L. Anthropometric Measurements and Biomarkers

Module Section L. Anthropometric Measurements and Biomarkers of MHAS 2012

Start of L. Anthropometric Measurements and Biomarkers
 
L1_1

FIRST MEASUREMENT

SYSTOLIC / DIASTOLIC / PULSE
[DID NOT GET MEASUREMENT 999/999]

 
If L1_1!=999 »
 
   
 
L1_2

Time first blood pressure was taken

TIME FIRST BLOOD PRESSURE WAS TAKEN

[___|___] [___|___]
HOURS    MINUTES  
   
L1_3

Result of the measure

RESULT OF THE MEASURE
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L1_4

Can the person stand unsupported?

CAN THE PERSON STAND UNSUPPORTED?
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If L1_4=1 »
 
   
 
L1_5

Does the person have a visible spinal curvature?

DOES THE PERSON HAVE A VISIBLE
SPINAL CURVATURE?
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If L1_5=2 »
 
     
   
L1_6

Can the person get a proper upright posture?

CAN THE PERSON GET A PROPER UPRIGHT
POSTURE?
[IWER:(GET PERSON TO STAND AND MEASURE HEIGHT)]
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If L1_6=1 »
 
       
     
L1_7

Height

HEIGHT..._____________ CENTIMETERS __________MM
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L1_7_1

To verify that I measured well, I will do it again.

TO VERIFY THAT I MEASURED WELL, I WILL DO IT AGAIN.

HEIGHT..... ____________CM ______________ MM

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L1_8

Now I will measure your weight

NOW I WILL MEASURE YOUR WEIGHT

WEIGHT ................_________ KILOS _______GRAMS

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L1_8_1

To verify that I measured well, I will do it again.

TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN.

WEIGHT...........___________ KILOS ___________ GRAMS
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L1_9

Waist

WAIST ..._____________ CENTIMETERS __________MM
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L1_9_1

To verify that I measured well, I will do it again.

TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN.
WAIST...._____________ CENTIMETERS __________MM
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L1_10

Hip

HIP...._______ CM ____ MM
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L1_10_1

To verify that I measured well, I will do it again

TO VERIFY THAT I MEASURED WELL, I WILL DO IT AGAIN

HIP.....__ CM ___ MM
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If L1_6=1 »
 
     
   
L1_11

Sitting height

SITTING HEIGHT ____ CM ___ MM

HEIGHT OF THE CHAIR ____ CM ___ MM
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L1_11_1

 To verify that I measured well, I will do it again.

SITTING HEIGHT ____ CM ___ MM

HEIGHT OF THE CHAIR ____ CM ___ MM
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L1_12

Measurement of knee height

MEASUREMENT OF KNEE HEIGHT

HEIGHT.....____ CM _____ MM

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L1_12_1

To verify that I measured well, I will do it again

TO VERIFY THAT I MEASURED
WELL, I WILL DO IT AGAIN

HEIGHT....___ CM _____ MM
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L1_13

Blood Pressure second measure

NOW I WILL TAKE YOUR BLOOD
PRESSURE AGAIN. I WILL NEED YOU TO
CONTINUE SITTING AND BE RELAXED AS
POSSIBLE TO GET THE MEASUREMENT. 

SECOND MEASUREMENT
_________ SYSTOLIC/________ DIASTOLIC/________ PULSE


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If L1_13!=999 »
 
   
 
L1_14

Time second blood pressure measurement was taken

TIME SECOND BLOOD PRESSURE MEASUREMENT WAS TAKEN

____ HOURS ________ MINUTES
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L1_15

Result of the second measure

RESULT OF THE SECOND MEASURE
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Question Combination

 
L1_16_1

Balance (right foot)

RIGHT FOOT
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L1_16_2

Left foot

LEFT FOOT

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End Combination
 
L1_17

Time for the first test  

TIME FOR THE FIRST TEST  - TIME TO TALK 4 METERS

__ MIN __ SEC

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L1_18

If the participant did not attempt or failed the test, indicate reason:  

IF THE PARTICIPANT DID NOT
ATTEMPT OR FAILED THE TEST,
INDICATE REASON:  
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L1_19

Aids used during first test

AIDS USED DURING FIRST TEST
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L1_20

Time for the second test 

TIME FOR THE SECOND TEST 

___ MIN ___ SEC
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If L1_20<0 »
 
   
 
L1_21

If the participant did not attempt or failed the test, indicate why:  

IF THE PARTICIPANT DID NOT
ATTEMPT OR FAILED THE TEST,
INDICATE WHY:  
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L1_22

Aids used during second test

AIDS USED DURING
SECOND TEST
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L1_23

Hand Grip Test

DO YOU FEEL IT IS SAFE FOR YOU TO DO
THIS MEASUREMENT? PLEASE CONSIDER
WHETHER IN THE PAST SIX MONTHS YOU HAD
SURGERY OR EXPERIENCED SOME SWELLING,
INFLAMMATION, PAIN OR SERIOUS INJURY TO
ONE OR BOTH HANDS.
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If L1_23=4 »
 
   
 
L1_24

INTERVIEWER: Enter the reason that the test was not performed

INTERVIEWER: ENTER THE REASON THAT THE TEST WAS NOT PERFORMED
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If L1_24>=1 and L1_24<=6 »
 
   
 
L1_25

What is your dominant hand, with which you perform most things?

WHAT IS YOUR DOMINANT
HAND, WITH WHICH YOU PERFORM
MOST THINGS?
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Question Combination

   
 
L1_26_1

We will do two measurements with the left hand.  FIRST MEASUREMENT

WE WILL DO TWO MEASUREMENTS WITH THE LEFT HAND.   FIRST MEASUREMENT

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L1_26_2

We will do two measurements with the left hand.  SECOND MEASUREMENT

WE WILL DO TWO
MEASUREMENTS WITH
THE LEFT HAND. SECOND MEASUREMENT
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End Combination
   
 
Question Combination

   
 
L1_27_1

We will do two measurements with the right hand.  FIRST MEASUREMENT

WE WILL DO TWO
MEASUREMENTS WITH
THE RIGHT HAND.  FIRST MEASUREMENT
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L1_27_2

We will do two measurements with the right hand.  SECOND MEASUREMENT

WE WILL DO TWO
MEASUREMENTS WITH
THE RIGHT HAND.  SECOND MEASUREMENT
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End Combination
   
 
L1_28

Completed the handgrip test

COMPLETED THE HANDGRIP TEST
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L1_29

Record the result of sampling venous blood (red top tube)

RECORD THE RESULT OF SAMPLING
VENOUS BLOOD (RED TOP TUBE)
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L1_30

Record the result of sampling venous blood (EDTA lavender)

RECORD THE RESULT OF SAMPLING VENOUS BLOOD (EDTA LAVENDER)
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L1_31

Result of glycosylated hemoglobin

RESULT OF GLYCOSYLATED
HEMOGLOBIN
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If L1_31=1 »
 
   
 
L1_32

Enter result of glycosylated hemoglobin

ENTER RESULT OF GLYCOSYLATED
HEMOGLOBIN
   
L1_33

Hemoglobin result  

HEMOGLOBIN RESULT  
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If L1_33=1 »
 
   
 
L1_34

Enter the result for hemoglobin

ENTER THE RESULT FOR HEMOGLOBIN
   
Question Combination

 
L1_35_A
 
L1_35_B
 
L1_35_C
 
L1_35_D
 
L1_35_E
 
L1_35_F
 
L1_35_G
 
L1_35_H
 

End Combination
 
L1_36
 
L1_36
 
End of L. Anthropometric Measurements and Biomarkers