Prospective Epidemiological Research Studies in Iran (the PERSIAN Cohort Study): Rationale, Objectives, and Design
Abstract Noncommunicable diseases (NCDs) account for 76% of deaths in Iran, and this number is on the rise, in parallel with global rates. Many risk factors associated with NCDs are preventable; however, it is first necessary to conduct observational studies to identify relevant risk factors and the...
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Published in: | American journal of epidemiology Vol. 187; no. 4; pp. 647 - 655 |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format: | Journal Article |
Language: | English |
Published: |
United States
Oxford University Press
01-04-2018
Oxford Publishing Limited (England) |
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Abstract | Abstract
Noncommunicable diseases (NCDs) account for 76% of deaths in Iran, and this number is on the rise, in parallel with global rates. Many risk factors associated with NCDs are preventable; however, it is first necessary to conduct observational studies to identify relevant risk factors and the most appropriate approach to controlling them. Iran is a multiethnic country; therefore, in 2014 the Ministry of Health and Medical Education launched a nationwide cohort study—Prospective Epidemiological Research Studies in Iran (PERSIAN)—in order to identify the most prevalent NCDs among Iran’s ethnic groups and to investigate effective methods of prevention. The PERSIAN study consists of 4 population-based cohorts; the adult component (the PERSIAN Cohort Study), described in this article, is a prospective cohort study including 180,000 persons aged 35–70 years from 18 distinct areas of Iran. Upon joining the cohort, participants respond to interviewer-administered questionnaires. Blood, urine, hair, and nail samples are collected and stored. To ensure consistency, centrally purchased equipment is sent to all sites, and the same team trains all personnel. Routine visits and quality assurance/control measures are taken to ensure protocol adherence. Participants are followed for 15 years postenrollment. The PERSIAN study is currently in the enrollment phase; cohort profiles will soon emerge. |
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AbstractList | Noncommunicable diseases (NCDs) account for 76% of deaths in Iran, and this number is on the rise, in parallel with global rates. Many risk factors associated with NCDs are preventable; however, it is first necessary to conduct observational studies to identify relevant risk factors and the most appropriate approach to controlling them. Iran is a multiethnic country; therefore, in 2014 the Ministry of Health and Medical Education launched a nationwide cohort study—Prospective Epidemiological Research Studies in Iran (PERSIAN)—in order to identify the most prevalent NCDs among Iran’s ethnic groups and to investigate effective methods of prevention. The PERSIAN study consists of 4 population-based cohorts; the adult component (the PERSIAN Cohort Study), described in this article, is a prospective cohort study including 180,000 persons aged 35–70 years from 18 distinct areas of Iran. Upon joining the cohort, participants respond to interviewer-administered questionnaires. Blood, urine, hair, and nail samples are collected and stored. To ensure consistency, centrally purchased equipment is sent to all sites, and the same team trains all personnel. Routine visits and quality assurance/control measures are taken to ensure protocol adherence. Participants are followed for 15 years postenrollment. The PERSIAN study is currently in the enrollment phase; cohort profiles will soon emerge. Noncommunicable diseases (NCDs) account for 76% of deaths in Iran, and this number is on the rise, in parallel with global rates. Many risk factors associated with NCDs are preventable; however, it is first necessary to conduct observational studies to identify relevant risk factors and the most appropriate approach to controlling them. Iran is a multiethnic country; therefore, in 2014 the Ministry of Health and Medical Education launched a nationwide cohort study—Prospective Epidemiological Research Studies in Iran (PERSIAN)—in order to identify the most prevalent NCDs among Iran’s ethnic groups and to investigate effective methods of prevention. The PERSIAN study consists of 4 population-based cohorts; the adult component (the PERSIAN Cohort Study), described in this article, is a prospective cohort study including 180,000 persons aged 35–70 years from 18 distinct areas of Iran. Upon joining the cohort, participants respond to interviewer-administered questionnaires. Blood, urine, hair, and nail samples are collected and stored. To ensure consistency, centrally purchased equipment is sent to all sites, and the same team trains all personnel. Routine visits and quality assurance/control measures are taken to ensure protocol adherence. Participants are followed for 15 years postenrollment. The PERSIAN study is currently in the enrollment phase; cohort profiles will soon emerge. Abstract Noncommunicable diseases (NCDs) account for 76% of deaths in Iran, and this number is on the rise, in parallel with global rates. Many risk factors associated with NCDs are preventable; however, it is first necessary to conduct observational studies to identify relevant risk factors and the most appropriate approach to controlling them. Iran is a multiethnic country; therefore, in 2014 the Ministry of Health and Medical Education launched a nationwide cohort study—Prospective Epidemiological Research Studies in Iran (PERSIAN)—in order to identify the most prevalent NCDs among Iran’s ethnic groups and to investigate effective methods of prevention. The PERSIAN study consists of 4 population-based cohorts; the adult component (the PERSIAN Cohort Study), described in this article, is a prospective cohort study including 180,000 persons aged 35–70 years from 18 distinct areas of Iran. Upon joining the cohort, participants respond to interviewer-administered questionnaires. Blood, urine, hair, and nail samples are collected and stored. To ensure consistency, centrally purchased equipment is sent to all sites, and the same team trains all personnel. Routine visits and quality assurance/control measures are taken to ensure protocol adherence. Participants are followed for 15 years postenrollment. The PERSIAN study is currently in the enrollment phase; cohort profiles will soon emerge. |
Author | Rezaianzadeh, Abbas Jalaeikhoo, Alireza Esmaeili Nadimi, Ali Shayanrad, Amaneh Mehrparvar, Amirhoushang Saki, Nader Mohammadi, Zahra Kamangar, Farin Keshtkar, Abbas-Ali Eghtesad, Sareh Poustchi, Hossein Roozafzai, Farzin Bahramali, Ehsan Rahimi-Movaghar, Afarin Mahmoudi, Zahra Etemadi, Arash Aminisani, Nayyereh Sheikh, Mahdi Najafi, Farid Hekmatdoost, Azita Ansari-Moghaddam, Alireza Alipour, Fatemeh Boffetta, Paolo Mansour-Ghanaei, Fariborz Enayati, Ahmad Ali Somi, Mohammad Hossein Kelishadi, Roya Malekzadeh, Reza |
AuthorAffiliation | 20 Department of Statistics and Epidemiology, Faculty of Health Sciences, Tabriz UMS, Tabriz, Iran 21 Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, New York 1 Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences 18 Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Diseases, Isfahan UMS, Isfahan, Iran 8 Department of Gastroenterology, Gastrointestinal and Liver Diseases Research Center, Guilan UMS, Rasht, Iran 3 Digestive Oncology Research Center, Digestive Diseases Research Institute, Tehran UMS, Tehran, Iran 7 Liver and Gastrointestinal Diseases Research Center, Tabriz UMS, Tabriz, Iran 10 Noncommunicable Diseases Research Center, Fasa UMS, Fasa, Iran 9 Research Center for Environmental Determinants of Health, School of Public Health, Kermanshah UMS, Kermanshah, Iran 17 Eye Research Center, F |
AuthorAffiliation_xml | – name: 13 School of Public Health and Health Sciences Research Center, Mazandaran UMS, Sari, Iran – name: 19 Iranian National Center for Addiction Studies, Tehran UMS, Tehran, Iran – name: 18 Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Diseases, Isfahan UMS, Isfahan, Iran – name: 14 Department of Cardiology, School of Medicine, Rafsanjan UMS, Rafsanjan, Iran – name: 9 Research Center for Environmental Determinants of Health, School of Public Health, Kermanshah UMS, Kermanshah, Iran – name: 21 Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, New York – name: 16 Department of Otolaryngology, Head and Neck Surgery, Hearing and Speech Research Center, Ahvaz Jundishapur UMS, Ahvaz, Iran – name: 12 Health Promotion Research Center, Zahedan UMS, Zahedan, Iran – name: 20 Department of Statistics and Epidemiology, Faculty of Health Sciences, Tabriz UMS, Tabriz, Iran – name: 5 Department of Health Sciences Education Development, School of Public Health, Tehran UMS, Tehran, Iran – name: 8 Department of Gastroenterology, Gastrointestinal and Liver Diseases Research Center, Guilan UMS, Rasht, Iran – name: 10 Noncommunicable Diseases Research Center, Fasa UMS, Fasa, Iran – name: 15 Department of Epidemiology, School of Health, Shiraz UMS, Shiraz, Iran – name: 1 Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – name: 3 Digestive Oncology Research Center, Digestive Diseases Research Institute, Tehran UMS, Tehran, Iran – name: 11 Department of Occupational Medicine, Faculty of Medicine, Shahid Sadoughi UMS, Yazd, Iran – name: 17 Eye Research Center, Farabi Eye Hospital, Tehran UMS, Tehran, Iran – name: 4 Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland – name: 7 Liver and Gastrointestinal Diseases Research Center, Tabriz UMS, Tabriz, Iran – name: 6 Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Shahid Beheshti UMS, Tehran, Iran – name: 2 Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, Maryland |
Author_xml | – sequence: 1 givenname: Hossein surname: Poustchi fullname: Poustchi, Hossein organization: Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – sequence: 2 givenname: Sareh surname: Eghtesad fullname: Eghtesad, Sareh organization: Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – sequence: 3 givenname: Farin surname: Kamangar fullname: Kamangar, Farin organization: Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, Maryland – sequence: 4 givenname: Arash surname: Etemadi fullname: Etemadi, Arash organization: Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland – sequence: 5 givenname: Abbas-Ali surname: Keshtkar fullname: Keshtkar, Abbas-Ali organization: Department of Health Sciences Education Development, School of Public Health, Tehran UMS, Tehran, Iran – sequence: 6 givenname: Azita surname: Hekmatdoost fullname: Hekmatdoost, Azita organization: Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Shahid Beheshti UMS, Tehran, Iran – sequence: 7 givenname: Zahra surname: Mohammadi fullname: Mohammadi, Zahra organization: Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – sequence: 8 givenname: Zahra surname: Mahmoudi fullname: Mahmoudi, Zahra organization: Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – sequence: 9 givenname: Amaneh surname: Shayanrad fullname: Shayanrad, Amaneh organization: Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – sequence: 10 givenname: Farzin surname: Roozafzai fullname: Roozafzai, Farzin organization: Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – sequence: 11 givenname: Mahdi surname: Sheikh fullname: Sheikh, Mahdi organization: Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – sequence: 12 givenname: Alireza surname: Jalaeikhoo fullname: Jalaeikhoo, Alireza organization: Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences – sequence: 13 givenname: Mohammad Hossein surname: Somi fullname: Somi, Mohammad Hossein organization: Liver and Gastrointestinal Diseases Research Center, Tabriz UMS, Tabriz, Iran – sequence: 14 givenname: Fariborz surname: Mansour-Ghanaei fullname: Mansour-Ghanaei, Fariborz organization: Department of Gastroenterology, Gastrointestinal and Liver Diseases Research Center, Guilan UMS, Rasht, Iran – sequence: 15 givenname: Farid surname: Najafi fullname: Najafi, Farid organization: Research Center for Environmental Determinants of Health, School of Public Health, Kermanshah UMS, Kermanshah, Iran – sequence: 16 givenname: Ehsan surname: Bahramali fullname: Bahramali, Ehsan organization: Noncommunicable Diseases Research Center, Fasa UMS, Fasa, Iran – sequence: 17 givenname: Amirhoushang surname: Mehrparvar fullname: Mehrparvar, Amirhoushang organization: Department of Occupational Medicine, Faculty of Medicine, Shahid Sadoughi UMS, Yazd, Iran – sequence: 18 givenname: Alireza surname: Ansari-Moghaddam fullname: Ansari-Moghaddam, Alireza organization: Health Promotion Research Center, Zahedan UMS, Zahedan, Iran – sequence: 19 givenname: Ahmad Ali surname: Enayati fullname: Enayati, Ahmad Ali organization: School of Public Health and Health Sciences Research Center, Mazandaran UMS, Sari, Iran – sequence: 20 givenname: Ali surname: Esmaeili Nadimi fullname: Esmaeili Nadimi, Ali organization: Department of Cardiology, School of Medicine, Rafsanjan UMS, Rafsanjan, Iran – sequence: 21 givenname: Abbas surname: Rezaianzadeh fullname: Rezaianzadeh, Abbas organization: Department of Epidemiology, School of Health, Shiraz UMS, Shiraz, Iran – sequence: 22 givenname: Nader surname: Saki fullname: Saki, Nader organization: Department of Otolaryngology, Head and Neck Surgery, Hearing and Speech Research Center, Ahvaz Jundishapur UMS, Ahvaz, Iran – sequence: 23 givenname: Fatemeh surname: Alipour fullname: Alipour, Fatemeh organization: Eye Research Center, Farabi Eye Hospital, Tehran UMS, Tehran, Iran – sequence: 24 givenname: Roya surname: Kelishadi fullname: Kelishadi, Roya organization: Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Diseases, Isfahan UMS, Isfahan, Iran – sequence: 25 givenname: Afarin surname: Rahimi-Movaghar fullname: Rahimi-Movaghar, Afarin organization: Iranian National Center for Addiction Studies, Tehran UMS, Tehran, Iran – sequence: 26 givenname: Nayyereh surname: Aminisani fullname: Aminisani, Nayyereh organization: Department of Statistics and Epidemiology, Faculty of Health Sciences, Tabriz UMS, Tabriz, Iran – sequence: 27 givenname: Paolo surname: Boffetta fullname: Boffetta, Paolo organization: Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, New York – sequence: 28 givenname: Reza surname: Malekzadeh fullname: Malekzadeh, Reza email: dr.reza.malekzadeh@gmail.com organization: Digestive Oncology Research Center, Digestive Diseases Research Institute, Tehran UMS, Tehran, Iran |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29145581$$D View this record in MEDLINE/PubMed |
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Copyright | The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2018 The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2018 |
Copyright_xml | – notice: The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2018 – notice: The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. – notice: The Author(s) 2018. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2018 |
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References_xml | – volume: 39 start-page: 52 issue: 1 year: 2010 ident: key 20180625082743_kwx314C16 article-title: Cohort profile: the Golestan Cohort Study—a prospective study of oesophageal cancer in northern Iran publication-title: Int J Epidemiol doi: 10.1093/ije/dyp161 contributor: fullname: Pourshams – volume: 370 start-page: 1909 issue: 20 year: 2014 ident: key 20180625082743_kwx314C21 article-title: A form of the metabolic syndrome associated with mutations in DYRK1B publication-title: N Engl J Med doi: 10.1056/NEJMoa1301824 contributor: fullname: Keramati – volume: 15 start-page: 196 issue: 4 year: 2012 ident: key 20180625082743_kwx314C17 article-title: Cancer incidence in Golestan Province: report of an ongoing population-based cancer registry in Iran between 2004 and 2008 publication-title: Arch Iran Med contributor: fullname: Roshandel – ident: key 20180625082743_kwx314C24 contributor: fullname: International Agency for Research on Cancer, World Health Organization – volume: 98 start-page: 1857 issue: 11 year: 2008 ident: key 20180625082743_kwx314C6 article-title: Opium, tobacco, and alcohol use in relation to oesophageal squamous cell carcinoma in a high-risk area of Iran publication-title: Br J Cancer doi: 10.1038/sj.bjc.6604369 contributor: fullname: Nasrollahzadeh – volume: 338 start-page: b929 year: 2009 ident: key 20180625082743_kwx314C7 article-title: Tea drinking habits and oesophageal cancer in a high risk area in northern Iran: population based case-control study publication-title: BMJ doi: 10.1136/bmj.b929 contributor: fullname: Islami – volume: 72 start-page: 1028 issue: 11 year: 2017 ident: key 20180625082743_kwx314C18 article-title: Mortality from respiratory diseases associated with opium use: a population-based cohort study publication-title: Thorax doi: 10.1136/thoraxjnl-2015-208251 contributor: fullname: Rahmati – volume: 104 start-page: 147 issue: 2 year: 2012 ident: key 20180625082743_kwx314C26 article-title: InterSCOPE Study: associations between esophageal squamous cell carcinoma and human papillomavirus serological markers publication-title: J Natl Cancer Inst doi: 10.1093/jnci/djr499 contributor: fullname: Sitas – year: 2014 ident: key 20180625082743_kwx314C2 contributor: fullname: World Health Organization – ident: key 20180625082743_kwx314C3 contributor: fullname: World Health Organization – volume: 20 start-page: 556 issue: 3 year: 2009 ident: key 20180625082743_kwx314C10 article-title: Cancer incidence and mortality in Iran publication-title: Ann Oncol doi: 10.1093/annonc/mdn642 contributor: fullname: Mousavi – year: 2010 ident: key 20180625082743_kwx314C1 contributor: fullname: Institute for Health Metrics and Evaluation – volume: 13 start-page: 8 year: 2015 ident: key 20180625082743_kwx314C14 article-title: Mortality and cancer in relation to ABO blood group phenotypes in the Golestan Cohort Study publication-title: BMC Med doi: 10.1186/s12916-014-0237-8 contributor: fullname: Etemadi – volume: 19 start-page: 74 issue: 2 year: 2015 ident: key 20180625082743_kwx314C11 article-title: Geographical distribution of important cancers in Iran publication-title: Hormozgan Med J contributor: fullname: Esmaeimzadeh – volume: 344 start-page: e2502 year: 2012 ident: key 20180625082743_kwx314C13 article-title: Opium use and mortality in Golestan Cohort Study: prospective cohort study of 50 000 adults in Iran publication-title: BMJ doi: 10.1136/bmj.e2502 contributor: fullname: Khademi – volume: 78 start-page: 1039 issue: 6 year: 1978 ident: key 20180625082743_kwx314C22 article-title: The Nurses’ Health Study publication-title: Am J Nurs contributor: fullname: Belanger – volume: 64 start-page: 1220 issue: 9 year: 2010 ident: key 20180625082743_kwx314C8 article-title: A pilot double-blind randomised placebo-controlled trial of the effects of fixed-dose combination therapy (“polypill”) on cardiovascular risk factors publication-title: Int J Clin Pract doi: 10.1111/j.1742-1241.2010.02412.x contributor: fullname: Malekzadeh – volume-title: Statistical Methods in Cancer Research. 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The Design and Analysis of Cohort Studies year: 1987 ident: key 20180625082743_kwx314C5 contributor: fullname: Breslow – ident: key 20180625082743_kwx314C27 contributor: fullname: Climate-Data.org – year: 2011 ident: key 20180625082743_kwx314C4 contributor: fullname: World Economic Forum – volume: 20 start-page: 2 issue: 1 year: 2017 ident: key 20180625082743_kwx314C9 article-title: National and subnational patterns of cause of death in Iran 1990–2015: applied methods publication-title: Arch Iran Med contributor: fullname: Sheidaei – volume: 8 start-page: 39 issue: 1 year: 2017 ident: key 20180625082743_kwx314C12 article-title: Incidence and distribution of common cancers among Iranian children publication-title: Middle East J Cancer contributor: fullname: Khazaei – volume: 154 start-page: 1119 issue: 12 year: 2001 ident: key 20180625082743_kwx314C23 article-title: Design and serendipity in establishing a large cohort with wide dietary intake distributions: the National Institutes of Health-American Association of Retired Persons Diet and Health Study publication-title: Am J Epidemiol doi: 10.1093/aje/154.12.1119 contributor: fullname: Schatzkin – volume: 5 start-page: e11183 issue: 6 year: 2010 ident: key 20180625082743_kwx314C20 article-title: Verbal autopsy: reliability and validity estimates for causes of death in the Golestan Cohort Study in Iran publication-title: PLoS One doi: 10.1371/journal.pone.0011183 contributor: fullname: Khademi – volume: 26 start-page: 674 issue: 6 year: 2016 ident: key 20180625082743_kwx314C15 article-title: Hazards of cigarettes, smokeless tobacco and waterpipe in a Middle Eastern population: a cohort study of 50 000 individuals from Iran publication-title: Tob Control doi: 10.1136/tobaccocontrol-2016-053245 contributor: fullname: Etemadi – volume: 47 start-page: 979 issue: 9 year: 2015 ident: key 20180625082743_kwx314C25 article-title: Association analyses identify 38 susceptibility loci for inflammatory bowel disease and highlight shared genetic risk across populations publication-title: Nat Genet doi: 10.1038/ng.3359 contributor: fullname: Liu – year: 2007 ident: key 20180625082743_kwx314C19 contributor: fullname: Centers for Disease Control and Prevention |
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Snippet | Abstract
Noncommunicable diseases (NCDs) account for 76% of deaths in Iran, and this number is on the rise, in parallel with global rates. Many risk factors... Noncommunicable diseases (NCDs) account for 76% of deaths in Iran, and this number is on the rise, in parallel with global rates. Many risk factors associated... Noncommunicable diseases (NCDs) account for 76% of deaths in Iran, and this number is on the rise, in parallel with global rates. Many risk factors associated... |
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SubjectTerms | Cohort analysis Epidemiology Health risk assessment Medical research Minority & ethnic groups Population studies Quality assurance Risk analysis Risk factors Studies Study Design Urine |
Title | Prospective Epidemiological Research Studies in Iran (the PERSIAN Cohort Study): Rationale, Objectives, and Design |
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