Grant Number:	1U01CA164975-01 Interpret this number
Primary Investigator:	Platz, Elizabeth
Organization:	Johns Hopkins University
Project Title:	Enhancing Aric Infrastructure to Yield a New Cancer Epidemiology Cohort
Fiscal Year:	2012

DESCRIPTION (provided by applicant): We propose to enhance the infrastructure of ARIC; the Atherosclerosis Risk in Communities, cohort to yield a new Cancer Epidemiology Cohort that brings novel features to cancer epidemiology research. In 1987, 15,792 participants aged 45-64 years were recruited from Forsyth Co., NC; Jackson, MS; Minneapolis, MN; and Washington Co., MD. 55% are women and 27% are African-American. Participants underwent 4 clinical exams; a 5th is scheduled for 2011. Blood and urine specimens have been banked, medications recorded, and a food frequency questionnaire completed. Participants were interviewed by phone annually and now semi-annually to obtain updated health information. The response at year 21 is 91%. Because ARIC has never been viewed as a Cancer Epidemiology Cohort and infrastructure and cost constraints, only cancer diagnosis has been systematically recorded. By 2006, 3,145 participants were diagnosed with an incident first primary and 376 with a 2nd / 3rd primary. Information, such as stage, grade, and histology, location in organ, laterality, receptor status, treatment, recurrence, and re-treatment, needed to address contemporary questions is not currently available. Tissue needed for molecular/genetic studies has not been collected. Thus, we propose: 1) Starting 2012, to prospectively identify cases from semi-annual phone interviews and collect medical/pathology records pertaining to cancer diagnosis, treatment, recurrence, and retreatment and tissue blocks. 2) To retrospectively collect information characterizing cancer diagnoses and recurrences before 2012 from cancer registries in the 4 ARIC states (consent already obtained) and medical records, and collect tissue blocks. By 2016, we expect 4,900 fully annotated incident cases. We established a Cancer Working Group to develop protocols for adjudicating cancer endpoints and prioritize research using the resource. With enhanced infrastructure, we expect that research questions such as these are addressable uniquely in ARIC: 1) What is the association between timing of the natural history of diabetes using 4 fasting glucose and 2 HbAlc measurements and timing of cancer diagnosis? 2) Using GWAS and sequencing data, is there a set of risk variants shared by major cancers or are variants specific to each site?




A Novel Longitudinal Proteomic Aging Index Predicts Mortality, Multimorbidity, and Frailty in Older Adults.
Authors: Rao Z. , Wang S. , Li A. , Blaha M.J. , Coresh J. , Ganz P. , Marshall C.H. , Pankow J.S. , Platz E.A. , Post W. , et al. .
Source: Aging Cell, 2025-12-08 00:00:00.0; , p. e70317.
EPub date: 2025-12-08 00:00:00.0.
PMID: 41362055
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Leveraging and partitioning polygenic risk scores to identify cancer-related proteins.
Authors: Dutta D. , Zhang J. , Guo X. , Machiela M. , Brown K. , Coresh J. , Battle A. , Platz E.A. , Chatterjee N. .
Source: Medrxiv : The Preprint Server For Health Sciences, 2025-11-25 00:00:00.0; , .
EPub date: 2025-11-25 00:00:00.0.
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Comparing Traditional and Newer Definitions of Obesity in Relation to Incident Cardiovascular Disease and Obesity-Related Cancer Risk: A Prospective Cohort Study in ARIC.
Authors: Makram O.M. , Shah V. , Nahle T. , Wang X. , Harris R.A. , Coughlin S.S. , Weintraub N.L. , Joshu C.E. , Platz E.A. , Guha A. .
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EPub date: 2025-11-19 00:00:00.0.
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Multi-cohort high-dimensional proteomics reveals early risk markers for lymphoid cancer subtypes.
Authors: Kolijn P.M. , Smith-Byrne K. , Burk V. , Viallon V. , Lee M.A. , Papier K. , Wang Z. , Langerak A.W. , Späth F. , Diepstra A. , et al. .
Source: Nature Communications, 2025-10-28 00:00:00.0; 16(1), p. 9517.
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Discovering plasma proteins associated with breast cancer incidence in postmenopausal women in the Atherosclerosis Risk in Communities study.
Authors: Syleouni M.E. , Joshu C.E. , Coresh J. , Gunter M.J. , Butler K.R. , Couper D.J. , Guevara M. , Lu J. , Prizment A. , Riboli E. , et al. .
Source: Journal Of The National Cancer Institute, 2025-10-01 00:00:00.0; 117(10), p. 2044-2052.
PMID: 40623012
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Multi-Cohort High-Dimensional Proteomics Reveals Early Risk Markers for Lymphoid Cancer Subtypes.
Authors: Kolijn P.M. , Smith-Byrne K. , Burk V. , Viallon V. , Lee M.A. , Papier K. , Wang Z. , Langerak A.W. , Späth F. , Diepstra A. , et al. .
Source: Research Square, 2025-08-19 00:00:00.0; , .
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Associations Between Cancer and Atrial Fibrillation: The Atherosclerosis Risk in Communities Study.
Authors: Parikh R.R. , Shenoy C. , Misialek J.R. , Blaes A. , Norby F.L. , Prizment A.E. , Soliman E.Z. , Loehr L.R. , Alonso A. , Joshu C.E. , et al. .
Source: Mayo Clinic Proceedings. Innovations, Quality & Outcomes, 2025 Aug; 9(4), p. 100634.
EPub date: 2025-06-11 00:00:00.0.
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Clonal hematopoiesis of indeterminate potential and incidence of venous thromboembolism in older adults.
Authors: Saadatagah S. , Kim R.B. , Sukumar S. , Uddin M.M. , Folsom A.R. , Cushman M. , Tang W. , Natarajan P. , Ballantyne C.M. , Lutsey P.L. , et al. .
Source: Journal Of Thrombosis And Haemostasis : Jth, 2025 Jul; 23(7), p. 2235-2241.
EPub date: 2025-04-17 00:00:00.0.
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Detection of cancers three years prior to diagnosis using plasma cell-free DNA.
Authors: Wang Y. , Joshu C.E. , Curtis S.D. , Douville C. , Burk V.A. , Ru M. , Popoli M. , Ptak J. , Dobbyn L. , Silliman N. , et al. .
Source: Cancer Discovery, 2025-05-22 00:00:00.0; , .
EPub date: 2025-05-22 00:00:00.0.
PMID: 40402478
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Alcohol Consumption Does not Modify the Polygenic Risk Score-Based Genetic Risk of Breast Cancer in Postmenopausal Women: Atherosclerosis Risk in Communities Study.
Authors: Zhang M. , Ru M. , Zhang J. , Wang Z. , Lu J. , Butler K.R. , Chatterjee N. , Couper D.J. , Prizment A.E. , Soori M.M. , et al. .
Source: Cancer Prevention Research (philadelphia, Pa.), 2025-02-03 00:00:00.0; 18(2), p. 73-83.
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Subsequent risk of cancer among adults with peripheral artery disease in the community: The atherosclerosis risk in communities (ARIC) study.
Authors: Nohara S. , Mok Y. , Van't Hof J.R. , Salameh M. , Joshu C.E. , Platz E.A. , Florido R. , Matsushita K. .
Source: International Journal Of Cardiology, 2025-01-01 00:00:00.0; 418, p. 132577.
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Mitochondrial heteroplasmy improves risk prediction for myeloid neoplasms.
Authors: Hong Y.S. , Pasca S. , Shi W. , Puiu D. , Lake N.J. , Lek M. , Ru M. , Grove M.L. , Prizment A. , Joshu C.E. , et al. .
Source: Nature Communications, 2024-11-22 00:00:00.0; 15(1), p. 10133.
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DNA Methylation-Derived Immune Cell Proportions and Cancer Risk in Black Participants.
Authors: Semancik C.S. , Zhao N. , Koestler D.C. , Boerwinkle E. , Bressler J. , Buchsbaum R.J. , Kelsey K.T. , Platz E.A. , Michaud D.S. .
Source: Cancer Research Communications, 2024-10-01 00:00:00.0; 4(10), p. 2714-2723.
PMID: 39324671
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Development, characterization, and replication of proteomic aging clocks: Analysis of 2 population-based cohorts.
Authors: Wang S. , Rao Z. , Cao R. , Blaes A.H. , Coresh J. , Deo R. , Dubin R. , Joshu C.E. , Lehallier B. , Lutsey P.L. , et al. .
Source: Plos Medicine, 2024 Sep; 21(9), p. e1004464.
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Validation of candidate protein biomarkers previously identified by genetic instruments for prostate cancer risk: A prospective cohort analysis of directly measured protein levels in the ARIC study.
Authors: Liu T. , Joshu C.E. , Lu J. , Prizment A. , Chatterjee N. , Wu L. , Platz E.A. .
Source: The Prostate, 2024-08-15 00:00:00.0; , .
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DNA Methylation-Derived Immune Cell Proportions and Cancer Risk, Including Lung Cancer, in Black Participants.
Authors: Semancik C.S. , Zhao N. , Koestler D.C. , Boerwinkle E. , Bressler J. , Buchsbaum R.J. , Kelsey K.T. , Platz E.A. , Michaud D.S. .
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Performance of the pooled cohort equations in cancer survivors: the Atherosclerosis Risk in Communities study.
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Clonal Hematopoiesis Risk Score and All-Cause and Cardiovascular Mortality in Older Adults.
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Overweight-years and cancer risk: A prospective study of the association and comparison of predictive performance with body mass index (Atherosclerosis Risk in Communities Study).
Authors: Hawwash N.K. , Sperrin M. , Martin G.P. , Joshu C.E. , Florido R. , Platz E.A. , Renehan A.G. .
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Blood Pressure, Hypertension, and Antihypertensive Medication Use and Risk of Total and Fatal Prostate Cancer in Black and White Men in the Atherosclerosis Risk in Communities (ARIC) Study.
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Development and Characterization of Proteomic Aging Clocks in the Atherosclerosis Risk in Communities (ARIC) Study.
Authors: Wang A.S. , Rao Z. , Cao R. , Blaes A.H. , Coresh J. , Joshu C.E. , Lehallier B. , Lutsey P.L. , Pankow J.S. , Sedaghat S. , et al. .
Source: Medrxiv : The Preprint Server For Health Sciences, 2023-09-08 00:00:00.0; , .
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Liver Fibrosis Scores and Prostate Cancer Risk and Mortality in the Atherosclerosis Risk in Communities Study.
Authors: Wang A. , Lazo M. , Lu J. , Couper D.J. , Prizment A.E. , Vitolins M.Z. , Denmeade S.R. , Joshu C.E. , Platz E.A. .
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External validation of genetically predicted protein biomarkers for pancreatic cancer risk using aptamer-based plasma levels: A prospective analysis in the Atherosclerosis Risk in Communities Study.
Authors: Liu T. , Joshu C.E. , Lu J. , Prizment A. , Chatterjee N. , Coresh J. , Wu L. , Platz E.A. .
Source: International Journal Of Cancer, 2023-06-20 00:00:00.0; , .
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Associations between MICA and MICB Genetic Variants, Protein Levels, and Colorectal Cancer: Atherosclerosis Risk in Communities (ARIC).
Authors: Wang S. , Onyeaghala G.C. , Pankratz N. , Nelson H.H. , Thyagarajan B. , Tang W. , Norby F.L. , Ugoji C. , Joshu C.E. , Gomez C.R. , et al. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2023-06-01 00:00:00.0; 32(6), p. 784-794.
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Total-, LDL-, and HDL-cholesterol, apolipoproteins, and triglycerides with risk of total and fatal prostate cancer in Black and White men in the ARIC study.
Authors: Marrone M.T. , Prizment A.E. , Couper D. , Butler K.R. , Astor B.C. , Joshu C.E. , Platz E.A. , Mondul A.M. .
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Periodontal and other oral bacteria and risk of lung cancer in the Atherosclerosis Risk in Communities (ARIC) Study.
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Obesity Duration, Severity, and Distribution Trajectories and Cardiovascular Disease Risk in the Atherosclerosis Risk in Communities Study.
Authors: Raffield L.M. , Howard A.G. , Graff M. , Lin D.Y. , Cheng S. , Demerath E. , Ndumele C. , Palta P. , Rebholz C.M. , Seidelmann S. , et al. .
Source: Journal Of The American Heart Association, 2021-12-21 00:00:00.0; 10(24), p. e019946.
EPub date: 2021-12-10 00:00:00.0.
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Lipid-Lowering Drug Use and Cancer Incidence and Mortality in the ARIC Study.
Authors: Marrone M.T. , Mondul A.M. , Prizment A.E. , Couper D. , Barber J.R. , Chappidi M.R. , Joshu C.E. , Platz E.A. .
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Recommended Definitions of Aggressive Prostate Cancer for Etiologic Epidemiologic Research.
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Source: Journal Of The National Cancer Institute, 2021-06-01 00:00:00.0; 113(6), p. 727-734.
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THE AUTHORS REPLY.
Authors: Mok Y. , Ballew S.H. , Sang Y. , Coresh J. , Joshu C.E. , Platz E.A. , Matsushita K. .
Source: American Journal Of Epidemiology, 2021-05-04 00:00:00.0; 190(5), p. 950-952.
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Associations of Leisure-Time Physical Activity and Television Viewing with Life Expectancy Cancer-Free at Age 50: The ARIC Study.
Authors: Cuthbertson C.C. , Nichols H.B. , Tan X. , Kucharska-Newton A. , Heiss G. , Joshu C.E. , Platz E.A. , Evenson K.R. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2020 Dec; 29(12), p. 2617-2625.
EPub date: 2020-09-25 00:00:00.0.
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Albuminuria, Kidney Function, and Cancer Risk in the Community.
Authors: Mok Y. , Ballew S.H. , Sang Y. , Coresh J. , Joshu C.E. , Platz E.A. , Matsushita K. .
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Performance of High-Sensitivity Cardiac Troponin Assays to Reflect Comorbidity Burden and Improve Mortality Risk Stratification in Older Adults With Diabetes.
Authors: Tang O. , Daya N. , Matsushita K. , Coresh J. , Sharrett A.R. , Hoogeveen R. , Jia X. , Windham B.G. , Ballantyne C. , Selvin E. .
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Ambient air pollution as a mediator in the pathway linking race/ethnicity to blood pressure elevation: The multi-ethnic study of atherosclerosis (MESA).
Authors: Song L. , Smith G.S. , Adar S.D. , Post W.S. , Guallar E. , Navas-Acien A. , Kaufman J.D. , Jones M.R. .
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EPub date: 2019-09-30 00:00:00.0.
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Adherence to the World Cancer Research Fund/American Institute for Cancer Research cancer prevention guidelines and colorectal cancer incidence among African Americans and whites: The Atherosclerosis Risk in Communities study.
Authors: Onyeaghala G. , Lintelmann A.K. , Joshu C.E. , Lutsey P.L. , Folsom A.R. , Robien K. , Platz E.A. , Prizment A.E. .
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SES and correlated factors do not explain the association between periodontal disease, edentulism, and cancer risk.
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Source: Annals Of Epidemiology, 2019-08-22 00:00:00.0; , .
EPub date: 2019-08-22 00:00:00.0.
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Serum Urate, Genetic Variation, and Prostate Cancer Risk: Atherosclerosis Risk in Communities (ARIC) Study.
Authors: Wang A. , Barber J.R. , Tin A. , De Marzo A.M. , Kottgen A. , Joshu C.E. , Platz E.A. .
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Prospective Association of Serum and Dietary Magnesium with Colorectal Cancer Incidence.
Authors: Polter E. , Onyeaghala G.C. , Lutsey P.L. , Folsom A.R. , Joshu C.E. , Platz E.A. , Prizment A.E. .
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Association between greater leg length and increased incidence of colorectal cancer: the atherosclerosis risk in communities (ARIC) study.
Authors: Onyeaghala G. , Lutsey P.L. , Demerath E.W. , Folsom A.R. , Joshu C.E. , Platz E.A. , Prizment A.E. .
Source: Cancer Causes & Control : Ccc, 2019-06-04 00:00:00.0; , .
EPub date: 2019-06-04 00:00:00.0.
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Dietary choline and betaine intakes and risk of total and lethal prostate cancer in the Atherosclerosis Risk in Communities (ARIC) Study.
Authors: Han P. , Bidulescu A. , Barber J.R. , Zeisel S.H. , Joshu C.E. , Prizment A.E. , Vitolins M.Z. , Platz E.A. .
Source: Cancer Causes & Control : Ccc, 2019 Apr; 30(4), p. 343-354.
EPub date: 2019-03-01 00:00:00.0.
PMID: 30825046
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Cancer Survivorship and Subclinical Myocardial Damage: The Atherosclerosis Risk in Communities (ARIC) Study.
Authors: Florido R. , Lee A.K. , McEvoy J.W. , Hoogeveen R.C. , Koton S. , Vitolins M.Z. , Shenoy C. , Russell S.D. , Blumenthal R.S. , Ndumele C.E. , et al. .
Source: American Journal Of Epidemiology, 2019-03-30 00:00:00.0; , .
EPub date: 2019-03-30 00:00:00.0.
PMID: 30927355
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Hyperglycemia, Classified with Multiple Biomarkers Simultaneously in Men without Diabetes, and Risk of Fatal Prostate Cancer.
Authors: Marrone M.T. , Selvin E. , Barber J.R. , Platz E.A. , Joshu C.E. .
Source: Cancer Prevention Research (philadelphia, Pa.), 2019 Feb; 12(2), p. 103-112.
EPub date: 2018-12-11 00:00:00.0.
PMID: 30538098
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Longer-term Lipid-lowering Drug Use and Risk of Incident and Fatal Prostate Cancer in Black and White Men in the ARIC Study.
Authors: Mondul A.M. , Joshu C.E. , Barber J.R. , Prizment A.E. , Bhavsar N.A. , Selvin E. , Folsom A.R. , Platz E.A. .
Source: Cancer Prevention Research (philadelphia, Pa.), 2018 Dec; 11(12), p. 779-788.
EPub date: 2018-10-16 00:00:00.0.
PMID: 30327368
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Aspirin and Non-Aspirin NSAID Use and Prostate Cancer Incidence, Mortality, and Case-Fatality in the Atherosclerosis Risk in Communities Study.
Authors: Hurwitz L.M. , Joshu C.E. , Barber J.R. , Prizment A.E. , Vitolins M.Z. , Jones M.R. , Folsom A.R. , Han M. , Platz E.A. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2018-11-28 00:00:00.0; , .
EPub date: 2018-11-28 00:00:00.0.
PMID: 30487131
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Triple-Negative Breast Cancer Risk Genes Identified by Multigene Hereditary Cancer Panel Testing.
Authors: Shimelis H. , LaDuca H. , Hu C. , Hart S.N. , Na J. , Thomas A. , Akinhanmi M. , Moore R.M. , Brauch H. , Cox A. , et al. .
Source: Journal Of The National Cancer Institute, 2018-08-01 00:00:00.0; 110(8), p. 855-862.
PMID: 30099541
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Periodontal Disease Assessed Using Clinical Dental Measurements and Cancer Risk in the ARIC Study.
Authors: Michaud D.S. , Lu J. , Peacock-Villada A.Y. , Barber J.R. , Joshu C.E. , Prizment A.E. , Beck J.D. , Offenbacher S. , Platz E.A. .
Source: Journal Of The National Cancer Institute, 2018-01-12 00:00:00.0; , .
EPub date: 2018-01-12 00:00:00.0.
PMID: 29342298
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The Association of Severe Hypoglycemia With Incident Cardiovascular Events and Mortality in Adults With Type 2 Diabetes.
Authors: Lee A.K. , Warren B. , Lee C.J. , McEvoy J.W. , Matsushita K. , Huang E.S. , Sharrett A.R. , Coresh J. , Selvin E. .
Source: Diabetes Care, 2018 Jan; 41(1), p. 104-111.
EPub date: 2017-11-10 00:00:00.0.
PMID: 29127240
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Enhancing the Infrastructure of the Atherosclerosis Risk in Communities (ARIC) Study for Cancer Epidemiology Research: ARIC Cancer.
Authors: Joshu C.E. , Barber J.R. , Coresh J. , Couper D.J. , Mosley T.H. , Vitolins M.Z. , Butler K.R. , Nelson H.H. , Prizment A.E. , Selvin E. , et al. .
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EPub date: 2017-12-20 00:00:00.0.
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Physical Activity And Lifetime Risk Of Cardiovascular Disease And Cancer
Authors: Kubota Y. , Evenson K.R. , MacLehose R.F. , Roetker N.S. , Joshu C.E. , Folsom A.R. .
Source: Medicine And Science In Sports And Exercise, 2017-03-27 00:00:00.0; , .
PMID: 28350711
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