SNAC - Swedish National study on Aging and Care. Delstudie: SNAC-K

Principal investigator(s):

Laura Fratiglioni - Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)

Mårten Lagergren - Stockholm Gerontology Research Center Foundation

Abstract:

The national study SNAC - The Swedish National Study on Aging and Care, includes four participating areas: SNAC-Blekinge, SNAC Kungsholmen, SNAC Nordanstig and SNAC Skåne (GÅS). In all four areas, a research centre conducts a population study and a health care system study. (Metadata related to the main study SNAC and the other participating areas can be found under the Related studies tab). SNAC-K Kungsholmen SNAC-K is conducted by the Stockholm Gerontology Research Center in collaboration with Aging Research Center (ARC), Karolinska Institutet. SNAC-K population study: The population study consists of a clinical examination of persons over 60 years, who live in the area of Kungsholmen/Essingeöarna. The baseline data collection includes information on present status and past events. The information has been collected through interviews, clinical examinations, and testing. All staff (nurses, psychologists, and physicians) has been trained for data collection. Each subject has been examined for six hours on average; two hours for the social interview and the assessment of physical functioni

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Contact:

Maria Wahlberg

Identifiers:

SND-ID:

Principal investigator(s):

Laura Fratiglioni - Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)

Mårten Lagergren - Stockholm Gerontology Research Center Foundation

Purpose:

The purpose is to study the transition from normal aging to morbidity and impaired functional ability by identify how social and biological factors, and the environment, affect older people's health, functional ability and life expectancy. The intention is to study the positive and negative events in life that may be relevant to aging. The aim of SNAC-K care system study is to continuously monitor all the health and care interventions that the elderly population in the Kungsholmen district receives, both acute and long-term. Collected data can be used as a basis for planning, resource allocation and evaluation of health and social care of the elderly. Available data can also be used in research and development around the issues of health care. The connection to the SNAC-K population study gives a unique opportunity to study how well the public efforts of the health care needs of the population and the interaction between the formal and informal efforts.

Abstract:

The national study SNAC - The Swedish National Study on Aging and Care, includes four participating areas: SNAC-Blekinge, SNAC Kungsholmen, SNAC Nordanstig and SNAC Skåne (GÅS). In all four areas, a research centre conducts a population study and a health care system study. (Metadata related to the main study SNAC and the other participating areas can be found under the Related studies tab). SNAC-K Kungsholmen SNAC-K is conducted by the Stockholm Gerontology Research Center in collaboration with Aging Research Center (ARC), Karolinska Institutet. SNAC-K population study: The population study consists of a clinical examination of persons over 60 years, who live in the area of Kungsholmen/Essingeöarna. The baseline data collection includes information on present status and past events. The information has been collected through interviews, clinical examinations, and testing. All staff (nurses, psychologists, and physicians) has been trained for data collection. Each subject has been examined for six hours on average; two hours for the social interview and the assessment of physical functioni

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Time period(s) investigated:

2001 — ongoing

Geographic location:

Geographic description:

Kungsholmen district in the city of Stockholm

Unit of analysis:

Population:

Individuals aged 60 or over, living in Kungsholmen/Essingeöarna.

Time Method/Study design:

Sampling procedure:

Probability: Stratified

Biobank:

Biobank is connected to the study

Publications

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Lagergren M, Fratiglioni L, Hallberg I R, Berglund J, Elmståhl S, Hagberg B, Holst G, Rennemark M, Sjölund B-M, Thorslund M, Wiberg, I, Winblad B, Wimo A. A longitudinal study, integrating population and care and social service data - The Swedish National study on Ageing and Care (SNAC). Aging Clin Exp Research, 2004; 16: 158-168.

Werngren-Elgström M, Iwarsson S, Elmståhl S, Dehlin O. ADL dependence and perceived health among elderly deaf sign language users. A comparison with a matched group of elderly hearing people. Scand J Occup Ther. 2005 Jun;12(2):81-8.

Werntoft E, Rahm Hallberg I, Elmståhl S, Edberg A.-K. (2005) Older people's views of priorities in health care. Aging Clinical and Experimental Research 2005; 17:402-411.

Werntoft E, Edberg A-K, Rooke L, Hermerén G, Elmståhl S, Hallberg IR. Older people's views of prioritization in health care. The applicability of an interview study. Journal of Clinical Nursing. 2005;14, Suppl 2, 64-74.

Werntoft E, Hallberg IR, Elmståhl S, Edberg A-K. Older people´s view of how to finance increasing health care costs. Ageing & Society, 2006; 26: 497-514.

Werntoft E, Hallberg IR, Edberg A-K. Prioritization and resource allocation in health care: the views of older people receiving continuous public care and service. Health Expect 2007; 10(2): 117-128.
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Werntoft, E., Hallberg, I.R, Edberg A-K. Older people's reasoning about age related prioritisation in health care. Nursing Ethics 2007; 14(3): 399-412.

Ekström H, Elmståhl S. Pain and fracture are independent factors related to lower walking speed and grip strength seven years after an osteoporotic fracture. Acta Orthopedica 2006, Dec;77(6):902-11.

Steij-Stålbrand I, Svensson T, Elmståhl S, Hagberg B, Dehlin O, Samuelsson G. Subjective Health and Illness, Coping and Life Satisfaction in an 80-Year-Old Swedish Population. Implications for Mortality. Int J Behavioral Medicine, 2007; 14:173-180.

Ekström H, Elmståhl S. Restriction in social participation and lower life satisfaction among fractured in pain. Results from the population study "Good Aging in Skåne". Archives of Gerontology and Geriatrics, 2008 May-June; 46 (3):409-24.
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Jakobsson U, Hallberg IR. Mortality among elderly receiving long-term care: a longitudinal cohort study. Aging Clinical & Experimental Research. Aging Clin Exp Res. 2006 Dec;18(6):503-11.

Andersson M, Hallberg IR, Edberg AK. The final period of life in elderly people in Sweden: factors associated with QOL. Int J Palliat Nurs. 2006: Jun;12(6):286-93.

Kristensson J, Hallberg IR, Jakobsson U. Healthcare consumption in men and women aged 65 and above in the two years preceding decision about long-term municipal care. Health Soc Care Community. 2007 Sep;15 (5):474-85.

Andersson M, Hallberg IR, Edberg AK. Health care consumption and place of death among old people with public home care or in special accommodation in their last year of life. Aging Clin Exp Res. 2007 Jun;19(3):228-39.

Condelius A, Edberg AK, Jakobsson U, Hallberg IR. Hospital admissions among people 65+ related to multimorbidity, municipal and outpatient care. Arch Gerontol Geriatr 2008; 46(1): 41-55.

Hovde, B, Hallberg, IR & Edberg, A-K. Older immigrants experiences of their life situation in the context of receiving public care in Sweden. Int J Old People Nurs 2008; 3: 104-112.

Karlsson S, Edberg A-K, Westergren A, Hallberg IR. Functional ability and health complaints among older people with a combination of public and informal care vs. public care only. Scand J Caring Sci. 2008; 22(1):136-48.
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Karlsson S, Edberg A-K, Westergren A, Hallberg IR. Older people receiving public long-term care in relation to consumption of medical health care and informal care. Open Geriatr Med J 2008; 1: 1-9.

Hovde, B., Edberg, A-K., Hallberg, I.R. Public care among older non-Nordic immigrants in Sweden in comparison with Nordic born controls, Vård i Norden 2008 (accepterad).

Kristensson, J., Hallberg, I.R., Lundborg, P. Costs for formal and informal care in people 65+ two years prior to them recieving long-term municipal care. Aging Clin Exp Res 2008 (accepterad). SNAC- Blekinge

Renvert S, Persson R, Resebo J, Berglund J Forskning pågår - Fokus på sambandet munhälsa-allmänhälsa. Tandläkartidningen 2009;101(7):48-50

Renvert S, Berglund J, Opalinska T, Persson RE, Persson GR Heel DXA T-scores and panoramic radiographs in the prediction of hip and hand fractures J Clin Peridontology 2009;36(Suppl. 9):9

Lindwall,M.,Rennemark,M & Berggren, T. (2007) Movement in mind. The relationship of exercise with cognitive status for older adults in the Swedish national Study on Ageing and Care (SNAC). Ageing and Mental health. 12,2, 212-220.

Lindwall,M.,Rennemark,M. (2007) The effect of change in exercise behavior on cognitive functioning in older people. Journal of Sport Scienses, 25 (supplement), p314-315.

Rennemark,M., Lindwall,M.,Halling, A, & Berglund, J. (2005) Relationships between physical activity and perceived qualities of life in old age: results from the Swedish national Study on Ageing and Care. Ageing and Mental health. 13,1,1-8.

Dahl M, Allwood CM, Hagberg B The realism in older people´s confidence judgements of answers to general knowledge questions Psychology and Aging 2009;24(1):234-238

Halling A, Persson R G, Berglund J, Johansson O, Renvert S. Comparison between the Klemetti index and heel DXA BMD measurements in the diagnosis of reduced skeletal bone mineral density in the elderly. Osteoporos Int 2005;16:999-1003

Halling A, Berglund J. Association of diagnosis of ischaemic heart disease, diabetes mellitus and heart failure with cognitive function in the elderly population. Eur J Gen Pract 2006;12(3):114-9

Stjernberg L, Berglund J, Halling A. Age and gender effect on the use of herbal medicine products and food supplements among the elderly. Scand J Prim Health Care 2006;24:50-55

Halling A, Fridh G, Ovhed I. Validating the Johns Hopkins ACG Case-Mix System of the elderly in Swedish primary health care. BMC Public Health 2006;6:171

Halling A, Berglund J. Concordance between elderly patients´ understanding of and their primary healthcare physicians diagnosis of heart failure. Scand J Prim Health Care 2006;24:110-114

Rennemark M, Berggren T. Relationsships between work-staus and lesure lifestyle at the age of 60 years old. Eur J Ageing 2006;3:82-88

Lindwall M, Rennemark M, Halling A, Berglund J, Hassmén P. The relationships of Depression and exercise in elderly men and women: Findings from the Swedish National study on Ageing and Care. J Aging Phys Act 2007;15(1):41-554

Olofsson M, Rennemark M. Påverkar personligheten användandet av naturläkemedel? Socialmedicinsk tidskrift 2007;1:57-65.

Fagerström C, Holst G, Hallberg IR. Feeling hindered by health problems and functional capacity at 60 years and above. Arch Gerontol Geriatr 2007;44(2):181-20 Scandinavian Journal of Caring Sciences, 22, 410-4211

The system of care for frail elderly persons - the case of Sweden. Aging Clinical and Experimental Research 14 (2002):252-257

Nordberg G. Formal and informal care in an urban and rural elderly population. Who? When? What? Doktorsavhandling vid ARC, Karolinska Institutet, 2007. ISBN: 978-91-7357-253-8.

Qiu C, De Ronchi D, Fratiglioni L. The epidemiology of the dementias: an update. Curr Opin Psychiatry. 2007;20(4):380-385.

Westerbotn M, Hillerås P, Fastbom J, Agüero-Torres H. Pain reporting by very old Swedish community dwellers: the role of cognition and function. Aging Clin Exp Res 2008;20(1):40-46.

Xu W, Qiu C, Winblad B, Fratiglioni L. The effect of borderline diabetes on the risk of dementia and Alzheimer's disease. Diabetes 2007;56(1):211-216.

Meinow, B.; Kåreholt, I.; Lagergren, M. According to need? Predicting the amount of municipal home help allocated to elderly recipients in an urban area of Sweden. J of Health and Social Services in the Community, 2005;13:366-37.

Lagergren M, Fransson U, Hallberg D. The demand for old age care. In: Klevmarken A, Lindgren B (eds). Simulating an Ageing Population. Emerald: Bingley, UK (2008).
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Link to publication list:

If you have published anything based on this study, please send a notification with a reference to your publication(s) to snd@snd.gu.se.

Dataset EXT 0125-001

SNAC-K Population: 60-year olds

Description:

At the baseline study, in 2001-2004, 739 60-year olds participated. The population was followed up in 2007-2009, when 608 individuals participated. Further follow-up is ongoing in 2013-2015.

Time period(s) investigated:

2001 — ongoing

Dataset EXT 0125-002

SNAC-K Population: 66-year olds

Description:

At the baseline study, in 2001-2004, 565 66-year olds participated. The population was followed up in 2007-2009, when 437 individuals participated. Further follow-up is ongoing in 2013-2015.

Time period(s) investigated:

2001 — ongoing

Dataset EXT 0125-003

SNAC-K Population: 72-year olds

Description:

At the baseline study, in 2001-2004, 478 72-year olds participated. The population was followed up in 2007-2009, when 351 individuals participated, and during 2010-2012 when 282 individuals participated. Further follow-up is ongoing in 2013-2015.

Time period(s) investigated:

2001 — ongoing

Dataset EXT 0125-004

SNAC-K Population: 78+

Description:

At the baseline study, in 2001-2004, 1581 individuals aged 78 year or older participated. The population was followed up in 2004-2007 (992 participants), in 2007-2009 (662 participants), and in 2010-2012 (418 participants). Further follow-up is ongoing in 2013-2015.

Time period(s) investigated:

2001 — ongoing

Dataset EXT 0125-005

SNAC-K Population: New cohort 81-year olds

Description:

A new population 81-year olds was examined in 2007-2009, when 194 individuals participated. The population was followed up in 2010-2012, when 148 individuals participated. Further follow-up is ongoing in 2013-2015.

Time period(s) investigated:

2007 — ongoing

Dataset EXT 0125-006

SNAC-K Population: New cohort 60-year olds

Description:

A new population 60-year olds was examined in 2010-2012, when 1037 individuals participated.

Time period(s) investigated:

2010 — ongoing

Dataset EXT 0125-007

Description:

The data collection in SNAC care system was started in 2001 with a baseline survey of all recipients of long-term care, aged over 65 years and living in Kungsholmen/Essingeöarna. At the same time registration has been made in connection to all assistance decisions in the elderly care services and all admissions to or discharges from home health care. Further cross-sectional studies have been conducted every year between 2002-2015, and since 2003 with restricted to persons living in special housing.

Time period(s) investigated:

2001 — ongoing

Dataset EXT 0125-008

Description:

A new population 81-year olds was examined in 2013-2015, when 195 individuals participated. Follow-up take place every third year.

Time period(s) investigated:

2013 — ongoing