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Protocol - Dietary Supplements Use

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Protocol Name from Source:

Supplement Frequency Questionnaire (SURE-QX)

Availability:

Publicly available

Description:

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

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:

[link[www.phenxtoolkit.org/index.php?pageLink=browse.si.additionalinfo&id=50000|Supporting Scoring Documents and SAS Scoring Program »]]

Centrum® is a registered trademark, Wyeth.

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adult, Senior, Pregnancy

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.

Research Domain Information

Release Date:

October 1, 2015

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.

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 Number2947016CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)PhenX - diet supplement proto62282-9LOINC

Process and Review

The [link[phenx.org/node/62|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[www.phenxtoolkit.org/index.php?pageLink=browse.archive.protocols&id=50000|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 NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX050501_Dietary_SupplementPX050501010000DID YOU TAKE ANY DIETARY SUPPLEMENTS DURING THE PAST YEAR, AT LEAST ONCE A WEEK?4N/A
PX050501_One_A_Day_FrequencyPX050501020100How often did you take Regular One-a-Day type, Centrum or Thera-type MULTIPLE VITAMINS?4N/A
PX050501_One_A_Day_YearsPX050501020200How many years did you take Regular One-a-Day type, Centrum or Thera-type MULTIPLE VITAMINS?4N/A
PX050501_B_Complex_FrequencyPX050501030100How often did you take B-complex or Stress-tab type MULTIPLE VITAMINS?4N/A
PX050501_B_Complex_YearsPX050501030200How many years did you take B-complex or Stress-tab type MULTIPLE VITAMINS?4N/A
PX050501_Vitamin_C_FrequencyPX050501040100How often did you take Vitamin C?4N/A
PX050501_Vitamin_C_YearsPX050501040200How many years did you take Vitamin C?4N/A
PX050501_Vitamin_C_QuantityPX050501040300When you took VITAMIN C, how much did you usually take?4N/A
PX050501_Vitamin_E_FrequencyPX050501050100How often did you take Vitamin E?4N/A
PX050501_Vitamin_E_YearsPX050501050200How many years did you take Vitamin E?4N/A
PX050501_Vitamin_E_QuantityPX050501050300When you took VITAMIN E, how much did you usually take?4N/A
PX050501_Folic_Acid_FrequencyPX050501060100How often did you take Folic acid, Folate?4N/A
PX050501_Vitamin_YearsPX050501060200How many years did you take Folic acid, Folate?4N/A
PX050501_Vitamin_B12_FrequencyPX050501070100How often did you take Vitamin B-12?4N/A
PX050501_Vitamin_B12_YearsPX050501070200How many years did you take Vitamin B-12?4N/A
PX050501_Vitamin_B6_FrequencyPX050501080100How often did you take Vitamin B-6?4N/A
PX050501_Vitamin_B6_YearsPX050501080200How many years did you take Vitamin B-6?4N/A
PX050501_Calcium_YearsPX050501090200How many years did you take Calcium, alone or combined with something else such as in a bone health supplement OR in an antacid?4N/A
PX050501_Vitamin_D_FrequencyPX050501100100How often did you take Vitamin D, alone?4N/A
PX050501_Vitamin_D_YearsPX050501100200How many years did you take Vitamin D, alone?4N/A
PX050501_Selenium_FrequencyPX050501110100How often did you take Selenium?4N/A
PX050501_Selenium_YearsPX050501110200How many years did you take Selenium?4N/A
PX050501_Iron_FrequencyPX050501120100How often did you take Iron?4N/A
PX050501_Iron_YearsPX050501120200How many years did you take Iron?4N/A
PX050501_Zinc_FrequencyPX050501130100How often did you take Zinc?4N/A
PX050501_Zinc_YearsPX050501130200How many years did you take Zinc?4N/A
PX050501_Omega_3_FrequencyPX050501140100How often did you take Fish oil or omega-3 Fatty acids?4N/A
PX050501_Omega_3_YearsPX050501140200How many years did you take Fish oil or omega-3 Fatty acids?4N/A
PX050501_Flaxseed_FrequencyPX050501150100How often did you take Flaxseed?4N/A
PX050501_Calcium_FrequencyPX050501090100How often did you take Calcium, alone or combined with something else such as in a bone health supplement OR in an antacid?4N/A
PX050501_Flaxseed_YearsPX050501150200How many years did you take Flaxseed?4N/A
PX050501_Garlic_FrequencyPX050501160100How often did you take Garlic, as a pill, tablet, or capsule?4N/A
PX050501_Garlic_YearsPX050501160200How many years did you take Garlic, as a pill, tablet, or capsule?4N/A
PX050501_Glucosamine_FrequencyPX050501170100How often did you take Glucosamine, alone or combined with something else?4N/A
PX050501_Glucosamine_YearsPX050501170200How many years did you take Glucosamine, alone or combined with something else?4N/A
PX050501_Q10_FrequencyPX050501180100How often did you take Coenzyme Q-10?4N/A
PX050501_Q10_YearsPX050501180200How many years did you take Coenzyme Q-10?4N/A
PX050501_Saw_Palmetto_FrequencyPX050501190100How often did you take Saw Palmetto?4N/A
PX050501_Saw_Palmetto_YearsPX050501190200How many years did you take Saw Palmetto?4N/A