Contents

• THE NATIONAL ACADEMIES
• COMMITTEE ON THE LONGITUDINAL STUDY OF ASTRONAUT HEALTH
• INDEPENDENT REPORT REVIEWERS
• Preface
• Executive Summary
• 1. Introduction
  • ROLE OF THE INSTITUTE OF MEDICINE
  • GOALS AND DESIGN OF THE CURRENT LSAH
  • DATA ACCESS POLICY
• 2. Findings to Date
  • PETERSON ET AL., 1993
  • HAMM ET AL., 1998
  • HAMM ET AL., 2000
  • BRIEFINGS OF THE IOM COMMITTEE
• 3. Issues with Design and Implementation of the Current Longitudinal Study
  • GOALS OF THE LSAH
  • STATISTICAL POWER
  • COMPOSITION OF THE COMPARISON GROUP
  • ASCERTAINMENT BIAS
  • PARTICIPATION
  • INTERNATIONAL PARTNERS
  • FOLLOW-UP
• 4. Recommendations for Changes in Study Design and Execution
  • LSAH STAFF RECOMMENDATIONS FOR CHANGE
  • IOM RECOMMENDATIONS FOR CHANGE
• 5. Recommendations for Changes in Health Care Policy
  • DEPARTMENT OF ENERGY AND BERYLLIUM
  • DEPARTMENT OF DEFENSE AND NUCLEAR WEAPONS TESTS
  • DEPARTMENT OF VETERANS AFFAIRS AND AGENT ORANGE
  • CONCLUSIONS
• References
• A Biographical Sketches of Committee and Staff
• B Variables in the LSAH Database
• C Health Lifestyle Questionnaire

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

This study was supported by Contract/Grant No. NASW-03031 between the National Academy of Sciences and the National Aeronautics and Space Administration. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the Institute of Medicine Committee on the Longitudinal Survey of Astronaut Health and do not necessarily reflect the views of the organizations or agencies that provided support for the project.