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Coronary Heart DiseaseCCHSNCT02993172

The Copenhagen City Heart Study

An observational study of Coronary Heart Disease and Stroke, run by Bispebjerg Hospital.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The Copenhagen City Heart Study is an ongoing cardiovascular population study initiated in 1976 which has examined approximately 25,000 individuals from the general population. The initial sample has been re-invited up to four times and supplemented by younger individuals. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Coronary Heart Disease, Stroke, Heart Failure
How many people
23,891 participants
Where
No sites listed yet
Study dates
Jan 1976to Jan 2014
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Age.stratified random sample of the census population

Who may be able to join

  • Background population living in a defined area of Copenhagen

Who cannot join

  • None

About this study

Official title: The Copenhagen City Heart Study 'Østerbroundersøgelsen'

The Copenhagen City Heart Study is an ongoing cardiovascular population study initiated in 1976 which has examined approximately 25,000 individuals from the general population. The initial sample has been re-invited up to four times and supplemented by younger individuals. The study includes questionnaires, clinical assessment and biomarkers. The population have been followed in a number of outcome registries and more than 900 scientific papers have been published.

Read the detailed description

The Copenhagen City Heart Study, also known as "Østerbroundersøgelsen", is a large prospective cardio-vascular population study of 20,000 women and men that was launched in 1975 by Dr Peter Schnohr and Dr Gorm Jensen together with statistician Jørgen Nyboe and Prof. A. Tybjærg Hansen.

The original purpose of the study was to focus on prevention of coronary heart disease and stroke. During the years many other aspects have been added to the study: pulmonary diseases, heart failure, arrhythmia, alcohol, arthrosis, eye diseases, allergy, epilepsia, dementia, stress, vital exhaustion, social network, sleep-apnoe, ageing and genetics. In the fourth and fifth wave of the examination echocardiography was included.

The Copenhagen City Heart Study has invited a random sample of the census population in an area of central Copenhagen in five waves. The primary population was a random sample of 19,329 men and women 20-93 years old, drawn from a population of approximately 90,000 inhabitants aged 20 years or older living in a central part of Copenhagen (Østerbro). Using the unique personal identification number (Central-Personal-Register-code), consisting of date of birth and a registration number, the sample was age-stratified within 5-year age groups, with the main emphasis on the age groups from 35 to 70 years. The total number of participants invited to the first four examinations was: 19,329+500+3,000+1,062 = 23,891 men and women. Of the original 14,223 examined at the first examination 3,092 (21.7%) have been examined in all four examinations.

Follow-up of mortality and morbidity using the unique personal identification number is performed by linkage to a number of nation-wide disease registries. Follow-up completion rate is almost 100 percent (less than 0.1% have been lost to follow-up mainly through emigration), which is very uncommon for large population studies.

Overview of the patients examined in the Copenhagen City Heart Study:

  1. st exam: 1976-78, 19,329 invited, 14,223 (73.6%) attended
  2. nd exam: 1981-83, 18,059 invited, 12,698 (71.2%) attended
  3. rd exam: 1991-94, 16,563 invited, 10.135 (61.2%) attended
  4. th exam: 2001-03,12,600 invited, 6,238 (49.5%) attended
  5. th exam: 2011-2014, approx 10,000 invited, approx 5000 (50%) attended

The Copenhagen City Heart Study is governed by a Steering Committee. The data from the Copenhagen City Heart Study is made available to researchers upon application to and approval by the Steering Committee. The following constitute the Steering Committee:

Gorm Jensen and Peter Schnohr (initiators), Peter Lange, Eva Prescott, Børge Nordestgaard, Morten Grønbæk, Anne Tybjærg Hansen, Stig Bojesen, Finn Gyntelberg, Jan Skov Jensen and Merete Appleyard

Medical subject headings
Coronary Disease, Stroke, Heart Failure, Neoplasms, Myocardial Infarction, Pulmonary Disease, Chronic Obstructive

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Registry based disease outcomes, mainly cardiovascular, pulmonary and cancer outcomes

    Measured: Latest registry update december 31 2014

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Dec 2016 (estimated)
  2. Study startJan 1976
  3. Primary completionJan 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
23,891 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02993172
Sponsor's protocol ID
CCHS
Acronym
CCHS
Status last verified
Dec 2016
First submitted
9 Dec 2016
Last updated
15 Dec 2016
Results posted
No
Data monitoring committee
No

Publications

  • Isozaki S, Skjelbred T, Warming PE, Casarini E, Prescott EIB, Jabbari R, Mujkanovic J, Tfelt-Hansen J. Leisure-time physical activity and risk of sudden cardiac death: a 28-year follow-up from the Copenhagen City Heart Study. EClinicalMedicine. 2026 Mar 10;93:103825. doi: 10.1016/j.eclinm.2026.103825. eCollection 2026 Mar.

    PubMed 41852925
  • Larsen BS, Olsen FJ, Andersen DM, Madsen CV, Mogelvang R, Jensen GB, Schnohr P, Aplin M, Host NB, Christensen H, Sajadieh A, Biering-Sorensen T. Left Atrial Volumes and Function, and Long-Term Incidence of Ischemic Stroke in the General Population. J Am Heart Assoc. 2022 Sep 20;11(18):e027031. doi: 10.1161/JAHA.122.027031. Epub 2022 Sep 8.

    PubMed 36073645
  • Olsen FJ, Skaarup KG, Lassen MCH, Johansen ND, Sengelov M, Jensen GB, Schnohr P, Marott JL, Sogaard P, Gislason G, Svendsen JH, Mogelvang R, Aalen JM, Remme EW, Smiseth OA, Biering-Sorensen T. Normal Values for Myocardial Work Indices Derived From Pressure-Strain Loop Analyses: From the CCHS. Circ Cardiovasc Imaging. 2022 May;15(5):e013712. doi: 10.1161/CIRCIMAGING.121.013712. Epub 2022 May 10.

    PubMed 35535593
  • Svendstrup M, Allin KH, Angquist L, Schnohr P, Jensen GB, Linneberg A, Thuesen B, Astrup A, Saris WHM, Vestergaard H, Sorensen TIA. Is abdominal obesity at baseline influencing weight changes in observational studies and during weight loss interventions? Am J Clin Nutr. 2018 Nov 1;108(5):913-921. doi: 10.1093/ajcn/nqy187.

    PubMed 30475965

Questions about this trial

What is this clinical trial studying?

An observational study of Coronary Heart Disease and Stroke, run by Bispebjerg Hospital.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Registry based disease outcomes, mainly cardiovascular, pulmonary and cancer outcomes (time frame: Latest registry update december 31 2014). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02993172, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2016; AzTrials last refreshed its copy on 31 Oct 2026.

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