Skip header and navigation

Refine By

38 records – page 1 of 4.

An evaluation by elderly people living at home of the prepared meals distributed by their municipality - a study with focus on the Swedish context.

https://arctichealth.org/en/permalink/ahliterature264566
Source
Glob J Health Sci. 2015 May;7(3):59-68
Publication Type
Article
Date
May-2015
Author
Oleg Pajalic
Zada Pajalic
Source
Glob J Health Sci. 2015 May;7(3):59-68
Date
May-2015
Language
English
Publication Type
Article
Keywords
Aged
Consumer Behavior
Female
Food Services
Home Care Services
Homebound Persons - statistics & numerical data
Humans
Independent living
Male
Quality of Life
Sex Factors
Sweden
Time Factors
Abstract
Prepared meals distributed by municipalities is a service to elderly people, or persons with health related impairments, who live in their own home, have difficulties preparing their own food and cannot meet their food requirements in any other way. This study aimed to provide a brief picture of how elderly people living at home perceive the food they receive through their municipal food service and what is important to them. The data was collected using questionnaires. 274 out of 276 participants answered the questionnaire (n=173 women 62% and n=101 man 37%). The data was analyzed using Principal Component Analysis (PCA). The results showed that the elderly persons receiving meals through the service were often satisfied, especially with the size of the portions and the delivery time. Those who had been using the food delivery service for a longer time were not satisfied with the alternative dishes they were been offered. There was no significant difference between the views of either gender. Further, those who were receiving special food were, in general, unsatisfied with the meals delivered. Development of the food distribution service by systematic quality insurance and interactive knowledge exchange between the producers and consumers seems to be a way to promote a more holistic and individual adjusted service. Evaluation of the municipal FD service is a powerful tool that can contribute to the development of this service. The food service can be improved and consequently even the quality of life and health of its receivers. The present survey should be revisited and developed in order to detect differences between genders.
PubMed ID
25948451 View in PubMed
Less detail

Aspects of housing and perceived health among ADL independent and ADL dependent groups of older people in three national samples.

https://arctichealth.org/en/permalink/ahliterature113316
Source
Aging Clin Exp Res. 2013 Jun;25(3):317-28
Publication Type
Article
Date
Jun-2013
Author
Signe Tomsone
Vibeke Horstmann
Frank Oswald
Susanne Iwarsson
Author Affiliation
Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, 221 00, Lund, Sweden. Signe.Tomsone@med.lu.se
Source
Aging Clin Exp Res. 2013 Jun;25(3):317-28
Date
Jun-2013
Language
English
Publication Type
Article
Keywords
Activities of Daily Living - psychology
Aged
Aged, 80 and over
Aging - psychology
Dependency (Psychology)
Female
Geriatric Assessment
Germany
Health status
Housing
Humans
Independent Living - psychology
Latvia
Male
Regression Analysis
Residence Characteristics
Self Concept
Sweden
Abstract
Good housing solutions are important for the ageing population in order to promote health and maintain functional ability. The objective of this study was to investigate whether and how objective and perceived aspects of housing were related to perceived health among ADL independent and ADL dependent groups of older, single-living people within three national samples.
The current study was based on national samples (German, n = 450; Latvian, n = 303; Swedish, n = 397) from the European ENABLE-AGE Project, using data on ADL dependence, perceived health, objective and perceived aspects of housing. Descriptive statistics, correlations and multivariate ordinal regression models were used to analyze the data.
The participants in the ADL dependent groups generally were older, had more functional limitations and perceived their health as poorer compared to ADL independent groups. With regard to perceived housing, usability as well as meaning of home indicators was often lower in the ADL dependent groups, housing satisfaction was at the same level while housing-related external control beliefs were higher. The differences among the national samples were highly significant for both ADL groups, for all variables except number of outdoor environmental barriers in the ADL independent groups. The relations between perceived health on one hand and objective and perceived aspects of housing on the other show great diversities among the ADL groups and the national samples.
The results serve to alert health care practitioners that it is important to draw attention to how older people perceive their housing situation and to the fact that different levels of functional independence demand different interventions.
PubMed ID
23740591 View in PubMed
Less detail

Cardiovascular biomarkers predict fragility fractures in older adults.

https://arctichealth.org/en/permalink/ahliterature299736
Source
Heart. 2019 03; 105(6):449-454
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
03-2019
Author
Madeleine Johansson
Fabrizio Ricci
Giuseppe Di Martino
Cecilia Rogmark
Richard Sutton
Viktor Hamrefors
Olle Melander
Artur Fedorowski
Author Affiliation
Department of Clinical Sciences, Faculty of Medicine, Clinical Research Center, Lund University, Malmö, Sweden.
Source
Heart. 2019 03; 105(6):449-454
Date
03-2019
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adrenomedullin - blood
Aged
Atrial Natriuretic Factor - blood
Biomarkers - blood
Body mass index
Cardiovascular System - metabolism
Cohort Studies
Correlation of Data
Endothelin-1 - blood
Female
Fractures, Bone - blood
Humans
Independent Living - statistics & numerical data
Male
Middle Aged
Peptide Fragments - blood
Prospective Studies
Protein Precursors - blood
Reproducibility of Results
Risk assessment
Risk factors
Sweden
Vasopressins - blood
Abstract
To assess the role of four biomarkers of neuroendocrine activation and endothelial dysfunction in the longitudinal prediction of fragility fractures.
We analysed a population-based prospective cohort of 5415 community-dwelling individuals (mean age, 68.9±6.2 years) enrolled in the Malmö Preventive Project followed during 8.1±2.9 years, and investigated the longitudinal association between C-terminal pro-arginine vasopressin (CT-proAVP), C-terminal endothelin-1 precursor fragment (CT-proET-1), the mid-regional fragments of pro-adrenomedullin (MR-proADM) and pro-atrial natriuretic peptide (MR-proANP), and incident vertebral, pelvic and extremity fractures.
Overall, 1030 (19.0%) individuals suffered vertebral, pelvic or extremity fracture. They were older (70.7±5.8 vs 68.4±6.3 years), more likely women (46.9% vs 26.3%), had lower body mass index and diastolic blood pressure, were more often on antihypertensive treatment (44.1% vs 38.4%) and had more frequently history of fracture (16.3% vs 8.1%). Higher levels of MR-proADM (adjusted HR (aHR) per 1 SD: 1.51, 95% CI 1.01 to 2.28, p
Notes
CommentIn: Heart. 2019 Mar;105(6):427-428 PMID 30361269
PubMed ID
30322844 View in PubMed
Less detail

Change in Oral Impacts on Daily Performances (OIDP) with increasing age: testing the evaluative properties of the OIDP frequency inventory using prospective data from Norway and Sweden.

https://arctichealth.org/en/permalink/ahliterature258830
Source
BMC Oral Health. 2014;14:59
Publication Type
Article
Date
2014
Author
Ferda Gülcan
Elwalid Nasir
Gunnar Ekbäck
Sven Ordell
Anne Nordrehaug Åstrøm
Source
BMC Oral Health. 2014;14:59
Date
2014
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Age Factors
Aged
Cohort Studies
Eating - physiology
Esthetics, Dental
Female
Follow-Up Studies
Health status
Humans
Independent living
Longitudinal Studies
Male
Norway
Oral Health - statistics & numerical data
Personal Satisfaction
Prospective Studies
Quality of Life
Reproducibility of Results
Self Report
Smiling - psychology
Social Class
Sweden
Tooth Loss - psychology
Work
Abstract
Oral health-related quality of life, OHRQoL, among elderly is an important concern for the health and welfare policy in Norway and Sweden. The aim of the study was to assess reproducibility, longitudinal validity and responsiveness of the OIDP frequency score. Whether the temporal relationship between tooth loss and OIDP varied by country of residence was also investigated.
In 2007 and 2012, all inhabitants born in 1942 in three and two counties of Norway and Sweden were invited to participate in a self-administered questionnaire survey. In Norway the response rates were 58.0% (4211/7248) and 54.5% (3733/6841) in 2007 and 2012. Corresponding figures in Sweden were 73.1% (6078/8313) and 72.2% (5697/7889), respectively.
Reproducibility of the OIDP in terms of intra-class correlation coefficient (ICC) was 0.73 in Norway and 0.77 in Sweden. The mean change scores for OIDP were predominantly negative among those who worsened, zero in those who did not change and positive in participants who improved change scores of the reference variables; self-reported oral health and tooth loss. General Linear Models (GLM) repeated measures revealed significant interactions between OIDP and change scores of the reference variables (p?
Notes
Cites: Health Qual Life Outcomes. 2006;4:5616934161
Cites: Eur J Oral Sci. 2006 Apr;114(2):115-2116630302
Cites: Health Qual Life Outcomes. 2008;6:4018518948
Cites: Swed Dent J. 2008;32(4):187-9519172920
Cites: Community Dent Oral Epidemiol. 2009 Apr;37(2):97-10318782331
Cites: Eur J Oral Sci. 2009 Jun;117(3):286-9219583757
Cites: Arch Gerontol Geriatr. 2010 Jan-Feb;50(1):65-819261341
Cites: Community Dent Oral Epidemiol. 2010 Aug;38(4):340-720353449
Cites: J Clin Periodontol. 2010 Oct;37(10):903-920528964
Cites: Health Qual Life Outcomes. 2010;8:12621050499
Cites: Gerodontology. 2012 Mar;29(1):54-6320609006
Cites: Acta Odontol Scand. 2009;67(6):370-619626467
Cites: J Am Dent Assoc. 2012 May;143(5):488-9522547720
Cites: Gerodontology. 2012 Jun;29(2):e902-822103883
Cites: Health Qual Life Outcomes. 2012;10:5022587387
Cites: J Oral Rehabil. 2013 Apr;40(4):252-723356574
Cites: Gerodontology. 2001 Dec;18(2):121-3011794738
Cites: Community Dent Oral Epidemiol. 2004 Feb;32(1):10-814961835
Cites: Community Dent Oral Epidemiol. 2004 Apr;32(2):107-1415061859
Cites: J Dent Res. 1997 Jun;76(6):1292-79168863
Cites: Community Dent Oral Epidemiol. 1998 Feb;26(1):41-79511841
Cites: Community Dent Oral Epidemiol. 1998 Feb;26(1):52-619511843
Cites: Community Dent Oral Epidemiol. 1998 Feb;26(1):62-99511844
Cites: J Oral Pathol Med. 2005 Apr;34(4):193-715752252
Cites: Eur J Oral Sci. 2005 Aug;113(4):289-9616048520
Cites: Oral Health Prev Dent. 2005;3(4):225-3516475451
Cites: Br Dent J. 2007 Jul 28;203(2):E3; discussion 100-117571092
PubMed ID
24884798 View in PubMed
Less detail

Different patterns in use of antibiotics for lower urinary tract infection in institutionalized and home-dwelling elderly: a register-based study.

https://arctichealth.org/en/permalink/ahliterature121293
Source
Eur J Clin Pharmacol. 2013 Mar;69(3):665-71
Publication Type
Article
Date
Mar-2013
Author
Ylva Haasum
Johan Fastbom
Kristina Johnell
Author Affiliation
Aging Research Center, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet and Stockholm University, Gävlegatan 16, 113 30 Stockholm, Sweden. Ylva.Haasum@ki.se
Source
Eur J Clin Pharmacol. 2013 Mar;69(3):665-71
Date
Mar-2013
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Anti-Bacterial Agents - adverse effects - therapeutic use
Drug Prescriptions
Drug Utilization - trends
Drug Utilization Review
Female
Guideline Adherence
Homes for the Aged
Humans
Independent living
Institutionalization
Logistic Models
Lower Urinary Tract Symptoms - diagnosis - drug therapy - microbiology
Male
Multivariate Analysis
Odds Ratio
Physician's Practice Patterns - trends
Polypharmacy
Practice Guidelines as Topic
Registries
Sex Factors
Sweden
Urinary Tract Infections - diagnosis - drug therapy - microbiology
Abstract
We compared the quality and pattern of use of antibiotics to treat urinary tract infection (UTI) between institutionalized and home-dwelling elderly.
We analyzed the quality of use of UTI antibiotics in Swedish people aged = 65 years at 30 September 2008 (1,260,843 home-dwelling and 86,721 institutionalized elderly). Data regarding drug use, age and sex were retrieved from the Swedish Prescribed Drug Register and information about type of housing from the Social Services Register. In women, we assessed: (1) the proportion who use quinolones (should be as low as possible); (2) the proportion treated with the recommended drugs (pivmecillinam, nitrofurantoin, or trimethoprim) (proportions should be about 40 %, 40 % and 15-20 %, respectively); In men, we assessed: (1) the proportion who used quinolones or trimethoprim (should be as high as possible).
The 1-day point prevalence for antibiotic use for UTI was 1.6 % among institutionalized and 0.9 % among home-dwelling elderly. Of these, about 15 % of institutionalized and 19 % of home-dwelling women used quinolones. The proportion of women treated with the recommended drugs pivmecillinam, nitrofurantoin or trimethoprim was 29 %, 27 % and 45 % in institutions and 40 %, 28 % and 34 % for home-dwellers. In men treated with antibiotics for UTI, quinolones or trimethoprim were used by about 76 % in institutions and 85 % in home-dwellers.
Our results indicate that recommendations for UTI treatment with antibiotics are not adequately followed. The high use of trimethoprim amongst institutionalized women and the low use of quinolones or trimethoprim among institutionalized men need further investigation.
PubMed ID
22922683 View in PubMed
Less detail

Distribution and evaluation of sense of coherence among older immigrants before and after a health promotion intervention - results from the RCT study promoting aging migrants' capability.

https://arctichealth.org/en/permalink/ahliterature297835
Source
Clin Interv Aging. 2018; 13:2317-2328
Publication Type
Journal Article
Randomized Controlled Trial
Date
2018
Author
L A Arola
E Barenfeld
S Dahlin-Ivanoff
G Häggblom-Kronlöf
Author Affiliation
Institute of Neuroscience and Physiology, Section for Health and Rehabilitation, The Sahlgrenska Academy, University of Gothenburg, Sweden, annikki.arola@arcada.fi.
Source
Clin Interv Aging. 2018; 13:2317-2328
Date
2018
Language
English
Publication Type
Journal Article
Randomized Controlled Trial
Keywords
Adaptation, Psychological
Aged
Aged, 80 and over
Balkan Peninsula - ethnology
Emigrants and Immigrants - psychology
Female
Finland - ethnology
Follow-Up Studies
Health Promotion - methods
Humans
Independent living
Male
Outcome Assessment (Health Care)
Sense of Coherence
Sweden
Abstract
The migration process can be a threat to a person's sense of coherence (SOC) and to their ability to experience life as comprehensible, manageable, and meaningful. Seen from a salutogenic perspective, this may have a negative impact on the experience of health.
We describe the distribution of SOC and its components among older persons with an immigrant background now aging in Sweden. In addition, we evaluated whether a group-based health promotion program with a person-centered approach could support the SOC among older persons in this group.
A randomized controlled trial with postintervention follow-ups at 6 and 12 months was conducted with 131 independently living persons aged =70 years from Finland and the Balkan Peninsula. Participants were randomly allocated to an intervention group (4 weeks of group intervention and one follow-up home visit) and a control group (no intervention but access to ordinary health care services). The outcome measure was the SOC measured by SOC-13. Chi-square and ORs were calculated.
There was a significant improvement in total SOC scores for the intervention group at 6-month follow-up. Also, the ORs for the SOC components were higher in the person-centered intervention group. However, we found no significant between-group differences nor did the effect last until the 12-month follow-up.
Persons who have lived a long time in a host country after migration seem to have a SOC similar to native-born persons. Interventions with a person-centered approach could support the SOC by capturing individual life situations. Such interventions could support older persons by making everyday life more comprehensible and manageable and helping them to cope with challenges in daily life caused by aging.
PubMed ID
30532522 View in PubMed
Less detail

Do Associations Between Perceived Environmental and Individual Characteristics and Walking Limitations Depend on Lower Extremity Performance Level?

https://arctichealth.org/en/permalink/ahliterature291084
Source
J Aging Health. 2017 Jun; 29(4):640-656
Publication Type
Comparative Study
Journal Article
Date
Jun-2017
Author
Ritva Sakari
Merja Rantakokko
Erja Portegijs
Susanne Iwarsson
Sarianna Sipilä
Anne Viljanen
Taina Rantanen
Author Affiliation
1 University of Jyvaskyla, Finland.
Source
J Aging Health. 2017 Jun; 29(4):640-656
Date
Jun-2017
Language
English
Publication Type
Comparative Study
Journal Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Cross-Sectional Studies
Disability Evaluation
Environment
Female
Geriatric Assessment - methods
Humans
Independent living
Interviews as Topic
Lower Extremity - physiopathology
Male
Mobility Limitation
Perception
Physical Fitness - physiology
Sweden
Task Performance and Analysis
Walking - physiology
Abstract
The aim of this study was to analyze whether the associations between perceived environmental and individual characteristics and perceived walking limitations in older people differ between those with intact and those with poorer lower extremity performance.
Persons aged 75 to 90 ( N = 834) participated in interviews and performance tests in their homes. Standard questionnaires were used to obtain walking difficulties; environmental barriers to and, facilitators of, mobility; and perceived individual hindrances to outdoor mobility. Lower extremity performance was tested using Short Physical Performance Battery (SPPB).
Among those with poorer lower extremity performance, the likelihood for advanced walking limitations was, in particular, related to perceived poor safety in the environment, and among those with intact performance to perceived social issues, such as lack of company, as well as to long distances.
The environmental correlates of walking limitations seem to depend on the level of lower extremity performance.
PubMed ID
27056910 View in PubMed
Less detail

Drug use in centenarians compared with nonagenarians and octogenarians in Sweden: a nationwide register-based study.

https://arctichealth.org/en/permalink/ahliterature129199
Source
Age Ageing. 2012 Mar;41(2):218-24
Publication Type
Article
Date
Mar-2012
Author
Jonas W Wastesson
Marti G Parker
Johan Fastbom
Mats Thorslund
Kristina Johnell
Author Affiliation
Aging Research Center, Karolinska Institutet and Stockholm University, Gävlegatan 16, SE-113 30 Stockholm, Sweden. jonas.wastesson@ki.se
Source
Age Ageing. 2012 Mar;41(2):218-24
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Age Factors
Aged, 80 and over
Drug Prescriptions - statistics & numerical data
Drug Utilization - statistics & numerical data
Drug Utilization Review
Female
Guideline Adherence
Health Care Surveys
Humans
Independent living
Institutionalization
Logistic Models
Male
Multivariate Analysis
Odds Ratio
Palliative Care
Physician's Practice Patterns - statistics & numerical data
Practice Guidelines as Topic
Prescription Drugs - therapeutic use
Registries
Sweden
Abstract
the number of centenarians increases rapidly. Yet, little is known about their health and use of medications.
to investigate pharmacological drug use in community-dwelling and institutionalised centenarians compared with nonagenarians and octogenarians.
we analysed data on dispensed drugs for centenarians (n = 1,672), nonagenarians (n = 76,584) and octogenarians (n = 383,878) from the Swedish Prescribed Drug Register, record-linked to the Swedish Social Services Register. Multivariate logistic regression analysis was used to analyse whether age was associated with use of drugs, after adjustment for sex, living situation and co-morbidity.
in the adjusted analysis, centenarians were more likely to use analgesics, hypnotics/sedatives and anxiolytics, but less likely to use antidepressants than nonagenarians and octogenarians. Moreover, centenarians were more likely to use high-ceiling diuretics, but less likely to use beta-blockers and ACE-inhibitors.
centenarians high use of analgesics, hypnotics/sedatives and anxiolytics either reflects a palliative approach to drug treatment in centenarians or that pain and mental health problems increase into extreme old age. Also, centenarians do not seem to be prescribed cardiovascular drug therapy according to guidelines to the same extent as nonagenarians and octogenarians. Whether this reflects an age or cohort effect should be evaluated in longitudinal studies.
PubMed ID
22130561 View in PubMed
Less detail

Effects of medication reviews on use of potentially inappropriate medications in elderly patients; a cross-sectional study in Swedish primary care.

https://arctichealth.org/en/permalink/ahliterature298045
Source
BMC Health Serv Res. 2018 08 07; 18(1):616
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
08-07-2018
Author
Cecilia Lenander
Åsa Bondesson
Nina Viberg
Anders Beckman
Patrik Midlöv
Author Affiliation
Department of Clinical Sciences in Malmö, Lund University, Jan Waldenströms gata 35, SE-205 02, Malmö, Sweden. cecilia.lenander@med.lu.se.
Source
BMC Health Serv Res. 2018 08 07; 18(1):616
Date
08-07-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Aged
Aged, 80 and over
Cross-Sectional Studies
Drug Utilization Review
Female
General practitioners
Geriatrics - standards
Humans
Inappropriate Prescribing - prevention & control
Independent living
Male
Nurses
Nursing Homes
Pharmacists
Psychotropic Drugs - therapeutic use
Sweden
Abstract
Drug use among the elderly population is generally extensive and the use of potentially inappropriate medications (PIMs) is common, which increases the risk for drug-related problems (DRP). Medication reviews are one method to improve drug therapy by identifying, preventing and solving DRPs. The aim of this study was to evaluate the effect of medication reviews on total drug use and potentially inappropriate drug use in elderly patients, as well as describe the occurrence and types of drug-related problems.
This was a cross-sectional analysis to study medication reviews conducted by trained clinical pharmacists followed by team-based discussions with general practitioners (GPs) and nurses, for elderly primary care patients in Skåne, Sweden. Included in the analysis were patients =75 years living in nursing homes or in their own homes with home care, who received a medication review during 2011-2012. Documented DRPs were described as both the type of DRPs and as pharmacists' recommendations to the GP. The usage of =3 psychotropics and PIMs (antipsychotics, anticholinergics, long-acting benzodiazepines, tramadol and propiomazine) at baseline and after medication review were also studied.
The analysis included a total of 1720 patients. They were on average aged 87.5 years, used typically 11.3 drugs (range 1-35) and 61% of them used 10 drugs or more. Of the patients, 84% had at least one DRP with a mean of 2.2 DRPs/patient. Of the DRPs, 12% were attributable to PIMs. The proportion of patients with = one PIM was reduced significantly (p?
PubMed ID
30086742 View in PubMed
Less detail

38 records – page 1 of 4.