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Biomedical subjects

B Lundgren-Lindquist

Publications and source records attributed to B Lundgren-Lindquist.

11 recordsLinked to original sources

Health status and functional capacity in a group of successfully ageing 65-85-year-olds.

PURPOSE: To examine health behaviours of older people, comparing people aged 65-74 years with those aged 75-85 years. METHOD: Seventy-five men (45%) and women (55%) aged between 65 and 85 years were recruited from a sample of convenience. Participants completed three questionnaires which documented health status, exercise patterns, levels of physical capacity, independence in daily living and involvement in activities. Tests of physical ability were then conducted related to walking, upper extremity function, ability on tram steps, and grip strength. RESULTS: The sampling method delivered a biased sample with most participants rating their health as excellent or very good for their age. While many participants reported chronic medical conditions, or more than one fall in the last year, the level of physical activity was strikingly high. Men were more active than women, and physical activity declined minimally after the age of 75. Anecdotally, the sample was also active in social and intellectual activities, with women involved in these activities more than physical pursuits. CONCLUSIONS: The role of activity is important in the study of successful ageing. This study reported gender and age group differences in the activities chosen, demonstrating that the inclusion of a cross-section of daily activities is essential in the study of health status and well-being.

Accidental Falls↗

The impact of community-based rehabilitation as perceived by disabled people in a village in Botswana.

The purpose of the present study was to investigate the impact of community-based rehabilitation (CBR) on the lives of disabled people in Moshupa village in Botswana. Of the 132 disabled people, identified in a previous epidemiological study, all but three could be accounted for, and 77 were interviewed during a 5-week field period. The interviews took place in the homes of the clients, and focused on independence in activities of daily life, schooling/jobs and quality of life. The results indicated that a remarkably high percentage of elderly were alive (17% were 65 and over), and that most people had maintained high levels of independence in ADL. Furthermore, 20% of adults were working, 10 out of 14 children of school age were in school, and life satisfaction was high, although somewhat higher for younger people than for older ones. Significantly more younger people reported that life had improved, while most elderly people believed life to be worse now.

Activities of Daily Living↗

Functional consequences of joint impairment at age 79.

A study of functional ability--in relation to joint impairment and disability--in 79-year-olds was performed on representative subsamples by interview (n = 134) and physical examination of joints (n = 89) as well as interview and functional tests regarding activities of daily living (ADL) (n = 84). Joint complaints of the lower extremities were more frequent than complaints of the upper extremities. Restricted knee motion had the highest correlation to disability of entering public transports. Previous sedentary workers were more disabled in ADL functions than those with a previous strenuous physical work. Correlation was found between low physical activity in the leisure time and impaired ADL functions. Low physical activity in the group with no definable disease was also correlated with greater social assistance. The reasons for commitment to institutional care were usually complex and, generally, not caused by joint impairment. Although disability had increased within the sample since age 70, at age 79 sixty per cent of the probands could still manage household tasks and personal care, and 69% did not require walking aids. The 79-year-olds thus display a high degree of musculoskeletal ability.

Activities of Daily Living↗

Functional studies in 79-year-olds. I. Performance in hygiene activities.

In the longitudinal population study "70-year-old people in Göteborg" (H 70) at the second follow-up in 1980-81, 112 women and 93 men were examined concerning their hygiene abilities such as visiting the toilet and taking a bath. These elderly people were interviewed about their locomotor function, needs of technical aids and personal assistance available at home. An examination of their functional ability was performed in accordance with a standardized test in two bathrooms, one with a bathtub and the other one with a shower area. Recordings of heart rate and subjectively perceived exertion were made during the test. Almost all were able to stand in front of the washbasin when washing themselves. Climbing in, sitting down and getting out of the bathtub required relatively high levels of effort, and almost one in five had difficulties. Only a few subjects needed personal assistance for getting out of the bathtub. There were large intraindividual variations of heart rate and perceived exertion in the various tasks. More than three of four took advantage of the handrails next to the bathtub during the test compared to one third of the subjects having handrails at home. Two thirds of the subjects had at least one technical aid in the bathroom, the most common technical aid in the bathroom was a "non-slip" mat in the bathtub. The importance of designing products and adapting the environment corresponding to the functional capacity of the elderly is emphasized.

Activities of Daily Living↗

Functional studies in 79-year-olds. II. Upper extremity function.

As part of the Gerontological and Geriatric Population Study of 79-year-old people in Göteborg, a representative subsample comprising 112 women and 93 men took part in a study of upper extremity function. Thirty-eight per cent of the women and 37% of the men had disorders in the upper extremities. The investigation included tests of co-ordination, static strength in the key-grip and the transversal volar grip, power capacity in opening jars and a bottle, basal movements in the upper extremities in personal hygiene and dressing activities, function in the kitchen e.g. reaching shelves, manual tasks including tests of pronation and supination of the forearm. In the key-grip as well as in the transversal volar grip men showed a generally larger decrease in strength with age than women compared to 70-year-olds in a previous population study. Significant correlations were found between strength in the key-grip and the performance time in the test of co-ordination. Women produced about 66% of the muscular force of the men when opening jars. Significant correlations were found between strength in the transversal volar grip and the maximal torque for opening the jars. Female and male subjects who were not capable of handling the electric plug in the manual ability test had significantly weaker strength in the key-grip. The importance of designing products and adapting the environment so as to correspond to the functional capacity of the elderly, is emphasized.

Activities of Daily Living↗

Functional studies in 79-year-olds. III. Walking performance and climbing capacity.

Walking speed and the ability to climbing steps were studied in a subsample of 112 women and 93 men of the longitudinal population study "70-year-old people in Göteborg", in order to evaluate the functional capacity of the lower extremities. No women or men of this age achieved, when walking comfortably, a speed of maximum 1.4 m/s which is recommended in Sweden as a norm for pedestrians at signalized intersections. At their maximum walking speed only 32% of the women and 72% of the men reached 1.4 m/s. In comfortable walking women on an average used 78% and men 70% of their maximal walking speed. All subjects could climb up and down a 20 cm step when using a handrail. Less than half of the women but almost all the men were able to climb up and down a 50 cm high step using a handrail. Subjects having handicap transport service choose significantly lower walking speed than the rest of the subjects. Correlations were found between step test results and walking speed. It is concluded that both traffic vehicles and the rythm at signalized intersections are not in accordance with the functional capacity of older persons.

Aged↗

Community-based rehabilitation in Moshupa village, Botswana.

This article presents a summary of findings from the 'Moshupa Community Based Rehabilitation (CBR) project', which to date have been the subject of three studies: one initial survey of disabled people and two follow-up studies. Of the 132 disabled people who were identified in the survey, all but three could be accounted for in the first follow-up. Seventy-seven were interviewed about independence of activities of daily living, school/jobs and quality of life. A high percentage of elderly (17% were 65 and over) were alive, and most had maintained high levels of ADL skills. Twenty per cent of the adult disabled were working, 10 out of 14 school-aged children were enrolled in schools, and life satisfaction was high. The second follow-up study indicated that personnel, although acknowledging the benefits of the programme, pointed to several remaining problems such as lack of rehabilitation education for the personnel. The results are discussed with reference to the CBR programme's aims, and implications drawn for industrialized countries.

Adolescent↗

Mobility disability among elderly men and women in Sweden.

This paper draws on a unique longitudinal study, '70-year-old people in Gothenburg, Sweden', to augment available knowledge of the incidence of physical disability in an ageing cohort. Among women the incidence of mobility disability was 0.12 between age 70 and 75 years, and 0.19 from age 75 to 79 years. One in 10 males became mobility disabled from age 70 to 75 years while the risk increased to 0.18 between age 75 and 79 years. Cohort members disabled at age 70 years were at significantly increased risk of dying by age 79 years compared with their non-disabled counterparts. The data were consistent with other research revealing a substantial annual risk of disability or death for people in their eighth decade of life.

Activities of Daily Living↗

Community-based rehabilitation--a survey of disabled in a village in Botswana.

The present study was undertaken in the context of developing community-based rehabilitation (CBR) in Botswana. A door-to-door survey was conducted in Moshupa village during 1990, identifying 1.4% disabled persons. Twenty-two per cent of the disabled were younger than 15 years of age and 17% were more than 65 years old. A high proportion (30%) of disabled persons had parents who were related to one another. A majority of the disabled had difficulties with mobility (65%) and 21% had two or more disabilities. Thirty-four per cent received treatment (predominantly modern medicine) and there was a positive association between treatment and education. The results are compared with other disability studies and discussed with reference to the CBR programme aims.

Activities of Daily Living↗