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Nyberg, Lillemor A.
Publications (7 of 7) Show all publications
Hellénius, M.-L., Andermo, S., Nordenfelt, A., Lidin, M., Nyberg, L. A. & Nyberg, G. (2024). Negative associations between step-up height and waist circumference in 8-year-old children and their parents. Acta Paediatrica, 113(8), 1900-1907
Open this publication in new window or tab >>Negative associations between step-up height and waist circumference in 8-year-old children and their parents
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2024 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 113, no 8, p. 1900-1907Article in journal (Refereed) Published
Abstract [en]

AIM: To study cross-sectional relationships between step-up height and waist circumference (WC), a potential proxy for sarcopenic obesity, in Swedish children and parents.

METHODS: Participants were recruited from Swedish schools in disadvantaged areas in 2017. Height, body weight, WC and maximal step-up height were measured in 67 eight-year-old children and parents: 58 mothers, with a mean age of 38.5 and 32 fathers, with a mean age of 41.3. Sedentary time and physical activity were registered by an accelerometer. Associations between maximal step-up height and WC were analysed using Pearson's correlation and adjusted linear regression.

RESULTS: Abdominal obesity, WC ≥ 66 centimetres (cm) in children, ≥88 cm in women and ≥102 cm in men, was observed in 13% and 35% of girls and boys, and in 53% and 34% among mothers and fathers, respectively. Negative associations between maximal step-up height and WC were found for children (r = -0.37, p = 0.002) and adults (mothers r = -0.58, p < 0.001, fathers r = -0.48, p = 0.006). The associations remained after adjustments for height, body mass index (BMI) and physical activity in adults. Reduced muscle strength clustered within families (r = 0.54, p < 0.001).

CONCLUSION: Associations between reduced muscle strength and abdominal obesity were observed in children and parents. Sarcopenic obesity may need more attention in children. Our findings support family interventions.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2024
Keywords
Sarcopenic obesity, abdominal obesity, family, muscle strength, physical activity
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-113676 (URN)10.1111/apa.17274 (DOI)001224287700001 ()38752666 (PubMedID)2-s2.0-85193385550 (Scopus ID)
Funder
Swedish Heart Lung Foundation, 20150692; 20170706
Note

This work was supported by grants from The Swedish Heart Lung Foundation (Grant 20150692 and 20170706) and Skandia Mutual Life Insurance Company.

Available from: 2024-05-21 Created: 2024-05-21 Last updated: 2024-09-02Bibliographically approved
Godhe, M., Rönquist, G., Nilsson, J., Ekblom, Ö., Nyberg, L. A., Edman, G. & Andersson, E. (2024). Reliability in Novel Field-Based Fitness Measurements and Postexercise Scores from a Physical Fitness Test Battery in Older Adults. Gerontology, 70(6), 639-660
Open this publication in new window or tab >>Reliability in Novel Field-Based Fitness Measurements and Postexercise Scores from a Physical Fitness Test Battery in Older Adults
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2024 (English)In: Gerontology, ISSN 0304-324X, E-ISSN 1423-0003, Vol. 70, no 6, p. 639-660Article in journal (Refereed) Published
Abstract [en]

Introduction: Physical fitness is strongly associated with daily physical function, health, and longevity in older adults. Field-based tests may provide a reasonable alternative compared to advanced laboratory testing. Separating postexercise test scores from reactivity measurements requires sufficient test-retest reliability. Postexercise test scores with reliability analyses of field-based fitness tests in older adults are lacking. The present study aimed to examine the test-retest reliability of some novel easily accommodated fitness test measurements and compare pretest scores with postexercise results in these tests along with other field-based fitness tests in older adults.

Methods: Totally 1,407 community-dwelling older adults (69% female), (x) over bar = 71.5 +/- 5.0 (65-84 years), performed twelve field-based fitness tests at pretest 1, pretest 2 and a posttest after an 8-week exercise period (twice weekly 1 h of combined strength and aerobic training). T tests, intra-class correlation, limits of agreement, standard error of measurement, and coefficient of variance were performed between pre-1 and pre-2 tests, and repeated measures ANOVA and partial eta squared effect size for postexercise differences for men and women in 5-year age groups ranging from 65 to 84 years.

Results: Between pre-1 and pre-2 tests a significant difference was noted in some of the novel fitness test measurements but generally not, e.g., in isometric trunk flexion and step-up height on either leg among all sex and age groups. In most of these novel fitness test measurements, no significant differences occurred between the two pretests. Examples of results from the pre-2 test to the posttest were isometric trunk flexion 45 degrees endurance and isometric trunk extension endurance improved significantly for both sexes in age groups 65-74 years. Women, but not men, improved the maximal step-up height for both legs in most age groups. The speed in the 50 sit-to-stand improved significantly for most age groups in both sexes. Six-min walk distance improved significantly for most age groups in women but among men only in 65-69 years. In the timed-up-and-go test, significant improvements were seen for all age groups in women and in men 70-79 years. No postexercise improvements were generally observed for grip strength or balance.

Conclusions: In most of the novel fitness test measures, no significant difference was noted between the two pretests in the assessed sex and age groups. Results after the 8-week exercise period varied between sex and age groups, with significant improvements in several of the twelve studied fitness tests. These findings may be valuable for future projects utilizing easily accommodated physical fitness tests in older adults.

Place, publisher, year, edition, pages
S. Karger, 2024
Keywords
Physiological capacity, Exercise, Elderly, Test-retest, Strength, Motor fitness, Cardiorespiratory fitness
National Category
Geriatrics
Identifiers
urn:nbn:se:oru:diva-115016 (URN)10.1159/000538446 (DOI)001252836500004 ()38565082 (PubMedID)2-s2.0-85196137766 (Scopus ID)
Funder
Solstickan Foundation
Available from: 2024-07-24 Created: 2024-07-24 Last updated: 2024-07-24Bibliographically approved
Klässbo, M., Nordström, K., Nyberg, L. A., Kristiansson, P. & Wadensjö, H. V. (2022). I exercise to postpone death: Interviews with persons with hip and/or knee osteoarthritis who are attending an osteoarthritis school. Physiotherapy Theory and Practice, 38(11), 1667-1682
Open this publication in new window or tab >>I exercise to postpone death: Interviews with persons with hip and/or knee osteoarthritis who are attending an osteoarthritis school
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2022 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 38, no 11, p. 1667-1682Article in journal (Refereed) Published
Abstract [en]

Background: Physical activity (PA) and exercise constitute the first line of treatment for osteoarthritis (OA) of the hip and/or knee. Even though the symptoms may vary, OA should be considered a chronic disease and therefore PA and exercise should be performed lifelong. That needs knowledge and motivation.

Purpose: The purpose of this study was to explore and create a deeper understanding of the motivational processes for PA and exercise for persons with hip and/or knee OA who have participated in a self-management program OA school that included long-term exercise supervised by physical therapists.

Methods: Twenty-two in-depth interviews were conducted with 18 participants recruited from the OA school at a Physical Therapy Rehabilitation Clinic in Sweden. The interviews were analyzed with qualitative content analysis.

Results: The analysis resulted in one main theme, Developing health literacy to encourage motivational processes for PA and exercise in OA and four themes: 1) meeting an established self-management program; 2) carrying my life history; 3) understanding the intelligence of the body; and 4) growing in existential motivation.

Conclusion: Motivation for being physically active and to exercise, the life history in relation to PA and what creates existential motivation are important areas to ask questions about when people come to OA schools. Knowledge about the signals of the body connected to OA should be implemented in OA schools in order to motivate people to live an active life despite OA. Health literacy and the awareness of how PA can postpone death are likely to be important for existential motivation. 

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Osteoarthritis, exercise, health literacy, hip, knee, motivation, physical activity, physical therapy
National Category
Physiotherapy Nursing
Identifiers
urn:nbn:se:oru:diva-89921 (URN)10.1080/09593985.2021.1882020 (DOI)000620895900001 ()33620013 (PubMedID)2-s2.0-85101582175 (Scopus ID)
Note

Funding Agency:

Uppsala-Örebro Regional Research Council  

Available from: 2021-02-25 Created: 2021-02-25 Last updated: 2025-02-11Bibliographically approved
Baumbach, L., Ankerst, D., Roos, E. M., Nyberg, L. A., Cottrell, E. & Lykkegaard, J. (2021). Association between received treatment elements and satisfaction with care for patients with knee osteoarthritis seen in general practice in Denmark. Scandinavian Journal of Primary Health Care, 39(2), 257-264
Open this publication in new window or tab >>Association between received treatment elements and satisfaction with care for patients with knee osteoarthritis seen in general practice in Denmark
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2021 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 39, no 2, p. 257-264Article in journal (Refereed) Published
Abstract [en]

Objective: While education, exercise, and weight reduction when indicated, are recommended first-line treatments for knee osteoarthritis patients, they remain poorly implemented in favour of pain killer treatment, imaging and referral to surgery. A reason could be that patients are more satisfied with receiving these adjunctive treatment elements. This study aimed to investigate the associations between the received elements of care and the patient's satisfaction with the care for knee osteoarthritis in general practice.

Design: Cross-sectional study.

Setting: A Danish general practice.

Subjects: All consecutive patients >= 30 years of age who consulted the general practitioner (GP) with chronic knee complaints during 18 months and who replied to a mailed questionnaire (n = 136).

Main outcome measures: The questionnaire addressed patient's knee-related quality of life, and overall satisfaction with care, as well as reception of seven types of information, which are known quality indicators. Information on reception of adjunctive treatment elements was obtained from electronic medical records.

Results: Patient satisfaction (versus neutrality/dissatisfaction) was positively associated with reception of information on: physical activity and exercise (relative risks [RR] 1.38, 95% bootstrap percentile interval [BPI] 1.02-4.33), and the relationship between weight and osteoarthritis (1.38, 1.01-4.41). No significant associations were found for the five remaining types of information and all the adjunctive treatment elements.

Conclusion: Providing information as education to patients with knee osteoarthritis as part of the treatment is positively associated with satisfaction with care.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Osteoarthritis, patient satisfaction, therapeutics, association, general practitioners
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-93206 (URN)10.1080/02813432.2021.1922835 (DOI)000756154400018 ()34218731 (PubMedID)2-s2.0-85109649731 (Scopus ID)
Note

Funding Agency:

EIT Health 18430 JIGSAW-E

Available from: 2021-07-29 Created: 2021-07-29 Last updated: 2022-03-03Bibliographically approved
Baumbach, L., Roos, E. M., Ankerst, D., Nyberg, L. A., Cottrell, E. & Lykkegaard, J. (2021). Changes in received quality of care for knee osteoarthritis after a multicomponent intervention in a general practice in Denmark. Health Science Reports, 4(4), Article ID e402.
Open this publication in new window or tab >>Changes in received quality of care for knee osteoarthritis after a multicomponent intervention in a general practice in Denmark
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2021 (English)In: Health Science Reports, E-ISSN 2398-8835, Vol. 4, no 4, article id e402Article in journal (Refereed) Published
Abstract [en]

Objective: First-line treatment for patients with knee osteoarthritis should ideally prescribe patient education, exercise, and if needed, weight loss. In practice, however, adjunctive treatments, including painkillers and referrals to specialists, are typically introduced before these measures. This study evaluated interventions to sustainably improve general practitioner delivered care for patients with knee osteoarthritis.

Design: Comparison of impacts of knee osteoarthritis care during four half-year periods: before, 6, 12, and 18 months after primary intervention based on electronic medical records (EMR) and patient questionnaires.

Setting: Danish general practitioners (GPs) treating 6240 patients.

Participants: Four GPs, two GP trainees, and six staff members.

Interventions: Six pre-planned primary interventions: patient leaflet, GP and staff educational session, knee osteoarthritis consultation, two functional tests monitoring patient function, EMR phrase aiding consultation, and waiting room advertisement and three supportive follow-up interventions.

Main outcome measures: Usage of first-line and adjunctive treatment elements, the functional tests, and the EMR phrase.

Results: Approximately 50 knee osteoarthritis cases participated in each of the four half-year periods. Primary interventions had only transient effects lasting <12 months on the knee osteoarthritis care. Functional tests and EMR phrases were used predominantly during the first 6 months, where a transient drop in the referral rate to orthopedics was observed. Use of educational elements was moderate and without significant change during follow-up.

Conclusion: More routine use of the primary or inclusion of novel increased-adherence interventions is needed to sustainably improve care for knee osteoarthritis patients in Danish general practice.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
Clinical guidelines, general practice, knee osteoarthritis, quality improvement, treatment
National Category
Orthopaedics
Identifiers
urn:nbn:se:oru:diva-94960 (URN)10.1002/hsr2.402 (DOI)000735431100071 ()34632100 (PubMedID)2-s2.0-85121853080 (Scopus ID)
Note

Funding agency:

EIT Health 18430 JIGSAW-E

Available from: 2021-10-12 Created: 2021-10-12 Last updated: 2022-04-28Bibliographically approved
Baumbach, L., Ankerst, D., Nyberg, L. A., Cottrell, E., Roos, E. M. & Lykkegaard, J. (2020). ASSOCIATION BETWEEN RECEIVING DIFFERENT ELEMENTS OF CARE AND SATISFACTION WITH CARE IN PATIENTS WITH KNEE OSTEOARTHRITIS TREATED BY THEIR GENERAL PRACTITIONER. Paper presented at OARSI World Congress on Osteoarthritis - Promoting Clinical and Basic Research in Osteoarthritis, Vienna, Austria, APR 30-MAY 03, 2020.. Osteoarthritis and Cartilage, 28, S450-S450, Article ID 670.
Open this publication in new window or tab >>ASSOCIATION BETWEEN RECEIVING DIFFERENT ELEMENTS OF CARE AND SATISFACTION WITH CARE IN PATIENTS WITH KNEE OSTEOARTHRITIS TREATED BY THEIR GENERAL PRACTITIONER
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2020 (English)In: Osteoarthritis and Cartilage, ISSN 1063-4584, E-ISSN 1522-9653, Vol. 28, p. S450-S450, article id 670Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2020
National Category
Orthopaedics Clinical Medicine
Identifiers
urn:nbn:se:oru:diva-91149 (URN)000527813600687 ()
Conference
OARSI World Congress on Osteoarthritis - Promoting Clinical and Basic Research in Osteoarthritis, Vienna, Austria, APR 30-MAY 03, 2020.
Available from: 2021-04-16 Created: 2021-04-16 Last updated: 2025-02-18Bibliographically approved
Nyberg, L. A., Sundberg, C. J., Wändell, P., Kowalski, J. & Hellénius, M.-L. (2020). Long-term effects of group exercise intervention on maximal step-up height in middle-aged female primary care patients with obesity and other cardio-metabolic risk factors. BMC Sports Science, Medicine and Rehabilitation, 12(1), Article ID 11.
Open this publication in new window or tab >>Long-term effects of group exercise intervention on maximal step-up height in middle-aged female primary care patients with obesity and other cardio-metabolic risk factors
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2020 (English)In: BMC Sports Science, Medicine and Rehabilitation, E-ISSN 2052-1847 , Vol. 12, no 1, article id 11Article in journal (Refereed) Published
Abstract [en]

Background: Low physical performance is a predictor of morbidity and mortality. This study looks at long-term effects of an exercise intervention on maximal step-up height (MSH) in individuals with low physical function. Factors associated with changes in MSH was studied.

Methods: Female patients (n = 101), mean (SD) age of 52 (11) years, were recruited for a 3-month group exercise intervention including 2-3 sessions/week of mixed aerobic fitness and strength training. MSH, weight, body mass index (BMI), waist circumference, maximal oxygen consumption (VO2-max), self-reported health (SF-36) and physical activity (PA) were measured at baseline (T0), after 3 months (T1) and after 14-30 (mean 22) months (T2). Relationships between changes in MSH (cm) and age, baseline MSH, time to follow-up, changes in anthropometric measurements, VO2-max, SF-36 and PA were studied with regression analyses.

Results: MSH, significantly, increased from T0 to T1, 27.2 (5.7) to 29.0 (5.5) cm and decreased to 25.2 (5.5) cm at T2. Time to follow-up (B = - 0.42, p < 0.001) and change in BMI (B = - 0.29, p = 0.012) correlated significantly to changes in MSH. Waist circumference, VO2-max, PF and exercise/physical activity levels were significantly improved at T2, while BMI did not change. In a univariate logistic regression model, maintenance of MSH correlated to the extent of mixed training (OR 3.33, 95% CI 1.25-8.89). In a multivariate logistic regression model adjusted for important factors the correlation was not significant. However, MSH was significantly higher in individuals participating in 2-3 session per week compared to one session.

Conclusions: A 3-month group exercise intervention increased MSH, improved fitness, decreased risk in female patients with elevated cardio-metabolic risk. After an average of 22 months MSH was reduced while positive effects remained for waist circumference, VO2-max, physical function and physical activity. However, regular group exercise 2-3 times per week with mixed aerobic fitness and strength training was associated with maintenance of MSH in a subgroup of patients. We suggest that such an intervention including regular support from healthcare professionals is a successful approach for maintaining improved leg-muscle strength among primary care patients.

Trial registration: ISRCTN21220201 September 18, 2019, retrospectively registered.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2020
Keywords
Exercise, Female, Muscle strength, Primary care, Rehabilitation, Step-up height
National Category
Physiotherapy
Identifiers
urn:nbn:se:oru:diva-80806 (URN)10.1186/s13102-020-00161-4 (DOI)000520995400001 ()32190332 (PubMedID)2-s2.0-85082045869 (Scopus ID)
Note

Funding Agencies:

Division of Family Medicine and Primary Care at the Department of Neurobiology, Care Sciences and Society at Karolinska Institutet, Stockholm  

Cardiology Unit at the Department of Medicine at Karolinska Institutet, Stockholm  

Department of Physiology and Pharmacology at Karolinska Institutet, Stockholm  

Region Örebro County  

Swedish National Institute of Public Health in Sweden  

Karlskoga Municipality in Sweden  

Insurance Karlskoga in Sweden  

Employment Services Karlskoga in Sweden  

Örebro University  

Region Örebro County in Sweden

Available from: 2020-03-23 Created: 2020-03-23 Last updated: 2025-02-11Bibliographically approved
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