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- Hörder, Helena, et al.
(author)
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Betydelsen av en intervention med fysisk träning för inaktiva äldre : Delrapport från projektet Formkontroll för äldre
- 2012
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Reports (other academic/artistic)abstract
- Det delprojekt, som redovisas här, bygger på ett koncept kallat Formkontroll för äldre, som utvecklats av Kerstin Frändin. Tanken är att erbjuda äldre människor en arena, ett s.k. Hälsans Hus, där man utöver olika typer av fysisk träning också erbjuds möjlighet till social och kulturell samvaro. Projektet, som genomfördes i Kinna, Örby och Skene, initierades av FoU Sjuhärad Välfärd och samfinansierades samt genomfördes utifrån stimulansmedel tillsammans med Marks kommun.
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- Hörder, Helena M, et al.
(author)
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Health-related quality of life in relation to walking habits and fitness: a population-based study of 75-year-olds
- 2013
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In: Quality of Life Research. - : Springer Science and Business Media LLC. - 0962-9343 .- 1573-2649. ; 22:6, s. 1213-23
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Journal article (peer-reviewed)abstract
- PURPOSE: To assess health-related quality of life (HRQL) in relation to walking habits and fitness status in older persons. A second aim was to examine fitness status as a mediator in the relation between walking habits and HRQL. METHODS: A cross-sectional population-based sample of 75-year-olds from Gothenburg, Sweden, was examined (n = 698, response rate 61 %). Walking habits were assessed as weekly frequency and duration. HRQL was assessed with the Short Form-36 (SF-36) and fitness with maximal and self-selected gait speed, chair-stand, stair-climbing capacity, grip strength and one-leg stance. RESULTS: The proportion of 75-year-olds who attained recommended levels of moderate physical activity (≥ 150 min/week), described as walking, was 60 %. This was positively associated with most subscales of SF-36 and with all fitness tests except grip strength. Maximal gait speed was the fitness test with the highest correlations to all SF-36 subscales. Fitness, described with maximal gait speed, was a partial mediator in most relations between walking habits and SF-36. After adjustment for confounders, associations between regular walking and SF-36 were no longer significant, except for Role Physical, General Health and Role Emotional in women. CONCLUSIONS: Attaining recommended levels of walking, as well as a high fitness status, is positively associated with several aspects of HRQL in older persons. Fitness, described with maximal gait speed, seems to have a partial role in the relation between walking habits and HRQL, suggesting that other mechanisms are also involved.
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- Hörder, Helena M, et al.
(author)
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Home as a health promotion setting for older adults
- 2014
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In: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 42:Suppl 15, s. 36-40
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Journal article (peer-reviewed)abstract
- Background: The number and the proportion of older persons is growing in the Nordic Countries. The growth in the older population has a clear impact on the care system for older persons. One trend is to prioritise home care instead of care in institutions. Another trend is to emphasise preventive and health promotion care. As official guidelines in the Nordic countries state that home is the best place to grow old, it is essential that older persons keep their health and functional capacity in order to be able to live at home for as long as possible. As current policy emphasises living at home, home care, preventive work and health promotion it becomes essential to study the home as a health promotion setting. Objective: The aim of this study was to reach a new understanding of home as a health promotion setting for older persons. Study design: The method used was a literature reflection and analysis with a hermeneutical approach. Results: The results show that with increasing age the home environment becomes a crucial determinant for independence. The home environment supports the self as people age; it has associations with the past, can provide proximity to family, and a sense of being a part of neighbourhood life. Conclusions: Only by taking into consideration the meaning of home and the resources of the individual older person can home function as a true health promoting setting. If health personnel focus solely on risk prevention, they can neglect the perspectives of the older person, resulting in dis-empowerment not health promotion.
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- Hörder, Helena M, et al.
(author)
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Self-respect through ability to keep fear of frailty at a distance: Successful ageing from the perspective of community-dwelling older people
- 2013
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In: International Journal of Qualitative Studies on Health and Well-Being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 8
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Journal article (peer-reviewed)abstract
- With population ageing, there is an increased interest in how to promote a good old age. A predominant concept in these discussions is successful ageing, which is mainly based on researchers’ definitions. This article aims to explore successful ageing from the perspective of community-dwelling older people (24 persons aged 7790 years). Individual open interviews were conducted and analysed according to qualitative content analysis. An overarching theme was formulated as ‘‘self-respect through ability to keep fear of frailty at a distance’’. This embraced the content of four categories: ‘‘having sufficient bodily resources for security and opportunities’’, ‘‘structures that promote security and opportunities’’, ‘‘feeling valuable in relation to the outside world’’, and ‘‘choosing gratitude instead of worries’’. Ageing seems to be a dynamic process rather than a static structure and might therefore be susceptible to actions. Paying attention to attitudes and treating the older person with respect, particularly with regard to worries about increasing vulnerability, can lead to better ways of promoting successful ageing.
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- Mosallanezhad, Zahra, et al.
(author)
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Physical activity and physical functioning in Swedish and Iranian 75-year-olds – A comparison
- 2012
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In: Archives of gerontology and geriatrics. - : Elsevier BV. - 0167-4943 .- 1872-6976. ; 55:2, s. 422-430
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Journal article (peer-reviewed)abstract
- Background and purpose: The pattern of population aging is highly complex and contextually based. Cross-national comparisons are helpful to explore related factors. Two cross-sectional studies designed to compare physical activity level, physical functioning and certain health related factors in 75-year-old women and men in Sweden and Iran. Materials and methods: Cohorts of 637 Swedish and 851 Iranian 75-year-olds were investigated with the same methods regarding physical activity level, physical functioning and health related factors. Results: There were differences in physical activity level (p < 0.001), self-reported physical functioning (p < 0.001) objective physical functioning (p < 0.001), health status (p < 0.001) and most socio-demographic aspects between the two countries. Here the Swedish cohort had the advantage. There was no difference between the countries regarding prevalence of vertigo or falls. The only variables where the Iranian cohort had advantage over the Swedes were grip strength and smoking habits. There were larger gender differences in walking habits, self-selected walking speed, timed chair stand, and one-leg stance in Iran, and in grip strength in Sweden, all to the disadvantage of women. Conclusions: Iranian 75-years-olds had a lower physical activity level, a worse lower extremity physical function but a better grip strength, a worse physical health status, but smoked less than their Swedish counterparts. Despite this, there were no differences regarding vertigo or falls. In most aspects, the magnitude of gender differences was about the same and in disadvantage of women, although there were larger differences in Iran in some lower extremity functions. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
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