Canadian Health Measures Survey (CHMS) Content summary for cycles 1 to 8 March 2015 2 Table of Contents Table 1: Household Questionnaire and Specimen Collection 4 Table 2: Mobile Examination Centre (MEC) Physical Measures and Specimen Collection 6 Table 3: Mobile Examination Centre (MEC) Questionnaire 8 Table 4: Laboratory Biospecimen Tests 9 How to use this document A blank shaded cell in the table indicates that the questionnaire topic, measure or lab test listed under the subject column is not included in the corresponding collection cycle. The cell indicates the age ranges for which the questionnaire topic, measure or lab test is applicable. When combining or comparing data between cycles, see the most recent instruction document for combining CHMS data, as well as the Data Dictionary and User Guide for information and relevant procedures. 3 Table 1: Household Questionnaire and Specimen collection Theme Subject Alcohol Alcohol use Height and weight Weight change Chronic conditions Phlegm Illicit drug use Anthropometry Chronic conditions Drug / Medication use Environmental exposure 1 Medication use 2 Grooming product use Hobbies Housing characteristics Family medical history Family medical history General health General health Health utility index 3 4 Infection markers Musculoskeletal health Strengths and difficulties Hepatitis Human papillomavirus vaccine Toxoplasmosis Bone health- Medication Bone health- Menopause Fracture history Dietary fat consumption Grains, fruits and vegetables consumption 5 Nutrition Oral health Physical activity Meat and fish consumption 5 Meat consumption Milk and dairy product consumption Salt consumption Water and soft drink consumption Oral health Children's physical activity Cycle 1 2007-2009 Cycle 2 2009-2011 Cycle 3 2012-2013 12-79 6-79 18-79 6-79 6-79 14-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 6-17 6-79 12-79 3-79 18-79 3-79 3-79 14-79 3-79 12-79 3-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 6-11 3-79 3-79 3-79 3-79 6-79 6-17 3-79 9-39 F 12-79 3-79 3-79 14-79 3-79 3-79 3-79 14-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 4-17 3-79 9-59 F 4-17 3-79 Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 12-79 3-79 12-79 3-79 12-79 3-79 3-79 3-79 14-79 3-79 14-79 3-79 3-79 3-79 14-79 3-79 3-79 3-79 14-79 3-79 3-79 3-79 3-79 3-79 4-17 3-79 4-17 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 12-79 3-79 6-79 3-79 6-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 40-65 F 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-11 3-11 12-79 3-11 3-11 3-11 3-79 3-79 3-79 3-79 3-79 3-11 12-79 12-79 12-79 12-79 6 International physical activity 7 Physical activities Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 12-79 12-79 3-79 3-79 12-79 3-79 3-79 40-65 F 3-79 3-79 3-79 3-11 4 Table 1: Household Questionnaire and Specimen collection (continued) Theme Subject Physical activity (cont'd) Pregnancy / Birth Sexual health Sleep Smoking Socio-demographic characteristics Specimen collection Vision 8 Sedentary activities Time spent outdoors Neighbourhood environment Birth information Breastfeeding Breastfeeding information Maternal breastfeeding Pregnancy Pregnancy information Pap smear test Sexual behaviour Sleep apnea Sleep Electronic cigarettes Exposure to second-hand smoke Exposure to second-hand vapor Smoking Education Income Labour force activity Socio-demographic characteristics Indoor air Tap water Vision Cycle 1 2007-2009 Cycle 2 2009-2011 Cycle 3 2012-2013 12-79 12-79 12-79 3-14 6-11 14-79 F 6-11 14-79 F 14-59 F 6-11 3-11 14-79 3-11 14-79 F 3-11 14-79 F 14-59 F 3-11 14-79 F 14-79 14-59 F 3-11 14-79 F 14-79 6-79 3-79 3-79 3-79 6-79 3-79 3-79 3-79 12-79 12-79 6-79 15-75 6-79 12-79 15-79 3-79 15-75 3-79 3-11 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 12-79 12-79 3-14 3-17 3-79 3-11 3-11 14-79 F 3-11 3-11 14-79 F 14-59 F 14-59 F 3-11 3-11 14-79 12-79 12-79 15-79 15-79 3-79 3-79 15-75 15-75 3-79 3-79 Data at household level Data at household level 14-79 18-79 Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 12-79 3-17 3-79 3-11 14-79 F 3-11 14-79 F 14-59 F 3-11 12-79 12-79 3-11 3-11 3-11 14-79 F 14-59 F 3-11 3-11 14-79 F 14-59 F 3-11 14-79 14-79 14-79 18-79 12-79 3-79 3-79 12-79 3-79 3-79 15-75 3-79 12-79 3-79 3-79 12-79 3-79 3-79 15-75 3-79 3-79 3-79 3-79 3-79 12-79 12-79 3-79 3-79 3-79 3-79 12-79 12-79 3-79 3-79 3-79 3-79 15-75 15-75 3-79 3-79 Data at household level Data at household level F=Females 1 Data from the Medication use questionnaire administered during the household visit is combined with data from the Medication use questionnaire administered during the mobile examination centre (MEC) visit to form a medications data file. Questionnaire administered during the mobile examination centre visit for cycle 2 3 Portions of the questionnaire administered during the mobile examination centre visit in cycle 3 and 4 4 Strengths and Difficulties Questionnaire© Robert Goodman 5 Fish portion of Meat and fish consumption questionnaire modified and administered during the mobile examination centre visit in cycles 2, 3 and 4 6 International Physical Activity Questionnaire (IPAQ) 7 As of Cycle 4, physical activity is divided into two blocks: one for youth (12 to 17); and one for adults (18 to 79). 8 A wide variety of lab tests are done on the specimens (see Tables 4 to 6) 2 5 Table 2: Mobile Examination Centre (MEC) Physical Measures and Specimen collection Theme Cycle 1 2007-2009 Cycle 2 2009-2011 Cycle 3 2012-2013 Standing height Sitting height 6-79 6-79 3-79 3-79 3-79 3-79 Weight Skinfolds Waist circumference Hip circumference 6-79 6-79 6-79 6-79 3-79 3-79 3-79 3-79 3-79 3-79 1 3-79 3-79 3-79 3-79 6-79 6-79 3-19 6-79 6-79 6-69 8-69 Subject Anthropometry Neck circumference Blood pressure (resting) Cardiovascular health Heart rate (resting) and fitness Modified Canadian Aerobic Fitness Test (mCAFT step test) Audiometry Otoacoustic Emissions Otoscopy Tympanometry Fractional Exhaled Nitric Oxide (FENO) Hearing Lung health Musculoskeletal fitness Oral health Physical activity Specimen collection Vitamin D 6-79 6-79 6-79 3-79 3-79 3-79 6-79 3-79 3-79 3-79 6-79 6-79 6-79 6-79 6-79 Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 6-79 6-79 3-79 6-79 6-79 6-79 6-79 6-79 6-79 8-69 8-69 6-79 6-79 6-79 6-79 Spirometry Hand grip strength 6-79 6-79 6-79 6-79 Partial curl-ups 6-69 8-69 Sit and reach Oral health examination 6-69 6-79 6-69 6-79 6-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 6-79 3-79 3-79 3-79 3-79 , 3-39 20-59 3-79 Accelerometry (activity monitor) Blood 3,4 6-79 6-79 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 3-79 3-79 3-79 Urine Hair Saliva Skin pigmentation 2 6-79 6-79 6-69 6-69 3-79 3-79 6 3-79 3-79 7 7 3-79 5 Vision 6 3-79 , 3-39 20-59 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 6-19, 20-395, 40-79 Visual acuity 6-19, 20-39 , 40-79 Visual field Retinal photography 20-395, 40-79 20-395, 40-79 5 5 20-39 , 40-79 20-39 , 40-79 6 Table 2: Mobile Examination Centre (MEC) Physical Measures and Specimen collection (continued) Theme Subject Cycle 1 2007-2009 Cycle 2 2009-2011 Intraocular pressure Peripheral quantitative computed tomography (pQCT) Mechanography (multiple 2 legged hopping) Musculoskeletal health Mechanography (single 2 legged jump) Vision (cont'd) Dual-energy x-ray absorptiometry (DXA) 1 Respondents wear an activity monitor for seven days directly following their visit to the mobile examination centre 3 A wide variety of lab tests are done on blood and urine (see Table 4: Laboratory Biospecimen Tests) 4 A limited volume of blood and urine is stored for future health research 5 Vision test done on sample of respondents who self-reported being diagnosed with diabetes (type 1 and type 2) A urine sample will also be collected at the household 7 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 6-79 6-79 5 5 20-39 , 40-79 20-39 , 40-79 6-79 6-79 6-79 6-79 6-79 6-79 Used World Health Organization (WHO) and National Institute of Health (NIH) measurement protocols 2 6 Cycle 3 2012-2013 For the household urine sample, iodine will only be measured on respondents 3-39 years of age 7 Table 3: Mobile Examination Centre (MEC) Questionnaire Cycle 1 2007-2009 Theme Subject Nutrition Fish and shellfish consumption Cycle 2 2009-2011 Cycle 3 2012-2013 3-79 3-79 3-79 3-79 3-79 3-79 S 3-79 3-79 3-79 S 3-79 S 3-79 3-79 6-79 3-79 3-79 3-79 3-79 6-79 6-79 3-79 3-79 3-79 3-79 3-79 1 Environmental exposure Hearing Medication use Oral health Screening Sun exposure Vision Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 3-79 3-79 3-79 3-79 S 3-79 S 3-79 S 3-79 S 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 Grooming product use Indoor air Tap water (water analysis questions) Hearing ability Noise exposure Medication use2 Oral health Screening questions for physical measures Sun exposure Vision Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) S=Subsample 1 Questions administered during the household questionnaire in cycle 1 2 Data from the Medication use questionnaire administered during the household visit is combined with data from the Medication use questionnaire administered during the mobile examination centre (MEC) visit to form a medications data file. 8 Table 4: Laboratory Biospecimen Tests Theme Subject Allergies Total immunoglobulin E Procollagen type I N-terminal propeptide C-telopeptide of collagen type I Apolipoprotein A1 Apolipoprotein B Fibrinogen High density lipoprotein cholesterol (HDL-C) High sensitivity C-reactive protein (HsCRP) Homocysteine Low density lipoproteins (LDL-C) Derived variable Direct measure Total cholesterol Triglycerides Red blood cell fatty acids cis-Monosaturated fatty acids cis-Vaccenic acid Oleic acid Palmitoleic acid Omega-3 fatty acids alpha-Linolenic acid Docosahexaenoic acid omega-3-Docosapentaenoic acid Eicosapentaenoic acid Eicosatetraenoic acid Omega-6 fatty acids Adrenic acid Arachidonic acid Dihomo-gamma-linolenic acid omega-6-Docosapentaenoic acid Bone Health Cardiovascular health Biospecimen Cycle 1 2007-2009 blood blood blood blood blood blood blood blood blood 6-79 S 6-79 S 12-79 6-79 6-79 6-79 blood blood blood blood 6-79 S 6-79 6-79 S Cycle 2 2009-2011 Cycle 3 2012-2013 6-79 20-79 S 20-79 S Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 6-79 6-79 6-79 S 20-79 S 20-79 S 20-79 S 20-79 S Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 6-79 6-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 12-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 6-79 S 6-79 S 6-79 S 6-79 S 6-79 S 6-79 S 6-79 S 3-79 6-79 S 3-79 6-79 S 3-79 6-79 S 3-79 6-79 S 3-79 6-79 S 3-79 6-79 S 3-79 6-79 S blood blood blood 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S blood blood blood blood blood 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S blood blood blood blood 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 9 Table 4: Laboratory Biospecimen Tests (continued) Theme Subject Gamma-linolenic acid Cycle 1 2007-2009 Cycle 2 2009-2011 Cycle 3 2012-2013 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) blood 20-79 S 20-79 S blood 20-79 S 20-79 S blood blood blood blood 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S blood blood blood blood 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S alpha-Linolenic acid/Eicosapentaenoic acid blood 20-79 S 20-79 S Arachidonic acid/Eicosapentaenoic acid Omega-3 index Total 18:1 cis fatty acids Total cis-monounsaturated fatty acids Total n-3 PUFA Total n-3 (18:4; 20:4; 20:5; 22:5; 22:6) Total n-6 PUFA Total n-6 (18:3; 20:3; 20:4; 22:4; 22:5) Total n-6 PUFA/total n-3 PUFA Total n-6 LC-PUFA/total n-3 LC-PUFA Total polyunsaturated fatty acids Total saturated fatty acids Total 18:1 trans fatty acids Total 18:2 trans fatty acids blood blood blood blood blood blood blood blood blood blood blood blood blood blood 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S Linoleic acid Saturated fatty acids Lauric acid Myristic acid Palmitic acid Stearic acid Trans fatty acids RBC Fatty acid derived variables Elaidic acid Palmitelaidic acid trans-10-Octadecenoic acid trans-Vaccenic acid Cardiovascular health (Cont'd) Biospecimen Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 10 Table 4: Laboratory Biospecimen Tests (continued) Theme Subject Cardiovascular health (Cont'd) Total 18:3 trans fatty acids Total trans fatty acids Alanine aminotransferase (ALT) Albumin Alkaline phosphatase (ALKP) Aspartate aminotransferase (AST) Bicarbonate (CO2) Chloride Creatinine Gamma-glutamyl transferase (GGT) Lactate dehydrogenase (LD) Magnesium Phosphorus Potassium Sodium Total bilirubin (TBIL) Calcium Total protein (TP) Urea Uric acid Hemoglobin Hemoglobin Mean corpuscular hemoglobin Chemistry panel Complete blood count Mean corpuscular hemoglobin concentration Platelets Mean platelet volume Platelet count Red blood cell Hematocrit Biospecimen blood blood blood blood blood blood blood blood blood blood blood blood blood blood blood blood blood blood blood blood Cycle 1 2007-2009 Cycle 2 2009-2011 Cycle 3 2012-2013 20-79 S 20-79 S 6-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 20-79 S 20-79 S 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 blood blood 6-79 6-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 blood 6-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 blood blood 6-79 6-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 blood 6-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 11 Table 4: Laboratory Biospecimen Tests (continued) Theme Biospecimen Cycle 1 2007-2009 Cycle 2 2009-2011 Cycle 3 2012-2013 blood 6-79 3-79 3-79 3-79 Red cell distribution width Red blood cell count (RBC) White blood cell Basophils Eosinophils Lymphocytes Neutrophils Monocytes White blood cell count (WBC) Glucose - plasma Glucose - serum Glycated hemoglobin A1c (HbA1c) Insulin blood blood 6-79 6-79 3-79 3-79 3-79 3-79 blood blood blood blood blood blood blood blood blood blood 6-79 6-79 6-79 6-79 6-79 6-79 6-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 6-79 6-79 S Acrylamide hemoglobin adduct Glycidamide hemoglobin adduct Subject Mean corpuscular volume Complete blood count (cont'd) Diabetes Environmental exposure (EE) Acrylamide tt-Muconic acid Phenol s-Phenylmercapturic acid Carbofuranphenol EE - Carbamate insectides 2-Isopropoxyphenol 2,4-Dichlorophenol 2,5-Dichlorophenol EE - Chlorophenols Pentachlorophenol 2,4,5-Trichlorophenol 2,4,6-Trichlorophenol Antimony EE - Metals and Arsenic (speciated) trace elements Arsenobetaine/arsenocholine EE - Benzene metabolites Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 6-79 S 6-79 6-79 S 6-79 S 6-79 6-79 S 3-79 6-79 6-79 S 3-79 6-79 6-79 S 3-79 6-79 6-79 S 3-79 6-79 6-79 S blood 3-79 S 3-79 S 3-79 S 3-79 S blood 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S urine urine urine urine urine urine urine urine urine urine urine urine 6-79 6-79 S 6-79 6-79 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 12 Table 4: Laboratory Biospecimen Tests (continued) Theme Subject Arsenocholine EE - Metals and trace elements (cont'd) Arsenic (V) acid Arsenous (III) acid Dimethylarsinic acid Monomethylarsonic acid Arsenic (total) Arsenic (total) Boron Cadmium Cadmium Cesium Cobalt Cobalt Copper Copper Fluoride Lead Lead Manganese Manganese Mercury Inorganic Inorganic Methyl Total Molybdenum Molybdenum Nickel Biospecimen Cycle 1 2007-2009 Cycle 2 2009-2011 urine urine urine urine urine blood urine urine blood urine urine blood urine blood urine urine blood urine blood urine blood urine blood blood blood urine blood 3-79 S 3-79 S 3-79 S 3-79 S 6-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 6-79 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 3-79 3-79 S 3-79 3-79 S 3-79 S 3-79 3-79 S 3-79 3-79 3-79 S 3-79 3-79 S 3-79 3-79 3-79 3-79 3-79 3-79 20-79 S 3-79 3-79 20-79 S 3-79 3-19 S 3-79 3-19 S 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 S 3-79 3-79 3-79 3-79 6-79 S 6-79 6-79 6-79 6-79 6-79 Cycle 3 2012-2013 3-79 3-79 3-79 3-79 13 Table 4: Laboratory Biospecimen Tests (continued) Theme EE - Metals and trace elements (cont'd) EE Organochlorine pesticides Biospecimen Cycle 1 2007-2009 Cycle 2 2009-2011 Nickel urine 6-79 3-79 RBC chromium Selenium Selenium Silver Silver Thallium Tungsten Uranium Uranium Vanadium Zinc Zinc Aldrin alpha-Chlordane gamma-Chlordane cis-Nonachlor trans-Nonachlor Oxychlordane beta-Hexachlorocyclohexane (ß-HCH) gamma-Hexachlorocyclohexane (γ-HCH) Hexachlorobenzene (HCB) Mirex p,p'-DDE p,p'-DDT Toxaphene parlar 26 Toxaphene parlar 50 blood blood urine blood urine urine urine blood urine urine blood urine blood blood blood blood blood blood blood blood blood blood blood blood blood blood Subject 6-79 6-79 6-79 6-79 6-79 6-79 6-79 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 20-79 S 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 Cycle 3 2012-2013 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 3-79 S 3-19 S Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 3-79 S 3-19 S 14 Table 4: Laboratory Biospecimen Tests (continued) Theme Subject Biospecimen Cycle 1 2007-2009 Cycle 2 2009-2011 6-79 S 6-79 S 6-79 S 6-79 S 6-79 S 6-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S Acephate Diethylphosphate (DEP) Diethylthiophosphate (DETP) Diethyldithiophosphate (DEDTP) Dimethylphosphate (DMP) Dimethylthiophosphate (DMTP) Dimethyldithiophosphate (DMDTP) Malathion dicarboxylic acid Methamidophos 3,5,6 Trichloro-2-pyridinol Butyl paraben Ethyl paraben Methyl paraben Propyl paraben Perfluorobutane sulfonate (PFBS) Perfluorodecanoic acid (PFDA) Perfluorohexane sulfonate (PFHxS) Perfluorohexanoic acid (PFHA) Perfluoro-n-butyric acid (PFBA) Perfluorononanoic acid (PFNA) Perfluorooctane sulfonate (PFOS) Perfluorooctanoic acid (PFOA) Perfluoroundecanoic acid (PFUA) urine urine urine urine urine urine urine urine urine urine urine urine urine urine blood blood blood blood blood blood blood blood blood EE - Phenoxy Herbicide 2,4-Dichlorophenoxyacetic acid (2,4-D) urine 6-79 3-79 S EE - Phthalate metabolites Mono benzyl phthalate (MBzP) Mono-3-carboxypropyl phthalate (MCPP) Mono-3-hydroxy-n-butyl phthalate (3OH-MBP) Mono cyclohexyl phthalate (MCHP) urine urine urine urine 6-49 6-49 3-79 S 3-79 S 6-49 3-79 S EE Organophosphate insecticides EE - Parabens EE - Perfluoroakyl substances Cycle 3 2012-2013 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 20-79 20-79 20-79 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 3-79 S 3-79 3-79 S 3-79 3-79 S 3-79 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 3-79 3-79 3-79 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 15 Table 4: Laboratory Biospecimen Tests (continued) Theme EE - Phthalate metabolites (cont'd) EE - Alternate plasticizers Biospecimen Cycle 1 2007-2009 Cycle 2 2009-2011 Mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP) urine 6-49 3-79 S 3-79 S 3-79 S Mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP) urine 6-49 3-79 S 3-79 S 3-79 S Mono-2-ethylhexyl phthalate (MEHP) Mono ethyl phthalate (MEP) Mono-iso-butyl phthalate (MiBP) Mono-isononyl phthalate (MNP) Mono-n-butyl phthalate (MBP) Mono-n-octyl phthalate (MOP) Mono-methyl phthalate (MMP) Mono-carboxy-n -heptyl phthalate (MCHpP) urine urine urine urine urine urine urine urine 6-49 6-49 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S Mono(2-ethyl-5-carboxypentyl) phthalate (MECP Mono(2-carboxymethylhexyl) phthalate (MCMHP Mono(carboxyisooctyl) phthalate (MCIOP) Mono(oxoisononyl) phthalate (MOINP) Mono(hydroxyisononyl) phthalate (MHINP) Monocarboxyisononyl phthalate (MCiNP) Monoisodecyl phthalate (MIDP) Monooxoisodecyl phthalate (MOiDP) Monohydroxyisodecyl phthalate (MHiDP) urine 3-79 S 3-79 S urine urine urine urine urine urine urine urine 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S urine 3-79 S 3-79 S urine urine urine urine urine urine 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S Subject Mono-isononyl-cyclohexane-1,2-dicarboxylate (M Cyclohexane-1,2-dicarboxylic acid (CHDA) Cyclohexane-1,2-dicarboxylic mono hydroxyison cyclohexane-1,2-dicarboxylic mono oxoisononyl Cyclohexane-1,2-diarboxylic mono carboxyisono 2,2,4 trimethyl-1,3, pentanediol diisobutyrate (TX 2,2,4-trimethyl-1,2-pentanediol (TMPD) 6-49 6-49 6-49 6-49 Cycle 3 2012-2013 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 16 Table 4: Laboratory Biospecimen Tests (continued) Theme Subject 2,2,4-trimethyl-3-hydroxy valeric acid (HTMV) 1-mono(2-ethylhexyl)trimellitate (1-MEHTM) EE - Alternate 2-mono(2-ethylhexyl)trimellitate (2-MEHTM) plasticizers (cont'd) 4-mono(2-ethylhexyl)trimellitate (4-MEHTM) 1,2-di(2-ethylhexyl)trimellitate (1,2-DEHTM) 2,4-di(2-ethylhexyl)trimellitate (2,4-DEHTM) 1,4-di(2-ethylhexyl)trimellitate (1,4-DEHTM) EE - Polyaromatic hydrocarbons Chrysenes 2-Hydroxychrysene 3-Hydroxychrysene 4-Hydroxychrysene 6-Hydroxychrysene Fluoranthene 3-Hydroxyfluoranthene Fluorenes 2-Hydroxyfluorene 3-Hydroxyfluorene 9-Hydroxyfluorene Napthalenes 1-Hydroxynaphthalene 2-Hydroxynaphthalene Phenanthrenes 1-Hydroxyphenanthrene 2-Hydroxyphenanthrene 3-Hydroxyphenanthrene 4-Hydroxyphenanthrene 9-Hydroxyphenanthrene Pyrene Biospecimen Cycle 1 2007-2009 Cycle 2 2009-2011 Cycle 3 2012-2013 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) Cycle 6 2018-2019 urine 3-79 S 3-79 S urine urine urine urine urine urine 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S urine urine urine urine 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S urine 3-79 S 3-79 S 3-79 S urine urine urine 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S urine urine 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S urine urine urine urine urine 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S Cycle 7 2020-2021 Cycle 8 2022-2023 17 Table 4: Laboratory Biospecimen Tests (continued) Theme EE - Polyaromatic hydrocarbons (cont'd) EE Polybrominated flame retardents EE Polychlorinated biphenyls (PCBs) EE - Pyrethroids (metabolites) EE - Tobacco Cycle 2 2009-2011 Cycle 3 2012-2013 urine 3-79 S 3-79 S 3-79 S 1-Hydroxypyrene Polybrominated biphenyls 153 (PBB 153) urine blood 3-79 S 3-79 S 3-79 S 20-79 SP Polybrominated diphenyl ether (PBDE) 15, 17 blood 20-79 SP PBDE 25, 28, 33, 47, 99, 100, 153 Aroclor 1260 PCB 28, 52, 66, 74, 99, 101, 105, 118, PCB 128, 138, 146, 153, 156, 163, 167, 170 PCB 178, 180, 183, 187, 194, 201, 203, 206 Cis-3-(2,2-dibromovinyl)-2,2dimethylcyclopropane carboxylic acid (cisDBCA) Cis-3-(2,2-dichlorovinyl)-2,2dimethylcyclopropane carboxylic acid (cisDCCA) 4-fluoro-3-phenoxybenzoic acid (4-F-3-PBA) 3-phenoxybenzoic acid (3-PBA) trans-3-(2,2-dichlorovinyl)-2,2dimethylcyclopropane carboxylic acid (transDCCA) Nicotine and metabolites Anabasine Free cotinine Cotinine-n-glucuronide Total cotinine Nicotine (total) Nicotine-n-glucuronide Trans-3-Hydroxycotinine (total) Trans-3-Hydroxycotinine-glucuronide blood blood blood blood blood 20-79 SP 20-79 S 20-79 S 20-79 S 20-79 S urine 6-79 3-79 S 3-79 S 3-79 S urine 6-79 3-79 S 3-79 S 3-79 S urine urine 6-79 6-79 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S 3-79 S urine 6-79 3-79 S 3-79 S 3-79 S urine urine urine urine urine urine urine urine 12-79 S 6-79 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 3-79 12-79 12-79 3-79 12-79 12-79 12-79 12-79 12-79 12-79 12-79 12-79 12-79 Subject 3-Hydroxybenzo(a)pyrene Biospecimen Cycle 1 2007-2009 3-79 12-79 3-79 12-79 12-79 12-79 12-79 12-79 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 3-79 Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 18 Table 4: Laboratory Biospecimen Tests (continued) Theme Tobacco (cont'd) EE - Triazine herbicides EE - Volatile organic compounds Subject NNK metabolites (4-(methyl-nitrosamino)-1butanone) Free NNAL Total NNAL Atrazine mercapturate Desethylatrazine Diaminochlorotriazine Common fuel pollutants (BTEX) Benzene Ethylbenzene m- & p-Xylenes o-Xylene Toluene Trihalomethanes Bromodichloromethane Dibromochloromethane Tribromomethane Trichloromethane Other Styrene Alkanes Hexane Heptane Furans and dioxins Tetrahydrofuran 2,5-dimethylfuran 1,4-dioxane Chlorinated hydrocarbons 1,1,1,2-tetrachloroethylene 1,1,2-trichloroethylene Biospecimen urine urine urine urine urine Cycle 1 2007-2009 Cycle 2 2009-2011 12-79 S 12-79 S Cycle 3 2012-2013 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 12-79 S 12-79 S Cycle 6 2018-2019 12-79 S 12-79 S 12-79 S 12-79 S Cycle 8 2022-2023 3-79 S 3-79 S 3-79 S blood blood blood blood blood 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S blood blood blood blood 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S 12-79 S blood 12-79 S 12-79 S 12-79 S 12-79 S blood blood 12-79 12-79 12-79 12-79 blood blood blood 12-79 12-79 12-79 12-79 12-79 12-79 12-79 S 12-79 S 12-79 S 12-79 S blood Cycle 7 2020-2021 12-79 S 12-79 S 12-79 S 12-79 S 19 Table 4: Laboratory Biospecimen Tests (continued) Theme EE - Volatile organic compounds (cont'd) EE - Other General characterization Hair Infection markers Kidney health Subject Biospecimen Cycle 1 2007-2009 Cycle 2 2009-2011 Cycle 3 2012-2013 Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) Cycle 6 2018-2019 1,2-dichloroethane blood 12-79 12-79 Hexachloroethane blood 12-79 12-79 blood blood blood blood blood urine urine urine blood urine urine urine urine 12-79 12-79 12-79 12-79 12-79 3-79 S 3-79 S 3-79 S 3-79 P 12-79 12-79 12-79 12-79 12-79 3-79 S 3-79 S 3-79 S 3-79 P 3-79 3-79 20-59 3-79 3-79 20-59 Chlorobenzene 1,2-dichlorobenzene 1,4-dichlorobenzene 1,2,3-trichloropropane Chloromethylbenzene Bisphenol A (BPA) Ethylene thiourea (ETU) ortho-phenylphenol (OPP) Pooled serum organohalogens Triclocarban Triclosan Creatinine Specific gravity Metals Hepatitis A, B and C profile Hepatitis A virus antibody Hepatitis B virus core antibody Hepatitis B virus surface antibody Hepatitis B virus surface antigen Hepatitis C virus antibody Hepatitis C RNA Chlamydia trachomatis Herpes simplex-2 Human Papillomavirus (HPV 6, 11, 13, 16, 18, 26, 30-35, 39, 40, 42-45, 51-54, 56-59, 61, 62, 66-74, 81-87, 89-91, 97) Toxoplasmosis Microalbumin blood blood blood blood blood blood urine blood 6-79 3-79 S 3-79 S 3-79 3-79 3-79 3-79 3-79 S 3-79 P 3-79 P 3-79 S 3-79 S 3-79 3-79 3-79 S 3-79 3-79 3-79 S 3-79 3-79 14-79 14-79 14-79 14-79 14-79 14-79 14-79 14-79 14-79 14-79 14-79 14-79 14-791 14-79 14-791 14-79 14-791 14-79 14-79 S 14-791 14-79 14-79 S 14-791 14-79 14-79 14-791 14-79 14-79 14-59 14-59 urine blood urine Cycle 8 2022-2023 3-79 6-79 3-79 S Cycle 7 2020-2021 14-59 14-59 14-59 F 3-79 6-79 3-79 20 Table 4: Laboratory Biospecimen Tests (continued) Theme Subject Biospecimen Cycle 1 2007-2009 Ferritin blood Iodine (clinic) urine Iodine (household) urine Sodium (hhld & clinic) urine Potassium (hhld & clinic) urine Parathyroid hormone blood Nutritional status Red blood cell folate blood Vitamin B12 blood Vitamin C (L-ascorbic acid) blood Vitamin D3 [(25-OH)] - plasma blood Vitamin D3 [(25-OH)] - serum blood Vitamin D3 [3-epi-25-OH] blood Vitamin D2 [25-OH] blood Estradiol (E2) blood Follicle-stimulating hormone (FSH) blood Reproductive Luteinizing hormone (LH) blood hormones Progesterone (P4) blood Testosterone blood Anti-thyroglobulin blood Anti-thyroid peroxidase blood Thyroid Status Free thyroxine blood Thyroid stimulating hormone blood M=Males; F=Females;S=Subsample; P=Pooled Serum; EE=Environmental exposure 1 Lab test done on sample of respondents who tested positive for hepatitis B core antibody Cycle 2 2009-2011 Cycle 3 2012-2013 6-79 3-79 3-79 3-79 3-79 6-79 6-79 3-79 3-79 3-79 6-79 3-79 3-79 3-79 6-79 S Cycle 4 Cycle 5 2014-2015 2016-2017 Age (years) 3-79 3-79 3-79 3-39 3-39 3-79 3-79 6-79 S 3-79 3-79 3-79 3-79 3-79 3-79 6-79 6-79 F 6-79 F 6-79 F 6-79 M 3-79 3-79 3-79 3-79 6-79 6-79 F 6-79 F 6-79 F 6-79 M 3-79 3-79 3-79 3-79 Cycle 6 2018-2019 Cycle 7 2020-2021 Cycle 8 2022-2023 3-79 3-39 3-39 3-79 3-79 6-79 S 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 3-79 21