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  • 1.
    Bolic, Vedrana
    et al.
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Lidström, Helene
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Thelin, Nils
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Hälsouniversitetet.
    Kjellberg, Anette
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Hemmingsson, Helena
    Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Hälsa, Aktivitet, Vård (HAV). Linköpings universitet, Hälsouniversitetet.
    Computer use in educational activities by students with ADHD2013Inngår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 20, nr 5, s. 357-364Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to investigate computer use in educational activities by students with attention deficit hyperactivity disorder (ADHD) in comparison with that of students with physical disabilities and students from the general population.

    Methods: The design of the study was cross-sectional with group comparison. Students with ADHD (n = 102) were pair-matched in terms of age and sex with students with physical disabilities and students from the general population (n = 940) were used as a reference group.

    Results: The study showed that less than half of the students with ADHD had access to a computer in the classroom. Students with ADHD reported significantly less frequent use of computers for almost all educational activities compared with students with physical disabilities and students from the general population. Students with ADHD reported low satisfaction with computer use in school. In addition, students with ADHD reported a desire to use computers more often and for more activities in school compared with students with physical disabilities.

    Conclusions: These results indicate that occupational therapists should place more emphasize on how to enable students with ADHD to use computers in educational activities in school.

  • 2. Holmberg, S
    et al.
    Thelin, A
    Thelin, Nils
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan.
    Is there an increased risk of knee osteoarthritis among farmers? A population-based case-control study2004Inngår i: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 77, nr 5, s. 345-350Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives. Occupational workload is generally considered a to be contributing cause in the development of knee osteoarthritis, in addition to well-known risk factors such as age, female gender, excess weight and previous knee injuries. Farmers have an increased risk of developing hip osteoarthritis, but it is uncertain if farming is influencing the occurrence of knee osteoarthritis. The aim of this population-based case-control study was to investigate the risk of radiographically verified femorotibial osteoarthritis among farmers and those in some other physically demanding occupations. Methods. A mailed questionnaire inquiring about previous occupations was answered by 778 subjects having X-ray verified osteoarthritis in the femorotibial joint and 695 matched controls. The reply frequency was 89%. Mean age of the participants was 63 years, 43% were male and 57% female. The relationship between knee osteoarthritis and occupation was analysed by multiple logistic regression, with adjustment for a number of variables. Results. Men who had worked for 11-30 years in the building and construction industry had a 3.7-times (95% CI 1.2-11.3) increased risk of knee osteoarthritis. Farm work was not related to an increased risk for men. However, women who had worked for 11-30 years in farming tended to have an increased risk (OR 2.1, 95% CI 1.0-4.5). Forestry, letter-carrying (postal), cleaning and healthcare work was not related to knee osteoarthritis. Excess weight, heredity and previous knee injuries were strong risk factors, whereas smoking showed a negative relationship to knee osteoarthritis. Conclusion. Work in building and construction occupations, but not in farming, was associated with an increased risk of knee osteoarthritis.

  • 3.
    Holmberg, S.
    et al.
    R and D-Centre, Kronoberg County Council, Växjö, Sweden, Dept. of Pub. Hlth. and Caring Sci., Fam. Med. and Clin. Epidemiol. Sect., Uppsala University, Sweden, FoU-Centrum, Box 1223, 351 12 Växjö, Sweden.
    Thelin, A.
    Dept. of Pub. Hlth. and Caring Sci., Fam. Med. and Clin. Epidemiol. Sect., Uppsala University, Sweden.
    Thelin, Nils
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan.
    Knee osteoarthritis and body mass index: A population-based case-control study2005Inngår i: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 34, nr 1, s. 59-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: It is well established that overweight is related to osteoarthritis of the knees. The aim of this study was to investigate the risk of knee osteoarthritis for men and women in relation to body mass index (BMI) within the normal weight range and to assess the effect of former versus current weight. Methods: A population-based case-control study was carried out in the southern part of Sweden, including 825 cases with X-ray verified femorotibial osteoarthritis and 825 age-, sex-, and county-matched population controls. Mailed questionnaire data on weight, height, and confounding factors (heredity, smoking, knee injuries, and physical activity) were collected and analysed using logistic regression models. The response frequency was 89%. Results: Mean age of the participants was 63 years, and 57% were women. The adjusted risk of knee osteoarthritis was increased fourfold in men with a current BMI 23 to <25 kg/m2 as compared to men with BMI <23 kg/m2 (OR 4.0, 95% CI 1.7-9.5). The commensurate risk for women was 1.6 (95% CI 0.9-3.1). BMI at 30 years of age was similarly related to knee osteoarthritis. Conclusion: A moderate increase in BMI, within the normal weight range, was significantly related to knee osteoarthritis among men. Overweight at any time was related to knee osteoarthritis. © 2005 Taylor & Francis.

  • 4.
    Thelin, A.
    et al.
    Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology Sections, Uppsala University, Uppsala, Sweden, .
    Holmberg, S.
    Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology Sections, Uppsala University, Uppsala, Sweden, Research and Development Centre, Kronoberg County Council, Växjö, Sweden.
    Thelin, Nils
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för nervsystem och rörelseorgan.
    Functioning in neck and low back pain from a 12-year perspective: A prospective population-based study2008Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, nr 7, s. 555-561Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of this study was to evaluate the effects of unspecific neck pain and low back pain at a given time (1990-91) with respect to physical and social functioning and role limitations due to emotional problems 12 years later. Methods: A rural male study population (2351 individuals) was established in 1989 and a first survey conducted in 1990-91. A follow-up survey was performed in 2002-03. A total of 1405 persons participated in both surveys. Functioning and role limitations in 2002-03 were evaluated using the SF-36 instrument. Several possible confounders were included in the analyses. Results: Unspecific neck pain or low back pain in 1990-91 was shown in a multivariate longitudinal regression model to be significantly related to limited physical (odds ratio (OR) = 2.08, 95% confidence interval (CI) 1.51-2.87) and social (OR= 1.92, 95% CI 1.33-2.75) functioning 12 years later. The effects were only slightly modified by the confounders analysed. However, higher education independently and significantly predicted a low risk for functional limitations. Conclusion: Non-specific neck pain and low back pain at a given time impacted on the risk of limited physical and social functioning many years later. Current symptoms of depression and anxiety at the time for the second survey had a high impact on functional limitations. © 2008 Foundation of Rehabilitation Information.

  • 5.
    Thelin, Nils
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Hälsouniversitetet.
    Holmberg, S.
    Kronoberg County Council.
    Thelin, A.
    Uppsala University.
    Knee injuries account for the sports-related increased risk of knee osteoarthritis2006Inngår i: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 16, nr 5, s. 329-333Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Increased risk of osteoarthritis has been found among athletes active in different kinds of sports. Knee injury is an established risk factor for knee osteoarthritis. In this population-based case-control study we investigated the risk of knee osteoarthritis with respect to sports activity and previous knee injuries. A total of 825 cases with x-ray-verified femorotibial osteoarthritis were identified at six hospitals in southern Sweden. The cases were matched (age, sex and residential area) with 825 controls from the general population. Mailed questionnaire data on sports activity for more than 1 year after the age of 16, knee injuries and confounding variables (weight, height, heredity, smoking and occupation) were collected and analyzed using logistic regression models. The response frequency was 89%. Among men knee osteoarthritis was related to soccer (odds ratio (OR) 1.6, 95% confidence interval (CI) 1.1-2.2), ice hockey (OR 1.9, 95% CI 1.2-3.0) and tennis (OR 2.0, 95% CI 1.1-3.8) but not to track and field sports, cross-country skiing, and orienteering. After adjustment for confounding variables soccer and ice hockey remained significantly related to knee osteoarthritis, but after adjustment for knee injuries no significant relation remained. The sports-related increased risk for knee osteoarthritis was explained by knee injuries.

  • 6.
    Thelin, Nils
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Hälsouniversitetet.
    Holmberg, Sara
    Landstinget Kronoberg.
    Nettelbladt, Per
    Lund University.
    Thelin, Anders
    Landstinget Kronoberg.
    Mortality and morbidity among farmers, nonfarming rural men, and urban referents: a prospective population-based study2009Inngår i: International journal of occupational and environmental health, ISSN 1077-3525, E-ISSN 2049-3967, Vol. 15, nr 1, s. 21-28Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A cohort of 1,220 farmers, 1,130 nonfarming rural men, and 1,087 urban referents from Sweden were monitored for 12 years. Farmers had lower mortality than urban referents for all causes of death (hazard ratio [HR] = 0.51; 95% confidence interval [CI], 0.37-0.71), cancer (HR = 0.44; 95% CI, 0.24-0.78) and cardiovascular diseases (HR = 0.60; 95% CI, 0.36-0.99). Nonfarming rural men had lower mortality than urban referents for all causes of deaths (HR = 0.81; 95% CI, 0.70-0.94). Farmers and nonfarming rural men had significantly lower morbidity risks of cancer and of psychiatric disorders than urban referents. Farmers had significantly lower risk of endocrine disorders, cardiovascular disorders, and respiratory disorders. In general, morbidity was lower among nonfarming rural men compared with urban referents and was even lower among farmers. Urban referents had, however, significantly less musculoskeletal disorder morbidity. An urban-rural factor and a farming occupational or lifestyle factor results in lower mortality and morbidity rates except concerning musculoskeletal disorders.

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