Sleep Heart Health Study

Current Smoking Status at the Sleep Heart Health Study Visit One (SHHS1) visit

Diastolic blood pressure (BP) > 120 (and not on blood pressure (BP) meds)?

Heart rate > 150 for > 2 minutes at rest?

Heart rate < 30 for > 2 minutes at rest?

O2 saturation (SaO2) < 80% for > 2 minutes at rest?

Systolic blood pressure (BP) > 200 (and not on blood pressure (BP) meds)?

Other problem?

Skin reaction?

Tripping/falling?

Diastolic blood pressure (BP) > 100 (and not on blood pressure (BP) meds)?

O2 saturation (SaO2) between 80% and 85% for > 2 minutes at rest?

Systolic blood pressure (BP) > 170 (and not on blood pressure (BP) meds)?

What is chance that you would doze off or fall asleep while in a car, while stopped for a few minutes in traffic?

What is chance that you would doze off or fall asleep while lying down to rest in the afternoon when circumstances permit?

What is chance that you would doze off or fall asleep while as a passenger in a car for an hour without a break?

What is the chance that you would doze off or fall asleep while sitting quietly after a lunch without alcohol?

What is the chance that you would doze off or fall asleep while sitting inactive in a public place?

What is the chance that you would doze off or fall asleep while sitting and reading?

What is the chance that you would doze off or fall asleep while sitting and talking to someone?

What is chance that you would doze off or fall asleep while watching TV?

In last two weeks, did you take any aspirin or aspirin containing meds?

How many days did you take aspirin or aspirin containing meds in last week? (number of days, 1 to 14)

How many cigarettes per day did you average over all the time you smoked? (number per day, up to 2 digits)

How many 12 ounce (oz.) cans of beer do you usually have per week? (number of cans of beer, up to 2 digits)

If yes to [SMKNOW15]: How many cigarettes do you smoke per day now? (number per day, up to 2 digits)

How many cups of regular coffee do you drink on a regular day? (Number of cups of coffee, up to 2 digits)

Have you ever smoked cigarettes ('ever' = at least 20 packs in lifetime)?

Language of interview 1=English, 2=Spanish, 3=Lakota, 4=Pima, 5=Other (specify [LANGOT15]), 6=Unknown

Hours slept during naps, if any (hours component of time, up to 2 digits) 0=no naps taken

Minutes slept during naps (minutes component of time, 0 to 59) 0=no naps taken

Doctor of Medicine (MD) prescribed nitro in last year?

If yes to [AGESMK15]: Since smoking began, were you a non-smoker for one year or more?

How many drinks with hard liquor (1 shot) do you usually have per week? (number of drinks, up to 2 digits)

Do you take sleeping pills at least 1 day per week? 1=Yes; 0=No; 8=Unsure

Do you now smoke cigarettes?

How many cups/glasses of cola/soda (with caffeine) do you drink on a regular day? (Number of cups/glasses of soda, up to 2 digits)

How stressful was your day today?

How many cups of tea (with caffeine) do you drink on a regular day? (Number of cups of tea, up to 2 digits)

How many 4 oz. glasses of wine do you usually have per week? (number of glasses of wine, up to 2 digits)

If yes to [NS1YR15] how many years did you not smoke?

How many bottles or cans of beer 4 hours before going to sleep last night? (number, up to 2 digits)

How many cigarettes 4 hours before going to sleep last night? (number, up to 2 digits)

How many cigars 4 hours before going to sleep last night? (number, up to 2 digits)

How many cups of coffee (with caffeine) 4 hours before going to sleep last night? (number, up to 2 digits)

Date questionnaire was completed (days from index date)

Did you have difficulty falling asleep last night?

How long did you sleep last night, Number of hours (number of hours, 0 to 24)

How long did you sleep last night, Number of minutes. (number of minutes, 0 to 59)

Compared to your usual night's sleep, how well did you sleep last night?

Quality of sleep last night: light/deep (1=light to 5=deep)

Did you take any meds that you didn't tell us about yesterday? 0=No, 1=Yes, 2=Unsure (enter med names, digitized using meds software)

How many minutes did it take for you to fall asleep at bedtime last night? (number of minutes, up to 3 digits)

How many pipe bowls 4 hours before going to sleep last night? (number, up to 2 digits)

How much discomfort caused by these parts of the monitor: plastic piece over lip?

Quality of sleep: restless/restful (1=restless to 5=restful)

Quality of sleep: short/long (1=short to 5=long)

How many mixed drinks or shots of liquor 4 hours before going to sleep last night? (number, up to 2 digits)

How many glasses or cans of soda (with caffeine) 4 hours before going to sleep last night? (number, up to 2 digits)

How many cups of tea (with caffeine) 4 hours before going to sleep last night? (number, up to 2 digits)

How much discomfort caused by these parts of the monitor: vest?

How many glasses of wine 4 hours before going to sleep last night? (number, up to 2 digits)

How much discomfort caused by these parts of the monitor: wires on face?

How much discomfort caused by these parts of the monitor: wires on your head?

Does your health now limit you in this activity, and if so, how much: Bathing and dressing yourself

How much bodily pain have you had during the past 4 weeks?

Does your health now limit you in this activity, and if so, how much: Bending, kneeling, or stooping

During the past 4 weeks, how much of the time: Have you felt downhearted and blue?

During the past 4 weeks, how much of the time: Have you felt calm and peaceful?

During the past 4 weeks, have you had this problem with work or other regular daily activities because of emotional problems: Didn't do work or other activities as carefully as usual

Does your health now limit you in this activity, and if so, how much: Climbing one flight of stairs

Does your health now limit you in this activity, and if so, how much: Climbing several flights of stairs

Compared to one year ago, how would you rate your health (much better now-much worse now)?

Date questionnaire was completed (days from index date)

During the past 4 weeks, how much of the time: Have you felt so down in the dumps that nothing could cheer you up?

During the past 4 weeks, have you had this problem with work or other regular daily activities because of emotional problems: Accomplished less than you would like

During the past 4 weeks, have you had this problem with work or other regular daily activities because of emotional problems: Cut down on the amount of time you spend on work

During the past 4 weeks, how much of the time: Did you have a lot of energy?

Choose (definitely True-definitely False): My health is excellent.

During the past 4 weeks, have you had this problem with work or other regular daily activities because of physical health: Had difficulty performing the work or other activities. (For example, it took extra effort.)

In general, would you say your health is (excellent, very good, good, fair, poor)?

During the past 4 weeks, how much of the time: Have you been a happy person?

During the past 4 weeks, how much of the time: Has your health limited your social activities (like visiting with friends or close relatives)?

Choose (definitely True-definitely False): I am as healthy as anybody I know.

Does your health now limit you in this activity, and if so, how much: Lifting or carrying groceries

During the past 4 weeks, have you had this problem with work or other regular daily activities because of physical health: Were limited in the kind of work or other activities you were able to do

Does your health now limit you in this activity, and if so, how much: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf

During the past 4 weeks, how much of the time: Have you been a very nervous person?

During the past 2 weeks, how much did pain interfere with your normal work (including both work outside the home and housework)?

During the past 4 weeks, how much of the time: Did you feel full of pep?

During the past 4 weeks, have you had this problem with work or other regular daily activities because of physical health: Accomplished less than you would like

During the past 4 weeks, have you had this problem with work or other regular daily activities because of physical health: Cut down on the amount of time you spend on work

During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups?

Choose (definitely True-definitely False): I seem to get sick a little easier than other people.

During the past 4 weeks, how much of the time: Did you feel tired?

Does your health now limit you in this activity, and if so, how much: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports

Does your health now limit you in this activity, and if so, how much: Walking one block

Does your health now limit you in this activity, and if so, how much: Walking more than a mile

Does your health now limit you in this activity, and if so, how much: Walking several blocks