Total 971 variables Form 2 Eligibility Screening (45) Variable Label

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Total 971 variables
Form 2 Eligibility Screening (45)
Variable
AGEHYST
AVAILDM
AVAILHRT
BLDPROB
CHF_F2
COMECC
DBDIETF2
DIAB
DIABAGE
DIABCOMA
DIABNW
DIABPILL
DIABTRT
DIALYSIS
DVT_F2
HARDSTDY
HELPCC
HELPFILL
HORM
HORM3M
HORMBK
HORMSTAT
HRTINFDR
HYST_F2
HYST3M
HYSTAGE
INSULIN
INSULINW
INTDM
INTHRT_F2
L15LBS6M
LFDIETF2
LIVERDIS
MALDIET
MEALOUT
MENSELST
MI_F2
MIAGE
OSTEOBK
OTHCHRON
PE_F2
Label
Hysterectomy age group
Available for regular dietary meetings
Consider taking only HRT from CC
Bleeding problem ever
Heart failure ever
Able to come to clinic
Special diet for diabetes
Diabetes ever
Age first told had diabetes
Hospitalized for a diabetic coma
Diabetes now
Pills for diabetes ever
Diabetes treated (pills or shots)
Kidney dialysis for kidney failure
DVT ever
Problems make it hard to participate
Kind of help needed to come to clinic
Need someone to help fill out forms
Female hormones ever
Female hormones last 3 months
Hormones to treat osteoporosis fracture
HRT use ever
Send HRT info to Doctor
Hysterectomy ever
Hysterectomy last 3 months
Age at hysterectomy
Insulin shots ever
Insulin shots now
Interested in DM part of study
Interested in HRT part of study
Lost 15 lbs in the last 6 mo w/o trying
Special low-fiber diet
Liver disease ever
Special malabsorption diet
10 or more meals prepared away from home
Last time had any menstrual bleeding
MI ever
Age first had MI
Osteoporosis-related fracture ever
Other long-term illness
Pulmonary embolism ever
SCANEMIA
STROKE_F2
TALKDOC
TIA_F2
Sickle cell anemia ever
Stroke ever
Interested in talking to Dr. about HRT
TIA ever
Form 20 Personal Information (47)
Variable
ABNPAP3Y
ANYINS
CAREPROV
CERVDYS
DISABLED
EMPLOYED
ENDOASP
HMOINS
HOMEMKR
INCOME
JOBHMMKR
JOBLABOR
JOBMANGR
JOBOTH
JOBSERV
JOBTECH
LSTASPDY
LSTMAMDY
LSTPAPDY
LSTVISDY
MAINJOB
MAMMO
MARITAL
MEDICAID
MEDICARE
MLTRYINS
NOINS
NOMAM2YR
NOPAP3YR
NOTWRK
OTHPRVIN
OTHWRK
PAPSMEAR
PAYOTH
PDISABLE
PEDUC
PEMPLOY
Label
Abnormal Pap smear last 3 years
Any Insurance
Current Health Care Provider
Cervical dysplasia ever
Currently disabled
Currently employed (full- or part-time)
Endometrial aspiration ever
Pre-paid private insurance
Currently homemaker
Family Income
Job as homemaker
Job as operator, fabricator, laborer
Job as managerial, professional
Job as other than listed
Job as service
Job as technical, sales, admin support
Days from rand to last aspiration
Days from rand to last mammogram
Days from rand to last pap smear
Days from rand to last visit
Occupation
Mammogram ever
Marital status
Medicaid
Medicare
Military or VA insurance
No insurance
No mammogram in last 2 years
No pap smear in last 3 years
Currently not working
Private insurance (other than pre-paid)
Other current job status
Pap smear ever
Other insurance than listed
Partner currently disabled
Partner highest level of education
Partner currently employed
PHOMEMKR
PMAINJOB
PNOTWRK
POTHWRK
PRETIRED
RETIRED
TIMELAST
TIMELSTS
USSERVE
VAMEDCTR
Partner currently homemaker
Partner's main job
Partner currently not working
Partner currently other job
Partner currently retired
Currently retired
Time Since Last Medical Visit (months)
Last Medical Visit within 1 Year
Served in US armed forces
Used a VA medical center ever
Form 30 Medical History (95)
Variable
ALS
ALZHEIM
ANGINA
ANGNPILN
AORTICAN
ARTHRIT
ASTHMA
ATRIALFB
BKBACK
BKBACK55
BKBONE
BKFOOT
BKFOOT55
BKHAND
BKHAND55
BKHIP
BKHIP55
BKLARM
BKLARM55
BKLLEG
BKLLEG55
BKOTHB
BKOTHB55
BKUARM
BKUARM55
BLADCA
BRCA_F30
BRCA55
CABG
CANC_F30
CARDCATH
Label
ALS ever
Alzheimer's disease ever
Angina ever
Pills for angina now
Aortic aneurysm ever
Arthritis ever
Asthma ever
Atrial fibrillation ever
Broke spine ever
Broke spine first time 55 or older
Broke bone ever
Broke foot ever
Broke foot first time 55 or older
Broke hand ever
Broke hand first time 55 or older
Broke hip ever
Broke hip first time 55 or older
Broke lower arm ever
Broke lower arm first time 55 or older
Broke lower leg ever
Broke lower leg first time 55 or older
Broke other bone ever
Broke other bone first time 55 or older
Broke upper arm ever
Broke upper arm first time 55 or older
Bladder cancer ever
Breast cancer ever
Breast cancer 55 or older
Coronary bypass surgery ever
Cancer ever
Cardiac catheterization ever
CARDREST
CAROTID
CATARACT
CERVCA
CHF_F30
COLITIS
COLN_F30
COLNSCDT
COLNSCPY
COLOCA55
CVD
DIVERTIC
EMPHYSEM
FAINTED
FRACT55
GALLBLRM
GALLBS
GALLBSNW
GALLSTRM
GLAUCOMA
GOITER
GOITERNW
HEMOCCDT
HEMOCCUL
HIBLDCA
HICHOLRP
HIP55
HIPREP
HTNTRT
HYPT
HYPTAGE
HYPTPILL
HYPTPILN
INTESTRM
KIDNEYST
LUPUS
MELN_F30
MIGRAINE
MS
NACOND
NACVD
NODULE
NODULENW
NUMFALLS
OTHERCA
Cardiac arrest ever
Carotid endarterectomy/angioplasty ever
Cataract ever
Cervix cancer ever
Congestive heart failure ever
Ulcerative colitis ever
Colorectal cancer ever
Date of last colonoscopy
Colonoscopy ever
Colorectal cancer 55 or older
Cardiovascular disease ever
Diverticulitis ever
Emphysema ever
Fainted last 12 months
Fracture at Age 55+
Gallbladder removed
Gallbladder disease or gallstones ever
Gallbladder disease or gallstones now
Gallstones removed
Glaucoma ever
Goiter ever
Goiter now
Date of last hemoccult test
Hemoccult test ever
High blood calcium
High cholesterol requiring pills ever
Hip fracture age 55 or older
Hip replacement ever
Hypertension
Hypertension ever
Age told of hypertension
Pills for hypertension ever
Pills for hypertension now
Part of intestines removed ever
Kidney or bladder stones ever
Lupus ever
Melanoma cancer ever
Migraine headaches ever
MS ever
None of listed medical conditions ever
None of the listed CVD conditions ever
Thyroid nodule ever
Thyroid nodule now
Times fell down last 12 months
Other cancers ever
OTHJREP
OVRTHY
OVRTHYNW
PAD
PADANGGR
PADANGP
PADSURG
PANCREAT
PARKINS
PCOLONRM
PTCA
REVASC
RHEUMAT
SKINCA
STOMULCR
THYRCA55
THYROID
UNDTHY
UNDTHYNW
Other joint replacement ever
Overactive thyroid ever
Overactive thyroid now
Peripheral arterial disease ever
Angiography for PAD ever
Angioplasty for PAD ever
Surgery to improve flow to legs for PAD
Pancreatitis ever
Parkinson's disease ever
Polyps of colon removed
Angioplasty of coronary arteries ever
CABG/PTCA Ever
Rheumatoid arthritis ever
Skin cancer (not melanoma) ever
Stomach of duodenal ulcer ever
Thyroid cancer 55 or older
Thyroid Cancer
Underactive thyroid ever
Underactive thyroid now
Form 31 Reproductive History (54)
Variable
AGEFBIR
ANYMENSA
BOOPH
BRSTAUG
BRSTAUGA
BRSTBION
BRSTDIS
BRSTFDAF
BRSTFDAL
BRSTFDM
BRSTFDMO
BRSTFDN
BRSTFEED
BRSTIMP
BRSTOPOT
BRSTPREM
BRSTREM
BRSTREMO
BRTHSTLN
ECTPREG
FULLTRMR
GRAVID
Label
Age at First Birth
Age at last bleeding
Bilateral Oophorectomy
Operation to increase breast
How old at breast augmentation
How many breast biopsies
Breast Disease
How old when first breastfed
How old when last breastfed
How many months total
Number of months breastfed
How many children breastfed
Breastfeed at least one month
What type of implant
Any other breast operations
Removal of part of breast
Removal of one or both breasts
Other breast operation
How many still births
How many tubal pregnancies
Full term pregnancy ever
Number of Pregnancies
MENARCHE
MENOPSEA
MENPSYAF
MENPSYAL
MENPSYMP
MENSREG
MENSREGA
MENSWO1Y
MENSWOD
MISCARYN
NEDLASP
NOCNCEIV
NOCNCVDK
NOCNCVDR
NOCNCVEN
NOCNCVHR
NOCNCVOT
NOCNCVPT
NOCNCVR
NOCNCVUT
NUMLIVER
OOPH
OOPHA
PARITY
PREG
PREG6M
PREG6MAF
PREG6MAL
PREG6MN
PREGNUM
TUBTIED
TUBTIEDA
Age at first period
Age at last regular period
Age at first hot flash
Age at last hot flash
Hot flashes or night sweats
Were periods regular
Age at first regular period
One year without period
Time between first and last period
How many miscarriages
Needle aspiration ever
Tried becoming pregnant > 1 yr
Don't know reason
Saw doctor because you didn't
Endometriosis
Hormones or ovulation
Other problem with you
Problem with partner
Reason found for non-pregnancy
Tubes or uterus
Number of Live Births
One or both ovaries removed
Age when ovaries removed
Number of Term Pregnancies
Ever been pregnant
Ever have full-term pregnancy
Age at first term pregnancy
Age at last term pregnancy
How many times term pregnancy
How many times pregnant
Ever had tubes tied
Age when tubes tied
Form 32 Family History (79)
Variable
BKBCKDAD
BKBCKMOM
BKBONDAD
BKBONMOM
BKBONREL
BKHIPDAD
BKHIPMOM
BKLARDAD
BKLARMOM
Label
Age father broke spine or back
Age mother broke spine or back
Father broke a bone after age 40
Mother broke a bone after age 40
Mom or dad broke bone after age 40
Age father broke hip
Age mother broke hip
Age father broke lower arm
Age mother broke lower arm
BKOTHDAD
BKOTHMOM
BKUARDAD
BKUARMOM
BRCADAU1
BRCADAU2
BRCADAU3
BRCAFREL
BRCAGMAM
BRCAGMAP
BRCAMOM
BRCASIS1
BRCASIS2
BRCASIS3
BRONUM
BROTHER
CANCFREL
CANCMREL
CERVREL
CERVRELN
COLOBRO1
COLOBRO2
COLOBRO3
COLODAD
COLODAU1
COLODAU2
COLOFREL
COLOMOM
COLOMREL
COLOREL
COLOSIS1
COLOSIS2
COLOSIS3
COLOSON1
COLOSON2
DADAGE
DADALIVE
DADDIEDA
DAUGHTER
DAUNUM
DIABREL
DIABRELN
ENDOREL
ENDORELN
MIBRO1
Age father broke other than listed bone
Age mother broke other than listed bone
Age father broke upper arm
Age mother broke upper arm
Age daughter (1) had breast cancer
Age daughter (2) had breast cancer
Age daughter (3) had breast cancer
Female relative had breast cancer
Age mat. grandmother had breast cancer
Age pat. grandmother had breast cancer
Age mother had breast cancer
Age sister (1) had breast cancer
Age sister (2) had breast cancer
Age sister (3) had breast cancer
Number of brothers
Have a brother who reached adulthood
Female relative had cancer
Immediate male blood relative had cancer
Relative had cervical cancer
Number of relatives had cervical cancer
Age brother (1) had colorectal cancer
Age brother (2) had colorectal cancer
Age brother (3) had colorectal cancer
Age father had colorectal cancer
Age daughter (1) had colorectal cancer
Age daughter (2) had colorectal cancer
Female relative had colorectal cancer
Age mother had colorectal cancer
Male relative had colorectal cancer
Male/Female relative had colorectal cancer
Age sister (1) had colorectal cancer
Age sister (2) had colorectal cancer
Age sister (3) had colorectal cancer
Age son (1) had colorectal cancer
Age son (2) had colorectal cancer
Natural father's current age
Natural father still alive
Age natural father died
Have a daughter who reached adulthood
Number of daughters
Relative had adult diabetes
Number of relatives had adult diabetes
Relative had endometrial cancer
Number of relatives had endomet. cancer
Age brother (1) had MI
MIBRO2
MIBRO3
MIDAD
MIDAU1
MIDAU2
MIMOM
MIREL
MISIS1
MISIS2
MISIS3
MISON1
MISON2
MOMAGE
MOMALIVE
MOMDIEDA
OVARREL
OVARRELN
PROSREL
PROSRELN
SISNUM
SISTER
SON
SONNUM
STRKREL
STRKRELN
Age brother (2) had MI
Age brother (3) had MI
Age father had MI
Age daughter (1) had MI
Age daughter (2) had MI
Age mother had MI
Relatives had heart attack
Age sister (1) had MI
Age sister (2) had MI
Age sister (3) had MI
Age son (1) had MI
Age son (2) had MI
Natural mother's current age
Natural mother still alive
Age natural mother died
Relative had ovarian cancer
Number of relatives had ovarian cancer
Relative had prostate cancer
Number of relatives had prostrate cancer
Number of sisters
Have a sister who reached adulthood
Have a son who reached adulthood
Number of sons
Relative had a stroke
Number of relatives who had a stroke
Form 34 Personal Habits (54)
Variable
ALC12DR
ALCNOW
ALCOHOL
ALCQUIT
ALCSWK
AVWKEXP
CIGSDAY
COFFEE
CUPREG
DBDIET34
FBDIET34
FFWKEXP
HARDEXP
HRDEX
HRDEX18
HRDEX35
Label
Drank 12 alcoholic beverages ever
Still drink alcohol
Alcohol intake
Reasons quit drinking alcohol
Alcohol servings per week
Energy expend from avg walking
Smoke, cigs/day
Drink coffee each day
Number of regular cups of coffee, day
Diabetic or ADA diet
High-fiber diet
Energy expend fr walking fairly fast
Energy expenditure from hard exercise
Times per week of very hard exercise
Very hard exercise 3 times/wk at age 18
Very hard exercise 3 times/wk at age 35
HRDEX50
HRDEXMIN
LACTDIET
LCALDIET
LEPITOT
LFATDIET
LMSEPI
LSLTDIET
MILDEXP
MLDEX
MLDEXMIN
MODEX
MODEXMIN
MODEXP
MSEPIWK
MSMINWK
OTHDIET
QSMOKAGE
QSMOKHP
SEPIWK
SMINWK
SMOKAGE
SMOKEVR
SMOKING
SMOKNOW
SMOKWGT
SMOKYRS
TEPIWK
TEXPWK
TMINWK
VFWKEXP
WALK
WALKEXP
WALKMIN
WALKSPD
WGTADULT
XLMSEPI
YOYO10LB
Very hard exercise 3 times/wk at age 50
Duration per time of very hard exercise
Lactose-free (no milk/dairy foods) diet
Low calorie diet
Recr. phys activity per week >= 20 Min
Low-fat or low cholesterol diet
Mod-stren activity >20 min/week (categorical)
Low salt (low sodium) diet
Energy expenditure from mild exercise
Times per week of mild exercise
Duration per time of mild exercise
Times per week of moderate exercise
Duration per time of moderate exercise
Energy expend from moderate exercise
Mod. to strenuous phys activity per week
Minutes of mod-stren activity per week
Other than listed special diet
Age quit smoking regularly
Quit smoking because of health problems
Strenuous activity episodes per week
Minutes of stren. phys activity per week
Age started smoking cigarettes regularly
Smoked at least 100 cigarettes ever
Smoking status
Smoke cigarettes now
Smoked to lose weight
Years a regular smoker
Recreational phys activity per week
Total MET-hours per week
Minutes of recr. phys activity per week
Energy expend from walking very fast
Times walk for > 10 min
MET-hours per week from walking
Duration of walks when >10 min
Walking speed when walking for >10 min
Weight during adult life, lbs
Mod-stren activity > 20 min/week
Number times weight went up/down >10 lbs
Form 37 Thoughts and Feelings (216)
Variable
ACHES
ACTDLY
AMBEMOT
Label
General aches and pains
Activities of Daily Living Construct
Ambivalence over Emotional Expressivenes
ANNOYED
ANXIOUS
APPRVNEG
BACKSLP
BADLUCK
BADSEX
BATHING
BENDING
BIRD
BLOATING
BODPAIN
BOTHER
CALM
CAREGIV1
CAREGIV2
CAT
CGHINCON
CHILCON
CLUB
CLUMSY
COERCE
CONCEN
CONSTIP
COUGH
COUNTGD
CRYSPELL
DIAPER
DIARRHEA
DISAPPNT
DIVORCE
DIZZY
DOG
DRESS
DWNDUMPS
EAT
EMOLIMIT
EMOWELL
ENERFAT
ENERGY
ENJLIF
EXCLUDE
EXPCTBST
EXPERTS
FALLSLP
FELTBLUE
Becoming easily annoyed or irritable
Feeling nervous, anxious, on edge
Fear others will not approve if negative
trouble getting back to sleep
Think people make bad luck for sympathy
People guilty of bad sexual behavior
Bathing or dressing yourself
Bending, kneeling, stooping
Bird
Bloating or gas
How much body pain
After anger bothered for a long time
Felt calm and peaceful
Care Giving Construct #1 (0,1 scoring)
Care Giving Construct #2 (0-5+ scoring)
Cat
Leak urine when cough, laugh
Major conflict with children
Attend clubs/lodges/groups last month
Clumsiness
Number of people who try to coerce
Difficulty concentrating
Constipation
Coughing or wheezing
Rarely count on good things happening
You had crying spells
Leak protect/Diaper, Attends
Diarrhea
Express disappointment
Have a divorce or break-up
Dizziness
Dog
Can you dress and undress self
Felt down in dumps
Can you eat
Role Limitations Due to Emotional Proble
Emotional Well-being
Energy/Fatigue
Had lots of energy
You enjoyed life
Number of people who exclude you
Usually expect the best
Experts often no better than I
fall asleep during quiet activ
Felt downhearted and blue
FELTDEP
FELTSAD
FISH
FORGET
FRIENDIE
FRNDIV
FRNDSUSE
FRNJOB
FRQINCON
FULLPEP
FUN
GENHEL
GENHLTH
GOODADVC
GOODTIME
HAPPY
HEADACHE
HEARLOSS
HEARTBRN
HEARTRAC
HLPCHORS
HLPPROB
HLPSICK
HLPSICKT
HLTHC1Y
HLTHEXCL
HLTHWORS
HLTHYANY
HONEST
HOPEFUL
HOSTIL
HOTFLASH
HRSSLP
HUNGRY
INCONDIS
INCONLMT
INCONT
INOUTBED
INTSOC
INTSOC2
JNTPAIN
KNWANGRY
LEAKAMT
LESSACCE
LESSACCP
You felt depressed
You felt sad
Fish
Forgetfulness
Did a close friend die
Close friend had a divorce
Make friends because friends are useful
Close friend lost job
How often leaked urine
Did you feel full of pep
Someone to something fun with
In general, health is
General Health Construct
Someone to give good advice
Someone to have a good time with
Have you been happy
Headaches or migraines
Hearing loss
Heartburn
Heart racing or skipping beats
Someone to help with daily chores
Someone to help understand a problem
Helping sick family/friend
Times helped sick family/friend
Compare health to 1 year ago
My health is excellent
I expect health to get worse
I am as healthy as anybody
Most people are honest due to fear
Always hopeful about future
Hostility Construct
Hot flashes
How many hours of sleep
Increased appetite
How much does leakage bother
leak limit activities
Ever leaked urine
Can you get in and out of bed
Phys or emotional probs interfere
Physical or emotional problem
Joint pain or stiffness
Usually people around know when angry
How much urine you lose
Emot/Accomplished less
Phys/Accomplished less
LESSCARE
LESSKNDP
LESSWRKE
LESSWRKP
LFEVENT1
LFEVENT2
LIE
LIFEQUAL
LIFTGROC
LISTEN
LIVALN
LIVALOR
LIVCHLD
LIVFRNDS
LIVOTH
LIVPRT
LIVREL
LIVSIBL
LOVE
LOWBACKP
MAJACC
MARRIED
MEDSLEEP
MENSPAD
MINIPAD
MODACT
MONPROB
MOODSWNG
MOREGOOD
MSCLACHE
NAP
NAUSEA
NECKPAIN
NEGEMOT
NERVES
NERVOUS
NIGHTSWT
NOCARE
NOCONCEN
NOHELP
NOHUNGER
NOINCON
NOPRTCT
NOTMYWAY
OPTIMISM
Emot/Worked less carefully
Phys/limited kind of work
Emot/cut down on time spent
Phys/cut down on time spent
Life Event Construct #1 (0,1 scoring)
Life Event Construct #2 (0-3 scoring)
Most people would lie to get ahead
Rate quality of life
Lifting or carrying groceries
Someone to listen when need to talk
Live alone
Living Alone
Live with children
Live with friends
Live with other than listed
Live with husband/partner
Live with relatives
Live with brother/sister
Someone to love you/make you feel wanted
Low back pain
Major accident or disaster
Currently married or intimate
take medication for sleep
Leak Protection/Menstrual pad
Leak Protect/Mini-pad, tissue
Moderate activities
Major problems with money
Mood swings
Expect more good things than bad
Muscle tension aches or soreness
Did you nap during the day
Nausea
Neck pain
Negative Emotional Expressiveness (NEE)
Number of people who get on nerves
Have you been a very nervous person
Night sweats
No one cares what happens to you
Trouble concentrating on things, reading
People inwardly don't like to help
Decreased appetite
No longer leak urine
Leak Protect/No protection
Hardly ever expect things to go my way
Optimism Construct
ORDERS
OTHINCON
OTHPET
OTHPRTCT
PAIN
PAININT
PANIC
PEOPDIS
PET
PETDIE
PHYAB
PHYLIMIT
PHYSFUN
PSHTDEP
QUALSLP
RELGTIME
RELSTRN
RESPECT
RESTLSIT
RESTSLP
SAD2WK
SAD2YRS
SADMUCH
SATFRQSX
SATLIFE
SATSEX
SCENEPUB
SEX
SEX45
SEXACTIV
SEXWORRY
SHARE
SHOWER
SICKEASY
SKINDRY
SLPDSTRB
SLPINCON
SNORE
SOCFUNC
SOCSTRN
SOCSUPP
SPOUSDIE
SPOUSILL
STAIR
STAIRS
Take orders from someone who knew less
When leak urine, Other
Other pet
Leaking urine protection, Other
Pain Construct
How much did pain interfere
Having an anxiety attack -- feel fear or panic
You felt people disliked you
Lived with a pet in home
Did a pet die
You were physically abused
Role Limitations Due to Physical Health
Physical Functioning Construct
Shortened CES-D/DIS Screening Instrument
Typical night's sleep
Times attend religious service/church
Religion gives strength and comfort
People demand more respect than give
Feeling restless so hard to sit still
Your sleep was restless
Felt sad for two weeks
Felt sad two or more years
Felt sad much of past year
Satisfied with sex frequency
Satisfied with quality of life
How satisfied sexually
If angered, cause scene in public place
Who you have had sex with
Description of adult sexual orientation
Sexual activity in last year
Sexual activity affect healh
Someone to share private worries/fears
Can you take a bath or shower
I get sick easier
Skin dryness or scaling
Sleep Disturbance Construct
Leak when I am sleeping
Did you snore
Social Functioning
Social Strain Construct
Social Support Construct
Did your spouse die
Did your spouse have a serious illness
Climbing one flight of stairs
Climbing several flights
STAYSLP
SUPPRESS
SWELLHND
SYMPTOM
TAKEDR
TELLFEEL
TIRED
TIRED2
TIREEASY
TOINCON
TOOMUCH
TRBSEE
TRBSLEEP
TREMORS
TRUSTNO
TRUTH
UNFAIR
UPEARLY
UPSTOM
URINPAIN
VAGDIS
VAGDRY
VAGITCH
VERBAB
VIGACT
WAKENGHT
WALK1BLK
WALK1M
WALKBLKS
WELBEING
WORNOUT
WRKDIFFP
WRONG
Trouble falling asleep or staying asleep
Usually suppress anger
Swelling of hands or feet
Symptom Construct
Someone can take to the doctor
Tell from facial expressions how feeling
Did you feel tired
Feeling tired
Getting tired very easily
Leak when can't get to toilet
Number of people who ask too much
Trouble with vision
Did you have trouble sleeping
Tremors
Safer to trust nobody
Argue to convince people of truth
Most people are unfair to gain profit
wake up earlier than planned
Upset stomach or belly pain
Pain/burning while urinating
Vaginal or genital discharge
Vaginal or genital dryness
Vaginal or genital irritation
You were verbally abused
Vigorous activities
Did you wake up several times
Walking one block
Walking more than one mile
Walking several blocks
Rate current sense of well-being
Did you feel worn out
Phys/difficulty perform work
Expect something that can will go wrong
Form 43 Hormone Use (44)
Variable
DES
DESAGEMAX
DESAGEMIN
DESTIME
DMPA
DMPAFREQ
Label
DES (diethylstilbestrol) use ever
Age stopped DES
Age started DES
DES Duration (years)
DMPA (depo-provera) use ever
DMPA frequency of use
DMPAGEMAX
DMPAGEMIN
DMPATIME
DMPAUOM
ESTR
ESTRMAX
ESTRMIN
ESTRSTAT
ESTRTIME
OC
OCAGEMAX
OCAGEMIN
OCBPREG
OCBPTIME
OCTIME
PCYCLE
TEST
TESTMAX
TESTMIN
TESTSTAT
TESTTIME
TOTE
TOTECAT
TOTEMAX
TOTEMIN
TOTESTAT
TOTETIME
TOTH
TOTHCAT
TOTHMAX
TOTHMIN
TOTHSTAT
TOTHTIME
TOTP
TOTPMAX
TOTPMIN
TOTPSTAT
TOTPTIME
Age last used DMPA
Age first used DMPA
DMPA duration (years)
DMPA frequency UOM
Estratest use
Age last used estratest
Age first used estratest
Estratest usage status
Estratest duration
Oral contraceptive use ever
Age last used OC
Age first used OC
OC use before first term pregancy
OC use before first term preg duration (years)
OC duration (years)
Progesterone cycle during last PERT use
Testosterone or other male hormone use
Age last used testosterone
Age first used testosterone
Testosterone or other male hormone status
Testosterone or other male hormone duratation
Unopposed estrogen use ever
Unopposed estrogen duration by category
Age last used unopposed estrogen
Age first used unopposed estrogen
Unopposed estrogen usage status
Lifetime unopposed estrogen duration
HRT uuse ever
HRT duration by category
Age last used HRT
Age first used HRT
HRT usage status
Lifetime HRT duration
Estrogen + progesterone use ever
Age last used estrogen + progesterone
Age first used estrogen + progesterone
Estrogen + progesterone usage status
Lifetime estrogen + progest duration
Form 45 Current Supplements (55)
Variable
F45BETA
F45BIOT
F45CALC
Label
Supplemental Beta-carotene, mcg
Supplemental Biotin, mcg
Supplemental Calcium, mg
F45CHROM
F45COMBP
F45COPP
F45FOLIC
F45IRON
F45MAGN
F45MANG
F45MOLYB
F45MULTI
F45MVMIN
F45NIAC
F45OTHCM
F45PANTO
F45PHOS
F45POTAS
F45RETIN
F45SELEN
F45STRES
F45VITA
F45VITB1
F45VITB2
F45VITB6
F45VITC
F45VITD
F45VITE
F45VTB12
F45ZINC
TKBIOT
TKCALC
TKCHROM
TKCOPP
TKFOLIC
TKIRON
TKMAGN
TKMANG
TKMOLYB
TKNIAC
TKPANTO
TKPHOS
TKPOTAS
TKRETIN
TKSELEN
TKVITA
TKVITB1
TKVITB12
Supplemental Chromium, mcg
Any Combination Pill
Supplemental Copper, mg
Supplemental Folic Acid, mcg
Supplemental Iron, mg
Supplemental Magnesium, mg
Supplemental Manganese, mg
Supplemental Molybdenum, mcg
Multivitamin without Minerals
Multivitamin with Minerals
Supplemental Niacin, mg
Other Comb Pill (not multivit/stress)
Supplemental Pantothenic Acid, mg
Supplemental Phosphorus, mg
Supplemental Potassium, mg
Supplemental Retinol, mcg
Supplemental Selenium, mcg
Stress Formula Pills
Supplemental Vitamin A, mcg RE
Supplemental Vitamin B1 (Thiamine), mg
Supplemental Vitamin B2 (Thiamine), mg
Supplemental Vitamin B6, mg
Supplemental Vitamin C, mg
Supplemental Vitamin D, mcg
Supplemental Alpha-tocopherol, IU
Supplemental Vitamin B12, mcg
Supplemental Zinc, mg
F45 Taking biotin from single sup
F45 Taking calcium from single sup
F45 Taking chromium from single sup
F45 Taking copper from single sup
F45 Taking folic acid from single sup
F45 Taking iron from single sup
F45 Taking magnesium from single sup
F45 Taking manganese from single sup
F45 Taking molybdenum from single sup
F45 Taking niacin from single sup
F45 Taking pantoth. acid from single sup
F45 Taking phosphorus from single sup
F45 Taking potassium from single sup
F45 Taking retinol from single sup
F45 Taking selenium from single sup
F45 Taking vitamin A from single sup
F45 Taking vitamin B1 from single sup
F45 Taking vitamin B12 from single sup
TKVITB2
TKVITB6
TKVITC
TKVITD
TKVITE
TKZINC
F45 Taking vitamin B2 from single sup
F45 Taking vitamin B6 from single sup
F45 Taking vitamin C from single sup
F45 Taking vitamin D from single sup
F45 Taking alpha-toco from single sup
F45 Taking zinc from single sup
Form 60 Energy (139)
Variable
F60ACARO
F60ADSGR
F60ALAN
F60ALC
F60ALCWK
F60ANMPR
F60ARGIN
F60ASH
F60ASPRT
F60ATOCO
F60BCRYP
F60BETA
F60BIOCHN
F60BTOCO
F60CAFF
F60CALC
F60CARB
F60CBPCT
F60CHOLS
F60COPPR
F60CUMST
F60CYSTN
F60DAIDZ
F60DIETGA
F60DIETGI
F60DTOCO
F60ENRGY
F60ENRGYJ
F60FAT
F60FIBER
F60FLDEQ
F60FLNAT
F60FLSYN
F60FOLA
F60FRMNT
Label
Dietary Alpha-Carotene (mcg)
Dietary Added Sugars (g)
Dietary Alanine (g)
Dietary Alcohol (g)
Alcohol servings per week
Dietary Animal Protein (g)
Dietary Arginine (g)
Dietary Ash (g)
Dietary Aspartic Acid (g)
Dietary Alpha-Tocopherol (mg)
Dietary Beta-Cryptoxanthin (mcg)
Dietary Beta-Carotene (mcg)
Dietary Biochanin A (mg)
Dietary Beta-Tocopherol (mg)
Dietary Caffeine (mg)
Dietary Calcium (mg)
Dietary Total Carbohydrate (g)
Percent Calories from Carbohydrates
Dietary Cholesterol (mg)
Dietary Copper (mg)
Dietary Coumestrol (mg)
Dietary Cystine (g)
Dietary Daidzein (mg)
Dietary Glycemic Index (using available carbs)
Dietary Glycemic Index (using total carbs)
Dietary Delta-Tocopherol (mg)
Dietary Energy (kcal)
Dietary Energy (joules)
Dietary Total Fat (g)
Dietary Fiber (g)
Dietary Folate Equivalents (mcg)
Dietary Natural Folate (food folate) (mcg)
Dietary Synthetic Folate (folic acid) (mcg)
Dietary Folacin (mcg)
Dietary Formononetin (mg)
F60FRUCT
F60FRUIT
F60FTPCT
F60GALAC
F60GLAC
F60GLUC
F60GLUT
F60GLYCN
F60GLYCTN
F60GNISTN
F60GRAMS
F60GTLC
F60GTOCO
F60HISTD
F60INSFB
F60IRON
F60ISOLE
F60LACT
F60LEUCN
F60LUTZX
F60LYCO
F60LYSIN
F60MAGN
F60MALT
F60MANGN
F60METH
F60METHN
F60MF141
F60MF161
F60MF181
F60MF201
F60MF221
F60MFA
F60MFPCT
F60NATOC
F60NIACN
F60NICNEQ
F60OMGA3
F60OMGA6
F60OXALC
F60PANTO
F60PECT
F60PF182
F60PF183
F60PF184
Dietary Fructose (g)
Daily Fruit Consumption (med portion)
Percent Calories from Fat
Dietary Galactose (g)
Dietary Glycemic Load Based on Available Carb
Dietary Glucose (g)
Dietary Glutamic Acid (g)
Dietary Glycine (g)
Dietary Glycitein (mg)
Dietary Genistein (mg)
Dietary Gram Amount
Dietary Glycemic Load Based on Total Carb
Dietary Gamma-Tocopherol (mg)
Dietary Histidine (g)
Insoluble Dietary Fiber (g)
Dietary Iron (mg)
Dietary Isoleucine (g)
Dietary Lactose (g)
Dietary Leucine (g)
Dietary Lutein+Zeaxanthin (mcg)
Dietary Lycopene (mcg)
Dietary Lysine (g)
Dietary Magnesium (mg)
Dietary Maltose (g)
Dietary Manganese (mg)
Dietary 3-Methylhistidine (mg)
Dietary Methionine (g)
Dietary MFA 14:1 (g)
Dietary MFA 16:1 (g)
Dietary MFA 18:1, Oleic Acid (g)
Dietary MFA 20:1 (g)
Dietary MFA 22:1 (g)
Dietary Total MFA (g)
Percent Calories from MFA
Dietary Natural Alpha-Tocopherol (mg)
Dietary Niacin (mg)
Dietary Niacin Equivalents (mg)
Dietary Omega 3 (g)
Dietary Omega 6 FA (g)
Dietary Oxalic Acid (mg)
Dietary Pantothenic Acid (mg)
Dietary Pectins (g)
Dietary PFA 18:2, Linoleic Acid (g)
Dietary PFA 18:3, Linolenic Acid (g)
Dietary PFA 18:4 (g)
F60PF204
F60PF205
F60PF225
F60PF226
F60PFA
F60PFPCT
F60PHNYL
F60PHOS
F60PHYTC
F60POTAS
F60PROLN
F60PROT
F60PRPCT
F60RETIN
F60RIBO
F60SELEN
F60SERIN
F60SF100
F60SF120
F60SF140
F60SF160
F60SF170
F60SF180
F60SF200
F60SF220
F60SF40
F60SF60
F60SF80
F60SFA
F60SFPCT
F60SODUM
F60SOLFB
F60STOCO
F60STRCH
F60SUCR
F60TF161
F60TF181
F60TF182
F60TFTOT
F60THIAM
F60THREO
F60TRYPT
F60TSUGR
F60TYROS
F60VALIN
Dietary PFA 20:4 (g)
Dietary PFA 20:5, EPA (g)
Dietary PFA 22:5 (g)
Dietary PFA 22:6, dha (g)
Dietary Total PFA (g)
Percent Calories from PFA
Dietary Phenylalanine (g)
Dietary Phosphorous (mg)
Dietary Phytic Acid (mg)
Dietary Potassium (mg)
Dietary Proline (g)
Dietary Protein (g)
Percent Calories from Protein
Dietary Retinol (mcg)
Dietary Riboflavin (mg)
Dietary Selenium (mcg)
Dietary Serine (g)
Dietary SFA 10:0 (g)
Dietary SFA 12:0 (g)
Dietary SFA 14:0 (g)
Dietary SFA 16:0, Palmitic Acid (g)
Dietary SFA 17:0 (g)
Dietary SFA 18:0, Stearic Acid (g)
Dietary SFA 20:0 (g)
Dietary SFA 22:0 (g)
Dietary SFA 4:0 (g)
Dietary SFA 6:0 (g)
Dietary SFA 8:0 (g)
Dietary Total SFA (g)
Percent Calories from SFA
Dietary Sodium (mg)
Water Soluble Dietary Fiber (g)
Dietary Synthetic Alpha-Tocopherol (mg)
Dietary Starch (g)
Dietary Sucrose (g)
Dietary Trans Fatty Acid, 161T (g)
Dietary Trans Fatty Acid, 181T (g)
Dietary Trans Fatty Acid, 182T (g)
Dietary Total Trans Fatty Acid (g)
Dietary Thiamin (mg)
Dietary Threonine (g)
Dietary Tryptophan (g)
Dietary Total Sugars (g)
Dietary Tyrosine (g)
Dietary Valine (g)
F60VB12
F60VEG
F60VEGPR
F60VITA
F60VITAIU
F60VITARE
F60VITB6
F60VITC
F60VITD
F60VITE
F60VITK
F60VTEIU
F60WATER
F60ZINC
Dietary Vitamin B12 (mcg)
Daily Vegetable Consumption (med portion)
Dietary Vegetable Protein (g)
Dietary Vitamin A (RAE)
Dietary Vitamin A (IU)
Dietary Vitamin A (mcg RE)
Dietary Vitamin B6 (mg)
Dietary Vitamin C (mg)
Dietary Vitamin D (mcg)
Dietary Total Alpha-Toc Eq (mg)
Dietary Vitamin K (NDS Value) (mcg)
Dietary Vitamin E (IU)
Dietary Water (g)
Dietary Zinc (mg)
Form 80 and others (41)
Variable
BMICX
BMIX
DIAS
DIASBP1
DIASBP2
DIASTOL
group21
group24
group249930
group26
group28
group32
group33
group34
group35
group36
group37
group38
group39
group40
group57
group58
group59
group60
group64
group65
group72
Label
BMI Categorical
BMIX
Diastolic BP
Diastolic blood pressure (1st reading)
Diastolic blood pressure (2nd reading)
Diastolic BP
Antineoplastics
Estrogens
Estrogen & Progestin
Progestins
THYROID
ANTIANGINAL AGENTS
BETA BLOCKERS
CALCIUM BLOCKERS
ANTIARRHYTHMIC
ANTIHYPERTENSIVE
DIURETICS
PRESSORS
Antihyperlipidemic
MISC. CARDIOVASCULAR
Antianxiety Agents
Antidepressants
Antipsychotics
Hypnotics
ANALGESICS - NONNARCOTIC
ANALGESICS - NARCOTIC
ANTICONVULSANT
HEMATOCR
HEIGHTX
HIPX
PLATELET
PULSE30
SYST
SYSTBP1
SYSTBP2
SYSTOL
WAISTX
WBC
WEIGHTX
WHEXPECT
WHRX
Hematocrit (%)
Height cm
Hip circumference cm
Platelet count (Kcell/ml)
Resting pulse in 30 seconds
Systolic BP
Systolic blood pressure (1st reading)
Systolic blood pressure (2nd reading)
Systolic BP
Waist circumference cm
White blood cell (Kcell/ml)
Weight kg
Waist and Hip measurement expected
Waist hip ratio
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