Shanghai Women's Health Study (SWHS): Cancer Risk Reduction and Diet - A Cohort Study of Women
Lead Contact and/or Principal Investigator (PI):
- Wei Zheng, M.D., Ph.D., M.P.H.
Vanderbilt University Medical Center
Funded Since: 1996
Funding Source: NCI Extramural Program (Epidemiology and Genomics Research Program, Division of Cancer Control and Population Sciences; CA070867)
Year(s) of Enrollment: 1996-2000
The Shanghai Women’s Health Study (SWHS) is a population-based cohort study of approximately 75,000 Chinese women who were recruited between 1997 and 2000 and have been followed through multiple in-person follow-up surveys and record linkages. Over the years, data and biological samples collected in the SWHS have been used to evaluate many important etiologic hypotheses and support multiple studies, including several NCI-sponsored cohort consortium projects. In the current grant period, we will evaluate a new set of hypotheses and confirm, with a larger sample size and improved exposure assessments, some of the promising associations identified during the previous grant period. We will continue to analyze survey data to evaluate dietary and other lifestyle factors in relation to cancer risk with a specific focus on evaluating dietary protective factors, such as regular consumption of soy food, tea, ginseng, as well as cruciferous and allium vegetables. With additional follow-up of the SWHS, we will have, for the first time, adequate statistical power to investigate less common cancers, such as cancers of the ovary, corpus uteri, and pancreas, as well as subtypes of common cancers. Using a case-cohort study design, we will investigate urinary prostaglandin E2 metabolite (PGE-M), as well as telomere length and mitochondrial DNA copy number measured in peripheral white blood cells in relation to the risk of cancer. Finally, we will evaluate the utility of validated genetic markers in assessing an individual’s risk for breast cancer. The renewal of this cohort study will enable continued follow-up and provides the infrastructure needed to support multiple ongoing studies. Because of its size, setting, and inventory of biological specimens and epidemiologic/clinical data, the SWHS provides an exceptional opportunity to address many significant hypotheses that are difficult to investigate in other existing cohort studies. The results from this study will have significant implications for the primary and secondary prevention of common cancers in both Western and Asian women.