umu.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Lundell, Sara
Publications (10 of 14) Show all publications
Lundell, S., Mian, L., Aasa, U. & Westerståhl, M. (2019). Reasons for being physically active in middle age and longitudinal associations between physical activity and physical capacity. Translational Sports Medicine
Open this publication in new window or tab >>Reasons for being physically active in middle age and longitudinal associations between physical activity and physical capacity
2019 (English)In: Translational Sports Medicine, ISSN 2573-8488Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim was to investigate self-reported reasons for being leisure-time physically active (LTPA) at ages 34 and 52 and explore associations between LTPA at age 52 and physical activity, physical capacity, and health earlier in life. Cohort participants answered questions about physical activity and health and performed tests of physical capacity at ages 16, 34, and 52. The most frequently reported reasons for being LTPA or not at ages 34 and 52 were similar. Participants enjoyed being active and health benefits related to physical activity was important. Common barriers were other priorities, disability, and feeling too tired. A significantly higher percentage of those who were LTPA at the ages of 34 and 52 rated their general health to be good when compared to those who were not physically active. Analyses showed that higher muscle strength and endurance at the age of 34 could positively predict LTPA at 52. At ages 34 and 52, the cohort members presented with similar reasons for, and similar barriers to physical activity. Those who were LTPA rated their health better, and there was a significant association between physical capacity at the age of 34 and future physical activity.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
follow-up, health attitude, longitudinal study, motivation, muscular endurance, muscular strength, physical fitness, quality of life
National Category
Physiotherapy
Research subject
physiotherapy
Identifiers
urn:nbn:se:umu:diva-164844 (URN)10.1002/tsm2.116 (DOI)
Available from: 2019-11-04 Created: 2019-11-04 Last updated: 2019-11-11
Stenlund, T., Nyberg, A., Lundell, S. & Wadell, K. (2019). Web-based support for self-management strategies versus usual care for people with COPD in primary healthcare: a protocol for a randomised, 12-month, parallel-group pragmatic trial. BMJ Open, 9(10), Article ID e030788.
Open this publication in new window or tab >>Web-based support for self-management strategies versus usual care for people with COPD in primary healthcare: a protocol for a randomised, 12-month, parallel-group pragmatic trial
2019 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 10, article id e030788Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: The use of adequate self-management strategies for people with chronic obstructive pulmonary disease (COPD) may increase the level of physical activity (PA), improve health-related quality of life (HRQoL) and reduce healthcare use. Whether web-based support in addition to prompts (email and SMS) could be used to promote self-management strategies to facilitate behaviour change in people with COPD is not clear. This clinical trial aims to generate evidence on the effect of a web-based solution, the COPD Web, in a cohort of people with COPD in a primary healthcare context.

METHODS AND ANALYSIS: The overall design is a pragmatic randomised controlled trial with preassessments and postassessments (3 and 12 months) and an implementation and user experience evaluation. People with a diagnosis of COPD, treated in primary healthcare will be eligible for the study. A total of 144 participants will be enrolled by healthcare professionals at included primary healthcare units and, after fulfilled baseline assessments, randomised to either control or intervention group. All participants will receive usual care, a pedometer and a leaflet about the importance of PA. Participants in the intervention will, in addition, get access to the COPD Web, an interactive self-managed website that aims to support people with COPD in self-management strategies. They will also continuously get support from prompts with a focus on behaviour change.The effect on participants' PA, dyspnoea, COPD-related symptoms, HRQoL and health economics will be assessed using accelerometer and questionnaires. To identify enablers and barriers for the use of web-based support to change behaviour, semistructured interviews will be conducted in a subgroup of participants at the 3 months follow-up.

ETHICS AND DISSEMINATION: Ethical approval has been received from the Regional Ethical Review Board in Umeå, Sweden. Dnr 2018-274-31. Findings will be presented at conferences, submitted for publication in peer-reviewed journals and presented to the involved healthcare professionals, participants and patient organisations.

TRIAL REGISTRATION NUMBER: NCT03746873.

Keywords
eHealth, primary care, pulmonary disease, chronic obstructive, self-management strategies
National Category
Physiotherapy
Research subject
Lung Medicine; physiotherapy
Identifiers
urn:nbn:se:umu:diva-164831 (URN)10.1136/bmjopen-2019-030788 (DOI)31594889 (PubMedID)
Available from: 2019-11-04 Created: 2019-11-04 Last updated: 2019-11-11Bibliographically approved
Lundell, S. (2018). COPD in primary care: exploring conditions for implementation of evidence-based interventions and eHealth. (Doctoral dissertation). Umeå: Umeå universitet
Open this publication in new window or tab >>COPD in primary care: exploring conditions for implementation of evidence-based interventions and eHealth
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Chronic obstructive pulmonary disease (COPD) is a major public health problem. Symptoms and comorbidities associated with COPD affect the whole body. Clinical guidelines for COPD recommend pulmonary rehabilitation (PR) including exercise training and education promoting self-management strategies. Despite the positive effects on health status, few people with COPD have access to PR. Electronic health (eHealth) has been seen as promising for increased access to evidence-based interventions. To increase the likelihood of a successful implementation, it is important to identity enablers and barriers that might affect implementation outcomes. The aim of this thesis is to explore the experiences, interactions and contexts of the management of COPD in primary care, as well as the design, experienced relevance, effect and expected usefulness of eHealth solutions.

The thesis is based on four papers that have used qualitative, quantitative and mixed methods. Qualitative interviews (papers I, II, IV) and focus group discussions (paper IV) were analysed using qualitative content analysis (papers I, IV) and grounded theory (paper II). Quantitative data, collected using questionnaires (paper I) and in a systematic review (paper III) was analysed with descriptive statistics (paper I) and meta-analysis (paper III). The qualitative and quantitative findings in paper I and II were merged in a mixed methods design. Participants in the studies included healthcare professionals (papers I, IV), people with COPD (papers II, III, IV), their relatives (paper IV), senior managers representing primary care centres (paper I), and external researchers (paper IV).

The findings in this thesis gave insight in the complex interactions within COPD management between the healthcare organisation (e.g. resources and priority), healthcare professionals (e.g. attitudes, collaboration and competence) and people with COPD (e.g. emotions, attitudes and coping). The healthcare organisation is fragmented with few resources and COPD care takes low priority. The healthcare professionals are Building COPD care on shaky ground (paper I), where the shaky ground is a presentation of the non-compliant organisation and other challenging circumstances. Driven, responsible and ambitious healthcare professionals wish to provide empowering COPD interventions through interprofessional collaboration, but are inhibited by their limited knowledge of and experience with COPD. People with COPD are (Re)acting in an ambiguous interaction with primary care providers (paper II), have limited knowledge and struggle with stigma, while they try to accept and manage their disease. The attitudes and support of healthcare professionals’ are essential for necessary interaction and self-management strategies. For people with COPD, this can take different paths: either enhancing confidence with empowering support or coping with disempowering stigma and threat.

eHealth solutions such as telehealth, have been used to provide interventions to people with COPD through phone calls, websites or mobile phones, in combination with exercise training and/or education. They show a significant effect on physical activity level, but not on physical capacity and dyspnoea (paper III). Healthcare professionals, people with COPD and their relatives, and external researchers report that, to be useful and relevant in clinical practice, an eHealth tool should be reinforcing existing support structures (paper IV). Furthermore, it needs to fit in the current routines and contexts and create a sense of commitment in its users. According to the participants, information about selfmanagement strategies, such as how-to videos are valuable, and need to help them identify themselves with the people in the videos. The participants regard eHealth as providing knowledge and support for self-management.

In conclusion, there is a need for implementation of clinical guidelines for COPD in primary care in order to improve both the management of COPD, as well as the interaction between healthcare professionals and people with COPD. Several actions are needed to facilitate this implementation. The priority and status of COPD management in primary care need to be raised. In addition, more resources (e.g. healthcare professionals) for COPD interventions is required to enhance the conditions for interprofessional collaboration and patient participation. Furthermore, it is important to include physiotherapists in COPD management, considering the focus on exercise training and physical activity. Healthcare professionals in primary care need further training and more time to educate and empower people who have COPD. The use of eHealth may lead to improvements in patient outcomes, although more research on web-based interventions is required. User involvement in the development process of an eHealth tool increases its usefulness and relevance in clinical practice and everyday life. The findings from this thesis may guide implementation processes in primary care, as well as the development of eHealth tools for people with COPD or other long-term conditions.

Abstract [sv]

Kroniskt obstruktiv lungsjukdom (KOL) är en av våra vanligaste folksjukdomar. Sjukdomen orsakar mycket lidande hos de drabbade och ger mycket kostnader för samhället. Det vanligaste symtomet vid KOL är andnöd, men även andra delar av kroppen blir drabbade. Nedsatt fysisk förmåga, viktnedgång och depression är några vanliga symtom. Nedsatt fysisk aktivitetsnivå är också vanligt, vilket är särdeles allvarligt eftersom det kan förutsäga risk för tidig död. Tidigare forskning har visat att lungrehabilitering ger många positiva hälsoeffekter hos personer med KOL. Lungrehabilitering innehåller fysisk träning och utbildning med syfte att lära sig hantera sin sjukdom. Lungrehabilitering rekommenderas i behandlingsriktlinjer för KOL. Men trots det är det få personer med KOL som får tillgång till detta. Därför är det viktigt att hitta sätt att nå ut till personer med KOL med effektiv behandling. Elektronisk hälsa (eHälsa) har föreslagits som en strategi. eHälsa handlar om vård på distans, till exempel att få information och stöd via internet. För att kunna implementera nya arbetssätt i hälso- och sjukvården är det viktigt att känna till vilka förutsättningar som finns i dagsläget.

Avhandlingen baseras på fyra delstudier. Syftet är att utforska upplevelser, interaktion och kontext kopplat till KOL-vården i primärvården. Dessutom, att utforska design och effekt av eHälso-lösningar, samt hur användarna upplever dess relevans och vad de förväntar sig för nytta vid användning av ett eHälsoverktyg. Individuella intervjuer och diskussioner i fokusgrupper genomfördes med personer med KOL, anhöriga, sjukvårdspersonal samt forskare. Utskrifter från intervjuer och diskussioner analyserades med kvalitativ innehållsanalys och grundad teori. Frågeformulär besvarades av sjukvårdspersonal och verksamhetschefer i primärvården och analyserades sedan med beskrivande statistik. Tidigare forskningsstudier om eHälsa samlades ihop i en systematisk forskningssammanställning och analyserades gemensamt i en metaanalys. Resultaten från analyser av individuella intervjuer och svar från frågeformulär från två av delstudierna har dessutom sammanfogats i en mixad metod.

Resultaten i den här avhandlingen ger insikter kring komplexa interaktioner inom KOL-vården, mellan sjukvårdsorganisationen (t.ex. resurser och prioritering), sjukvårdspersonal (t.ex. attityder, samarbete och kompetens) och personer med KOL (t.ex. känslor, attityder och hantering av sjukdom). Sjukvårdsorganisationen kännetecknas av ett splittrat och otydligt ansvar mellan olika delar i organisationen samt brist på resurser. KOL-vården är dessutom lågt prioriterad och präglas av bristfälliga rutiner. Den ambitiösa och drivande sjukvårdspersonalen upplever att de bygger KOL-vård på en ostadig grund, där den ostadiga grunden illustrerar den svårpåverkade organisationen och andra utmanande förutsättningar. De är vana vid att styra över det dagliga arbetet med patienter och strävar efter att erbjuda en stödjande och stärkande KOL-vård med interprofessionell samverkan, men de hindras av bristande kunskap kring och erfarenhet av KOL. Personer med KOL har bristande kunskap och insikt, hanterar känslor av skuld, skam och rädsla, samtidigt som de försöker hantera och acceptera sin sjukdom. De (re)agerar i en mångtydig interaktion med sjukvårdspersonal i primärvården. Sjukvårdspersonalens attityder, bemötande och stöd är mycket viktiga i interaktionen och påverkar hur personer med KOL hanterar sin sjukdom. De kan få en stärkt självtillit med hjälp av stärkande stöd, eller måsta hantera nedbrytande stigmatisering och rädslor.

Tidigare studier visar att personer med KOL som har fått stöd och råd via telefon, hemsidor eller mobiltelefon ökar sin fysiska aktivitetsnivå jämfört med dem som inte har fått det. Ingen skillnad mellan grupperna hittades för fysisk förmåga och andnöd. Åtgärden kombinerades ofta med fysisk träning och/eller utbildning. Gruppen som de jämfördes med fick antingen ordinarie KOL-vård eller fysisk träning och/eller utbildning. Sjukvårdspersonal, personer med KOL och deras anhöriga, samt forskare betonar vikten av att ett eHälso-verktyg förstärker den befintliga KOL-vården om det ska vara användbart och relevant i primärvården. Det behöver passa i nuvarande rutiner och vanor för att det ska vara möjligt att tillämpa det direkt. Vidare tycker de att det är viktigt att användarna känner att informationen passar deras individuella behov och egenskaper, samt att det engagerar dem. Filmer anges som ett lämpligt sätt att presentera information om strategier för att hantera sin sjukdom i ett eHälso-verktyg. eHälsa anses av deltagarna kunna öka kunskap och ge stöd för att hantera sin sjukdom.

Sammanfattningsvis visar avhandlingen att det finns ett stort behov av att implementera behandlingsriktlinjer för KOL i primärvården för att förbättra både KOL-vården och interaktionen mellan sjukvårdspersonal och personer med KOL. Flera insatser behövs för att underlätta implementeringen. Prioriteringen av KOL behöver höjas och ökade resurser till KOL-vården krävs för att ge förutsättningar för interprofessionell samverkan och patientmedverkan. Det är viktigt att involvera fysioterapeuter i KOL-vården med tanke på vikten av fysisk träning och fysisk aktivitet för personer med KOL. Sjukvårdspersonalen i primärvården behöver ökad kompetens och mer tid avsatt för att kunna utbilda och stärka personer med KOL. Användningen av eHälsa kan leda till förbättringar av KOL-vården, men det behövs mer forskning kring internet-baserad eHälsa. Om de framtida användarna involveras i utvecklingen av eHälso-verktyg, ökar användbarheten och relevansen i deras vardag och sammanhang.

Resultaten från den här avhandlingen kan ge vägledning vid implementering av behandlingsriktlinjer i primärvården och vid utveckling av nya eHälso-verktyg. Många av resultaten kan användas även vid arbete med personer med andra långvariga tillstånd, utöver KOL.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2018. p. 70
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1982
Keywords
COPD, primary care, implementation, eHealth, qualitative, mixed methods, meta-analysis, KOL, primärvård, implementering, eHälsa, Kvalitativ, mixad metod, metaanalys
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-152609 (URN)978-91-7601-941-2 (ISBN)
Public defence
2018-11-09, Aulan, Vårdvetarhuset, Umeå, 09:00 (Swedish)
Opponent
Supervisors
Funder
Swedish Heart Lung FoundationThe Swedish Heart and Lung AssociationSwedish Research Council
Available from: 2018-10-19 Created: 2018-10-15 Last updated: 2018-10-29Bibliographically approved
Lundell, S., Wadell, K., Wiklund, M. & Tistad, M. (2018). Interacting with primary care - experiences of patients with COPD. A qualitative study. Paper presented at 28th International Congress of the European-Respiratory-Society (ERS), SEP 15-19, 2018, Paris, FRANCE. European Respiratory Journal, 52
Open this publication in new window or tab >>Interacting with primary care - experiences of patients with COPD. A qualitative study
2018 (English)In: European Respiratory Journal, ISSN 0903-1936, E-ISSN 1399-3003, Vol. 52Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: Pulmonary rehabilitation aims to support self-management strategies and behaviour change in patients with COPD, which requires an interaction between the patients and healthcare professionals.

Aim: The aim was to explore how patients with COPD interact with primary care, and how they experience this interaction.

Methods: The study was conducted in primary care in northern Sweden. Interviews were performed with patients with COPD (n=13) with varied disease severity, symptoms, sex and age, from four primary care centres. The interviews were analysed with grounded theory.

Results: The analysis ended up in a process of becoming a more active patient with COPD, moving back and forth between different stages of interaction with primary care. The category building self-esteem with empowering support comprises factors that facilitated this process, such as having a positive spirit, experiences of availability, continuity and regular contacts in primary care, along with a good support where the patients felt respected.

The simultaneous and conflicting category struggling with the stigma and threat of COPD captures factors inhibiting the process such as the patients’ fear of dyspnea and death, along with feelings of shame and guilt, the low status of COPD and disempowering support from primary care.

Conclusions: The interaction with primary care could be seen as an ongoing, flexible empowering process for patients with COPD, affected by both inhibiting and facilitating factors. These results could help primary care to empower patients with COPD and facilitate their social process of becoming more active and in control of their disease by using the facilitating factors and decreasing the inhibiting factors.

Place, publisher, year, edition, pages
European Respiratory Society, 2018
National Category
Respiratory Medicine and Allergy
Identifiers
urn:nbn:se:umu:diva-155985 (URN)10.1183/13993003.congress-2018.PA1496 (DOI)000455567102050 ()
Conference
28th International Congress of the European-Respiratory-Society (ERS), SEP 15-19, 2018, Paris, FRANCE
Note

Supplement: 62

Meeting Abstract: PA1496

Available from: 2019-02-07 Created: 2019-02-07 Last updated: 2019-02-07Bibliographically approved
Lundell, S. (2018). Stort glapp mellan riktlinjer för KOL och den vård som faktiskt gavs. Läkartidningen (115), Article ID E3X3.
Open this publication in new window or tab >>Stort glapp mellan riktlinjer för KOL och den vård som faktiskt gavs
2018 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, no 115, article id E3X3Article in journal (Other (popular science, discussion, etc.)) Published
Keywords
KOL, kroniskt obstruktiv lungsjukdom, primärvård, mixad metod, riktlinjer
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-145470 (URN)
Available from: 2018-03-06 Created: 2018-03-06 Last updated: 2018-06-09
Tistad, M., Lundell, S., Wiklund, M., Nyberg, A., Holmner, Å. & Wadell, K. (2018). Usefulness and relevance of an eHealth Tool in supporting the self-management of chronic obstructive pulmonary disease: explorative qualitative study of a cocreative process. JMIR Human Factors, 5(4), Article ID e10801.
Open this publication in new window or tab >>Usefulness and relevance of an eHealth Tool in supporting the self-management of chronic obstructive pulmonary disease: explorative qualitative study of a cocreative process
Show others...
2018 (English)In: JMIR Human Factors, E-ISSN 2292-9495, Vol. 5, no 4, article id e10801Article in journal (Refereed) Published
Abstract [en]

Background: New strategies are urgently needed to support self-management for people with chronic obstructive pulmonary disease (COPD) in primary care. The use of electronic health (eHealth) solutions is promising. However, there is a lack of knowledge about how such eHealth tools should be designed in order to be perceived as relevant and useful and meet the needs and expectations of the health professionals as well as people with COPD and their relatives.

Objective: The objective of this study was to explore the aspects of an eHealth tool design and content that make it relevant and useful for supporting COPD-related self-management strategies from the perspective of health care professionals, people with COPD and their relatives, and external researchers.

Methods: Data were collected during the development of an eHealth tool. A cocreation process was carried out with participants from two primary care units in northern Sweden and external researchers. Individual interviews were performed with health care professionals (n=13) as well as people with COPD (n=6) and their relatives (n=2), and focus group discussions (n=9) were held with all groups of participants. Data were analyzed using qualitative content analysis.

Results: The overarching theme, reinforcing existing support structures, reflects participant views that the eHealth tool needs to be directly applicable and create a sense of commitment in users. Moreover, participants felt that the tool needs to fit with existing routines and contexts and preferably should not challenge existing hierarchies between health care professionals and people with COPD. Important content for health care professionals and people with COPD included knowledge about self-management strategies. Videos were regarded as the most effective method for communicating such knowledge.

Conclusions: The cocreation in the development process enables participant perspectives and priorities to be built into the eHealth tool. This is assumed to contribute to a tool that is useful and relevant and, therefore, adopted into clinical practice and everyday life. Findings from this study can inform the development of eHealth tools for people with COPD in other contexts, as well as the development of eHealth tools for self-management support of other chronic diseases.

Keywords
COPD, eHealth, cocreation, self-management, primary care, chronic disease, user involvement, KOL, eHälsa, egenvård, primärvård, kroniska sjukdomar, samskapande, användarsamverkan
National Category
Physiotherapy
Research subject
Physiotherapy; Lung Medicine
Identifiers
urn:nbn:se:umu:diva-152605 (URN)10.2196/10801 (DOI)30368440 (PubMedID)
Funder
Swedish Research Council, K2014-99X-22572-01-4Swedish Heart Lung Foundation, 20130331
Available from: 2018-10-15 Created: 2018-10-15 Last updated: 2018-11-09Bibliographically approved
Lundell, S., Tistad, M., Rehn, B., Wiklund, M., Holmner, Å. & Wadell, K. (2017). Building COPD care on shaky ground: a mixed methods study from Swedish primary care professional perspective. BMC Health Services Research, 17, Article ID 467.
Open this publication in new window or tab >>Building COPD care on shaky ground: a mixed methods study from Swedish primary care professional perspective
Show others...
2017 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 17, article id 467Article in journal (Refereed) Published
Abstract [en]

Background: Chronic obstructive pulmonary disease (COPD) is a public health problem. Interprofessional collaboration and health promotion interventions such as exercise training, education, and behaviour change are cost effective, have a good effect on health status, and are recommended in COPD treatment guidelines. There is a gap between the guidelines and the healthcare available to people with COPD. The aim of this study was to increase the understanding of what shapes the provision of primary care services to people with COPD and what healthcare is offered to them from the perspective of healthcare professionals and managers.

Methods: The study was conducted in primary care in a Swedish county council during January to June 2015. A qualitatively driven mixed methods design was applied. Qualitative and quantitative findings were merged into a joint analysis. Interviews for the qualitative component were performed with healthcare professionals (n = 14) from two primary care centres and analysed with qualitative content analysis. Two questionnaires were used for the quantitative component; one was answered by senior managers or COPD nurses at primary care centres (n = 26) in the county council and the other was answered by healthcare professionals (n = 18) at two primary care centres. The questionnaire data were analysed with descriptive statistics.

Results: The analysis gave rise to the overarching theme building COPD care on shaky ground. This represents professionals driven to build a supportive COPD care on 'shaky' organisational ground in a fragmented and non-compliant healthcare organisation. The shaky ground is further represented by uninformed patients with a complex disease, which is surrounded with shame. The professionals are autonomous and pragmatic, used to taking responsibility for their work, and with limited involvement of the management. They wish to provide high quality COPD care with interprofessional collaboration, but they lack competence and are hindered by inadequate routines and lack of resources.

Conclusions: There is a gap between COPD treatment guidelines and the healthcare that is provided in primary care. To facilitate implementation of the guidelines several actions are needed, such as further training for professionals, additional resources, and improved organisational structure for interprofessional collaboration and patient education.

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
Chronic obstructive pulmonary disease, Primary care, Healthcare professionals, Mixed methods, Healthcare system, Organisation, Implementation, Health promotion, Treatment guidelines, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:umu:diva-137946 (URN)10.1186/s12913-017-2393-y (DOI)000405243000001 ()
Available from: 2017-08-02 Created: 2017-08-02 Last updated: 2018-10-17Bibliographically approved
Kahn, N., Tomos, I., Andrianopoulos, V., Arikan, H., van der Does, A., Almendros, I., . . . De Brandt, J. (2017). Early Career Members at the ERS International Congress 2017: highlights from the Assemblies.. Breathe, 13(4), e121-e129
Open this publication in new window or tab >>Early Career Members at the ERS International Congress 2017: highlights from the Assemblies.
Show others...
2017 (English)In: Breathe, ISSN 1810-6838, E-ISSN 2073-4735, Vol. 13, no 4, p. e121-e129Article in journal (Refereed) Published
Abstract [en]

The 2017 ERS International Congress was, as always, well organised, providing participants with a good mixture of translational and clinical science. Early career members were very well represented in thematic poster, poster discussion and oral presentation sessions and were also actively involved in chairing sessions. The efforts of the Early Career Members Committee (ECMC) to increase the number of early career members included in the competence list (the list of early career members with an interest in being more actively involved in the society) paid off immensely, because the number of early career members registered improved hugely across all assemblies after the Congress. Several newly registered early career members have collated some highlights of the Congress for their assemblies, which should be of interest to all members. As assemblies 12 and 13 are new, there is no report from assembly 12 as there is not yet, at the time of writing, an early career member representative for this newly created assembly.

National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-158523 (URN)10.1183/20734735.017617 (DOI)29928461 (PubMedID)2-s2.0-85049811028 (Scopus ID)
Available from: 2019-04-30 Created: 2019-04-30 Last updated: 2019-05-08Bibliographically approved
Aasa, U., Lundell, S., Barnekow-Bergkvist, M., Jansson, E. & Westerståhl, M. (2017). The Swedish physical activity and fitness cohort born in 1958 - dropout analysis and overview at 36-year follow-up. Scandinavian Journal of Medicine and Science in Sports, 27(4), 418-429
Open this publication in new window or tab >>The Swedish physical activity and fitness cohort born in 1958 - dropout analysis and overview at 36-year follow-up
Show others...
2017 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 27, no 4, p. 418-429Article in journal (Refereed) Published
Abstract [en]

The main aim of the Swedish physical activity and fitness cohort study (SPAF-1958) was to describe physical fitness, physical activity, health, and lifestyle across part of the lifespan, and to assess the influences on these factors from the environment, personal factors, and genetics. There is inevitable dropout from longitudinal studies, and it may be systematic. The aim of this first paper of the second follow-up of SPAF-1958 was to provide a dropout analysis to consider to what extent the participants, at 52 years of age, remain a representative sample of the original adolescent study population. Additional aims were to provide an overview of the study protocol and the ongoing study population. Ongoing study participants in SPAF born in 1958 were, at the second follow-up at the age of 52, still representative of the study cohort in terms of sex, adolescent geographical area, upper secondary school program, adolescent body composition, muscular strength, and muscular endurance. However, a higher physical activity and, among women, a higher aerobic capacity in adolescence decreased the risk for dropout. It is important when interpreting results from longitudinal studies to adjust for the systematic dropout that could bias the conclusions drawn from the results.

National Category
Physiotherapy Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-124054 (URN)10.1111/sms.12665 (DOI)000395709400005 ()26926496 (PubMedID)
Available from: 2016-07-08 Created: 2016-07-08 Last updated: 2018-06-07Bibliographically approved
Hesselman Borg, J., Westerståhl, M., Lundell, S., Madison, G. & Aasa, U. (2016). Longitudinal study exploring factors associated with neck/shoulder pain at 52 years of age. Journal of Pain Research, 9, 303-310
Open this publication in new window or tab >>Longitudinal study exploring factors associated with neck/shoulder pain at 52 years of age
Show others...
2016 (English)In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 9, p. 303-310Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To investigate the ability of work-related measurements, body composition, physical activity, and fitness levels to predict neck/shoulder pain (upper body pain, UBP) at the age of 52 years. Another aim was to investigate the cross-sectional relationships between UBP, work-related factors, and individual factors at the age of 52 years.

METHODS: We followed a randomly selected cohort of 429 adolescents that was recruited in 1974 (baseline), when they were 16 years old. The participants completed physical fitness tests, questions about sociodemographic and lifestyle factors at 16, 34, and 52 years of age, and questions about work-related factors and pain in the follow-ups. Logistic regression analyses were used to examine the associations between UBP and the other variables.

RESULTS: Univariate logistic regression analyses showed that high body mass index and the work-related factors, low control, and low social support at the age of 34 years were related to UBP at the age of 52 years. For social support, there was an interaction between men and women where the relationship between low social support and the experience of pain was more evident for women. Among women, body mass index and social support remained significantly related in the multivariate analyses. For men, social support remained significantly related. Cross-sectional relationships at the age of 52 differed from the longitudinal in the sense that measures of joint flexibility and work posture were also significantly associated with UBP.

CONCLUSION: The fact that the cross-sectional differed from the longitudinal relationships strengthens the importance of performing longitudinal studies when studying factors that might influence the initiation of pain. UBP preventative measures might need to include both lifestyle (such as dietary habits and physical activity to ensure that the individuals are not becoming overweight) and work-related factors such as social support.

Place, publisher, year, edition, pages
Albany: Dove medical press, 2016
Keywords
adolescence, adult, control, demand, physical activity, physical fitness
National Category
Physiotherapy Neurosciences
Identifiers
urn:nbn:se:umu:diva-126596 (URN)10.2147/JPR.S93845 (DOI)000389773600002 ()27307762 (PubMedID)
Available from: 2016-10-13 Created: 2016-10-11 Last updated: 2018-06-09Bibliographically approved
Organisations

Search in DiVA

Show all publications