hh.sePublikationer
Ändra sökning
Länk till posten
Permanent länk

Direktlänk
BETA
Alternativa namn
Publikationer (10 of 121) Visa alla publikationer
Larsson, J., Dencker, M., Olsson, M. C. & Bremander, A. (2020). Development and application of a questionnaire to self-rate physical work demands for ground combat soldiers. Applied Ergonomics, 83, Article ID 103002.
Öppna denna publikation i ny flik eller fönster >>Development and application of a questionnaire to self-rate physical work demands for ground combat soldiers
2020 (Engelska)Ingår i: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 83, artikel-id 103002Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: The aim of the present study was to identify the most physically demanding work tasks for Swedish ground combat soldiers through the development and application of a questionnaire survey. This is the first in a series of studies aiming to describe the development process and validation of physical selection standards in the Swedish armed forces.

Methods: Based on procedural documentation, combat manuals and job analyses, a questionnaire was developed that defined and rated the perceived physical strain of 30 work tasks for ground combat soldiers. To assess validity, an expert focus group was used and psychometric analysis performed. The questionnaire was then distributed to 231 ground combat soldiers, of whom 165 responded (71%).

Results: The questionnaire was validated in three steps to achieve face and content validity, and internal consistency was acceptable (Chronbach's alpha ≥0.95). Of the 30 work tasks included in the survey, transport of wounded was rated as the most demanding task for both aerobic capacity and strength. Other highly demanding tasks for aerobic capacity included combat movement (low/high crawl), dismounted attack in close country, urban and rough terrain and carrying heavy loads. There were no gender differences for either aerobic or strength demands in the top five most challenging tasks based on proportions.

Conclusions: This study identified the most physically demanding tasks performed in the Swedish ground combat forces. Almost all the physically demanding tasks found in the present study contain elements of lifting and carrying, which require muscular strength and muscular endurance, with no gender differences. © 2019 Elsevier Ltd. All rights reserved.

Ort, förlag, år, upplaga, sidor
Oxford: Elsevier, 2020
Nyckelord
Ground combat soldiers, Work-demands, Physical demand, Aerobic capacity
Nationell ämneskategori
Idrottsvetenskap
Identifikatorer
urn:nbn:se:hh:diva-40998 (URN)10.1016/j.apergo.2019.103002 (DOI)000504789500007 ()31747636 (PubMedID)2-s2.0-85074946049 (Scopus ID)
Forskningsfinansiär
Försvarsmakten
Tillgänglig från: 2019-11-20 Skapad: 2019-11-20 Senast uppdaterad: 2020-02-25Bibliografiskt granskad
Lindholm, A., Roswall, J., Alm, B., Almquist-Tangen, G., Bremander, A., Dahlgren, J., . . . Bergman, S. (2019). Body mass index classification misses to identify children with an elevated waist-to-height ratio at 5 years of age. Pediatric Research, 85(1), 30-32
Öppna denna publikation i ny flik eller fönster >>Body mass index classification misses to identify children with an elevated waist-to-height ratio at 5 years of age
Visa övriga...
2019 (Engelska)Ingår i: Pediatric Research, ISSN 0031-3998, E-ISSN 1530-0447, Vol. 85, nr 1, s. 30-32Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background:  Abdominal adiposity is an important risk factor in the metabolic syndrome. Since BMI does not reveal fat distribution, waist-to-height ratio (WHtR) has been suggested as a better measure of abdominal adiposity in children, but only a few studies cover the preschool population. The aim of the present study was to examine BMI and WHtR growth patterns and their association regarding their ability to identify children with an elevated WHtR at 5 years of age.

Methods: A population-based longitudinal birth cohort study of 1540 children, followed from 0 to 5 years with nine measurement points. The children were classified as having WHtR standard deviation scores (WHtRSDS) <1 or ≥1 at 5 years. Student’s t-tests and Chi-squared tests were used in the analyses.

Results: Association between BMISDS and WHtRSDS at 5 years showed that 55% of children with WHtRSDS ≥1 at 5 years had normal BMISDS (p < 0.001). Children with WHtRSDS ≥1 at 5 years had from an early age significantly higher mean BMISDS and WHtRSDS than children with values <1.

Conclusions: BMI classification misses every second child with WHtRSDS ≥1 at 5 years, suggesting that WHtR adds value in identifying children with abdominal adiposity who may need further investigation regarding cardiometabolic risk factors.

© 2018, International Pediatric Research Foundation, Inc.

Ort, förlag, år, upplaga, sidor
New York, NY: Nature Publishing Group, 2019
Nationell ämneskategori
Pediatrik
Identifikatorer
urn:nbn:se:hh:diva-38474 (URN)10.1038/s41390-018-0188-4 (DOI)000457212500009 ()30287892 (PubMedID)2-s2.0-85054473136 (Scopus ID)
Projekt
Halland Health and Growth Study
Tillgänglig från: 2018-12-03 Skapad: 2018-12-03 Senast uppdaterad: 2020-01-31Bibliografiskt granskad
Larsson, J., Engberg, A., Turnstedt, M., Dencker, M., Bremander, A. & Olsson, M. C. (2019). Cardiovascular Effects of Load Carriage in Soldiers; A Pilot Study. In: Bunc, V. & Tsolakidis, E. (Ed.), Book of Abstracts of the 24th Annual Congress of the European College of Sport Science – 3rd - 6th July 2019, Prague – Czech Republic: . Paper presented at 24th Annual Congress of the European College of Sport Science, ECSS, Prague, Czech Republic, 3-6 July, 2019 (pp. 422-423). European College of Sport Science
Öppna denna publikation i ny flik eller fönster >>Cardiovascular Effects of Load Carriage in Soldiers; A Pilot Study
Visa övriga...
2019 (Engelska)Ingår i: Book of Abstracts of the 24th Annual Congress of the European College of Sport Science – 3rd - 6th July 2019, Prague – Czech Republic / [ed] Bunc, V. & Tsolakidis, E., European College of Sport Science , 2019, s. 422-423Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

Introduction: Previous studies have shown that risk of physical fatigue increases if prolonged average work intensity exceeds 50% of oxygen uptake (VO2). In order to avoid persistent fatigue in a work setting, it is important to conduct suitable work capacity analyses. In physically demanding jobs where wearing protective gear and/or external load is mandatory, monitoring of cardiovascular demands through heart rate (HR) is one way to track the workers’ relative effort.  There are limited studies examining effects of load carrying on cardiovascular capacity where it appears that VO2peak differ when soldiers and firefighters are tested with work-related equipment/clothing compared to light clothing. The aim of this pilot study was to investigate effects of load (combat gear) on HR, VO2 and muscle oxygen saturation (SmO2) compared to no load in soldiers during a graded treadmill protocol.

Methods: Eight volunteer army soldiers (1 woman, 7 men) performed a graded treadmill test until exhaustion. All soldiers performed the test twice, once with light clothes and no load (NL) and once with added load, their personal combat gear (CG), with at least 48 h between sessions. The treadmill protocol stages included supine and standing positions, followed by marching speeds of 5.4 km/h and 8 km/h at 0 incline (all 5 min) immediately followed by a set marching speed of 8 km/h with a starting incline of 2 % increasing the incline 2 % every third minute until voluntary exhaustion. Measurements of HR, VO2 and SmO2 were collected continuously and the last 30 s of each stage were averaged and used for statistical analyses (paired t-tests).

Results: The mean added load for all soldiers with CG was 16.8 ± 1.1 kg. All soldiers completed at least 6 stages (range 6-11 stages) with both NL and CG, where time to exhaustion with NL was longer (19.1 ± 3.2 min) compared to CG (9.1 ± 2.9 min; p <0.01). Submaximal HR and VO2 were both significantly higher with CG compared to NL (at absolute intensities) at all marching speeds all soldiers completed (5.4 km/h 0 % grade - 8 km/h 4% grade; all p<0.05). For SmO2, marching with CG compared to NL resulted in increased muscle oxygen utilization, at submaximal stages 8 km/h 0% -4% grade (all p<0.05). For values at maximal effort the CG had a significantly lower VO2peak (3.7 ± 0.5 L/min) compared to NL (4.1 ± 0.6 L/min, p <0.01), whereas there was no difference in HRpeak or the lowest value of SmO2 between CG (193.1 ± 7.2 bpm; 42.4 ± 30.3%) and NL (195.4 ± 8.9 bpm; 47.0 ± 29.2%).

Conclusions: This pilot study suggests that assessment of aerobic capacity in soldiers should be conducted with combat gear to help determine their actual work capacity during combat and other load carrying tasks. These results suggest that if soldiers’ work performance is determined without added load it overestimates their aerobic capacity (VO2peak) in tasks wearing combat gear, which might lead to added fatigability and deleterious effect on performance.

Ort, förlag, år, upplaga, sidor
European College of Sport Science, 2019
Nationell ämneskategori
Övrig annan medicin och hälsovetenskap
Identifikatorer
urn:nbn:se:hh:diva-40393 (URN)978-3-9818414-2-8 (ISBN)
Konferens
24th Annual Congress of the European College of Sport Science, ECSS, Prague, Czech Republic, 3-6 July, 2019
Tillgänglig från: 2019-08-13 Skapad: 2019-08-13 Senast uppdaterad: 2019-08-14Bibliografiskt granskad
Malm, K., Bergman, S., Bremander, A., Larsson, I. & Andersson, M. L. E. (2019). Discussions of lifestyle habits as an integral part of care management: a cross-sectional cohort study in patients with established rheumatoid arthritis in Sweden. Rheumatology Advances in Practice, 3(2), Article ID rkz039.
Öppna denna publikation i ny flik eller fönster >>Discussions of lifestyle habits as an integral part of care management: a cross-sectional cohort study in patients with established rheumatoid arthritis in Sweden
Visa övriga...
2019 (Engelska)Ingår i: Rheumatology Advances in Practice, E-ISSN 2514-1775, Vol. 3, nr 2, artikel-id rkz039Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives: The primary aim was to determine whether patients with RA recalled having discussions concerning lifestyle habits during their health-care visits. The secondary aim was to study the association between patients' reported lifestyle and their wish to discuss it.

Methods: A postal questionnaire sent to 1542 eligible patients from the Better Anti-Rheumatic Pharmacotherapy (BARFOT) study included questions on lifestyle habits (physical activity, diet, smoking and alcohol), on whether these were discussed during health-care visits and on whether there was an interest in such discussions.

Results: A total of 1061 patients (68%) responded [mean age 67 (s.d. 13) years, 73% women]. Half of the patients (49%) recalled discussions on physical activity, and 23% recalled discussions about diet. Those who reported health-enhancing levels of physical activity were more likely to discuss physical activity with their health professionals. Likewise, patients who reported having a non-traditional mixed diet were more likely to discuss diet. Smoking was discussed with 25% of the patients, more often with current smokers than with non-smokers (32 vs 17%; P < 0.001). Alcohol was discussed with 17% of the patients. Of those patients who reported having hazardous drinking habits, 77% had not discussed alcohol use with any health professional.

Conclusion: Discussions about lifestyle were recalled by half of the patients with established RA. There is a need for improvement, because lifestyle habits may affect the long-term outcome in a chronic disease, such as RA. Patient education concerning lifestyle habits should be an integral part of care management and an interactive process. © Malm et al. 2019. Published by Oxford University Press on behalf of the British Society for Rheumatology.

Ort, förlag, år, upplaga, sidor
Oxford: Oxford University Press, 2019
Nyckelord
rheumatoid arthritis, lifestyle, habits, physical activity, diet, smoking, alcohol, discussion
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
urn:nbn:se:hh:diva-40912 (URN)10.1093/rap/rkz039 (DOI)31701084 (PubMedID)
Forskningsfinansiär
Reumatikerförbundet
Anmärkning

Other funders: County Council of Halland Research Fund & Norrbacka-Eugenia Foundation

Tillgänglig från: 2019-11-12 Skapad: 2019-11-12 Senast uppdaterad: 2019-11-27Bibliografiskt granskad
Haglund, E., Pinheiro Sant'Anna, A., Andersson, M., Bremander, A. & Aili, K. (2019). Dynamic joint stability measured as gait symmetry in people with symptomatic knee osteoarthritis. Paper presented at Annual European Congress of Rheumatology (EULAR 2019), Madrid, Spain, June 12-15, 2019. Annals of the Rheumatic Diseases, 78(Suppl. 2)
Öppna denna publikation i ny flik eller fönster >>Dynamic joint stability measured as gait symmetry in people with symptomatic knee osteoarthritis
Visa övriga...
2019 (Engelska)Ingår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, nr Suppl. 2, s. -1458Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Abstract [en]

Background: Modern strategies for knee osteoarthritis (OA) treatment and prevention includes early detection and analyses about pain, gait and lower extremity muscle function including both strength and stability. The very first sign of knee OA is pain or perceived knee instability, often experienced during weight bearing activities e.g. walking. Increased muscle strength will provide dynamic joint stability, reduce pain, and disability. Specific measures of gait symmetry (GS) can be assessed objectively by using accelerometers, which potentially is a feasible method when evaluating early symptoms of symptomatic knee OA.

Objectives: The aim was to study if symptoms of early knee pain affected gait symmetry, and the association between lower extremity muscles function and gait symmetry in patients with symptomatic knee OA.

Methods: Thirty-five participants (mean age 52 SD 9 years, 66% women) with uni- or bilateral symptomatic knee OA, and without signs of an inflammatory rheumatic disease or knee trauma were included. Pain was assessed by a numeric rating scale (NRS, range 0-10 best to worse), tests of lower extremity muscle function with the maximum number of one leg rises. Dynamic stability was measured as GS by using wearable inertial sensors (PXNordic senseneering platform), during the 6 min walking test to obtain spatio-temporal gait parameters. GS was computed based on stride time (temporal symmetry, TS) and stride length (spatial symmetry, SS). Stride length was normalized by height. Kruskal-Wallis and Spearman’s correlation coefficient were used for analyses.

Results: Reports of knee pain did not differ between gender (women 4.7, SD 2.4 vs. men 3.9, SD 2.4, p= 0.362), neither did one leg rises or gait symmetry. Participants who reported unilateral knee pain (left/right side n=9/13), had a shorter stride length on the painful side. The mean difference in stride length was 0.7% of the subject’s height (SD 1.3). Participants with unilateral pain also presented less SS gait than those who reported bilateral pain (p=0.005). The higher number of one-leg rises performed, the better TS was observed. We found a significant relationship between TS and one-leg rise for the right r s =-0.39, p=0.006, and left r s =-0.40, p=0.004 left side). No significant relationship was observed between SS and one-leg rises.

Conclusion: Our results is in line with earlier findings stating that knee pain affects GS negatively and that lower extremity muscle function is an important feature for symmetry and dynamic joint stability in patients with symptomatic knee OA. We also found that pain in one leg was related to impaired GS. Bilateral knee pain was however more symmetrical and will need healthy controls for comparison to better understand the negative impact of symptomatic knee OA.

Ort, förlag, år, upplaga, sidor
London, UK: BMJ Publishing Group Ltd, 2019
Nyckelord
Knee osteoarthritis, joint stability, objective measure
Nationell ämneskategori
Sjukgymnastik
Identifikatorer
urn:nbn:se:hh:diva-40948 (URN)000472207104307 ()
Konferens
Annual European Congress of Rheumatology (EULAR 2019), Madrid, Spain, June 12-15, 2019
Tillgänglig från: 2019-11-14 Skapad: 2019-11-14 Senast uppdaterad: 2019-12-09Bibliografiskt granskad
Van der Elst, K., Bremander, A., De Groef, A., Larsson, I., Mathijssen, E. G. .., Vriezekolk, J. E., . . . van Eijk-Hustings, Y. J. .. (2019). European Qualitative research project on Patient-preferred outcomes in Early Rheumatoid Arthritis (EQPERA): rationale, design and methods of a multinational, multicentre, multilingual, longitudinal qualitative study. BMJ Open, 9(3), Article ID e023606.
Öppna denna publikation i ny flik eller fönster >>European Qualitative research project on Patient-preferred outcomes in Early Rheumatoid Arthritis (EQPERA): rationale, design and methods of a multinational, multicentre, multilingual, longitudinal qualitative study
Visa övriga...
2019 (Engelska)Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, nr 3, artikel-id e023606Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

INTRODUCTION: Including the patient perspective is important to achieve optimal outcomes in the treatment of rheumatoid arthritis (RA). Ample qualitative studies exist on patient outcomes in RA. A Belgian study recently unravelled what matters most to patients throughout the overwhelming and rapidly evolving early stage of RA. The present study, European Qualitative research project on Patient-preferred outcomes in Early Rheumatoid Arthritis (EQPERA) was created to contribute to a more universal understanding of patient-preferred health and treatment outcomes by integrating the perspectives of patients with early RA from three European countries.

METHODS AND ANALYSIS: In EQPERA, a qualitative, explorative, longitudinal study will be implemented in The Netherlands and Sweden, parallel to the methods applied in the previously conducted Belgian study. In each country, a purposive sample of patients with early RA will be individually interviewed 3-6 months after start of the initial RA treatment and subsequently, the same participants will be invited to take part in a focus group 12-18 months after RA treatment initiation. Data collection and analysis will be independently conducted by the local research teams in their native language. A meta-analysis of the local findings will be performed to explore and describe similarities, differences and patterns across countries.

ETHICS AND DISSEMINATION: Ethics approval was granted by the responsible local ethics committees. EQPERA follows the recommendations of the Declaration of Helsinki. Two main papers are foreseen (apart from the data reporting on the local findings) for peer-reviewed publication.

© Author(s) (or their employer(s)) 2019.

Ort, förlag, år, upplaga, sidor
London, UK: BMJ Publishing Group Ltd, 2019
Nyckelord
longitudinal study, patient preference, qualitative research, rheumatoid arthritis
Nationell ämneskategori
Omvårdnad
Identifikatorer
urn:nbn:se:hh:diva-39485 (URN)10.1136/bmjopen-2018-023606 (DOI)000413181404498 ()30918031 (PubMedID)2-s2.0-85063639513 (Scopus ID)
Forskningsfinansiär
ReumatikerförbundetRegion Skåne
Anmärkning

Funding: Bristol-Myers Squibb, Fonds voor Wetenschappelijk Reuma Onderzoek (fund for Scientific Rheumatism Research) (Belgium), & Southern Health Care Region (Sweden)

Tillgänglig från: 2019-05-27 Skapad: 2019-05-27 Senast uppdaterad: 2019-11-29Bibliografiskt granskad
Bremander, A., Forslind, K., Eberhardt, K. & Andersson, M. L. E. (2019). Importance of Measuring Hand and Foot Function Over the Disease Course in Rheumatoid Arthritis: An Eight-Year Follow-Up Study. Arthritis care & research, 71(2), 166-172
Öppna denna publikation i ny flik eller fönster >>Importance of Measuring Hand and Foot Function Over the Disease Course in Rheumatoid Arthritis: An Eight-Year Follow-Up Study
2019 (Engelska)Ingår i: Arthritis care & research, ISSN 2151-464X, E-ISSN 2151-4658, Vol. 71, nr 2, s. 166-172Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective: To assess function using the Signals of Functional Impairment (SOFI) instrument over 8 years, to study clinical variables associated with the change, and to study change over time of the SOFI items.

Methods: In total, 1,223 patients with early rheumatoid arthritis (RA) from the Better Anti-Rheumatic Farmacotherapy (BARFOT) cohort (mean ± SD age 56.9 ± 15.4 years, 67% women) were included in the analysis. Data from baseline and from 1 and 8 years were studied. The SOFI instrument includes measures of range of motion in the hand, shoulder/arm, and lower extremity (range 0–44, best to worst). The effects of baseline variables (sociodemographic, disease activity, joint destruction, and function) on change in SOFI scores were studied by linear regression analysis.

Results: During the first year, the improvement in mean ± SD SOFI scores was 2.7 ± 5.7 (P < 0.001). Worse scores in the Disease Activity Score in 28 joints and Health Assessment Questionnaire score at baseline were associated with this improvement (r2 <= 0.11). During the next 7 years, the deterioration in SOFI scores was mean ± SD 1.5 ± 4.9 (P < 0.001). Based on change scores, we found that finger flexion, pincer grip, and toe-standing were the most important items to measure, explaining 58-61% of the total SOFI score, and these items were also associated with radiographic changes at the 8-year follow-up.

Conclusion: Function as assessed with SOFI scores improved during the first year in patients with early RA, but it deteriorated slowly thereafter. Impaired hand and foot function was associated with joint destruction at the 8-year follow-up. Measures of hand and foot function will complement self-reported and medical data, both in clinical work and in long-term research studies. Copyright © 2019, Emerald Publishing Limited

Ort, förlag, år, upplaga, sidor
Hoboken: John Wiley & Sons, 2019
Nyckelord
Branding, ELM, Consumer behaviour, Environmental, Green marketing, Food packaging
Nationell ämneskategori
Sjukgymnastik
Identifikatorer
urn:nbn:se:hh:diva-41460 (URN)10.1002/acr.23764 (DOI)000457443000002 ()30251481 (PubMedID)2-s2.0-85060768435 (Scopus ID)
Forskningsfinansiär
Reumatikerförbundet
Anmärkning

Other funder: The Foundation for Assistance to Disabled People in Skåne.

Tillgänglig från: 2020-01-31 Skapad: 2020-01-31 Senast uppdaterad: 2020-02-06Bibliografiskt granskad
Aili, K., Campbell, P., Michaleff, Z., Strauss, V., Jordan, K., Bremander, A., . . . Bergman, S. (2019). Long term trajectories of chronic widespread pain: a 21-year prospective cohort latent class analysis. Paper presented at Annual European Congress of Rheumatology (EULAR 2019), Madrid, Spain, June 12-15, 2019. Annals of the Rheumatic Diseases, 78(Suppl 2), 239-239
Öppna denna publikation i ny flik eller fönster >>Long term trajectories of chronic widespread pain: a 21-year prospective cohort latent class analysis
Visa övriga...
2019 (Engelska)Ingår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, nr Suppl 2, s. 239-239Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Abstract [en]

Background: Chronic widespread pain (CWP) is common (population prevalence of approximately 10%) and has a significant impact on the individual, healthcare, and society. Currently little is known about the actual course of CWP over time, in particular the pathways to the development and maintenance of CWP. One useful way to understand these pathways is to identify common clusters of people who share pain trajectories. Such information is clinically useful to identify factors that predict development, persistence, and resolution of CWP.

Objectives: To identify different longitudinal pain trajectories over a period of 21 years.

Methods: A 21-year longitudinal open-population cohort of n=1858 adults (aged 20-74) who completed surveys relating to their pain status in at least three of the five time points 1995, 1998, 2003, 2007, and 2016. Pain status (presence of persistent pain) was ascertained from a report of painful regions (0-18) on a pain mannequin and categorised into: NCP (No chronic pain), CRP (Chronic regional pain) and CWP (chronic widespread pain). Latent Class Growth Analysis (LCGA) was carried out based on these categories. Participants were assigned to a trajectory cluster where the posterior probability was the highest. Model fit was assessed by statistical indices and clinical interpretations of clusters.

Results: LCGA identified five clusters describing different pathways of NCP, CRP and CWP over the 21 years. The cluster “Persistent NCP” was the most common pathway (n = 1052, 57%) representing those with no chronic pain over the whole time period. The “Persistent CRP or Migration from CRP to NCP” cluster included 411 individuals (22%) representing a group with stable or improving regional pain. In the groups who were shown to increase pain status, the “Migration from NCP to CRP or CWP” cluster included 92 individuals (5%), and there were 184 individuals (10%) in the cluster “Migration from CRP to CWP” representing a group with regional pain who developed CWP. The final cluster “Persistent CWP” included 119 individuals (6%) representing those with stable CWP throughout the time period. Figure 1 presents the mean number of pain sites over time by cluster.

Conclusion: This study showed that whilst half of adults report no chronic pain over 21 years, a substantial proportion develop CWP or have persistent CWP over this time period. Whilst a common trajectory was movement from chronic regional pain to no chronic pain, a pattern of improving CWP was not seen suggesting this is an uncommon trajectory. This is the first study to show long-term trajectories for CWP, and further work is now required to understand factors that may identify individuals at risk of worsening pain status and factors that might promote improvement. These identified pathways of chronic pain over a lifespan improve the understanding of long-term development of chronic pain and chronic widespread pain. © Aili et al. 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Ort, förlag, år, upplaga, sidor
London, UK: BMJ Publishing Group Ltd, 2019
Nyckelord
Chronic pain, public health
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:hh:diva-40943 (URN)10.1136/annrheumdis-2019-eular.2993 (DOI)000472207100527 ()
Konferens
Annual European Congress of Rheumatology (EULAR 2019), Madrid, Spain, June 12-15, 2019
Tillgänglig från: 2019-11-14 Skapad: 2019-11-14 Senast uppdaterad: 2019-11-27Bibliografiskt granskad
Aili, K., Bergman, S., Bremander, A., Haglund, E. & Larsson, I. (2019). Passive coping strategies but not physical function are associated with worse mental health, in women with chronic widespread pain – a mixed method study. Paper presented at Annual European Congress of Rheumatology (EULAR 2019), Madrid, Spain, June 12-15, 2019. Annals of the Rheumatic Diseases, 78(Suppl 2), 2159-2159
Öppna denna publikation i ny flik eller fönster >>Passive coping strategies but not physical function are associated with worse mental health, in women with chronic widespread pain – a mixed method study
Visa övriga...
2019 (Engelska)Ingår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, nr Suppl 2, s. 2159-2159Artikel i tidskrift, Meeting abstract (Refereegranskat) Published
Abstract [en]

Background: Chronic widespread pain (CWP) is a common condition (approximately 10% prevalence), that affects women twice as often as men. There is a lack of knowledge in how different coping strategies relates to health status during CWP development in a general population.

Objectives: To explore different ways of coping with CWP and to relate the different coping strategies to health-related factors, before and after developing CWP.

Methods: A sequential explorative mixed methods study including 19 women 45-67 of age, who had reported CWP in a survey 2016, but not in 1995. Individual interviews were analysed with a phenomenographic approach, and resulted in four categories of coping strategies. These categories were further explored with regard to four dimensions of health status (physical function, bodily pain, vitality and mental health) as measured by SF-36 (0-100, a lower score indicates more disability) and sleep problems measured both in 1995, and 2016.

Results: The qualitative analysis revealed four categories representing different coping strategies, where each woman was labelled by the most dominant category; the mastering woman, the persistent woman, the compliant woman and the conquered woman. The first two categories emerged as being active coping strategies, and the latter two as passive. Women with passive strategies reported significantly lower vitality (median 57.5 vs 75, p=0.007) and worse mental health (median 54 vs 93, p=0.021) in 1995, before they had developed CWP compared with those with active coping strategies. No differences were seen between the groups on physical function, bodily pain or sleep.

In 2016, there were still a difference between the passive and active group regarding mental health (median 56 vs 80, p=0.022), but not for vitality (median 35 vs 40, p=0.707). No differences were seen between the groups on physical function or bodily pain. All eight women with passive strategies reported problems with sleep in 2016, as compared to 6 of the 11 women with active strategies (p=0.045).

Conclusion: Women that reported CWP in 2016, but not in 1995, described both active and passive coping strategies. The qualitative findings were associated with differences in vitality and mental health already in 1995, before they had developed CWP. Further, those with passive coping strategies reported worse health with regard to mental health and sleep problems in 2016. Interestingly, the groups did not differ in bodily pain or physical function neither in 1995 nor in 2016, which implicates the importance for the clinician to take the typical coping strategy into consideration, when meeting these patients in clinical settings. © Aili, Bergman, Bremander, Haglund & Larsson 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Ort, förlag, år, upplaga, sidor
London, UK: BMJ Publishing Group Ltd, 2019
Nyckelord
Chronic widespread pain, health, mental health, coping
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
urn:nbn:se:hh:diva-40949 (URN)10.1136/annrheumdis-2019-eular.5393 (DOI)000472207106446 ()
Konferens
Annual European Congress of Rheumatology (EULAR 2019), Madrid, Spain, June 12-15, 2019
Tillgänglig från: 2019-11-14 Skapad: 2019-11-14 Senast uppdaterad: 2020-01-31Bibliografiskt granskad
Nilsdotter, A. K., Cöster, M. E., Bremander, A. & Cöster, M. C. (2019). Patient-reported outcome after hallux valgus surgery — a two year follow up. Foot and Ankle Surgery, 25(4), 478-481
Öppna denna publikation i ny flik eller fönster >>Patient-reported outcome after hallux valgus surgery — a two year follow up
2019 (Engelska)Ingår i: Foot and Ankle Surgery, ISSN 1268-7731, E-ISSN 1460-9584, Vol. 25, nr 4, s. 478-481Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Patients with hallux valgus deformity may require surgery but prospective patient-reported data is scarce.

Methods: We evaluated 53 patients with a mean age of 55.3 years (SD 14.1, 50 women), who underwent surgery due to hallux valgus. They completed the PROMs SEFAS, EQ-5D and SF-36 before and 6, 12 and 24 months after surgery.

Results: All patient-reported outcomes improved at 6, 12 and 24 months compared with the preoperative status. The greatest improvement occurred at 6 months: SEFAS Δ 10.0 (95% confidence interval 7.8–12.2), EQ-5D Δ 0.22 (0.15–0.29), EQ-VAS Δ 8.4 (4.4–12.4), PF SF-36 Δ 22.0 (14.6–29.3) and BP SF-36 Δ 30.6 (23.1–38.1).

Conclusions: Hallux valgus surgery considerably reduced pain and improved function already within 6 months after surgery. The improvement between 6 and 24 months’ follow-up was minimal measured with PROMs.

Level of clinical evidence: III — prospective observational cohort study.

© 2018 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Ort, förlag, år, upplaga, sidor
London, UK: Elsevier, 2019
Nyckelord
Hallux valgus, Function, Pain, Patient-reported outcome, Prospective, SEFAS
Nationell ämneskategori
Kirurgi
Identifikatorer
urn:nbn:se:hh:diva-40799 (URN)10.1016/j.fas.2018.02.015 (DOI)000479133400011 ()30321964 (PubMedID)2-s2.0-85044145387 (Scopus ID)
Anmärkning

Financial support was received from the Kalmar Regional Funds, Herman Järhardts stiftelse, Stiftelsen för Skobranschens utvecklingsfond, Kockska stiftelsen and Svenska Reumakirurgiska föreningen (SRK).

Tillgänglig från: 2019-11-05 Skapad: 2019-11-05 Senast uppdaterad: 2019-11-07Bibliografiskt granskad
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-8081-579X

Sök vidare i DiVA

Visa alla publikationer