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Protocol - Dietary Supplements Use

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Description:

These self-administered questions ask how many times per week a supplement was taken and for how many years.

Specific Instructions:

Information about dosage is collected only for vitamins C and E; for the other supplements, a default dose amount is assumed based on results from detailed inventories.

Protocol:

DID YOU TAKE ANY DIETARY SUPPLEMENTS DURING THE PAST YEAR, AT LEAST ONCE A WEEK?

[ ] YES

[ ] NO

If yes, did you take any of the following?

HOW OFTEN?

FOR HOW MANY YEARS?

VITAMIN TYPE

1 to 3 times a

week

4 to 6 times a

week

Once a

day

1 year or

less

2 to 4

years

5 to 9

years

10 years or more

MULTIPLE VITAMINS

Regular One-a-Day type, Centrum® or Thera-type

Ο

Ο

Ο

Ο

Ο

Ο

Ο

B-complex or Stress-tab type

Ο

Ο

Ο

Ο

Ο

Ο

Ο

SINGLE SUPPLEMENTS

Vitamin C

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Vitamin E

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Folic acid, Folate

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Vitamin B-12

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Vitamin B-6

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Calcium, alone or combined with something else such as in a bone health supplement ΟR in an antacid

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Vitamin D, alone

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Selenium

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Iron

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Zinc

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Fish oil or omega-3 Fatty acids

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Flaxseed

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Garlic, as a pill, tablet, or capsule

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Glucosamine, alone or combined with something else

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Coenzyme Q-10

Ο

Ο

Ο

Ο

Ο

Ο

Ο

Saw Palmetto

Ο

Ο

Ο

Ο

Ο

Ο

Ο

IF YΟU TΟΟK VITAMIN C ΟR VITAMIN E:

When you took VITAMIN C, how much did you usually take?

Ο 250 mg or less

Ο 300 to 500 mg

Ο 600 to 1000 mg

Ο More than 1000 mg

When you took VITAMIN E, how much did you usually take?

Ο 200 IU or less

Ο 250 to 400 IU

Ο 450 to 1000 IU

Ο More than 1000 IU

Scoring Procedures: The SURE-QX database has the nutrient profiles for one dose of each of the supplements on the questionnaire. A SAS scoring program and inventory information is available by clicking on the link below. Please select the SURE SFQ Documentation file first to get step-by-step instructions on scoring the questionnaire:

Supporting Scoring Documents and SAS Scoring Program »

Centrum® is a registered trademark, Wyeth.

Protocol Name from Source:

Supplement Frequency Questionnaire (SURE-QX)

Availability:

Available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adult, Senior, Pregnancy

Participants:

An individual 18 years or older

Selection Rationale

The SURE (QX) is publicly available, has been validated, and uses a unique inventory method as the reference.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Person Dietary Supplements Use Frequency Number 2947016 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) PhenX - diet supplement proto 62282-9 LOINC
Derived Variables

None

Process and Review

The Expert Review Panel #1 reviewed the measures in the Anthropometrics, Diabetes, Physical Activity and Physical Fitness, and Nutrition and Dietary Supplements domains.

Guidance from the ERP includes:

• No significant changes to measure

Back-compatible: no changes to Data Dictionary

Previous version in Toolkit archive (link)

Source

Supplement Frequency Questionnaire (SURE-QX), 2009

Dr. Suzanne Murphy. Cancer Research Center of Hawaii. University of Hawaii.

General References

Murphy, S. P., Wilkens, L. R., Yonemori, K. M., & Steffen, A. (2009). Development of a supplement composition database for the SURE-QX, a publicly available questionnaire to quantify intakes from commonly consumed dietary supplements. Poster presented at the Eighth International Food Data Conference, Bangkok, Thailand.

Murphy, S. P., Wilkens, L. R., Yonemori, K. M., & Steffen, A. (2009). Development of the SURE-QX, a publicly available questionnaire to quantify intakes from commonly consumed dietary supplements. Poster presented at the Seventh International Conference on Diet and Activity Methods, Washington, DC.

Protocol ID:

50501

Variables:
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX050501_B_Complex_Frequency
PX050501030100 How often did you take B-complex or more
Stress-tab type MULTIPLE VITAMINS? show less
N/A
PX050501_B_Complex_Years
PX050501030200 How many years did you take B-complex or more
Stress-tab type MULTIPLE VITAMINS? show less
Variable Mapping
PX050501_Calcium_Frequency
PX050501090100 How often did you take Calcium, alone or more
combined with something else such as in a bone health supplement OR in an antacid? show less
Variable Mapping
PX050501_Calcium_Years
PX050501090200 How many years did you take Calcium, alone more
or combined with something else such as in a bone health supplement OR in an antacid? show less
Variable Mapping
PX050501_Dietary_Supplement
PX050501010000 DID YOU TAKE ANY DIETARY SUPPLEMENTS DURING more
THE PAST YEAR, AT LEAST ONCE A WEEK? show less
Variable Mapping
PX050501_Flaxseed_Frequency
PX050501150100 How often did you take Flaxseed? Variable Mapping
PX050501_Flaxseed_Years
PX050501150200 How many years did you take Flaxseed? N/A
PX050501_Folic_Acid_Frequency
PX050501060100 How often did you take Folic acid, Folate? Variable Mapping
PX050501_Garlic_Frequency
PX050501160100 How often did you take Garlic, as a pill, more
tablet, or capsule? show less
Variable Mapping
PX050501_Garlic_Years
PX050501160200 How many years did you take Garlic, as a more
pill, tablet, or capsule? show less
N/A
PX050501_Glucosamine_Frequency
PX050501170100 How often did you take Glucosamine, alone or more
combined with something else? show less
N/A
PX050501_Glucosamine_Years
PX050501170200 How many years did you take Glucosamine, more
alone or combined with something else? show less
N/A
PX050501_Iron_Frequency
PX050501120100 How often did you take Iron? Variable Mapping
PX050501_Iron_Years
PX050501120200 How many years did you take Iron? Variable Mapping
PX050501_Omega_3_Frequency
PX050501140100 How often did you take Fish oil or omega-3 more
Fatty acids? show less
Variable Mapping
PX050501_Omega_3_Years
PX050501140200 How many years did you take Fish oil or more
omega-3 Fatty acids? show less
Variable Mapping
PX050501_One_A_Day_Frequency
PX050501020100 How often did you take Regular One-a-Day more
type, Centrum or Thera-type MULTIPLE VITAMINS? show less
N/A
PX050501_One_A_Day_Years
PX050501020200 How many years did you take Regular more
One-a-Day type, Centrum or Thera-type MULTIPLE VITAMINS? show less
N/A
PX050501_Q10_Frequency
PX050501180100 How often did you take Coenzyme Q-10? Variable Mapping
PX050501_Q10_Years
PX050501180200 How many years did you take Coenzyme Q-10? N/A
PX050501_Saw_Palmetto_Frequency
PX050501190100 How often did you take Saw Palmetto? N/A
PX050501_Saw_Palmetto_Years
PX050501190200 How many years did you take Saw Palmetto? N/A
PX050501_Selenium_Frequency
PX050501110100 How often did you take Selenium? Variable Mapping
PX050501_Selenium_Years
PX050501110200 How many years did you take Selenium? Variable Mapping
PX050501_Vitamin_B12_Frequency
PX050501070100 How often did you take Vitamin B-12? N/A
PX050501_Vitamin_B12_Years
PX050501070200 How many years did you take Vitamin B-12? Variable Mapping
PX050501_Vitamin_B6_Frequency
PX050501080100 How often did you take Vitamin B-6? N/A
PX050501_Vitamin_B6_Years
PX050501080200 How many years did you take Vitamin B-6? Variable Mapping
PX050501_Vitamin_C_Frequency
PX050501040100 How often did you take Vitamin C? Variable Mapping
PX050501_Vitamin_C_Quantity
PX050501040300 When you took VITAMIN C, how much did you more
usually take? show less
Variable Mapping
PX050501_Vitamin_C_Years
PX050501040200 How many years did you take Vitamin C? Variable Mapping
PX050501_Vitamin_D_Frequency
PX050501100100 How often did you take Vitamin D, alone? Variable Mapping
PX050501_Vitamin_D_Years
PX050501100200 How many years did you take Vitamin D, alone? N/A
PX050501_Vitamin_E_Frequency
PX050501050100 How often did you take Vitamin E? Variable Mapping
PX050501_Vitamin_E_Quantity
PX050501050300 When you took VITAMIN E, how much did you more
usually take? show less
Variable Mapping
PX050501_Vitamin_E_Years
PX050501050200 How many years did you take Vitamin E? Variable Mapping
PX050501_Vitamin_Years
PX050501060200 How many years did you take Folic acid, Folate? Variable Mapping
PX050501_Zinc_Frequency
PX050501130100 How often did you take Zinc? Variable Mapping
PX050501_Zinc_Years
PX050501130200 How many years did you take Zinc? Variable Mapping
Nutrition and Dietary Supplements
Measure Name:

Dietary Supplements Use

Release Date:

October 30, 2009

Definition

A measure to quantify intake from commonly consumed dietary supplements including vitamins, minerals, herbs or other botanicals, or a concentrate, metabolite, constituent, extract, or combination of these ingredients.

Purpose

More than half of Americans take dietary supplements, and thus to obtain total nutrient intake (exposure) they must be included. Some supplements provide large amounts of nutrients.

Keywords

Nutrition and Dietary Supplements, vitamin, mineral, botanical, herbal, SURE-QX