The National Health and Nutrition Examination Surveys (NHANES) is a program of studies designed to assess the health and nutritional status of adults and children in the United States. The NHANES combines personal interviews and physical examinations, which focus on different population groups or health topics. These surveys have been conducted by the National Center for Health Statistics (NCHS) on a periodic basis from 1971 to 1994. In 1999, the NHANES became a continuous program with a changing focus on a variety of health and nutrition measurements designed to meet current and emerging concerns. The sample for the survey is selected to represent the U.S. population of all ages. Many of the NHANES 2001-2002 questions also were asked in NHANES II 1976-1980, Hispanic HANES 1982-1984, NHANES III 1988-1994. New questions were added to the survey based on recommendations from survey collaborators, NCHS staff, and other interagency work groups.
In the 2001-2002 wave, the NHANES includes more than 100 datasets. Most have been combined into three datasets for convenience. Each starts with the demographic dataset and includes datasets of a specific type.
1. National Health and Nutrition Examination Survey (NHANES), Demographic & Examination Data, 2001-2002 (the base of the Demographic dataset + all data from medical examinations).
2. National Health and Nutrition Examination Survey (NHANES), Demographic & Laboratory Data, 2001-2002 (the base of the Demographic dataset + all data from medical laboratories).
3. National Health and Nutrition Examination Survey (NHANES), Demographic & Questionnaire Data, 2001-2002 (the base of the Demographic dataset + all data from questionnaires).
Not all files from the 2001-2002 wave are included. This is for two reasons, both of which related to the merging variable (SEQN). For a subset of the files, SEQN is not a unique identifier for cases (i.e. some respondents have multiple cases) or SEQN is not in the file at all. The following datasets from this wave of the NHANES are not included in these three files and can be found individually from the "https://www.cdc.gov/nchs/nhanes/index.html" Target="_blank">NHANES website at the CDC:
Examination: Dietary Interview (Individual Foods File)
Examination: Dual Energy X-ray Absorptiometry (DXX)
Examination: Dual Energy X-ray Absorptiometry (DXX)
Questionnaire: Analgesics Pain Relievers
Questionnaire: Dietary Supplement Use -- Ingredient Information
Questionnaire: Dietary Supplement Use -- Supplement Blend
Questionnaire: Dietary Supplement Use -- Supplement Information
Questionnaire: Drug Information
Questionnaire: Dietary Supplement Use -- Participants Use of Supplement
Questionnaire: Physical Activity Individual Activity File
Questionnaire: Prescription Medications
Variable SEQN is included for merging files within the waves. All data files should be sorted by SEQN.
Additional details of the design and content of each survey are available at the "https://www.cdc.gov/nchs/nhanes/index.html" Target="_blank">NHANES website.
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The National Health and Nutrition Examination Survey (NHANES) provides data and have considerable potential to study the health and environmental exposure of the non-institutionalized US population. However, as NHANES data are plagued with multiple inconsistencies, processing these data is required before deriving new insights through large-scale analyses. Thus, we developed a set of curated and unified datasets by merging 614 separate files and harmonizing unrestricted data across NHANES III (1988-1994) and Continuous (1999-2018), totaling 135,310 participants and 5,078 variables. The variables conveydemographics (281 variables),dietary consumption (324 variables),physiological functions (1,040 variables),occupation (61 variables),questionnaires (1444 variables, e.g., physical activity, medical conditions, diabetes, reproductive health, blood pressure and cholesterol, early childhood),medications (29 variables),mortality information linked from the National Death Index (15 variables),survey weights (857 variables),environmental exposure biomarker measurements (598 variables), andchemical comments indicating which measurements are below or above the lower limit of detection (505 variables).csv Data Record: The curated NHANES datasets and the data dictionaries includes 23 .csv files and 1 excel file.The curated NHANES datasets involves 20 .csv formatted files, two for each module with one as the uncleaned version and the other as the cleaned version. The modules are labeled as the following: 1) mortality, 2) dietary, 3) demographics, 4) response, 5) medications, 6) questionnaire, 7) chemicals, 8) occupation, 9) weights, and 10) comments."dictionary_nhanes.csv" is a dictionary that lists the variable name, description, module, category, units, CAS Number, comment use, chemical family, chemical family shortened, number of measurements, and cycles available for all 5,078 variables in NHANES."dictionary_harmonized_categories.csv" contains the harmonized categories for the categorical variables.“dictionary_drug_codes.csv” contains the dictionary for descriptors on the drugs codes.“nhanes_inconsistencies_documentation.xlsx” is an excel file that contains the cleaning documentation, which records all the inconsistencies for all affected variables to help curate each of the NHANES modules.R Data Record: For researchers who want to conduct their analysis in the R programming language, only cleaned NHANES modules and the data dictionaries can be downloaded as a .zip file which include an .RData file and an .R file.“w - nhanes_1988_2018.RData” contains all the aforementioned datasets as R data objects. We make available all R scripts on customized functions that were written to curate the data.“m - nhanes_1988_2018.R” shows how we used the customized functions (i.e. our pipeline) to curate the original NHANES data.Example starter codes: The set of starter code to help users conduct exposome analysis consists of four R markdown files (.Rmd). We recommend going through the tutorials in order.“example_0 - merge_datasets_together.Rmd” demonstrates how to merge the curated NHANES datasets together.“example_1 - account_for_nhanes_design.Rmd” demonstrates how to conduct a linear regression model, a survey-weighted regression model, a Cox proportional hazard model, and a survey-weighted Cox proportional hazard model.“example_2 - calculate_summary_statistics.Rmd” demonstrates how to calculate summary statistics for one variable and multiple variables with and without accounting for the NHANES sampling design.“example_3 - run_multiple_regressions.Rmd” demonstrates how run multiple regression models with and without adjusting for the sampling design.
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analyze the national health and nutrition examination survey (nhanes) with r nhanes is this fascinating survey where doctors and dentists accompany survey interviewers in a little mobile medical center that drives around the country. while the survey folks are interviewing people, the medical professionals administer laboratory tests and conduct a real doctor's examination. the b lood work and medical exam allow researchers like you and me to answer tough questions like, "how many people have diabetes but don't know they have diabetes?" conducting the lab tests and the physical isn't cheap, so a new nhanes data set becomes available once every two years and only includes about twelve thousand respondents. since the number of respondents is so small, analysts often pool multiple years of data together. the replication scripts below give a few different examples of how multiple years of data can be pooled with r. the survey gets conducted by the centers for disease control and prevention (cdc), and generalizes to the united states non-institutional, non-active duty military population. most of the data tables produced by the cdc include only a small number of variables, so importation with the foreign package's read.xport function is pretty straightforward. but that makes merging the appropriate data sets trickier, since it might not be clear what to pull for which variables. for every analysis, start with the table with 'demo' in the name -- this file includes basic demographics, weighting, and complex sample survey design variables. since it's quick to download the files directly from the cdc's ftp site, there's no massive ftp download automation script. this new github repository co ntains five scripts: 2009-2010 interview only - download and analyze.R download, import, save the demographics and health insurance files onto your local computer load both files, limit them to the variables needed for the analysis, merge them together perform a few example variable recodes create the complex sample survey object, using the interview weights run a series of pretty generic analyses on the health insurance ques tions 2009-2010 interview plus laboratory - download and analyze.R download, import, save the demographics and cholesterol files onto your local computer load both files, limit them to the variables needed for the analysis, merge them together perform a few example variable recodes create the complex sample survey object, using the mobile examination component (mec) weights perform a direct-method age-adjustment and matc h figure 1 of this cdc cholesterol brief replicate 2005-2008 pooled cdc oral examination figure.R download, import, save, pool, recode, create a survey object, run some basic analyses replicate figure 3 from this cdc oral health databrief - the whole barplot replicate cdc publications.R download, import, save, pool, merge, and recode the demographics file plus cholesterol laboratory, blood pressure questionnaire, and blood pressure laboratory files match the cdc's example sas and sudaan syntax file's output for descriptive means match the cdc's example sas and sudaan synta x file's output for descriptive proportions match the cdc's example sas and sudaan syntax file's output for descriptive percentiles replicate human exposure to chemicals report.R (user-contributed) download, import, save, pool, merge, and recode the demographics file plus urinary bisphenol a (bpa) laboratory files log-transform some of the columns to calculate the geometric means and quantiles match the 2007-2008 statistics shown on pdf page 21 of the cdc's fourth edition of the report click here to view these five scripts for more detail about the national health and nutrition examination survey (nhanes), visit: the cdc's nhanes homepage the national cancer institute's page of nhanes web tutorials notes: nhanes includes interview-only weights and interview + mobile examination component (mec) weights. if you o nly use questions from the basic interview in your analysis, use the interview-only weights (the sample size is a bit larger). i haven't really figured out a use for the interview-only weights -- nhanes draws most of its power from the combination of the interview and the mobile examination component variables. if you're only using variables from the interview, see if you can use a data set with a larger sample size like the current population (cps), national health interview survey (nhis), or medical expenditure panel survey (meps) instead. confidential to sas, spss, stata, sudaan users: why are you still riding around on a donkey after we've invented the internal combustion engine? time to transition to r. :D
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The National Health and Nutrition Examination Surveys (NHANES) is a program of studies designed to assess the health and nutritional status of adults and children in the United States. The NHANES combines personal interviews and physical examinations, which focus on different population groups or health topics. These surveys have been conducted by the National Center for Health Statistics (NCHS) on a periodic basis from 1971 to 1994. In 1999 the NHANES became a continuous program with a changing focus on a variety of health and nutrition measurements which were designed to meet current and emerging concerns. The surveys examine a nationally representative sample of approximately 5,000 persons each year. These persons are located in counties across the United States, 15 of which are visited each year. The 1999-2000 NHANES contains data for 9,965 individuals (and MEC examined sample size of 9,282) of all ages. Many questions that were asked in NHANES II, 1976-1980, Hispanic HANES 1982-1984, and NHANES III, 1988-1994, were combined with new questions in the NHANES 1999-2000. The 1999-2000 NHANES collected data on the prevalence of selected chronic conditions and diseases in the population and estimates for previously undiagnosed conditions, as well as those known to and reported by respondents. Risk factors, those aspects of a person's lifestyle, constitution, heredity, or environment that may increase the chances of developing a certain disease or condition, were examined. Data on smoking, alcohol consumption, sexual practices, drug use, physical fitness and activity, weight, and dietary intake were collected. Information on certain aspects of reproductive health, such as use of oral contraceptives and breastfeeding practices, were also collected. The interview includes demographic, socioeconomic, dietary, and health-related questions. The examination component consists of medical, dental, and physiological measurements, as well as laboratory tests. Demographic data file variables are grouped into three broad categories: (1) Status Variables: Provide core information on the survey participant. Examples of the core variables include interview status, examination status, and sequence number. (Sequence number is a unique ID assigned to each sample person and is required to match the information on this demographic file to the rest of the NHANES 1999-2000 data). (2) Recoded Demographic Variables: The variables include age (age in months for persons through age 19 years, 11 months; age in years for 1-84 year olds, and a top-coded age group of 85+ years), gender, a race/ethnicity variable, an education variable (high school, and more than high school education), country of birth (United States, Mexico, or other foreign born), and pregnancy status variable. Some of the groupings were made due to limited sample sizes for the two-year dataset. (3) Interview and Examination Sample Weight Variables: Sample weights are available for analyzing NHANES 1999-2000 data. For a complete listing of survey contents for all years of the NHANES see the document -- Survey Content -- NHANES 1999-2010.
The National Health and Nutrition Examination Survey (NHANES) is designed to assess the health and nutritional status of adults and children in the United States. The survey is unique in that it combines interviews with standardized physical examinations and laboratory tests.
NHANES was conducted on a periodic basis from 1971 to 1994. In 1999 NHANES became continuous. Every year, approximately 5,000 people of all ages are interviewed in their homes and complete the health examination conducted in a mobile examination center.
The NHANES interview includes demographic, socioeconomic, dietary, and health-related questions. The examination component consists of medical, dental, and physiological measurements, as well as the collection of biospecimens, such as blood and urine for laboratory testing.
This set of restricted data contains indirect identifying and/or sensitive information collected in continuous NHANES since 1999. Please refer to the links below for additional data available from NHANES:
The dataset, Survey-SR, provides the nutrient data for assessing dietary intakes from the national survey What We Eat In America, National Health and Nutrition Examination Survey (WWEIA, NHANES). Historically, USDA databases have been used for national nutrition monitoring (1). Currently, the Food and Nutrient Database for Dietary Studies (FNDDS) (2), is used by Food Surveys Research Group, ARS, to process dietary intake data from WWEIA, NHANES. Nutrient values for FNDDS are based on Survey-SR. Survey-SR was referred to as the "Primary Data Set" in older publications. Early versions of the dataset were composed mainly of commodity-type items such as wheat flour, sugar, milk, etc. However, with increased consumption of commercial processed and restaurant foods and changes in how national nutrition monitoring data are used (1), many commercial processed and restaurant items have been added to Survey-SR. The current version, Survey-SR 2013-2014, is mainly based on the USDA National Nutrient Database for Standard Reference (SR) 28 (2) and contains sixty-six nutrientseach for 3,404 foods. These nutrient data will be used for assessing intake data from WWEIA, NHANES 2013-2014. Nutrient profiles were added for 265 new foods and updated for about 500 foods from the version used for the previous survey (WWEIA, NHANES 2011-12). New foods added include mainly commercially processed foods such as several gluten-free products, milk substitutes, sauces and condiments such as sriracha, pesto and wasabi, Greek yogurt, breakfast cereals, low-sodium meat products, whole grain pastas and baked products, and several beverages including bottled tea and coffee, coconut water, malt beverages, hard cider, fruit-flavored drinks, fortified fruit juices and fruit and/or vegetable smoothies. Several school lunch pizzas and chicken products, fast-food sandwiches, and new beef cuts were also added, as they are now reported more frequently by survey respondents. Nutrient profiles were updated for several commonly consumed foods such as cheddar, mozzarella and American cheese, ground beef, butter, and catsup. The changes in nutrient values may be due to reformulations in products, changes in the market shares of brands, or more accurate data. Examples of more accurate data include analytical data, market share data, and data from a nationally representative sample. Resources in this dataset:Resource Title: USDA National Nutrient Database for Standard Reference Dataset for What We Eat In America, NHANES 2013-14 (Survey SR 2013-14). File Name: SurveySR_2013_14 (1).zipResource Description: Access database downloaded on November 16, 2017. US Department of Agriculture, Agricultural Research Service, Nutrient Data Laboratory. USDA National Nutrient Database for Standard Reference Dataset for What We Eat In America, NHANES (Survey-SR), October 2015. Resource Title: Data Dictionary. File Name: SurveySR_DD.pdf
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The National Health and Nutrition Examination Survey (NHANES) provides data on the health and environmental exposure of the non-institutionalized US population. Such data have considerable potential to understand how the environment and behaviors impact human health. These data are also currently leveraged to answer public health questions such as prevalence of disease. However, these data need to first be processed before new insights can be derived through large-scale analyses. NHANES data are stored across hundreds of files with multiple inconsistencies. Correcting such inconsistencies takes systematic cross examination and considerable efforts but is required for accurately and reproducibly characterizing the associations between the exposome and diseases (e.g., cancer mortality outcomes). Thus, we developed a set of curated and unified datasets and accompanied code by merging 614 separate files and harmonizing unrestricted data across NHANES III (1988-1994) and Continuous (1999-2018), totaling 134,310 participants and 4,740 variables. The variables convey 1) demographic information, 2) dietary consumption, 3) physical examination results, 4) occupation, 5) questionnaire items (e.g., physical activity, general health status, medical conditions), 6) medications, 7) mortality status linked from the National Death Index, 8) survey weights, 9) environmental exposure biomarker measurements, and 10) chemical comments that indicate which measurements are below or above the lower limit of detection. We also provide a data dictionary listing the variables and their descriptions to help researchers browse the data. We also provide R markdown files to show example codes on calculating summary statistics and running regression models to help accelerate high-throughput analysis of the exposome and secular trends on cancer mortality. csv Data Record: The curated NHANES datasets and the data dictionaries includes 13 .csv files and 1 excel file. The curated NHANES datasets involves 10 .csv formatted files, one for each module and labeled as the following: 1) mortality, 2) dietary, 3) demographics, 4) response, 5) medications, 6) questionnaire, 7) chemicals, 8) occupation, 9) weights, and 10) comments. The eleventh file is a dictionary that lists the variable name, description, module, category, units, CAS Number, comment use, chemical family, chemical family shortened, number of measurements, and cycles available for all 4,740 variables in NHANES ("dictionary_nhanes.csv"). The 12th csv file contains the harmonized categories for the categorical variables ("dictionary_harmonized_categories.csv"). The 13th file contains the dictionary for descriptors on the drugs codes (“dictionary_drug_codes.csv”). The 14th file is an excel file that contains the cleaning documentation, which records all the inconsistencies for all affected variables to help curate each of the NHANES datasets (“nhanes_inconsistencies_documentation.xlsx”). R Data Record: For researchers who want to conduct their analysis in the R programming language, the curated NHANES datasets and the data dictionaries can be downloaded as a .zip file which include an .RData file and an .R file. We provided an .RData file that contains all the aforementioned datasets as R data objects (“w - nhanes_1988_2018.RData”). Also in this .RData file, we make available all R scripts on customized functions that were written to curate the data. We also provide an .R file that shows how we used the customized functions (i.e. our pipeline) to curate the data (“m - nhanes_1988_2018.R”).
The National Health and Nutrition Examination Survey’s (NHANES) National Youth Fitness Survey (NNYFS) was conducted in 2012 to collect nationally representative data on physical activity and fitness levels for U.S. children and adolescents aged 3-15 years, through household interviews and fitness tests conducted in mobile examination centers.
The NNYFS interview includes demographic, socioeconomic, dietary, and health-related questions. The fitness tests included standardized measurements of core, upper, and lower body muscle strength, and gross motor skills, as well as a measurement of cardiovascular fitness by walking and running on a treadmill. A total of 1,640 children and adolescents aged 3-15 were interviewed and 1,576 were examined.
This set of restricted data files contains indirect identifying and/or sensitive information collected in NNYFS. For NNYFS public use files, please visit NNYFS 2012 at: https://wwwn.cdc.gov/nchs/nhanes/search/nnyfs12.aspx.
For more information on the survey design, implementation, and data analysis, see the NNYFS Analytic Guidelines at: https://www.cdc.gov/nchs/nnyfs/analytic_guidelines.htm.
For more information on NHANES, visit the NHANES - National Health and Nutrition Examination Survey Homepage at: https://www.cdc.gov/nchs/nhanes/index.htm.
These data represent prevalence estimates of select chronic conditions from the National Health and Nutrition Examination Survey (NHANES). This version of the dataset is specific for use by the NCHS DQS. Search, visualize, and download these and other estimates from over 120 health topics with the NCHS Data Query System (DQS), available from: https://www.cdc.gov/nchs/dataquery/index.htm.
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Users can download reports, data tables and data sets to gain information regarding Americans' nutrition and health statuses. BackgroundThe National Health and Nutrition Examination Survey (NHANES) is part of the National Center for Health Statistics at the Centers for Disease Control and Prevention (CDC). It is an annual survey that reports on Americans' nutrition and health statuses and uses that information to determine prevalence estimates and understand health trends. NHANES developed growth charts that are used to track the physical development of infants and children, and it has contributed to im provements in food and health care in the United States. Information includes: diet, weight according to sex, age, race, ethnicity and age; disease history; serum cholesterol levels; depression; breastfeeding; intake of calories and nutrients, and much more. User Functionality The website offers extensive tutorials to help users navigate and download the NHANES datasets. Datasets can be downloaded as SAS transport files, which can be downloaded into SAS, SPSS, and SUDAN. The datasets can also be converted to be read as Excel files. From the website, static data reports and tables are also available for download, and investigators can apply to get access to the non-publicly released data sets. Data Notes The survey co nsists of an interview and a health examination by a trained physician. Participants are considered to be a nationally representative sample. Data is available from the first NHANES in 1971 to the present. The survey is continuous, and data is released as it becomes available, with the most recent data from 2008.
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This is the age, height, and weight data extracted from the NHANES 2017-2018 survey dataset. The original data were BMX_J.xpt (see https://wwwn.cdc.gov/nchs/nhanes/search/datapage.aspx?Component=Examination&CycleBeginYear=2017) and DEMO_J.xpt (see https://wwwn.cdc.gov/nchs/nhanes/search/datapage.aspx?Component=Demographics&CycleBeginYear=2017). I used Linux Mint 20 to get the CSV files from the above XPT files. First, I installed the R foreign package by the next command. $ sudo apt install r-cran-foreign Then, I developed two R scripts to extract the CSV data. The scripts are attached to this dataset. For analysis of the CSV file, I used the following commands within the R environment.
data h =20 & data$age w =20 & data$age wt ht model summary(model) Call: lm(formula = wt ~ ht) Residuals: Min 1Q Median 3Q Max -0.29406 -0.07182 -0.00558 0.06514 0.47048 Coefficients: Estimate Std. Error t value Pr(>|t|)
(Intercept) 1.46404 0.01423 102.90
NCHS has linked data from various surveys with death certificate records from the National Death Index (NDI). Linkage of the NCHS survey participant data with the NDI mortality data provides the opportunity to conduct a vast array of outcome studies designed to investigate the association of a wide variety of health factors with mortality. The Linked Mortality Files (LMF) have been updated with mortality follow-up data through December 31, 2019. Public-use Linked Mortality Files (LMF) are available for 1986-2018 NHIS, 1999-2018 NHANES, and NHANES III. The files include a limited set of mortality variables for adult participants only. The public-use versions of the NCHS Linked Mortality Files were subjected to data perturbation techniques to reduce the risk of participant re-identification. For select records, synthetic data were substituted for follow-up time or underlying cause of death. Information regarding vital status was not perturbed.
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Characteristics of simulated COVID-19 deaths and the weighted NHANES sample.
FSRDC allows qualified researchers to securely use restricted-access data from the U.S. Census Bureau, the National Center for Health Statistics (NCHS), the Agency for Healthcare Research and Quality (AHRQ), and the Bureau of Labor Statistics. These data are extraordinarily rich and virtually the only source for many important questions in health and social sciences. The Stanford Federal Statistical Research Data Center (FSRDC) allows qualified researchers to securely use restricted-access data from the U.S. Census Bureau, the National Center for Health Statistics (NCHS), the Agency for Healthcare Research and Quality (AHRQ), and the Bureau of Labor Statistics. For example, researchers can access detailed geographic indicators that are not publicly available in data such as the National Health Interview Survey (NHIS) and National Health and Nutrition Examination Survey (NHANES).
PHS does not host FSRDC data. If you wish to use FSRDC data for a health related project, please reach out to the Stanford FSRDC: https://iriss.stanford.edu/fsrdc
All manuscripts (and other items you'd like to publish) must be submitted to
phsdatacore@stanford.edu for approval prior to journal submission.
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What We Eat in America (WWEIA) is the dietary intake interview component of the National Health and Nutrition Examination Survey (NHANES). WWEIA is conducted as a partnership between the U.S. Department of Agriculture (USDA) and the U.S. Department of Health and Human Services (DHHS). Two days of 24-hour dietary recall data are collected through an initial in-person interview, and a second interview conducted over the telephone within three to 10 days. Participants are given three-dimensional models (measuring cups and spoons, a ruler, and two household spoons) and/or USDA's Food Model Booklet (containing drawings of various sizes of glasses, mugs, bowls, mounds, circles, and other measures) to estimate food amounts. WWEIA data are collected using USDA's dietary data collection instrument, the Automated Multiple-Pass Method (AMPM). The AMPM is a fully computerized method for collecting 24-hour dietary recalls either in-person or by telephone. For each 2-year data release cycle, the following dietary intake data files are available: Individual Foods File - Contains one record per food for each survey participant. Foods are identified by USDA food codes. Each record contains information about when and where the food was consumed, whether the food was eaten in combination with other foods, amount eaten, and amounts of nutrients provided by the food. Total Nutrient Intakes File - Contains one record per day for each survey participant. Each record contains daily totals of food energy and nutrient intakes, daily intake of water, intake day of week, total number foods reported, and whether intake was usual, much more than usual or much less than usual. The Day 1 file also includes salt use in cooking and at the table; whether on a diet to lose weight or for other health-related reason and type of diet; and frequency of fish and shellfish consumption (examinees one year or older, Day 1 file only). DHHS is responsible for the sample design and data collection, and USDA is responsible for the survey’s dietary data collection methodology, maintenance of the databases used to code and process the data, and data review and processing. USDA also funds the collection and processing of Day 2 dietary intake data, which are used to develop variance estimates and calculate usual nutrient intakes. Resources in this dataset:Resource Title: What We Eat In America (WWEIA) main web page. File Name: Web Page, url: https://www.ars.usda.gov/northeast-area/beltsville-md-bhnrc/beltsville-human-nutrition-research-center/food-surveys-research-group/docs/wweianhanes-overview/ Contains data tables, research articles, documentation data sets and more information about the WWEIA program. (Link updated 05/13/2020)
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The NHANES I Epidemiologic Followup Study (NHEFS) is a longitudinal study of adults originally examined, measured, and interviewed in 1971-1975 as part of the first National Health and Nutrition Examination Survey (NHANES I). The NHEFS was jointly initiated by the National Center for Health Statistics (NCHS), the National Institute on Aging, and other components of the National Institutes of Health and Public Health Service. The primary purpose of the followup study is to investigate longitudinal relationships between the extensive data on physiological, nutritional, behavioral, and demographic characteristics collected during NHANES I and subsequent morbidity or mortality from specific diseases and conditions. The 1982-1984 wave of data collection for NHEFS followed all medically examined respondents who had been 25 to 74 years in 1971-1975. The 1986 NHEFS wave focused on older members of the NHANES I NHEFS cohorts, those who had been 55-74 years of age at their baseline examinations in 1971-1975 and were not known to be deceased at the time of the 1982-1984 NHEFS. In the 1986 NHEFS, the surviving respondents were 65-89 years of age. Data were collected on changes in vital, health, and functional status and use of health care services that had occurred since the last contact, whether the contact was in 1982-1984 or 1971-1975. The vital and tracing status file documents efforts to trace all subjects who had been 55 years of age and over at NHANES I (N = 5,677) and ascertain their vital status and demographic data. Further data collection was aimed at the 3,980 subjects who were not known to be deceased by 1982-1984. Thirty-minute telephone interviews were conducted with either sample members (N = 2,558) or with proxies for the incapacitated (N = 469) and deceased (N = 581) subjects. Questions were asked on household composition, self-reports of physician-diagnosed medical conditions (with detail on reports of cancer, bone fractures, and non-hospital health facility stays), death if applicable, functional limitations, use of health care facilities, and interviewer observations about the respondent. Items on coronary bypass surgery, pacemaker procedures, and community services utilization were 1986 additions to the NHEFS questionnaire. For those respondents who had not been interviewed in 1982-1984, questions were included on smoking and alcohol use, vision and hearing, exercise and weight, and pregnancy and menstrual history. Health care facility records were abstracted to provide diagnostic and summary information on single or multiple overnight stays in hospitals and nursing homes for 2,021 subjects reporting such stays. Death certificate data, including International Classification of Diseases, 9th Revision codes for multiple causes of death, were added for 661 decedents reported since the 1982-1984 wave, for a total of 2,266 decedents.
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[Note: Integrated as part of FoodData Central, April 2019.]
USDA's Food and Nutrient Database for Dietary Studies (FNDDS) is a database that is used to convert food and beverages consumed in What We Eat In America (WWEIA), National Health and Nutrition Examination Survey (NHANES) into gram amounts and to determine their nutrient values. Because FNDDS is used to generate the nutrient intake data files for WWEIA, NHANES, it is not required to estimate nutrient intakes from the survey. FNDDS is made available for researchers using WWEIA, NHANES to review the nutrient profiles for specific foods and beverages as well as their associated portions and recipes. Such detailed information makes it possible for researchers to conduct enhanced analysis of dietary intakes. FNDDS can also be used in other dietary studies to code foods/beverages and amounts eaten and to calculate the amounts of nutrients/food components in those items.
FNDDS is released every two-years in conjunction with the WWEIA, NHANES dietary data release. The FNDDS is available for free download from the FSRG website.
Resources in this dataset:Resource Title: Website Pointer to Food and Nutrient Database for Dietary Studies. File Name: Web Page, url: https://www.ars.usda.gov/northeast-area/beltsville-md-bhnrc/beltsville-human-nutrition-research-center/food-surveys-research-group/docs/fndds/ USDA's Food and Nutrient Database for Dietary Studies (FNDDS) is a database that is used to convert food and beverages consumed in What We Eat In America (WWEIA), National Health and Nutrition Examination Survey (NHANES) into gram amounts and to determine their nutrient values.
https://www.icpsr.umich.edu/web/ICPSR/studies/6861/termshttps://www.icpsr.umich.edu/web/ICPSR/studies/6861/terms
The National Health and Nutrition Examination Survey I Epidemiologic Followup Study (NHEFS) is a longitudinal study that follows participants from the NHANES I who were aged 25-74 in 1971-1975. The NHEFS surveys were designed to investigate the association between factors measured at the baseline and the development of specific health conditions and functional limitations. Follow-up data were collected in 1982-1984 (ICPSR 8900), 1986 (ICPSR 9466), 1987 (ICPSR 9854), and 1992. The 1992 NHEFS collected information on changes in the health and functional status of the NHEFS cohort since the last contact period. The Vital and Tracing Status file (Part 1) provides summary information about the status of the NHEFS cohort. The Interview Data file (Part 2) covers selected aspects of the respondent's health history, including injuries, activities of daily living, vision and hearing, medical conditions, exercise, weight, family history of cancer, surgeries, smoking, alcohol use, and medical care utilization. The Health Care Facility Stay files (Parts 3 and 4) supply information about stays in hospitals, nursing homes, and mental health care facilities, as well as information abstracted from facility medical records. The Mortality Data file (Part 5) contains data abstracted from the death certificates for NHEFS decedents.
https://spdx.org/licenses/CC0-1.0.htmlhttps://spdx.org/licenses/CC0-1.0.html
The National Health and Nutrition Examination Survey (NHANES) is a population survey implemented by the Centers for Disease Control and Prevention (CDC) to monitor the health of the United States whose data is publicly available in hundreds of files. This Data Descriptor describes a single unified and universally accessible data file, merging across 255 separate files and stitching data across 4 surveys, encompassing 41,474 individuals and 1,191 variables. The variables consist of phenotype and environmental exposure information on each individual, specifically (1) demographic information, physical exam results (e.g., height, body mass index), laboratory results (e.g., cholesterol, glucose, and environmental exposures), and (4) questionnaire items. Second, the data descriptor describes a dictionary to enable analysts find variables by category and human-readable description. The datasets are available on DataDryad and a hands-on analytics tutorial is available on GitHub. Through a new big data platform, BD2K Patient Centered Information Commons (http://pic-sure.org), we provide a new way to browse the dataset via a web browser (https://nhanes.hms.harvard.edu) and provide application programming interface for programmatic access.
CC0 1.0 Universal Public Domain Dedicationhttps://creativecommons.org/publicdomain/zero/1.0/
License information was derived automatically
Improving diet quality while simultaneously reducing environmental impact is a critical focus globally. Metrics linking diet quality and sustainability have typically focused on a limited suite of indicators, and have not included food waste. To address this important research gap, we examine the relationship between food waste, diet quality, nutrient waste, and multiple measures of sustainability: use of cropland, irrigation water, pesticides, and fertilizers. Data on food intake, food waste, and application rates of agricultural amendments were collected from diverse US government sources. Diet quality was assessed using the Healthy Eating Index-2015. A biophysical simulation model was used to estimate the amount of cropland associated with wasted food. This analysis finds that US consumers wasted 422g of food per person daily, with 30 million acres of cropland used to produce this food every year. This accounts for 30% of daily calories available for consumption, one-quarter of daily food (by weight) available for consumption, and 7% of annual cropland acreage. Higher quality diets were associated with greater amounts of food waste and greater amounts of wasted irrigation water and pesticides, but less cropland waste. This is largely due to fruits and vegetables, which are health-promoting and require small amounts of cropland, but require substantial amounts of agricultural inputs. These results suggest that simultaneous efforts to improve diet quality and reduce food waste are necessary.. Increasing consumers’ knowledge about how to prepare and store fruits and vegetables will be one of the practical solutions to reducing food waste. Relationship between food waste, diet quality, and environmental sustainability
The National Health and Nutrition Examination Surveys (NHANES) is a program of studies designed to assess the health and nutritional status of adults and children in the United States. The NHANES combines personal interviews and physical examinations, which focus on different population groups or health topics. These surveys have been conducted by the National Center for Health Statistics (NCHS) on a periodic basis from 1971 to 1994. In 1999, the NHANES became a continuous program with a changing focus on a variety of health and nutrition measurements designed to meet current and emerging concerns. The sample for the survey is selected to represent the U.S. population of all ages. Many of the NHANES 2001-2002 questions also were asked in NHANES II 1976-1980, Hispanic HANES 1982-1984, NHANES III 1988-1994. New questions were added to the survey based on recommendations from survey collaborators, NCHS staff, and other interagency work groups.
In the 2001-2002 wave, the NHANES includes more than 100 datasets. Most have been combined into three datasets for convenience. Each starts with the demographic dataset and includes datasets of a specific type.
1. National Health and Nutrition Examination Survey (NHANES), Demographic & Examination Data, 2001-2002 (the base of the Demographic dataset + all data from medical examinations).
2. National Health and Nutrition Examination Survey (NHANES), Demographic & Laboratory Data, 2001-2002 (the base of the Demographic dataset + all data from medical laboratories).
3. National Health and Nutrition Examination Survey (NHANES), Demographic & Questionnaire Data, 2001-2002 (the base of the Demographic dataset + all data from questionnaires).
Not all files from the 2001-2002 wave are included. This is for two reasons, both of which related to the merging variable (SEQN). For a subset of the files, SEQN is not a unique identifier for cases (i.e. some respondents have multiple cases) or SEQN is not in the file at all. The following datasets from this wave of the NHANES are not included in these three files and can be found individually from the "https://www.cdc.gov/nchs/nhanes/index.html" Target="_blank">NHANES website at the CDC:
Examination: Dietary Interview (Individual Foods File)
Examination: Dual Energy X-ray Absorptiometry (DXX)
Examination: Dual Energy X-ray Absorptiometry (DXX)
Questionnaire: Analgesics Pain Relievers
Questionnaire: Dietary Supplement Use -- Ingredient Information
Questionnaire: Dietary Supplement Use -- Supplement Blend
Questionnaire: Dietary Supplement Use -- Supplement Information
Questionnaire: Drug Information
Questionnaire: Dietary Supplement Use -- Participants Use of Supplement
Questionnaire: Physical Activity Individual Activity File
Questionnaire: Prescription Medications
Variable SEQN is included for merging files within the waves. All data files should be sorted by SEQN.
Additional details of the design and content of each survey are available at the "https://www.cdc.gov/nchs/nhanes/index.html" Target="_blank">NHANES website.