Abstract：
BACKGROUND:Orthostatic hypotension (OH) is associated with significant morbidity and mortality among older people. We have studied whether its prevalence can be reduced by a Comprehensive Geriatric Assessment (CGA). STUDY DESIGN AND SETTING:1000 randomly-selected persons aged ≥75 years were divided into intervention (n = 500) and control groups (n = 500). We focused on those subjects in whom an orthostatic blood pressure test had been performed at least once during the study period (2004-2007) (n = 365 and 332 for intervention and control groups, respectively). A CGA, including evaluation of the adequacy of the medication, was performed annually in the intervention group but not in the control group. We conducted Markov models to study change in the OH profiles and the effect of CGA on it. Competing risk of mortality was modeled as an absorbing state to avoid attrition bias. RESULTS:Over 3 years, the prevalence of OH decreased (35.0% → 28.0%) in the intervention group, whereas its prevalence increased in the control group (32.8% → 40.8%). By Markov models it was shown that CGA had a statistically significant effect on recovering from OH. In addition, CGA was shown to protect from developing OH. CONCLUSIONS:Repeated CGA performed annually can reduce the prevalence of OH.
journal_name
Scand J Public Healthjournal_title
Scandinavian journal of public healthauthors
Lampela P,Lavikainen P,Huupponen R,Leskinen E,Hartikainen Sdoi
10.1177/1403494813475533subject
Has Abstractpub_date
2013-06-01 00:00:00pages
351-8issue
4eissn
1403-4948issn
1651-1905pii
1403494813475533journal_volume
41pub_type
杂志文章,随机对照试验abstract：AIMS:To describe and analyse municipal differences in health and social service use among old people in the last 2 years of life. METHODS:The data were derived from national registers. All those who died in 2002 or 2003 at the age of ≥ 70 years were included except those who lived in very small municipalities. The ser...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494810396399
更新日期：2011-06-01 00:00:00
abstract：AIMS:The aim of this study was to explore and describe self-rated health in middle-aged and elderly Danes using both a cross-sectional and a longitudinal design. Global and (age) comparative self-rated health are examined and compared. METHODS:This study is interview based and comprises data on 11,294 Danes aged 45-10...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1080/14034940600975674
更新日期：2007-01-01 00:00:00
abstract：AIMS:To estimate the prevalence of general (body mass index) and central (waist circumference and waist/hip ratio) obesity in an area with a mixed Sami and Norwegian population. METHODS:A cross-sectional population-based study carried out in 2003- 2004, the SAMINOR study. The attendance rate was 60.6%. A total of 7,30...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494809354791
更新日期：2010-02-01 00:00:00
abstract：AIMS:As elderly people form a steadily growing part of the population in most parts of the world we are in need of knowledge of the influence of modifiable lifestyle factors on functional ability late in life. This study aims to examine the cumulative impact of smoking from age 50 to 70 on functional ability at age 75....
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1080/14034940410024176
更新日期：2004-01-01 00:00:00
abstract：:Aims: Malaria in the Amazon basin is persistently more prevalent among low density populations (1-4 people/ k m 2 ...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494818756561
更新日期：2019-12-01 00:00:00
abstract：AIMS:The aim of the present study was to examine the association between friendship networks and psychological well-being among 19-year-olds. METHODS:The data used was a random sample of Swedish individuals born in 1990 who answered a questionnaire in 2009-2010. Friendship networks were considered in terms of three me...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494813510793
更新日期：2014-03-01 00:00:00
abstract：:Background: Subjective impairment in memory and instrumental activities in daily living (IADL) are associated with future cognitive decline and poorer mental health in older adults, but their association with mortality is uncertain. Our aim was to examine the associations between subjective memory and IADL impairments...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494819885234
更新日期：2020-12-01 00:00:00
abstract：AIMS:The present study examined the prevalence of Swedish children living with at least one parent whom has a substance use disorder (SUD), i.e. either an alcohol use disorder (AUD) or a drug use disorder (DUD). METHODS:A 2013 cross-sectional survey of a nationally representative sample (n = 15,576) of the Swedish adu...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494815601525
更新日期：2016-02-01 00:00:00
abstract：AIMS:The first year after childbirth involves a major transition for women, which can accentuate inadequacies and feelings of powerlessness, making them vulnerable to depression. The aim of this study was to investigate the prevalence and frequency of maternal postpartum depressive symptoms at different times after giv...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494820977969
更新日期：2020-12-14 00:00:00
abstract：AIMS:Many studies have analysed Twitter's use by attendees of scientific meetings and the characteristics of conference-related messages and most active attendees. Despite these previous reports, to date no studies have described the use of Twitter during Public Health conferences. For this reason, we decided to perfor...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494815612932
更新日期：2016-03-01 00:00:00
abstract：:Aim: Heart failure is a serious complication of acute myocardial infarction leading to poor prognosis. We aimed at exploring time trends of heart failure and their impact on mortality among patients with an incident acute myocardial infarction. Methods: From the National Patient Danish Registry we collected data on al...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494819829333
更新日期：2020-05-01 00:00:00
abstract：AIMS:Nordic elderly care has been restructured to obtain more efficiency. Among workers caring for the elderly, levels of perceived job stress could vary, due to understaffing and resource scarcity. This study examines how sickness absence and sickness presenteeism are associated with perceived job stress. METHODS:Dat...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494808089557
更新日期：2008-07-01 00:00:00
abstract：:The emergence of COVID-19 has changed the world as we know it, arguably none more so than for older people. In Sweden, the majority of COVID-19-related fatalities have been among people aged ⩾70 years, many of whom were receiving health and social care services. The pandemic has illuminated aspects within the care con...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494820969544
更新日期：2020-11-08 00:00:00
abstract：AIMS:The Dikgale Demographic Surveillance System (DDSS) site, established in 1995, is one of three rural surveillance sites in South Africa. This paper describes detailed mortality patterns of a rural African population in the central region of Limpopo Province. METHODS:These data were based on yearly household visits...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494808089654
更新日期：2008-09-01 00:00:00
abstract：:Aims: This study aimed to compare health-related quality of life (HRQOL) among cancer survivors and controls in the Danish population, with special attention given to the impact of low educational attainment. Comparisons were made at population level and for subgroups stratified by education. Furthermore, comparisons ...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494820908757
更新日期：2020-03-03 00:00:00
abstract：AIMS:Increasing proportions of Scandinavian children and children in other Western countries live in joint physical custody, moving between parents' homes when parents live apart. Children and parents in non-intact families are at risk of worse mental health. The potential influence of parental ill-health on child well...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494815614463
更新日期：2016-03-01 00:00:00
abstract：:The purpose of this article is to describe research and teaching activities related to healthy ageing, narrative methods and research ethics at the Nordic School of Public Health NHV during 1999 - 2012. Healthy ageing was conceived in terms of The World Health Organization's (WHO) model of active ageing and of quality...
journal_title：Scandinavian journal of public health
pub_type： 历史文章,杂志文章
doi：10.1177/1403494814568597
更新日期：2015-08-01 00:00:00
abstract：INTRODUCTION:The Danish Adoption Register was established in 1963-1964 to explore the genetic and environmental contribution to familial aggregation of schizophrenia. CONTENT:The register encompass information on all 14,425 non-familial adoptions of Danish children legally granted in Denmark 1924-1947. It includes nam...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494810394714
更新日期：2011-07-01 00:00:00
abstract：AIMS:The aim of this study was to examine the relationship between child maltreatment (CM) and school performance among adolescents in Saudi Arabia. METHODS:A cross-sectional study was conducted in Riyadh, Saudi Arabia, in 2014. The enrolment criteria included both male and female Saudi students ( n=674; 52.7% male) a...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494817703211
更新日期：2017-07-01 00:00:00
abstract：AIMS:To assess the effects of a large school-based physical activity intervention on children's ability to resist distractions and maintain focus, known as executive control. METHODS:A quasi-experimental design with seven intervention and two control primary schools. The Health Oriented Pedagogical Project (HOPP) inte...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494818767823
更新日期：2018-05-01 00:00:00
abstract：AIMS:To investigate municipal utilization of policy documents in child health-promoting activities with reference to document types, substance in the documents and timing in the policy process. METHODS:Fifty semi-structured interviews were performed using the snowball method, and content analyses of written documentat...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494807086980
更新日期：2008-05-01 00:00:00
abstract：AIMS:To explore alcohol-related practices among general practitioners (GPs) in the Cape Town metropole and to examine barriers to addressing risky drinking among patients. METHOD:A cross-sectional survey of 50 GPs was conducted between November 2004 and April 2005. A questionnaire assessing GPs' alcohol-related practi...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494808086914
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:The transition to studying at university is associated with increased levels of both stress and hazardous alcohol use. The aim of this study is to investigate the influence of these factors on first-year dropout from university studies. METHODS:Two complete cohorts of university freshmen at two homogeneous ...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494809344359
更新日期：2009-09-01 00:00:00
abstract：AIMS:To analyse the predictive validity of 18 psychosocial work environment scales from the Copenhagen Psychosocial Questionnaire version II (COPSOQ II) with regard to risk of sickness absence. METHODS:The study population consisted of 3188 wage earners (52% women) from a representative sample of Danish residents. Par...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494809346873
更新日期：2010-02-01 00:00:00
abstract：AIMS:To investigate urban-rural differences in male suicide mortality between 1988 and 1997 in the province of Kuopio in eastern Finland. METHODS:Male suicide mortality between 1988 and 1997 was studied in eastern Finland. The data were collected from official autopsy reports. Age, marital status, household type, plac...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：
更新日期：2001-09-01 00:00:00
abstract：AIMS:There is a lack of studies examining the association between waterpipe smoking and mental well-being among adolescents. This study sought to determine whether waterpipe smoking is associated with mental well-being and other risk and health behaviours in adolescents. METHODS:A questionnaire was distributed to 1006...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494817746534
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:In Russia, tobacco and alcohol use by adolescents are serious problems. In Finland, as in many other European countries, alcohol use is a growing concern. AIMS:This study aimed to find out whether similar environmental factors predict adolescents' alcohol use among 15-year old adolescents in two politically...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494808089650
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Health literacy is an essential social determinant for promoting and maintaining the health of a population. AIM:From a health promotion perspective, explore health literacy issues, concerns and future challenges among Nordic practitioners and researchers. METHODS:Data were collected in a workshop at the 8...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494817743903
更新日期：2018-02-01 00:00:00
abstract：:The article discusses and describes how healthcare reform from 2007 in Denmark has influenced the health sector. This reform has been labelled the most radical reform of the political administrative system since the first democratic constitution in 1849. Local government reform is the latest step in a process of refor...
journal_title：Scandinavian journal of public health
pub_type： 历史文章,杂志文章
doi：10.1177/1403494809350521
更新日期：2010-05-01 00:00:00
abstract：UNLABELLED:Hearing difficulties is a growing public health problem and more knowledge of consequences of those difficulties in working life is warranted. AIMS:To study the future risk of being granted a disability pension (DP) among people with sickness absence with an otoaudiological diagnoses (OAD) compared to other...
journal_title：Scandinavian journal of public health
pub_type： 杂志文章
doi：10.1177/1403494811399652
更新日期：2011-07-01 00:00:00
