ATT 7 - CHS study timeline

ATT 7 - CHS study timeline.doc

The Cardiovascular, Heart Diseases Health Study

ATT 7 - CHS study timeline

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CARDIOVASCULAR HEALTH STUDY TIMELINE



Population: A total of 5,201 men and women aged 65+ (approximately 1,300 in each of four communities) recruited at baseline, and an additional 687 African-Americans (approximately 230 in each of three of the communities) recruited at the third follow-up examination.



Study Year Calendar Year Activity

1 1988-89 Write protocol and pilot test


2 1989-90 Baseline Examination to assess:

Risk factors

Medical history (CHD, stroke, related diagnoses,

medical care, medications)

Physical examination

Blood pressure, pulse, postural changes

Height, weight, distribution of body fat

Carotid ultrasonography

Hemostasis: coagulation, fibrinolysis

Lipids, lipoproteins

Fasting blood insulin, glucose, chemistries, (stored

blood)

Glucose tolerance test

Hematology: hematocrit, WBC, platelet count

Echocardiography

Electrocardiogram (resting and ambulatory)

Pulmonary function testing

Education, smoking, physical activity

Physical function testing


3-4 1990-92 Surveillance contacts with study participants at 6- month intervals (three phone contacts, two brief clinic or home interviews)


5 1992-93 Follow-up examination

Repeat baseline components:

Risk factors

Interim medical history (CHD, stroke, related diagnoses, medical care, medications)

Physical examination

Blood pressure, pulse, postural changes

Height, weight, distribution of body fat

Carotid ultrasonography

Hemostasis: coagulation, fibrinolysis

Lipids, lipoproteins

Fasting blood insulin, glucose, chemistries

(stored blood)

Hemotology: Hematocrit, WBC

Electrocardiogram (resting and ambulatory)

Education, smoking, physical activity

Physical function testing


New Components:

Cerebral magnetic resonance imaging (MRI), first half of cohort

Aortic ultrasonography

Hospital records

Death certificates and investigations for cause of death


6 1993-4 Surveillance Contacts with study participants at 6-month intervals (one phone contact, one clinical examination)


Repeat baseline components:

Risk Factors

Interim medical history (CHD, Stroke, related diagnoses, medical care, medications)

Physical examination

Blood pressure, pulse, postural changes

Height, weight, distribution of body fat

Cholesterol

Electrocardiogram (resting and ambulatory)

Education, smoking physical activity

Physical function testing

Pulmonary function testing

New components:

Cerebral magnetic resonance imaging (MRI), second half cohort

Peak-flow testing

Oximetry

Hospital records

Death certificates and investigations for cause of death


7 1994-5 Surveillance Contacts with study participants at 6-month intervals (one phone contact, one clinic examination)

Repeat baseline components:

Risk factors

Interim medical history (CHD, stroke, related diagnoses, medical care, medications)

Physical examination

Blood pressure, pulse, postural changes

Height, weight, distribution of body fat

Cholesterol

Electrocardiogram (resting and ambulatory)

Education, smoking, physical activity

Physical function testing

Echocardiography

First half of cohort

Ambulatory electrocardiography

Repeat on one-third of cohort

New component

Bone Density

Hospital records

Death certificates and investigations for cause of death


8 1995-6 8 1995-96 Surveillance Contacts with study participants at 6-

month intervals (one phone contact, one clinic

examination)

Repeat baseline components:

Risk factors

Interim medical history (CHD, stroke, related diagnoses, medical care, medications)

Physical examination

Blood pressure, pulse, postural changes

Height, weight, distribution of body fat

Cholesterol

Electrocardiogram (resting and ambulatory)

Education, smoking, physical activity

Physical function testing

Nutrition

Echocardiography

Second half of cohort

Hospital records

Death certificates and investigations for cause of death


9 1996-7 Surveillance Contacts with study participants at 6-

month intervals (one phone contact, one clinic

examination)

Repeat baseline components:

Risk factors

Interim medical history (CHD, stroke, related diagnoses, medical care, medications)

Physical examination

Blood pressure, pulse, postural changes

Height, weight, distribution of body fat

Cholesterol

Electrocardiogram (resting and ambulatory)

Education, smoking, physical activity

Physical function testing

Physical activity

Hemostasis: coagulation, fibrinolysis

Lipids, lipoproteins

Fasting blood insulin, glucose, chemistries

Hematology: Hematocrit, WBC

Supine Ankle-Arm Blood Pressure

Carotid and Aortic Ultrasound

Ambulatory electrocardiography

repeat on one-third of cohort

Hospital records

Death certificates and investigation for

cause of death


10 1997-8 Surveillance Contacts with study participants at 6 month intervals (two phone contact, one clinic examination)

Repeat baseline components:

Risk factors

Interim medical history (CHD, stroke,

related diagnoses, medical care, medications)

Physical examination

Blood pressure, pulse, postural changes

Height, weight, distribution of body fat

Cholesterol

Electrocardiogram (resting and ambulatory)

Education, smoking, physical activity

Physical function testing

Orthostatic Blood Pressure

Pulmonary function testing

Cerebral MRI (first half of cohort)

Spot Urine Collection

Hospital records

Death certificates and investigations for

cause of death



11 1198-9 Surveillance Contacts with study participant at 6-

month intervals (two phone contacts, one clinic examination)

Repeat baseline components:

Risk factors

Interim medical history (CHD, stroke,

related diagnoses, medical care, medications)

Physical examination

Blood pressure, pulse, postural changes

Height, weight

Cholesterol

Hemostasis: coagulation, fibrinolysis

Lipids, lipoproteins

Fasting blood insulin, glucose, chemistries

Hematology: Hematocrit, WBC

Supine Ankle-Arm Blood Pressure

Electrocardiogram (resting and ambulatory)

Education, smoking, physical activity

Physical function testing

Carotid and Aortic Ultrasound

Cerebral MRI (second half of cohort)

Retinal photography

Six-minute walk with oximetry

Hearing Test

Hemodynamic Reactivity

Trails A & B

Grooved Pegboard

Hospital records

Death certificates and investigation for

cause of death


12-19* 1999-2008 Surveillance Contacts with study participants at 6-

month intervals (semi-annual phone contacts)

Hospital records

Death certificates and investigations for cause of

death analyses


* For Years 18-19 (2007-2008), surveillance contacts are conducted under the CHS contract only at the Pittsburgh site; surveillance contacts at other sites are supported by investigator-initiated grant funding.





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File TitleTable 7-A
AuthorOlsonJ
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File Modified2007-10-30
File Created2007-10-30

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