1999 2006 National Health and Nutrition Examination Survey

1999 -2006 National Health and Nutrition Examination Survey (NHANES): Overview and Analysis Strategy Session 2 July 10, 2006 10: 30 AM - NOON

Speakers 1. Overview of Current NHANES (D. Lacher) 2. NHANES Web Site and Tutorial (T. Louis) 3. Current NHANES Nutrition Component (M. Mc. Dowell) 4. The New Ophthalmology Component (A. Chavez) 5. Current NHANES Laboratory Component (G. Mc. Quillan) 6. NHANES 1999 -2004 Analytic Strategies (D. Kruszon-Moran)

An Overview of Current NHANES 1999 -2006 David A. Lacher, MD Centers for Disease Control and Prevention National Center for Health Statistics

What is NHANES? • Series of cross-sectional, national health and nutrition examination surveys conducted by NCHS since the early 1960’s.

Overall Objective of NHANES • To monitor the health and nutritional status of adults and children in the United States

NHANES Mobile Exam Center (MEC)

History of National Health and Nutrition Examination Surveys Survey NHES III NHANES II HHANES NHANES III NHANES 1999+ Years 1960 -62 1963 -65 1966 -70 1971 -75 1976 -80 1982 -84 1988 -94 1999 - Ages 18 -79 years 6 -11 years 12 -17 years 1 -74 years 6 mo. -74 years 2 mo. + All ages

NHANES Exam Components 1999 -2004 • • Audiometry Balance Body Composition – BIA, DXA Body Measurements Cardiovascular Fitness Dermatology Laboratory Lower Extremity Disease

NHANES Exam Components 1999 -2004 • • • Oral Exam • • Physical Functioning Physical Activity Monitor Physician Exam - Blood Pressure Vision

NHANES MEC Interview 19992004 • • Dietary • • Physical Activity Food Frequency and Security Mental Health Alcohol, Tobacco, Drug Use, Sexual Behavior Reproductive Health Urologic Current Health Status

NHANES Questionnaire 19992004 (Examples) • • Diabetes Dietary Immunization Medical Conditions Occupation Physical Functioning Social Support

NHANES Questionnaire 19992004 (Examples) • • Health Insurance Housing Income Hospital Use/ Access to Care Pesticide Use Medications Dietary Supplements

New in NHANES for 2005 -2006 • • DXA – Hip and Spine Laboratory Tests Allergy History and Tests Ophthalmology Oral Health – Basic Screening Sleep Disorder Questionnaire Modified Depression Screener Bowel History

New in NHANES • • NHANES 2003 -2004 Data Release • • • NHANES Web Site Reorganized New Analytical Guidelines for 1999 -2004 New NHANES Web Tutorial New Components for 2007 -2008 • Spirometry