North West Adelaide Health Study (NWAHS)
The North West Adelaide Health Study is a representative biomedical population cohort study of approximately 4000 adults aged 18 years and over recruited from the northern and western regions of Adelaide. It is an ongoing epidemiological research collaboration between the South Australian Department of Health, The University of Adelaide, the University of South Australia, The Queen Elizabeth Hospital, the Lyell McEwin Hospital and the Institute of Medical and Veterinary Science.
The study is an important research activity which supplies much of the evidence for the magnitude of the chronic disease problem and relevant risk factors. It provides the baseline data to enable measurement of the effectiveness of strategies in preventing and managing chronic disease. The study is an important resource for health planners, service providers and policy makers, as well as for community members. Its aim is to help develop sustainable strategies to reduce the chronic disease burden in the population.
The study focuses on priority health conditions such as asthma, diabetes, chronic obstructive pulmonary disease, arthritis, osteoporosis, and cardiovascular disease. Risk factors that are common to many chronic conditions including obesity, smoking, alcohol consumption, physical inactivity, high blood pressure and high cholesterol, are also investigated.
Stage 1 (baseline recruitment) was conducted between 1999 and 2003 (Phase 1A 1999-2000/Phase 1B 2002-03); Stage 2 (first follow-up) was conducted between 2004 and 2006; and Stage 3 (second follow-up) was conducted between 2008 and 2010. Telephone follow-up surveys have also been conducted in 2002 and 2007.
Stage 1 of the study established baseline self-reported and biomedically measured information on those who were:
The longitudinal nature of the study (Stage 2 onwards) allows examination of:
Researchers involved with the study has been awarded more than $5 million across a range of projects, from funding sources such as the National Health & Medical Research Council and the Australian Research Council. The success of the study is primarily due to the time and effort given by participants for more than ten years, together with the commitment and expertise of the research team, including clinic staff and researchers.
For more information about the North West Adelaide Health Study (including chief investigators, clinic procedures, etc), please visit the general website at: www.nwadelaidehealthstudy.org/ or telephone (08) 8313 1214 or email firstname.lastname@example.org.
North West Adelaide Health Study: summarised findings and implications 2000-2008. Population Research and Outcome Studies, South Australian Department of Health, Adelaide (2009)
Sex and Quality of Life
Stage 2 Key Findings (North West Adelaide Health Study: Stage 2 Summary Report)
4 Page Reports
Stage 1 Reports
Baldock K, Chittleborough C, Phillips P, Taylor A. Modelling reduction of coronary heart disease risk among people with diabetes. Population Research and Outcome Studies, South Australian Department of Health, Adelaide (2007)
Phase 1A Reports
The NWAH Study has been the basis for over 230 presentations at state, national and international conferences. For a complete list of all NWAHS presentations, please see this document Conference Presentations. Presentations for which a PROS staff member has been the principal author, are below.
American College of Rheumatology/American Rheumatology Health Professionals Association Annual Meeting (San Diego)
54th Annual Scientific Meeting of ARA/RHPA (Perth)
6th World Congress on the Prevention of Diabetes and its Complications (Dresden)
Australasian Podiatry Conference (Gold Coast)
3rd International Congress on Prediabetes and the Metabolic Syndrome (Nice)
Australian Diabetes Society Annual Scientific Meeting (Adelaide)
Australasian Society for Psychological Research in Diabetes 10th Annual Scientific Conference (Melbourne)
Population Health Congress (Aust Epid Assoc, A'asian Fac Public Hlth Med, Aust Health Prom Assoc, Public Health Assoc Aust) (Brisbane)
European League Against Rheumatism Conference (Paris)
Australian Diabetes Society Annual Scientific Meeting (Melbourne)
Australian Rheumatology Association Conference (Adelaide)
19th International Union for Health Promotion and Education Conference (Vancouver)
Public Health Association of Australia Conference (Sydney)
Australian Diabetes Society Annual Scientific Meeting (Gold Coast)
International Congress on Obesity (Sydney)
European Respiratory Society Annual Congress (Munich)
Health Outcomes Conference (Canberra)
Australasian Epidemiological Association Scientific Meeting (Newcastle)
Public Health Association of Australia Conference (Perth)
European Respiratory Society Annual Congress (Copenhagen) - a series on population surveillance in North West Adelaide with ...
Health Outcomes Conference (Canberra)
Australian Diabetes Society Annual Scientific Meeting (Perth)
1st International Congress on Prediabetes and the Metabolic Syndrome (Berlin)
Australian Diabetes Society Annual Scientific Meeting (Sydney)
18th International Union for Health Promotion and Education Conference (Melbourne)
Public Health Association of Australia Conference (Brisbane)
Thoracic Society of Australia and New Zealand Meeting (Adelaide)
Australian Diabetes Society Annual Scientific Meeting (Melbourne)
Australian Diabetes Society Annual Scientific Meeting (Adelaide)
The NWAH Study has been the basis for over 130 publications in national and international peer-reviewed journals. For a complete list of all NWAHS publications, please see this document Journal Publications. Publications for which a member of PROS staff has been the principal author, are below.
Appleton SL, Vakulin A, Martin SA, Lang CJ, Wittert GA, Taylor AW, et al. Hypertension is associated with undiagnosed obstructive sleep apnea during rapid eye movement (REM) sleep. Chest. 2016;150(3):495-505.
Appleton SL, Vakulin A, Wittert GA, Martin SA, Grant JF, Taylor AW, et al. The association of obstructive sleep apnea (OSA) and nocturnal hypoxemia with the development of abnormal HbA1c in a population cohort of men without diabetes. Diabetes Research and Clinical Practice. 2016.'
Atlantis E, Fahey P, Martin S, O’Loughlin P, Taylor AW, Adams RJ, Shi Z, Wittert G. Predictive value of serum testosterone for type 2 diabetes risk assessment in men. BMC endocrine disorders. 2016;16(1):1.
Cao Y, Wittert G, Taylor AW, Adams R, Shi Z. Associations between Macronutrient Intake and Obstructive Sleep Apnoea as Well as Self-Reported Sleep Symptoms: Results from a Cohort of Community Dwelling Australian Men. Nutrients. 2016;8(4):207.
Cao Y, Wittert G, Taylor AW, Adams R, Appleton S, Shi Z. Nutrient patterns and chronic inflammation in a cohort of community dwelling middle-aged men. Clinical Nutrition. 2016.
Carroll SJ, Paquet C, Howard NJ, Coffee NT, Taylor AW, Niyonsenga T, Daniel M. Local descriptive norms for overweight/obesity and physical inactivity, features of the built environment, and 10-year change in glycosylated haemoglobin in an Australian population-based biomedical cohort. Social Science & Medicine. 2016;166:233-43.
Gill TK, Tucker GR, Avery JC, Shanahan EM, Menz HB, Taylor AW, Adams RJ, Hill CL. The use of self-report questions to examine the prevalence of musculoskeletal problems: a test-retest study. BMC musculoskeletal disorders. 2016;17(1):1.
Gill TK, Menz HB, Landorf KB, Arnold JB, Taylor AW, Hill CL. Predictors of foot pain in the community: the North West Adelaide health study. Journal of Foot and Ankle Research. 2016;9(1):23.
Harding JL, Sooriyakumaran M, Anstey KJ, Adams R, Balkau B, Brennan-Olsen S, et al. Hypertension, antihypertensive treatment and cancer incidence and mortality: a pooled collaborative analysis of 12 Australian and New Zealand cohorts. Journal of hypertension. 2016;34(1):149-55.
Li JJ, Appleton SL, Gill TK, Vakulin A, Wittert GA, Antic NA, Taylor AW, Adams RJ, Hill CL. Musculoskeletal joint pain in men is not associated with obstructive sleep apnea or daytime sleepiness but is associated with poor sleep quality. Arthritis Care & Research. 2016.DOI:10.1002/acr.22994.
Li JJ, Wittert GA, Vincent A, Atlantis E, Shi Z, Appleton SL, et al. Muscle grip strength predicts incident type 2 diabetes: Population-based cohort study. Metabolism. 2016;65(6):883-92.
Melaku YA, Gill TK, Adams R, Shi Z. Association between dietary patterns and low bone mineral density among adults aged 50 years and above: findings from the North West Adelaide Health Study (NWAHS). British Journal of Nutrition. 2016:1.
Paquet C, Chaix B, Howard NJ, Coffee NT, Adams RJ, Taylor AW, Thomas F, Daniel M. Geographic Clustering of Cardiometabolic Risk Factors in Metropolitan Centres in France and Australia. International journal of environmental research and public health. 2016;13(5):519.
Roscioli E, Hamon R, Ruffin RE, Grant J, Hodge S, Zalewski P, Lester S. BIRC3 single nucleotide polymorphism associate with asthma susceptibility and the abundance of eosinophils and neutrophils. Journal of Asthma. 2016.
Sugiyama T, Niyonsenga T, Howard NJ, Coffee NT, Paquet C, Taylor AW, Daniel M. Residential proximity to urban centres, local-area walkability and change in waist circumference among Australian adults. Preventive Medicine. 2016;93:39-45.
Taylor AW, Pilkington R, Montgomerie A, Feist H. The role of business size in assessing the uptake of health promoting workplace initiatives in Australia. BMC public health. 2016;16(1):1.
Ting K, Gill TK, Keen H, Tucker GR, Hill CL. Prevalence and Associations of Gout and Hyperuricaemia: Results from an Australian Population‐based Study. Internal medicine journal. 2016.
Walsh TP, Gill TK, Evans AM, Yaxley A, Shanahan EM, Hill CL. Association of Fat Mass and Adipokines With Foot Pain in a Community Cohort. Arthritis care & research. 2016;68(4):526-33.
Winefield H, O'Dwyer L, Taylor A. Understanding baby boomer workers' well-being in Australia. Australasian journal on ageing. 2016.
Bai P, Witter GA, Taylor AW, Martin SA, Milne RW, Shi Z. The association of socio-demographic status, lifestyle factors and dietary patterns with total urinary phthalates in Australian men. PloS One, 10(4): e0122140. DOI: 10.1371/journal.pone.0122140.
Bean CG, Winefield HR, Sargent C, Hutchinson AD. Differential associations of job control components with both waist circumference and body mass index. Social Science & Medicine. 2015;143:1-8.
Fryar-Williams S, Strobel JE. Biomarkers of a five-domain translational substrate for schizophrenia and schizoaffective psychosis. Biomarker research. 2015;3(1):1.
Fryar-Williams S, Strobel JE. Biomarker Symptom Profiles for Schizophrenia and Schizoaffective Psychosis. Open Journal of Psychiatry. 2014;5(01):78.
Grant JF, Chittleborough CR, Taylor AW. Parental midlife body shape and association with multiple adult offspring obesity measures: North West Adelaide Health Study. PloS one. 2015;10(9):e0137534.
Harding J, Sooriyakumaran M, Anstey KJ, Adams R, Balkau B, Briffa T, Davis TM, Davis WA, Dobson A, Giles GG, Grant J. The metabolic syndrome and cancer: Is the metabolic syndrome useful for predicting cancer risk above and beyond its individual components?. Diabetes & metabolism. 2015;41(6):463-9.
Jayaram L, Pickering S, Homan S, Adams R, Ruffin R, editors. Perception of Dyspnoea in a Community Sample with Asthma. Relationship with Clinical, Psychosocial and Inflammatory Variables, Respirology; March 1st, 2015, 20:pp.139-139.
Sugiyama T, Howard NJ, Paquet C, Coffee NT, Taylor AW, Daniel M. Do relationships between environmental attributes and recreational walking vary according to area-level socioeconomic status?. Journal of Urban Health. 2015;92(2):253-64.
Tully PJ, Baumeister H, Bengel J, Jenkins A, Januszewski A, Martin S, Wittert A. The longitudinal association between inflammation and incident depressive symptoms in men: the effects of hs-CRP are independent of abdominal obesity and metabolic disturbances. Physiology & Behavior 2015; 139:328-335.
Yu S, Appleton S, Chapman I, Adams R, Wittert G, Visvanathan T, Visvanathan R. An anthropometric prediction equation for appendicular skeletal muscle mass in combination with a measure of muscle function to screen for sarcopenia in primary and aged care. Journal of the American Medical Directors Association. 2015;16(1):25-30.
Bagheri N, McRae I, Konings P, Butler D, Douglas K, Del Fante P, Adams R. Undiagnosed diabetes from cross-sectional GP practice data: an approach to identify communities with high likelihood of undiagnosed diabetes. BMJ open. 2014;4(7):e005305.
Brindal E, Wilson C, Mohr P, Wittert G. Nutritional consequences of a fast food eating occasion are associated with choice of quick-service restaurant chain. Nutrition & Dietetics. 2014;71(3):184-92.
Carroll SJ, Paquet C, Howard NJ, Adams RJ, Taylor AW, Daniel M. Validation of continuous clinical indices of cardiometabolic risk in a cohort of Australian adults. BMC cardiovascular disorders. 2014;14(1):1.
Danaei G, Lu Y, Singh GM, Carnahan E, Stevens GA, Cowan MJ, Farzadfar F, Lin JK, Finucane MM, Rao M, Khang YH. Cardiovascular disease, chronic kidney disease, and diabetes mortality burden of cardiometabolic risk factors from 1980 to 2010. The Lancet Diabetes and Endocrinology. 2014;2(8):634-47.
Gill TK, Hill CL, Shanahan ME, Taylor AW, Appleton SL, Grant JF, Shi Z, Dal Grande E, Price K, Adams R. Vitamin D levels in an Australian population. BMC Public Health. 2014;14:1001. DOI:10.1186/1471-2458-14-1001.
Gill TK, Shanahan EM, Allison D, Alcorn D, Hill CL. Prevalence of abnormalities on shoulder MRI in symptomatic and asymptomatic older adults. International journal of rheumatic diseases. 2014;17(8):863-71.
Grant J, Martin S, Taylor AW, Wilson D, Araujo A, Adams R, Jenkins A, Milne R, Hugo G, Atlantis E, Wittert G. Cohort profile: The Men Androgen Inflammation Lifestyle Environment and Stress (MAILES) Study. nternational Journal of Epidemiology. 2014;43:1040-1053.
Li JJ, Appleton SL, Wittert GA, Vakulin A, McEvoy RD, Antic NA, Adams RJ. The relationship between functional health literacy and obstructive sleep apnea and its related risk factors and comorbidities in a population cohort of men. Sleep. 2014;37(3):571-8.
Loh V, Harding J, Koshkina V, Barr E, Shaw J, Magliano D. The validity of self-reported cancer in an Australian population study. Australian and New Zealand journal of public health. 2014;38(1):35-8.
Montgomerie AM, Chittleborough CR, Taylor AW. Physical inactivity and incidence of obesity among South Australian adults. PLoS One. 2014;9(11):e112693. DOI: 10.1371/journal.pone.0112693.
Ngo AD, Paquet C, Howard NJ, Coffee NT, Taylor AW, Adams RJ, Daniel M. Area-level socioeconomic characteristics, prevalence and trajectories of cardiometabolic risk. International journal of environmental research and public health. 2014;11(1):830-48.
Paquet C, Coffee NT, Haren MT, Howard NJ, Adams RJ, Taylor AW, Daniel M. Food environment, walkability, and public open spaces are associated with incident development of cardio-metabolic risk factors in a biomedical cohort. Health & place. 2014;28:173-6.
Pilkington R, Taylor AW, Hugo G, Wittert G. Are Baby Boomers Healthier than Generation X? A profile of Australia's working generations using national health survey data. PLoSOne. 2014;9(3):e93087.
Price K, Taylor AW, Dal Grande E, Kralik D. Do trial-and-error practices and the use of the internet influence how medicines are used?. Australian journal of primary health. 2014;20(3):228-35.
Ruel G, Lévesque JF, Stocks N, Sirois C, Kroger E, Adams RJ, Doucet M, Taylor AW. Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS). PloS one. 2014;9(5):e96291.
Straiton M, Grant JF, Winefield HR, Taylor A. Mental health in immigrant men and women in Australia: the North West Adelaide health study. BMC public health. 2014;14(1):1.
Sugiyama T, Paquet C, Howard NJ, Coffee NT, Taylor AW, Adams RJ, Daniel M. Public open spaces and walking for recreation: moderation by attributes of pedestrian environments. Preventive medicine. 2014;62:25-9.
Taylor AW, Pilkington R, Feist H, Dal Grande E, Hugo G. A survey of retirement intentions of baby boomers: an overview of health, social and economic determinants. BMC Public Health 2014;14(1):355.
Tucker G, Adams R, Wilson D. Results from several population studies show that recommended scoring methods of the SF-36 and the SF-12 may lead to incorrect conclusions and subsequent health decisions. Quality of Life Research. 2014;23(8):2195-203.
Taylor AW, Price K & Fullerton S. A survey to assist in targeting the adults who undertake risky behaviours, know their health behaviours are not optimal and who acknowledge being worried about their health: BMC Public Health 2013;13:120 doi:10.1186/1471-2458-13-120.
Gill TK, Shanahan EM, Taylor AW, Buchbinder R, Hill CL. Shoulder pain in the community: an examination of associative factors using a longitudinal cohort study. Arthritis Care and Research 2013;6(12): 2000-2007 DOI:10.1002/acr.22082.
Shi Z, Araujo A, Martin S, O'Loughlin P, Wittert G. Longitudinal changes in testosterone over five years in community-dwelling men. Journal of Clinical Endocrinology & Metabolism. (17 June 2013; EPub ahead of print); doi:10.1210/jc.2012-3842.
Gill T, Taylor A, Hill C, Phillips P. Osteoporosis in the community: sensitivity of self-reported estimates and medication use of those diagnosed with the condition. Bone Joint Research 2012; 1:93-98.
Taylor A, Dal Grande E, Gill T, Pickering S, Grant J, Adams R, Phillips P. Comparing self-reported and measured high blood pressue and high cholesterol status using data from a large representative cohort study. Aust & NZ Journal of Public Health 2010; 34(4):394-400.
Chittleborough C, Baldock K, Phillips P, Taylor A & the North West Adelaide Health Study Team. Achievement of management targets associated wiith incident and long-term diagnosed diabetes among a representative population sample. Diabetes Reseach & Clinical Practice 2010; 88:322-7.
Chittleborough C, Taylor A, Dal Grande E, Gill T, Grant J, Adams R, Wilson D, Ruffin R. Gender differences in asthma prevalence: variations with socioeconomic disadvantage. Respirology 2010; 15(1):107-14.
Grant J, Hicks N, Taylor A, Chittleborough C, Phillips P. Gender-specific epidemiology of diabetes: a representative cross-sectional study. International Journal of Equity in Health 2009; 8:6.
Shi Z, Taylor A, Gill T, Grant J, Adams R, Wilson D. Body mass index threshold for obesity using self-reported data among Australian population (Letter to the Editor). Journal of Epidemiology and Community Health.
Grant J, Chittleborough C, Taylor A, Dal Grande E, Wilson D, Phillips, Adams R, Cheek J, Price K, Gill T, Ruffin R (on behalf of the NWAH Study Team). The North West Adelaide Health Study: detailed methods and baseline segmentation of a cohort along a chronic disease continuum. Epidemiologic Perspectives & Innovations 2006; 3:4.
Taylor A, Dal Grande E, Gill T, Chittleborough C, Wilson D, Adams R, Grant J, Phillips P, Appleton S, Ruffin R. How valid are self reported height and weight? A comparison between CATI self-report and clinic measurements using a large representative cohort study. Aust & NZ Journal of Public Health 2006; 30(3):238-46.
Taylor A, Dal Grande E, Gill T, Chittleborough C, Wilson D, Adams R, Grant J, Phillips P, Ruffin R. Do people with risky behaviours participate in biomedical cohort studies? BMC Public Health 2006; 6:11.
2004–02 Relationship between overweight and obesity and other health risk factors
2003-03 How many South Australians are severely obese?
2003-02 Monitoring obesity in the South Australian population - which survey type?
2002-10 Risk Factors and associated chronic conditions
2002-07 North West Adelaide Health Study (overview)
Stage 1 (1999-2003)