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  • 301.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Gustafsson, G
    Vårdplanering av äldre personer vid utskrivning från sjukhus1998Conference paper (Refereed)
  • 302.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    Malmberg, Bo
    Zarit, S.H.
    Factors related to care pattern in Swedish oldest oldManuscript (Other academic)
  • 303.
    Ernsth Bravell, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Westerlind, Björn
    Midlöv, Patrik
    Östgren, Carl-Johan
    Borgquist, Lars
    Lannering, Christina
    Mölstad, Sigvard
    How to assess frailty and the need for care? Report from the Study of Health and Drugs in the Elderly (SHADES) in community dwellings in Sweden2011In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 53, no 1, p. 40-45Article in journal (Refereed)
  • 304.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Att äta i trädgården....: Ett försök med berikning av vårdtagarnas mat och dryck på trädgårdens äldreboende, Jönköpings kommun2001Report (Other academic)
  • 305.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    Dag klockan tolv på natten1998In: Äldreomsorg, no 6Article in journal (Refereed)
  • 306.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    "Det ska inte bero på vem som jobbar.....": Utvärdering av verksamhet på ett äldreboende för personer med demenssjukdom2001Report (Other scientific)
  • 307.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    Hjälp att sova1998In: Äldreomsorg, no 6Article in journal (Refereed)
  • 308.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    Kostprojekt på Trädgårdens äldreboende2000In: Socialbladet, no 4Article in journal (Refereed)
  • 309.
    Ernsth, Marie
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. HHJ. Ageing - living conditions and health.
    Vårdplanering- att överföra information1997In: 11. Jönköpingskonferensen i Äldreomsorg, Jönköping, 1997Conference paper (Refereed)
  • 310.
    Ernsth, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Gustafsson, Gunnel
    Kartläggning av avlösning och växelvård1998Report (Other academic)
  • 311.
    Ernsth, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Larsson, Birgitta
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    "Att bo kvar hemma": en kartläggning av kvälls- och nattpatrullernas arbete i Jönköpings kommun2000Report (Other academic)
  • 312.
    Ernsth, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Larsson, Birgitta
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Evening and Night Patrols reduce Environmental Demands2002In: Aspects on aging, old age care and local contexts / [ed] Bo Malmberg and Cecilia Henning, Jönköping: Hälsohögskolan , 2002, p. 111-119Chapter in book (Other academic)
  • 313.
    Ernsth, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Färdigbehandlad - och sedan?: Vårdplanering i Jönköpings län.1999Report (Other (popular scientific, debate etc.))
  • 314.
    Ernsth, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Gustafsson, Gunnel
    Äldre mellan två stolar?: äldreomsorg och äldrevård i gränslandet mellan landstingets och kommunernas ansvarsområden i Jönköpings län1997Report (Other academic)
  • 315.
    Ernsth, Marie
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Svensson, Gabriella
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Respite Care: a Way of Improve the Interpersonal Resources2002In: Aspects on aging, old age care and local contexts / [ed] Bo Malmberg and Cecilia Henning, Jönköping: Hälsohögskolan , 2002, p. 101-110Chapter in book (Other academic)
  • 316.
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Higher prevalence of pressure ulcers in people receiving palliative care is not necessarily an indicator of poor care2019In: Evidence-Based Nursing, ISSN 1367-6539, E-ISSN 1468-9618, Evidence Based NursingArticle in journal (Refereed)
    Abstract [en]

    Commentary on: Ferris A, Price A, Harding K. Pressure ulcers in patients receiving palliative care: a systematic review. Palliat Med 2019;33:770-782. doi: 10.1177/0269216319846023.

  • 317.
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Komplex bild när äldre både ger och tar emot omsorg2018In: Äldre i Centrum, ISSN 1653-5385, no 3, p. 36-39Article in journal (Other (popular science, discussion, etc.))
  • 318.
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Structured preventive work in Swedish nursing homes2018Conference paper (Refereed)
  • 319.
    Ernsth-Bravell, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Bülow, Per
    Region Jönköpings län.
    Torgé, Cristina Joy
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Wilińska, Monika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Bülow, Pia H.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Jegermalm, Magnus
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work.
    Older people with and without mental illness – Register-based population study from Sweden2018Conference paper (Refereed)
  • 320.
    Ernsth-Bravell, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Finkel, Deborah
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Indiana University Southeast, New Albany, IN, USA.
    Cohort differences in longitudinal change in functional ability2018Conference paper (Refereed)
    Abstract [en]

    Background: Quality of life in late adulthood is a function of physical, emotional, and intellectual health, and maintenance of functional ability is central to sustaining independent living. Generational differences in health behaviors and health care may result in differences in how functional ability changes with age. Cohort differences in rates of decline would provide support for environmental or behavioral influences on aging of physical functioning.

    Method: Twenty assessments of functional ability were collected as part of the longitudinal Swedish Adoption/Twin Study of Aging from twins aged 50–88 at the first wave. Participants completed up to 7 assessments covering a 21-year period. Factor analysis was used to create 3 factors: flexibility, fine motor skills, and balance. Individuals born 1900-1924 (N=441) were compared with individuals born 1925-1948 (N=418).

    Results: Latent growth curve modeling incorporating two linear slopes was used to compare rates of decline between the two cohorts. For the early born cohort, slopes assessed change from 60-80 (slope 1) and 80-95 (slope 2); for the later born cohort, slopes assessed changes from 50-60 and 60-80. The balance and flexibility factors showed equivalent increase in difficulty in functioning in the overlapping age range (age 60-80); however, difficulties in fine motor skills increased faster in the later born cohort in that age range.

    Conclusions: Cohort differences in experiences have modest impact on increases in difficulty in physical functioning; generally, aging of physical functioning is occurring at the same pace for two distinct cohorts, providing support for internal mechanisms of decline.

  • 321.
    Ernsth-Bravell, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Foebel, Andrea D.
    Karolinska Institutet, Sweden.
    Pedersen, Nancy L.
    Karolinska Institutet, Sweden.
    Relations of loneliness, chronic disease risk, self-rated health, perceived impairment in activity and use of care among older people cross-sectional and longitudinal2018Conference paper (Refereed)
    Abstract [en]

    Introduction: Loneliness is not only an unwanted feeling but it may have consequences for health outcomes including chronic disease risk, self-rated health, perceived impairment in activity and use of care. This study examined how feelings of loneliness change over time and relate to health outcomes among older adults.

    Methods: This study included data spanning a 23-year period from Swedish Adoption/Twin Study of Aging (SATSA) participants who were 55 years and older. Loneliness was measured by the question ‘How often do you experience feelings of loneliness’ and was dichotomized as never versus ever having feelings of loneliness. Outcomes of interest included number of chronic diseases, self-rated health, perceived impairment in activities and receipt of care. Generalized linear models were used to characterize changes in loneliness over time and 2 cross-sectional multivariate logistic regression models explored the relationship between loneliness and the outcomes.

    Results: Nearly half of respondents (45,8%) never felt lonely at baseline. At follow-up, significantly more persons experienced feelings of loneliness. At baseline, feelings of loneliness were related to chronic diseases, self-rated health, and perceived impairment in activity. Loneliness at follow-up was related to self-rated health and perceived impairment in activity.

    Conclusion: oneliness increased over time and demonstrated complex relations to the outcomes.

  • 322.
    Ernsth-Bravell, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johansson, Linda
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Finkel, D.
    Indiana University Southeast, New Albany, IN, USA.
    Using National Quality Registries In Gerontological Research: Pros and Cons2018In: Innovation in Aging, ISSN 1556-343X, Vol. 2, no suppl_1, p. 149-149Article in journal (Refereed)
    Abstract [en]

    Health care in Sweden usually focuses on single diseases and is less prepared to treat people with multimorbidity. Combining different national quality registries (NQR) can provide a broader picture of health care, preventive care, and health-promoting care of older people with multimorbidity. The aim of this study was to explore how NQRs can be used in gerontological health care research. A descriptive mixed-method study, including a case report and statistical analysis, was performed. Nine National Quality Registries, three health registries and a social care registry maintained by the Swedish government were individually matched to an older population (birth year 1896 to 1958) in the Swedish Twin Registry (n≈44000). Factor analysis demonstrated the people tended to fall into one of 4 clusters of registries: stroke/dementia/hip, heart/diabetes, arthritis-related, and other. Men were more highly represented in the heart/diabetes cluster. People in the arthritis cluster had the lowest mean age; people in the stroke/dementia/hip cluster had the highest mean age. 161 people were identified as “most ill elderly” (according to the definition by the Swedish government). Two of them were randomly selected for case reports. Each case appeared in 6–7 of the health quality registries, providing sufficient information to track their progression through the health care system until the point of death. The results highlight both pros and cons of using the quality registries as the basis for analysis and “registry-enriched” research designs, but more research needs to be performed to understand how NQRs can be used in gerontological research.

  • 323.
    Ernsth-Bravell, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johansson, Linda
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Östlund, Lena
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Wellbeing without restraints and coercion, the zero vision2019Conference paper (Refereed)
  • 324.
    Ernsth-Bravell, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Torgé, Cristina Joy
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Delaktighet i hälso- och sjukvård i Jönköpings kommun2019Report (Other academic)
    Abstract [sv]

    Under de senaste decennierna har det skett en rad organisatoriska förändringar inom vård och omsorg. En av de stora konsekvenserna av förändringarna är ett utökat hälso- och sjukvårds-ansvar för kommunerna i landet. Inom hälso- och sjukvården har det också skett lagföränd-ringar, där bland annat delaktighet lyfts fram tydligare nu. Den här studien syftade därför till att undersöka hur personer som erhåller hälso- och sjukvård i kommunen uppfattar sin del-aktighet i planering, genomförande och uppföljning av hälso- och sjukvårdsinsatser.

    Studien omfattar tre olika kontexter; 1) hälso- och sjukvård i ordinärt boende, 2) hälso- och sjukvård i särskilt boende för äldre samt 3) hälso- och sjukvård i boende inom socialpsykiatrin. Olika metoder har använts (enkäter i studie 1 och 3 och intervjuer i studie 2) och rapporten är därför uppbyggd i tre delar.

    Resultaten visar dock att delaktighet är viktigt för personerna i samtliga tre kontexter men att det kan vara svårt att sätta ord på vad delaktighet egentligen betyder. Personer som ingår i studien ger flera goda exempel på när de känt sig delaktiga, men även det motsatta. Delaktighet är således en fråga som ständigt är aktuell och som man ständigt behöver arbeta med.   

  • 325.
    Ernsth-Bravell, Marie
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Walfridsson, C.
    Bennich, M.
    To receive care in my own home: Experiences from older people2019Conference paper (Refereed)
  • 326. Evrin, Per-Erik
    et al.
    Nilsson, Sven
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Öberg, Tommy
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Serum C-reactive protein in elderly men and women: Association with mortality, morbidity, and various biochemical values.2005In: Scandinavian Journal of Clinical and Laboratory Investigation, ISSN 0036-5513, E-ISSN 1502-7686, Vol. 65, no 1, p. 23-31Article in journal (Refereed)
  • 327.
    Fagerström, Cecilia
    et al.
    Blekinge Center of Competence, Karlskrona, Sweden.
    Wranker, Lena Sandin
    Department of Health Sciences, Division of Geriatric Medicine, Lund University, Lund, Sweden.
    Kabir, Zarina Nahar
    Division of Nursing, NVS, Karolinska Institute, Stockholm, Sweden.
    Sternäng, Ola
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Stockholm Centre for Health and Social Change (SCOHOST), Södertörn University, Huddinge, Sweden.
    Everyday Health among Older People: A Comparison between Two Countries with Variant Life Conditions2017In: Journal of Aging Research, ISSN 2090-2204, E-ISSN 2090-2212, article id 2720942Article in journal (Refereed)
    Abstract [en]

    This study described health factors of importance for everyday health, such as pain, tiredness, and sleeping problems, in a cross-national context. Data for persons 60+ years were obtained from the Poverty and Health in Aging study, Bangladesh, and the Swedish National Study on Aging and Care-Blekinge. The strongest associations with everyday health in Sweden were found for pain and tiredness, while in Bangladesh they were financial status, tiredness, and sleeping problems. As similarities were found regarding the associations of tiredness on everyday health, tiredness may be a universal predictor of everyday health in older adults irrespective of country context.

  • 328. Fauth, B.
    et al.
    Johannesson, Susanne
    Jönköping University, School of Health and Welfare.
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johansson, Linda
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Malmberg, Bo
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johansson, B.
    Zarit, Steven
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Sustained and successful model in international gerontological education: A short study abroad course fostering research collaboration and educational training for over a decade2019Conference paper (Refereed)
  • 329. Fauth, B
    et al.
    Zarit, S
    Johansson, Boo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Predicting the transition into disability in the oldest old2006In: 59th Annual Scientific Meeting, The Gerontological Society of America, Dallas, 2006Conference paper (Refereed)
  • 330.
    Fauth, Elizabeth B.
    et al.
    Utah State Univ, Dept Family Consumer & Human Dev, Logan, UT 84322 USA.
    Gerstorf, Denis
    Penn State Univ, Dept Human Dev & Family Studies, University Pk, PA 16802 USA.
    Ram, Nilam
    Penn State Univ, Dept Human Dev & Family Studies, University Pk, PA 16802 USA.
    Malmberg, Bo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    Changes in Depressive Symptoms in the Context of Disablement Processes: Role of Demographic Characteristics, Cognitive Function, Health, and Social Support2012In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 67, no 2, p. 167-177Article in journal (Refereed)
    Abstract [en]

    Gerontological research suggests that depressive symptoms show antecedent and consequent relations with late-life disability. Less is known, however, about how depressive symptoms change with the progression of disability-related processes and what factors moderate such changes. We applied multiphase growth models to longitudinal data pooled across 4 Swedish studies of very old age (N = 779, M age = 86 years at disability onset, 64% women) to describe change in depressive symptoms prior to disability onset, at or around disability onset (the measurement wave at which assistance in personal activities of daily living was first recorded), and postdisability onset. Results indicate that, on average, depressive symptoms slightly increase with approaching disability, increase at onset, and decline in the postdisability phase. Age, study membership, being a woman, and multimorbidity were related to depressive symptoms, but social support emerged as the most powerful predictor of level and change in depressive symptoms. Our findings are consistent with conceptual notions implicating disability-related factors as key contributors to late-life change and suggest that contextual and psychosocial factors play a pivotal role for how well people adapt to late-life challenges.

  • 331.
    Fauth, Elizabeth B.
    et al.
    Department of Family, Consumer, and Human Development, Utah State University.
    Gerstorf, Denis
    Institute of Psychology, Humboldt University.
    Ram, Nilam
    Department of Human Development and Family Studies, The Pennsylvania State University.
    Malmberg, Bo
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Comparing changes in late-life depressive symptoms across aging, disablement, and mortality processes2014In: Developmental Psychology, ISSN 0012-1649, E-ISSN 1939-0599, Vol. 50, no 5, p. 1584-1593Article in journal (Refereed)
    Abstract [en]

    Developmental processes are inherently time-related, with various time metrics and transition points being used to proxy how change is organized with respect to the theoretically underlying mechanisms. Using data from 4 Swedish studies of individuals aged 70-100+ (N = 453) who were measured every 2 years for up to 5 waves, we tested whether depressive symptoms (according to the Center for Epidemiologic Studies Depression Scale; Radloff, 1977) are primarily driven by aging-, disablement-, or mortality-related processes, as operationally defined by time-from-birth, time-to/from-disability-onset (1st reported impairment in Personal Activities of Daily Living; Katz, Ford, Moskowitz, Jackson, & Jaffe, 1963), and time-to-death metrics. Using an approach based on Akaike weights, we tested whether developmental trajectories (for each time metric) of depressive symptoms in late life are more efficiently described as a single continuous process or as a 2-phase process. Comparing fits of linear and multiphase growth models, we found that 2-phase models demonstrated better fit than did single-phase models across all time metrics. Time-to-death and time-to/from-disability-onset models provided more efficient descriptions of changes in depressive symptoms than did time-from-birth models, with time-to-death models representing the best overall fit. Our findings support prior research that late-life changes in depressive symptoms are driven by disablement and, particularly, mortality processes, rather than advancing chronological age. From a practical standpoint, time-to/from-disability-onset and, particularly, time-to-death metrics may provide better "base" models from which to examine changes in late-life depressive symptoms and determine modifiable risk and protective factors. Developmental researchers across content areas can compare age with other relevant time metrics to determine if chronological age or other processes drive the underlying developmental change in their construct of interest.

  • 332.
    Fauth, Elizabeth B.
    et al.
    Utah State University, Department of Family, Consumer, and Human Development, Logan, UT, United States.
    Schaefer, Sydney Y.
    Utah State University, Department of Family, Consumer, and Human Development, Logan, UT, United States.
    Zarit, Steven H.
    Pennsylvania State University, PA, United States.
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johansson, Boo
    University of Gothenburg, Sweden.
    Associations between Fine Motor Performance in Activities of Daily Living and Cognitive Ability in a Nondemented Sample of Older Adults: Implications for Geriatric Physical Rehabilitation2017In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 29, no 7, p. 1144-1159Article in journal (Refereed)
    Abstract [en]

    Objective: Fine motor ability (FMA) is essential in certain activities of daily living (ADL) and is considered mostly as a component of physical function. We hypothesize that cognitive ability explains significant variance in ADL-related FMA, above and beyond what is explained by physical ability (grip strength).

    Method: Origins of Variance in the Old Old Study (OCTO)-Twin participants (n = 218), aged 80+ (dementia, stroke, Parkinson's disease excluded) were assessed on depressive symptoms (Center for Epidemiologic Studies-Depression Scale [CES-D]), a cognitive battery, grip strength, and FMA.

    Results: In a series of ordinary least squares regression models, FMA was not associated with gender or depressive symptoms, but was associated with age (marginally; β = '.164, p =.051), grip strength (β = '.381, p <.01), and one cognitive measure, perceptual speed (β = '.249, p <.01).

    Discussion: In nondemented older adults, cognitive speed predicts ADL-related FMA after controlling for age and physical ability. Physical rehabilitation of FMA in ADL tasks should consider the importance of cognitive ability, even in nondemented older adults. 

  • 333. Femia, E E
    et al.
    Davey, A
    Shea, D G
    Zarit, Z H
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Sundström, Gerdt
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Smyer, M A
    Formal and informal help for people at risk of institutionalization in the US and Sweden1997In: 50th Annual Scientific Meeting of the Gerontogical Society of America, Cincinatti, 1997Conference paper (Refereed)
  • 334. Finkel, D
    et al.
    Pedersen, N L
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Johansson, Boo
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    McClearn, G E
    Quantitative genetic analysis of biobehavioral markers of aging in SATSA and OCTO twins1996In: Behavior Genetics Association Meeting, Pittsburg, 1996Conference paper (Refereed)
  • 335.
    Finkel, D.
    et al.
    Indiana University, USA.
    Sternäng, Ola
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Stockholm University.
    Wahlin, Åke
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Longitudinal trends in functional biological age: Impact of lifestyle factors2015In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 55, p. 61-61Article in journal (Other academic)
  • 336.
    Finkel, Deborah
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Genetic and Environmental Influences on Functional Ability in the Second Half of Life2019Conference paper (Refereed)
  • 337.
    Finkel, Deborah
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Longitudinal relationships between cognitive and functional aging2019Conference paper (Refereed)
  • 338.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Psychology, Indiana University Southeast, New Albany, IN, United States.
    Andel, Ross
    School of Aging Studies, University of South Florida, Tampa, United States.
    Pedersen, Nancy L.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Gender Differences in Longitudinal Trajectories of Change in Physical, Social, and Cognitive/Sedentary Leisure Activities2018In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 73, no 8, p. 1491-1500Article in journal (Refereed)
    Abstract [en]

    Objective: We examined changes in participation in cognitive, social, and physical leisure activities across middle and older adulthood and tested moderation of trajectories of change in participation by gender.

    Method: In all, 1,398 participants in the Swedish Adoption/Twin Study of Aging (SATSA) completed a 7-item leisure activity questionnaire up to 4 times over 17 years. Mean baseline age was 64.9 years (range = 36-91); 59% were women. Factor analysis identifed physical, social, and cognitive/sedentary leisure activity participation factors. Age-based latent growth curve models adjusted for marital status, gender, education, depressive symptoms, and physical health were used.

    Results: Overall, results indicated stability in social activities, increase in cognitive/sedentary activities, and decrease in physical activities, as well as accelerated decline in all three types of activities after about the age of 70 years. Social activity remained mostly stable for women and declined for men. Women reported higher levels of cognitive/sedentary leisure activity across the study. Both men and women declined in physical leisure activity. Variance in leisure activities increased with age; men demonstrated more variance in social activities and women in physical activities.

    Conclusions: Understanding change in leisure activities with age and by gender can have important implications for interventions and for use of leisure activity data in epidemiological research. 

  • 339.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Emery, Charles F.
    Department of Psychology, Ohio State University, Columbus, USA.
    Gatz, Margaret
    Department of Psychology, University of Southern California, Los Angeles, USA.
    Dahl Aslan, Anna K.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Evidence of bi-directional associations between depressive symptoms and body mass among older adults2019Conference paper (Other academic)
  • 340.
    Finkel, Deborah
    et al.
    Department of Psychology, Indiana University Southeast, New Albany.
    Ernsth Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Pedersen, Nancy L.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
    Sex differences in genetic and environmental influences on longitudinal change in functional ability in late adulthood2015In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 70, no 5, p. 709-717Article in journal (Refereed)
    Abstract [en]

    Objectives. To determine the extent to which genetic and environmental factors contribute to individual and gender differences in aging of functional ability.

    Method. Twenty assessments of functional ability are collected as part of the longitudinal Swedish Adoption/Twin Study of Aging from 859 twins aged 50–88 at the first wave. Participants completed up to 6 assessments covering a 19-year period. Factor analysis was used to create 3 factors: flexibility, fine motor skills, and balance.

    Results. Latent growth curve analysis demonstrated increasing disability and variability after age 70. For flexibility, results indicated significant sex differences in mean change trajectories but no sex differences in components of variance. No sex differences were found for fine motor movement. For balance, there were no sex differences in mean change trajectories; however, there was significant genetic variance for changes in balance in women after age 70 but not for men.

    Discussion. Although idiosyncratic environmental influences account for a large part of increasing variance, correlated and shared rearing environmental effects were also evident. Thus, both microenvironmental (individual) and macroenvironmental (family and cultural) effects, as well as genetic factors, affect maintenance of functional ability in late adulthood.

  • 341.
    Finkel, Deborah
    et al.
    Department of Psychology, Indiana University Southeast, New Albany, USA.
    Ernsth Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Pedersen, Nancy L.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
    Temporal dynamics of motor functioning and cognitive aging2016In: The journals of gerontology. Series A, Biological sciences and medical sciences, ISSN 1079-5006, E-ISSN 1758-535X, Vol. 71, no 1, p. 109-116Article in journal (Refereed)
    Abstract [en]

    Background. Because of the possible implications for intervention and thus successful aging, researchers have striven to determine whether the age changes in physical and cognitive functioning are coincident or does functioning in one domain change before, and possibly contribute to, functioning in the other.

    Methods. Bivariate dual change score models were applied to four cognitive factors and three motor functioning factors available from 813 adults who participated in the Swedish Adoption/Twin Study of Aging. Participants were aged 50–88 at the first of six waves of testing covering a 19-year follow-up period; 68% participated in at least three waves.

    Results. Model comparisons indicated dynamic coupling relationships between Balance and Fine Motor factors and the Speed cognitive factor. Decline in motor function precedes decline in performance on processing speed tasks, even though the motor function tasks were not timed. Results indicated possible bidirectional coupling between Fine Motor and Speed.

    Conclusions. Combined with other dual change score model analyses of cognition and physical function, a picture is beginning to emerge of the cascade of events that may lead to cognitive aging.

  • 342.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Age changes in lung function precede and contribute to subsequent age changes in motor function and cognition2019Conference paper (Refereed)
  • 343.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Indiana University Southeast, New Albany, IN, USA.
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Cohort By Education Differences In Longitudinal Change In Functional Ability2018In: Innovation in Aging, ISSN 1556-343X, Vol. 2, no suppl_1, p. 477-477Article in journal (Refereed)
    Abstract [en]

    Quality of life in late adulthood is a function of physical, emotional, and intellectual health, and maintenance of functional ability is central to sustaining independent living. Generational differences in health behaviors and health care may result in differences in how functional ability changes with age. Twenty assessments of functional ability were collected as part of the longitudinal Swedish Adoption/Twin Study of Aging from twins aged 50–88 at the first wave. Participants completed up to 9 assessments covering a 26-year period. Factor analysis was used to create 3 factors: flexibility, fine motor skills, and balance. Individuals born 1900–1924 (N=441) were compared with individuals born 1925–1948 (N=418). Latent growth curve modeling indicated accelerating changes with age for all 3 factors in both cohorts, but difficulties in motor function increased at a significantly slower pace in the later born cohort. Education was added to the LGCM as an indicator of socio-economic conditions: lower education (elementary school) vs. higher education. Sixty-nine percent of the earlier born cohort and 50% of the later born cohort had only elementary school education. Adding education to the LGCM had no impact on rates of change in the early born cohort. In the later born cohort, however, individuals with less education had the same aging trajectories as the earlier born cohort. That is, only later born individuals with higher educational achievement showed the slower rate of aging of functional abilities. Results demonstrate the SES distinction in the impact of health improvements over the 20th century.

  • 344.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Indiana University Southeast, New Albany, USA.
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Cohort by Education Interactions in Longitudinal Changes in Functional Abilities2018In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, article id 898264318814108Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Investigations of cohort differences in relationships between education and health tend to focus on mortality or self-reported health. We report one of the first analyses of cohort differences in relationships between education and objective measures of functional abilities across the lifespan.

    METHOD: Up to 26 years of follow-up data were available from 859 adults from the Swedish Adoption/Twin Study of Aging. The sample was divided into two cohorts by birth year: 1900-1924 and 1925-1948. Latent growth curve models (LGCM) were compared across cohort and educational levels.

    RESULTS: LGCM indicated divergence between adults with lower and higher educational attainment in longitudinal trajectories of change with age in the Balance and Flexibility factors for the later born cohort only.

    DISCUSSION: Results support the cumulative advantage theory and suggest that education-health disparities are increasing in recent cohorts, even in counties with national health care systems and strong support of education.

  • 345.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Psychology, Indiana University Southeast, New Albany.
    Franz, Carol E.
    Department of Psychiatry, University of California, San Diego, USA.
    Christensen, Kaare
    Department of Epidemiology, University of Southern Denmark, Odense, Denmark.
    Reynolds, Chandra A.
    Department of Psychology, University of California, Riverside, USA.
    Pedersen, Nancy L.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Longitudinal twin study of subjective health: Differences in genetic and environmental components of variance across age and sex2018In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368Article in journal (Refereed)
    Abstract [en]

    Objective: The current analysis examines sex differences in longitudinal changes in genetic and environmental influences on three measures of subjective health.

    Method: Sample includes 7372 twins (mean intake age = 73.22) with up to 8 waves of measurement (mean = 3.1). Three subjective health (SH) items were included: general self-rated health (SRH), health compared to age peers (COMP), and impact of health on activities (ACT) which previous research shows capture different frames of reference.

    Results: Latent growth curve modeling indicated significant differences across gender and frame of reference in trajectories of change with age and in genetic and environmental contributions to change. Men have higher mean scores on all three SH measures, indicating better SH, but there were no sex differences in pattern of change with age. Accelerating declines with age were found for SRH and ACT, whereas COMP improved with age. Results indicated more genetic variance for women than men, but declining genetic variance for both after age 70. Increasing shared environmental variance with increasing age was also found for both sexes.

    Discussion: As aging triggers a re-evaluation of the meaning of "good health," physical aspects of health may become less important and shared cultural conceptions of health may become more relevant. This change in conceptions of good health may reflect both aging and the change in composition of the elderly population as a result of selective survival.

  • 346.
    Finkel, Deborah
    et al.
    Department of Psychology, Indiana University Southeast, New Albany.
    Gerritsen, Lotte
    Karolinska Institutet.
    Dahl, Anna K.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Pedersen, Nancy L.
    Karolinska Institutet.
    Etiology of individual differences in human health and longevity2014In: Annual Review of Gerontology and Geriatrics, ISSN 0198-8794, Vol. 34, no 1, p. 189-227Article in journal (Refereed)
    Abstract [en]

    In this chapter, we review of the field of gerontological genetics with respect to subjective and objective health, the role of stress on health, and finally frailty and longevity. For most indices of subjective and objective health, frailty, and longevity, genetic influences contribute only modestly to individual differences, wherein heritabilities are typically on the order of 35%–40%. Notable exceptions are the moderate to strong heritabilities for lipid measures and brain structure and function, with a remarkably increasing role of genetic influences for longevity with advancing age. Although candidate gene and genome-wide association studies (GWAS) studies have identified gene variants associated with many subjective and objective health traits, their effect sizes are typically relatively small, as expected for complex traits. There is some evidence for gene–environment interactions, and stress may be an important moderator of genetic variance for health. For example, carrying a risk genotype for cardiovascular disease (CVD) in the angiotensin converting enzyme gene (ACE) may predict stress responsivity and risk of cardiovascular-related diagnoses. Moreover, the gene coding for apolipoprotein E (APOE) may moderate responsiveness to stress evoking experiences, impact of physical exercise, and associate with sleep characteristics in those who develop cognitive impairments. For metabolic syndrome (MetS), encompassing the co-occurrence of obesity, hypertension, hypertriglyceridemia, and hyperinsulinemia, promising associations exist although no single genotype or any gene clusters have been consistently associated with MetS across populations, suggesting that complex gene–environment interactions must be understood before the use of genetic markers can be realized in clinical practice. Future investigations of subjective and objective health, frailty, and longevity are needed to further identify sources of genetic and environmental contributions—and their dynamics across adulthood—to advance understanding of aging processes, prevention, and intervention avenues, and ultimately successful aging.

  • 347.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Johansson, Linda
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Oral health predicts quality of life in data from Swedish National Quality Registries2019Conference paper (Refereed)
  • 348.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Indiana University Southeast, New Albany, IN, USA.
    Pedersen, Nancy L.
    University of Southern California, Los Angeles, CA, USA.
    Financial strain moderates genetic influences on self-reported health: Support for social compensation model2018Conference paper (Refereed)
    Abstract [en]

    The existence of genetic influences on both health and SES attainment suggests that GE interplay plays a role in SES-health associations. Adverse environments raise the risk of disease for everyone, but various models of GE interplay predict that some genotypes are more vulnerable to adversity than others (diathesis-stress), enriched environments prevent the expression of an underlying genetic vulnerability (social compensation), or genetic factors are minimized in adverse environments and maximized in favorable ones (social enhancement). Differential susceptibility models propose that specific genotypes might be more responsive to the social environment at both positive and negative extremes. Nine of the 15 twin studies of adult development and aging that are part of the IGEMS consortium included items assessing financial strain as well as subjective health, representing 10,756 individuals. The sample was 55% women, included 3185 MZ twins and 5228 DZ twins, and age ranged from 24 to 98. A factor model was used to create a harmonized measure of financial strain across studies and items: extent to which money covers needs, difficulty in paying monthly bills, economic situation compared to others, and whether there is money for extras. Twin analysis of genetic and environmental variance for self-rated health incorporating age and financial strain as continuous moderators and sex as a dichotomous moderator indicated significant financial strain moderation of genetic influences on self-rated health. Genetic variance increased as financial strain increased, matching the predictions of the diathesis-stress and social comparison models for components of variance.

  • 349. Finkel, Deborah
    et al.
    Pedersen, Nancy L
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Johansson, Boo
    McClearn, Gerald E
    Quantitative genetic analysis of biobehavioral markers of aging in swedish studies of adult twins2000In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 12, no 1, p. 47-68Article in journal (Refereed)
  • 350. Finkel, Deborah
    et al.
    Pedersen, Nancy L
    Reynolds, Chandra A
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    DeFaire, U
    Svartengren, M
    Genetic and environmental influences on decline in biobehavioral markers of aging2003In: Behavior Genetics, ISSN 0001-8244, E-ISSN 1573-3297, Vol. 33, no 2, p. 107-123Article in journal (Refereed)
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