1. 1999-2006 National Health and Nutrition Examination Survey (NHANES): Overview and Analysis Strategy Session 2 July 10, 2006 10:30 AM - NOON

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

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

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

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

6. NHANES Mobile Exam Center (MEC)

7. History of National Health and Nutrition Examination Surveys NHES I1960-6218-79 years NHES II1963-656-11 years NHES III1966-7012-17 years NHANES I1971-751-74 years NHANES II1976-806 mo.-74 years HHANES1982-84 6 mo.-74 years NHANES III1988-942 mo. + NHANES 1999+ 1999- All ages SurveyYearsAges

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

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

10. NHANES MEC Interview 1999- 2004 Dietary Food Frequency and Security Mental Health Alcohol, Tobacco, Drug Use, Sexual Behavior Physical Activity Reproductive Health Urologic Current Health Status

11. NHANES Questionnaire 1999- 2004 (Examples) Diabetes Dietary Immunization Medical Conditions Occupation Physical Functioning Social Support

12. NHANES Questionnaire 1999- 2004 (Examples) Health Insurance Housing Income Hospital Use/ Access to Care Pesticide Use Medications Dietary Supplements

13. 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

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