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Biography [eng]

A systems perspective on human movement and health in the Arctic:  

My area of practice and research is physiotherapy. I have clinical experience in motion analysis, work physiology, health psychology and rehabilitation. A particular focus of my research is on the significance of the environment, social context and people’s self-efficacy beliefs for physical performance and mobility.

Located in the subarctic area of northern Scandinavia, my research activities include exploring prerequisites for the populations’ safety and activity in winter environments. In transdisciplinary projects, we study the construction of outdoor environments and seasonal climate variations, as well as how people’s balance control, attitudes and habits affect when a person feels comfortable to move outdoors in winter.

Also, my research includes the development of the Internet of Things, and activity recognition systems to support senior people’s active and independent living, through timely caregiving.

Biography [swe]

 

Publications (10 of 78) Show all publications
Chapman, D., Johansson, C., Berggård, G., Lindelöw, D., Larsson, A., Merlo, L. & Nilson, F. (2026). Levelling-up walking as a mode of transport - a case for changing hierarchies. Journal of Transport & Health, 47, Article ID 102242.
Open this publication in new window or tab >>Levelling-up walking as a mode of transport - a case for changing hierarchies
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2026 (English)In: Journal of Transport & Health, ISSN 2214-1405, E-ISSN 2214-1413, Vol. 47, article id 102242Article in journal (Refereed) Published
Abstract [en]

Introduction

Walking has a key role in achieving the compact and 15-min city, improving public health, and reaching sustainability goals. However, whilst walking is placed at the top of the transport hierarchy in public documents throughout Scandinavia, in reality, walking as a mode of transport is consistently downplayed and hierarchically placed in the bottom of the transport hierarchy. Focus in the public and planning discourse is instead commonly on either motorised transport, public transport, or cycling, regardless of whether the focus is on city planning, logistics or safety.

Methods

To better understand why this is the case – as well as attempting to suggest solutions to levelling-up walking as a mode of transport – academics, policymakers, and practitioners from across Scandinavia were strategically selected to contribute with their knowledge through focus groups and individual surveys during 2021 and 2023.

Results

In the analysis of the material, it became clear that walking was largely viewed in the parallel perspectives of two fields: planning and safety. These fields coexist as disparate and disconnected fields, basing their work on different methodologies and input data, resulting in an incoherent understanding of walking as a mode of transport. However, the analysis also enabled the development of a thematic model: realising walking as a mode of transport, illustrating an ideal construct in which planning and safety perspectives work coherently.

Conclusion

The results suggest that there is a strong desire to level-up walking as a mode of transport and change the status and hierarchy in the transport system. However, to do so requires a more holistic and multi-disciplinary view.

Place, publisher, year, edition, pages
Elsevier, 2026
Keywords
Walking, Transport, 15-Min city, Soft mobility, Health
National Category
Transport Systems and Logistics Structural Engineering
Research subject
Architecture; Physiotherapy and Health Promotion
Identifiers
urn:nbn:se:ltu:diva-115787 (URN)10.1016/j.jth.2025.102242 (DOI)2-s2.0-105024238487 (Scopus ID)
Funder
Swedish Transport Administration, TRV 2022/32661The Kamprad Family Foundation, 20233102
Note

Fulltext license: CC BY

Available from: 2025-12-12 Created: 2025-12-12 Last updated: 2025-12-18
Merlo, L., Chapman, D., Nilson, F., Johansson, C. & Larsson, A. (2025). Healthy ageing and the 15-minute walking environment in the Swedish Arctic communities. Journal of Transport & Health, 42, Article ID 102019.
Open this publication in new window or tab >>Healthy ageing and the 15-minute walking environment in the Swedish Arctic communities
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2025 (English)In: Journal of Transport & Health, ISSN 2214-1405, E-ISSN 2214-1413, Vol. 42, article id 102019Article in journal (Refereed) Published
Abstract [en]

Introduction: In recent years, the 15-min city concept has gained popularity as a solution for urban planning, emphasizing proximity to daily amenities accessible by walking or cycling. While commonly studied and implemented in densely populated cities, its application in other contexts remains limited. Simultaneously, Europe's older population continues to grow, highlighting the need to address their unique needs. This study examines the 15-min city from the perspective of older adults in the Swedish Arctic.

Methods: A mailed questionnaire was chosen to investigate the most significant daily amenities within a 15-min walk for the sociodemographic group. Responses were categorized into the six original categories of the 15-min city concept: Living, Working, Supplying, Caring, Learning, and Enjoying.

Results: Results included high responses for Supplying and Caring, with low mentions of Working. Additionally, two new categories emerged: Social, highlighting the importance of relationships with family, friends and neighbours, and Nothing, reflecting a lack of nearby services despite many respondents still engaging in daily neighbourhood visits.

Conclusions: This study offers a fresh perspective on the 15-min city, emphasizing the importance of integrating residents' experiences and preferences into urban planning, especially in smaller communities, to support active ageing and overall well-being. The findings offer valuable insights into key destinations for the older population, which can help enhance accessibility to essential facilities and promote proximity-based planning.

Place, publisher, year, edition, pages
Elsevier, 2025
Keywords
15-Min city, Walking, Older adults, Destination, Health, Urban planning
National Category
Human Geography
Research subject
Architecture; Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-111926 (URN)10.1016/j.jth.2025.102019 (DOI)001444373300001 ()2-s2.0-86000173988 (Scopus ID)
Funder
Nordic Council of MinistersLuleå University of TechnologyThe Kamprad Family Foundation
Note

Validerad;2025;Nivå 2;2025-03-10 (u8);

Full text license: CC BY

Available from: 2025-03-10 Created: 2025-03-10 Last updated: 2025-10-21Bibliographically approved
Merlo, L., Chapman, D., Nilson, F., Johansson, C. & Larsson, A. (2025). Healthy ageing and the outdoor environment in the swedish arctic communities. In: Fredrik Hellman; Mattias Haraldsson (Ed.), Sammanställning av referat från Transportforum 2025: . Paper presented at Transportforum, Linköping, Sweden, January 15-16, 2025 (pp. 467-468). Statens väg- och transportforskningsinstitut
Open this publication in new window or tab >>Healthy ageing and the outdoor environment in the swedish arctic communities
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2025 (English)In: Sammanställning av referat från Transportforum 2025 / [ed] Fredrik Hellman; Mattias Haraldsson, Statens väg- och transportforskningsinstitut , 2025, p. 467-468Conference paper, Oral presentation with published abstract (Other academic)
Place, publisher, year, edition, pages
Statens väg- och transportforskningsinstitut, 2025
National Category
Transport Systems and Logistics
Research subject
Architecture; Physiotherapy and Health Promotion
Identifiers
urn:nbn:se:ltu:diva-114847 (URN)
Conference
Transportforum, Linköping, Sweden, January 15-16, 2025
Available from: 2025-09-22 Created: 2025-09-22 Last updated: 2025-10-21Bibliographically approved
H. Blix, B. (2024). Addressing the policy blind spots: Age-inclusive and age-equitable outdoor spaces in the Nordic Arctic region. The Environmental Physiotherapy Association (EPA)
Open this publication in new window or tab >>Addressing the policy blind spots: Age-inclusive and age-equitable outdoor spaces in the Nordic Arctic region
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2024 (English)Other (Other academic)
Abstract [en]

In the last decade, the Nordic countries have adopted policy strategies in response to population ageing. However, a recent study highlights a critical blind spot in these policies, concerning the older adults living in the arctic regions of Finland, Norway, Sweden, and Iceland. In this blogpost, we explore the significant gaps identified in the study and underscore the urgent need for inclusive policies that recognize and address both the diversity of the older adult population and the unique challenges faced by older adults in the Arctic.

Place, publisher, year, pages
The Environmental Physiotherapy Association (EPA), 2024
National Category
Other Social Sciences
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-110980 (URN)
Available from: 2024-12-06 Created: 2024-12-06 Last updated: 2025-10-21Bibliographically approved
Emelyanova, A., Blix, B. H., Larsson, A., Olafsdottir, S. A. & Rautio, A. (2024). Age-inclusive Arctic outdoor spaces: a policy review in four Nordic countries. International Journal of Circumpolar Health, 83(1), Article ID 2339561.
Open this publication in new window or tab >>Age-inclusive Arctic outdoor spaces: a policy review in four Nordic countries
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2024 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 83, no 1, article id 2339561Article, review/survey (Refereed) Published
Abstract [en]

In the last decade, policy strategies were adopted in response to population ageing in the Nordic countries. Governmental actions have to be evaluated in terms of their efficacy. The objective of this article is to identify and review the policies related to age-inclusive outdoor spaces in the Arctic regions of Nordic countries. Our analysis focuses on central government white papers that address the older adults in Finland, Norway, Sweden, and Iceland. A review of such policy documents provides insights into the predominant understandings of older adults and healthy ageing. Moreover, such analysis may identify “blind spots” in the national policies, especially regarding the sparsely researched northernmost and rural Arctic territories. Our results demonstrate how the older populations in the Nordic Arctic and their access to outdoor spaces are addressed in the policy documents. We found that with few exceptions, the older people of the rural Arctic is strikingly absent in the Nordic national governmental papers. Moreover, access to outdoor spaces is mentioned in general terms, and specific challenges of the rural Arctic context, such as the harsh climate, long winters and geographical distances are not addressed. The noticed omissions might be the result of “urban-rural”, “south-north”, “indoor-outdoor”, and “generalisation” biases.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Age-friendly, older individuals, rural, Finland, Norway, Sweden, Iceland
National Category
Human Geography
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-105101 (URN)10.1080/22423982.2024.2339561 (DOI)001202075400001 ()38615335 (PubMedID)2-s2.0-85190383482 (Scopus ID)
Note

Validerad;2024;Nivå 2;2024-04-15 (signyg);

Funder: The Nordic Arctic Co-operation Programme;

Full text license: CC BY-NC

Available from: 2024-04-15 Created: 2024-04-15 Last updated: 2025-10-21Bibliographically approved
Blix, B. H., Emelyanova, A., Larsson, A., Olafsdottir, S. A. & Rautio, A. (2024). Age-inclusive communities and outdoor spaces in the Arctic: Omissions in national policies. In: : . Paper presented at 27th Nordic Congress of Gerontology (NKG), Stockholm, Sweden, June 12-14, 2024.
Open this publication in new window or tab >>Age-inclusive communities and outdoor spaces in the Arctic: Omissions in national policies
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2024 (English)Conference paper, Oral presentation only (Refereed)
National Category
Public Health, Global Health and Social Medicine Human Geography
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-107779 (URN)
Conference
27th Nordic Congress of Gerontology (NKG), Stockholm, Sweden, June 12-14, 2024
Available from: 2024-06-27 Created: 2024-06-27 Last updated: 2025-10-21Bibliographically approved
Larsson, A., Emelyanova, A., Olafsdottir, S. A., Rautio, A. & Chapman, D. (2024). Healthy Ageing and Outdoor Environment in the Arctic - Methodological Considerations. In: : . Paper presented at Arctic Congress Bodø 2024 including UArctic Congress 2024 + the High North Dialogue 2024 + International Congress of Arctic Social Sciences (ICASS) XI, Bodø, Norway, May 29 - June 3, 2024.
Open this publication in new window or tab >>Healthy Ageing and Outdoor Environment in the Arctic - Methodological Considerations
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2024 (English)Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

Older residents' ability to move safely and independently throughout the year is critical to maintaining quality of life and function and postponing disability. There are few studies of environmental determinants of outdoor mobility for older people in rural areas, and even fewer cover the Nordic Arctic areas and its winter season.

Our project investigates how people aged 70 or older perceive their lived urban and rural mobility space and the impact of environmental conditions commonly found in Nordic Arctic settlements in wintertime. The methodology is an exploratory mixed-method design, where we use a tailored questionnaire followed by focus group interviews to collect more specific data. Three regions of Finland (Lapland, Kainuu, Northern Ostrobothnia), two regions of Sweden (Norrbotten, Vasterbotten), and the whole of Iceland are covered.

In this presentation, we will share our experiences and development of the methodology for the data collection. The questions must be expressed and understood similarly by respondents across Sweden, Finland and Iceland, and also across diverse residence typologies, for example, urban or rural. Hence, the wordings, definitions, contexts, and typologies of places are currently discussed within the research group and will also be an essential issue addressed during focus group interviews later in the project. Expected outcomes, such as tailored questionnaires and new knowledge, can be used to create safer outdoor environments and public spaces for older people living in the Nordic Arctic.

National Category
Human Geography
Research subject
Physiotherapy; Architecture
Identifiers
urn:nbn:se:ltu:diva-105746 (URN)
Conference
Arctic Congress Bodø 2024 including UArctic Congress 2024 + the High North Dialogue 2024 + International Congress of Arctic Social Sciences (ICASS) XI, Bodø, Norway, May 29 - June 3, 2024
Funder
Nordic Council of Ministers, Arctic Co-operation Program
Available from: 2024-06-03 Created: 2024-06-03 Last updated: 2025-10-21Bibliographically approved
Larsson, A., Emelyanova, A., Olafsdottir, S. A. & Rautio, A. (2024). Healthy Ageing, Walking and Outdoor Environment in rural and urban areas of the Nordic Arctic. In: : . Paper presented at 24th International Walk21 Conference, Lisbon, Portugal, October 14-18, 2024. , Article ID 261.
Open this publication in new window or tab >>Healthy Ageing, Walking and Outdoor Environment in rural and urban areas of the Nordic Arctic
2024 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Public Health, Global Health and Social Medicine
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-110584 (URN)
Conference
24th International Walk21 Conference, Lisbon, Portugal, October 14-18, 2024
Projects
Nordic AHA-Communities
Note

Funder: Nordic Council of Ministers Arctic Co-operation Program

Available from: 2024-10-29 Created: 2024-10-29 Last updated: 2025-10-21Bibliographically approved
Strandkvist, V., Lindberg, A., Larsson, A., Pauelsen, M., Stridsman, C., Nyberg, L., . . . Röijezon, U. (2023). Postural control among individuals with and without chronic obstructive pulmonary disease: A cross-sectional study of motor and sensory systems. PLOS ONE, 18(4), Article ID e0284800.
Open this publication in new window or tab >>Postural control among individuals with and without chronic obstructive pulmonary disease: A cross-sectional study of motor and sensory systems
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2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 4, article id e0284800Article in journal (Refereed) Published
Abstract [en]

Background

Chronic obstructive pulmonary disease (COPD) is considered a heterogenic syndrome with systemic effects, including muscle dysfunction. There is evidence of postural control impairments among individuals with COPD, partly related to muscle weakness. However, research is scarce regarding the other underlying systems of postural control, such as the visual, somatosensory and vestibular system. The aim was to compare postural control, as well as the motor and sensory systems, between individuals with and without COPD.

Methods

Twenty-two participants with COPD (mean age 74.0 ±6.2 years) and 34 non-obstructive references (mean age 74.9 ±4.9 years) participated in this cross-sectional study. Postural control was assessed with center of pressure trajectory of postural sway in quiet as well as a limits of stability test, calculating mediolateral and anteroposterior amplitudes for each test. Assessment of function in the motor system included maximum hand grip strength, as well as maximum strength in muscles around the hip, knee and ankle joints. Visual acuity, pressure sensibility, proprioception, vestibular screening, and reaction time were also included. Data was compared between groups, and significant differences in postural control were further analyzed with an orthogonal projection of latent structures regression model.

Results

There was a significantly increased sway amplitude in the mediolateral direction in quiet stance on soft surface with eyes open (p = 0.014) as well as a smaller anteroposterior amplitude in the limits of stability test (p = 0.019) in the COPD group. Regression models revealed that the mediolateral amplitude was related to visual acuity and the burden of tobacco smoking assessed as pack-years. Further, muscle strength associated with anteroposterior amplitude in limits of stability test in the COPD group, and with age and ankle dorsal flexion strength among the referents. Besides for lower ankle plantar flexion strength in the COPD group, there were however no significant differences in muscle strength.

Conclusions

Individuals with COPD had a decreased postural control and several factors were associated with the impairments. The findings imply that the burden of tobacco smoking and reduced visual acuity relate to increased postural sway in quiet stance, and that muscle weakness is related to decreased limits of stability, among individuals with COPD.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2023
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:ltu:diva-75668 (URN)10.1371/journal.pone.0284800 (DOI)000984483800013 ()37098038 (PubMedID)2-s2.0-85153900736 (Scopus ID)
Funder
Swedish Research Council, (project number K2015-99X-22756-01-4)Swedish Heart Lung Foundation, (E139/16)Norrbotten County Council, (NLL-762571)
Note

Validerad;2023;Nivå 2;2023-05-10 (joosat);

Licens fulltext: CC BY License

This article has previously appeared as a manuscript in a thesis.

Funder: Promobilia Foundation (17030)

Available from: 2019-08-23 Created: 2019-08-23 Last updated: 2025-10-22Bibliographically approved
Chapman, D., Sjöholm, J., Zetterkvist, S. & Larsson, A. (2023). Social life and use of an Arctic city centre during the COVID-19 pandemic. Arctic Yearbook, 185-200
Open this publication in new window or tab >>Social life and use of an Arctic city centre during the COVID-19 pandemic
2023 (English)In: Arctic Yearbook, ISSN 2298-2418, p. 185-200Article in journal (Refereed) Published
Abstract [en]

From March 2020, regulations and recommendations were implemented in Sweden to reduce the spread of COVID-19, which included limitations to public life. Overall, these sought to reduce activities that brought people together and in so doing, transitioned the relationship between cities and people into a new paradigm.

The study explores public usage of an Arctic city during the pandemic to understand how COVID-19 altered people’s ‘social life’. Data was collected in the Arctic city of Luleå, by structured questionnaires and semi-structured interviews. These indicate that: 1) a significant reduction in city visits, 2) multi-faceted city visits were reduced to single task based visits, 3) a significant reduction in leisure based activities, 4) an increase in digitalization of work, retail and leisure activities, 5) perceptions of responsibility, guilt, boredom and minimizing social networks were reported, and 6) post-pandemic, people questioned the ability of cities to bounce back.

The survey and interviews show that in the Arctic city of Luleå, restrictions put in place to reduce spread of the infection had a significant impact on public life and use of the public realm, which is in accordance with research from outside the Arctic.

The conclusion is that in the short term, the role of urban centres in daily life was reduced and the role of digitalisation for work, goods and services was rapidly advanced. However, the research also shows that the ‘social dimension’ of Arctic cities - to see other people and take part of civic life on site - was not easy to replace and is valued by the community.

Place, publisher, year, edition, pages
University of the Arctic Thematic Network (TN) on Geopolitics and Security, 2023
National Category
Public Health, Global Health and Social Medicine
Research subject
Physiotherapy; Architecture
Identifiers
urn:nbn:se:ltu:diva-101194 (URN)
Note

Validerad;2023;Nivå 1;2023-09-04 (joosat);

Part of special Issue: Arctic Pandemics: COVID-19 and Other Pandemic Experiences and Lessons Learned

Available from: 2023-09-04 Created: 2023-09-04 Last updated: 2025-10-21Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3619-2297

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