Health Screening (physical measurement)

Living Healthier Living Longer Program

19060_ID Living Healthier Living Longer Health Screen (physical measurement)(1)

Health Screening (physical measurement)

OMB: 0990-0413

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Form Approved

OMB No. 0990-

Exp. Date XX/XX/20XX

Office on Women’s Health (OWH) Living Healthier, Living Longer

The following anthropometric and health indicators will be measured for each individual (respondent) involved in the intervention.

MEASUREMENT

APPROACH

  1. Waist Circumference

As discussed in Centers for Disease Control and Prevention (CDC). National Health and Nutrition Examination Survey. Anthropometry Procedures Manual, January 2009

  1. Weight

As discussed in Centers for Disease Control and Prevention (CDC). National Health and Nutrition Examination Survey. Anthropometry Procedures Manual, January 2009

  1. Height

As discussed in Centers for Disease Control and Prevention (CDC). National Health and Nutrition Examination Survey. Anthropometry Procedures Manual, January 2009

  1. Blood Pressure

Measured using a sphygmomanometer

  1. Body Fat Percentage

As discussed in Centers for Disease Control and Prevention (CDC). National Health and Nutrition Examination Survey. Anthropometry Procedures Manual, January 2009

  1. Flexibility

Measured using the Sit and Reach test, YMCA Fitness Testing and Assessment Manual, 4th edition, 2000, 60606

  1. Balance/Fall-risk

Measured using the 8 ft up and go test. Rose DJ, Jones CJ, Lucchese N. Predicting the probability of falls in community-residing older adults using the 8-foot up and go: A new measure of functional mobility. J Aging Phys Activity. 2002:10:466-75

  1. Cardiovascular Step Test

Measured using the YMCA Step Test Protocol. Discussed in Hyde CL. Fitness Instructor Training Guide, Fourth Edition. American Association for Active Lifestyles and Fitness. 2002



According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-xxxx . The time required to complete this information collection is estimated to average 4 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer

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