A Large-scale Prospective Cohort Study on Diet and Cancer in the Netherlands

Piet A. van den Brandt, R. Alexandra Goldbohm, Pieter van 't Veer, Alexander Volovics, Rudolph J. J. Hermus, Ferd Sturmans

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

In 1986, a prospective cohort study on diet and cancer was started in The Netherlands. The cohort (n = 120, 852) of 55–69 year old men (48.2%) and women (51.8%) originates from 204 computerized municipal population registries. At baseline, participants completed a self-administered questionnaire on diet and potential confounding variables. In addition, about 67% of the participants provided toenail clippings. Cancer follow-up consists of record linkage to a pathology registry and to cancer registries. The initial interest is in stomach, colorectal, breast and lung tumors. A case-cohort approach is applied, in which detailed follow-up information of a random subcohort (n = 5000) provides an estimate of the person-time experience of the cohort. Exposure data of the subcohort will be combined with those of incident cases, yielding exposure-specific incidence rate ratios. The intraindividual variation in determinants is estimated by annually repeated measurements (n = 250) within the subcohort. The rationale, efficiency aspects and study characteristics are discussed.
Original languageEnglish
Pages (from-to)285-295
Number of pages11
JournalJournal of Clinical Epidemiology
Volume43
Issue number3
DOIs
Publication statusPublished - 1990

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