Could common food additives be friend or foe? a massive study investigates
NCT ID NCT07746310
First seen Aug 05, 2026 · Last updated Aug 06, 2026 · Updated 1 time
Summary
This large observational study is investigating whether nitrate, nitrite, and phosphate—compounds found naturally in food and water and used as additives—are linked to chronic diseases like gastrointestinal cancers, heart disease, and respiratory conditions. Researchers will follow data from over 86,000 people across different age groups, using health records and biological samples to explore potential dual effects. The goal is to better understand how these everyday substances might influence health at different life stages.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- This research could clarify whether these common food and water compounds are harmful or helpful, potentially shaping future dietary guidelines and health risk assessments.
- What could go wrong
- Because this is an observational study, it can show associations but not prove cause and effect. Many factors influence disease risk, so findings may not lead to definitive conclusions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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86,000 people
The number who actually took part.
- Started
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Jan 1987
- Finished
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Dec 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
We plan to use data from two population-based and longitudinal cohorts of middle-aged to elderly women and men, parts of the Swedish Infrastructure for Medical Population-based Life-course and Environmental Research (SIMPLER). The SMC was established in 1987-90 to which all women born in 1914-48, living in the counties of Uppsala and Västmanland in Sweden, were invited to participate in. In 1997, the COSM was established inviting all men born in 1918-1952 and living in Västmanland and Örebro counties in Sweden. Questionnaire information has been repeatedly collected in 1987-90, 1997, 2008/9, and in 2019. Clinical sub-cohorts (SMC-C and COSM-C) were established between 2003 and 2010. We will also use data from the population-based prospective birth cohort BAMSE. The cohort was established in 1994-96, when 4,089 newborn children in two areas in Stockholm were invited to participate in the study.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: SMC and COSM * Born between 1914 and 1948 (SMC) or through 1952 (COSM) * Residing in Västmanland and Uppsala counties (SMC) * Residing in Västmanland and Örebro counties (COSM) BAMSE cohort * All children born in certain areas of northern and central Stockholm between Feb 1994 and Nov 1996. Exclusion Criteria: SMC and COSM * Incorrect or missing national registration number * Prevalent disease at baseline (depending on research question) * Implausible energy intake BAMSE cohort * The family planned to move within 1 year of the study start; * Insufficient knowledge of the Swedish language; * The family had a seriously ill child or * an older sister or brother was already included in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Karolinska Institutet
Stockholm, Sweden
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Other studies related to the condition(s) this trial covers.
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