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- Frid, Hanna, et al.
(författare)
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Agreement between different methods of measuring height in elderly patients
- 2013
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Ingår i: Journal of human nutrition and dietetics. - : Wiley. - 0952-3871 .- 1365-277X. ; 26:5, s. 504-511
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe present study aimed to examine the agreement between measurements of standing height and self-reported height, height measured with a sliding caliper, and height estimated from either demispan or knee height in elderly patients.MethodsFifty-five patients (mean age 79 years) at a Swedish hospital were included in this observational study. The participants' heights were evaluated as the standing height, self-reported height, height measured in a recumbent position with a sliding caliper, and height estimated from the demispan or knee height.ResultsThe measurements made with a sliding caliper in the recumbent position agreed most closely with the standing height. Ninety-five percent of the individuals' differences from standing height were within an interval of +1.1 to −4.8 cm (limits of agreement). Self-reported height and height estimated from knee height differed relatively strongly from standing height. The limits of agreement were +5.2 to −9.8 cm and +9.4 to −6.2 cm, respectively. The widest distribution of differences was found in the height estimated from the demispan, with limits of agreements from +11.2 to −9.3 cm.ConclusionsWhen measuring the height of patients who find it difficult to stand upright, a sliding caliper should be the method of choice, and the second choice should be self-reported height or the height estimated from knee height. Estimating height from the demispan should be the method of last resort.
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| 2. |
- Larsdotter Frid, Hanna, et al.
(författare)
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Högskoleexamen – möjlighet eller rättighet? Studenter med funktionsnedsättningar och högskolestudier : en litteraturstudie
- 2013
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Syfte: Syftet med föreliggande studie är att beskriva forskningsläget angående hur högskolestudier kan tillgängliggöras för personer med funktionsnedsättningar, samt i förlängningen att illustrera det praktiska tillgängliggörandet, vilket utmynnar i förslag på fortsatt forskning. Metod: Studien genomförs som en litteraturöversikt/kunskapsöversikt/review, en s.k. scoping study, av 92 artiklar. Därigenom kartläggs forskning om, och utformning av existerande, stödformer, såväl nationellt, som, inte minst, internationellt. Resultat: Resultat avseende tillgänglighet i högre utbildning presenteras under tre teman: (1) Situationen idag; (2) generella aspekter; och (3) funktionsnedsättningsspecifika aspekter. Generellt sett finns idag olika former av stöd för studenter med funktionsnedsättningar, men användningen av stödet, liksom högskolans tillhandahållande, skiftar. För specifika grupper varierar stödet och det finns idag former för att tillhandahålla stöd för olika grupper, men det synes svårare att göra den konkreta undervisningssituationen tillgänglig för alla än att t ex ha lokaler som är tillgängliga. Slutsatser: De slutsatser som presenteras görs i form av förslag till fortsatt forskning, och fyra sådana förslag har definierats: (1) Att vara student och ha en funktionsnedsättning (dvs ett individuellt perspektiv); (2) hur fungerar olika typer av stöd idag (utifrån både ett mottagar- och ett tillhandahållandeperspektiv); (3) varför är personer med funktionsnedsättningar underrepresenterade vid högskolan och vad kan göras för att förändra detta (dvs att förbereda, och eventuellt genomföra, implementering utifrån lärdomar från förslagen 1 och 2); och (4) gränsen mellan rättmätigt och otillbörligt stöd i studiesituationen, och eventuellt fusk i syfte att erhålla stöd (kartläggning av dagens situation).
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| 3. |
- Söderström, Lisa, 1982-, et al.
(författare)
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Dietary advice and oral nutritional supplements do not increase survival in older malnourished adults : a multicentre randomised controlled trial
- 2020
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Ingår i: Upsala Journal of Medical Sciences. - : Uppsala Medical Society. - 0300-9734 .- 2000-1967. ; 125:3, s. 240-249
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Forskningsöversikt (refereegranskat)abstract
- Objectives: The study aimed to investigate the effect on survival after 6 months of treatment involving individual dietary advice and oral nutritional supplements in older malnourished adults after discharge from hospital. Methods: This multicentre randomised controlled trial included 671 patients aged 65 years who were malnourished or at risk of malnutrition when admitted to hospital between 2010 and 2014, and followed up after 8.2 years (median 4.1 years). Patients were randomised to receive dietary advice or oral nutritional supplements, separate or in combination, or routine care. The intervention started at discharge from the hospital and continued for 6 months, with survival being the main outcome measure. Results: During the follow-up period 398 (59.3%) participants died. At follow-up, the survival rates were 36.9% for dietary advice, 42.4% for oral nutritional supplements, 40.2% for dietary advice combined with oral nutritional supplements, and 43.3% for the control group (log-rank test p = 0.762). After stratifying the participants according to nutritional status, survival still did not differ significantly between the treatment arms (log-rank test p = 0.480 and p = 0.298 for the 506 participants at risk of malnutrition and the 165 malnourished participants, respectively). Conclusions: Oral nutritional supplements with or without dietary advice, or dietary advice alone, do not improve the survival of malnourished older adults. These results do not support the routine use of supplements in older malnourished adults, provided that survival is the aim of the treatment.
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| 4. |
- Söderström, Lisa, 1982-, et al.
(författare)
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Mealtime habits and meal provision are associated with malnutrition among elderly patients admitted to hospital
- 2013
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Ingår i: Clinical Nutrition. - : Elsevier. - 0261-5614 .- 1532-1983. ; 32:2, s. 281-288
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Tidskriftsartikel (refereegranskat)abstract
- Background & aims: Large-scale studies performed in hospitals with the validated Mini Nutritional Assessment tool (MNA) are scarce. However, factors associated with malnutrition are important for identifying individuals at risk. The aims of the present study were to estimate the prevalence of malnutrition and to examine the association between mealtime habits, meal provision, and malnutrition among elderly patients admitted to hospital.Methods: This cross-sectional study included patients aged ≥ 65 years admitted to internal medicine, surgical or orthopaedic wards. The MNA was used for their nutritional assessment, and factors potentially associated with malnutrition were recorded.Results: Of 1771 patients (mean age 78 years), 35.5% were well-nourished, 55.1% were at risk of malnutrition and 9.4% were malnourished. Overnight fasts exceeding 11 hours, fewer than four eating episodes a day, and not cooking independently were associated with both malnutrition and risk of malnutrition.Conclusions: The risk of malnutrition was high among elderly patients admitted to hospital, whereas the proportion with fully developed malnutrition was lower than expected. A long overnight fast, few eating episodes, and not cooking independently were associated with an increased risk of malnutrition. Knowledge of these factors when providing care to the elderly may assist health-care professionals to prevent malnutrition.
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