SNAC - Swedish National study on Aging and Care. SNAC-S (GÅS)

Principal investigator(s):

Sölve Elmståhl - Lund University, Department of Clinical Sciences Medicine in Malmö. Division of Geriatric Medicine

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 Gott Åldrande i Skåne (GÅS). In all four areas, a independently 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-GÅS Gott Åldrande i Skåne is intended for a random selection of people, 60 years and older, who live in the municipalities of Malmö, Eslöv, Hässleholm, Osby and Ystad. The study consists of two parts – the population study and the care system study. The population study: The baseline examination was conducted between 2001-2004, with a total of 2,931 individuals aged 60-93 years. The baseline examination included clinical examinations by a physician, a psychologist and a nurse as well as a questionnaire. The first re-examination of participants aged >78 years was performed during 2005-2007. The second re-examination of each participant in the baseline examination

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Keywords:

care of the elderly, Aged, ageing, weight, Housing for the Elderly, pensions, living conditions, leisure time activities, height, mental health, housing conditions, 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, 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, blood lipids, Scania, EpiHealth, EpiHealth_Skåne, blood count, balance, assistance needs, concentrations capacity, respiratory function, walking test, Swedish Cohort Consortium (SCC), NEAR - Towards a National E-Infrastructure for Aging Research in Sweden, Cohorts.se

Contact:

Sölve Elmståhl

Study number:

Principal investigator(s):

Sölve Elmståhl - Lund University, Department of Clinical Sciences Medicine in Malmö. Division of Geriatric Medicine

Principal organisation:

Purpose:

To study normal aging, functional ability, diseases an associated risk factors, health and life situation and the need of care and service in a normal elderly population.

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 Gott Åldrande i Skåne (GÅS). In all four areas, a independently 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-GÅS Gott Åldrande i Skåne is intended for a random selection of people, 60 years and older, who live in the municipalities of Malmö, Eslöv, Hässleholm, Osby and Ystad. The study consists of two parts – the population study and the care system study. The population study: The baseline examination was conducted between 2001-2004, with a total of 2,931 individuals aged 60-93 years. The baseline examination included clinical examinations by a physician, a psychologist and a nurse as well as a questionnaire. The first re-examination of participants aged >78 years was performed during 2005-2007. The second re-examination of each participant in the baseline examination

... more

Keywords:

care of the elderly, Aged, ageing, weight, Housing for the Elderly, pensions, living conditions, leisure time activities, height, mental health, housing conditions, 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, 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, blood lipids, Scania, EpiHealth, EpiHealth_Skåne, blood count, balance, assistance needs, concentrations capacity, respiratory function, walking test, Swedish Cohort Consortium (SCC), NEAR - Towards a National E-Infrastructure for Aging Research in Sweden, Cohorts.se

Time period(s) investigated:

2001 — ongoing

Geographic description:

Skåne (Eslöv, Malmö, Osby, Hässleholm och Ystad)

Unit of analysis:

Universe/Population:

Individuals aged 60 or over, residing in Eslöv, Malmö, Osby, Hässleholm or Ystad.

Time Method/Study design:

Sampling procedure:

Probability

Ethics Review Board:

Lund —951-02, LU 650-00, LU 744-00

Biobank:

Biobank is connected to the study

Publications

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Stenhagen M, Ekström H, Nordell E, Elmståhl S. Falls in the general elderly population: A 3- and 6-year follow-up of risk factors using data from the longitudinal population study ‘Good Aging in Skåne’" BMC Geriatr. 2013 Aug 7;13(1):81. [Epub ahead of print] MID: 23919320
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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.
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Lagergren M, Fratiglioni L, Hallberg IR, Berglund J, Elmståhl S, Hagberg B, Holst G, Rennemark M, Sjölund BM, Thorslund M, Wiberg I, Winblad B, Wimo A. A longitudinal study integrating population, care and social services data. The Swedish National study on Aging and Care (SNAC). Aging Clin Exp Res. 2004 Apr;16(2):158-68.

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.

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.

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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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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Ekberg O, Elmståhl S, Björgell O, Hillarp B, Maly P, Redlund Johnell I, Rundgren Å. Geriatrisk radiologi, en viktig del av bild- och funktionsmedicin. Nordisk Geriatrik, 2008 (11) 5; 4-20.

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.

Kristensson J, Hallberg IR, Lundborg P. Health care costs for people aged 65+ two years prior to them receiving long-term municipal care. Aging Clin Exp Research 2008 Dec;20(6):547-55.

Modig S, Kristensson J, Ekwall AK, Hallberg IR, Midlöv P. Frail elderly patients in primary care--their medication knowledge and beliefs about prescribed medicines. Eur J Clin Pharmacol. 2009;65(2):151-5.

Condelius A, Hallberg IR, Jacobsson U. Medical healthcare utilization as related to long-term care at home or in special accommodation. Archives Gerontology and Geriatrics. 2010; 51: 250-6.
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Condelius A, Edberg A-K, Hallberg IR, Jakobsson U. Utilization of medical healthcare among people receiving long-term care at home or in special accommodation. Scand J Caring Sci. 2010;24:404-13.
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Szanto O, Montnemery P, Elmståhl S. Prevalence of airway obstruction in the elderly: results from a cross-sectional spirometric study of nine age cohorts between the ages of 60 and 93 years. Prim Care Respir J. 2010 Sep;19(3):231-6. .
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Bramell-Risberg E, Jarnlo G-B, Elmståhl S. Slowing of alternating forearm movements is associated with cognitive impairment in community-dwelling older people. Dement Geriatr Cogn Disord. 2010;29(5):457-66.
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Karlsson S, Edberg A-K, Hallberg IR.Professional's and older person's assessments of functional ability, health complaints and received care and service. A descriptive study. Int J Nurs Stud. 2010 Oct;47(10):1217-27.
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Christensson A, Elmståhl S. Estimation of the age-dependent decline of glomerular filtration rate from formulas based on creatinine and cystatin C in the general elderly population. Nephron Clin Pract. 2011;117(1):c40-50. Epub 2010.
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Jönsson KM, Wieloch M, Sterner G, Nyman U, Elmståhl S, Engström G, Svensson PJ. Glomerular filtration rate in patients with atrial fibrillation on warfarin treatment: a subgroup analysis from the AURICULA registry in Sweden. Thromb Res. 2011 Oct;128(4):341-5.
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Enkvist Å, Ekström H, Elmståhl S. What factors affect life satisfaction (LS) among the oldest-old? Arch Gerontol Geriatr. 2012 Jan-Feb;54(1):140-5.
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Ekström H, Dahlin-Ivanoff S, Elmståhl S. Effects of walking speed and results of Timed Get-Up-and-Go tests on quality of life and social participation in elderly individuals with a history of osteoporosis-related fractures. Journal Aging Health, 2011; Aug 25 1-21.
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Enkvist Å, Ekström H, Elmståhl S. Life satisfaction (LS) and symptoms among the oldest-old: Results from the longitudinal population study called Good Aging in Skåne (GÅS). Arch Gerontol Geriatr. 2012 Jan-Feb;54(1):146-50.
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Montnemery P, Elmståhl S. Diagnosis of chronic obstructive pulmonary disease with special reference to over- and underdiagnosis using spirometry. Book chapter, Primary Care, 2012, Primary Care at a Glance - Hot Topics and New Insights 2012 ISBN 979-953-307-556-2.

Elmståhl S, Ekström H. Prediktorer för livstillfredsställelse, funktionsförmåga och aktiviteter i det dagliga livet - Data från den longitudinella befolkningsstudien ”Gott Åldrande i Skåne” En sexårsuppföljning av 60 till 93 år gamla malmöbor. Geriatriskt utvecklingscentrum, Skånes universitetssjukhus, Malmö, 2012, 1-23. ISBN-nummer 978-91-975977-1-5.
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Ekström H, Dahlin-Ivanoff S, Elmståhl S. Does informal support influence social participation of fractured elderly people? Arch Gerontol Geriatr. 2013 May-Jun;56(3):457-65
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Bramell-Risberg E, Jarnlo G-B, Elmståhl S. Separate physical tests of lower extremities and postural control are associated with cognitive impairment. Results from the general population study Good Aging in Skåne (GÅS-SNAC). Clin Interv Aging. 2012;7:195-205.
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Enkvist Å, Ekström H, Elmståhl S. Associations between functional ability and life satisfaction in the oldest old: results from the longitudinal population study Good Aging in Skåne. Clinical Interventions in Aging. 2012:7 313-320.

Sterner G, Elmståhl S, Frid A. Metformin treatment, renal function and lactic acidosis. A population based study. British J Diabetes Vascular Disease, 2012;12:227-231.

Karlsson S, Edberg A-K, Jakobsson U, Hallberg IR. Care satisfaction among older people receiving public care and service at home or in special accommodation. J Clin Nurs. 2013 Feb;22(3-4):318-30.
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Enkvist Å, Ekström H, Elmståhl S. Associations between cognitive abilities and life satisfaction in the oldest-old Results from the longitudinal population study Good Aging in Skåne. Clinical Interventions in Aging, 2013, 8:845-853.
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Lagergren M, Fagerström C, Nordell E, Berglund J, Fratiglioni L, Sjölund B-M, Wimo A, Elmståhl S. Horizontal and vertical targeting efficiency - a population-based comparison between users and non-users of public long-term care for older persons in Sweden. Ageing and Society, 2014;34:700-719. DOI: http://dx.doi.org/10.1017/S0144686X12001225 Published online: 20 December 2012.
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Bramell-Risberg E, Jarnlo G-B, Elmståhl S. Older women with dementia can perform fast alternating forearm movements and performance is correlated with tests of lower extremity function. Clinical Interventions in Aging 2013:8 175-184.
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Stenhagen M, Ekström H, Nordell E, Elmståhl S. Accidental falls, health-related quality of life and life satisfaction: A prospective study of the general elderly population. Arch Gerontol Geriatr. 2014 Jan-Feb;58(1):95-100. doi: 10.1016/j.archger.2013.07.006. Epub 2013 Aug 8.
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Stenhagen M, Nordell E, Elmståhl S. Falls in elderly people: a multifactorial analysis of risk markers using data from the Swedish general population study 'Good Ageing in Skåne'. Aging Clin Exp Res. 2013 Apr;25(1):59-67. doi: 10.1007/s40520-013-0015-z. Epub 2013 Feb 21.
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Werner K, Elmståhl S, Christensson A, Pihlsgård M. Male sex and vascular risk factors affect cystatin-C derived renal function in older people without diabetes or overt vascular disease. Age and Ageing, 2014; 43 (3): 411-7.
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Hägg M. Houston B. Ekström H. Elmståhl S. Wann Hansson C. Sleep quality, use of hypnotics and sleeping habits in different age groups among older people. Scand J Car Sci, 2014, Feb, DOI: 10.1111/scs.12119

Ekdahl J, Elmståhl S. Portion size among elder subjects in the general population. A methodological dietary study from Malmö, Sweden. J Aging: Research and Clinical Practice, J Aging Res Clin Practice 2013;2(2):158-167

Dahlrup B, Nordell E, Steen-Carlsson K, Elmståhl S. Health economic analysis on a psychosocial intervention for family caregivers of persons with dementia. Dement Geriatr Cogn Disord. 2013 Oct 24;37(3-4):181-195.

Stenhagen M, Ekström H, Nordell E, Elmståhl S. Both deterioration and improvement in activities of daily living are related to falls: A 6-year follow-up of the general elderly population study 'Good Aging in Skane' (GAS-SNAC). Clin Interv Aging. 2014 Oct 28;9:1839-46.

Elmståhl S, Widerström E. Orthostatic intolerance predicts mild cognitive impairment: incidence of mild cognitive impairment and dementia from the Swedish general population cohort Good Aging in Skåne. Clin Interv Aging. 2014 Nov 20;9:1993-2002.
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Gavrilidou NN, Pihlsgård M, Elmståhl S.High degree of BMI misclassification of malnutrition among Swedish elderly population: Age-adjusted height estimation using knee height and demispan. Eur J Clin Nutr. 2015 May;69(5):565-71. doi: 10.1038/ejcn.2014.183. Epub 2014 Sep 10.
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Douhan J, Elmståhl S. Fysisk aktivitet & bra matvanor för det goda åldrandet. - Resultat från forskningsprojektet Gott Åldrande i Skåne (GÅS). Geriatriskt utvecklingscentrum, Skånes universitetssjukhus, Malmö, 2013; 1-34. ISBN-nummer 978-91-975977-2-2.

Manskow US, Sigurdardottir S, Røe C, Andelic N, Skandsen T, Damsgård Elmståhl S, Anke A. Factors affecting caregiver burden one year after severe traumatic brain injury: A prospective nationwide multicenter study. J Head Trauma Rehabilitation, 2014 Aug 12. [Epub ahead of print]

Berner J, Rennemark M, Jogréus C, Anderberg, P, Sköldunger A, Wahlberg M, Elmståhl S, Berglund J. Internet use by older-adults in rural and urban settings in Sweden - results from the SNAC study. Health Informatics J. 2014 Feb 24. [Epub ahead of print]

Kylén M, Ekström H, Haak M, Elmståhl S, Iwarsson S. Home and health in the third age - Methodological background and descriptive findings. Int J Environ Res Public Health. 2014 Jul 11;11(7):7060-80.

Wranker L.S., Rennemark M., Berglund J., Elmståhl S. Relationship between pain and Quality of Life-Findings from the Swedish National Study on Aging and Care-Blekinge study. Scandinavian Journal of Pain, 2014;5:270-275.

Legrand H, Nordell E, Pihlsgård M, Elmståhl S. A long-recommended but seldom-used method of analysis for fall injuries found a unique pattern of risk factors in the youngest-old. Aging Clin Exp Res. 2015 Aug;27(4):439-45. doi: 10.1007/s40520-014-0308-x. Epub 2015 Jan 14.
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Gavrilidou NN, Pihlsgård M, Elmståhl S. Anthropometric reference data for elderly Swedes and its disease-related pattern. Eur J Clin Nutr. 2015 Sep;69(9):1066-75. doi: 10.1038/ejcn.2015.73. Epub 2015 May 20.
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Lagergren M, Fagerström C, Sjölund B-M, Berglund J, Fratiglioni L, Nordell E, von Strauss E, Wimo A, Elmståhl S. Horizontal and vertical targeting - a population-based comparison of public eldercare services in urban and rural areas of Sweden. Aging Clin Exp Res. 2016 Feb;28(1):147-58. doi: 10.1007/s40520-015-0369-5. Epub 2015 May 20.

Dahlrup B, Ekström H, Nordell E, Elmståhl S. Coping as a caregiver: A question of strain and its consequences on life satisfaction and health-related quality of life. Arch Gerontol Geriatr. 2015 Sep-Oct;61(2):261-70. doi: 10.1016/j.archger.2015.06.007. Epub 2015 Jun 25
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Haak M, Kylén M, Ekström H, Schmidt SM, Horstmann V, Elmståhl S, Iwarsson S. Relationships between perceived aspects of home and symptoms in a cohort aged 67-70. Arch Gerontol Geriatr. 2015 Nov-Dec;61(3):529-34. doi: 10.1016/j.archger.2015.06.013. Epub 2015 Jun 25.

Luoto J Elmståhl S, Wollmer P, Pihlsgård M. Incidence of airflow limitation in subjects 65-100 years of age. Eur Respir J. 2016 Feb;47(2):461-72. doi: 10.1183/13993003.00635-2015. Epub 2015 Dec 17.
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Sandin-Wranker L, Rennemark M, Elmståhl S, Berglund J. The influence of personality traits on perception of pain in older adults - Findings from the Swedish National Study on Aging and Care - Blekinge study. Scandinavian Journal of Pain, 2015;7:3-8

Lindberg T, Bohman D, Elmståhl S, Jogréus C, Sanmartin Berglund J. Prevalence of unknown and untreated arrhythmias in an older outpatient population screened by wireless long-term recording ECG. Clinical Interventions in Aging 2016: 10; 11: 1083-90

Wranker L.S., Rennemark M., Berglund J., Elmståhl S. A 9-year follow-up of women and men reporting pain: Results from the Swedish National Study of Aging and Care - Blekinge (accepted), 2016

Roos V, Elmståhl S, Ingelsson E, Sundström J, Ärnlöv J, Lind L. Metabolic syndrome development during ageing - with special reference to obesity without the metabolic syndrome. Metabolic Syndrome and Related Disorders, 2016, Nov 1. doi: 10.1111/ane.12709. [Epub ahead of print] PMID: 27804110

Delavaran H, Jönsson A-C, Lövkvist H, Iwarsson S, Elmståhl S, Norrving B, Lindgren A. Cognitive function in stroke survivors: A 10-year follow-up study. Acta Neurol Scand, 2016; Nov 1. doi: 10.1111/ane.12709. [Epub ahead of print] PMID: 7804110

Wimo A, Elmståhl S, Fratiglioni L, Sjölund BM, Sköldunger A, Fagerström C, Berglund J, Lagergren M Formal and Informal Care of Community-Living Older People: A Population-Based Study from the Swedish National Study on Aging and Care. J Nutr Health Aging. 2017;21(1):17-24. doi: 10.1007/s12603-016-0747-5.
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Lindberg T, Berglund J, Elmståhl S, Bohman D. Older individuals need for knowledge and follow up about their chronic Atrial Fibrillation, lifelong medical treatment and medical controls. Scand J Caring Sciences. 2017 in press.

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.