Alternative title
SNAC-K
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Description
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
Language
English
Swedish
Research principal
Responsible department/unit
Stockholm Gerontology research center
Funding 1
- Funding agency: the Stockholm County Council
Funding 2
-
Funding agency:
the Ministry of Health and Social Affairs, Sweden
Funding 3
-
Funding agency:
the Stockholm Municipality
Funding 4
-
Funding agency:
the Swedish Research Council for Health, Working life and Welfare
Funding 5
-
Funding agency:
the Swedish Research Council (VR)
Data contains personal data
Yes
Sensitive personal data
Yes
Type of personal data
Personal identification number, encrypted personal identification number
Code key exists
Yes
Ethics Review
Swedish Ethical Review Authority - Ref. 2020-02497
Swedish Ethical Review Authority - Ref. 2021-01069
Stockholm - Ref. 2009/595-32
Swedish Ethical Review Authority - Ref. 2019-02528
Stockholm - Ref. 2016/730-31/1
... Show more..Unit of analysis
Population
Individuals aged 60 or over, living in the district of Kungsholmen.
Study design
Observational study
Cohort study
Cohort study: Prospective
Sampling procedure
The SNAC-K population consists of a random sample of individuals aged 60˗104 years living both at home and in institutions in Kungsholmen, Stockholm in the central part of Sweden. The random sample was stratified by age cohort and year of assessment and an oversampling of those aged 60 years respectively > 81 years of age was conducted for all the SNAC studies. In SNAC-K, eleven age cohorts were chosen (60, 66, 72, 78, 81, 84, 87, 90, 93, 96, and 99) with six year intervals for the younger cohorts and three years for the older cohorts (≥78 years).
During the baseline examination in 2001-04, 3363 individuals were included (response rate 73.3%). Participants who are 78 years of age or older are followed up every three years, while for those aged 60 to 72 years, follow-up will take place every six years. Data have been collected at seven waves over a total of 20 years and is ongoing.
The care system study:
The care system study includes all eldercare recipients 65 years or older, for the years 2004-2020 in the district of Kungsholmen (annually ~1200-1800 individuals) and from 2015 and onwards in the whole municipality of Stockholm (annually ~21000 individuals).
Time period(s) investigated
2001 – ongoing
Biobank is connected to the study
The study has collected samples/material which are stored in a scientific collection or biobank
Scientific collection or biobank name: SNAC-K
Type(s) of sample: Blood tests and brain imaging (MRI)
Geographic spread
Geographic location: Kungsholmen Parish
Geographic description: Kungsholmen district in the city of Stockholm (for the care system part from 2015 and onwards the whole municipality of Stockholm).
Research area
Medical and Health Sciences, Geriatrics, Health Care Service and Management, Health Policy and Services and Health Economy, Nursing, Social Sciences Interdisciplinary
(The Swedish standard of fields of research 2011)
Keywords
care of the elderly, aged, ageing, housing for the elderly, pensions, living conditions, mental health, age groups, health services, therapeutics, activities of daily living, physical examination, blood pressure, aged, 80 and over, blood specimen collection, epidemiologic studies, cohort studies, dental care for aged, data collection, health surveys, dementia, population characteristics, frail elderly, hearing, geriatric psychiatry, life style, interview, medicine, heart function tests, electrocardiography, follow-up studies, nursing care, geriatric nursing, memory, longitudinal studies, prospective studies, exercise, population surveillance, vision tests, social sciences, socioeconomic factors, risk factors, middle aged, mortality, marital status, cause of death, surveys and questionnaires, epidemiology, public health, health, health services research, economics, medical, health status, body weight, culture, drug utilization, retention, psychology, organizational innovation, retirement, interpersonal relations, registries, disease, hospitalization, morbidity, delivery of health care, social environment, social conditions, social problems, social support, vision, ocular, quality of life, housing conditions, leisure time activities, height (physiology), weight (physiology), walking test, balance, homecare, assistance needs, respiratory function, blood count, near- national e-infrastructure for aging research, concentrations capacity
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.
DOI:
https://doi.org/10.1111/j.1365-2524.2007.00706.x
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.
ISBN:
978-91-7357-253-8
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.
DOI:
https://doi.org/10.1080/13607860802154416
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.
DOI:
https://doi.org/10.12968/ijpn.2006.12.6.21454
Meinow, B., Kåreholt, I., & Lagergren, M. (2005). According to need? : Predicting the amount of municipal home help allocated to elderly recipients in an urban area of Sweden. In Health and Social Care in the Community (Vol. 13, Issue 4, pp. 366–377). http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-25073
URN:
urn:nbn:se:su:diva-25073
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.
DOI:
https://doi.org/10.1080/13607860701797232
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
DOI:
https://doi.org/10.1186/1471-2458-6-171
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
DOI:
https://doi.org/10.1123/japa.15.1.41
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.
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.
DOI:
https://doi.org/10.1080/17453670610013204
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.
DOI:
https://doi.org/10.1007/BF03324630.
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.
Read full text
DOI:
https://doi.org/10.1111/j.1369-7625.2006.00426.x
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).
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.
DOI:
https://doi.org/10.1111/j.1365-2524.2005.00570.x
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.
DOI:
https://doi.org/10.1007/BF03324746
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
DOI:
https://doi.org/10.1016/j.archger.2006.03.004
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.
DOI:
https://doi.org/10.1080/11038120510031743
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.
DOI:
https://doi.org/10.1007/BF03324630
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
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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Renvert S, Persson R, Resebo J, Berglund J Forskning pågår - Fokus på sambandet munhälsa-allmänhälsa. Tandläkartidningen 2009;101(7):48-50
The system of care for frail elderly persons - the case of Sweden. Aging Clinical and Experimental Research 14 (2002):252-257
DOI:
https://doi.org/10.1007/BF03324447
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.
Read full text
DOI:
https://doi.org/10.1111/j.1471-6712.2007.00549.x
Schön, P., Lagergren, M., Kåreholt, I., Schön, P., Lagergren, M., Kareholt, I., & Schon, P. (2016). Rapid decrease in length of stay in institutional care for older people in Sweden between 2006 and 2012: results from a population-based study. In Health & Social Care in the Community (Vol. 24, Issue 5, pp. 631–638). https://doi.org/10.1111/hsc.12237
DOI:
https://doi.org/10.1111/hsc.12237
URN:
urn:nbn:se:hj:diva-28848
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.
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
DOI:
https://doi.org/10.1007/s00198-004-1796-x
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.
DOI:
https://doi.org/10.1177/0969733007075887
Qiu C, De Ronchi D, Fratiglioni L. The epidemiology of the dementias: an update. Curr Opin Psychiatry. 2007;20(4):380-385.
DOI:
https://doi.org/10.1097/YCO.0b013e32816ebc7b
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.
DOI:
https://doi.org/10.1007/BF03000189
Meinow B., von Berens Å., Österman J. 2019. Stockholms SNAC -- En beskrivning av äldreomsorgstagarna och omsorgens omfattning i Stockholms stad 2019.
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.
DOI:
https://doi.org/10.1111/j.1365-2702.2005.01278.x
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
DOI:
https://doi.org/10.1037/a0014048
Hjalmarsson I., Meinow B., Norman E., Johansson L. 2019. Att komma hem från sjukhus och få ett tryggt mottagande - om insatser från äldreomsorgen efter sjukhusvistelse. Rapporter 2019:1. Stiftelsen Stockholms läns Äldrecentrum
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.
DOI:
https://doi.org/10.1007/BF03324851
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
DOI:
https://doi.org/10.1007/BF03324883
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
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https://doi.org/10.1080/13814780600881128
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
DOI:
https://doi.org/10.1007/s10433-006-0029-x
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.
DOI:
https://doi.org/10.2337/db06-0879
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.
DOI:
https://doi.org/10.1016/j.archger.2007.02.005
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.
DOI:
https://doi.org/10.1111/j.1748-3743.2007.00097.x
Olofsson M, Rennemark M. Påverkar personligheten användandet av naturläkemedel? Socialmedicinsk tidskrift 2007;1:57-65.
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
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Ekström H, Dahlin Ivanoff S, 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.
Read full text
DOI:
https://doi.org/10.1016/j.archger.2007.06.001
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
DOI:
https://doi.org/10.1080/02813130500475522
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.
DOI:
https://doi.org/10.1007/BF03324695
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.
DOI:
https://doi.org/10.1007/BF03324546
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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.For more information please visit:
https://www.snac-k.se/for-researchers/data-description/
https://www.snac-k.se/for-researchers/code-books/
Data format / data structure
Numeric
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Time period(s) investigated
2001 – ongoing
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.For more information please visit:
https://www.snac-k.se/for-researchers/data-description/
https://www.snac-k.se/for-researchers/code-books/
Data format / data structure
Numeric
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Time period(s) investigated
2001 – ongoing
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.For more information please visit:
https://www.snac-k.se/for-researchers/data-description/
https://www.snac-k.se/for-researchers/code-books/
Data format / data structure
Numeric
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Time period(s) investigated
2001 – ongoing
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.For more information please visit:
https://www.snac-k.se/for-researchers/data-description/
https://www.snac-k.se/for-researchers/code-books/
Data format / data structure
Numeric
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Time period(s) investigated
2001 – ongoing
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.For more information please visit:
https://www.snac-k.se/for-researchers/data-description/
https://www.snac-k.se/for-researchers/code-books/
Data format / data structure
Numeric
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Time period(s) investigated
2007 – ongoing
Description
A new population 60-year olds was examined in 2010-2012, when 1037 individuals participated.For more information please visit:
https://www.snac-k.se/for-researchers/data-description/
https://www.snac-k.se/for-researchers/code-books/
Data format / data structure
Numeric
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Time period(s) investigated
2010 – ongoing
Description
Data in the SNAC-K care system study 2004-2020 include all recipients of public eldercare 65 years or older in the district of Kungsholmen. Annually ~1200-1800 individuals and ~2000-3000 registrations (decisions on the provision of eldercare services) are included. Data include information on the type and amount of public eldercare provided, as well as need-indicators: physical and cognitive funkctioning, need of help with activities of daily living (personal and instrumental), incontinence, men
... Show more..Data format / data structure
Numeric
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Keywords
registries, memory, data collection, aged, 80 and over, activities of daily living, housing for the elderly, aged, care of the elderly
Time period(s) investigated
2004-01-01 – 2020-12-31
Description
A new population 81-year olds was examined in 2013-2015, when 195 individuals participated. Follow-up take place every third year.For more information please visit:
https://www.snac-k.se/for-researchers/data-description/
https://www.snac-k.se/for-researchers/code-books/
Data format / data structure
Numeric
Creator/Principal investigator(s)
Laura Fratiglioni
- Karolinska Institutet, Department of Neurology, Care Sciences and Society (NVS), Aging Research Center (ARC)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Time period(s) investigated
2013 – ongoing
Description
"SNAC Stockholm Eldercare" är en expansion of the care system study that has been conducted in the district of Kungsholmen 2004-2020. From 2015 and onwards, all individuals aged 65 and older in the municipality of Stockholm who have been granted eldercare services are included (annually ~21000 individuals). Data are based on the standardized documentation of individual need-assesments conducted by municipal need-assessors. For each new/updated decision, the type and amount of care services gran
... Show more..Data format / data structure
Numeric
Creator/Principal investigator(s)
Bettina Meinow
- Stockholm Gerontology Research Center Foundation
Keywords
social sciences, socioeconomic factors, mortality, marital status, surveys and questionnaires, registries, economics, medical, longitudinal studies, delivery of health care, social conditions, social support, health services research, memory, prospective studies, nursing care, care of the elderly, aged, ageing, housing for the elderly, mental health, geriatric nursing, health services, activities of daily living, age groups, epidemiologic studies, cohort studies, data collection, dementia, population characteristics, frail elderly, follow-up studies, aged, 80 and over, homecare, assistance needs
Time period(s) investigated
2015 – ongoing
Response rate/participation rate
100%
Registerdata on all individuals who have been granted municipal eldercare services.