Table 1.
Included biomarkers | Use/purpose | Measurement method | Data management & exclusions | Operationalization |
---|---|---|---|---|
Visible (to self and others) | ||||
Body mass index (BMI, kg/m2) | To estimate weight status | Weight measured with Tanita BF 522 digital floor scale; height measured with a portable stadiometer | Exclusions: <18 years of age; implausible BMI (<15 or >60) | BMI, continuous Weight status: BMI<18.5 = underweight; BMI between 18.5 and 24.99 = normal weight; BMI between 25 and 29.99 overweight; BMI>30 = obese |
Waist circumference (WC, cm) | To assess central adiposity | Tape with insertion buckle; measurement taken at the midpoint between the lower rib and the upper margin of the iliac rest. Average of two measurements | Exclusions: implausible WC (<50 or >190 cm; no implausible values found in the data) | Waist circumference, continuous Abdominal obesity: WC > 102 cm for men and >88 cm for women = abdominal obesity; WC between 94 and 102 cm for men and between 80 and 88 cm for women = at risk of abdominal obesity; WC < 94 for men and WC < 80 for women = normal |
%Body fat (%BF) | To assess adiposity | Bioelectrical impedance using a Tanita BF 522 scale; estimation based on respondent's age, gender and height (a “standard” body type was assumed) | Exclusions: implausible %BF (<5%; no implausible values found in the data) | %Body fat, continuous Obesity: %BF>30% for women and >25% for men = obesity; %BF ≤ 30% for women and %BF ≤ 25% for men = no obesity |
Fitness | ||||
Heart rate (HR, bpm) | To assess resting heart rate | Portable monitor Omron HEM 907. Measured as the number of beats per minute; average of three readings | Exclusions: top 99.5 (≥102 bpm) and bottom 0.5 (≤44 bpm) percentiles | HR, continuous |
Grip strength (GS, kg) | To measure muscular strength | Smedley dynamometer. Three measurements taken with each hand; only the maximum reading for dominant hand used | Exclusions: top 99.5 (≥66 Kg) and bottom 0.5 (≤7 Kg) percentiles | GS, continuous |
Forced expiratory volume in 1 s, percent predicted (FEV1%)b Forced vital capacity, percent predicted (FVC%)b |
To assess lung function | NDD Easy On-PC spirometer (England and Wales only). | Data cleaning procedures: 1) if the reading for FVC was equal to the reading of FEV, these readings were considered invalid and set to missing; 2) if the ratio of FEV to FVC was >0.95, the FVC reading was considered invalid and set to missing Percent predicted FVC (FVC%) and FEV1 (FEV1%) were estimated from valid readings of FVC and FEV adjusting for age, gender, height and ethnicity following the European Respiratory Society Global Lung Function Initiative (ERS-GLI) equations (Quanjer et al., 2012). Exclusions: implausible values (<20% or >200%) |
FEV1% and FVC%, continuous |
Fatigue | ||||
C-reactive protein (CRP; mg/L) | Chronic inflammation marker | Analyzed from serum using the N Latex CRP mono immunoassay on the Behring Nephelometer II Analyzer (Dade Behring, Milton Keynes, UK) | Exclusions: CRP>10 mg/L as these reflect a current infection instead of chronic inflammation (N = 705) | CRP, continuous |
Fibrinogen (g/L) | Chronic inflammation marker | Analyzed from citrate plasma samples using a modification of the Clauss thrombin clotting method on the IL-ACS-TOPS analyzer | Exclusions: top 99.5 (≥4.8 g/L) and bottom 0.5 (≤1.4 g/L) percentiles | Fibrinogen, continuous |
Hemoglobin (Hb, g/L) | Indicator of iron status | Measured from whole blood samples with a spectrophotometric assay on Sysmex XE-2100 analyzer | Exclusions: top 99.5 (≥17.1 g/L) and bottom 0.5 (≤9.6 g/L) percentiles | Hb, continuous Anemia: Hb < 130 g/L for men and Hb < 120 g/L for women = anemia; Hb ≥ 130 g/L for men and Hb ≥ 120 g/L for women = no anemia |
Ferritin (μg/L) | Indicator of iron stores | Measured from serum samples with an electrochemiluminescent immunoassay on the Roche E170 analyzer | Exclusions: top 99.5 (≥822 μg/L) and bottom 0.5 (≤8 μg/L) percentiles | Ferritin, continuous |
Cytomegalovirus antibody measurement (CMV) | To assess immunoscience (susceptibility to infection) | Two CMV antibodies measured: immunoglobulin G (IgG) indicating a past CMV infection, and immunoglobulin M (IgM) indicating a recent/current infection. Both measured from serum samples with an electrochemiluminescent immunoassay on the Roche E170 analyzer. For people with a positive/indeterminate IgM test, a confirmatory assay was conducted with an avidity test on the Mini VIDAS immunoassay analyzer | Categorized as ever having CMV infection vs. not | |
Disease | ||||
Blood pressure Systolic blood pressure (SBP, mmHg) Diastolic blood pressure (DBP, mmHg) |
Blood pressure, risk for heart disease | Portable monitor Omron HEM 907. Mean of three valid readings used | Exclusions: implausible SBP and DBP (<40 or >300 mmHg and <30 or >200 mmHg, respectively; no implausible values found in the data) | SBP and DBP, continuous |
Blood lipids Total cholesterol (mmol/L) High-density lipoprotein (HDL) cholesterol (mmol/L) Triglycerides (mmol/L) |
To assess fat in the blood, risk for heart disease | Total cholesterol, HDL and triglycerides were measured from (non-fasting) blood serum using enzymatic methods with a Roche Modular P analyzer. Cholesterol measures were calibrated to the Center for Disease Control guidelines | Exclusions: top 99.5 and bottom 0.5 percentiles Total cholesterol: ≤2.8 & ≥8.9 mmoL/L HDL: ≤0.7 & ≥3.1 mmoL/L Triglycerides: ≤0.5 & ≥7.3 mmoL/L |
Total cholesterol, HDL, and triglycerides continuous |
Glycated hemoglobin (HbA1c, mmol/mol) | Marker of undiagnosed or poorly managed type II diabetes | Measured from whole blood using HPLC cation exchange on a Tosoh G8 analyzer | Exclusions: top 99.5 (≥86 mmoL/mol) and bottom 0.5 (≤26 mmoL/mol) percentiles | HbA1c, continuous |
For more detailed information please see (Benzeval et al., 2014; McFall et al., 2014).
Also included in the disease category.