Item
1. During the last year, have you gained or lost more than 10 pounds?
integer
C0005911 (UMLS CUI [1])
Code List
1. During the last year, have you gained or lost more than 10 pounds?
CL Item
lost more than 10 pounds (1)
CL Item
gained more than 10 pounds (2)
CL Item
both lost and gained more than 10 pounds (3)
Item
A. Was diet for the purpose of losing or gaining weight a major factor in your weight change?
integer
C0012155 (UMLS CUI [1])
Code List
A. Was diet for the purpose of losing or gaining weight a major factor in your weight change?
Item
B. Was surgery, illness or medication a major factor in your weight change?
integer
C0221423 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
Code List
B. Was surgery, illness or medication a major factor in your weight change?
Item
C. Was exercise a major factor in your weight change?
integer
C0015259 (UMLS CUI [1,1])
C0005911 (UMLS CUI [1,2])
Code List
C. Was exercise a major factor in your weight change?
usual weight
Item
2. What was your usual weight at age 50?
float
C0005910 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
Item
3. In your early teens (11-14 years), were you heavier than average, about average, or thinner than average?
integer
C0005910 (UMLS CUI [1,1])
C1521910 (UMLS CUI [1,2])
Code List
3. In your early teens (11-14 years), were you heavier than average, about average, or thinner than average?
CL Item
heavier than average (1)
CL Item
about average (2)
CL Item
thinner than average (3)
Item
4. Are you following a special diet?
integer
C3164710 (UMLS CUI [1])
Code List
4. Are you following a special diet?
Item
A. What was the purpose of the diet? To lose weight
integer
C0012167 (UMLS CUI [1])
Code List
A. What was the purpose of the diet? To lose weight
Item
A. What was the purpose of the diet? To gain weight
integer
C0043094 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? To gain weight
Item
A. What was the purpose of the diet? For diabetes
integer
C0011849 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? For diabetes
Item
A. What was the purpose of the diet? For kidney failure
integer
C0035078 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? For kidney failure
Item
A. What was the purpose of the diet? For ulcers
integer
C0041582 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? For ulcers
Item
A. What was the purpose of the diet? For diverticulitis
integer
C0012813 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? For diverticulitis
Item
A. What was the purpose of the diet? For allergies
integer
C0020517 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? For allergies
Item
A. What was the purpose of the diet? For heart trouble
integer
C0018799 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? For heart trouble
Item
A. What was the purpose of the diet? For high blood pressure
integer
C0020538 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? For high blood pressure
Item
A. What was the purpose of the diet? For other reasons
integer
C3840932 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Code List
A. What was the purpose of the diet? For other reasons
diet for other reasons
Item
If OTHER REASONS, please specify:
text
C3840932 (UMLS CUI [1,1])
C3164710 (UMLS CUI [1,2])
Item
B. What kind of diet is it? Low Calorie
integer
C2930544 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low Calorie
Item
B. What kind of diet is it? High calorie
integer
C0301590 (UMLS CUI [1])
Code List
B. What kind of diet is it? High calorie
Item
B. What kind of diet is it? Low protein
integer
C0242972 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low protein
Item
B. What kind of diet is it? High protein
integer
C0425403 (UMLS CUI [1])
Code List
B. What kind of diet is it? High protein
Item
B. What kind of diet is it? Low fat
integer
C0242970 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low fat
Item
B. What kind of diet is it? High fat
integer
C0521974 (UMLS CUI [1])
Code List
B. What kind of diet is it? High fat
Item
B. What kind of diet is it? Low carbohydrate
integer
C0259836 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low carbohydrate
Item
B. What kind of diet is it? High carbohydrate
integer
C0259835 (UMLS CUI [1])
Code List
B. What kind of diet is it? High carbohydrate
Item
B. What kind of diet is it? Low sugar
integer
C0452316 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low sugar
Item
B. What kind of diet is it? Low salt
integer
C0012169 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low salt
Item
B. What kind of diet is it? Low cholesterol
integer
C2243019 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low cholesterol
Item
B. What kind of diet is it? Low fiber
integer
C0344356 (UMLS CUI [1])
Code List
B. What kind of diet is it? Low fiber
Item
B. What kind of diet is it? High fiber
integer
C0301568 (UMLS CUI [1])
Code List
B. What kind of diet is it? High fiber
Item
B. What kind of diet is it? Bland diet
integer
C0301572 (UMLS CUI [1])
Code List
B. What kind of diet is it? Bland diet
Item
B. What kind of diet is it? Other diet
integer
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
Code List
B. What kind of diet is it? Other diet
other diet
Item
If OTHER DIET, please specify:
text
C0012155 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
diet duration
Item
C. About how long have you been following this diet? YEARS
integer
C0012155 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
diet duration
Item
C. About how long have you been following this diet? MONTHS
integer
C0012155 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
D. Was this diet recomended by your physician?
integer
C0012155 (UMLS CUI [1,1])
C0583555 (UMLS CUI [1,2])
Code List
D. Was this diet recomended by your physician?
Item
5. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
integer
C0724359 (UMLS CUI [1])
Code List
5. During the past two weeks, have you taken a multiple vitamin or any other vitamin supplements?
Item
A. Multiple vitamin
integer
C0301532 (UMLS CUI [1])
Code List
A. Multiple vitamin
multiple vitamin duration
Item
If you answered YES, how many days during the past two weeks did you take a multiple vitamin?
integer
C0301532 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
B. Vitamin A or beta-carotene
integer
C0042839 (UMLS CUI [1,1])
C0053396 (UMLS CUI [1,2])
Code List
B. Vitamin A or beta-carotene
vitamin A or beta-carotene duration
Item
If you answered YES, how many day during the past two weeks did you take vitamin A or beta-carotene?
integer
C0042839 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
C0053396 (UMLS CUI [1,3])
Item
C. Vitamin C
integer
C0003968 (UMLS CUI [1])
vitamin C duration
Item
If YES, how many days during the past two weeks did you take vitamin C?
integer
C0003968 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
D. Vitamin E
integer
C0042874 (UMLS CUI [1])
Item
If YES, how many days during the past two weeks did you take vitamin E?
integer
C0042874 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Code List
If YES, how many days during the past two weeks did you take vitamin E?
Item
6. Are you usually sleepy in the daytime? (Do not include a d´regular daily nap as "feeling sleepy".)
integer
C0013144 (UMLS CUI [1])
Code List
6. Are you usually sleepy in the daytime? (Do not include a d´regular daily nap as "feeling sleepy".)
Item
7. Do you feel groggy and unfreshed for more than half an hour after waking up in the morning?
integer
C0541994 (UMLS CUI [1])
Code List
7. Do you feel groggy and unfreshed for more than half an hour after waking up in the morning?
Item
8. Has your spouse or roommate complained about loud snoring?
integer
C0037384 (UMLS CUI [1])
Code List
8. Has your spouse or roommate complained about loud snoring?
Item
9. Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loundly
integer
C0037315 (UMLS CUI [1])
Code List
9. Has anyone observed you while sleeping to have episodes where you stop breathing for a while and then snore or snort loundly
Item
10. Do you usually have trouble falling asleep?
integer
C0150079 (UMLS CUI [1])
Code List
10. Do you usually have trouble falling asleep?
Item
11. Do you usually wake up several times at night?
integer
C1170730 (UMLS CUI [1])
Code List
11. Do you usually wake up several times at night?
Item
12. Do you usually wake up far too early?
integer
C0541798 (UMLS CUI [1])
Code List
12. Do you usually wake up far too early?
Item
13. Can you see well enough to drive, with our without glasses?
integer
C0042789 (UMLS CUI [1,1])
C4050139 (UMLS CUI [1,2])
Code List
13. Can you see well enough to drive, with our without glasses?
Item
14. Can you see well enough to watch TV, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0871498 (UMLS CUI [1,2])
Code List
14. Can you see well enough to watch TV, with or without glasses?
Item
15. Can you see well enough to recognize someone across the room, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0558054 (UMLS CUI [1,2])
C1547703 (UMLS CUI [1,3])
Code List
15. Can you see well enough to recognize someone across the room, with or without glasses?
Item
16. Can you see well enough to read the newspaper, with or without glasses?
integer
C0042789 (UMLS CUI [1,1])
C0027989 (UMLS CUI [1,2])
Code List
16. Can you see well enough to read the newspaper, with or without glasses?
Item
17. Can you hear well enough to use the telephone, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1,1])
C0577446 (UMLS CUI [1,2])
Code List
17. Can you hear well enough to use the telephone, with or without a hearing aid?
Item
18. Can you hear well enough to listen to a radio, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1])
Code List
18. Can you hear well enough to listen to a radio, with or without a hearing aid?
Item
19. Can you hear well enough to carry a conversation in a crowded room, with or without a hearing aid?
integer
C0018767 (UMLS CUI [1,1])
C0871703 (UMLS CUI [1,2])
C0010383 (UMLS CUI [1,3])
Code List
19. Can you hear well enough to carry a conversation in a crowded room, with or without a hearing aid?
Item
20. Have you smoked more than 100 cigarettes or 5 packs of cigarettes in your lifetime?
integer
C3172644 (UMLS CUI [1])
Code List
20. Have you smoked more than 100 cigarettes or 5 packs of cigarettes in your lifetime?
Item
A. Have you smoked cigarettes during the last 30 days?
integer
C0543414 (UMLS CUI [1,1])
C1547058 (UMLS CUI [1,2])
Code List
A. Have you smoked cigarettes during the last 30 days?
start smoking age
Item
B. How old were you when you first started to smoke cigarettes?
integer
C3260575 (UMLS CUI [1])
stop smoking age
Item
C. If you have stopped smoking cigarettes completely, how old were you when you stopped? (If you still smoke, leave this question blank.)
integer
C0037369 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
cigarettes per day
Item
D. On the average of the entire time you smoked, how many cigarettes did you smoke per day?
integer
C3694146 (UMLS CUI [1])
Item
21. Does anyone living with you smoke cigarettes regularly?
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
Code List
21. Does anyone living with you smoke cigarettes regularly?
Item
22. Have you ever lived for at least one year in the same household with someone (including parent or spouse) who smoked cigarettes regularly?
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
Code List
22. Have you ever lived for at least one year in the same household with someone (including parent or spouse) who smoked cigarettes regularly?
years lived in household with smoker
Item
A. For how many years in total have you lived with someone who smoked cigarettes regularly?
float
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])
Item
B. During what time periods in your life were you living with a regular smoker? As a child/ teenager
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
C0231335 (UMLS CUI [1,3])
Code List
B. During what time periods in your life were you living with a regular smoker? As a child/ teenager
Item
B. During what time periods in your life were you living with a regular smoker? Between the ages of 20 to 50
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
Code List
B. During what time periods in your life were you living with a regular smoker? Between the ages of 20 to 50
Item
B. During what time periods in your life were you living with a regular smoker? After age 50
integer
C0543414 (UMLS CUI [1,1])
C0020052 (UMLS CUI [1,2])
C0001779 (UMLS CUI [1,3])
Code List
B. During what time periods in your life were you living with a regular smoker? After age 50
Item
23. Do you ever use snuff or smokeless tobacco?
integer
C0040338 (UMLS CUI [1])
Code List
23. Do you ever use snuff or smokeless tobacco?
Item
24. Have you ever accidentally lost control of your urine (wet yourself) more than one time in a month?
integer
C3831336 (UMLS CUI [1])
Code List
24. Have you ever accidentally lost control of your urine (wet yourself) more than one time in a month?
Item
25. Do you wake up to urinate more than three nights per week?
integer
C1170730 (UMLS CUI [1,1])
C0085606 (UMLS CUI [1,2])
Code List
25. Do you wake up to urinate more than three nights per week?
Item
26. During the last year, have you had a fall? (Do not include falls during skiing, skating or other activities that may affect balance.)
integer
C0085639 (UMLS CUI [1])
Code List
26. During the last year, have you had a fall? (Do not include falls during skiing, skating or other activities that may affect balance.)
fall
Item
A. How many times have you fallen in the last year?
integer
C0085639 (UMLS CUI [1])
Item
27. Is your natural mother still living?
integer
C2321272 (UMLS CUI [1])
Code List
27. Is your natural mother still living?
mother age
Item
If YES, how old is she?
integer
C0026591 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
mother age at death
Item
If NO, how old was she when she died?
integer
C1546180 (UMLS CUI [1,1])
C0026591 (UMLS CUI [1,2])
Item
28. Is your natural father still living?
integer
C2321271 (UMLS CUI [1])
Code List
28. Is your natural father still living?
father age
Item
If YES, how old is he?
integer
C0015671 (UMLS CUI [1,1])
C0001779 (UMLS CUI [1,2])
father age at death
Item
If NO, how old was he when he died?
integer
C1546180 (UMLS CUI [1,1])
C0015671 (UMLS CUI [1,2])
Item
34. Have you ever had your blood cholesterol measured?
integer
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
Code List
34. Have you ever had your blood cholesterol measured?
Item
A. Where did you have it measured?
integer
C0018704 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0518017 (UMLS CUI [1,3])
Code List
A. Where did you have it measured?
CL Item
Doctor's office or hospital, at the request of your doctor (1)
CL Item
Health fair or other health screening not related to your doctor (2)
blood cholesterol measurement place
Item
If "other", specify:
text
C0018704 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0518017 (UMLS CUI [1,3])
Item
B. Why did you have it measured?
integer
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
B. Why did you have it measured?
CL Item
Recommended by your doctor (1)
CL Item
Requested by you or a family member (2)
blood cholesterol measurement reason
Item
If "other", specify:
text
C0518017 (UMLS CUI [1,1])
C0444706 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
35. Are you currently involved in any medical studies other than CHS?
integer
C2348568 (UMLS CUI [1])
Code List
35. Are you currently involved in any medical studies other than CHS?
study participation
Item
If YES, please name:
text
C2348568 (UMLS CUI [1])
Item
36. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
integer
C3541386 (UMLS CUI [1])
Code List
36. Are you currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen?
days per month estrogen
Item
A. How many days per month do you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
estrogen duration
Item
B. For how long have you been taking estrogen?
text
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
C. Why are you taking estrogen? To prevent hot flashes
integer
C0600142 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? To prevent hot flashes
Item
C. Why are you taking estrogen? To prevent other postmenopausal symptoms
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? To prevent other postmenopausal symptoms
Item
C. Why are you taking estrogen? To prevent osteoporosis or bone loss
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? To prevent osteoporosis or bone loss
Item
C. Why are you taking estrogen? To prevent heart disease
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? To prevent heart disease
Item
C. Why are you taking estrogen? For other reasons
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
C. Why are you taking estrogen? For other reasons
other estrogen indication
Item
If OTHER REASONS, please specify:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
37. If you are NOT currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
integer
C0014939 (UMLS CUI [1,1])
C1444637 (UMLS CUI [1,2])
Code List
37. If you are NOT currently taking estrogens such as Premarin, Estrace, Ogen or any other estrogen, have you taken estrogen in the past?
days per month estrogen in the past
Item
A. How many days per month did you take estrogen?
integer
C0014939 (UMLS CUI [1,1])
C1444637 (UMLS CUI [1,2])
C0556971 (UMLS CUI [1,3])
estrogen stopped
Item
B. When did you stop? (State year OR age when stopped.)
integer
C0014939 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
estrogen duration
Item
C. For how long did you take estrogen?
text
C0014939 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
D. Why did you take estrogen? To prevent hot flashes
integer
C0600142 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? To prevent hot flashes
Item
D. Why did you take estrogen? To prevent other postmenopausal symptoms
integer
C0206159 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? To prevent other postmenopausal symptoms
Item
D. Why did you take estrogen? To prevent osteoporosis or bone loss
integer
C0029456 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? To prevent osteoporosis or bone loss
Item
D. Why did you take estrogen? To prevent heart disease
integer
C0018799 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? To prevent heart disease
Item
D. Why did you take estrogen? For other reasons
integer
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
D. Why did you take estrogen? For other reasons
other estrogen indication
Item
If OTHER REASONS, please specify:
text
C3840932 (UMLS CUI [1,1])
C0014939 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Item
38. Are you currently taking progestins such as Provera or Norlutate?
integer
C0033306 (UMLS CUI [1])
Code List
38. Are you currently taking progestins such as Provera or Norlutate?
days per month progestin
Item
A. How many days per month do you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
progestin duration
Item
B. For how long have you been taking progestin?
text
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Item
39. If you are not currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
integer
C0033306 (UMLS CUI [1,1])
C1444637 (UMLS CUI [1,2])
Code List
39. If you are not currently taking progestin such as Provera or Norlutate, have you taken progestin in the past?
days per month progestin
Item
A. If you answered YES, how many days per month did you take progestin?
integer
C0033306 (UMLS CUI [1,1])
C0556971 (UMLS CUI [1,2])
progestins stopped
Item
B. When did you stop? (State year OR age when stopped.)
integer
C0033306 (UMLS CUI [1,1])
C2746065 (UMLS CUI [1,2])
progestin duration
Item
C. For how long did you take progestin?
text
C0033306 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
No comments