A nested case-control study is a way that researchers can learn about a disease, by looking at some people who have the disease and some who do not, and comparing them. It's like if you wanted to learn about a game you like, and you asked your friends who play it what they do, and then you compared it to what your friends who don't play it do.
In a nested case-control study, the people who have the disease are called "cases," and the people who don't have the disease are called "controls." The researchers don't just study any old cases and controls - they pick them carefully to make sure they are good examples of the disease and the non-disease.
Then, the researchers go back in time and look at information that was collected about the people, like what they ate, where they lived, or what their genes are like. They use this information to see if there is anything different between the cases and controls that might explain why some people got the disease and some didn't.
For example, let's say the researchers want to learn about a disease that affects the heart. They might start by picking some people who have the disease and some who don't, and then comparing them. They might find that people who eat a lot of fatty foods are more likely to get the disease. But they can't just stop there - they need to make sure this is a real finding and not just a fluke.
So, they do a nested case-control study. They start by picking a big group of people who were all healthy when they were first studied. Then, they wait and see who ends up getting the heart disease, and those people become the "cases." They also pick some people from the big group who never got the disease, and those become the "controls." Now they can go back and check if the people who ate more fatty foods were more likely to become cases, compared to the controls who didn't get the disease.
This type of study helps researchers figure out what might be causing the disease, and can give doctors ideas for how to prevent or treat it. By looking at a lot of people and comparing them carefully, they can learn a lot about diseases and how to fight them.