Active {submax}

Physical Activity and Survival in NHANES

Description

Physical activity and survival in the NHANES I Epidemiologic Follow-up Study or NHEFS. This is the example in Lee et al. (2017). It is patterned after a study by Davis et al. (1994). The NHEFS combined the NHANES I study with follow-up for survival. There are 470 matched pairs consisting of a treated group who were quite inactive at the time of NHANES I and a matched control group who were very active.

Usage

data("Active")

Format

A data frame with 470 observations on the following 12 variables.

All

470 ones, one for each pair

male

1 for male, 0 for female

female

1 for female, 0 for male

poor

1 for income less than 2x poverty level, 0 otherwise

notpoor

1 for income greater than 2x poverty level, 0 otherwise

smoker

1 for current smoker, 0 otherwise

nonsmoker

1 for current nonsmoker, 0 otherwise

delta

O Brien and Fleming scores for censored matched pairs. See details.

treated.followup.time

Death or censoring time for inactive individual

treated.censored.time

Equals Inf if the inactive individual was censored

control.followup.time

Death or censoring time for active individual

control.censored.time

Equals Inf if the active individual was censored

Details

Pairs were exactly matched for male/female, poor/notpoor and smoker/nonsmoker. Additionally, pairs were matched for age, white/nonwhite, years of education, employed or not during the previous 3 months, marital status, alcohol consumption and dietary quality. The covariates that were not exactly matched were matched by minimizing the total Mahalanobis distance within matched pairs. Table 1 of Lee et al. (2017) shows covariate balance before and after matching. These matching techniques are described in Chapter 8 and Section 9.2 of Rosenbaum (2010). The matching is the usual kind in epidemiology and biostatistics, that is, so-called without-replacement matching, in which no person appears twice.

The example reproduces a row from Table 2 of Lee et al. (2017).

The values in delta in Active are the Prentice-Wilcoxon scores for censored paired data proposed by O Brien and Fleming (1987). Specifically, delta is the \Delta in section 2 of of O Brien and Fleming (1987). Following their suggestion at the end of their section 2, data are considered censored at the earlier censoring time in a matched pair. These deltas are computed separately in 8 = 2x2x2 subgroups defined by male/female x poor/notpoor x smoker/nonsmoker. Separate computation of \Delta in subgroups is not needed for the global test of no treatment effect at all in section 3.2 of Lee et al. (2017), but it is an aspect of the simultaneous inference by closed testing in section 4 of Lee et al. (2017).

The NHEFS was, essentially, the NHANES I snapshot survey combined with follow-up for survival. Data on mortality and time of death were collected in four follow-up surveys in 1982-1984, 1986, 1987 and 1992. Tracing of subjects which enable determination of whether the subject was alive or had died was high. Ninety six percent of the study population had been successfully traced at some point through the 1992 follow-up. Tracing rates for each follow-up ranged from 90 to 94 percent. See Cox et al. (1997).

Source

The data set was constructed by Kwonsang Lee from the NHEFS; see Lee et al. (2017). The original NHEFS data are publicly available at the NHANES web-page at CDC.

References

Cox, C. S., Mussolino, M. E., Rothwell, S. T., Lane, M. A., Golden, C. D., Madans, J. H., and Feldman, J. J. (1997). Plan and operation of the NHANES I Epidemiologic Followup Study, 1992. Vital and health statistics. Ser. 1, Programs and collection procedures, (35), 1-231.

Davis, M. A., Neuhaus, J. M., Moritz, D. J., Lein, D., Barclay, J. D., and Murphy, S. P. (1994). Health behaviors and survival among middle aged and older men and women in the NHANES I Epidemiologic Follow-Up Study. Preventive Medicine, 23, 369-376.

Lee, K., Small, D. S., & Rosenbaum, P. R. (2017). A new, powerful approach to the study of effect modification in observational studies. <arXiv:1702.00525>.

O Brien, P. C. and Fleming, T. R. (1987). A paired Prentice-Wilcoxon test for censored paired data. Biometrics, 43, 169-180. The variable delta in Active is the delta in section 2 of this paper. Following their suggestion at the end of their section 2, data are considered censored at the earlier censoring time in a matched pair.

Rosenbaum, P. R. (2010). Design of Observational Studies. New York: Springer.

Examples

# The example is from Lee et al. (2017).
data(Active)
submax(Active$delta,Active[,1:7],gamma=1,alternative="less")