applicants along with a summary of comments from the internal and external reviewers. Applicants may be asked to address critical issues before final approval. Unfunded applicants are encouraged to consider reviewer feedback and re-apply during the following funding cycle. Unfunded projects are allowed one resubmission.

Funding success rate can vary with the quality of the proposals and the availability of funds. Over the past several years, the funding rate has been approximately 30% with the average award around $24,000. Click here to see a list of previously funded Pilot Projects.

Funding recipients will be contacted periodically by the Center Administrator to monitor progress. At the completion of the project, the investigator will submit to the Center Director a short summary of the project and its findings, publications, and applications for independent funding that have resulted from the pilot project. Investigators may be asked to present their work at a Center-sponsored event, such as at an External Advisory Board meeting or the annual retreat. Recipients will be expected to notify Sarah Unninayar of any publications, press, grant applications or other outcomes related to the pilot funding, and to be responsive to requests for such information annually for Center progress reports.

Investigators must acknowledge support Center support with a statement that the study “was supported in part by a Pilot Project grant from the Harvard Chan NIEHS Center for Environmental Health (P30 ES000002).”

Pilot projects that involve work outside of the US are subject to approval by the NIEHS and the US State Department. This includes use of samples previously collected outside the US. Applications for NIEHS/State Department approval include a study description form, detailed budget and justification, and copies of relevant approvals (IRB, etc). Applications for foreign clearance will be submitted to NIEHS/State Department by the Center Administrator after all other approvals (IRB, IACUC) and subcontract documents are in order, and may take several weeks or longer to obtain. Applicants should plan accordingly.

Please download the appropriate approval form here for projects that involve:

Do you have a question?  Fill out the form on our ‘Contact Us’ page and click ‘Pilot Projects’.

Center for Health Communication

2026 Health Coverage Fellows

The Health Coverage Fellowship is designed to help journalists do an even better job covering critical health issues. The program is newly hosted by the Center for Health Communication at the Harvard T.H. Chan School of Public Health.

The 2026 class of fellows features thirteen journalists from around the world.

Headshot of Sheryl Gay Stolberg in a yellow blazer and white shirt

Sheryl Gay Stolberg

Sheryl Gay Stolberg is a longtime Washington Correspondent at The New York Times, covering the intersection of health policy and politics and Health Secretary Robert F. Kennedy Jr. During nearly 30 years at Times, all of it based in Washington, Stolberg has been a science correspondent, a Congressional Correspondent, a White House Correspondent covering the administrations of George W. Bush and Barack Obama, a political features writer and a national correspondent covering the mid-Atlantic region. In 2020, Stolberg returned to health writing to help cover the coronavirus pandemic. Since then, she has covered the rise of Kennedy and his MAHA movement. She is also at work on a book that explores how public health and biomedical research have become caught up in America’s culture wars and partisan politics. Tentatively titled “Contagion of Mistrust,” the book will be published by Random House.

Scott Hensley pictured in a grey sweatshirt from the shoulders up.

Scott Hensley

Scott Hensley is the Deputy Editor of the NPR Science Desk. In this role, Hensley leads domestic health coverage and edits stories about health, biomedical research and pharmaceuticals. He joined NPR in 2009 to launch Shots, a blog that expanded to become a digital destination for NPR’s health coverage. Previously, Hensley was a reporter and editor at The Wall Street Journal. As a reporter, he covered the drug industry and the Human Genome Project. Before becoming a journalist, Hensley worked in the medical device industry. He is a lover of Dobermans, lacrosse and Callinectes sapidus.

Headshot of Hannah Kaufman in a black shirt.

Hannah Kaufman

Hannah Kaufman is a health reporter at the Morning Sentinel, covering public health and access to care in central and western Maine. She is on the first health reporting team at the Maine Trust for Local News. Her reporting has explored infectious diseases, hospital closures, vaccine hesitancy and trans-friendly primary care in rural Maine. A born and bred North Carolinian, Hannah received a journalism degree from the University of North Carolina at Chapel Hill and started her reporting career at INDY Week. She won several awards at the Maine Press Association this year and was a sponsored journalist at Radically Rural 2025. Hannah enjoys painting, rock climbing and swimming in lakes. One day, she’ll figure out how to get there from here.

Anuradha Mascarenhas is pictured from the waist up wearing a red striped shirt

Anuradha Mascarenhas

Anuradha Mascarenhas is a senior editor with The Indian Express and writes on a range of topics with a strong focus on health, environment and scientific research. She highlights issues raised by women and during the COVID-19 pandemic her reporting focused on orphaned children and survivors rebuilding their lives. She also explained multiple vaccine trials. With nearly three decades of experience as a journalist, Anuradha is drawn to inspiring stories of persons living with HIV, cancer, mental illness and other noncommunicable diseases. Her work also centres around healthy ageing. She blends personal stories with data and expert insights and one of her stories about why major science awards mostly go to men won the Laadli Media Award. Stories on gender sensitivity have also earned her several awards including the Press Council of India award. Author of her debut book At The Wheel Of Research, an exclusive biography of Dr Soumya Swaminathan, the inaugural WHO chief scientist, Anuradha was also part of the 2015 India Cohort of WomenLiftHealth Leadership journey. She holds a bachelor’s degree in journalism and communication and a master’s degree in literature from University of Pune.

Sarah Neville is pictured from the shoulders up wearing a red blazer

Sarah Neville

Sarah Neville is the Financial Times’s global health editor. She covers healthcare developments around the world, including the NHS. She spent her early career on local and regional newspapers, developing a particular interest in health, which led her ultimately to join a specialist health magazine. Later, she spent a decade reporting on the tumult of Westminster for the Yorkshire Post, including five years as political editor. One of her proudest accomplishments was interviewing five serving, or former, UK prime ministers, including Margaret Thatcher and Tony Blair. In 1995 she won the Laurence Stern Fellowship on the Washington Post, where she focused on health policy. Since joining the FT early in 2001, she has held a variety of senior editing and reporting roles, including weekend news editor, analysis editor, UK news editor, public policy editor and global pharmaceuticals editor. In 2013, she was part of a small team which won an EPPY award for best investigative feature for coverage of the impact of austerity on UK economy and society. She is a five-times finalist for health journalist of the year at the prestigious national Press Awards, winning the title in 2024.

Sarah Owermohle is pictured from the shoulders up wearing a navy blouse.

Sarah Owermohle

Sarah Owermohle is a reporter covering health policy and politics for CNN. She joined CNN from STAT, where she was a Washington correspondent reporting on the federal government’s health care agenda, policies, and politics. At STAT, she covered the national Covid-19 response, the Biden administration’s health goals, and the burgeoning Make America Healthy Again movement. Prior to joining STAT, Owermohle covered health policy and the national health agencies for POLITICO, where she broke the news that the first Trump administration cancelled controversial coronavirus research in China, and covered the Food and Drug Administration navigating the coronavirus response. Owermohle previously covered the pharmaceutical industry for S&P Global Market Intelligence. Before returning to her home state of Virginia, Sarah spent five years in Dubai and Beirut reporting on business, finance, and development in the Middle East and Africa, including a three-year stint as an editor for the magazine Banker Africa. Owermohle graduated from the College of William and Mary in Williamsburg, VA.

Daniel Payne is featured from the shoulders up in a blazer and white shirt.

Daniel Payne

Daniel Payne is a Washington correspondent at STAT, where he covers the intersection of the health industry and the federal government. He previously covered health care at Politico, where he reported on HHS, health providers, global health, and Congress. Before Politico, he was a reporter and editor in Mississippi and graduated from the University of Mississippi.

Maggie Penman is featured from the waist up in a black sweater with a tree behind her

Maggie Penman

Maggie Penman is a reporter for The Washington Post, writing about humanity, health and well-being. She covers topics ranging from what it takes to be a ‘super ager‚’ to why getting outside is so good for your brain, to the powerful effects of friendship for our physical and mental health. Maggie also regularly hosts and reports for The Washington Post’s podcasts. Maggie was previously the Executive Producer of Post Reports. She was a founding producer of the Hidden Brain podcast and has reported for NPR and its member stations.

Sarah Rahal is pictured from the waist up in a black blazer and black glasses

Sarah Rahal

Sarah Rahal is a health and science reporter on The Boston Globe’s Metro desk, covering health systems, trends, federal policy changes, and inequities across New England. She joined the Globe in summer 2025 after eight years at The Detroit News, where she reported on breaking news, local government, the COVID-19 pandemic, caregiving, and Detroit’s post-bankruptcy recovery. Her 2023 investigation into kinship caregiving exposed major gaps in Michigan’s social safety net, spurred legislative reform, and won the state’s top prize for enterprise reporting. Before the Globe, she was a Knight-Wallace Reporting Fellow at the University of Michigan, focusing on immigration and health policy disparities. A graduate of Wayne State University’s Journalism for Media Diversity program, Sarah previously served as president of the Michigan chapter of the Asian American Journalists Association and remains an advocate for newsroom equity. She grew up in Dearborn, Michigan, the nation’s largest Arab American enclave, and is the proud daughter of Lebanese immigrants.

Amanda Seitz is pictured from the waist up in a blazer and patterned blouse.

Amanda Seitz

Amanda Seitz is a health care policy reporter in Washington for KFF Health News.
Using data, public records and personal interviews, she has sought to scrupulously document the effect that some of the most consequential federal policy changes of our time have had on people around the country. Her reporting has exposed the dangerous conditions pregnant women have been subjected to in emergency rooms during the post-Roe era. She has unearthed important changes the Trump administration has made, often in secret, to the way the government admits, tracks and detains immigrants. Most recently, she reported on the tough choices awaiting millions of Americans during the open enrollment season for health insurance plans, as Congress let lapse the extra subsidies that have made Affordable Care Act plans more affordable. She will continue to explore the stresses facing Americans as they navigate a fragmented health care system in a year when the number of people without health insurance is poised to markedly increase. Before joining KFF Health News, Amanda covered the Department of Health and Human Services for the Associated Press.

Allen Siegler pictured from the neck up against a green backdrop

Allen Siegler

Allen Siegler is a mental health reporter at Mississippi Today. Before starting at the newsroom, he covered public health for Mountain State Spotlight in West Virginia and the city of Atlanta for Healthbeat. Allen earned his bachelor’s degree from Yale University and an applied epidemiology master of public health diploma from the University of North Carolina-Chapel Hill.

Cris Villalonga-Vivoni is pictured from the shoulders up wearing a black leather jacket and glasses.

Cris Villalonga-Vivoni

Cris Villalonga-Vivoni has been the health equity beat reporter for Hearst Media CT and CT Insider since 2024. Originally from Puerto Rico, Cris has a bachelor’s in English from Boston College and a master’s in Journalism from Northwestern University. They cover a wide range of topics related to health – from access to gender-affirming care to community-based interventions to funding uncertainty for nonprofits. Prior to their work in Connecticut, Cris was a Field Foundational Fellow at the Windy City Times, a Chicago-based LGBTQ+ newspaper. In 2022, they moved back to Connecticut and joined Record-Journal as its health equity reporter through Report for America. Cris has won several reporting awards from the Connecticut Society of Professional Journalists. In their spare time, they can be found hanging out on the couch with their cat, Binx.

Nicole Villalpando is featured from the shoulders up in a patterned shirt

Nicole Villalpando

Nicole Villalpando has been a journalist at the Austin American-Statesman for almost 27 years, and she became the health reporter four years ago. Many of the stories she writes focus on innovation in Austin’s growing health care scene, but she also looks for ways local governments and providers are working together to try to build access to care. She tries to break down complicated health issues into easy-to-understand articles on everything from the measles outbreak to understanding your health care bill. Nicole brings humanity to her stories, having had her own experiences navigating the health system with family members.

Mahalingaiah Lab

Advancing the scientific understanding of environmental, reproductive, and women’s health using digital platforms.

Location

677 Huntington Avenue
Boston, MA 02115

Apple Women’s Health Study

The Apple Women’s Health Study is the first long-term research study of this scale and scope that aims to advance the understanding of menstrual cycles and their relationship to various health conditions.

Phone 833-237-3881

A Transition of Seasons: Sleep Patterns and Changes in Perimenopause

Researchers are studying sleep changes and patterns during perimenopause for participants in the Apple Women’s Health Study.

MAY 2026:  Good quality sleep – and getting enough of it – is important for both your physical and mental health. Most adults need between 7 and 9 hours of sleep per night, but different seasons of life can make this amount harder to get. Sleep difficulties are about twice as common in women as in men, but there is a gap in research informing recommendations on what can help1.

Many factors can influence someone’s ability to get good rest. For many women during perimenopause, things like hot flashes, night sweats, hormone changes, and use of hormone therapies can all affect sleep1. Other factors, such as depression, anxiety, pain, stress, and lifestyle habits, can make getting good sleep even harder1.

In this analysis, we look at sleep patterns and changes in perimenopause and how these changes compare to simply growing older.

What is perimenopause?

Perimenopause is the body’s natural transition leading up to menopause. Because everyone’s body is different, it’s a stage that can start at different ages and last for different amounts of time2. However, on average, perimenopause often starts around someone’s mid-to-late forties. It usually lasts between 2-8 years, and it ends when menopause is reached (when a full year has passed since someone’s final menstrual period)3.

In the U.S., about 1.3 million people enter menopause each year4, yet this stage of life remains underdiscussed3.

Why is sleep important during perimenopause?

Good sleep has numerous benefits during perimenopause and beyond.

Short Term Benefits

  • Better mood and creativity5
  • Improved focus and memory5
  • Better decision-making ability5

Long Term Benefits

  • Less risk of chronic health problems like heart disease, diabetes, and high blood pressure5
  • Lower risk of falls or accidents5
  • Lower chances of death from any cause6

Poor sleep leads to worse health – including lower quality of life, worse mood, and even trouble at work – and in turn higher healthcare costs1. It’s important to better understand sleep issues and related factors during menopause so we can find ways to help women sleep better and improve their quality of life.

What is considered “good sleep”?

Good sleep isn’t just about getting enough hours; it’s about quality, too. According to sleep experts and organizations like the American Academy of Sleep Medicine, adult women should aim for at least 7 hours of sleep per night7.

Signs of good sleep can include:

  • Falling asleep within 30 minutes of going to bed7
  • Sleeping mostly through the night (although waking up a bit during the night can be normal)7
  • Falling back asleep easily if you do wake up (in less than 20 minutes)7

If your sleep distresses you in any way, always be sure to reach out and discuss it with a qualified clinician.

Who were the study participants included in this analysis?

To examine sleep changes and patterns during perimenopause, we studied the data of 338 participants ages 25-59 (vast majority ages 45-59) who enrolled in the AWHS and consented to sharing their data.

These participants contributed 94,118 nights of tracked sleep data one year before and one year after their final logged menstrual periods, respectively. By using both self-reported surveys and sensor data from Apple Watch, we were able to see patterns in sleep duration, quality, and symptoms over time as participants transitioned through perimenopause.

Multiple data sources were used to analyze sleep and perimenopause. These included menstrual and perimenopausal status surveys, self-reported symptoms, and Apple Watch sleep duration and sleep stage data.

Do AWHS participants experience more changes to their sleep as they approach menopause?

AWHS participants experienced more changes to their sleep as they aged, and even more changes as they approached menopause. In the 12 months before and 12 months after the final logged menstrual period, many participants spent more time awake during the night.

In the 18 months leading up to menopause, 60% of women with sleep tracking data showed increased WASO (wake after sleep onset) relative to the previous 6 months. The average increase was 7%. Although common, it should be noted that many women did not show this pattern. The data is a good reminder that each person experiences perimenopause and menopause differently.

How much more time do participants in perimenopause spend awake?

In the 12 months before and 12 months after the last logged menstrual period, participants spent about 0.8% more of their sleep time awake after menopause compared to before. In an eight-hour sleep period, this would be about four extra minutes awake after menopause, on average. For comparison, if we look at participants who simply aged two years (not going through menopause), the increase in wake time was about 0.2%, or just about one extra minute awake.

After menopause, sleep changes continued for many participants. While these findings summarize trends in large groups of participants overall, it is worth noting that many people had far more than 4 minutes extra awake, but others had no meaningful change to their sleep at all. Everyone is different.

Are sleep interruptions a natural function of aging?

Our findings suggest that, while it’s normal for sleep to change as people get older, the transition into menopause reflects a sharper increase in sleep disruptions beyond what would be expected from aging alone.

See the data below.

This figure depicts the percentage of time awake across menopausal groups within the Apple Women's Health Study.

Among participants in menopause who had tracked their sleep, 84% (n=338) reported sleep changes that they attributed to their menopause transition (and a similarly high percentage, 77%, of those who did not track their sleep reported symptoms attributed to their perimenopause transition). Studying these changes helps scientists better understand sleep and perimenopause, and gives people the chance to notice when their sleep patterns are shifting in ways that could signal perimenopause even before periods stop completely.

Are menopause symptoms linked with sleep changes among AWHS participants?

The top four most logged menopause symptoms among AWHS participants tracking their sleep.
A table showing the top four symptoms logged among participants who tracked their sleep one year before and one year after they logged their final menstrual period (n=388 participants; 94,118 nights of sleep studied).
The table above shows the top four symptoms logged among participants who tracked their sleep one year before and after they logged their final menstrual period (n=338 participants; 94,118 nights of sleep studied).

Our research team found that among those tracking their sleep during perimenopause, the symptoms they most often reported were hot flashes, irritability, mental exhaustion, and sexual symptoms.

The participants that reported more severe bladder, joint, heart discomfort and/or depressive symptoms had more disruptive sleep, compared to those that reported mild symptoms. These participants were also found to have the least amount of sleep.

However, it’s important to remember that there is no one-size fits all for someone’s experience transitioning to menopause.

How can you get better sleep during perimenopause?

As with other big changes throughout your life – like puberty – hormonal fluctuations and body changes during perimenopause can impact how you feel. While not all sleep issues can be prevented, it always helps to follow best practices to increase your chances of a good night’s sleep. Read on for science-backed tips below.

  • Maintain a cool temperature in your sleeping environment.

The National Sleep Foundation recommends keeping your bedroom between 60-67° Fahrenheit8. Consider sleeping with several layers of bedding, allowing you to add or remove them if you experience temperature fluctuations like hot flashes. Keeping extra blankets (or a fan) right by the bed rather than across the room can help avoid extra trips up out of bed.

  • Keep a consistent sleep schedule.

Aim to go to bed and wake up around the same time every day, even on weekends9. Maintaining a consistent sleep schedule and pattern supports circadian health and better sleep quality9.

  • Get regular movement in.

Weight-bearing activities and aerobic activities (as they are safe and tolerated) help promote good health, mood, and libido10,11.

  • Avoid common bladder irritants and limit fluids in the hours leading up to bedtime.

Changes to urinary habits, like increased urgency, are common in perimenopause. This is due to changes in hormones that support important tissues and muscles in the urinary tract12. Avoiding excess fluids may help you wake up to pee less at night13.  

  • Prioritize relaxation and mindfulness techniques in your bedtime routine.

Mindfulness practices like meditation can be effective in improving sleep quality and symptoms of depression/anxiety in perimenopausal women14,15. Incorporating other calming activities like a warm bath or reading can help signal to your body over time that it’s time to prepare for sleep too.

Download a fact sheet with the tips above and the science behind them here.

Conclusion

Early identification of perimenopausal transition may lead to practicing better sleep hygiene. Monitoring your sleep, just like monitoring your menstrual cycle, helps you identify regular patterns so you can more quickly identify changes or when something may be wrong in the future. Wearable devices like the Apple Watch can help accurately measure your sleep quality (including total sleep time, time in bed, and consistency). They can also help you set a regular sleep schedule more easily. These devices can also help you identify a possible health issue or just something to pay more attention to (for example, taking more naps than usual).

By logging sleep patterns and any other new symptoms, you are helping bring attention to a time in life that’s too often left out of the conversation. Your participation in reproductive health research, even if you are no longer menstruating, helps scientists understand how perimenopause affects people in real life – not just in theory. Thank you for helping to break the silence and stigma that surrounds midlife.

The Apple Women's Health Study team, picturing Shruthi Mahalingaiah, Michelle A. Williams, Russ Hauser, Erin Dracup, Gowtham Asokan, Sophia Werdin, Eliana Huffman, Paola Bojorquez-Ramirez, Roisin Mortimer, Boya Zhang, Likhitha Kempegowda, Elizabeth Peebles, Zifan Wang, Carrie Sarcione, Jukka-Pekka Onnela, and Brent Coull.

The Apple Women’s Health Study team is grateful to its participants for their continued contributions to public health research.

More information on the Apple Research app & Privacy

Invite a friend

  1. 1: H. M. Kravitz and H. Joffe, “Sleep During the Perimenopause: A SWAN Story,” Obstet Gynecol Clin North Am, vol. 38, no. 3, 2012.
  2. 2: A. K. Wegrzynowicz, A. C. Walls, M. Godfrey and A. Beckley, “Insights into Perimenopause: A Survey of Perceptions, Opinions on Treatment, and Potential Approaches,” Women (Basel, Switzerland), vol. 5, no. 1, 2025.
  3. 3: Office on Women’s Health, “Menopause basics,” 17 March 2025. [Online]. Available: https://womenshealth.gov/menopause/menopause-basics. [Accessed 24 September 2025].
  4. 4: K. Peacock, K. Carlson and K. M. Ketvertis, in Menopause, Treasure Island, StatPearls Publishing, 2023.
  5. 5: National Institute on Aging, “Sleep and Older Adults,” 6 February 2025. [Online]. Available: https://www.nia.nih.gov/health/sleep/sleep-and-older-adults.
  6. 6: F. C. Baker, “Optimizing Sleep across the Menopausal Transition,” Climacteric, vol. 26, no. 3, 2023.
  7. 7: National Sleep Foundation, “What Is Sleep Quality?,” 12 April 2024. [Online]. Available: https://www.thensf.org/what-is-sleep-quality/.
  8. 8: National Sleep Foundation, “10 Tips for a Better Night’s Sleep,” 2025. [Online]. Available: https://www.thensf.org/sleep-tips/.
  9. 9: “Sleep timing, sleep consistency, and health in adults: a systematic review,” Applied Physiology, Nutrition, and Metabolism, vol. 45, Jean-Philippe Chaput; Caroline Dutil; Ryan Featherstone; Robert Ross; Lora Giangregorio; Travis J. Saunders; Ian Janssen; Veronica J. Poitras; Michelle E. Kho; Amanda Ross-White; Sarah Zankar; Julie Carrier.
  10. 10: U. D. o. V. Affairs, “Coping with Perimenopause,” 2025. [Online]. Available: https://www.veteranshealthlibrary.va.gov/diseasesconditions/WomensHealth/142,86195_VA. [Accessed October 2025].
  11. 11: M. Zhao, M. Sun, R. Zhao, P. Chen and S. Li, “Effects of exercise on sleep in perimenopausal women: A meta-analysis of randomized controlled trials,” EXPLORE, vol. 19, no. 5, pp. 636-645, 2023.
  12. 12: L. R. D. Varella, R. B. d. Silva, M. C. E. d. Oliveira, P. H. A. Melo, T. M. d. O. Maranhão and M. T. A. B. C. Micussi, “Assessment of lower urinary tract symptoms in different stages of menopause,” Journal of Physical Therapy Science, vol. 28, no. 11, p. 3116–3121, 2016.
  13. 13: Brigham and Women’s Hospital Urogynecology Group, “Dietary Bladder Irritants to the Bladder,” 2015. [Online]. Available: https://www.brighamandwomens.org/assets/BWH/obgyn/pdfs/bladder-irritants.pdf.
  14. 14: C. F. S. Portella, I. C. E. Sorpreso, A. d. S. M. d. Assis, L. C. d. Abreu, J. M. S. Jr., E. C. Baracat, S. D. T. d. A. Moraes and A. C. D. Tanaka, “Meditation as an approach to lessen menopausal symptoms and insomnia in working women undergoing the menopausal transition period: A randomized controlled trial,” Advances in Integrative Medicine, vol. 8, no. 4, pp. 278-284, 2021.
  15. 15: C. Xiao, C. Mou and X. Zhou, “Effect of mindfulness meditation training on anxiety, depression and sleep quality in perimenopausal women,” Journal of Southern Medical University, vol. 20, no. 39, 2019.
  16. 16: Office on Women’s Health, “Sleep and your health,” 30 May 2025. [Online]. Available: https://womenshealth.gov/mental-health/good-mental-health/sleep-and-your-health. [Accessed October 2025].
  17. 17: E. C. Harding, N. P. Franks and W. Wisden, “The Temperature Dependence of Sleep,” Frontiers in Neuroscience, vol. 13, 2019.

Strategic Training Initiative for the Prevention of Eating Disorders (STRIPED)

Our initiative is a public health incubator, designed to cultivate novel insights and strategies for prevention. We introduce trainees to a rich array of disciplinary perspectives, methodologies, and theories and provide them with opportunities to join crosscutting collaborative teams.

Ohio: Out of Kids’ Hands

Legislative Updates

In May 2026, HB 943 was referred to the Children and Human Services Committee.

Bill Information

House Bill 943 was sponsored by Representative Jodi Salvo and Representative Rachel B. Baker. HB 943 would prohibit retailers in Ohio from knowingly selling, offering for sale, delivering, or otherwise providing over-the-counter diet pills or dietary supplements marketed for weight loss or muscle building to individuals under 18. The bill would require age verification for in-person purchases unless the buyer appears to be at least 25, and would impose additional age and identity verification requirements for online or delivery sales. Violations would be punishable by a fine of up to $1,000.

Helpful Materials

Coming soon.

Spring 2026 PGSG Seminar Series

Spring 2026 PGSG Seminar Series


UPCOMING:

Thursday, May 21st
Surface protein quantitative trait loci mapping and base editing at single cell resolution to decipher the causal allele at the CD40 autoimmune locus
Presented by Yoshihiko Tomofuji, Postdoctoral Fellow, Division of Genetics and Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School

~~~

Thursday, March 26th
Epigenetic ageing and the risk of Parkinson’s disease
Presented by Xiaojing Peng, PhD Student, Department of Epidemiology, Harvard T.H. Chan School of Public Health

Thursday, April 9th
A Novel Method to Test Hypotheses Regarding Traits Involved in Parental Genetic Nurture
Presented by Annabel Perry, PhD Candidate, Human Evolutionary Biology, Harvard University

Thursday, April 23rd
Quantifying uncertainty to improve personalized prediction with genomic deep-learning models
Presented by Joshua Popp, Research Fellow, Dana Farber Cancer Institute and Harvard Medical School

Thursday, April 30th
Context-dependent heteroskedasticity impacts the expression of most genes
Presented by Chaimaa Fadil, PhD Candidate, Program in Biological and Biomedical Sciences, Harvard University

Thursday, May 7th
From Genetic Risk to Molecular Signatures: Leveraging Multi-Omics to Understand Type 2 Diabetes Heterogeneity
Presented by Magdalena del Rocio Sevilla Gonzalez, Instructor in Medicine, Clinical and Translational Epidemiology Unit, Massachusetts General Hospital



Poster Session 2026


Poster Session 2026

Revealing the Association Between the Gut Microbiome and Optimism
Presented By: Yiyan Yang

Growing evidence supports a link between gut microbiome dysbiosis and adverse mental states such as depression, anxiety, and other stress-related conditions. However, much less is known about how the gut microbiome relates to positive emotional well-being. Understanding this relationship could help explain the well-established connection between emotional well-being and health and provide further support for the gut-brain axis. Previous studies have been limited by small sample sizes and low-resolution microbiome profiling methods. Here, we analyzed whole-metagenome shotgun sequencing data from 2,019 stool samples collected from women in the Nurses’ Health Study II between 2019 and 2022 to investigate associations between the gut microbiome and optimism. Optimism was measured in 2017 using the validated Life Orientation Test–Revised (LOT-R). We first evaluated overall microbial diversity and community composition across optimism levels and then assessed associations of microbial species and pathways with optimism while adjusting for technical factors and relevant host covariates. We observed a modest increase in gut microbial alpha diversity with higher optimism levels. After correction for technical batch effects, overall gut microbiome composition remained significantly associated with optimism. The gut microbiome composition was also strongly influenced by host factors, including body mass index, diet, and chronic disease status. After adjustment for these host factors, 22 microbial species and 16 microbial pathways were associated with optimism at an exploratory false discovery threshold (adjusted p-values < 0.2). Several of these associations were biologically notable and supported by recent literature. For example, microbes associated with higher optimism were enriched in progestin-related functions and in pathways involved in queuosine and UMP biosynthesis. These findings suggest that gut microbial metabolism may represent an underappreciated mechanism linking the gut microbiome to optimism. This work provides a large-scale, population-based framework for studying positive emotional well-being through the lens of metagenomics and may help guide future mechanistic studies.

Poster Session 2026


Poster Session 2026

Dynamics of the oropharyngeal microbiome are associated with clinical outcomes in allogeneic stem cell transplantation
Presented By: Yan Yan

Oropharyngeal upper respiratory tract (URT) infections are a common complication of allogeneic hematopoietic stem cell transplantation (allo-HSCT), yet it remains poorly understood how the oropharyngeal URT microbiome contributes to clinical outcomes. In a prospective cohort of 156 recipients, we longitudinally profiled oropharyngeal metagenomes alongside antibiotic exposure and immune profiles. High-risk antibiotics were associated with depletion of endogenous microbes in favor of pathogen dominance, including Enterococcus faecium and Burkholderia cenocepacia. Mediation analysis linked high-risk antibiotic exposure specifically to loss of Prevotella melaninogenica, a modulator of CD8⁺ effector/memory T cells, whose carriage correlated with improved progression-free survival. We identified five reproducible oropharyngeal URT community types, including a newly emerged post-HSCT Burkholderiaceae-enriched cluster that was linked to adverse aGvHD event. A classifier integrating microbial and immune features improved progression prediction in patients with low antibiotic exposure. These findings provide a systematic characterization of the URT microbiome and highlight it as a potential biomarker of HSCT outcomes.

Poster Session 2026


Poster Session 2026

EPIDEMIOLOGICAL STABILITY OF THE GUT MICROBIOME AND ASSOCIATED FACTORS
Presented By: Xinyu Wang

Background: The temporal dynamics of the gut microbiome and its associated factors remain poorly understood.
Methods: We analyzed 3,466 shotgun metagenomes that were repeatedly collected over weeks to years in four cohorts: 213 men from the Men’s Lifestyle Validation Study (MLVS, interval: 6 months), 306 women from the Mind-Body Study (MBS, interval: 6 months), 90 women from the Microbiome Among Nurses Study (Micro-N, interval: 3 years), and 130 participants from the Human Microbiome Project 2 (HMP2, interval: 2-52 weeks). Diet was assessed via food frequency questionnaires, while lifestyle and clinical information were collected by questionnaires administered before or at stool collection. Gut microbiomes were profiled for taxonomy and functions using MetaPhlAn4 and HUMAnN4, respectively. Temporal stability of the gut microbiome was assessed by the within-individual Bray-Curtis (BC) distance between repeated samples over time. Using 10-fold cross-validation Random Forest models, we examined, within each cohort, the variation in species- and pathway-level BC distances explained by dietary (up to 37 food groups, 3 dietary patterns, and fiber intake) and non-dietary factors (lifestyle, medications, and stool-related factors), as well as baseline microbial features.
Results: Overall, collection timepoint explained a minimal (0.2–0.5%) variation in the BC of the microbial compositions (detected species number range: 395–423) and pathways (355–443). Although within-individual BC distances increased with longer time intervals, they remained substantially lower than between-individual distances for both species and pathways (Species BC for 3-year interval, mean: 0.47 vs. 0.73). Within-individual pathways showed higher stability than species. Across cohorts, dietary factors, non-dietary factors, microbial species, and functional pathways accounted for 9.0–16.1%, 11.8–29.0%, 9.4–18.2%, and 4.1–32.3% of the variations in the within-individual species-level BC, respectively. For pathway-level BC, these factors explained 5.9–26.9%, 16.9–21.8%, 7.8–22.6%, 5.2–41.6% of the variation, respectively. No factor consistently predicted within-individual BC distances across all four cohorts.
Conclusions: The gut microbiome is relatively stable in epidemiologic settings, providing important context for future population-based research using fecal microbiome data. The overall associations of dietary and lifestyle factors with microbiome stability were weak and inconsistent.

Poster Session 2026


Poster Session 2026

Rapid and efficient microbial community viability assessment using marker gene targeting
Presented By: Ya Wang

Distinguishing viable from non-viable microbes remains a major hurdle in microbiome research, limiting our ability to fully understand microbial community structure, function, and transmission. Microbial viability is critical for interpreting the biological and ecological roles of microbiomes, as only living microbes actively participate in processes such as metabolism, signaling, and host interactions. Existing methods, such as chemical-based viability assays and 16S rRNA transcript detection, have proven suboptimal in complex communities, while shotgun metagenomics and metatranscriptomics, though informative, are often prohibitively expensive and computationally demanding. To address these limitations, we are developing a novel, high-throughput viability assessment approach based on sequencing optimized marker gene transcripts.

Our method combines rational marker gene selection, in silico primer design, and amplicon sequencing to enable precise, scalable differentiation of actively transcribing microbes within diverse communities. We have constructed and evaluated a marker gene database, designed candidate primers, and established a marker gene amplicon-sequencing protocol using paired metagenomic and metatranscriptomic datasets. We have further tested this approach in synthetic microbial communities as well as realistic human-associated and built environment samples. In synthetic communities, the marker gene-based method accurately profiled community composition in DNA samples and successfully identified active microbial members in RNA-derived cDNA samples, supporting its potential for viability-aware microbiome profiling. The protocol is now close to finalization, with ongoing efforts focused on updating the marker gene database, further refining marker gene coverage, and implementing a finalized bench protocol for improved robustness and practical use. Once established, this workflow will offer an accessible, culture-independent solution for microbiome viability profiling. This approach has broad implications for advancing microbiome-based diagnostics, therapeutic development, and environmental surveillance by providing a much-needed tool to quantify the active, functional members of microbial communities.