umu.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Ramnemark, Anna
Publications (9 of 9) Show all publications
Granlund, L., Norberg, M., Ramnemark, A., Andersson, C., Lindkvist, M. & Fhärm, E. (2018). Vitamin D is associated with lower limb muscle strength and grip strength in Middle Eastern- and African-born immigrants in Sweden. Nutrition Research, 59, 29-35
Open this publication in new window or tab >>Vitamin D is associated with lower limb muscle strength and grip strength in Middle Eastern- and African-born immigrants in Sweden
Show others...
2018 (English)In: Nutrition Research, ISSN 0271-5317, E-ISSN 1879-0739, Vol. 59, p. 29-35Article in journal (Refereed) Published
Abstract [en]

There is increasing evidence that vitamin D status is associated with muscle function. Vitamin D deficiency is common in immigrants. We hypothesized that there was a positive association between vitamin D status and muscle strength in immigrants. The aim of this study was to examine associations between vitamin D status and muscle strength in an immigrant population in Sweden. All immigrants aged 25-65 years, born in 9 African or Middle East countries, and living in a district in Umeå (n = 1306) were invited. A total of 111 men and 105 women (16.5%) completed the study. Lower limb muscle strength was examined using a standardized muscle function indices of muscle strength. Grip strength was examined using a JAMAR hand dynamometer. Serum 25-hydroxyvitamin D [25(OH)D] was measured using liquid chromatography–tandem mass spectrometry. The analyses were adjusted for sex, age, height, body mass index, years since immigration, 25(OH)D, vitamin D deficiency, physical activity, and medical and socioeconomic factors. Twelve percent of the immigrants had vitamin D deficiency [25(OH)D levels <25 nmol/L]. In multivariable analyses, reduced lower limb muscle strength remained linearly associated with lower 25(OH)D concentrations (P = .008) and weaker grip strength remained associated with vitamin D deficiency (P = .022) after adjustments. The association between vitamin D deficiency and reduced lower limb muscle strength did not reach statistical significance (P = .052). The results demonstrate that vitamin D deficiency and low 25(OH)D concentrations were associated with muscle weakness in immigrants.

Place, publisher, year, edition, pages
Elsevier, 2018
National Category
General Practice
Research subject
Family Medicine
Identifiers
urn:nbn:se:umu:diva-147571 (URN)10.1016/j.nutres.2018.07.009 (DOI)000451792500003 ()30442230 (PubMedID)
Note

First published in thesis in manuscript form.

Available from: 2018-05-08 Created: 2018-05-08 Last updated: 2018-12-19Bibliographically approved
Flank, P., Ramnemark, A., Levi, R., Wahman, K. & Fahlström, M. (2017). Pain, anxiety and depression in spinal cord injured patients. Jacobs Journal of Physical Rehabilitation Medicine, 3(1), Article ID 028.
Open this publication in new window or tab >>Pain, anxiety and depression in spinal cord injured patients
Show others...
2017 (English)In: Jacobs Journal of Physical Rehabilitation Medicine, ISSN 2469-3103, Vol. 3, no 1, article id 028Article in journal (Refereed) Published
Abstract [en]

Objective: To assess the prevalence of pain, anxiety and depression in a sample of chronic SCI patients in Northern Sweden.

Design: Descriptive, cross-sectional study.

Setting: Specialist Clinic at a University Hospital.

Participants: 78 patients with chronic spinal cord injury, at different injury and functional level.

Outcome measures: Patients registered presented pain above, at or below injury level on a Visual Analogue Scale (VAS). Patients currently on pain medication were also registered as having pain. Depression and anxiety were assessed by the Hospital Anxiety and Depression Rating Scale (HADS).

Results: Out of 78 patients, 58 (74%) indicated current presence of pain or were on continuous pain medication. Pain above injury level was present in 32% of the patients, with a mean VAS of 15.9±20.1, range 0-60mm. Pain at injury level were present in 24% of the patients, mean VAS 11.0±17.0, range 0-50mm and 58% had pain below injury level with a mean VAS 31.4±22.3, range 0-80mm.

Clinically significant psychological disorders were reported in 4 patients (5%) for both anxiety and depression.

Conclusions: Pain is very common in persons with chronic SCI, but, at least in a drug-treated population, the pain is at a mild or moderate level. Anxiety and depression were found much less common than reported in other studies. Medication effects have been considered. Even in a presumably well-medicated and well-rehabilitated population, there is still a need for further optimization of pain management, including both pharmacological and non-pharmacological methods.

Keywords: Tetraplegia; Paraplegia; Psychological Disorders; Visual Analogue Scale; Hospital Anxiety and Depression Scale

Place, publisher, year, edition, pages
Jacobs Publishers, 2017
Keywords
Tetraplegia, Paraplegia, Psychological Disorders, Visual Analogue Scale, Hospital Anxiety and Depression Scale
National Category
Neurology
Identifiers
urn:nbn:se:umu:diva-125201 (URN)
Note

Originally included in thesis in manuscript form.

Available from: 2016-09-08 Created: 2016-09-08 Last updated: 2019-04-15Bibliographically approved
Granlund, L., Ramnemark, A., Andersson, C., Lindkvist, M., Fhärm, E. & Norberg, M. (2016). Prevalence of vitamin D deficiency and its association with nutrition, travelling and clothing habits in an immigrant population in Northern Sweden. European Journal of Clinical Nutrition, 70(3), 373-379
Open this publication in new window or tab >>Prevalence of vitamin D deficiency and its association with nutrition, travelling and clothing habits in an immigrant population in Northern Sweden
Show others...
2016 (English)In: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 70, no 3, p. 373-379Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To study prevalence and determinants of vitamin D deficiency in immigrants from Africa and the Middle East living in Umeå, Sweden.

DESIGN: Cross-sectional population based.

SETTING: Umeå, Sweden (63° N).

SUBJECTS/METHODS: Immigrants aged 25-65 years from nine countries in Africa or the Middle East (n=1306) were invited. A total of 111 men and 106 women (16.5%) completed the study. S-25-hydroxyvitamin D3 was measured with HPLC. Anthropometry, medical, socioeconomic and lifestyle data were registered.

RESULTS: Vitamin D status was insufficient or deficient in 73% of the participants. Specifically, 12% had vitamin D deficiency (25(OH)D3<25 nmol/l), and only 3.7% had optimal vitamin D status (25(OH)D3 75-125 nmol/l). Mean 25(OH)D3 level was 41.0 nmol/l (±16.6) with no difference between sexes. Levels of 25(OH)D3 were lower (P=0.030) and vitamin D deficiency was twice as common in immigrants from Africa compared with those from the Middle East. In the multiple regression analysis, vitamin D deficiency was significantly associated with low fatty fish intake (OR 4.31, 95% CI 1.61-11.55), not travelling abroad (OR 3.76, 95% CI 1.18-11.96) and wearing long-sleeved clothes in summer (OR 3.15, 95% CI 1.09-9.12).

CONCLUSIONS: The majority of immigrants from Africa and the Middle East who live in northern Sweden have vitamin D deficiency or insufficiency. Our results are consistent with sun exposure and a diet with high intake of fatty fish being most important in avoiding vitamin D deficiency.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-112102 (URN)10.1038/ejcn.2015.176 (DOI)000371667700014 ()26508457 (PubMedID)
Available from: 2015-12-02 Created: 2015-12-02 Last updated: 2018-06-07Bibliographically approved
Ramnemark, A., Norberg, M., Pettersson-Kymmer, U. & Eliasson, M. (2015). Adequate vitamin D levels in a Swedish population living above latitude 63°N: The 2009 Northern Sweden MONICA study. International Journal of Circumpolar Health, 74(1), Article ID 27963.
Open this publication in new window or tab >>Adequate vitamin D levels in a Swedish population living above latitude 63°N: The 2009 Northern Sweden MONICA study
2015 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 74, no 1, article id 27963Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Even though vitamin D is mainly produced by exposure to sunlight, little is known regarding vitamin D levels in populations living in sub-Arctic areas with little or no daylight during winter.

OBJECTIVE: We describe distributions of vitamin D3 and the prevalence of adequate levels in a population living above 63°N.

DESIGN: We sampled 1,622 randomly selected subjects, aged 25-74 years, between January and May, 2009, as part of the Northern Sweden MONICA study (69.2% participation rate). By using HPLC, 25(OH) vitamin D3 was analysed. Levels used for definitions were deficient, D3<25 nmol/l (<10 ng/ml); insufficient, D3 25-49.9 nmol/l (10-20 ng/ml); and adequate, D3≥50 nmol/l (20 ng/ml).

RESULTS: Mean (median) level of vitamin D3 was 65.2 (63.6) nmol/l in men and 71.0 (67.7) nmol/l in women. Adequate levels were found in 79.2%, more often in women (82.7%) than in men (75.6%). Only 0.7% of the population were vitamin D3-deficient but 23.1% of men and 17.1% of women had insufficient levels. Levels of vitamin D3 increased with age and insufficient status was most common among those aged 25-34 years, 41.0% in men and 22.3% in women. If subjects using vitamin D-supplementation are excluded, the population level of D3 is 1-2 nmol/l lower than in the general population across sex- and age groups. There were no differences between the northern or the southern parts, between urban or rural living or according to educational attainment. Those subjects born outside of Sweden or Finland had lower levels.

CONCLUSION: The large majority living close to the Arctic Circle in Sweden have adequate D3 levels even during the second half of the dark winter. Subjects with D3 deficiency were uncommon but insufficient levels were often found among young men.

Place, publisher, year, edition, pages
CoAction Publishing, 2015
Keywords
hydroxyvitamin D levels, vitamin D insufficiency/deficiency/status, population study, observational (cohort) design, age, gender
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-103056 (URN)10.3402/ijch.v74.27963 (DOI)000358042400001 ()28417824 (PubMedID)
Available from: 2015-05-18 Created: 2015-05-18 Last updated: 2018-06-07Bibliographically approved
Flank, P., Ramnemark, A., Levi, R., Wahman, K. & Fahlström, M. (2015). Dyslipidemia is common after spinal cord injury - independent of clinical measures. Jacobs Journal of Physical Rehabilitation Medicine, 1(1)
Open this publication in new window or tab >>Dyslipidemia is common after spinal cord injury - independent of clinical measures
Show others...
2015 (English)In: Jacobs Journal of Physical Rehabilitation Medicine, ISSN 2469-3103, Vol. 1, no 1Article in journal (Refereed) Published
Abstract [en]

Objective: To survey the incidence of clinical risk markers and its correlation with established clinical measurements for cardiovascular disease (CVD) in a heterogeneous spinal cord injured (SCI) patient population.

Design: Descriptive, cross-sectional study.

Subjects: 78 patients with SCI, at different injury and functional level.

Methods: Anthropometric data, blood pressure, a blood lipid panel, blood glucose and a questionnaire were analyzed.

Results: Eighty-one percent of all patients had dyslipidemia (DL) and a majority of the patients with abdominal measures below the recommended cut-off levels had DL. Self-reported physical activity above the cut-off level was reported by 32.1%of the patients. There were no differences in clinical measures, serum lipid values and blood glucose between physically active and not active patients. No differences were seen between men/women, tetraplegia/paraplegia and wheelchair dependent/not wheelchair dependent patients.

Conclusion: DL is common and seems to be not treated or undertreated in the studied SCI patient group with different neurological lesion and functional levels. General anthropometric clinical measures do not seem to be valid for evaluating risk for CVD in this patient group.

Keywords
Cardiovascular Disease, Tetraplegia, Paraplegia, Blood Lipids, Blood Glucose, Anthropometry, BMI, Physical Activity
National Category
Neurology Cardiac and Cardiovascular Systems Health Sciences
Identifiers
urn:nbn:se:umu:diva-118527 (URN)
Available from: 2016-03-22 Created: 2016-03-22 Last updated: 2018-06-07Bibliographically approved
Nordin, E., Moe-Nilssen, R., Ramnemark, A. & Lundin-Olsson, L. (2010). Changes in step-width during dual-task walking predicts falls. Gait & Posture, 32(1), 92-97
Open this publication in new window or tab >>Changes in step-width during dual-task walking predicts falls
2010 (English)In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, Vol. 32, no 1, p. 92-97Article in journal (Refereed) Published
Abstract [en]

The aim was to evaluate whether gait pattern changes between single- and dual-task conditions were associated with risk of falling in older people. Dual-task cost (DTC) of 230 community living, physically independent people, 75 years or older, was determined with an electronic walkway. Participants were followed up each month for 1 year to record falls. Mean and variability measures of gait characteristics for 5 dual-task conditions were compared to single-task walking for each participant. Almost half (48%) of the participants fell at least once during follow-up. Risk of falling increased in individuals where DTC for performing a subtraction task demonstrated change in mean step-width compared to single-task walking. Risk of falling decreased in individuals where DTC for carrying a cup and saucer demonstrated change compared to single-task walking in mean step-width, mean step-time, and step-length variability. Degree of change in gait characteristics related to a change in risk of falling differed between measures. Prognostic guidance for fall risk was found for the above DTCs in mean step-width with a negative likelihood ratio of 0.5 and a positive likelihood ratio of 2.3, respectively. Findings suggest that changes in step-width, step-time, and step-length with dual tasking may be related to future risk of falling. Depending on the nature of the second task, DTC may indicate either an increased risk of falling, or a protective strategy to avoid falling.

Keywords
Balance; Inter-active gait; Step-width; Dual-task costs; Falls
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-41369 (URN)10.1016/j.gaitpost.2010.03.012 (DOI)000279581000018 ()20399100 (PubMedID)
Available from: 2011-03-23 Created: 2011-03-23 Last updated: 2018-06-08Bibliographically approved
Norberg, M., Granlund, L., Ramnemark, A., Andersson, C., Fhärm, E. & Lindkvist, M.A randomised trial of vitamin D among immigrants in Sweden: response to treatment - a question of starting point and dose.
Open this publication in new window or tab >>A randomised trial of vitamin D among immigrants in Sweden: response to treatment - a question of starting point and dose
Show others...
(English)Manuscript (preprint) (Other academic)
National Category
Medical and Health Sciences
Research subject
Family Medicine
Identifiers
urn:nbn:se:umu:diva-147573 (URN)
Available from: 2018-05-08 Created: 2018-05-08 Last updated: 2018-06-09
Granlund, L., Ramnemark, A., Andersson, C., Lindkvist, M., Norberg, M. & Fhärm, E.Associations between vitamin D status and anxiety, depression and health related quality of life in an immigrant population. A cross-sectional study from Sweden.
Open this publication in new window or tab >>Associations between vitamin D status and anxiety, depression and health related quality of life in an immigrant population. A cross-sectional study from Sweden
Show others...
(English)Manuscript (preprint) (Other academic)
National Category
Medical and Health Sciences
Research subject
Family Medicine
Identifiers
urn:nbn:se:umu:diva-147572 (URN)
Available from: 2018-05-08 Created: 2018-05-08 Last updated: 2018-06-09
Wahlin, B., Ramnemark, A., Rantapää-Dahlqvist, S., Wållberg-Jonsson, S. & Södergren, A.Osteoprotegerin and osteocalcin are associated with atherosclerosis in patients with rheumatoid arthritis: a prospective cohort study.
Open this publication in new window or tab >>Osteoprotegerin and osteocalcin are associated with atherosclerosis in patients with rheumatoid arthritis: a prospective cohort study
Show others...
(English)Manuscript (preprint) (Other academic)
National Category
Rheumatology and Autoimmunity
Identifiers
urn:nbn:se:umu:diva-158061 (URN)
Available from: 2019-04-12 Created: 2019-04-12 Last updated: 2019-04-15
Organisations

Search in DiVA

Show all publications