oru.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 114) Show all publications
Akner, G. & Järhult, B. (2016). Ekonomiska incitament ska inte kopplas till den enskilde patienten. Läkartidningen, 113, Article ID D4TP.
Open this publication in new window or tab >>Ekonomiska incitament ska inte kopplas till den enskilde patienten
2016 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113, article id D4TPArticle in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Stockholm, Sweden: Läkartidningen Förlag AB, 2016
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-50865 (URN)27299336 (PubMedID)
Available from: 2016-06-15 Created: 2016-06-15 Last updated: 2017-11-28Bibliographically approved
Engelheart, S. & Akner, G. (2015). Dietary intake of energy, nutrients and water in elderly people living at home or in nursing home. The Journal of Nutrition, Health & Aging, 19(3), 265-272
Open this publication in new window or tab >>Dietary intake of energy, nutrients and water in elderly people living at home or in nursing home
2015 (English)In: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 19, no 3, p. 265-272Article in journal (Refereed) Published
Abstract [en]

Objectives: There is a lack of detailed information on dietary intake in elderly people at an individual level, which is crucial for improvement of nutritional support. The aim of this study was to investigate the dietary intake in elderly people in two types of living situations. 

Design: Observational study, analysing prospective data.

Setting: The dietary intake was studied in elderly people living at home or in nursing home, in different cities of Sweden.

Participants: A total of 264 elderly people (mean age 84) participated in the observational study.

Measurements: Dietary intake was measured using weighed food records and food diaries, comparing females and males. The observed dietary intake was related to Recommended intake and Lower intake level.

Results: All dietary intake and patient characteristic variables showed large individual differences (ranges). We found no significant differences (p>0.05) between those living at home and nursing home residents regarding the average intake of energy, protein and water when expressed as total intake per kg of body weight. A very low daily intake of energy (<20 kcal/kg body weight/day) was observed in 16% of the participants. For vitamin D and iron, 19% and 15%, respectively, had intakes below the Lower intake level. There was no correlation between intake of energy, protein or water and resident characteristics such as age, autonomy, morbidity, nutritional state or cognition.

Conclusions: The large individual differences (ranges) in energy, nutrients and water show that the use of mean values when analysing dietary intake data from elderly people is misleading. From a clinical perspective it is more important to consider the individual intake of energy, nutrients and water. Ageism is intrinsic in the realm of ‘averageology’.

Place, publisher, year, edition, pages
Paris, France: Springer, 2015
Keywords
aging, dietary intake, Energy intake, homes for the aged, nursing homes, water intake
National Category
Geriatrics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-41656 (URN)10.1007/s12603-015-0440-0 (DOI)000351164800003 ()25732210 (PubMedID)2-s2.0-84925493707 (Scopus ID)
Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2018-02-07Bibliographically approved
Akner, G. (2015). Klinisk nutrition har svag ställning i vårdsystemet. Äldre i centrum (1), 15-17
Open this publication in new window or tab >>Klinisk nutrition har svag ställning i vårdsystemet
2015 (Swedish)In: Äldre i centrum, ISSN 1653-3585, no 1, p. 15-17Article, review/survey (Other academic) Published
Place, publisher, year, edition, pages
Stockholm: Stiftelsen Stockholms läns Äldrecentrum, 2015
Keywords
Klinisk nutriton, äldre
National Category
Medical and Health Sciences Nutrition and Dietetics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-43459 (URN)
Available from: 2015-03-09 Created: 2015-03-09 Last updated: 2017-10-18Bibliographically approved
Akner, G. & Rothenberg, E. (2015). Multisjuka och bräckliga äldre (1ed.). In: Tommy Cederholm, Elisabet Rothenberg (Ed.), Mat och hälsa: En klinisk handbok (pp. 105-108). Stockholm: Studentlitteratur AB
Open this publication in new window or tab >>Multisjuka och bräckliga äldre
2015 (Swedish)In: Mat och hälsa: En klinisk handbok / [ed] Tommy Cederholm, Elisabet Rothenberg, Stockholm: Studentlitteratur AB, 2015, 1, p. 105-108Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Studentlitteratur AB, 2015 Edition: 1
National Category
Medical and Health Sciences Geriatrics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-44516 (URN)978-91-44-08357-5 (ISBN)
Available from: 2015-05-04 Created: 2015-05-04 Last updated: 2018-06-29Bibliographically approved
Akner, G. (2015). Tid för klinisk analys. Sjukhusläkaren (1), 34-34
Open this publication in new window or tab >>Tid för klinisk analys
2015 (Swedish)In: Sjukhusläkaren, ISSN 1651-2715, no 1, p. 34-34Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Stockholm: Sjukhusläkarföreningen, 2015
Keywords
Tid, klinisk analys, kvalitet
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-43460 (URN)
Available from: 2015-03-09 Created: 2015-03-09 Last updated: 2017-10-17Bibliographically approved
Akner, G. (2014). Back to basics. Sjukhusläkaren (1), 35
Open this publication in new window or tab >>Back to basics
2014 (Swedish)In: Sjukhusläkaren, ISSN 1651-2715, no 1, p. 35-Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Sjukhusläkarföreningen, 2014
National Category
Clinical Medicine
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-37346 (URN)
Available from: 2014-10-02 Created: 2014-10-02 Last updated: 2019-04-03Bibliographically approved
Chandrasekaran, D., Andersson, Å. G., Hindenborg, M., Norlin, R. & Akner, G. (2014). Development of physical performance after acute hip fracture: An observational study in a regular clinical geriatric setting. Geriatric Orthopaedic Surgery & Rehabilitation, 5(3), 93-102
Open this publication in new window or tab >>Development of physical performance after acute hip fracture: An observational study in a regular clinical geriatric setting
Show others...
2014 (English)In: Geriatric Orthopaedic Surgery & Rehabilitation, E-ISSN 2151-4585, Vol. 5, no 3, p. 93-102Article in journal (Refereed) Published
Abstract [en]

Background and aim: Hip fracture is a leading cause of mortality, morbidity, and disability in older people. The aim of thepresent study was to prospectively assess the development of physical performance in patients with hip fracture after surgery.

Setting: Prospective, observational study in a Swedish university hospital.

Methods: Assessment of 102 consecutive patients(65 females), with a mean age of 82 years (range 35-98) without specific inclusion or exclusion criteria. Seven physical functionswere assessed using the following 4 measuring methods and 3 rating scales at baseline 7 to 10 days after surgery and follow-upafter 4 months (F4): 10-m habitual walking speed (HWS), timed up and go (TUG), 30-second chair stand test (CST), handgripstrength (HGS), Berg balance scale (BBS), functional ambulation category (FAC), and general mobility.

Results: The 47% dropoutpatients were significantly older and more often lived alone or in nursing homes and used indoor walking aids. At baseline, themean HWS was 0.4/0.5 (females/males) m/s; TUG 53/30 s; CST 4/5 kg, and HGS 17.4/31.2 kg. The medians of BBS and FAC were20/20 and 4/4, respectively. There were significant mean improvements at F4 for all 4 measured functions, except for HGS inmales but for neither of the rating scales. There was a large heterogeneity in all assessed variables, both at baseline and regardingchange at 4 months. Therefore, the mean/median results are depicted in figures, showing all individual results at baseline and F4,compared to reference values and discussed in relation to degree of improvement.

Conclusion: The observed large heteroge-neity at baseline as well as F4 makes it essentially meaningless to report means and median data of functional assessment ofpatients with hip fracture. There is a strong need for individualization in both health analysis and how the treatment programis targeted, carried through, and evaluated over time in patients with hip fracture

Place, publisher, year, edition, pages
Sage Publications, 2014
Keywords
elderly, hip fracture, physical performance, follow-up
National Category
Clinical Medicine
Identifiers
urn:nbn:se:oru:diva-37359 (URN)10.1177/2151458514527606 (DOI)2-s2.0-84993687339 (Scopus ID)
Available from: 2014-10-02 Created: 2014-10-02 Last updated: 2018-04-16Bibliographically approved
Akner, G. (2014). Geriatric care in Sweden. In: Williams B, Chang A, Ahalt C, Conant R, Richie C, Chen H, Landefeld S, Yukawa M (Ed.), Current Diagnosis & Treatment: Geriatrics (pp. 539-542). USA: McGraw-Hill
Open this publication in new window or tab >>Geriatric care in Sweden
2014 (English)In: Current Diagnosis & Treatment: Geriatrics / [ed] Williams B, Chang A, Ahalt C, Conant R, Richie C, Chen H, Landefeld S, Yukawa M, USA: McGraw-Hill, 2014, p. 539-542Chapter in book (Refereed)
Place, publisher, year, edition, pages
USA: McGraw-Hill, 2014
National Category
Clinical Medicine Geriatrics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-37358 (URN)9780071792080 (ISBN)
Available from: 2014-10-02 Created: 2014-10-02 Last updated: 2017-10-17Bibliographically approved
Akner, G. & Gustafson, Y. (2014). Geriatriken behöver skifta fokus: från sjukdom till person. Läkartidningen, 104(31-32), 1290-1290, Article ID CYIC.
Open this publication in new window or tab >>Geriatriken behöver skifta fokus: från sjukdom till person
2014 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 104, no 31-32, p. 1290-1290, article id CYICArticle in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Stockholm: Läkartidningen förlag AB, 2014
National Category
Medical and Health Sciences Geriatrics
Research subject
Geriatrics
Identifiers
urn:nbn:se:oru:diva-41665 (URN)25221819 (PubMedID)2-s2.0-84905565890 (Scopus ID)
Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2018-06-15Bibliographically approved
Akner, G. (2014). Ibsens princip bör styra vårdsektorn. Sjukhusläkaren (5), 26-26
Open this publication in new window or tab >>Ibsens princip bör styra vårdsektorn
2014 (Swedish)In: Sjukhusläkaren, ISSN 1651-2715, no 5, p. 26-26Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Stockholm: Sjukhusläkarföreningen, 2014
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-41661 (URN)
Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2017-10-17Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1592-8835

Search in DiVA

Show all publications