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Gesundheit – gemeinsam. Kooperationstagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (GMDS), Deutschen Gesellschaft für Sozialmedizin und Prävention (DGSMP), Deutschen Gesellschaft für Epidemiologie (DGEpi), Deutschen Gesellschaft für Medizinische Soziologie (DGMS) und der Deutschen Gesellschaft für Public Health (DGPH)

08.09. - 13.09.2024, Dresden

The German National Cohort (NAKO): Current state and selected results

Meeting Abstract

  • Karin Halina Greiser - Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
  • Barbara Bohn - NAKO e.V., Heidelberg, Germany
  • Jennifer Hilger-Kolb - NAKO e.V., Heidelberg, Germany
  • Leo Panreck - NAKO e.V., Heidelberg, Germany
  • Lennart Palm - NAKO e.V., Heidelberg, Germany
  • Esther Breunig - German Cancer Research Center (DKFZ), Heidelberg, Germany
  • Wolfgang Lieb - Institute of Epidemiology, Christian-Albrechts-University Kiel, Kiel, Germany
  • Tobias Pischon - Max Delbrück Center for Molecular Medicine (MDC), Berlin, Germany
  • Tamara Schikowski - IUF - Leibniz Institute for Environmental Medicine, Düsseldorf, Germany
  • Philine Betker - Department for Epidemiology, Helmholtz Centre for Infection Research, Braunschweig, Germany
  • Stefanie Castell - Department for Epidemiology, Helmholtz Centre for Infection Research, Braunschweig, Germany
  • Jana-Kristin Heise - Department for Epidemiology, Helmholtz Centre for Infection Research, Braunschweig, Germany
  • Marcel Schubert - Department for Epidemiology, Helmholtz Centre for Infection Research, Braunschweig, Germany
  • Beate Fischer - Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
  • Anja Sedlmeier - Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
  • Michael Stein - Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
  • Patricia Bohmann - Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
  • Michael Leitzmann - Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
  • Jacob Werner - University of Bremen, Bremen, Germany; University Medical Center Hamburg-Eppendorf, Hamburg, Germany
  • Nicholas Adjei - Department of Public Health, Policy and Systems, University of Liverpool, Liverpool, United Kingdom; Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany; Health Sciences Bremen, University of Bremen, Bremen, Germany
  • Tilman Brand - Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
  • Hajo Zeeb - Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany; Health Sciences Bremen, University of Bremen, Bremen, Germany
  • Klaus Berger - Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany
  • Tim Meyer - Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany
  • Henry Völzke - Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany

Gesundheit – gemeinsam. Kooperationstagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (GMDS), Deutschen Gesellschaft für Sozialmedizin und Prävention (DGSMP), Deutschen Gesellschaft für Epidemiologie (DGEpi), Deutschen Gesellschaft für Medizinische Soziologie (DGMS) und der Deutschen Gesellschaft für Public Health (DGPH). Dresden, 08.-13.09.2024. Düsseldorf: German Medical Science GMS Publishing House; 2024. DocAbstr. 75

doi: 10.3205/24gmds880, urn:nbn:de:0183-24gmds8805

Published: September 6, 2024

© 2024 Greiser et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Symposium-Vorsitz: Dr. Karin Halina Greiser + Vorstand NAKO e.V.

Einladende Organisation: NAKO e.V.

Symposium-Vortragende: Dr. Karin Halina Greiser, M.Sc. Philine Betker, Dr. Beate Fischer, M.Sc. Jacob Werner, Prof. Dr. Klaus Berger

Inhalt (inkl. Titel der Einzelbeiträge mit vortragender Person und Co-Autor:innen): The first presentation will focus on design and methods of the NAKO. NAKO is a population-based cohort of more than 205,000 men and women aged 20-74 years at baseline, recruited in 18 study centres across Germany since 2014. Its aims are to elucidate pathways to major chronic diseases, focusing on determinants and exposures such as socioeconomic, psychosocial, behavioral, occupational, and environmental factors; to assess regional differences; and to improve prevention and early detection of disease. It provides in-depth information on the respective risk factors, functional assessments, and diseases such as diabetes, cancer, cardiovascular, pulmonary, neuro-psychiatric, and infectious diseases. In addition, whole-body Magnet Resonance Imaging (MRI) was performed on 30,861 participants at 5 study centres. In 4-5 year intervals, all study participants are re-invited for examinations at the study centres. Since October 2018, 132,154 participants have been re-examined, including 18,707 with additional MRI examination. The third examination will start in May 2024. The programme for both re-examinations is similar to the baseline programme. Thereby, longitudinal information on changes in risk factor profiles and in vascular, cardiac, metabolic, neurocognitive, pulmonary and sensory function is collected.

In order to provide more flexible and digital means for the completion of self-administered questionnaires, NAKO is developing an App-based multi-device/surface tool for the third examination that will enable easy completion of questionnaires by the participants. This tool will be presented in the second talk.

Presentation 3 and 4 show results on the distribution of obesity-related factors within the NAKO population. While presentation 3 focuses on differences in anthropometric measures according to sex, age, and health status, presentation 4 focuses on ethnic differences in the frequency of the metabolic syndrome in NAKO.

The NAKO offers the possibility to implement additional projects. One such associated project called „SoccHealth” is conducted by the German Football Association (DFB), the German Football League (DFL), the administrative trade association (VBG) together with NAKO scientists and Saarland University. The aim of the study is to provide a better understanding of the long-term effects of high-performance sport. First results will be shown in presentation 5.

1.
The German National Cohort (NAKO): Current state and further follow-up data collection (Karin Halina Greiser, Barbara Bohn, Jennifer Hilger-Kolb, Leo Panreck, Lennart Palm, Esther Breunig, Wolfgang Lieb, Tobias Pischon, Tamara Schikowski, Henry Völzke)
2.
Using the Prospective Monitoring and Management App (PIA) for digital data collection in the German National Cohort (NAKO) (Philine Betker, Stefanie Castell, Jana-Kristin Heise, Marcel Schubert)
3.
Differences in anthropometric measures according to sex, age, and health status in the German National Cohort (NAKO) (Beate Fischer, Michael Stein, Anja Sedlmeier, Patricia Bohmann, Michael Leitzmann)
4.
Ethnic Differences in the Frequency of Metabolic Syndrome in the German National Cohort (NAKO) (Jacob Werner, Nicholas Adjei, Tilman Brand, Hajo Zeeb)
5.
SoccHealth – health status of former soccer professionals (Klaus Berger, Tim Meyer)

The authors declare that they have no competing interests.

The authors declare that a positive ethics committee vote has been obtained.