The TZL study was initiated by Fudan University and the Taizhou government in 2007, and "starting seed funding" came from the latter. The TZL study aims to recruit at least 100,000 adults aged 30–80 years from the general population of Taizhou. A three-stage stratified sampling method will be used.
In stage I, one out of three subdistricts (comprising several communities) or towns (comprising several rural communities) will be sampled from Hailing and Gaogang, representing the geographic and economic characteristics in their regions. In stage II, 50% of communities will be randomly selected from each subdistrict or town. In the third stage of sampling, all individuals aged 30–80 years from each household will be chosen.
The TZL study includes a two-phase baseline survey. In phase I, about 100,000 adults aged 30–80 years will be interviewed through questionnaires and samples of buccal mucosal cells will be collected in the communities mentioned above. In phase II, fasting blood samples will be collected for biochemical measurements (e.g., lipid, glucose, hepatic function, renal function) in half of the communities from phase I. After baseline investigation, continuous monitoring of morbidity and mortality will be conducted through a chronic disease register system. Follow-ups will be conducted every three years for event endpoint (see figure1 ). The study will use a 'nested' case-control approach for studies on serological markers or genetic biomarkers if sufficient numbers of subjects have developed or died from the particular diseases of interest. By seeking differences in biomarkers in stored DNA and plasma, a wide range of genetic and environmental correlates and causes can be studied. Such an approach allows many factors to be studied in relation to many diseases at relatively low cost.
In stage I, one out of three subdistricts (comprising several communities) or towns (comprising several rural communities) will be sampled from Hailing and Gaogang, representing the geographic and economic characteristics in their regions. In stage II, 50% of communities will be randomly selected from each subdistrict or town. In the third stage of sampling, all individuals aged 30–80 years from each household will be chosen.
The TZL study includes a two-phase baseline survey. In phase I, about 100,000 adults aged 30–80 years will be interviewed through questionnaires and samples of buccal mucosal cells will be collected in the communities mentioned above. In phase II, fasting blood samples will be collected for biochemical measurements (e.g., lipid, glucose, hepatic function, renal function) in half of the communities from phase I. After baseline investigation, continuous monitoring of morbidity and mortality will be conducted through a chronic disease register system. Follow-ups will be conducted every three years for event endpoint (see figure
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