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Multi-city Elderly Health Examination Cohort Study (MEHECS) in China.
Lin Yang1, Zifang Zhou1, Lin Lin1
1National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, No. 27 Nanwei Road, Xicheng District, Beijing, 100050, China.
European Journal of Epidemiology
|May 28, 2026
Summary
The Multi-city Elderly Health Examination Cohort Study (MEHECS) tracks Chinese seniors
Area of Science:
- Gerontology and Public Health
- Epidemiology
- Health Services Research
Background:
- The Multi-city Elderly Health Examination Cohort Study (MEHECS) is a large-scale, prospective cohort study in China.
- It collects comprehensive health data from elderly participants annually between 2012 and 2023.
- This study links health management data with mortality records to understand health trends in older Chinese adults.
Purpose of the Study:
- To establish a robust dataset for Chinese elderly health.
- To provide detailed, multidimensional health information for research and policy development.
- To investigate factors influencing health and mortality in the aging Chinese population.
Main Methods:
- Prospective cohort study design with multistage sampling across multiple cities.
- Annual data collection including standardized questionnaires, medical examinations, and health assessments.
- Correlation of health management data with mortality registration data.
Main Results:
- As of 2023, baseline data from over 3.7 million participants (mean age 70.9 years) were collected.
- Over 412,000 deaths were identified during a median follow-up of 4.44 years.
- Ongoing data collection and follow-up ensure continuous research output.
Conclusions:
- MEHECS provides a valuable resource for understanding the health of China's aging population.
- The study's findings can inform evidence-based policies to promote healthy aging.
- Continued research from MEHECS will contribute to improving elderly healthcare and well-being in China.

