Swedish National Study of Aging and Care in Nordanstig
Networks
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Datasets
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Variables
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SNAC-N is a longitudinal study on the influence of life-time environmental and biological factors on medical, psychological, and social health in late adulthood.
The objective of this study is to increase the understanding of the aging process and to identify possible preventive strategies to improve the health and the care of older adults.
- Start Year
- 2001
Visit SNAC-N
| Investigators | Contacts |
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Design
- Study design
- Cohort
- Follow Up
- Participants were followed up every 2 years then every 4 years repeatedly. New cohorts of 60- and 81-year olds joined the study in 2006, and 2013. Participants in the Care System Study are followed up each time the decision for assistance is re-evaluated. This should be done at least once a year.
- Supplementary Information
Marker Paper
Lagergren M, Fratiglioni L, Hallberg IR et al., A longitudinal study integrating population, care and social services data. The Swedish National study on Aging and Care (SNAC). Aging Clin Exp Res. 2004 Apr;16(2):158-68.
PUBMED 15195992
Recruitment
- Recruitment Target
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- Individuals
Number of Participants
- Number of Participants
- 1,504 (No Limit)
- Number of Participants with Biological Samples
- 800
Access
Availability of data and biosamples
| Possible Access to Data | |
| Possible Access to Biosamples | |
| Other |
Timeline
Populations
The SNAC-N population consists of a random sample ages 60, 66, 72, 78, 78, 81, 84, 87, 90, 93, 96, 99, 100+ year old individuals living both at home and in institutions, in the municipality of Nordanstig.
Selection Criteria
- Minimum age
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60
- Newborns
- Twins
- Countries
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- Sweden
- Territory
- Nordanstig
- Ethnic Origin
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- Health Status
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Recruitment
- Sources of recruitment
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- General population
- General Population
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- Selected sample
- Supplementary Information
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The sample was chosen in the national project SNAC and it was stratified for age cohort and year of assessment. Eleven age cohorts were chosen with different intervals, being six years in the younger cohorts (60-78 years old), and three years in the older cohorts (81+ years old).
Number of Participants
- Number of Participants
- 766
- Number of Participants with Biological Samples
- Supplementary Information about selection criteria
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Baseline: 766 participants
Follow-up 1: 206 participants
Follow-up 2: 415 participants
Follow-up 3: 170 participants
Follow-up 4: 266 participants
Data Collection Events
| # | Name | Description | Start | End |
|---|---|---|---|---|
| 0 |
SNAC-N - Cohort 1 - Baseline
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2001 | 2004 |
| 1 |
SNAC-N - Cohort 1 - Follow-up1
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2005 | 2006 |
| 2 |
SNAC-N - Cohort 1 - Follow-up2
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2007 | 2011 |
| 3 |
SNAC-N - Cohort 1 - Follow-up3
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2011 | 2012 |
| 4 |
SNAC-N - Cohort 1 - Follow-up4
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2013 | 2015 |
| 5 |
SNAC-N - Cohort 1 - Follow-up5
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2016 | 2018 |
This population consists of a random sample ages 60, 81 year old individuals living both at home and in institutions, in the municipality of Nordanstig.
Selection Criteria
- Minimum age
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60
- Maximum age
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81
- Newborns
- Twins
- Countries
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- Sweden
- Territory
- Nordanstig
- Ethnic Origin
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- Health Status
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Recruitment
- Sources of recruitment
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- General population
- General Population
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- Selected sample
- Supplementary Information
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The sample was chosen in the national project SNAC and it was stratified for age cohort and year of assessment.
Number of Participants
- Number of Participants
- 265
- Number of Participants with Biological Samples
- Supplementary Information about selection criteria
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Baseline: 265 participants
Follow-up 1: 68 participants
Follow-up 2: 185 participants
Data Collection Events
| # | Name | Description | Start | End |
|---|---|---|---|---|
| 0 |
SNAC-N - Cohort 2 - Baseline
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2006 | 2012 |
| 1 |
SNAC-N - Cohort 2 - Follow-up1
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2011 | 2012 |
| 2 |
SNAC-N - Cohort 2 - Follow-up2
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2013 | 2015 |
| 3 |
SNAC-N - Cohort 2 - Follow-up3
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Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2016 | 2018 |
This population consists of a random sample ages 60, 81 year old individuals living both at home and in institutions, in the municipality of Nordanstig.
Selection Criteria
- Minimum age
-
60
- Maximum age
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81
- Newborns
- Twins
- Countries
-
- Sweden
- Territory
- Nordanstig
- Ethnic Origin
-
- Health Status
-
Recruitment
- Sources of recruitment
-
- General population
- General Population
-
- Selected sample
- Supplementary Information
-
The sample was chosen in the national project SNAC and it was stratified for age cohort and year of assessment. Eleven age cohorts were chosen with different intervals, being six years in the younger cohorts (60-78 years old), and three years in the older cohorts (81+ years old).
Number of Participants
- Number of Participants
- 273
- Number of Participants with Biological Samples
Data Collection Events
| # | Name | Description | Start | End |
|---|---|---|---|---|
| 0 |
SNAC-N - Cohort 3 - Baseline
|
Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2013 | 2015 |
| 1 |
SNAC-N - Cohort 3 - Follow-up1
|
Information was collected through an examination; a social interview and the assessment of physical functioning (performed by a nurse); a clinical examination, including geriatric, neurological ... | 2016 | 2018 |
This population consists of all persons over the age of 65 who are receiving long-term elderly care and/or have permanent home care/rehabilitation in the Nordanstig municipality with their registration connected to assistance decisions.
Selection Criteria
- Minimum age
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65
- Newborns
- Twins
- Countries
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- Sweden
- Territory
- Nordanstig
- Ethnic Origin
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- Health Status
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- Other Criteria
- Persons who only have meals-on-wheels, alarm or transport services from the municipality and/or the county council are excluded.
Recruitment
- Sources of recruitment
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- Specific population
- Specific Population
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- Other specific population : Users of home help services, long-term home health care or rehabilitation or special housing.
Number of Participants
- Number of Participants
- 200
- Number of Participants with Biological Samples
Data Collection Event
Data were collected each year in the spring. All contacts between older persons and the care system in the involved area were recorded. It concerned the operations of long-term care services system including volume and character of services provided in the relation to disability and other factors influencing needs.
Data collected cover the person's functional ability in terms of ability to perform personal (PADL) and instrumental activities of daily living (IADL), cognitive functioning using the Berger scale, special health complaints or needs (persistent pain, dizziness, ulcers, anxiety, in need of constant monitoring), living circumstances and conditions in terms of adaptation of housing to functional problems, access to informal care or privately organized or paid care, and details concerning public health care and services according to the Social Services Act and/or the Health and Medical Services Act. Additional information concerning the use of hospital care and out-patient care can be obtained through the county council administrative registers. Municipality registers provide data on personal income and co-payment for care services.
- Start Date
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2001
- Data sources
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- Questionnaires
- Cognitive measures
- Administrative databases
- Data sources - Administrative databases
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- Health databases
Classifications
- Socio-demographic and economic characteristics
- Lifestyle and behaviours
- Birth, pregnancy and reproductive health history
- Perception of health, quality of life, development and functional limitations
- Diseases
- Symptoms and signs
- Medication and supplements
- Non-pharmacological interventions
- Health and community care services utilization
- Death
- Physical measures and assessments
- Laboratory measures
- Cognition, personality and psychological measures and assessments
- Life events, life plans, beliefs and values
- Preschool, school and work life
- Social environment and relationships
- Physical environment
- Administrative information
- Cognitive functioning
- Personality
- Psychological distress and emotions
- Other psychological measures and assessments
- Perception of health
- Quality of life
- Life course development
- Functional limitations
- Other perception of health, quality of life and functional limitation-related information
- Tobacco
- Alcohol
- Drugs
- Nutrition
- Breastfeeding
- Physical activity
- Sleep
- Sexual behaviours and orientation
- Technological devices
- Misbehaviour and criminality
- Other and unspecified lifestyle information
Socio-demographic and economic characteristics
Age/birthdate
Sex/gender
Marital/partner status
Family and household structure
Education
Residence
Birthplace
Citizenship and immigrant status
Language
Labour force and retirement
Income, possessions, and benefits
Lifestyle and behaviours
Tobacco
Alcohol
Nutrition
Physical activity
Transportation
Sleep
Leisure activities
Technological devices
Other and unspecified lifestyle information
Birth, pregnancy and reproductive health history
Puberty, menstruation, menopause and andropause
Perception of health, quality of life, development and functional limitations
Perception of health
Quality of life
Functional limitations
Use of assistive devices
Diseases
Certain infectious and parasitic diseases (A00-B99)
Neoplasms (C00-D48)
Endocrine, nutritional and metabolic diseases (E00-E90)
Mental and behavioural disorders (F00-F99)
Diseases of the nervous system (G00-G99)
Diseases of the eye and adnexa (H00-H59)
Diseases of the ear and mastoid process (H60-H95)
Diseases of the circulatory system (I00-I99)
Diseases of the respiratory system (J00-J99)
Diseases of the digestive system (K00-K93)
Diseases of the skin and subcutaneous tissue (L00-L99)
Diseases of the musculoskeletal system and connective tissue (M00-M99)
Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
Injury, poisoning and certain other consequences of external causes (S00-T98)
Diseases without precise specification or falling into multiple categories
Symptoms and signs
Symptoms and signs involving the circulatory and respiratory systems (R00-R09)
Symptoms and signs involving the digestive system and abdomen (R10-R19)
Symptoms and signs involving nervous and musculoskeletal systems (R25-R29)
Symptoms and signs involving the urinary system (R30-R39)
Symptoms and signs involving cognition, perception, emotional state and behaviour (R40-R46)
Symptoms and signs involving speech and voice (R47-R49)
General symptoms and signs (R50-R69)
Symptoms related to multiple categories
Medication and supplements
Medication and supplement intake
Posology and protocol of administration
Non-pharmacological interventions
Surgical interventions
Other and unspecified non-pharmacological interventions
Health and community care services utilization
Visits to health professionals
Hospitalizations
Community and social care
Other health and community care
Death
Vital status
Cause of death
Physical measures and assessments
Physical characteristics
Anthropometry
Circulation and respiration
Muscles, skeleton and mobility
Sensory and pain
Brain and nerves
Digestion
Other physical measures and assessments
Laboratory measures
Hematology
Biochemistry
Cognition, personality and psychological measures and assessments
Cognitive functioning
Personality
Psychological distress and emotions
Life events, life plans, beliefs and values
Life events
Beliefs and values
Preschool, school and work life
Work life
Other preschool, school or work life-related information
Social environment and relationships
Social network
Social participation
Social support
Other social environment characteristics
Physical environment
Housing characteristics
Built environment/neighbourhood characteristics
Chemical exposure
Biological exposure
Other physical environment characteristics
Administrative information
Identifiers
Date and time-related information
Questionnaire and interview-related information
Physical and cognitive measure and biosample-related information
Other administrative information
Cognitive functioning
Clinical Dementia Rating Scale
Category Fluency Test
Clock Drawing Test
Digit Span Task
Digit Cancellation Test
Faux Pas Recognition Test
General Knowledge Task
Immediate Free Word Recall Test
Letter Fluency Test
Mini-Mental State Examination
Mental Rotation Test
Pattern Comparison Test
Trail Making Test
Visually Cued Recall Task
Personality
NEO Personality Inventory
Psychological distress and emotions
Comprehensive Psychopathological Rating Scale
Positive and Negative Affect Schedule
Perception of health
Health Perceptions Questionnaire
Quality of life
Life Satisfaction Index A
Patient-Reported Outcomes Measurement Information System (Pain Interference)
Self-Care Behaviors Scale
Short-Form 36 Health Survey
Functional limitations
Activities of Daily Living
Instrumental Activities of Daily Living
Alcohol
Alcohol Use Disorders Identification Test
Nutrition
Mini Nutritional Assessment