CARDIA Year 00 (Exam 1) Data and Documentation
Form 1: Telephone Interview
Data: AAF01.SD2
Form: F1 - Telephone Interview (D10001.PDF)
New Documentation: AAF01.PDF
Original Documentation:
A4F01 - Telephone Interview V1.4
(D10228.PDF)
Form 2: Blood Pressure
Data: AAF02.SD2
Form: F2 - Blood Pressure Form (D10002.PDF)
New Documentation: AAF02.PDF
Original Documentation:
A4F02 - Blood Pressure V1.4 (D10229.PDF)
Form 3: Sociodemographics
Data: AAF03.SD2
Form: F3 - Sociodemographic Questionnaire
(D10003.PDF)
New Documentation: AAF03.PDF
Original Documentation:
A4F03 - Sociodemographic Questionnaire
V1.4 (D10230.PDF)
Form 4: Life Events Questionnaire
Data: AAF04.SD2
Form: F4 - Life Events Questionnaire
(D10004.PDF)
New Documentation: AAF04.PDF
Original Documentation:
A4F04 - Life Events Questionnaire
(D10242.PDF)
Form 5: Phlebotomy
Data: AAF05.SD2
Form: F5 - Phlebotomy Form (D10005.PDF)
New Documentation: AAF05.PDF
Original Documentation:
A4F05 - Phlebotomy and CBC Data
(D10243.PDF)
Form 6: Diet History Interview
Data: AAF06Q18.SD2, AAF06A.SD2, AAF06VA.SD2
Form: F6 - CARDIA Diet History Questionnaire
(D10006.PDF)
New Documentation:
AAF06Q18.PDF
AAF06A.PDF
AAF06VA.PDF
Original Documentation:
A4F06018 - Dietary Practices - Diet
History V1.4 (D10433.PDF)
A4F06A/A4F06VA - Nutrient Data -
Diet History V1.4 (D10432.PDF)
Form 7: Alcohol Use Questionnaire
Data: AAF07.SD2
Form: F7 - Alcohol Use Questionnaire
(D10008.PDF)
New Documentation: AAF07.PDF
Original Documentation:
A4F07 - Alcohol Use Questionnaire
(D10244.PDF)
Forms 8, 8M, 8W: Medical History
Data: AAF08.SD2
Forms:
F8 - Weight History Questionnaire
(D10009.PDF),
F8M - Medical History Questionnaire:
Men (D10010.PDF),
8W - Medical History Questionnaire:
Women (D10011.PDF)
New Documentation: AAF08.PDF
Original Documentation:
A4F08 - Medical and Weight History
Questionnaire (D10245.PDF)
Form 9: Follow Up Questions for Medications
Data: AAF09MED.SD2
Forms:
F9-MED-ASTH - Follow-up Questions
for Medications for Asthma or Other Breathing Problems (D10032.PDF)
F9-MED-BCP - Follow-up Questions
for Birth Control Pills (D10029.PDF)
F9-MED-HBP - Follow-up Questions
for Antihypertensive Medications (D10031.PDF)
F9-MED-HEART - Follow-up Questions
for Heart Medications (D10030.PDF)
F9-MED-HORM - Follow-up Questions
for Hormones Other than Birth Control Pills (D10034.PDF)
F9-MED-OTHER - Follow-up Questions
for Other Prescriptive Medications (D10033.PDF)
New Documentation: AAF09MED.PDF
Original Documentation:
A4F09MED - Medication Follow-up
Questionnaires (D10247.PDF)
Form 9: Follow Up Questions for Medical History
Data: AAF09GEN.SD2
Forms:
F9-CHOL - Follow-up Questions for
High Cholesterol (D10015.PDF),
F9-DIAB - Follow-up Questions for
Diabetes (D10016.PDF),
F9-GALL - Follow-up Questions for
Gallstones or Gall Bladder Disease (D10022.PDF),
F9-HBP - Follow-up Questions
for Hypertension (D0901.PDF),
F9-HEART - Follow-up Questions for
Heart Problems (D10014.PDF),
F9-HYST - Follow-up Questions for
Women (D10026.PDF),
F9-KIDNEY - Follow-up Questions for
Kidney Problems (D10017.PDF),
F9-LIVER - Follow-up Questions for
Liver Problems (D10019.PDF),
F9-MAJOR - Follow-up Questions for
Other Major Health Problems (D10024.PDF),
F9-NER - Follow-up Questions for
Nervous, Emotional, or Mental Disorders (D10021.PDF),
F9-PERIOD - Date of Current or Last
Menstrual Period (D0903.PDF),
F9-PREG - Pregnancy Questionnaire
(D10028.PDF),
F9-SICKLE - Follow-up Questions for
Sickle Cell Trait (D10023.PDF),
F9-THYR - Follow-up Questions for
Thyroid Problems (D0902.PDF),
F9-TUMOR - Follow-up Questions for
Cancer or Tumor (D10020.PDF),
F9-ULCER - Follow-up Questions for
Stomach or Duodenal Ulcer (D10018.PDF),
F9-VAS - Follow-up Questions for
Men (D10025.PDF)
New Documentation: AAF09GEN.PDF
Original Documentation:
A4F09GEN - General Medical History
Follow-up Questionnaires (D10246.PDF)
Form 9: Follow Up Questions for Tobacco Use
Data: AAF09TOB.SD2
Form: F9-TOB - Follow-up Questions
for Tobacco Use (D10035.PDF)
New Documentation: AAF09TOB.PDF
Original Documentation:
A4F09TOB - Tobacco Use Follow-up
Questionnaire (D10248.PDF)
Form 10: Tobacco Use Questionnaire
Data: AAF10.SD2
Form: F10 - Tobacco Use Questionnaire
(D10036.PDF)
New Documentation: AAF10.PDF
Original Documentation:
A4F10 - Tobacco Questionnaire (D10249.PDF)
Form 11: Family History Questionnaire
Data: AAF11.SD2
Form: F11 - Family History Questionnaire
(D10037.PDF)
New Documentation: AAF11.PDF
Original Documentation:
A4F11 - Family History Questionnaire
(D10250.PDF)
Form 12: History of Lung Problems Questionnaire
and Pulmonary Function Results
Data: AAF12.SD2
Form: F12 - History of Lung Problems
Questionnaire (D10038.PDF)
New Documentation: AAF12.PDF
Original Documentation:
A4F12 - History of Lung Problems
and Pulmonary Function Testing Results (D10251.PDF)
Form 13: Cook-Medley Hostility Questionnaire
Data: AAF13.SD2
Form: F13 - Cook-Medley Hostility
Questionnaire (D10039.PDF)
New Documentation: AAF13.PDF
Original Documentation:
A4F13 - Cook Medley Questionnaire
(D10252.PDF)
Form 14: Social Support Questionnaire
Data: AAF14.SD2
Form: F14 - Social Support Questionnaire
(D10040.PDF)
New Documentation: AAF14.PDF
Original Documentation: A4F14 - Social
Support Questionnaire (D10253.PDF)
Form 15: John Henryism Questionnaire
Data: AAF15.SD2
Form: F15 - John Henryism Questionnaire
(D10041.PDF)
New Documentation: AAF15.PDF
Original Documentation:
A4F15 - John Henryism Questionnaire
(D10254.PDF)
Form 16: Framingham Type A/B Questionnaire
Data: AAF16.SD2
Form: F16 - Framingham Type A/B Questionnaire
(D10042.PDF)
New Documentation: AAF16.PDF
Original Documentation:
A4F16 - Framingham Type A/B Questionnaire
(D10255.PDF)
Form 18: Physical Activity Questionnaire
Data: AAF18.SD2
Form: F18 - Physical Activity Questionnaire
(D10044.PDF)
New Documentation: AAF18.PDF
Original Documentation:
A4F18 - Physical Activity Questionnaire
(D10257.PDF)
Form 19: Seven-Day Physical Activity Recall
Questionnaire
Data: AAF19.SD2
Form: F19 - Seven-Day Physical Activity
Recall Questionnaire (D10049.PDF)
New Documentation: AAF19.PDF
Original Documentation:
A4F19 - Physical Activity Recall
Questionnaire (D10258.PDF)
Form 20: Anthropometry
Data: AAF20.SD2
Form: F20 - Anthropometry Form (D10045.PDF)
New Documentation: AAF20.PDF
Original Documentation:
A4F20 - Anthropemetry (D10259.PDF)
Form 21: Graded Exercise Treadmill Rescheduling
& Exclusion Criteria Form
Data: AAF21.SD2
Form: F21 - Graded Exercise Treadmill
Rescheduling and Exclusion Criteria Form (D10048.PDF)
New Documentation: AAF21.PDF
Original Documentation:
A4F21 - Treadmill Exclusion Form
(D10260.PDF)
Form 22: Treadmill Exercise Test
Data: AAF22.SD2
Form: F22 - Treadmill Exercise Test
Form (D10046.PDF)
New Documentation: AAF22.PDF
Original Documentation:
A4F22A - Treadmill Exercise Test
V1.4 (D10434.PDF)
Form 25: Type A/B Interviewer Rating Form
Data: AAF25.SD2, AAABTAPE.SD2
Form: F25 - Type A Interviewer Rating
Form (D10047.PDF)
New Documentation: AAF25.PDF, AAABTAPE.PDF
Original Documentation:
A4ABTAPE - A/B Structured Interview
Tape Rating (D10266.PDF)
A4F25 - Type A/B Interviewer Rating
Form (D10261.PDF)
Lipids and Lipoproteins
Data: AALIP.SD2
Form: None
New Documentation: AALIP.PDF
Original Documentation:
A4LIP - Lipid and Apolipoprotein
Data (D10264.PDF)
Serum Chemistries
Data: AACHEM.SD2
Form: None
New Documentation: AACHEM.PDF
Original Documentation:
A4CHEM - Blood Chemistry Data (D10265.PDF)
Cotinine
Data: AACOT.SD2
Form: None
New Documentation: AACOT.PDF
Original Documentation:
A4COT - Cotinine Data (D10262.PDF)
Insulin
Data: AAINS.SD2
Form: None
New Documentation: AAINS.PDF
Original Documentation:
A4INS - Insulin Data (D10263.PDF)
Homocysteine
Data: AAHCY.SD2
Form: None
New Documentation: AAHCY.PDF
Original Documentation:
A4HCY - Homocysteine Data (D10468.PDF)
Reference File
Data: AAREF.SD2
Form: None
New Documentation: AAREF.PDF
Original Documentation:
A4REF - Demographic Data V1.4 (D10227.PDF)
|
