Change search
Link to record
Permanent link

Direct link
BETA
Anderberg, Peter
Publications (10 of 30) Show all publications
Anderberg, P., Eivazzadeh, S. & Sanmartin Berglund, J. (2019). A Novel Instrument for Measuring Older People's Attitudes Toward Technology (TechPH): Development and Validation. Journal of Medical Internet Research, 21(5), Article ID e13951.
Open this publication in new window or tab >>A Novel Instrument for Measuring Older People's Attitudes Toward Technology (TechPH): Development and Validation
2019 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 21, no 5, article id e13951Article in journal (Refereed) Published
Abstract [en]

Background: The use of health technology by older people is coming increasingly in focus with the demographic changes. Health information technology is generally perceived as an important factor in enabling increased quality of life and reducing the cost of care for this group. Age-appropriate design and facilitation of technology adoption are important to ensure functionality and removal of various barriers to usage. Development of assessment tools and instruments for evaluating older persons' technology adoption and usage as well as measuring the effects of the interventions are of high priority. Both usability and acceptance of a specific technology or service are important factors in evaluating the impact of a health information technology intervention. Psychometric measures are seldom included in evaluations of health technology. However, basic attitudes and sentiments toward technology (eg, technophilia) could be argued to influence both the level of satisfaction with the technology itself as well as the perception of the health intervention outcome. Objective: The purpose of this study is to develop a reduced and refined instrument for measuring older people's attitudes and enthusiasm for technology based on relevant existing instruments for measuring technophilia A requirement of the new instrument is that it should be short and simple to make it usable for evaluation of health technology for older people. Methods: Initial items for the TechPH questionnaire were drawn from a content analysis of relevant existing technophilia measure instruments. An exploratory factor analysis was conducted in a random selection of persons aged 65 years or older (N=374) on eight initial items. The scale was reduced to six items, and the internal consistency and reliability of the scale were examined. Further validation was made by a confirmatory factor analysis (CFA). Results: The exploratory factor analysis resulted in two factors. These factors were analyzed and labeled techEnthusiasm and techAnxiety. They demonstrated relatively good internal consistency (Cronbach alpha=.72 and .68, respectively). The factors were confirmed in the CFA and showed good model fit (chi(2)(8)=21.2, chi(2)/df=2.65, comparative fit index=0.97, adjusted goodness-of-fit index=0.95, root mean square error of approximation=0.067, standardized root mean square residual=0.036). Conclusions: The construed TechPH score showed expected relations to external real-world criteria, and the two factors showed interesting internal relations. Different technophilia personality traits distinguish clusters with different behaviors of adaptation as well as usage of new technology. Whether there is an independent association with the TechPH score against outcomes in health technology projects needs to be shown in further studies. The instrument must also be validated in different contexts, such as other countries.

Place, publisher, year, edition, pages
JMIR PUBLICATIONS, INC, 2019
Keywords
technophilia, aging, internet, health technology, eHealth
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-18031 (URN)10.2196/13951 (DOI)000469099700001 ()31124467 (PubMedID)
Note

open access

Available from: 2019-06-14 Created: 2019-06-14 Last updated: 2019-10-29Bibliographically approved
Moraes, A. L., Sanmartin Berglund, J., Brogren, M., Kvist, O., Ruiz, S. D., Dübbel, A. & Anderberg, P. (2019). Age assessment of youth and young adults using magnetic resonance imaging of the knee: A deep learning approach. Journal of Medical Internet Research, 21(12), Article ID e16291.
Open this publication in new window or tab >>Age assessment of youth and young adults using magnetic resonance imaging of the knee: A deep learning approach
Show others...
2019 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 21, no 12, article id e16291Article in journal (Refereed) Published
Abstract [en]

Background: Bone age assessment (BAA) is an important tool for diagnosis and in determining the time of treatment in a number of pediatric clinical scenarios, as well as in legal settings where it is used to estimate the chronological age of an individual where valid documents are lacking. Traditional methods for BAA suffer from drawbacks, such as exposing juveniles to radiation, intra- and interrater variability, and the time spent on the assessment. The employment of automated methods such as deep learning and the use of magnetic resonance imaging (MRI) can address these drawbacks and improve the assessment of age. Objective: The aim of this paper is to propose an automated approach for age assessment of youth and young adults in the age range when the length growth ceases and growth zones are closed (14-21 years of age) by employing deep learning using MRI of the knee. Methods: This study carried out MRI examinations of the knee of 402 volunteer subjects-221 males (55.0%) and 181 (45.0%) females-aged 14-21 years. The method comprised two convolutional neural network (CNN) models: the first one selected the most informative images of an MRI sequence, concerning age-assessment purposes; these were then used in the second module, which was responsible for the age estimation. Different CNN architectures were tested, both training from scratch and employing transfer learning. Results: The CNN architecture that provided the best results was GoogLeNet pretrained on the ImageNet database. The proposed method was able to assess the age of male subjects in the range of 14-20.5 years, with a mean absolute error (MAE) of 0.793 years, and of female subjects in the range of 14-19.5 years, with an MAE of 0.988 years. Regarding the classification of minors-with the threshold of 18 years of age-an accuracy of 98.1% for male subjects and 95.0% for female subjects was achieved. Conclusions: The proposed method was able to assess the age of youth and young adults from 14 to 20.5 years of age for male subjects and 14 to 19.5 years of age for female subjects in a fully automated manner, without the use of ionizing radiation, addressing the drawbacks of traditional methods. © 2019 Journal of Medical Internet Research. All rights reserved.

Place, publisher, year, edition, pages
Journal of Medical Internet Research, 2019
Keywords
Age assessment, Bone age, Convolutional neural networks, Deep learning, Knee, Machine learning, Magnetic resonance imaging, Medical imaging, Skeletal maturity, Transfer learning, adolescent, adult, article, bone age determination, child, convolutional neural network, diagnostic imaging, employment, female, human, human experiment, juvenile, major clinical study, male, maturity, nuclear magnetic resonance imaging, transfer of learning, young adult
National Category
Radiology, Nuclear Medicine and Medical Imaging Orthopaedics
Identifiers
urn:nbn:se:bth-19085 (URN)10.2196/16291 (DOI)2-s2.0-85077013897 (Scopus ID)
Note

open access

Available from: 2020-01-09 Created: 2020-01-09 Last updated: 2020-01-09
Anderberg, P., Björling, G., Stjernberg, L. & Bohman, D. (2019). Analyzing nursing students’ relation to electronic health and technology as individuals and students and in their future career (the ENURSED study): Protocol for a longitudinal study. Journal of Medical Internet Research, 21(10), Article ID e14643.
Open this publication in new window or tab >>Analyzing nursing students’ relation to electronic health and technology as individuals and students and in their future career (the ENURSED study): Protocol for a longitudinal study
2019 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 21, no 10, article id e14643Article in journal (Refereed) Published
Abstract [en]

Background: The nursing profession has undergone several changes in the past decades, and new challenges are to come in the future; patients are now cared for in their home, hospitals are more specialized, and primary care will have a key role. Health informatics is essential in all core competencies in nursing. From an educational perspective, it is of great importance that students are prepared for the new demands and needs of the patients. From a societal point of view, the society, health care included, is facing several challenges related to technological developments and digitization. Preparation for the next decade of nursing education and practice must be done, without the advantage of certainty. A training for not-yet-existing technologies where educators should not be limited by present practice paradigms is desirable. This study presents the design, method, and protocol for a study that investigates undergraduate nursing students’ internet use, knowledge about electronic health (eHealth), and attitudes to technology and how experiences of eHealth are handled during the education in a multicenter study. Objective: The primary aim of this research project is to describe the design of a longitudinal study and a qualitative substudy consisting of the following aspects that explore students’ knowledge about and relation to technology and eHealth: (1) what pre-existing knowledge and interest of this area the nursing students have and (2) how (and if) is it present in their education, (3) how do the students perceive this knowledge in their future career role, and (4) to what extent is the education capable of managing this knowledge? Methods: The study consists of two parts: a longitudinal study and a qualitative substudy. Students from the BSc in Nursing program from the Blekinge Institute of Technology, Karlskrona, Sweden, and from the Swedish Red Cross University College, Stockholm/Huddinge, Sweden, were included in this study. Results: The study is ongoing. Data analysis is currently underway, and the first results are expected to be published in 2019. Conclusions: This study presents the design of a longitudinal study and a qualitative substudy. The eHealth in Nursing Education eNursEd study will answer several important questions about nursing students’ attitudes toward and use of information and communications technology in their private life, their education, and their emerging profession. Knowledge from this study will be used to compare different nursing programs and students’ knowledge about and relation to technology and eHealth. Results will also be communicated back to nursing educators to improve the teaching of eHealth, health informatics, and technology. ©Peter Anderberg, Gunilla Björling, Louise Stjernberg, Doris Bohman.

Place, publisher, year, edition, pages
Journal of Medical Internet Research, 2019
Keywords
Digitization, EHealth, Internet, Nursing, Nursing student, adult, article, career, controlled study, data analysis, female, human, human experiment, longitudinal study, male, medical informatics, multicenter study, nursing education, Red Cross, Sweden, teaching, telehealth
National Category
Nursing
Identifiers
urn:nbn:se:bth-18816 (URN)10.2196/14643 (DOI)000494002200021 ()2-s2.0-85073196380 (Scopus ID)
Note

open access

Available from: 2019-10-31 Created: 2019-10-31 Last updated: 2019-12-18Bibliographically approved
Moraes, A. L., Anderberg, P., Kvist, O., Mendes, E., Ruiz, S. & Sanmartin Berglund, J. (2019). Bone age assessment with various machine learning techniques: A systematic literature review and meta-analysis. PLoS ONE, 14(7), Article ID e0220242.
Open this publication in new window or tab >>Bone age assessment with various machine learning techniques: A systematic literature review and meta-analysis
Show others...
2019 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, no 7, article id e0220242Article, review/survey (Refereed) Published
Abstract [en]

Background The assessment of bone age and skeletal maturity and its comparison to chronological age is an important task in the medical environment for the diagnosis of pediatric endocrinology, orthodontics and orthopedic disorders, and legal environment in what concerns if an individual is a minor or not when there is a lack of documents. Being a time-consuming activity that can be prone to inter- and intra-rater variability, the use of methods which can automate it, like Machine Learning techniques, is of value. Objective The goal of this paper is to present the state of the art evidence, trends and gaps in the research related to bone age assessment studies that make use of Machine Learning techniques. Method A systematic literature review was carried out, starting with the writing of the protocol, followed by searches on three databases: Pubmed, Scopus and Web of Science to identify the relevant evidence related to bone age assessment using Machine Learning techniques. One round of backward snowballing was performed to find additional studies. A quality assessment was performed on the selected studies to check for bias and low quality studies, which were removed. Data was extracted from the included studies to build summary tables. Lastly, a meta-analysis was performed on the performances of the selected studies. Results 26 studies constituted the final set of included studies. Most of them proposed automatic systems for bone age assessment and investigated methods for bone age assessment based on hand and wrist radiographs. The samples used in the studies were mostly comprehensive or bordered the age of 18, and the data origin was in most of cases from United States and West Europe. Few studies explored ethnic differences. Conclusions There is a clear focus of the research on bone age assessment methods based on radiographs whilst other types of medical imaging without radiation exposure (e.g. magnetic resonance imaging) are not much explored in the literature. Also, socioeconomic and other aspects that could influence in bone age were not addressed in the literature. Finally, studies that make use of more than one region of interest for bone age assessment are scarce. Copyright: © 2019 Dallora et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Place, publisher, year, edition, pages
Public Library of Science, 2019
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:bth-18620 (URN)10.1371/journal.pone.0220242 (DOI)000484977900073 ()2-s2.0-85069805545 (Scopus ID)
Note

open access

Available from: 2019-09-10 Created: 2019-09-10 Last updated: 2019-10-09Bibliographically approved
Christiansen, L., Sanmartin Berglund, J., Lindberg, C., Anderberg, P. & Skär, L. (2019). Health-related quality of life and related factors among a sample of older people with cognitive impairment. Nursing Open, 6(3), 849-859
Open this publication in new window or tab >>Health-related quality of life and related factors among a sample of older people with cognitive impairment
Show others...
2019 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 849-859Article in journal (Refereed) Published
Abstract [en]

Aim: This study aimed to identify factors affecting health-related quality of life (HRQoL) of older adults with cognitive impairment and to describe the association of these factors with different components of HRQoL. Design: A cross-sectional, descriptive research design was used. Methods: Data were collected from 247 individuals aged 60 years and older from a Swedish longitudinal cohort study. The Short-Form Health Survey-12 (SF-12) and EuroQol (EQ-5D) were used to assess HRQoL. The data were analysed using descriptive and comparative statistics. Results: The present study identified several factors that influenced HRQoL of older adults with cognitive impairment. The results of a multiple logistic regression analysis revealed that the following factors were associated with physical and mental HRQoL: dependency in activities of daily living (ADL), receiving informal care and feelings of loneliness and pain. © 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Ltd, 2019
Keywords
ageing, cognitive impairment, EuroQol, health-related quality of life, Short-Form Health Survey-12
National Category
Nursing
Identifiers
urn:nbn:se:bth-18618 (URN)10.1002/nop2.265 (DOI)000476917700022 ()2-s2.0-85069794910 (Scopus ID)
Note

open access

Available from: 2019-09-10 Created: 2019-09-10 Last updated: 2019-09-13Bibliographically approved
Berner, J., Comijs, H., Elmståhl, S., Welmer, A. K., Sanmartin Berglund, J., Anderberg, P. & Deeg, D. (2019). Maintaining cognitive function with internet use: A two-country, six-year longitudinal study. International psychogeriatrics, 31(7), 929-936
Open this publication in new window or tab >>Maintaining cognitive function with internet use: A two-country, six-year longitudinal study
Show others...
2019 (English)In: International psychogeriatrics, ISSN 1041-6102, E-ISSN 1741-203X, Vol. 31, no 7, p. 929-936Article in journal (Refereed) Published
Abstract [en]

Objectives: Maintaining good cognitive function with aging may be aided by technology such as computers, tablets, and their applications. Little research so far has investigated whether internet use helps to maintain cognitive function over time.Design: Two population-based studies with a longitudinal design from 2001/2003 (T1) to 2007/2010 (T2).Setting: Sweden and the Netherlands.Participants: Older adults aged 66 years and above from the Swedish National Study on Ageing and Care (N = 2,564) and from the Longitudinal Aging Study Amsterdam (N = 683).Measurements: Internet use was self-reported. Using the scores from the Mini-Mental State Examination (MMSE) from T1 and T2, both a difference score and a significant change index was calculated. Linear and logistic regression analysis were performed with difference score and significant change index, respectively, as the dependent variable and internet use as the independent variable, and adjusted for sex, education, age, living situation, and functional limitations. Using a meta-analytic approach, summary coefficients were calculated across both studies.Results: Internet use at baseline was 26.4% in Sweden and 13.3% in the Netherlands. Significant cognitive decline over six years amounted to 9.2% in Sweden and 17.0% in the Netherlands. Considering the difference score, the summary linear regression coefficient for internet use was-0.32 (95% CI:-0.62,-0.02). Considering the significant change index, the summary odds ratio for internet use was 0.54 (95% CI: 0.37, 0.78).Conclusions: The results suggest that internet use might play a role in maintaining cognitive functioning. Further research into the specific activities that older adults are doing on the internet may shine light on this issue. © 2019 International Psychogeriatric Association.

Place, publisher, year, edition, pages
Cambridge University Press, 2019
Keywords
internet use, longitudinal study, older adults, significant cognitive decline, Sweden, the Netherlands
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-18632 (URN)10.1017/S1041610219000668 (DOI)2-s2.0-85070472532 (Scopus ID)
Available from: 2019-09-10 Created: 2019-09-10 Last updated: 2019-09-10Bibliographically approved
Tell, J., Olander, E., Anderberg, P. & Sanmartin Berglund, J. (2019). Nurses´ use and ways of understanding web-based national guidelines for child healthcare.
Open this publication in new window or tab >>Nurses´ use and ways of understanding web-based national guidelines for child healthcare
2019 (English)In: Article in journal (Refereed) Epub ahead of print
Abstract [en]

The national Rikshandbokenfor child healthcare, is a web-based guideline for child health care in Sweden containing knowledge- and methodological guidance and a national child health care program in progress to be implemented. The aim with the study was to examine child health care nurses use and ways of understanding the national web-basedRikshandbokenfor child health care.  Mixed method with sequential explanatory design in two phases was used; a web-survey with descriptive statistic followed by telephone interviews with phenomenographic analysis. The study showed variations in use and contribute with deeper knowledge of child healthcare nurse´s ways of understanding the unit RHB whose varied parts interact with each other. To be reliable, useful and relevant for nurses in their context, Rikshandbokenmust be kept updated and involve the end-users in the development process. Access to technical devices and optimal use of the possibilities with information and communication technology, the national web-based Rikshandbokencan be a resource for continuing learning and a tool in everyday work and a possible determinant to an equal child healthcare. The study contributes with valuable knowledge when designing web-based clinical practice guidelines for healthcare, making them useful and relevant for the end-users

Keywords
Child healthcare nurses, national guidelines, information and communication technology, mixed method, phenomenography
National Category
Engineering and Technology Nursing
Identifiers
urn:nbn:se:bth-17321 (URN)10.1097/CIN.0000000000000578 (DOI)
Note

open access

Available from: 2018-11-20 Created: 2018-11-20 Last updated: 2019-12-18Bibliographically approved
Sandberg, J., Lansing, R., Anderberg, P., Currow, D., Sundh, J., Ahmadi, Z., . . . Ekström, M. (2019). Relating Experienced To Recalled breathlessness Observational (RETRO) study: A prospective study using a mobile phone application. BMJ Open Respiratory Research, 6(1), Article ID e000370.
Open this publication in new window or tab >>Relating Experienced To Recalled breathlessness Observational (RETRO) study: A prospective study using a mobile phone application
Show others...
2019 (English)In: BMJ Open Respiratory Research, ISSN 2052-4439, Vol. 6, no 1, article id e000370Article in journal (Refereed) Published
Abstract [en]

Background: Breathlessness, the subjective sensation of breathing discomfort, is common and appears in the daily life of people with cardiorespiratory diseases. Physicians often rely on patient's history based on symptom recall. The relation between recalled and experienced breathlessness is still poorly understood. This paper presents the protocol for a study primarily aimed at evaluating the relationship between experienced breathlessness and (1) recalled breathlessness and (2) predicted future breathlessness. Methods: A mobile phone application will be used to collect data during daily life. Medically stable participants, ≥18 years of age with mean daily breathlessness of Numerical Rating Scale (NRS) 3/10 and able to use a mobile phone with internet will rate their breathlessness intensity on a 0-10 NRS prompted the user several times daily for 1 week. Participants will recall their breathlessness each day and week. Multivariable random effects regression models will be used for statistical analyses. Results: Results of the study will be submitted for publication in peer-reviewed journals and presented at relevant conferences. Discussion: This protocol describes a study aimed at investigating previously unknown areas of the experience and recall of breathlessness using a new method of data collection. © 2019 Author(s).

Place, publisher, year, edition, pages
BMJ Publishing Group, 2019
Keywords
app, breathlessness, cohort study, dyspnoea, mobile phone application, recall
National Category
Respiratory Medicine and Allergy Other Electrical Engineering, Electronic Engineering, Information Engineering
Identifiers
urn:nbn:se:bth-17704 (URN)10.1136/bmjresp-2018-000370 (DOI)000471138900012 ()2-s2.0-85062026982 (Scopus ID)
Note

open access

Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2019-06-27Bibliographically approved
Anderberg, P., Barnestein-Fonseca, P., Guzman-Parra, J., Garolera, M., Quintana, M., Mayoral-Cleries, F., . . . Sanmartin Berglund, J. (2019). The Effects of the Digital Platform Support Monitoring and Reminder Technology for Mild Dementia (SMART4MD) for People With Mild Cognitive Impairment and Their Informal Carers: Protocol for a Pilot Randomized Controlled Trial. JMIR Research Protocols, 8(6), Article ID e13711.
Open this publication in new window or tab >>The Effects of the Digital Platform Support Monitoring and Reminder Technology for Mild Dementia (SMART4MD) for People With Mild Cognitive Impairment and Their Informal Carers: Protocol for a Pilot Randomized Controlled Trial
Show others...
2019 (English)In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 8, no 6, article id e13711Article in journal (Refereed) Published
Abstract [en]

Background: Many countries are witnessing a trend of growth in the number and proportion of older adults within the total population. In Europe, population aging has had and will continue to have major social and economic consequences. This is a fundamentally positive development where the added life span is of great benefit for both the individual and the society. Yet, the risk for the individual to contract noncommunicable diseases and disability increases with age. This may adversely affect the individual's ability to live his or her life in the way that is desired. Cognitive conditions constitute a group of chronic diseases that predominantly affects older people. Recent technology advancements can help support the day-to-day living activities at home for people with cognitive impairments. Objective: A digital platform (Support Monitoring and Reminder for Mild Dementia; SMART4MD) is created to improve or maintain the quality of life for people with mild cognitive impairment (PwMCI) and their carers. The platform will provide reminders, information, and memory support in everyday life, with the purpose of giving structure and lowering stress. In the trial, we will include participants with a diagnosed neurocognitive disorder as well as persons with an undiagnosed subjective memory problem and cognitive impairment, that is, 20 to 28 points on the Mini-Mental State Examination. Methods: A pragmatic, multicenter RCT is being conducted in Spain, Sweden, and Belgium. The targets for recruitment are 1200 dyads-split into an intervention group and a control group that are in usual care. Intervention group participants will be provided with a data-enabled computer tablet with the SMART4MD app. Its core functionalities, intended to be used daily at home, are based on reminders, cognitive supporting activities, and sharing health information. Results: Inclusion of participants started in December 2017, and recruitment is expected to end in February 2019. Furthermore, there will be 3 follow-up visits at 6, 12, and 18 months after the baseline visit. Conclusions: This RCT is expected to offer benefits at several levels including in-depth knowledge of the possibilities of introducing a holistic multilayered information and communication technology solution for this group. SMART4MD has been developed in a process involving the structured participation of PwMCI, their informal carers, and clinicians. The adoption of SMART4MD faces the challenge of this age group's relative unfamiliarity with digital devices and services. However, this challenge can also be an opportunity for developing a digital device tailored to a group at risk of digital exclusion. This research responds to the wider call for the development of digital devices which are accessible and affordable to older people and this full scale RCT can hopefully serve as a model for further studies in this field.

Place, publisher, year, edition, pages
JMIR PUBLICATIONS, INC, 2019
Keywords
dementia, mild cognitive impairment, tablet, app, carer, eHealth, mHealth
National Category
Geriatrics Nursing
Identifiers
urn:nbn:se:bth-18595 (URN)10.2196/13711 (DOI)000473601900002 ()31228177 (PubMedID)
Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-09-20Bibliographically approved
Lilje, S., Sanmartin Berglund, J., Anderberg, P., Palmlöf, L. & Skillgate, E. (2019). The importance of weak physical performance in older adults for the development of musculoskeletal pain that interferes with normal life: A prospective cohort study. Scandinavian Journal of Pain, 19(4), 789-796
Open this publication in new window or tab >>The importance of weak physical performance in older adults for the development of musculoskeletal pain that interferes with normal life: A prospective cohort study
Show others...
2019 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 19, no 4, p. 789-796Article in journal (Refereed) Published
Abstract [en]

There are associations between pain, comorbidity and risk of falling, and falling increases the risk of mortality in older persons, but few studies have investigated the development of pain as a result of impaired physical function. The aim of this study was to examine possible associations between weak physical performance and the development of musculoskeletal pain that interferes with normal life in a sample of older adults. The sample derived from a national, longitudinal multicenter study; the Swedish National Study on Ageing and Care; SNAC-B. The participants (n = 490) were between 60 and 78 years at the baseline examinations. Three variables were chosen for the exposure physical function, from the baseline examinations; One Leg Stand, Grip strength and Sit-to-Stand. The outcome musculoskeletal pain that interferes with normal life was measured using EQ5D and SF-12 6 years later, and logistic regression was used to investigate possible associations between the exposures and the outcome. Maximum grip strength (Grippit) was inversely associated with musculoskeletal pain that interferes with normal life (OR 2.31; 95% CI 1.15-4.61), and One-Leg Stand and Sit-to-Stand were not associated with the development of pain (OR 1.30; 95% CI 0.64-2.64) and (OR 0.91; 95% CI 0.45-1.86), respectively. Weak grip strength was inversely associated with the development of musculoskeletal pain that interferes with normal life in older adults. Impaired proprioceptive function, strength and mobility in elderly with pain have been found in earlier research. Since pain increases the risk of falling, it is important to investigate if it may develop as a function of an impaired physical function. The results of the present study could be of importance for future prevention programs aiming to protect elderly from falling. © 2019 Scandinavian Association for the Study of Pain. Published by Walter de Gruyter GmbH, Berlin/Boston. All rights reserved.

Place, publisher, year, edition, pages
De Gruyter, 2019
Keywords
elderly, Grippit, musculoskeletal pain, One Leg Stand, Sit-to-Stand
National Category
Geriatrics
Identifiers
urn:nbn:se:bth-18581 (URN)10.1515/sjpain-2019-0041 (DOI)000489140000015 ()2-s2.0-85067401466 (Scopus ID)
Available from: 2019-09-06 Created: 2019-09-06 Last updated: 2019-10-31Bibliographically approved
Organisations

Search in DiVA

Show all publications