European Journal of Epidemiology

, Volume 28, Issue 2, pp 189-197

First online:

EpiHealth: a large population-based cohort study for investigation of gene–lifestyle interactions in the pathogenesis of common diseases

  • Lars LindAffiliated withDepartment of Medical Sciences, Uppsala University Email author 
  • , Sölve ElmståhlAffiliated withDivision of Geriatric Medicine, Malmö University Hospital
  • , Ebba BergmanAffiliated withDepartment of Medical Sciences, Uppsala University
  • , Martin EnglundAffiliated withDepartment of Orthopaedics, Lund University
  • , Eva LindbergAffiliated withDepartment of Medical Sciences, Uppsala University
  • , Karl MichaelssonAffiliated withDepartment of Surgical Sciences, Uppsala University
  • , Peter M. NilssonAffiliated withDepartment of Clinical Sciences, SUS Malmö
  • , Johan SundströmAffiliated withDepartment of Medical Sciences, Uppsala University

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access


The most common diseases affecting middle-aged and elderly subjects in industrialized countries are multigenetic and lifestyle related. Several attempts have been made to study interactions between genes and lifestyle factors, but most such studies lack the power to examine interactions between several genes and several lifestyle components. The primary objective of the EpiHealth cohort study is to provide a resource to study interactions between several genotypes and lifestyle factors in a large cohort (the aim is 300,000 individuals) derived from the Swedish population in the age range of 45–75 years regarding development of common degenerative disorders, such as cardiovascular diseases, cancer, dementia, joint pain, obstructive lung disease, depression, and osteoporotic fractures. The study consists of three parts. First, a collection of data on lifestyle factors by self-assessment using an internet-based questionnaire. Second, a visit to a test center where blood samples are collected and physiological parameters recorded. Third, the sample is followed for occurrence of outcomes using nationwide medical registers. This overview presents the study design and some baseline characteristics from the first year of data collection in the EpiHealth study.


Epidemiology Lifestyle Gene Prospective Cohort study