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Sanmartin Berglund, Johan, ProfessorORCID iD iconorcid.org/0000-0003-4312-2246
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Publications (10 of 93) 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: 2019-06-20Bibliographically 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
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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
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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
Nilsson, H., Sanmartin Berglund, J. & Renvert, S. (2019). Longitudinal evaluation of periodontitis and tooth loss among older adults. Journal of Clinical Periodontology
Open this publication in new window or tab >>Longitudinal evaluation of periodontitis and tooth loss among older adults
2019 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Aim: To evaluate pattern of change in periodontal variables and tooth loss in a twelve-year follow-up study of older adults living in Sweden. Methods: In a prospective population study of older adults, a clinical examination and radiographic dental examination were performed at baseline (2001–2003) and after 12 years (2013–2015). In 375 individuals, the number and proportion of sites with a distance ≥4 mm and ≥5 mm from cemento-enamel junction to the bone level, the number and proportion of teeth with pockets ≥5 mm and number of teeth lost were calculated. Dental caries was registered. Periodontitis was defined as having ≥2 sites with ≥5 mm distance from cemento-enamel junction to the marginal bone level and ≥1 tooth with pockets ≥5 mm. Results: A diagnosis of periodontitis was evident in 39% of the individuals, and 23% of the individuals lost ≥3 teeth over the study period. The proportion of sites with ≥4 mm and ≥5 mm bone loss increased with age, while the proportion of teeth with pockets remained stable. Periodontitis was the strongest predictor for losing ≥3 teeth, OR 2.9 (p <.001) in the final model. Conclusions: Periodontitis is a risk factor for future tooth loss among older adults. © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Blackwell Munksgaard, 2019
Keywords
epidemiology, older adults, periodontitis, public health, tooth loss
National Category
Dentistry
Identifiers
urn:nbn:se:bth-18646 (URN)10.1111/jcpe.13167 (DOI)000483385500001 ()2-s2.0-85071337987 (Scopus ID)
Available from: 2019-09-11 Created: 2019-09-11 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
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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
Svärd, A., Renvert, S., Sanmartin Berglund, J. & Soderlin, M. (2019). PERIODONTITIS AND SALIVA ANTIBODIES TO CITRULLINATED PEPTIDES IN RHEUMATOID ARTHRITIS. Paper presented at Annual European Congress of Rheumatology (EULAR), JUN 12-15, 2019, Madrid, SPAIN. Annals of the Rheumatic Diseases, 78, 1530-1530
Open this publication in new window or tab >>PERIODONTITIS AND SALIVA ANTIBODIES TO CITRULLINATED PEPTIDES IN RHEUMATOID ARTHRITIS
2019 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, p. 1530-1530Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP, 2019
National Category
Dentistry
Identifiers
urn:nbn:se:bth-18596 (URN)10.1136/annrheumdis-2019-eular.1209 (DOI)000472207104470 ()
Conference
Annual European Congress of Rheumatology (EULAR), JUN 12-15, 2019, Madrid, SPAIN
Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-09-20Bibliographically approved
Lindberg, T., Wimo, A., Elmstahl, S., Qiu, C., Bohman, D. & Sanmartin Berglund, J. (2019). Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care. Gerontology and geriatric medicine, 5
Open this publication in new window or tab >>Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care
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2019 (English)In: Gerontology and geriatric medicine, E-ISSN 2333-7214, Vol. 5Article in journal (Refereed) Published
Abstract [en]

Aim: To study the prevalence and cumulative incidence of arrhythmias in the general population of adults aged 60 and older over a 6-year period. Study Design and Setting: Data were taken from the Swedish National Study on Aging and Care (SNAC), a national, longitudinal, multidisciplinary study of the general elderly population (defined as 60 years of age or older). A 12-lead resting electrocardiography (ECG) was performed at baseline and 6-year follow-up. Results: The baseline prevalence of atrial fibrillation (AF) was 4.9% (95% confidence interval [CI] = [4.5%, 5.5%]), and other arrhythmias including ventricular premature complexes (VPCs), supraventricular tachycardia (SVT), and supraventricular extrasystole (SVES) were seen in 8.4% (7.7%, 9.0%) of the population. A first- or second-degree atrioventricular (AV) block was found in 7.1% of the population (95% CI = [6.5%, 7.7%]), and there were no significant differences between men and women in baseline arrhythmia prevalence. The 6-year cumulative incidence of AF was 4.1% (95% CI = [3.5%, 4.9%]), or 6.9/1,000 person-years (py; 95% CI = [5.7, 8.0]). The incidence of AF, other arrhythmias, AV block, and pacemaker-induced rhythm was significantly higher in men in all cohorts except for the oldest. Conclusion: Our data highlight the prevalence and incidence of arrhythmias, which rapidly increase with advancing age in the general population.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS INC, 2019
Keywords
epidemiology, public health/public policy, cardiovascular diseases and risk, chronic diseases
National Category
Public Health, Global Health, Social Medicine and Epidemiology Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:bth-18598 (URN)10.1177/2333721419859687 (DOI)000475381100001 ()31276022 (PubMedID)
Note

open access

Available from: 2019-09-09 Created: 2019-09-09 Last updated: 2019-09-09
López-Fauqued, M., Campora, L., Delannois, F., El Idrissi, M., Oostvogels, L., De Looze, F. J., . . . Sanmartin Berglund, J. (2019). Safety profile of the adjuvanted recombinant zoster vaccine: Pooled analysis of two large randomised phase 3 trials. Vaccine, 37(18), 2482-2493
Open this publication in new window or tab >>Safety profile of the adjuvanted recombinant zoster vaccine: Pooled analysis of two large randomised phase 3 trials
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2019 (English)In: Vaccine, ISSN 0264-410X, E-ISSN 1873-2518, Vol. 37, no 18, p. 2482-2493Article in journal (Refereed) Published
Abstract [en]

Background: The ZOE-50 (NCT01165177) and ZOE-70 (NCT01165229) phase 3 clinical trials showed that the adjuvanted recombinant zoster vaccine (RZV) was ≥90% efficacious in preventing herpes zoster in adults. Here we present a comprehensive overview of the safety data from these studies. Methods: Adults aged ≥50 (ZOE-50) and ≥70 (ZOE-70) years were randomly vaccinated with RZV or placebo. Safety analyses were performed on the pooled total vaccinated cohort, consisting of participants receiving at least one dose of RZV or placebo. Solicited and unsolicited adverse events (AEs) were collected for 7 and 30 days after each vaccination, respectively. Serious AEs (SAEs) were collected from the first vaccination until 12 months post-last dose. Fatal AEs, vaccination-related SAEs, and potential immune-mediated diseases (pIMDs) were collected during the entire study period. Results: Safety was evaluated in 14,645 RZV and 14,660 placebo recipients. More RZV than placebo recipients reported unsolicited AEs (50.5% versus 32.0%); the difference was driven by transient injection site and solicited systemic reactions that were generally seen in the first week post-vaccination. The occurrence of overall SAEs (RZV: 10.1%; Placebo: 10.4%), fatal AEs (RZV: 4.3%; Placebo: 4.6%), and pIMDs (RZV: 1.2%; Placebo: 1.4%) was balanced between groups. The occurrence of possible exacerbations of pIMDs was rare and similar between groups. Overall, except for the expected local and systemic symptoms, the safety results were comparable between the RZV and Placebo groups irrespective of participant age, gender, or race. Conclusions: No safety concerns arose, supporting the favorable benefit-risk profile of RZV. © 2019 GlaxoSmithKline Biologicals SA

Place, publisher, year, edition, pages
Elsevier Ltd, 2019
Keywords
Reactogenicity, Safety, Vaccine, Varicella-zoster virus, placebo, varicella zoster vaccine, acute kidney failure, adult, age distribution, aged, alopecia areata, aortic stenosis, arthralgia, Article, atrial fibrillation, autoimmune pancreatitis, autoimmune thyroiditis, backache, brain infarction, cardiogenic shock, cardiopulmonary insufficiency, celiac disease, cerebrovascular accident, chill, chronic gastritis, chronic obstructive lung disease, clinical evaluation, cohort analysis, controlled study, coughing, Crohn disease, disease course, dizziness, drug efficacy, drug safety, erythema nodosum, facial nerve paralysis, fatigue, female, fever, fibrosing alveolitis, follow up, glomerulonephritis, Graves disease, Guillain Barre syndrome, headache, heart atrium flutter, heart failure, heart infarction, herpes zoster, human, idiopathic thrombocytopenic purpura, immunoglobulin A nephropathy, information processing, injection site erythema, injection site pain, injection site pruritus, injection site swelling, injection site warmth, insulin dependent diabetes mellitus, lichen planus, lung fibrosis, lung tumor, major clinical study, malaise, male, mixed connective tissue disease, multiple organ failure, multiple sclerosis, myalgia, neuritis, oropharynx pain, pancreas carcinoma, paraneoplastic neuropathy, pemphigus, phase 3 clinical trial, pneumonia, polyradiculoneuropathy, population research, priority journal, psoriasis, psoriatic arthritis, race, radiculitis, randomized controlled trial, Raynaud phenomenon, respiratory failure, retina detachment, rheumatic polymyalgia, rheumatoid arthritis, rhinopharyngitis, sepsis, septic shock, sex ratio, single blind procedure, spondyloarthropathy, supraventricular tachycardia, syndrome CREST, systemic juvenile idiopathic arthritis, systemic lupus erythematosus, tachycardia, temporal arteritis, trigeminal nerve disease, trigeminus neuralgia, ulcerative colitis, upper respiratory tract infection, uveitis, vaccination, vitiligo
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:bth-17834 (URN)10.1016/j.vaccine.2019.03.043 (DOI)000466622500009 ()2-s2.0-85063476515 (Scopus ID)
Note

open access

Available from: 2019-04-18 Created: 2019-04-18 Last updated: 2019-06-14Bibliographically 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
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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
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
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2019 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879Article in journal (Refereed) Epub ahead of print
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)2-s2.0-85067401466 (Scopus ID)
Available from: 2019-09-06 Created: 2019-09-06 Last updated: 2019-09-20Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4312-2246

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