Self-administration of a questionnaire on chest pain and intermittent claudication.

Abstract

suMMARY A total of 18 403 men aged between 40 and 64 years took part in a screening examination which included a self-administered version of the London School of Hygiene questionnaire on chest pain and intermittent claudication. The yield of positives for 'angina' and 'history of possible infarction' was about twice as high as with interviewers, but the positive groups obtained by the two techniques differed little in their association with electrocardiographic findings or in their ability to predict five-year coronary mortality risk. This risk ranged from 0.9% in men negative to questionnaire and electrocardiograms (ECG), to 4.3 % for those with positive ECG but no symptoms, 4.5% for those with angina and negative ECG, up to 16% for those with angina and positive ECG. The self-administered version of this questionnaire provides a simple and convenient means of identifying individuals with a high risk of major coronary heart disease.

Obesity and overweight in relation to organ-specific cancer mortality in London (UK): findings from the original Whitehall study

“…This involved the completion of a study questionnaire and participation in a medical examination, both of which have been described in detail elsewhere. 8 In brief, the questionnaire included enquiries regarding civil service employment grade (an indicator of socio-economic position), 12 smoking habits, 13 intermittent claudication, 14 angina, 15,16 chronic bronchitis, 17 marital status, 18 physical activity, 19 unexplained weight loss in the preceding year and the use of drug therapy for heart problem or high blood pressure. 8 Forced expiratory volume in one second (FEV 1 ) adjusted for height, 20 ischaemia, 21 fasting plasma cholesterol, 22 postchallenge 2-h blood glucose, 23 blood pressure, 24 and triceps skinfold thickness 8 were determined using standardised protocols.…”

“…The existence of ischaemia was determined from ischaemic signs on an ECG trace, or positive responses to either the Rose angina questionnaire or a report of severe pain across the front of the chest lasting 30 min or more. 15 Men with diabetes comprised those who gave a positive response to the questionnaire enquiry 'are you, or have you been, diabetic? ', or those who had blood glucose level 2 h after the glucose load of Z11.1 mmol/l (Z200 mg/100 ml).…”

Blood pressure and site-specific cancer mortality: evidence from the original Whitehall study

“…Data collection involved the completion of a study questionnaire and participation in a medical examination, both of which have been described in detail elsewhere (Reid et al, 1974). In brief, the questionnaire included enquiries regarding civil service employment grade (our indicator of socioeconomic position) (Marmot et al, 1978), smoking habits (Reid et al, 1976), intermittent claudication (Rose, 1962;Davey Smith et al, 1990), angina (Rose, 1962;Rose et al, 1977b), chronic bronchitis (Committee on the Aetiology of Chronic Bronchitis, 1965) and use of medication, including blood pressure-lowering drugs. Forced expiratory volume in 1 s (FEV 1 ) (adjusted for height (Batty et al, 2002)), ischaemia (Rose et al, 1977a), fasting plasma cholesterol (Davey Smith et al, 1992), 2-h blood glucose (Jarrett et al, 1986), height (Leon et al, 1995), and weight (Jarrett et al, 1982) were determined using standardised protocols.…”

Effect of lifestyle modifications on blood pressure by race, sex, hypertension status, and age

“…Fitness was defined as the heart rate at a fixed work load (Stage 2) of a submaximal treadmill stress test. 18 Other data included the Rose Angina questionnaire; 19 a medication questionnaire; a symptoms/side effects questionnaire; 24-h urine collections for excretion of sodium, potassium, phosphorus, and urea nitrogen as indicators of dietary intake of salt, fruits and vegetables, dairy foods, and protein; measurement of waist circumference; fasting blood for measurement of glucose and lipids; and a 7-day physical activity recall. 20 Intake of nutrients and food groups was assessed from unannounced 24-h dietary recalls conducted by telephone interviewers.…”