The study design comprised an age and gender stratified random sample of residents of the city of Leipzig, in the age group of 40 to 79 years. A subset of 400 participants aged 18 to 39 years was also recruited. In total, 10,000 participants were planned as the target population (Fig. 1 ). Address lists of randomly sampled citizens were provided by the resident’s registration office of the city of Leipzig. Citizens were sent an invitation letter containing an information leaflet about the study, a response form and a postage-paid return envelope. Persons who did not respond within four weeks received a reminder letter. Non-responders were searched in public telephone directories and contacted by phone. Persons who were interested to participate were scheduled for an appointment in the LIFE study centre. As a prerequisite to enrolment, written informed consent was obtained from all participants. The study was approved by the responsible institutional ethics board of the Medical Faculty of the University of Leipzig. The data privacy and safety concept of the study was approved by the responsible data protection officer. Possible incidents during study visits and during travel to the study site were covered by an insurance policy. Participants received a lump sum of 20 EUR per visit to cover their travel expenses. No other financial incentives were paid out. We carried out several public relation activities to stimulate participation rates. The LIFE study centre was located on the medical campus in the centre of the city, which was easy to reach.![]()
In March 2013, we decided to modify the inclusion criteria of the programme with a reduction of the upper age limit to 74 years. We observed that participants aged ≥75 years had difficulties in completing the assessment programme within the set time limit despite high motivation. Furthermore, it became apparent that participation of women in this age group was markedly reduced (about 1/3 lower than men). The most frequently given reason was that women would not leave their diseased and care-needing partners alone at home on three study days. Therefore, as we stopped recruitment of participants ≥75 years, we extended the lower age limit for deep cognition and depression phenotyping to 60 years. This change was put in place in March 2013 after approval by the institutional ethics board.
In a subset of participants we investigated whether body fat distribution is associated with functional traits of the brain (magnetic resonance imaging, MRI) and traits of eating behaviour. To unravel this question a subcohort of 1200 participants aged 18-79 underwent abdominal MRI-scans in addition to brain MRI-scans.
Target sample sizes of the LIFE-Adult-Study
In a subset of participants we investigated whether body fat distribution is associated with functional traits of the brain (magnetic resonance imaging, MRI) and traits of eating behaviour. To unravel this question a subcohort of 1200 participants aged 18-79 underwent abdominal MRI-scans in addition to brain MRI-scans.