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  • 1. Andréll, Paulin
    et al.
    Schultz, Tomas
    Mannerkorpi, Kaisa
    Nordeman, Lena
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Mannheimer, Clas
    Health-related quality of life in fibromyalgia and refractory angina pectoris: a comparison between two chronic non-malignant pain disorders.2014Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 46, nr 4, s. 341-7Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To compare health-related quality of life in 2 different populations with chronic pain: patients with fibromyalgia and patients with refractory angina pectoris. Previous separate studies have indicated that these patient groups report different impacts of pain on health-related quality of life.

    METHODS: The Short-Form 36 was used to assess health- related quality of life. In order to adjust for age and gender differences between the groups, both patient groups were compared with age- and gender-matched normative controls. The difference in health-related quality of life between the 2 patient groups was assessed by transforming the Short-Form 36 subscale scores to a z-score.

    RESULTS: The patients with fibromyalgia (n = 203) reported poorer health-related quality of life in all the subscale scores of Short-Form 36 (p < 0.05-0.0001) than the patients with refractory angina (n = 146) when both groups were compared with their corresponding normal population (z-score).

    CONCLUSION: Patients with fibromyalgia experience greater impairment in health-related quality of life compared with the normal population than do patients with refractory angina pectoris, despite the fact that the latter have a potentially life-threatening disease. The great impairment in health- related quality of life in patients with fibromyalgia should be taken into consideration when planning rehabilitation.

  • 2. Angenete, E
    et al.
    Angerås, U
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Ekelund, J
    Gellerstedt, M
    Thorsteinsdottir, T
    Steineck, G
    Haglind, E
    Physical activity before radical prostatectomy reduces sick leave after surgery - results from a prospective, non-randomized controlled clinical trial (LAPPRO).2016Ingår i: BMC Urology, ISSN 1471-2490, E-ISSN 1471-2490, Vol. 16, nr 1, artikel-id 50Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Studies have reported that early physical rehabilitation after surgical procedures is associated with improved outcome measured as shorter hospital stay and enhanced recovery. The aim of this study was to explore the relationship between the preoperative physical activity level and subsequent postoperative complications, sick-leave and hospital stay after radical prostatectomy for prostate cancer in the setting of the LAPPRO trial (LAParoscopic Prostatectomy Robot Open).

    METHODS: LAPPRO is a prospective controlled trial, comparing robot-assisted laparoscopic and open surgery for localized prostate cancer between 2008 and 2011. 1569 patients aged 64 or less with an occupation were included in this sub-study. The Gleason score was <7 in 52 % of the patients. Demographics and the level of self-assessed preoperative physical activity, length of hospital stay, complications, quality of life, recovery and sick-leave were extracted from clinical record forms and questionnaires. Multivariable logistic regression, with log-link and logit-link functions, was used to adjust for potential confounding variables.

    RESULTS: The patients were divided into four groups based on their level of activity. As the group with lowest engagement of physical activity was found to be significantly different in base line characteristics from the other groups they were excluded from further analysis. Among patients that were physically active preoperativelly (n = 1467) there was no significant difference between the physical activity-groups regarding hospital stay, recovery or complications. However, in the group with the highest self-assessed level of physical activity, 5-7 times per week, 13 % required no sick leave, compared to 6.3 % in the group with a physical activity level of 1-2 times per week only (p < 0.0001).

    CONCLUSIONS: In our study of med operated with radical prostatectomy, a high level of physical activity preoperatively was associated with reduced need for sick leave after radical prostatectomy compared to men with lower physical activity.

    TRIAL REGISTRATION: The trial is registered at the ISCRTN register. ISRCTN06393679 .

  • 3. Arvidson, Elin
    et al.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Ahlborg, Gunnar
    Lindegård, Agneta
    Jonsdottir, Ingibjörg H
    The level of leisure time physical activity is associated with work ability-a cross sectional and prospective study of health care workers.2013Ingår i: BMC public health, ISSN 1471-2458, Vol. 13, s. 855-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: With increasing age, physical capacity decreases, while the need and time for recovery increases. At the same time, the demands of work usually do not change with age. In the near future, an aging and physically changing workforce risks reduced work ability. Therefore, the impact of different factors, such as physical activity, on work ability is of interest. Thus, the aim of this study was to evaluate the association between physical activity and work ability using both cross sectional and prospective analyses.

    METHODS: This study was based on an extensive questionnaire survey. The number of participants included in the analysis at baseline in 2004 was 2.783, of whom 2.597 were also included in the follow-up in 2006. The primary outcome measure was the Work Ability Index (WAI), and the level of physical activity was measured using a single-item question. In the cross-sectional analysis we calculated the level of physical activity and the prevalence of poor or moderate work ability as reported by the participants. In the prospective analysis we calculated different levels of physical activity and the prevalence of positive changes in WAI-category from baseline to follow-up. In both the cross sectional and the prospective analyses the prevalence ratio was calculated using Generalized Linear Models.

    RESULTS: The cross-sectional analysis showed that with an increased level of physical activity, the reporting of poor or moderate work ability decreased. In the prospective analysis, participants reporting a higher level of physical activity were more likely to have made an improvement in WAI from 2004 to 2006.

    CONCLUSIONS: The level of physical activity seems to be related to work ability. Assessment of physical activity may also be useful as a predictive tool, potentially making it possible to prevent poor work ability and improve future work ability. For employers, the main implications of this study are the importance of promoting and facilitating the employees' engagement in physical activity, and the importance of the employees' maintaining a physically active lifestyle.

  • 4. Batt, Mark E
    et al.
    Tanji, Jeffrey
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Exercise at 65 and beyond.2013Ingår i: Sports Medicine, ISSN 0112-1642, E-ISSN 1179-2035, Vol. 43, nr 7, s. 525-30Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aging is characterized by increasing muscle loss, physical inactivity and frailty. Physical inactivity is known to be associated with increased incidence of obesity and many life-threatening chronic conditions. We know that exercise, through many factors including antiinflammatory effects and enhanced fitness, can help prevent and treat many chronic diseases as well as help maintain independent living. We set out to demonstrate the utility of regular exercise in this potentially vulnerable age group in both the treatment and prevention of chronic diseases. The benefits, risks and recommendations for physical activity are discussed with an emphasis on practical advice for safe exercise in the context of established international guidelines. These guidelines typically state that 150 min per week of moderate aerobic intensity exercise should be achieved with some additional whole-body strength training and balance work. Individual risk assessment should be undertaken in a way to enable safe exercise participation to achieve maximum benefit with minimum risk. The risk assessment, subsequent advice and prescription for exercise should be personalized to reflect individual fitness and functional levels as well as patient safety. Newer and potentially exciting benefits of exercise are discussed in the areas of neuroscience and inflammation where data are suggesting positive effects of exercise in maintaining memory and cognition as well as having beneficial antiinflammatory effects.

  • 5.
    Bergström, Göran
    et al.
    Göteborgs universitet.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Schmidt, Caroline
    Göteborgs universitet.
    Self-efficacy regarding physical activity is superior to self-assessed activity level, in long-term prediction of cardiovascular events in middle-aged men2015Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, artikel-id 820Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Self-efficacy has been determined to be a strong predictor of who will engage in physical activity. We aimed to evaluate the associations between self-efficacy to perform physical activity, self-reported leisure-time physical activity and cardiovascular events in a population-based cohort of middle-aged Swedish men with no previous cardiovascular disease, or treatment with cardiovascular drugs.

    Methods

    Analyses are based on 377 men randomly selected and stratified for weight and insulin sensitivity from a population sample of 58-year-old men (n = 1728) and who had answered a question about their competence to perform exercise (as an assessment of physical self-efficacy). The Saltin-Grimby Physical Activity Level Scale was used to assess self-reported levels of leisure-time physical activity. Cardiovascular events were recorded during 13-years of follow-up.

    Results

    The group with poor self-efficacy to perform physical activity had a significantly higher incidence of cardiovascular events compared with the group with good physical self-efficacy (32.1 % vs 17.1 %, p < 0.01). Multivariate analyses showed that poor physical self-efficacy was associated with an increased relative risk of 2.0 (95 % CI 1.2 to 3.0), of having a cardiovascular event during follow-up also after adjustments for co-variates such as waist to hip ratio, heart rate, fasting plasma glucose, serum triglycerides, systolic blood pressure, apoB/apoA-I ratio and leisure-time physical activity.

    Conclusion

    Self-efficacy to perform physical activity was strongly and independently associated with cardiovascular events and was superior to self-assessed physical activity in predicting cardiovascular events during 13-years of follow-up in a group of middle-aged men, without known CVD or treatment with cardiovascular drugs.

  • 6. Budts, Werner
    et al.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Chessa, Massimo
    van Buuren, Frank
    Trigo Trindade, Pedro
    Corrado, Domenico
    Heidbuchel, Hein
    Webb, Gary
    Holm, Johan
    Papadakis, Michael
    Physical activity in adolescents and adults with congenital heart defects: individualized exercise prescription.2013Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 34, nr 47, s. 3669-74Artikel i tidskrift (Refereegranskat)
  • 7.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Evaluation of the obese patient ahead of exercise intervention2013Ingår i: Exercise Therapy in Adult Individuals with Obesity / [ed] Dominique Hansen, Nova Science Publishers, Inc., 2013, s. 31-41Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 8.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Fysisk aktivitet, motion på recept2012Ingår i: Diabetes och metabola syndromet / [ed] Fredrik H Nyström, Peter M Nilsson, Lund: Studentlitteratur, 2012, 1, s. 149-158Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 9.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Kontraindikationer för fysisk aktivitet2016Ingår i: FYSS 2017: fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling, Läkartidningen förlag , 2016, s. 227-228Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 10.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Promotion of Physical Activity in the Hospital Setting: Förderung körperlicher Aktivität im Krankenhaus2013Ingår i: Deutsche Zeitschrift für Sportmedizin, ISSN 0344-5925, Vol. 64, nr 6, s. 162-165Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Future costs to lifestyle related diseases are expected to multiply worldwide. The scientific evidence for the positive health effects of regular physical activity (PA) is well established. Also the evidence for the efficacy of different methods to increase the level of PA in patients, is increasing. Physical activity on prescription (PAP) has been shown to increase the level of PA in patients, as well as positively influence classical risk factors of disease and improve quality-of-life. However, PA is still underutilized as a treatment tool in health care, while the preventive use of PA is more recognized. The hospital setting could be the key to implementation of PA as a treatment option in health care system. Several barriers, including educational as well as logistical and administrational, have to be addressed. The motivation not only of the patient, but also of the health care professional, to give suitable advice on lifestyle change, is important. Guidelines and reimbursement models for the use of PA in the hospital setting, are also be needed. National and international collaboration in networks, which should include relevant organizations devoted in different ways to increase the use of PA in the health care setting, may play a decisive future role.

  • 11.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Sjukhusvården kan sätta fart på FaR – fler behöver recept2012Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, nr 51-52, s. 2340-Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    Metoden fysisk aktivitet på recept, FaR, vinner insteg nationellt men är fortfarande underutnyttjad.

    Sjukhusen är nyckeln till lyckad implementering av Socialstyrelsens riktlinjer för sjukdomsförebyggande metoder, och därmed även av FaR.

    Att underlåta att ge adekvata råd om levnadsvanor när det är tillämpligt är ur etisk synvinkel vanskligt, eftersom patienten har rätt till »bästa möjliga vård«.

  • 12.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    The Role Of The Ecg In Cardiovascular Screening Of Athletes2015Ingår i: European Journal of Sports Medicine, 3(2015):Suppl. 1 / [ed] Konstantinos Natsis, 2015, Vol. 3, s. 27-28Konferensbidrag (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Sudden cardiac arrest (SCA) in an athlete, is an uncommon event (1/50 000), caused by inherited/congenital cardiovascular disease (in younger athletes, >35 years), while in the older athletes, the cause is most often  underlying coronary artery disease (CAD). Cardiac societies, Sports Medicine Associations and subsequently international sporting bodies have developed cardiac screening programmes to prevent SCA in athletes. In addition, increased  awareness and recommendations regarding arena safety procedures (external automated defibrillators, medical action plans), have been introduced in recent years, to increase the chance of survival in case of a SCA. However, the most appropriate cardiac screening protocol and specifically, the role of the ECG in cardiovascular screening of athletes, is still debated.

    AIM: This talk will discuss the sensitivity and specificity issues, connected with using the ECG or not, as part of cardiovascular screening of athletes.

    MATERIALS AND METHODS: Both the American Heart Association (AHA) and the European Society of Cardiology (ESC) (1) as well as the International Olympic Committee (IOC) recommend regular screening of competitive athletes, including personal and family history and physical examination. However, the AHA does not recommend the routine use of the ECG in screening. In recent years, more evidence has emerged, making it possible to scrutinize the literature regarding sensitivity/specificity for screening with/without ECG.

    RESULTS: Firstly, the available literature show that cardiovascular screening including an ECG will have much superior sensitivity for finding underlying relevant cardiac abnormalities. Traditionally, ECG has been found to also have a large number of false-positives, making the specificity of including the ECG low. However, in recent years, the international consensus-statements on ECG interpretation in athletes, have been repeatedly updated, due to scientific progress, making the specificity of cardiac screening with the ECG much higher, with unchanged high sensitivity (2). On the contrary, cardiac screening without the ECG has been shown to have a very low sensitivity, but more importantly will probably have also a low specificity, since many athletes do have a variety of often diffuse symptoms, which will necessitate further investigation, most readily an ECG. The few available cost-effectiveness studies worldwide, have shown that screening with the ECG is more cost-effective than screening without, but more high quality studies, are needed on cost-effectiveness.

    CONCLUSION: Cardiovascular screening of athletes aims to prevent sudden cardiac arrest (and death) of athletes. The inclusion of an ECG in regular screening, will be accompanied by higher sensitivity, while the specificity using this approach has increased considerably in recent years. All in all, ECG should be an integral part of cardiovascular screening of athletes, and is also recommended by EFSMA in its latest statement on pre-participation examination in sports (3).

  • 13.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Dellborg, Mikael
    The role of exercise testing in the interventional era: a shift of focus2012Ingår i: Interventional Cardiology, ISSN 1755-5310, Vol. 4, nr 5, s. 577-583Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The role of exercise testing has changed in the last decade, due to the development of new interventional treatment options, new cardiac biomarkers, as well as emerging noninterventional imaging techniques. The increasing prevalence of lifestyle-related disease, such as obesity and diabetes mellitus, highlights the role of exercise for primary/secondary prevention and treatment of coronary artery disease. In stable coronary artery disease, the trend of an increasing number of percutaneous coronary interventions, has been questioned, with smaller studies indicating equally good treatment results by aggressive medical treatment and lifestyle changes. Thus, while the role of the exercise test in the evaluation of acute chest pain and early in the setting of an acute coronary syndrome has decreased, it remains an important clinical tool. The exercise test today, has a pivotal and increasing role in tailored exercise prescriptions, with a shift of focus towards giving information on prognosis, functional capacity and safety of prescriptions.

  • 14.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Drezner, Jonathan
    Cardiac screening: time to move forward!2012Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 46 Suppl 1, s. i4-i6Artikel i tidskrift (Refereegranskat)
  • 15.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Forssblad, Magnus
    Karlsson, Jon
    Univ Gothenburg, Gothenburg, Sweden..
    Can you feel the real paper?2015Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 49, nr 22, s. 1419-1420Artikel i tidskrift (Övrigt vetenskapligt)
  • 16.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Forssblad, Magnus
    Karlsson, Jón
    Looking back over 20 years of sports medicine prevention and treatment: progress, but still a lot to achieve.2015Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 49, nr 22, artikel-id 1421Artikel i tidskrift (Refereegranskat)
  • 17.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Karlsson, Jon
    Ethical dilemmas faced by the team physician: overlooked in sports medicine education?2014Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 48, nr 19, s. 1398-1399Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The authors reflect on the ethical issues facing team physicians in soccer. They argue that sports ethics may have been overlooked in sports medicine education. The ethical issues highlighted by the authors include the substitution of star players, the return of soccer players following concussion and the importance of collaboration between team physicians and team managers.

  • 18.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Karlsson, Jon
    Lagläkarens många dilemman2014Ingår i: I gråzonen: En antologi om idrottens etiska utmaningar / [ed] Christine Dartsch, Johan R. Norberg & Johan Pihlblad, Stockholm: Centrum för Idrottsforskning , 2014, s. 179-91Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 19.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Karlsson, Jon
    Swedish sports medicine is alive and well!2014Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 48, nr 19, s. 1397-1397Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    An introduction is presented in which the authors discuss various reports within the issue on topics including exercise, concussion and sports ethics.

  • 20.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Karlsson, Jón
    Lagläkarens många dilemman2014Ingår i: Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, ISSN 1103-4629, Vol. 23, nr 2, s. 38-42Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    Hur hanterar egentligen en lagläkare sin dubbla lojalitet, mellan omsorgen om spelarnas hälsa och en förståelse för klubbens sportsliga ambitioner? En lagläkare möter många och skilda etiska dilemman både på och utanför planen. Du gör en läkarundersökning i samband med att en ny spelare ska skriva på för klubben. Du vet att styrelsen och tränaren har stora förväntningar på spelaren. Det lukrativa kontraktet är redan påskrivet. Endast läkarundersökningen återstår. Vid undersökningen hittar du en korsbandsskada i ena knät. Det visar sig att spelaren skadade sig vid den sista seriematchen tre månader tidigare. Spelaren förbjuder dig att prata om detta med klubben och hänvisar till sekretess. Hur gör du nu? Den här artikeln tar upp ett antal etiska problem inom idrottsmedicinen. Det finns i dag ingen specifik utbildning i hur läkare ska hantera den här typen av frågor, men de diskuteras ofta när fotbollens lagläkare träffas. Artikeln är ett utdrag ur antologin I gråzonen utgiven av Centrum för idrottsforskning. Författarna har båda lång erfarenhet av rollen som lagläkare i fotboll, både på nationell och på internationell nivå. Jón Karlsson har varit läkare för IFK Göteborgs juniorer och A-lag sedan år 1984, och för de svenska U21- och OS-landslagen för herrar under en tioårsperiod. Mats Börjesson har varit lagläkare för herrlaget GAIS sedan 1995, för svenska damlandslaget sedan 2009, för damlaget Tyresö FF 2012-2013 samt för Elfenbenskustens lag i VM för herrar 2010.

  • 21.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Onerup, Aron
    Sahlgrenska universitetssjukhuset, Göteborg.
    Lundqvist, Stefan
    Primärvården Göteborg.
    Dahlöf, Björn
    Sahlgrenska akademin, Göteborg.
    Fysisk aktivitet vid hypertoni2016Ingår i: FYSS 2017: fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling, Läkartidningen förlag , 2016, s. 412-425Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Sammanfattande rekommendation

    Personer med hypertoni bör rekommenderas aerob fysisk aktivitet för att sänka blodtrycket. Måttligt starkt vetenskapligt underlag (evidensstyrka +++).

    Personer med hypertoni kan som tillägg rekommenderas isometrisk träning för att sänka blodtrycket. Begränsat vetenskapligt underlag (evidensstyrka ++).

    Personer med hypertoni bör även rekommenderas muskelstärkande fysisk aktivitet enligt de allmänna rekommendationerna om fysisk aktivitet.

    Personer med hypertoni bör rekommenderas regelbunden fysisk aktivitet som en av flera åtgärder för att sänka blodtrycket.

  • 22.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Solberg, Erik Ekker
    Diakonhjemmets sykehus, Oslo.
    Nylander, Eva
    Universitetssjukhuset Linköping.
    Plötslig hjärtdöd vid fysisk aktivitet2016Ingår i: FYSS 2017: fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling, Läkartidningen förlag , 2016, s. 241-249Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Sammanfattning

    Regelbunden fysisk aktivitet har positiva effekter på såväl riskfaktorer för hjärtkärlsjukdom som etablerad hjärt-kärlsjukdom. Aerob fysisk aktivitet på måttlig intensitet rekommenderas allmänt. Mer fysisk aktivitet på hög intensitet har potentiellt ännu större effekt, men kan också medföra ökade risker för personer med bakomliggande hjärt-kärlsjukdom.

    Plötslig hjärtdöd i samband med fysisk aktivitet bland individer > 35 år orsakas nästan uteslutande av kranskärlssjukdom. För äldre idrottare (> 35 år), liksom för icke elitaktiva, saknas i dag svenska rekommendationer om hjärtscreening. Självskattningsformulär, i utvalda fall kompletterat med hjärtundersökning hos ordinarie läkare, har föreslagits kunna minska risken i denna grupp.

    Plötsliga dödsfall under idrottsutövning bland unga (< 35 år) beror vanligen på tidigare odiagnostiserade medfödda eller ärftliga hjärtsjukdomar. Riksidrottsförbundet (RF) och Socialstyrelsen rekommenderar riktade hjärtkontroller av unga elitidrottare från 16 års ålder, bestående av familjehistoria, symtom, fysikalisk undersökning och vilo-EKG.

  • 23.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Sundberg, Carl Johan
    FYSS (physical activity book for prevention and treatment): behavioural change also for the physician?2013Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 47, nr 15, s. 937-8Artikel i tidskrift (Övrigt vetenskapligt)
  • 24.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Vanhees, Luc
    Cardiovascular Evaluation of Master Athletes and Middle-aged/Senior Individuals Engaged in Leisure-time Sport Activities2013Ingår i: Cardiac Electrophysiology Clinics, ISSN 1877-9182, Vol. 5, nr 1, s. 33-42Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Regular physical activity induces significant health benefits and most middle-aged/senior individuals should therefore be encouraged to increase their level of physical activity. Sporting activity may be especially beneficial because it is intense enough to increase cardiovascular, muscular, and metabolic fitness, compared with everyday physical activity. The rationale for evaluation of middle-aged/senior individuals is to ensure their safe participation in leisure-time sports, with the aim of maximizing the benefits while minimizing the risks of exercise. This article reviews the existing recommendations on evaluation of master athletes and middle-aged/senior individuals before they take part in physical activity and sports.

  • 25.
    Börjesson, Mats
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Vanhees, Luc
    Leuven University.
    Cardiovascular evaluation of middle-aged/senior leisure time athletes2013Ingår i: Cardiac Electrophysiology Clinics, ISSN 1877-9182, Vol. 5, nr 1, s. 33-42Artikel, forskningsöversikt (Refereegranskat)
  • 26. Drezner, Jonathan A
    et al.
    Ackerman, Michael J
    Cannon, Bryan C
    Corrado, Domenico
    Heidbuchel, Hein
    Prutkin, Jordan M
    Salerno, Jack C
    Anderson, Jeffrey
    Ashley, Euan
    Asplund, Chad A
    Baggish, Aaron L
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    DiFiori, John P
    Fischbach, Peter
    Froelicher, Victor
    Harmon, Kimberly G
    Marek, Joseph
    Owens, David S
    Paul, Stephen
    Pelliccia, Antonio
    Schmied, Christian M
    Sharma, Sanjay
    Stein, Ricardo
    Vetter, Victoria L
    Wilson, Mathew G
    Abnormal electrocardiographic findings in athletes: recognising changes suggestive of primary electrical disease.2013Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 47, nr 3, s. 153-67Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Cardiac channelopathies are potentially lethal inherited arrhythmia syndromes and an important cause of sudden cardiac death (SCD) in young athletes. Other cardiac rhythm and conduction disturbances also may indicate the presence of an underlying cardiac disorder. The 12-lead ECG is utilised as both a screening and a diagnostic tool for detecting conditions associated with SCD. Fundamental to the appropriate evaluation of athletes undergoing ECG is an understanding of the ECG findings that may indicate the presence of a pathological cardiac disease. This article describes ECG findings present in primary electrical diseases afflicting young athletes and outlines appropriate steps for further evaluation of these ECG abnormalities. The ECG findings defined as abnormal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.

  • 27. Drezner, Jonathan A
    et al.
    Ackerman, Michael John
    Anderson, Jeffrey
    Ashley, Euan
    Asplund, Chad A
    Baggish, Aaron L
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Cannon, Bryan C
    Corrado, Domenico
    DiFiori, John P
    Fischbach, Peter
    Froelicher, Victor
    Harmon, Kimberly G
    Heidbuchel, Hein
    Marek, Joseph
    Owens, David S
    Paul, Stephen
    Pelliccia, Antonio
    Prutkin, Jordan M
    Salerno, Jack C
    Schmied, Christian M
    Sharma, Sanjay
    Stein, Ricardo
    Vetter, Victoria L
    Wilson, Mathew G
    Electrocardiographic interpretation in athletes: the 'Seattle criteria'.2013Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 47, nr 3, s. 122-4Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Sudden cardiac death (SCD) is the leading cause of death in athletes during sport. Whether obtained for screening or diagnostic purposes, an ECG increases the ability to detect underlying cardiovascular conditions that may increase the risk for SCD. In most countries, there is a shortage of physician expertise in the interpretation of an athlete's ECG. A critical need exists for physician education in modern ECG interpretation that distinguishes normal physiological adaptations in athletes from abnormal findings suggestive of pathology. On 13-14 February 2012, an international group of experts in sports cardiology and sports medicine convened in Seattle, Washington, to define contemporary standards for ECG interpretation in athletes. The objective of the meeting was to develop a comprehensive training resource to help physicians distinguish normal ECG alterations in athletes from abnormal ECG findings that require additional evaluation for conditions associated with SCD.

  • 28. Drezner, Jonathan A
    et al.
    Ashley, Euan
    Baggish, Aaron L
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Corrado, Domenico
    Owens, David S
    Patel, Akash
    Pelliccia, Antonio
    Vetter, Victoria L
    Ackerman, Michael J
    Anderson, Jeff
    Asplund, Chad A
    Cannon, Bryan C
    DiFiori, John
    Fischbach, Peter
    Froelicher, Victor
    Harmon, Kimberly G
    Heidbuchel, Hein
    Marek, Joseph
    Paul, Stephen
    Prutkin, Jordan M
    Salerno, Jack C
    Schmied, Christian M
    Sharma, Sanjay
    Stein, Ricardo
    Wilson, Mathew
    Abnormal electrocardiographic findings in athletes: recognising changes suggestive of cardiomyopathy.2013Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 47, nr 3, s. 137-52Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Cardiomyopathies are a heterogeneous group of heart muscle diseases and collectively are the leading cause of sudden cardiac death (SCD) in young athletes. The 12-lead ECG is utilised as both a screening and diagnostic tool for detecting conditions associated with SCD. Fundamental to the appropriate evaluation of athletes undergoing ECG is an understanding of the ECG findings that may indicate the presence of an underlying pathological cardiac disorder. This article describes ECG findings present in cardiomyopathies afflicting young athletes and outlines appropriate steps for further evaluation of these ECG abnormalities. The ECG findings defined as abnormal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.

  • 29. Drezner, Jonathan A
    et al.
    Fischbach, Peter
    Froelicher, Victor
    Marek, Joseph
    Pelliccia, Antonio
    Prutkin, Jordan M
    Schmied, Christian M
    Sharma, Sanjay
    Wilson, Mathew G
    Ackerman, Michael John
    Anderson, Jeffrey
    Ashley, Euan
    Asplund, Chad A
    Baggish, Aaron L
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Cannon, Bryan C
    Corrado, Domenico
    DiFiori, John P
    Harmon, Kimberly G
    Heidbuchel, Hein
    Owens, David S
    Paul, Stephen
    Salerno, Jack C
    Stein, Ricardo
    Vetter, Victoria L
    Normal electrocardiographic findings: recognising physiological adaptations in athletes.2013Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 47, nr 3, s. 125-36Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG findings presented as normal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.

  • 30. Duttaroy, Smita
    et al.
    Nilsson, Jonas
    Hammarsten, Ola
    Cider, Asa
    Bäck, Maria
    Karlsson, Thomas
    Wennerblom, Bertil
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    High frequency home-based exercise decreases levels of vascular endothelial growth factor in patients with stable angina pectoris.2015Ingår i: European Journal of Preventive Cardiology, ISSN 2047-4873, E-ISSN 2047-4881, Vol. 22, nr 5, s. 575-581Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: In coronary artery disease (CAD), circulating angiogenic factors have been seen to increase, possibly as a response to ischaemia. Regular physical activity (PA) is recommended for prevention and treatment of CAD, but more research is needed to optimise PA regimes. We investigated the effect of home-based high frequency exercise (HFE) on angiogenic cytokines and cardiac markers in patients with stable CAD.

    DESIGN: This was a randomised case-control study METHODS: Sixty-two patients, with stable CAD, were randomised to HFE (n = 33), (aerobic exercise 70% of max, 30 min, five times/week and resistance exercise three times/week), performed at home, or usual lifestyle (control, n = 29). After eight weeks, percutaneous coronary intervention (PCI) was performed in both groups, and the HFE group continued another six months of exercise. Serum vascular endothelial growth factor (VEGF) and stromal derived factor-1 (SDF-1), plasma N-terminal-brain natriuretic peptide (NT-proBNP), high-sensitive troponin T (TnT) and copeptin were analysed.

    RESULTS: Data are presented as median (25(th), 75(th) percentile) of relative changes (%) from baseline. Values of p are given for the difference between the HFE and controls. HFE decreased circulating VEGF levels, before PCI (-5% (-15%, -2%)), while VEGF levels increased in the control group (5% (-3%, 20%) p = 0.004). A significant difference in VEGF remained at three months post-PCI (HFE (-1%(-12%, 5%), control (7% (0%, 14%), p = 0.04), but not at six months after PCI. SDF-1, NT-proBNP, TnT and copeptin levels did not differ significantly. In addition, VEGF levels were positively correlated to NT pro-BNP.

    CONCLUSIONS: Home-based HFE decreased circulating VEGF in patients with stable CAD, suggesting a reduced ischaemic burden. HFE does not increase markers of cardiac dysfunction, suggesting that it is a safe therapeutic intervention in these patients.

  • 31. Duttaroy, Smita
    et al.
    Thorell, Daniel
    Karlsson, Lena
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    A single-bout of one-hour spinning exercise increases troponin T in healthy subjects.2012Ingår i: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 46, nr 1, s. 2-6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: While long-term endurance exercise is known to increase cardiac biomarkers, only a few studies on short-term exercise and these markers have been reported. The aim of this study was to investigate the acute effects of a one-hour bicycle spinning on cardiac biomarkers in healthy individuals.

    DESIGN: Serum levels of high-sensitive troponin T (TnT), creatinine kinase MB fraction (CK-MB), N-terminal pro-brain natriuretic peptide (NT-proBNP), creatinine kinase (CK) and myoglobin were measured at baseline, 1 and 24 hour after one hour of spinning exercise in ten healthy and fit (age 31.0 ± 6.6 years) individuals.

    RESULTS: TnT doubled one hour post-exercise (All values ≤ 5 - 9.7 ± 6.0 ng/L, p < 0.001). Two individuals had TnT levels above upper reference limit, URL (20.7 and 20.2 ng/L, URL = 12 ng/L). Myoglobin levels increased 72% one hour post-exercise (38 ± 20 - 66 ± 41 mg/L, p < 0.02). TnT and myoglobin levels returned to baseline 24 hour post-exercise. Serum levels of CK-MB, NT-proBNP and CK were not significantly changed.

    CONCLUSIONS: A single-bout of one-hour bicycle spinning transiently increases TnT and myoglobin in healthy subjects. Some subjects even have TnT release above URL. Thus, recently performed exercise also of short duration should be taken into consideration in the evaluation of acute chest pain with release of cardiac TnT.

  • 32.
    Ek, Amanda
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Kallings, Lena
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Hambraeus, Kristina
    Cardiologkliniken, Falu lasarett.
    Börjesson, Mats
    Göteborgs Universitet.
    Association between physical activity level and risk of all-cause mortality after myocardial infarction2017Ingår i: European Journal of Preventive Cardiology, Vol 24, Issue 1 Suppl, April 2017: Abstract Book EuroPrevent 2017 Malaga, Spain, 2017, Vol. 24, artikel-id 45Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background/Introduction: There is little knowledge of the association between physical activity (PA) level and the mortality risk post myocardial infarction (MI). Steffen/Batey et al (2000), concluded in a smaller study, that individuals who remained active or increased their level of PA after MI had a lower risk of death. However, in order to confirm this and adjust for confounders larger studies are needed.

    Purpose: Explore any association between PA level after MI and all-cause mortality during follow-up in a large MI-cohort.

    Methods: A national cohort study including all patients <75 years of age, with a diagnosis of MI between 1991-2014 (Swedish MI register SWEDEHEART). From the register self-reported PA, 6-10 weeks post MI, (i.e. number of sessions during the past seven days with moderate and/or vigorous PA lasting ≥30 minutes) was obtained. The answers were grouped into 0-1 sessions (inactive), 2-4 sessions (moderately active) and 5-7 sessions (regularly active). Associations were first assessed unadjusted, stratified by potential confounders (sex, age, smoking status, ejection fraction, ST-elevation and quality of life). Thereafter, a multiple logistic regression was performed to control for possible confounders.

    Results: Complete data was obtained from 37 655 individuals (median 63 years, 74 % men). A total of 2512 deaths occurred during a mean of 4.1 years of follow-up. The mortality rate was 17.0 cases/1000 person-years. Moderate and regular activity, was associated with a lower risk of all-cause mortality (OR 0,356 95 %, CI 0,320-0,396 and OR 0,334, 95 % CI 0,305-0,366) compared to being physically inactive. The OR´s remained largely unchanged when stratifying for age, sex, NSTEM/STEMI and ejection fraction. However, active smokers had a lower OR, for subsequent death, as had patients with a low EQ5D. The associations persisted in the multiple logistic regression, after adjustment for confounders (Figure 1).

    Conclusion(s): A higher level of physical activity seems to be associated with a lower risk of all-cause mortality. These results suggest that physical activity assessment is important post MI, not least as an important predictor.

     

  • 33.
    Ek, Amanda
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Kallings, Lena
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Hambraeus, Kristina
    Cardiologkliniken, Falu lasarett.
    Börjesson, Mats
    Göteborgs Universitet.
    Samband mellan fysisk aktivitetsnivå efter hjärtinfarkt och risken för mortalitet: Association between physical activity level and risk of all-cause mortality after myocardial infarction2017Ingår i: Fria föredrag, nr 025, 2017, artikel-id 025Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: There is little knowledge of the association between physical activity (PA) level and the mortality risk post myocardial infarction (MI)Steffen/Batey et al (2000), concluded in a smaller study, that individuals who remained active or increased their level of PA post-MI had a lower risk of death. This study aimed to explore any association between PA level post-MI and all-cause mortality during follow-up in a large MI-cohort.

    Methods: A national cohort study including patients <75 years of age, with a diagnosis of MI between 2005-2014 (SWEDEHEART, SEPHIA-register). Self-reported PA, 6-10 weeks post-MI, (i.e. number of sessions during the past seven days with moderate and/or vigorous PA lasting ≥30 minutes) was obtained. The answers were grouped into 0-1 sessions (inactive), 2-4 sessions (moderately active) and 5-7 sessions (regularly active). First, stratified unadjusted associations were investigated. Thereafter, a multiple logistic regression was performed to control for possible confounders.

    Results: Complete data was obtained from 37 655 individuals (median age 63 years, 74 % men). A total of 2512 deaths occurred during a mean of 4.1 years of follow-up. The mortality rate was 17.0 cases/1000 person-years. Moderate and regular activity, was associated with a lower risk of all-cause mortality (OR 0.36, 95 % CI: 0.32-0.40 and OR 0.33, 95 % CI: 0.31-0.37) compared to being physically inactive. The OR´s remained largely unchanged when stratifying for age, gender, NSTEM/STEMI and ejection fraction. However, compared to inactive patients, physically active smokers and patients with ≤ 0.85 Eq5D had a higher OR, for subsequent death. The associations persisted in the multiple logistic regression, after adjustment for confounders (Figure 1).

    Conclusions: A higher level of PA, post-MI was associated with a lower risk of all-cause mortality. These results suggest that PA assessment is important post-MI, not least as an important predictor for risk of death.

  • 34.
    Ek, Amanda
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Kallings, Lena
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Promoting physical activity - an established part of the clinical practice?2015Ingår i: 23rd International Conference on Health Promoting Hospitals and Health Services: "Person-oriented health promotion in a rapidly changing world:Co-production – continuity – new media & technologies", 2015Konferensbidrag (Refereegranskat)
    Abstract [en]

    Introduction

    Insufficient physical activity is a considerable risk factor for mortality and premature death. The healthcare has a unique role in health promotion as they reach a large part of the population. The evidence based recommendation is that the healthcare sector should offer “counseling with the adjunct of exercise on prescription or a pedometer, as well as special follow-up” to promote patients physical activity. Despite this, physical activity is underutilized in prevention and treatment of disease, for reasons not fully known.

     

     

    Purpose/Method

    We aimed to study the attitudes of different healthcare professionals in the hospital setting, towards the importance of physical activity and its clinical use at different levels.

    The study comprised 264 (78% women) health care professionals at the cardiac department/outpatient cardiac center in Stockholm (response rate 91%). Data was obtained in 2013, by questionnaire. Containing 28 multiple choice questions on participants attitudes towards physical activity behavior change, the perceived importance of such measures, practical implementation and possible barriers for implementation.

     

    Results

    All participants stated importance of physical activity promotion within healthcare. Forty-seven percent reported that they promoted physical activity in clinical practice, however only a minority fulfilled the evidence based recommendations (n=65), as brief advice (n=165) or counseling (n=111) were most common. Sixty-one percent aimed to improve the use of physical activity promotion, factors hampering were inadequate knowledge, follow-up possibilities and length of patient visits. Less than half group reported insufficient routines (46%), goals (37%) and lack of management support (42%).

     

    Conclusion         

    Although health professionals generally are positive towards promoting physical activity, just a small proportion actually use the evidence based methods in clinical practice. To improve the promotion of physical activity in patients there is need for further implementation strategies at all levels to create a well-functioning structure, clear goals and routines. Our study suggests, that implementation should focus at education, logistics for follow-up and increased amount of time with direct patient care. 

     

  • 35.
    Ekblom Bak, Elin
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Ekblom, Björn
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Större studier vid GIH2013Ingår i: Idrottsmedicin, ISSN 2001-3302, nr 2, s. 5-10Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    På Åstrandslaboratoriet vid Gymnastik- och idrotthögskolan i Stockholm finns tradition och erfarenhet av att göra populationsundersökningar. För närvarande finns tre pågående projekt av populationskaraktär; Skola-Idrott-Hälsa (SIH), SCAPIS-undersökningen samt LIV-studierna.

  • 36.
    Ekblom Bak, Elin
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Olsson, Gustav
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Bolan, Kate
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Kallings, Lena
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Ekblom, Björn
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Svenskar rör sig för lite2015Ingår i: Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, ISSN 1103-4629, Vol. 24, nr 2, s. 30-31Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    För den som betraktar svenskarna som ett aktivt folk är det dags att tänka om. Bara sju procent av 50-65 åringarna är tillräckligt fysiskt aktiva, visar  resultat från den stora SCAPIS-studien.

  • 37.
    Ekblom, Örjan
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Börjesson, Mats
    Göteborgs universitet.
    Hela rörelsemönstret har betydelse2016Ingår i: Idrottsmedicin, ISSN 2001-3302, Vol. 35, nr 3, s. 5-7Artikel i tidskrift (Övrigt vetenskapligt)
  • 38.
    Ekblom, Örjan
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Ekblom Bak, Elin
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Rosengren, Annika
    Hallsten, Mattias
    Bergström, Göran
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Cardiorespiratory Fitness, Sedentary Behaviour and Physical Activity Are Independently Associated with the Metabolic Syndrome, Results from the SCAPIS Pilot Study.2015Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, nr 6, artikel-id e0131586Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: 

    Previous studies on the relation between lifestyle and the metabolic syndrome lack one or several aspects of the physical activity pattern in the analyses or cardiorespiratory fitness. Likewise, both uni- and triaxial accelerometry have been used, though, the predictive validity of these two modes has not been compared.

    OBJECTIVES: 

    The aims of the present study were firstly to investigate the independent relation between cardiorespiratory fitness and physical activity pattern to the metabolic syndrome (MetS) and secondly to examine the predictive validity of uni- and triaxial accelerometry, respectively.

    METHODS: 

    Data was extracted from the SCAPIS pilot study (n=930, mean age 57.7 yrs). Physical activity pattern was assessed by accelerometry. Cardiorespiratory fitness was estimated using cycle ergometry. MetS was defined per the Adult Treatment Panel III from the National Cholesterol Education Program definition.

    RESULTS: 

    Time spent sedentary (OR: 2.38, 95% CI: 1.54-4.24 for T3 vs T1), in light intensity (OR: 0.50, 95% CI: 0.28-0.90) and in moderate-to-vigorous activity (OR: 0.33, 95% CI: 0.18-0.61), as well as cardiorespiratory fitness (OR: 0.24, 95% CI:0.12-0.48), were all independently related to the prevalence of MetS after adjustment for potential confounders, fitness and/or the other aspects of the physical activity pattern. In addition, we found that triaxial analyses were more discriminant, with ORs farther away from the reference group and additional significant ORs.

    CONCLUSION: 

    The finding that several aspects of the physical activity pattern reveal independent relations to the MetS makes new possible targets for behaviour change of interest, focusing on both exercise and everyday life. When assessing the risk status of a patient, it is advised that triaxial accelerometry is used.

  • 39.
    Ekblom, Örjan
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Ekblom-Bak, Elin
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Bolam, Kate A
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Ekblom, Björn
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Schmidt, Caroline
    Söderberg, Caroline
    Bergström, Göran
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Concurrent and predictive validity of physical activity measurement items commonly used in clinical settings- data from SCAPIS pilot study.2015Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, artikel-id 978Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    As the understanding of how different aspects of the physical activity (PA) pattern relate to health and disease, proper assessment is increasingly important. In clinical care, self-reports are the most commonly used assessment technique. However, systematic comparisons between questions regarding concurrent or criterion validity are rare, as are measures of predictive validity. The aim of the study was to examine the concurrent (using accelerometry as reference) and predictive validity (for metabolic syndrome) of five PA questions.

    METHODS:

    A sample of 948 middle-aged Swedish men and women reported their PA patterns via five different questions and wore an accelerometer (Actigraph GT3X) for a minimum of 4 days. Concurrent validity was assessed as correlations and ROC-analyses. Predictive validity was assessed using logistic regression, controlling for potential confounders.

    RESULTS:

    Concurrent validity was low-to-moderate (r <0.35 and ROC AUC <0.7) with large misclassifications regarding time spent sitting/sedentary and in moderate-to vigorous PA. The predictive validity of the questions was good, and one question (PHAS) showed an 80 % decreased odds-ratio of having metabolic syndrome, after taking potential confounders into consideration.

    DISCUSSION:

    In this mixed sample of adults, both concurrent and predictive validity vaired between items and between measures of the physical activity pattern. The PHAS and WALK items are proposed for assessment of adherence to PA recommendations.

    CONCLUSION:

    Assessing PA patterns using self-report measures results in methodological problems when trying to predict individual risk for the metabolic syndrome, as the concurrent validity generally was low. However, several of the investigated questions may be useful for assessing risk at a group level, showing better predictive validity.

  • 40.
    Ekblom-Bak, Elin
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Bergström, Göran
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Isotemporal substitution of sedentary time by physical activity of different intensities and bout lengths, and its associations with metabolic risk.2016Ingår i: European Journal of Preventive Cardiology, ISSN 2047-4873, E-ISSN 2047-4881, Vol. 23, nr 9, s. 967-974Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Time spent being sedentary, regardless of time in exercise, has been associated with metabolic risk using regression modelling. By using isotemporal substitution modelling, the effect of replacing sedentary time with an equal amount of time in physical activity (PA) of different intensities can be considered. The present study aims to investigate the effect of replacing sedentary time with time in light, moderate and vigorous PA to the prevalence of the metabolic syndrome (MetS). Also, replacement of sedentary time by PA of different bout lengths was studied.

    METHODS: In total, 836 participants (52% women), aged 50-64 years, from the SCAPIS pilot study were included. Daily time spent sedentary and in PA of different intensities was assessed using hip-worn accelerometers.

    RESULTS: In this cross-sectional study, replacing 10 minutes of sedentary time with the same amount of light PA was associated with significant lower MetS prevalence, odds ratio (OR) 0.96 (95% confidence interval 0.93-0.98). Replacement with moderate PA resulted in even lower OR, 0.89 (0.82-0.97), with the lowest OR for vigorous PA, 0.41 (0.26-0.66). Participants with high energy intake and high daily sedentary time benefitted more from the replacement of sedentary time with light PA. Significant associations were seen for all bout lengths of light, moderate and vigorous PA in a stepwise-like fashion from one minute to up to 120 minute bouts.

    CONCLUSION: Theoretical substitutions of sedentary time with PA of any intensity and of as little as one minute were associated with significantly lower ORs for MetS. This may be an easily communicable message in clinical practice and for public health purposes.

  • 41.
    Ekblom-Bak, Elin
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Fagman, Erika
    Göteborgs universitet.
    Angerås, Oskar
    Göteborgs universitet.
    Schmidt, Caroline
    Göteborgs universitet.
    Rosengren, Annika
    Göteborgs universitet.
    Börjesson, Mats
    Göteborgs universitet.
    Bergström, Göran
    Göteborgs universitet.
    Fitness attenuates the prevalence of increased coronary artery calcium in individuals with metabolic syndrome.2018Ingår i: European Journal of Preventive Cardiology, ISSN 2047-4873, E-ISSN 2047-4881, Vol. 25, nr 3, s. 309-316, artikel-id 2047487317745177Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background The association between cardiorespiratory fitness, physical activity and coronary artery calcium (CAC) is unclear, and whether higher levels of fitness attenuate CAC prevalence in subjects with metabolic syndrome is not fully elucidated. The present study aims to: a) investigate the independent association of fitness on the prevalence of CAC, after adjustment for moderate-to-vigorous physical activity and sedentary time, and b) study the possible attenuation of increased CAC by higher fitness, in participants with metabolic syndrome. Design Cross-sectional. Methods In total 678 participants (52% women), 50-65 years old, from the SCAPIS pilot study were included. Fitness (VO2max) was estimated by submaximal cycle ergometer test and moderate-to-vigorous physical activity and sedentary time were assessed using hip-worn accelerometers. CAC score (CACS) was quantified using the Agatston score. Results The odds of having a significant CACS (≥100) was half in participants with moderate/high fitness compared with their low fitness counterparts. Further consideration of moderate-to-vigorous physical activity, sedentary time and number of components of the metabolic syndrome did only slightly alter the effect size. Those with metabolic syndrome had 47% higher odds for significant CAC compared with those without metabolic syndrome. However, moderate/high fitness seems to partially attenuate this risk, as further joint analysis indicated an increased odds for having significant CAC only in the unfit metabolic syndrome participants. Conclusions Being fit is associated with a reduced risk of having significant CAC in individuals with metabolic syndrome. While still very much underutilized, fitness should be taken into consideration in everyday clinical risk prediction in addition to the traditional risk factors of the metabolic syndrome.

  • 42.
    Ekblom-Bak, Elin
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Olsson, Gustav
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Ekblom, Björn
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Bergström, Göran
    Göteborgs universitet.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    The Daily Movement Pattern and Fulfilment of Physical Activity Recommendations in Swedish Middle-Aged Adults: The SCAPIS Pilot Study.2015Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 10, nr 5, artikel-id e0126336Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Different aspects of the daily movement pattern-sitting, light intensity physical activity, and moderate- and vigorous intensity physical activity-have each independently been associated with health and longevity. Previous knowledge of the amount and distribution of these aspects in the general Swedish population, as well as the fulfilment rate of physical activity recommendations, mainly relies on self-reported data. More detailed data assessed with objective methods is needed. The aim of the study was to present descriptive data on the daily movement pattern in a middle-aged Swedish population assessed by hip-worn accelerometers. The cohort consisted of 948 participants (51% women), aged 50 to 64 years, from the Swedish CArdioPulmonary bioImage pilot Study. In the total sample, 60.5% of accelerometer wear time was spent sitting, 35.2% in light physical activity and 3.9% in moderate- and vigorous physical activity. Men and participants with high educational level spent a larger proportion of time sitting, compared to women and participants with low educational level. Men and participants with a high educational level spent more time, and the oldest age-group spent less time, in moderate- and vigorous physical activity. Only 7.1% of the study population met the current national physical activity recommendations, with no gender, age or education level differences. Assessment of all three components of the daily movement pattern is of high clinical relevance and should be included in future research. As the fulfilment of national physical activity recommendations is very low and sitting time is very high in our middle-aged population, the great challenge remains to enhance the implementation of methods to increase the level of physical activity in this population.

  • 43.
    Frobell, Richard
    et al.
    Lunds Universitet.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Welcome to the Swedish theme issue: putting exercise into sports medicine2013Ingår i: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 47, nr 15, s. 935-936Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    This theme issue celebrates the collaboration between BJSM and the Swedish Society of Exercise and Sports Medicine (SFAIM). From this issue onwards, SFAIM members will gain full access to BJSM through a link on our website (http://www.svenskidrottsmedicin.se); SFAIM will also reach out to a wide audience using the BJSM blog and podcasts. As the chairman of SFAIM, I am proud to be guest editing this issue, together with Richard Frobell, where we present some of the ongoing work of Swedish Exercise and Sports Medicine.

  • 44. Gerber, Markus
    et al.
    Jonsdottir, IH
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Lindwall, Magnus
    Lindegård, A gneta
    Changes in Mental Health in Compliers and Non-Compliers with Physical Activity Recommendations in Patients with Stress-Related Exhaustion2015Ingår i: Proceedings of the 2015 AIESEP International Conference. Revista Española de Educación Física y Deportes, 410 (Supl.), 3er trimestre., 2015, 2015, Vol. 410 (Supl.), s. 300-301Konferensbidrag (Refereegranskat)
  • 45. Gerber, Markus
    et al.
    Lindwall, Magnus
    Lindegård, Agneta
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Jonsdottir, Ingibjörg H
    Cardiorespiratory fitness protects against stress-related symptoms of burnout and depression.2013Ingår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 93, nr 1, s. 146-52Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To examine how cardiorespiratory fitness and self-perceived stress are associated with burnout and depression. To determine if any relationship between stress and burnout/depression is mitigated among participants with high fitness levels.

    METHODS: 197 participants (51% men, mean age=39.2 years) took part in the study. The Åstrand bicycle test was used to assess cardorespiratory fitness. Burnout was measured with the Shirom-Melamed Burnout Questionnaire (SMBQ), depressive symptoms with the Hospital Anxiety and Depression Scale (HAD-D). A gender-matched stratified sample was used to ensure that participants with varying stress levels were equally represented.

    RESULTS: Participants with moderate and high fitness reported fewer symptoms of burnout and depression than participants with low fitness. Individuals with high stress who also had moderate or high fitness levels reported lower scores on the SMBQ Tension subscale and the HAD-D than individuals with high stress, but low fitness levels.

    CONCLUSION: Better cardiovascular fitness seems to be associated with decreased symptoms of burnout and a better capacity to cope with stress.

    PRACTICAL IMPLICATIONS: Promoting and measuring cardiorespiratory fitness can motivate employees to adopt a more physically active lifestyle and thus strengthen their ability to cope with stress exposure and stress-related disorders.

  • 46. Grimby, G
    et al.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Jonsdottir, I H
    Schnohr, P
    Thelle, D S
    Saltin, Bengt
    The "Saltin-Grimby Physical Activity Level Scale" and its application to health research.2015Ingår i: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 25, nr Suppl 4, s. 119-125Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The use of a four-level questionnaire to assess leisure time physical activity (PA) and its validation is reviewed in this paper. This questionnaire was first published in 1968 and has then been used by more than 600 000 subjects, especially in different population studies in the Nordic countries. A number of modifications to the questionnaire have been published. These are mostly minor changes, such as adding practical examples of activities to illustrate the levels of PA. Some authors have also added duration requirements that were not included for all levels of PA in the original version. The concurrent validity, with respect to aerobic capacity and movement analysis using objective measurements has been shown to be good, as has the predictive validity with respect to various risk factors for health conditions and for morbidity and mortality.

  • 47. Heidbuchel, Hein
    et al.
    Papadakis, Michael
    Panhuyzen-Goedkoop, Nicole
    Carré, François
    Dugmore, Dorian
    Mellwig, Klaus-Peter
    Rasmusen, Hanne Kruuse
    Solberg, Erik E
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Corrado, Domenico
    Pelliccia, Antonio
    Sharma, Sanjay
    Position paper: proposal for a core curriculum for a European Sports Cardiology qualification.2013Ingår i: European Journal of Preventive Cardiology, ISSN 2047-4873, E-ISSN 2047-4881, Vol. 20, nr 5, s. 889-903Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Sports cardiology is a new and rapidly evolving subspecialty. It aims to elucidate the cardiovascular effects of regular exercise and delineate its benefits and risks, so that safe guidance can be provided to all individuals engaging in sports and/or physical activity in order to attain the maximum potential benefit at the lowest possible risk. The European Society of Cardiology (ESC) advocates systematic preparticipation cardiovascular screening in an effort to identify competitive athletes at risk of exercise-related cardiovascular events and sudden cardiac death. However, the implementation of preparticipation screening is hindered because of lack of structured training and as a result lack of sufficient expertise in the field of sports cardiology.In 2008 the European Society of Cardiology published a core curriculum for the general cardiologist, in which sports cardiology was incorporated within the topic 'Rehabilitation and Exercise Physiology'. However, the exponential rise in knowledge and the growing demand for expertise in the field of sports cardiology dictates the need to systematically structure the knowledge base of sports cardiology into a detailed curriculum. We envisage that the curriculum would facilitate more uniform training and guideline implementation throughout Europe, and safeguard that evaluation and guidance of competitive athletes or individuals who wish to engage in leisure-time sports activities is performed by physicians with expertise in the field. The current manuscript provides a comprehensive curriculum for sports cardiology, which may serve as a framework upon which universities and national and international health authorities will develop the training, evaluation and accreditation in sports cardiology.

  • 48. Johnson, Urban
    et al.
    Ivarsson, Andreas
    Karlsson, Jón
    Hägglund, Martin
    Waldén, Markus
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors.2016Ingår i: BMC Sports Science, Medicine And Rehabilitation, ISSN 2052-1847, Vol. 8, artikel-id 20Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Most of the research in the area of psychosocial factors in rehabilitation after sports injuries has focused on risk behaviors, while relatively few studies have focused on behaviors that facilitate rehabilitation. The objective of our study was to understand the psychosocial features that characterize elite female football players who express a resilient behaviour during rehabilitation after a first-time anterior cruciate ligament (ACL) injury and reconstruction.; Methods: A qualitative method was used based on individual in-person interviews and video communication of players who incurred a first-time ACL tear during the 2012 season of the Swedish Women's Elite Football League. In total, 13 players had a first-time ACL and were interviewed post-season. The interviews were followed by a thematic content analysis. Based on this, eight players were identified as showing resilient behaviors during their rehabilitation and were included in the final analysis.; Results: Three core themes representing psychosocial factors that help players cope successfully with rehabilitation were identified: (I) constructive communication and rich interaction with significant others; (II) strong belief in the importance and efficacy of one's own actions; and (III) the ability to set reasonable goals.; Conclusions: The findings suggest three core themes of psychosocial factors that characterize first-time ACL-injured elite female football players showing resilience during rehabilitation after ACL reconstruction. Suggestions for medical teams about ways to support communication, self-efficacy, and goal-setting during the rehabilitation process, are provided.;

  • 49. Jonsdottir, Ingibjörg H.
    et al.
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Stress och fysisk aktivitet2013Ingår i: Stress: gen, individ, samhälle / [ed] Bengt B. Arnetz och Rolf Ekman, Liber, 2013, 3, s. 175-180Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 50. Karazizi, Christina
    et al.
    Onerup, Aron
    Larsson, Pia
    Karlsson, Lena
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Dutta Roy, Smita
    The effect of exercise on angiogenic factors in the healthy mouse heart: a short report2014Ingår i: Experimental and clinical cardiology, ISSN 1205-6626, Vol. 20, nr 1, s. 2332-41Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Exercise increases blood levels of crucial angiogenic factors and endothelial progenitor cells (EPCs). Hypoxia inducible factor-1 (HIF-1a) and vascular endothelial growth factor (VEGF) are also increased in skeletal muscle in response to exercise. In the healthy heart, voluntary exercise is not expected to cause local hypoxia. We studied how voluntary exercise affects cardiac expression of HIF-1a, VEGF and stromal derived factor-1 (SDF-1), as well as EPC levels in heart and skeletal muscle.

    Method: Thirty-two NMRI mice were randomized to exercise in running wheels (EX) or regular activity (SED). HIF-1a, VEGF and SDF-1 mRNA levels were analyzed by reverse transcription polymerase chain reaction (RTPCR) and EPC levels in heart and hind limb were quantified by FACS after 7 and 14 days.

    Results: There was no significant difference in cardiac expression of HIF-1a, VEGF or SDF-1 between EX and SED. Cardiac EPC levels were not affected by exercise, while skeletal EPC level was more than doubled.

    Conclusion: Voluntary exercise does not seem to induce cardiac hypoxia or stimulate the angiogenic system. In the healthy normoxic heart, there is a limited need of supporting blood supply, which might explain these findings.

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