Form 158 - Supplemental Questionnaire
| File Name | Data as of | Population | Data collected | One row per | Rows |
|---|---|---|---|---|---|
| f158_ctos_inv.dat | 6/29/2018 | CT+OS | Ext2 | Participant | 58,274 |
ID - WHI Participant Common ID Col 1
F158VTYP - Visit type Col 2
F158VY - Visit year Col 3 Visit year in which this form was collected.
F158X2VY - Ext 2 visit year Col 4 WHI Extension 2 visit year for which this form was collected.
F158DAYS - Days since randomization or enrollment Col 5
PREG - Ever been pregnant Col 6 Have you ever been pregnant?
BORN3WKSERLY - Child born 3 weeks early Col 7 Were any of your babies born 3 weeks early or sooner? Usage Notes: Sub-question of F158 Q2 “Have you ever been pregnant?” (PREG). The skip pattern rule is not applied. NOTE: this question may contain data that violated the PREG question’s skip pattern rules where PREG was missing or 0 (No).
PREECLMP - Preeclampsia Col 8 During any of your pregnancies did you have preeclampsia (toxemia, high blood pressure during and/or right after pregnancy also associated with protein in the urine) or eclampsia (preeclampsia AND seizures/convulsions)? Usage Notes: Sub-question of F158 Q2 “Have you ever been pregnant?” (PREG). The skip pattern rule is not applied. NOTE: this question may contain data that violated the PREG question’s skip pattern rules where PREG was missing or 0 (No).
HYPTPREG - High blood pressure during pregnancy Col 9 During any of your pregnancies did you have high blood pressure (gestational hypertension, pregnancy-induced hypertension) not related to preeclampsia? Usage Notes: Sub-question of F158 Q2 “Have you ever been pregnant?” (PREG). The skip pattern rule is not applied. NOTE: this question may contain data that violated the PREG question’s skip pattern rules where PREG was missing or 0 (No).
DIABPREG - Preg diabetes/high blood sugar Col 10 During any of your pregnancies, were you told you had gestational diabetes or high blood sugar, or sugar in the urine? Usage Notes: Sub-question of F158 Q2 “Have you ever been pregnant?” (PREG). The skip pattern rule is not applied. NOTE: this question may contain data that violated the PREG question’s skip pattern rules where PREG was missing or 0 (No).
BABYLT5LBS - Baby weighed < 5lbs 8oz Col 11 Have you ever given birth to a baby that weighed less than 5 pounds, 8 ounces (less than 2,500 grams)? Usage Notes: Sub-question of F158 Q2 “Have you ever been pregnant?” (PREG). The skip pattern rule is not applied. NOTE: this question may contain data that violated the PREG question’s skip pattern rules where PREG was missing or 0 (No).
BABYGT9LBS - Baby weighed > 9lbs 14oz Col 12 Have you ever given birth to a baby that weighed more than 9 pounds, 14 ounces (more than 4,500 grams)? Usage Notes: Sub-question of F158 Q2 “Have you ever been pregnant?” (PREG). The skip pattern rule is not applied. NOTE: this question may contain data that violated the PREG question’s skip pattern rules where PREG was missing or 0 (No).
F158TEETHCND - Condition of mouth and teeth Col 13 How would you describe the condition of your mouth and teeth? Usage Notes: This same question was asked on Form 145; however, please be aware that the response values are reverse coded.
VISITDNT - Dental visits past 3 years Col 14 During the past 3 years, how often have you gone to the dentist or dental hygienist for routine check-ups or cleanings?
GUMDIS - Periodontal or gum disease Col 15 Has a dentist or dental hygienist ever told you that you had periodontal or gum disease?
NOTEETH - Lost all permanent teeth Col 16 Have you lost all of your permanent teeth, both upper and lower?
MEMWORSE - Memory becoming worse Col 17 Do you feel like your memory is becoming worse?
RECINFO - Recalling information past 5 years Col 18 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Recalling information when I really try.
REMNAMES - Remembering names past 5 years Col 19 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering names and faces of new people I meet.
REMEVENTS - Recent events past 5 years Col 20 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering things that have happened recently.
RECCONVRSTN - Recalling conversations past 5 years Col 21 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Recalling conversations a few days later.
REMTHINGS - Remembering where things kept past 5 years Col 22 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering where things are usually kept.
REMNEWINFO - Remembering new info past 5 years Col 23 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering new information told to me.
REMOBJECTS - Remembering where placed objects past 5 years Col 24 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering where I placed familiar objects.
REMTODO - Remembering what intended to do past 5 years Col 25 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering what I intended to do.
REMFAMFRNDS - Remembering family friends names past 5 years Col 26 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering names of family members and friends.
REMNONOTES - Remembering without notes past 5 years Col 27 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering without notes and reminders.
PEOPMEMORY - People find my memory past 5 years Col 28 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. People who know me would find that my memory is.
REMCOMPAGE - Remembering compared to age group past 5 years Col 29 This next set of questions asks you to rate any change in your abilities, daily functioning and activities. Fill in the circle for each question that best fits your current ability level compared to 5 years ago. Remembering things compared to my age group.
COGCHANGE - Cognitive Change Index Col 30 Computed from Form 158 questions 7.1-7.12. Source: Adapted from Saykin et al, Neurology 2006;67:834-842. The index assesses the perception of cognitive decline. The index sums the 12 questions, and ranges from 12 to 60, where a higher score indicates more memory concerns. A score ≥ 16 indicates significant memory concern.
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See Psychosocial/Behavioral constructs for information about how the computed variables are constructed for main study forms 37 and 38, and follow-up forms 151, 151A, 151B, 155, 157, 158, 159, 160, 160P, 161, 190, and 191.