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  • 1.
    Arcombe, Pernilla
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Sjuksköterskans upplevelse kring aktiv dödshjälp i länder där det numera är tillåtet: en litteraturstudie2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Aktiv dödshjälp är idag ett aktuellt ämne. Som sjuksköterska kommer hon ett flertal gånger i sin yrkeskarriär möta döende patienter som önskar aktiv dödshjälp. Sjuksköterskans huvuduppgift är att förebygga sjukdom, främja hälsa, återupprätta hälsa och lindra lidande. Syfte: Syftet var att belysa sjuksköterskans upplevelse kring aktiv dödshjälp i länder där det numera är tillåtet så som i Nederländerna och Belgien. Metod: Arbetet är uppbyggt som en litteraturstudie där ett systematiskt urval av tio vetenskapliga artiklar valts ut från databaserna Cinahl, PubMed och PsykINFO . Dessa blev sedan kvalitetsgranskade, analyserade och presenterade i tre kategorier. Resultat: Tre kategorier framkom i artiklarnas resultat som sedan blev denna studies resultat. Sjuksköterskornas upplevelse kring aktiv dödshjälp var något individuellt och aldrig detsamma som tidigare. Upplevelsen varierade beroende på vilken patient samt vilken situation som man befann sig i. Medan sjuksköterskan upplevde konflikt med sina moraliska värderingar och lagar kring aktiv dödshjälp ville hon samtidigt göra ett bra jobb genom att se så patienten fick en så bra och värdig död som möjligt. Vissa sjuksköterskor upplevde att mötet med patientens närstående inte alltid var så lätt dock ansåg de att det var deras skyldighet att ta hand om dem. Slutsats: Genom att sjuksköterskan lägger sina personliga åsikter till sidan skapar detta en trygghet i hennes yrkesprofession. Bra relationer mellan parterna skapas med öppen kommunikation. Om diskussioner för ämnet om döden och dödsprocessen startar redan på sjuksköterskeutbildningen kan detta göra att kunskapen och förståelsen ökar.

  • 2.
    Bosaeus, Ingvar
    et al.
    Sahlgrenska University Hospital.
    Wilcox, Gisela
    Monash University.
    Rothenberg, Elisabet
    Sahlgrenska University Hospital.
    Strauss, Boyd J
    Monash University.
    Skeletal muscle mass in hospitalized elderly patients: comparison of measurements by single-frequency BIA and DXA2014Ingår i: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 33, nr 3, s. 426-431Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND & AIMS: There is increasing interest in estimating skeletal muscle mass (SMM) in clinical practice. We aimed to validate a bioelectrical impedance analysis (BIA) prediction equation for SMM, developed in a different healthy elderly population, in a population of hospital patients aged 70 and over, by comparison with dual-energy X-ray absorptiometry (DXA) SMM estimates. Comparison was also made with two other previously published BIA muscle prediction equations.

    METHODS: Muscle measurements by BIA and DXA were compared in 117 patients with a range of clinical conditions (45 female, 72 male, mean age 75 years).

    RESULTS: The BIA equation used yielded an accurate estimate of DXA-derived SMM. Mean (SD) difference was 0.26(1.79) kg (ns). The two other BIA equations over-estimated SMM compared to DXA (both p < 0.001), but all equations were highly correlated.

    CONCLUSIONS: The BIA equation used, developed in a different healthy elderly population, gave an accurate estimate of DXA-derived SMM in a population with various clinical disorders. BIA appears potentially capable to estimate SMM in clinical disorders, but the optimal approach to its use for this purpose requires further investigation.

  • 3.
    Dagner, Viveka
    et al.
    Lund University.
    Clausson, Eva
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön Children's and Young People's Health in Social Context (CYPHiSCO). Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Jakobsson, Liselotte
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Prescribed physical activity maintenance following exercise based cardiac rehabilitation: factors predicting low physical activity2018Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Physical activity is important to reduce mortality, morbidity and risk factors in patients with coronary heart disease. This report evaluates to what extent patients are still physically active following an exercise-based cardiac rehabilitation programme 12-14 months post-myocardial infarction and factors predicting why not.

    METHODS: Data from the National Quality Registry Swedeheart with post-myocardial infarction patients ( n=368) admitted from July 2012 to November 2014 were collected with outcomes of physical activity after 12-14 months. Baseline data included demographics, clinical variables, participation in exercise programmes, prescribed physical activity, health-related quality of life and self-reported health (EQ-5D-3L/EQ-VAS). A direct binary logistic regression analysis was used to identify indicators of low physical activity.

    RESULTS: Physical activity frequency per week (PA/week) was low, i.e. zero to three times, in older patients over 64 years ( P=0.00) and in those having problems with pain/discomfort (138 PA/week vs. 195) ( P=0.01), problems with mobility (60 PA/week vs.273) ( P=0.04) and anxiety/depression (128 PA/week vs. 205) ( P=0.04).

    CONCLUSION: Indicators predicting low physical activity can be used targeting improved post-myocardial infarction care outlining person-centred rehabilitation programmes and specialist nursing-led programmes.

  • 4.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Du kan själv ta hand om besvär med hälsan2009Ingår i: Livslots för äldre, Vårdalsinstitutet , 2009, s. 46-63Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 5.
    Edberg, Anna-Karin
    et al.
    Högskolan Kristianstad, Sektionen för hälsa och samhälle. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Landahl, Sten
    Hur du använder läkemedel2009Ingår i: Livslots för seniorer, Stockholm: Hjälpmedelsinstitutet , 2009, 1, s. 65-75Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 6. Eiben, G
    et al.
    Andersson, C S
    Rothenberg, Elisabet
    Göteborgs universitet.
    Sundh, V
    Steen, B
    Lissner, L
    Secular trends in diet among elderly Swedes: cohort comparisons over three decades2004Ingår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 7, nr 5, s. 637-644Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The purpose of this study was to compare dietary practices among different birth cohorts of 70-year-old Swedes, who were examined between 1971 and 2000.

    Setting: Göteborg, Sweden.

    Design: Four population-based samples of 1360 70-year-olds, born in 1901, 1911, 1922 and 1930, have undergone health examinations and dietary assessments over a period of almost three decades. One-hour diet history (DH) interviews were conducted in 1971, 1981, 1992 and 2000 with a total of 758 women and 602 women. The formats and contents of the dietary examinations were similar over the years. Statistical analysis of linear trends was conducted, using year of examination as the independent variable, to detect secular trends in food and nutrient intakes across cohorts.

    Results: At the 2000 examination, the majority of 70-year-olds consumed nutritionally adequate diets. Later-born cohorts consumed more yoghurt, breakfast cereals, fruit, vegetables, chicken, rice and pasta than earlier-born cohorts. Consumption of low-fat spread and milk also increased, along with that of wine, light beer and candy. In contrast, potatoes, cakes and sugar were consumed less in 2000 than in 1971. The ratio of reported energy intake to estimated basal metabolic rate did not show any systematic trend over time in women, but showed a significant upward trend in men.

    Conclusions: The diet history method has captured changes in food selections in the elderly without changing in general format over three decades. Dietary quality has improved in a number of ways, and these findings in the elderly are consistent with national food consumption trends in the general population.

  • 7. Eiben, G
    et al.
    Dey, D K
    Rothenberg, Elisabet
    Göteborgs universitet.
    Steen, B
    Bjorkelund, C
    Bengtsson, C
    Lissner, L
    Obesity in 70-year-old Swedes: Secular changes over 30 years2005Ingår i: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 29, nr 7, s. 810-817Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE:

    Secular increases in obesity have been widely reported in middle-aged adults, but less is known about such trends among the elderly. The primary purpose of this paper is to document the most recent wave of the obesity epidemic in population-based samples of 70-y-old men and women from Göteborg. Additionally, we will investigate the influences of physical activity, smoking and education on these secular trends.

    POPULATIONS AND METHODS:

    Five population-based samples of 3702 70-y-olds (1669 men and 2033 women) in Göteborg, Sweden, born between 1901 and 1930, were examined in the Gerontological and Geriatric Population Studies (H70) between 1971 and 2000. Cohort differences in anthropometric measures were the main outcomes studied. Physical activity, smoking habits and education were assessed by comparable methods in all cohorts. Subsamples of the women in the latest two cohorts (birth years 1922 and 1930) were also part of the Prospective Population Study of Women in Göteborg. In these women, it was possible to examine body mass index (BMI) and waist-to-hip circumference ratio (WHR) longitudinally since 1968.

    RESULTS AND CONCLUSIONS:

    Significant upward trends were found for height, weight, BMI, waist circumference (WC), WHR, prevalence of overweight (BMI25 kg/m2) and obesity (BMI30 kg/m2) across cohorts in both sexes. In 2000, 20% of the 70-y-old men born in 1930 were obese, and the largest increment (almost doubling) had occurred between the early 1980s and the early 1990s. In 70-y-old women the prevalence of obesity was 24% in 2000, a 50% increase compared to the cohort born 8 y earlier. BMI increased over time in all physical activity, smoking and education groups, with the exception of never-smoking men. Although 70-y-old women in 2000 were heavier than cohorts examined 8 y previously, data from the women studied longitudinally revealed that these differences were already present in earlier adulthood. In conclusion, the elderly population is very much part of the obesity epidemic, although secular trends in BMI were detected slightly earlier in men than in women. The health implications of these secular trends should be focused on in future gerontological research

  • 8.
    Gardsten, Cecilia
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Linnéuniversitetet.
    Blomqvist, Kerstin
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Mörtberg, Christina
    Linnéuniversitetet.
    Personcentrerad IKT-tjänst för personer med typ 2-diabetes2018Konferensbidrag (Övrigt vetenskapligt)
    Abstract [sv]

    Diabetestyp 2 är en vanlig kronisk sjukdom med stort fokus på egenvård. Sjukdomen kräver livslång och regelbunden kontakt med hälso- och sjukvården för rådgivning och uppföljning. För att kunna erbjuda en tjänst som svarar upp till behoven vid egenvård behövs insikter om hur personer med typ 2-diabetes uppfattar sin situation. Det finns därför behov av att utveckla hälsovård ur ett användarcentrerat perspektiv. Deltagarbaserad design är en forskningsstrategi som har för avsikt att involvera människor för att ge dem inflytande i designprocessen.

  • 9.
    Giacalone, Davide
    et al.
    Danmark.
    Wendin, Karin
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Praktisk-estetiska ämnen. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Kremer, Stefanie
    Nederländerna.
    Bom Frøst, Michael
    Danmark.
    Bredie, Wender L. P.
    Danmark.
    Olsson, Viktoria
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Praktisk-estetiska ämnen. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Otto, Marie H.
    Danmark.
    Skjoldborg, Signe
    Danmark.
    Lindberg, Ulla
    SP Technical Research Institute of Sweden.
    Risvik, Einar
    Norge.
    Health and quality of life in an aging population – food and beyond2016Ingår i: Food Quality and Preference, ISSN 0950-3293, E-ISSN 1873-6343, Vol. 47, nr Part B, s. 166-170Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In Europe the percentage of citizens aged 65 and over is increasing at an unprecedented rate, and is expected to account for over 30% of the population by 2050. Coupled with an increase in life expectancy, this massive demographic change calls for a major effort to ensure quality of life in our older population. A thorough understanding of the elderly as food consumers, their nutritional needs, their food perception and preferences are increasingly needed. The role of food in healthy aging was a prominent theme at the 6th European Conference on Sensory and Consumer Research, which had quality of life across the life span as a focal point. This short paper is based on a workshop held at the EuroSense meeting, focusing on research from sensory and consumer scientists. The workshop featured contributions focusing on food-related perception, needs and behavior of the elderly, and aimed at demonstrating the relevance of sensory and consumer scientists in promoting food-related well-being in an aging population. The workshop contributions are here reviewed and summarized three main themes: nutritional needs, food perception and aging, and behavioral drivers of food consumption.

  • 10.
    Gustafsson, Matilda
    et al.
    Högskolan Kristianstad, Fakulteten för naturvetenskap.
    Mikkelsen, Florina
    Högskolan Kristianstad, Fakulteten för naturvetenskap.
    "Kanske för mycket vetebröd": Attityder till och vanor kring mellanmål bland personer över 65 år2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Inledning: Mat och måltider har stor betydelse för att förebygga åldersrelaterad ohälsa. Äldre har ett ökat behov av protein och mellanmål är ett ypperligt tillfälle för att de ska få i sig mer protein. Att undersöka attityder till och vanor bland personer över 65 år kan ge en fördjupad förståelse när det gäller val av mat och mellanmål som kan ligga till grund för hälsofrämjande insatser riktade till äldre. Syfte och frågeställningar: Att undersöka attityder till och vanor kring mellanmål bland personer över 65 år. Frågeställningarna handlar om vilka faktorer som påverkar mellanmålsvalet, om proteinrika mejeriprodukter äts till mellanmål och vad de tycker om några av dessa produkter. Material och metod: En kvantitativ studie gjordes genom att använda en enkätundersökning. Urvalet i studien är ett bekvämlighetsurval. Resultat: Majoriteten åt ett till två mellanmål per dag och de bestod oftast av frukt/grönsaker, smörgås med pålägg och kakor/kaffebröd. Att dricka förmiddags/eftermiddagskaffe uppgavs som den huvudsakliga anledningen till mellanmål. Viss skillnad fanns mellan män och kvinnor med avseende på attityder till mellanmål. De faktorer som påverkade valen av mellanmål mest var gott, enkelt och nyttigt/hälsosamt. Att mellanmålen skulle vara proteinrika spelade minst roll. Slutsats: Mellanmål associeras med förmiddags/eftermiddagskaffe och därför kan framtida satsningar på proteinberikade kakor och kaffebröd bidra till att personer över 65 år lättare kan täcka sitt proteinbehov. En medvetenhet om vikten av proteinrika mellanmål förefaller saknas hos målgruppen. Generaliserbarheten av resultaten i studien är begränsad på grund av bekvämlighetsurvalet. 

  • 11.
    Gustafsson, Susanne
    et al.
    Institute of Neuroscience and Physiology/Occupational Therapy, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Edberg, Anna-Karin
    Vårdalsinstitutet och Lunds universitet.
    Johansson, Boo
    Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
    Dahlin-Ivanoff, Synneve
    The Vårdal Institute, The Swedish Institute for Health Science, University of Gothenburg, Gothenburg, Sweden.
    Multi-component health promotion and disease prevention for community-dwelling frail elderly persons: a systematic review2009Ingår i: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380, Vol. 6, nr 4, s. 315-329Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    The objective was to investigate definitions of frailty used in studies of multi-component health promotion and disease-preventive (HPDP) intervention programmes for community-dwelling frail elderly persons and to review the content, organisation and effects of HPDP interventions. A systematic review of 19 articles was made, and the International Classification of Functioning, Disability and Health (ICF) was used as a structural framework for the analysis. The result shows that a consensus was reached on including various aspects of impairments in body functions and structures as an integral part of the frailty concept, with the exception of one subgroup: mental/cognitive functions. Additionally, opinions varied quite consistently regarding aspects of activity limitations and participation restrictions, personal and environmental factors. Ten of the 14 HPDP programmes covered various intervention elements referring to all four ICF components. Eleven programmes involved registered personnel only, while a more divergent pattern was seen in the remaining organisational aspects of the interventions: length of interventions and location plus age segments, participatory approach and contextual information, as well as the theoretical foundation of the interventions. Measures of body functions and structures were significantly improved in 5 out of 17 (29%) targeted aspects. For activity and participation, 12 out of 32 (38%) targeted aspects were positively changed, while the score for environmental factors was 7 out of 22 (32%), and for personal factors 8 out of 22 (36%). Our review suggests that further research is needed to explore and disentangle the complex interrelationships between various interventions and outcomes.

  • 12.
    Gustafsson, Susanne
    et al.
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Eklund, Kajsa
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Wilhelmson, Katarina
    Vårdalinstitutet, The Swedish Institute for Health Sciences, Gothenburg/Lund.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Hälsovetenskap. Högskolan Kristianstad, Forskningsplattformen Hälsa i samverkan.
    Johansson, Boo
    Vårdalinstitutet, The Swedish Institute for Health Sciences, Gothenburg/Lund.
    Häggblom Kronlöf, Greta
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Gosman-Hedström, Gunilla
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Dahlin-Ivanoff, Synneve
    Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
    Long-term outcome for ADL following the health-promoting RCT: elderly persons in the risk zone2013Ingår i: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 53, nr 4, s. 654-663Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To examine independence in activities of daily living (ADL) at the 1- and 2-year follow-ups of the health-promoting study Elderly Persons in the Risk Zone.

    Design and Method: A randomized, three-armed, single-blind, and controlled study. A representative sample of 459 independent and community-dwelling older adults, 80 years and older, were included. A preventive home visit was compared with four weekly multiprofessional senior group meetings including a follow-up home visit.

    Results: Analysis showed a significant difference in favor of the senior meetings in postponing dependence in ADL at the 1-year follow-up (odds ratio [OR] = 1.92, 95% confidence interval [CI] = 1.19–3.10) and also in reducing dependence in three (OR = 0.52, 95% CI = 0.31–0.86) and four or more ADL (OR = 0.40, 95% CI = 0.22–0.72) at the 2-year follow-up. A preventive home visit reduced dependence in two (OR = 0.40, 95% CI = 0.24–0.68) and three or more ADL (OR = 0.37, 95% CI = 0.17–0.80) after 1 year.

    Implications: A long-term evaluation of Elderly Persons in the Risk Zone showed that both senior meetings and a preventive home visit reduced the extent of dependence in ADL after 1 year. The senior meetings were superior to a preventive home visit since additional significant effects were seen after 2 years. To further enhance the long-term effects of the senior meetings and support the process of self-change in health behavior, it is suggested that booster sessions might be a good way of reinforcing the intervention.

  • 13. Gustafsson, Susanne
    et al.
    Wilhelmson, Katarina
    Eklund, Kajsa
    Gosman-Hedström, Gunilla
    Zidén, Lena
    Kronlöf, Greta H
    Højgaard, Betina
    Slinde, Frode
    Rothenberg, Elisabet
    Sahlgrenska University Hospital, Gothenburg.
    Landahl, Sten
    Dahlin-Ivanoff, Synneve
    Health-promoting interventions for persons aged 80 and older are successful in the short term: results from the randomized and three-armed Elderly Persons in the Risk Zone study2012Ingår i: Journal of The American Geriatrics Society, ISSN 0002-8614, E-ISSN 1532-5415, Vol. 60, nr 3, s. 447-454Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To examine the outcomes of the Elderly Persons in the Risk Zone study, which was designed to evaluate whether it is possible to delay deterioration if a health-promoting intervention is made when an older adult (≥80) is at risk of becoming frail and whether a multiprofessional group intervention is more effective in delaying deterioration than a single preventive home visit with regard to frailty, self-rated health, and activities of daily living (ADLs) at 3-month follow-up.

    DESIGN: Randomized, three-armed, single-blind, controlled trial performed between November 2007 and May 2011.

    SETTING: Two urban districts of Gothenburg, Sweden.

    PARTICIPANTS: Four hundred fifty-nine community-living adults aged 80 and older not dependent on the municipal home help service.

    INTERVENTION: A preventive home visit or four weekly multiprofessional senior group meetings with one follow-up home visit.

    MEASUREMENTS: Change in frailty, self-rated health, and ADLs between baseline and 3-month follow-up.

    RESULTS: Both interventions delayed deterioration of self-rated health (odds ratio (OR) = 1.99, 95% confidence interval (CI) = 1.12-3.54). Senior meetings were the most beneficial intervention for postponing dependence in ADLs (OR = 1.95, 95% CI = 1.14-3.33). No effect on frailty could be demonstrated.

    CONCLUSION: Health-promoting interventions made when older adults are at risk of becoming frail can delay deterioration in self-rated health and ADLs in the short term. A multiprofessional group intervention such as the senior meetings described seems to have a greater effect on delaying deterioration in ADLs than a single preventive home visit. Further research is needed to examine the outcome in the long term and in different contexts.

  • 14.
    Hadid, Kadija
    et al.
    Högskolan Kristianstad, Sektionen för lärande och miljö.
    Lindberg, Tatiana
    Högskolan Kristianstad, Sektionen för lärande och miljö.
    Vi tackar för maten!: ensamstående äldres upplevda matsituation med hemtjänst2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Inledning: Andelen äldre personer i Sverige ökar och beräkningar visar att det kommer finnas över en miljon personer i Sverige som är över 80 år 2045. Det är fler och fler äldre personer som väljer att bo i ordinärt boende vilket betyder att det kommer att behövas fler resurser för att bemöta deras behov. Att undersöka vårdtagarnas upplevda matsituation är viktigt för att förstå de hälsomässiga, sociala och samhällsekonomiska risker en bristfällig matförsörjning kan resultera i.

    Syfte: Syftet är att undersöka och beskriva den upplevda matsituationen bland äldre ensamstående vårdtagare som bor i ordinärt boende med hemtjänst för att få en förståelse för vilka förbättrande åtgärder som behövs. Fokus läggs på måltidsordning, känslorna kring matsituationen och måltidsmiljön.

    Material och metod: En kvalitativ studie gjordes i form av djupintervjuer med enskilda individer samt observationer av serverad mat och befintlig mat i hemmet. Intervjuerna spelades in samt transkriberades. Informanterna bestod av sex vårdtagare mellan 77 och 96 år från Höör och Simrishamn.

    Resultat: Resultatet visar att informanterna är nöjda med maten de får av hemtjänsten. Det finns dock ett underliggande missnöje med hur maten serveras, anpassning till hemtjänstens scheman samt brist på sällskap under måltiderna.

    Slutsats: Utifrån studien har det visats att vårdtagarna är tacksamma för den hjälp de får av hemtjänsten men det finns tecken på att det behövs förbättringar gällande hemtjänstens kunskap och planeringen av måltiderna. Det är inte möjligt att generalisera resultaten på grund av den begränsade omfattningen dock finns det möjligheter för framtida insatser och forskning kring exempelvis äldres speciella behov när det gäller matens innehåll, konsistens och måltidsordning.

  • 15.
    Hagell, Peter
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Measuring activities of daily living in Parkinson's disease: on a road to nowhere and back again?2019Ingår i: Measurement, ISSN 0263-2241, E-ISSN 1873-412X, Vol. 132, s. 109-124Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Parkinson's disease (PD) is a progressive neurodegenerative disorder associated with increasing disability and limitations in performance of activities of daily living (ADL) despite availability of effective symptomatic therapy. Following an overview of classical test theory (CTT) and Rasch measurement theory (RMT), the case of a clinical PD trial aiming to demonstrate ADL improvements by using the ADL section (part II) of the Unified PD Rating Scale (UPDRS) to measure ADL outcomes is considered and central questions related to its validity and interpretation are addressed. It is found that while CTT did not detect any issues, RMT in combination with conceptual considerations seriously challenged the role of the UPDRS II as an ADL outcome measure. Results are discussed from historical, methodological and clinical perspectives. (C) 2018 Elsevier Ltd. All rights reserved.

  • 16.
    Hedov, Gerth
    et al.
    Karolinska institutet.
    Anneren, G
    Barn med Downs syndrom: hur tas de nyblivna föräldrarna om hand?1993Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 90, nr 39Artikel i tidskrift (Refereegranskat)
  • 17.
    Lindblad, A
    et al.
    Gothenburg University.
    Dahlin-Ivanoff, S.
    Gothenburg University.
    Rothenberg, Elisabet
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Praktisk-estetiska ämnen. Högskolan Kristianstad, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Gothenburg University.
    Body composition and physical function in healthy community-dwelling older adults in Sweden, a cross-sectional study2014Ingår i: The Journal of Frailty & Aging, ISSN 2260-1341, Vol. 3, nr 1, s. 65-65Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Limited data are available on body composition (BC) and physical function in healthy adults >80 y, potentially hampering development of reference values. We aimed to study 1) BC and physical function and 2) changes in hand-grip strength over a 4-year period in a community dwelling elderly Swedish population.

    Methods: Apparently healthy, community-dwelling men (n=51) and women (n=51) aged >83y were measured by Sit to Stand-test, hand grip strength, body height, body weight and BC using a Bioimpedance Spectroscopy (Impedimed). The study was approved by the Regional Ethical Review Board in Gothenburg as an addition to Elderly Persons in the Risk Zone (T176-12).

    Results: Mean age 86.5 y, no age difference between sexes. Men and women performed equally well at the Sit to Stand-test. Men were significantly stronger with a mean HGS of 34.1 kg compared to women of 19.5 kg. 15 % had a BMI below 22 kg/m2. According to skeletal muscle index (SMI) 64 % were assessed as having severe sarcopenia (Cruz-Jentoft et al 2010).

    Conclusion: In this healthy elderly population BC and physical function was well preserved compared to previous studies, although many were classified as sarcopenic according to current cut-offs. Results from this study can be used as reference values for healthy community-dwelling elderly in high age.

  • 18.
    Lind-Halldén, Christina
    et al.
    Högskolan Kristianstad, Fakulteten för naturvetenskap, Forskningsmiljön Biomedicin. Högskolan Kristianstad, Fakulteten för naturvetenskap, Avdelningen för miljö- och biovetenskap.
    Manderstedt, Eric
    Högskolan Kristianstad, Plattformen för molekylär analys. Högskolan Kristianstad, Fakulteten för naturvetenskap, Avdelningen för miljö- och biovetenskap.
    Carlberg, Daniel
    Högskolan Kristianstad, Fakulteten för naturvetenskap, Forskningsmiljön Biomedicin. Högskolan Kristianstad, Fakulteten för naturvetenskap, Avdelningen för miljö- och biovetenskap.
    Lethagen, Stefan
    Skåne University Hospital in Malmö.
    Halldén, Christer
    Högskolan Kristianstad, Fakulteten för naturvetenskap, Forskningsmiljön Biomedicin. Högskolan Kristianstad, Fakulteten för naturvetenskap, Avdelningen för miljö- och biovetenskap.
    Genetic variation in the syntaxin-binding protein STXBP5 in type 1 von Willebrand disease patients2018Ingår i: Thrombosis and haemostasis, ISSN 2567-689X, Vol. 118, nr 8, s. 1382-1389Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    von Willebrand factor (VWF) levels in healthy individuals and in patients with type 1 von Willebrand disease (VWD) are influenced by genetic variation in several genes, for example, VWF, ABO and STXBP5. Here, we comprehensively screen for STXBP5 variants and investigate their association with type 1 VWD in Swedish patients and controls. The coding region of the STXBP5 gene was re-sequenced in 107 type 1 VWD patients and the detected variants were genotyped in the type 1 VWD population and a Swedish control population (464 individuals). The functional effects of missense alleles were predicted in silico and the pattern of genetic variation in STXBP5 was analysed. Re-sequencing of 107 type 1 VWD patients identified three missense and three synonymous variants in the coding sequence of STXBP5. The low-frequency missense variants rs144099092 (0.005) and rs148830578 (0.029) were predicted to be damaging, but were not accumulated in patients. No other rare candidate mutations were detected. STXBP5 showed a high level of linkage disequilibrium and a low overall nucleotide diversity of π = 3.2 × 10-4 indicating intolerance to variants affecting protein function. Three previously type 1 VWD-associated single nucleotide polymorphisms were located on one haplotype that showed an increased frequency in patients versus controls. No differences in messenger ribonucleic acid abundance among haplotypes could be found using Genotype-Tissue Expression project data. In conclusion, a haplotype containing the STXBP5 Asn436Ser (rs1039084) mutation is associated with type 1 VWD and no rare STXBP5 mutations contribute to type 1 VWD in the Swedish population.

  • 19.
    Lindholm, Beata
    et al.
    Lund University.
    Nilsson, Maria H
    Lund University.
    Hansson, Oskar
    Lund University.
    Hagell, Peter
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    The clinical significance of 10-m walk test standardizations in Parkinson's disease2018Ingår i: Journal of Neurology, ISSN 0340-5354, E-ISSN 1432-1459, Vol. 265, nr 8, s. 1829-1835Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The 10-m walk test (10MWT) is a widely used measure of gait speed in Parkinson's disease (PD). However, it is unclear if different standardizations of its conduct impact test results.

    AIM OF THE STUDY: We examined the clinical significance of two aspects of the standardization of the 10MWT in mild PD: static vs. dynamic start, and a single vs. repeated trials. Implications for fall prediction were also explored.

    METHODS: 151 people with PD (mean age and PD duration, 68 and 4 years, respectively) completed the 10MWT in comfortable gait speed with static and dynamic start (two trials each), and gait speed (m/s) was recorded. Participants then registered all prospective falls for 6 months.

    RESULTS: Absolute mean differences between outcomes from the various test conditions ranged between 0.016 and 0.040 m/s (effect sizes, 0.06-0.14) with high levels of agreement (intra-class correlation coefficients, 0.932-0.987) and small standard errors of measurement (0.032-0.076 m/s). Receiver operating characteristic curves showed similar discriminate abilities for prediction of future falls across conditions (areas under curves, 0.70-0.73). Cut-off points were estimated at 1.1-1.2 m/s.

    CONCLUSIONS: Different 10MWT standardizations yield very similar results, suggesting that there is no practical need for an acceleration distance or repeated trials when conducting this test in mild PD.

  • 20.
    Litsfeldt, Sofie
    Högskolan Kristianstad, Fakulteten för hälsovetenskap.
    Association between sleep habits and being overweight among adolescents in Southern Sweden.: A cross-sectional study.2018Självständigt arbete på avancerad nivå (masterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [en]

    The link between sleep and Body Mass Index (BMI) is poorly understood and existing literature on the topic is contradictory. Aim: To investigate the association between Body Mass Index [BMI] and sleep habits in adolescents in Sweden. Methods: This cross-sectional study uses data obtained from the self-reported questionnaires of 1518 (50.7% female) 13- to 15 year-olds in southern Sweden. Questions were on sleep and lifestyle habits and general demographics including height and weight. Multiple logistic regression analysis was used to analyze sleep duration, bedtime and rising time, controlling for covariates. Results: The only sleep related variable associated with overweight/obesity was sleep duration on weekends, where longer sleep duration decreased the likelihood of being overweight or obese. Conclusion: This study found that longer sleep duration during weekends was associated with not being overweight. Modifying sleep habits in adolescents is a potential target for obesity intervention and this information is particularly well-suited for school nurses to disseminate to students and their parents.

  • 21.
    Muthucumarana, Muditha W.
    Högskolan Kristianstad, Fakulteten för hälsovetenskap.
    Caring for stroke survivors: Experience of family caregivers in Sri Lanka2017Självständigt arbete på avancerad nivå (masterexamen), 20 poäng / 30 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Stroke is a life changing event for both stroke survivor and the family caregiver. After the acute care at the hospital, the stroke survivors are discharged with many disabilities and the family members are supposed to take care of them at home and continue treatment and rehabilitation. The new role of ‘informal caregiver’ give rise many problems and difficulties for them and in order to identify those, exploring their experience on providing informal care was needed. An explorative descriptive study with qualitative approach was conducted with the participation of 10 family caregivers who were providing informal care to their stroke survivors treated at the stroke unit of the National hospital Sri Lanka. Data were collected through in-depth interviews. Qualitative analysis of data, resulted in an overriding theme; ‘Caring with love, against all odds’ along with four main categories ‘Life alterations’, ‘Lack of resources’, ‘Compassionate care’ and ‘Coping strategies’. Increased workload, physical problems and restricted social life were highlighted within the life alterations and knowledge and financial deficits were the resources family caregivers mainly lacked. Findings of the study emphasized the importance of further assessments and strategies to address burning issues of stroke family caregivers in order to promote the health and well-being of both stroke survivors and their families.

  • 22. Nordén, Johanna
    et al.
    Grönberg, AnneMarie
    Bosaeus, Ingvar
    Bertéus Forslund, Heléne
    Hulthén, Lena
    Rothenberg, Elisabet
    Sahlgrenska Academy, University of Gothenburg.
    Karlsson, Jan
    Wallengren, Ola
    Slinde, Frode
    Nutrition impact symptoms and body composition in patients with COPD2014Konferensbidrag (Refereegranskat)
    Abstract [en]

    RATIONALE: Anorexia or lack of appetite is common in chronic obstructive pulmonary disease (COPD) and may be caused or augmented by several symptoms affecting appetite and eating. We aimed to investigate and quantify the extent of nutrition impact symptoms (NIS) in patients with COPD and to explore relationships between NIS and fat free mass depletion.

    METHODS: The results in this cross-sectional study are based on 169 COPD patients (62 % females). Body composition was assessed using bioelectrical impedance spectroscopy and the patients reported NIS by two newly developed questionnaires; Eating Symptoms Questionnaire (ESQ) and Disease Related Appetite Questionnaire (DRAQ).

    RESULTS: Symptoms with the highest prevalence were dry mouth (71%), stomach ache (39%), pain or aches affecting appetite (36%) and constipation (35%). Problems with diarrhoea and feeling affected by smells were more severe among women compared to men (p<0.05). Thirty-six percent of the patients were depleted (FFMI < 15 kg/m² for women and FFMI < 16 kg/m² for men). Depleted patients had more NIS (p<0.05), and also rated appetite and taste of food as worse compared to non-depleted (p < 0.05).

    CONCLUSION: Nutrition impact symptoms are common in patients with COPD and depleted patients have more severe symptoms. To investigate how these symptoms are best prevented and/or managed and if NIS prevention/treatment can affect development of malnutrition in patients with COPD is a challenge for the future.

  • 23.
    Ottosson, Maria
    et al.
    Högskolan Kristianstad, Sektionen för lärande och miljö.
    Stuhre, Annika
    Högskolan Kristianstad, Sektionen för lärande och miljö.
    Barns delaktighet: en kvalitativ studie kring utvecklingen av mellanmål i förskolan2017Självständigt arbete på grundnivå (högskoleexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Inledning: Flertal barn spenderar mycket tid på förskolan i Sverige, vilket innebär att de äter flera mål mat där om dagen. Barnen har rätt till att uttrycka sina åsikter och de vuxna ska ta det i beaktande. Maten och måltiderna är en central del av deras tillvaro på förskolan och därför viktiga att få påverka och ha inflytande över. Syfte: Hur kan barn göras delaktiga i att utveckla och förbättra mellanmålsalternativen på förskolan? Material och metod: En kvalitativ studie med 5-6 åriga barn har gjorts, där barnen har ritat och diskuterat sitt favoritmellanmål i fokusgrupper. Sedan har ett sensoriskt gillandetest gjorts på nyutvecklade mellanmål där recepten grundar sig på barnens favoritmellanmål. Resultat: När barnen uttrycker vad ett gott mellanmål är så är det främst smaken de utgår ifrån och till viss del utseendet. Favoritmellanmålet är pannkakor och de mest omtyckta smakerna är jordgubbe, vanilj och banan. Det sensoriska gillandetestet visade att barnen kunde bedöma mellanmålen med hjälp av smileys. Slutsats: Ett gott mellanmål för barnen smakar bra och ser tilltalande ut. Barn kan göras delaktiga genom att på olika sätt uttrycka sig via olika visuella metoder och tycka till om mellanmålen genom att använda smileys. Dock kan det finnas utmaningar och svårigheter med att göra barnen delaktiga då det kan vara svårt att tolka och få fram deras idéer och synpunkter samt att barnens önskningar inte alltid överensstämmer med hur näringsinnehållet bör vara, men genom att använda flera visuella metoder kan de uttrycka sina åsikter och göras delaktiga.

  • 24.
    Rask, Marie
    et al.
    Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Linnaeus University.
    Swahnberg, Katarina
    Linnaeus University.
    Oscarsson, Marie
    Linnaeus University.
    Notification of an abnormal Pap smear result: an intervention study2018Ingår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study aims to assess whether notification of an abnormal Pap smear result via a phone call, delivered by a trained healthcare provider, has an effect on women's HRQoL, coping and awareness of HPV. For this intervention study, women were consecutively recruited from a women's health clinic in Sweden. Women in the intervention group (n = 113) were notified of their Pap smear result via a phone call by a trained healthcare provider, while those in the comparison group (n = 122) were notified via a standard letter. A questionnaire was used to collect data. The results found no significant differences between the groups for HRQoL. However, 42.5% of women in the intervention group versus 48.3% in the comparison group reported anxiety. Women in the intervention group were more satisfied with the manner in which they were notified of their abnormal result than those in the comparison group (92.0% vs. 67.2%; p < 0.001), more aware of HPV (71% vs. 50%; p = 0.001), and called healthcare services less often (10.6% vs. 18.0%; p = 0.113), no significance. In conclusion, notification of an abnormal Pap smear result via a phone call does not increase women's HRQoL or reduce their anxiety.

  • 25.
    Rothenberg, Elisabet
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Praktisk-estetiska ämnen. Högskolan Kristianstad, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet.
    Body composition and physical function in healthy community-dwelling older adults in Sweden: a cross-sectional study2014Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Background: Limited data are available on body composition (BC) and physical function in healthy adults >80 y, potentially hampering development of reference values. We aimed to study 1) BC and physical function and 2) changes in hand-grip strength over a 4-year period in a community dwelling elderly Swedish population.

    Methods: Apparently healthy, community-dwelling men (n=51) and women (n=51) aged >83y were measured by Sit to Stand-test, hand grip strength, body height, body weight and BC using a Bioimpedance Spectroscopy (Impedimed). The study was approved by the Regional Ethical Review Board in Gothenburg as an addition to Elderly Persons in the Risk Zone (T176-12).

    Results: Mean age 86.5 y, no age difference between sexes. Men and women performed equally well at the Sit to Stand-test. Men were significantly stronger with a mean HGS of 34.1 kg compared to women of 19.5 kg. 15 % had a BMI below 22 kg/m2. According to skeletal muscle index (SMI) 64 % were assessed as having severe sarcopenia (Cruz-Jentoft et al 2010).

    Conclusion: In this healthy elderly population BC and physical function was well preserved compared to previous studies, although many were classified as sarcopenic according to current cut-offs. Results from this study can be used as reference values for healthy community-dwelling elderly in high age.

  • 26.
    Rothenberg, Elisabet
    Sahlgrenska University Hospital, Gothenburg.
    Experience of dietary assessment and validation from three Swedish studies in the elderly2009Ingår i: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 63 Suppl 1, s. S64-S68Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND/OBJECTIVES: The elderly are a growing part of the population. The objectives have been to describe the dietary assessment methods undertaken, and to evaluate the different validation methods and their performance in free-living elderly populations.

    SUBJECTS/METHODS: Participants were from three studies, the Johanneberg, H70 and Nordic Research on Ageing (NORA) studies undertaken in Sweden. The mean age across these studies ranged from 70 to 80 years, and cohort size ranged from n=173 to a total of 1360 in the four cohorts of the H70 geriatric population study. A food frequency questionnaire (FFQ) was used in Johanneberg and a diet history (DH) in H70 and NORA. Validation was undertaken using a 4-day food record (FR), four 24-h urinary nitrogen (UN) collections and energy intake/basal metabolic rate (EI/BMR) cutoffs in Johanneberg, EI/BMR cutoffs, total energy expenditure (TEE) estimated by heart rate monitoring, activity diary and doubly labelled water in H70, and EI/BMR cutoffs in NORA.

    RESULTS: The FFQ provided higher intakes of EI and nutrients vs FR, confirmed by UN for protein. Compared with EI/BMR cutoffs, overestimation of EI was moderate. DH showed that slight underestimation vs heart rate was in accordance with activity diary, but compared with doubly labelled water, DH underestimated EI by 12%. In NORA, EI/BMR was high compared with EI/BMR cutoffs. Validation methods detected under- and over-reporting. EI and nutrient intake were in accordance with recommendations.

    CONCLUSIONS: Elderly up to their 80s can perform well in dietary studies. However, people over the age of 80 years may tend to report food habits from earlier in life.

  • 27.
    Rothenberg, Elisabet
    Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Praktisk-estetiska ämnen. Högskolan Kristianstad, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet.
    Nutrition and physical function2014Konferensbidrag (Övrigt vetenskapligt)
  • 28.
    Rothenberg, Elisabet
    et al.
    Göteborgs universitet.
    Bosaeus, I G
    Steen, B C
    Energy expenditure at age 73 and 78: a five year follow-up2003Ingår i: Acta Diabetologica, ISSN 0940-5429, E-ISSN 1432-5233, Vol. 40, s. S134-S138Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is limited knowledge concerning the energy turnover and energy requirements of the elderly. The aim of this study was to measure resting metabolic rate (RMR) and total energy expenditure (TEE), and to define activity energy expenditure (AEE) and physical activity level (PAL) in 11 78-year-old individuals. A further aim was to compare these measures with the same measures taken from the 11 subjects at age 73 years. Total body water (TBW) averaged 30.8 kg (SD 3.2) at age 73 and 28.8 kg (SD 3.5) at age 78 years (p<0.01). RMR was measured with a ventilated-hood system and averaged 5.60 MJ/day (SD 0.66) at age 73 and 4.77 MJ/day (SD 0.32) at 78 years (p<0.001). TEE, measured using the doubly labeled water method, averaged 9.64 MJ/day (SD 1.10) at age 73 and 8.30 MJ/day (SD 1.45) at 78 years (p<0.05). AEE averaged 4.04 MJ/day (SD 0.44) at age 73 and 3.53 MJ/day (1.13) at 78 years (ns). PAL averaged 1.74 at both ages. TBW, TEE, and RMR decreased, whereas AEE and PAL did not change substantially during the 5-year follow-up. The PAL values indicated a physically active lifestyle for the age group.

  • 29.
    Rothenberg, Elisabet
    et al.
    Högskolan Kristianstad, Forskningsmiljön Mat, måltid, hälsa i 24-timmarsperspektivet. Högskolan Kristianstad, Sektionen för lärande och miljö, Avdelningen för Praktisk-estetiska ämnen. Högskolan Kristianstad, Forskningsmiljön Food and Meals in Everyday Life (MEAL).
    Dahlin-Ivanoff, Synneve
    Lindblad, Amanda
    Bosaeus, Ingvar
    Body composition and hand grip strength in healthy community-dwelling older adults in sweden2015Ingår i: Journal of Aging Research & Clinical Practice, ISSN 2273-421X, Vol. 4, nr 1, s. 54-58Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Longevity increases worldwide but there are few studies on body composition and hand grip strength inpopulations over 80 years. Given high prevalence of chronic disease and functional disability in octogenarians, it may be difficult todistinguish effects of ageing from those imposed by disease. The European Consensus definition of sarcopenia recommends usingboth low muscle mass and function for diagnosis.

    Objectives: Examine body composition and hand grip strength in a selected groupof community-dwelling older adults with high level of functional independence. In addition, longitudinal changes in handgripstrength were examined using previously collected data.

    Design: Cross-sectional body composition and hand grip strength witha four year retrospective analysis on previously assessed hand grip strength.

    Setting: Measurements were conducted by homevisits.

    Participants: 102 community-dwelling 83-96 year-olds, 50 % women.

    Measurements: Hand grip strength was registered bya dynamometer and body composition analysis using bioimpedance spectroscopy.

    Results: According to European Consensusdefinition, only 6/102 had normal muscle mass - no men, although 78 % of men and 40 % of women had normal muscle strength.Since previously collected data four years earlier, men had lost strength (p<0.001), while women had not (p=0.202).

    Conclusions: Subject characteristics and health status support well-preserved body energy, protein stores and muscle strength. Low musclemass was much more prevalent than low muscle strength. Results may give an indication of what constitutes a healthy bodycomposition in oldest old and could serve as a starting point for reference values on healthy body composition in octogenarians.

  • 30.
    Schmidt, Manuela
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Sektionen för hälsa och samhälle. Lund University.
    Ekstrand, Joakim
    Högskolan Kristianstad, Fakulteten för ekonomi, Avdelningen för ekonomi. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education.
    Bengtsson-Tops, Anita
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap.
    Self-reported needs for care, support and treatment of persons who frequently visit psychiatric emergency rooms in Sweden2018Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To investigate self-reported needs for care, support and treatment among persons who frequently visit psychiatric emergency rooms (PERs).

    DESIGN: A cross-sectional design. Qualitative and quantitative data were collected using an interview-based manual. Qualitative data were analysed using content analysis, whereas quantitative data were analysed using descriptive, non-parametric statistical tests.

    RESULTS: Persons who frequently visit PERs self-reported unmet needs for care, support and treatment in life domains such as health, socialisation, daytime activities, and emotional and financial security.

    CONCLUSION: To meet the needs of persons who frequently visit PERs, close cooperation between concerned welfare actors should be implemented.

  • 31.
    Schmidt, Manuela
    et al.
    Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan. Högskolan Kristianstad, Fakulteten för hälsovetenskap, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Lund University.
    Hansson, Erika
    Högskolan Kristianstad, Fakulteten för lärarutbildning, Avdelningen för psykologi.
    Doctoral students' well-being: a literature review2018Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: Doctoral student well-being is an important matter that shapes the well-being of academics throughout their careers. Given that well-being has been found to be closely related to employee productivity and efficiency, strategies associated with maintaining well-being during PhD studies might be crucial for higher education, its outcomes and-just as importantly-for a balanced life of PhD students.  Method: Based on 17 studies, this literature review critically assesses the literature on doctoral student well-being.  Results: Theoretical models, concepts of well-being, and methods applied are discussed, as are the results of the articles. The reviewed studies are then discussed based on a SWOT analysis addressing the strengths and weaknesses of the reviewed research as well as the identified opportunities and threats, which can be used as a basis for future research. Based on the review findings and the SWOT analysis, a multidimensional view of the well-being of doctoral students is proposed.  Conclusions: The study proposes a more student-centred approach to meeting doctoral students' needs, and the enhancement of doctoral student well-being in order, as a long-term goal, to improve academics' well-being and productivity.Doctoral student well-being is an important matter that shapes the well-being of academics throughout their careers. Given that well-being has been found to be closely related to employee productivity and efficiency, strategies associated with maintaining well-being during PhD studies might be crucial for higher education, its outcomes and-just as importantly-for a balanced life of PhD students. Based on 17 studies, this literature review critically assesses the literature on doctoral student well-being. Theoretical models, concepts of well-being, and methods applied are discussed, as are the results of the articles. The reviewed studies are then discussed based on a SWOT analysis addressing the strengths and weaknesses of the reviewed research as well as the identified opportunities and threats, which can be used as a basis for future research. Based on the review findings and the SWOT analysis, a multidimensional view of the well-being of doctoral students is proposed. The study proposes a more student-centred approach to meeting doctoral students' needs, and the enhancement of doctoral student well-being in order, as a long-term goal, to improve academics' well-being and productivity.

  • 32.
    Stenzelius, Karin
    et al.
    Lund University.
    Westergren, Albert
    Lund University.
    Mattiasson, Anders
    Lund University.
    Rahm Hallberg, Ingalill
    Lund University.
    Older women and men with urinary symptoms2006Ingår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 43, nr 2, s. 249-265Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim was to compare urinary symptoms and their influence on daily life among elderly (75+) women and men in a sample that previously had reported difficulties controlling urine (urine incontinence (UI)) and/or other urinary symptoms (OU). A further aim was to find underlying structures of urinary symptoms and to identify symptomsthat had an impact on seeking medical help and need of help in daily activities (dependency). In total, 771persons (352menand419women) over75 years answered a questionnaire, addressed to those (n = 1881) who in a previous population-based study had reported having symptoms of UIand/orOUusing theBristolFemaleLower UrinaryTractSymptoms(BF-LUTS) questionnaire and International Continence Society male (ICSmale) questionnaire. The groups with UI, OU, women and men reported similar symptoms of frequency, day and night, as well as influence on social life, and avoidance of places and situations due to the urinary symptoms although they differed in storage and voiding symptoms. Feeling incomplete emptying of bladder differed between the UI, OU, and mixed symptoms (MS) groups but not between genders. Of the whole sample, 43.3% had sought medical help.Factoranalysis of similarquestions inBF-LUTSandICSmalequestionnaire resulted inthe factors labeled voiding, storage, pain, frequency, and daily life. Predictors of the urinary symptoms for needing help in daily activities were frequent micturition day and night (OR 3.2) when aged was controlled for. Influence on daily life(OR2.5), storage symptoms(OR2.2), and pain symptoms(OR2.1)predicted seeking medical help. The results show that urinary symptoms are equally bothersome among men and women. There is a need to encourage elderly to seek medical help and to obtain treatment or alleviations for symptoms that give most bother and indicate dependency, such as frequent micturition day and night and difficulties to reach the toilet in time without leakage.

  • 33. Tognon, Gianluca
    et al.
    Rothenberg, Elisabet
    Sahlgrenska University Hospital, Gothenburg.
    Eiben, Gabriele
    Sundh, Valter
    Winkvist, Anna
    Lissner, Lauren
    Does the Mediterranean diet predict longevity in the elderly?: A Swedish perspective2011Ingår i: Age (Omaha), ISSN 0161-9152, E-ISSN 1574-4647, Vol. 33, nr 3, s. 439-450Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Dietary pattern analysis represents a useful improvement in the investigation of diet and health relationships. Particularly, the Mediterranean diet pattern has been associated with reduced mortality risk in several studies involving both younger and elderly population groups. In this research, relationships between dietary macronutrient composition, as well as the Mediterranean diet, and total mortality were assessed in 1,037 seventy-year-old subjects (540 females) information. Diet macronutrient composition was not associated with mortality, while a refined version of the modified Mediterranean diet index showed a significant inverse association (HR=0.93, 95% CI: 0.89; 0.98). As expected, inactive subjects, smokers and those with a higher waist circumference had a higher mortality, while a reduced risk characterized married and more educated people. Sensitivity analyses (which confirmed our results) consisted of: exclusion of one food group at a time in the Mediterranean diet index, exclusion of early deaths, censoring at fixed follow-up time, adjusting for activities of daily living and main cardiovascular risk factors including weight/waist circumference changes at follow up. In conclusion, we can reasonably state that a higher adherence to a Mediterranean diet pattern, especially by consuming wholegrain cereals, foods rich in polyunsaturated fatty acids, and a limited amount of alcohol, predicts increased longevity in the elderly.

  • 34.
    Trinks, Anna
    et al.
    Jönköping University.
    Hägglin, Catharina
    Gothenburg University.
    Dennis, Nordvall
    Gothenburg University.
    Rothenberg, Elisabet
    Högskolan Kristianstad, Fakulteten för naturvetenskap, Forskningsmiljön Food and Meals in Everyday Life (MEAL). Högskolan Kristianstad, Fakulteten för naturvetenskap, Avdelningen för mat- och måltidsvetenskap.
    Wijk, Helle
    Gothenburg University.
    The impact of a national quality register in the analysis of risks and adverse events among older adults in nursing homes and hospital wards: a Swedish senior Alertsurvey2018Ingår i: Safety in Health, ISSN 2056-5917, Vol. 4, nr 10Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The proportion of elderly in the population in Sweden is increasing. Older adults are more vulnerable to disease and disability which in turn increases the prevalence of negative events as pressure ulcers, malnutrition,falls, and oral health problems.

    Methods: By using Senior Alert (SA), a quality registry for care prevention, analyze data concerning risks and adverse events and show the potential of the register for quality improvement and research in nursing homes and hospitals.

    Results: There are differences in the prevalence of pressure ulcers and weight loss in nursing homes compared to hospitals, explained by different risk scores in the assessment tools used as well as differences in the populations with regard to age and days to follow-up. Falls are more prevalent in nursing homes. Fall prevalence decreases more with higher pressure ulcer risk due to factors such as degree of mobility; the fall prevalence decreases for even higher pressure ulcer risk.

    Conclusions: The team around the older person needs a more inter-professional profile including healthcare such as physiotherapists, occupational therapists, dietitians, and dental health professionals.

    Trial registration: The study is an observational retrospective register-based study, using data from SA during 2015

  • 35.
    Westergren, Albert
    Högskolan Kristianstad, Forskningsmiljön PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Högskolan Kristianstad, Sektionen för hälsa och samhälle, Avdelningen för Sjuksköterskeutbildningarna. Högskolan Kristianstad, Forskningsplattformen för Hälsa i samverkan.
    Eating difficulties and nutrition after stroke2015Konferensbidrag (Övrigt vetenskapligt)
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