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Studies Collecting Biomarkers in Population Settings

National Social Life, Health, and Aging Project

National Social Life, Health, and Aging Project (NSHAP) is an in-home survey of 3,005 persons aged 57 to 84 that collected biomarkers of health and physiological functioning to better characterize the health of survey participants.  Timing of biomarker data collection.

The National Longitudinal Study of Adolescent Health
The National Longitudinal Study of Adolescent Health (Add Health) is a nationally representative study that explores the causes of health-related behaviors of adolescents in grades 7 through 12 and their outcomes in young adulthood. Add Health seeks to examine how social contexts (families, friends, peers, schools, neighborhoods, and communities) influence adolescents' health and risk behaviors.

National Health and Nutrition Examination Survey
NHANES III 1988-94 and NHANES 1999-2000 are nationally representative cross-sectional surveys of the civilian noninstitutionalized population in the United States. The design for each of these studies included a stratified multistage probability sample based on selection of counties, blocks, households, and persons within households. NHANES III and NHANES 1999-2000 were designed to oversample Mexican Americans, non-Hispanic blacks, and children and adolescents to improve estimates for these groups. Each NHANES consisted of an in-home interview followed by an examination at a mobile examination center.  The NHANES study consisted of survey, clinical examination, and laboratory components as well as a survey instrument.

Midlife in the United States (MIDUS)
The purpose of this project is to carry forward MIDUS, a national survey (N= 7,189), conducted in 1994/95 by the MacArthur Midlife Research Network. The sample included adults aged 25 to 74, as well as twins and siblings. Conceived by a multidisciplinary team, the study investigated the role of behavioral, psychological, and social factors in accounting for age-related variations in health and illness. MIDUS II will add a second wave to the study, approximately 9-10 years later. In addition, it will include a sample of African Americans in Milwaukee, WI (N= 400). The biological data collection will include laboratory challenge studies (both cognitive and orthostatic), with accompanying assessments of salivary cortisol, blood pressure and heart-rate variability. The project also studies the central circuitry of emotion (affective neuroscience) and  includes EEG measures of cerebral activation asymmetry and emotion-modulated startle. These measures have been previously linked to dispositional affect, depression, recovery from stressful events, and selected biomarkers.

The Health and Retirement Study
The University of Michigan Health and Retirement Study (HRS) surveys more than 22,000 Americans over the age of 50 every two years. Supported by the National Institute on Aging (NIA U01AG009740), the study paints an emerging portrait of an aging America's physical and mental health, insurance coverage, financial status, family support systems, labor market status, and retirement planning. The full scope of the study is described in this graphical overview of the data collection process. HRS data products are available without cost to researchers and analysts. User Registration is required in order to download files.  HRS is collecting now the following biomarker data: blood pressure,  breathing, hand strength,  balance test, walking test, weight, height, waist, saliva samples and blood spots.

The Wisconsin Longitudinal Study
The Wisconsin Longitudinal Study (WLS) is a long-term study based on a random sample of 10,317 men and women who graduated from Wisconsin high schools in 1957. A companion sample contains comparable data for a randomly selected sibling of most respondents. WLS data cover social background, youthful aspirations, schooling, military service, labor market experiences, family characteristics and events, social participation, psychological characteristics, health and well-being, and retirement.  Data on heaight, weight and body mass index are also available.

Social Environment and Biomarkers of Aging Study (SEBAS) in Taiwan
The Social Environment and Biomarkers of Aging Study (SEBAS) provides information regarding the health and well-being of older persons in Taiwan. Taiwan has undergone rapid demographic, social, and economic changes, becoming a highly urbanized and industrial society with a growing population of persons age 65 or older. SEBAS explores the relationship between life challenges and mental and physical health, the impact of social environment on the health and well-being of the elderly, and biological markers of health and stress. The study collected self-reports of physical, psychological, and social well-being, plus extensive clinical data based on medical examinations and laboratory analyses. Examination of health outcomes included chronic illnesses, functional status, psychological well-being, and cognitive function. Questions regarding life challenges focused on perceived stress, economic difficulties, security and safety, and the consequences of a major earthquake. Biological markers were used to identify cardiovascular risk factors, metabolic process measures, immune-system activity, the hypothalamic-pituitary adrenal axis, and sympathetic nervous system activity.

The Los Angeles Family and Neighborhood Survey
The Los Angeles Family and Neighborhood Survey (L.A.FANS) is a longitudinal survey of children and adults in 65 neighborhoods in Los Angeles County.  Wave 2 of L.A.FANS, planned for 2006-2007, collects, documents, and places in the public domain new data for investigating the social and economic determinants of health status and health disparities.  L.A.FANS-2  re-interviews adults and children from Wave 1 of L.A.FANS and collects extensive social, economic, and health data, as well as information on the physical and social environments in which they live and work.  These data will allow researchers to examine a wide range of hypotheses about contextual effects on health and health-related behaviors using multilevel statistical models.  L.A.FANS-2 also collects self-reports on health status as well as biomarkers of stress, disease, and health, including obesity, cortisol (a stress hormone), blood pressure, C-reactive protein (a marker of acute inflammation), Epstein-Barr virus antibodies (a marker of immune function), total and HDL cholesterol, hemoglobin A1c to assess diabetes and glucose intolerance, and spirometry to assess pulmonary function.  For more details about L.A.FANS and information about obtaining the data, visit the project web site at www.lasurvey.rand.org.

The National Long Term Care Survey
The National Long Term Care Survey (NLTCS) is funded through a Cooperative Agreement (2 U01 AG0007198) between the National Institute on Aging (NIA) and Duke University's Center for Demographic Studies. It is a longitudinal survey designed to study changes in the health and functional status of older Americans (aged 65+). The survey began in 1982, and follow-up surveys were conducted in 1984, 1989, 1994, and 1999. A sixth follow-up survey was conducted during 2004. The NLTCS survey population consists of a sample of 35,000 people drawn from national Medicare enrollment files in 1982 that has been augmented with subsequent samples of approximately 20,000 Medicare enrollees obtained by adding 5,000 people passing age 65 between successive surveys done approximately every five years. Both elderly in the community (including those not impaired) and those residing in institutions are represented in the samples. The survey is administered by the U.S. Census Bureau using trained interviewers, and the response rate is above 95 percent for all waves. Supplemental surveys consist of the Next-of-Kin, Caregiver, and Blood and Buccal surveys done under subcontract with ASPE and the Research Triangle Institute (RTI).

The Women's Health Initiative Study
The Women's Health Initiative (WHI) is a long-term national health study that has focused on strategies for preventing heart disease, breast and colorectal cancer and osteoporotic fractures in postmenopausal women. These chronic diseases are the major causes of death, disability and frailty in older women of all races and socioeconomic backgrounds. This multi-million dollar, 15-year project, sponsored by the National Institutes of Health (NIH), National Heart, Lung, and Blood Institute (NHLBI), involves 161,808 women aged 50-79, and is one of the most definitive, far-reaching clinical trials of post-menopausal women's health ever undertaken in the U.S. The WHI Clinical Trial and Observational Study focused on many of the inequities in women's health research and will continue to provide practical information to women and their physicians about hormone therapy, dietary patterns, calcium/vitamin D supplementation, and their effects on the prevention of heart disease, cancer and osteoporotic fractures. The WHI holds a large repository of biological specimens that are available for ancillary study investigations. WHI will make available baseline and Year 3 serum, citrate plasma, EDTA plasma samples, and DNA for use by investigators who successfully compete for the Broad Agency Announcement (BAA).

The MacArthur Research Network on Successful Aging Community Study is a longitudinal, three-site cohort study of high functioning Americans aged 70-79 in 1988. The MacArthur Study followed these persons over 7 years, re-interviewing them in 1991 and 1995. In addition to basic social and demographic variables, biological sample of blood and urine have been analyzed, with additional sample stored for later assays.

The WHO MONICA Project
The MONICA (Multinational MONItoring of trends and determinants in CArdiovascular disease) Project was established in the early 1980s in many Centres around the world to monitor trends in cardiovascular diseases, and to relate these to risk factor changes in the population over a ten year period. It was set up to explain the diverse trends in cardiovascular disease mortality which were observed from the 1970s onwards. There were total of 32 MONICA Collaborating Centres in 21 countries. The total population age 25-64 years monitored was ten million men and women. 10 year data collection has been completed, and most of the main results have been published.

The Danish 1905-cohort Study
The Danish 1905-Cohort Study set out in 1998 to study all Danes born in 1905 who were invited to participate in a home-based, two hour, multidimensional interview, including cognitive and physical performance tests and the collection of DNA.  A total of 2262 individuals participated in the first wave in 1998, corresponding to a 63% participation rate.  The follow-up survey in year 2000 of the Danish 1905-Cohort included a total of 1086 individuals corresponding to a 78% participation rate among the survivors.  The questionnaire includes questions on self-rated health, diseases, medicine, Activities of Daily Living (ADLs), cognitive abilities, depression, and life circumstances and events. Physical tests were included: grip strength, agility, speed, and spirometri. DNA samples were obtained through blood spots or cheek swabs.

The Nihon University Longitudinal Study on Aging (NUJLSOA)
The NUJLSOA is a longitudinal Survey of a nationally representative sample of the Japanese population age 65 and older begun in 1999. Interviews were conducted in November 1999 with additional respondents added in March 2000 when a follow-up of nonrespondents was completed. This resulted in a sample of 4,997 and a response rate of 75%. The final sample of 4,997 respondents ranged in age from 65 to 104 and was nearly 41% male, and had a mean age of 77years. The surveys included questions on topics such as functioning, chronic conditions and impairments, health behaviors, and social and demographic characteristics. The NUJLSOA was designed to be comparable to the U.S. Longitudinal Study on Aging II (LSOAII).


Other Population-Based Health Surveys