Digitala Vetenskapliga Arkivet

Endre søk
Begrens søket
12345 1 - 50 of 231
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1. Abe, Sarah Krull
    et al.
    Stickley, Andrew
    Södertörns högskola, Institutionen för samhällsvetenskaper, Sociologi. Södertörns högskola, Institutionen för samhällsvetenskaper, SCOHOST (Stockholm Centre on Health of Societies in Transition).
    Roberts, Bayard
    Richardson, Erica
    Abbott, Pamela
    Rotman, David
    McKee, Martin
    Changing patterns of fruit and vegetable intake in countries of the former Soviet Union2013Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 16, nr 11, s. 1924-1932Artikkel i tidsskrift (Fagfellevurdert)
  • 2. Al-Delaimy, WK
    et al.
    Van Kappel, AL
    Ferrari, P
    Slimani, N
    Steghens, JP
    Bingham, S
    Johansson, Ingegerd
    Umeå universitet, Medicinsk fakultet, Odontologi, Kariologi.
    Wallström, P
    Overvad, K
    Tjonneland, A
    Key, TJ
    Welch, AA
    Bas Bueno-De-Mesquita, H
    Peeters, PH
    Boeing, H
    Linseisen, J
    Clavel-Chapelon, F
    Guibout, C
    Navarro, C
    Quiros, JR
    Palli, D
    Celentano, E
    Trichopoulou, A
    Benetou, V
    Kaaks, R
    Riboli, E
    Plasma levels of six carotenoids in nine European countries: report from the European Prospective Investigation into Cancer and Nutrition (EPIC).2004Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 7, nr 6, s. 713-722Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: In addition to their possible direct biological effects, plasma carotenoids can be used as biochemical markers of fruit and vegetable consumption for identifying diet-disease associations in epidemiological studies. Few studies have compared levels of these carotenoids between countries in Europe. OBJECTIVE: Our aim was to assess the variability of plasma carotenoid levels within the cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC). METHODS: Plasma levels of six carotenoids--alpha-carotene, beta-carotene, beta-cryptoxanthin, lycopene, lutein and zeaxanthin--were measured cross-sectionally in 3043 study subjects from 16 regions in nine European countries. We investigated the relative influence of gender, season, age, body mass index (BMI), alcohol intake and smoking status on plasma levels of the carotenoids. RESULTS: Mean plasma level of the sum of the six carotenoids varied twofold between regions (1.35 micromol l(-1) for men in Malmö, Sweden vs. 2.79 micromol l(-1) for men in Ragusa/Naples, Italy; 1.61 micromol l(-1) for women in The Netherlands vs. 3.52 micromol l(-1) in Ragusa/Naples, Italy). Mean levels of individual carotenoids varied up to fourfold (alpha-carotene: 0.06 micromol l(-1) for men in Murcia, Spain vs. 0.25 micromol l(-1) for vegetarian men living in the UK). In multivariate regression analyses, region was the most important predictor of total plasma carotenoid level (partial R(2)=27.3%), followed by BMI (partial R(2)=5.2%), gender (partial R(2)=2.7%) and smoking status (partial R(2)=2.8%). Females had higher total carotenoid levels than males across Europe. CONCLUSIONS: Plasma levels of carotenoids vary substantially between 16 different regions in Italy, Greece, Spain, France, Germany, the UK, Sweden, Denmark and The Netherlands. Compared with region of residence, the other demographic and lifestyle factors and laboratory measurements have limited predictive value for plasma carotenoid levels in Europe.

  • 3. Aro, Antti
    et al.
    Becker, Wulf
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap.
    Improving nutrition in Finland.2010Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 13, nr 6A, s. 899-900Artikkel i tidsskrift (Fagfellevurdert)
  • 4.
    Arvidsson, Louise
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Birkhed, Dowen
    Univ Gothenburg, Inst Odontol, Dept Cariol, Gothenburg, Sweden.
    Hunsberger, Monica
    Univ Gothenburg, Sect Epidemiol & Social Med, S-40530 Gothenburg, Sweden.
    Lanfer, Anne
    Leibniz Inst Prevent Res & Epidemiol BIPS GmbH, Bremen, Germany.
    Lissner, Lauren
    Univ Gothenburg, Sect Epidemiol & Social Med, S-40530 Gothenburg, Sweden.
    Mehlig, Kirsten
    Marild, Staffan
    Univ Gothenburg, Queen Silvia Childrens Hosp, Dept Paediat, Gothenburg, Sweden..
    Eiben, Gabriele
    Univ Gothenburg, Sect Epidemiol & Social Med, S-40530 Gothenburg, Sweden.
    BMI, eating habits and sleep in relation to salivary counts of mutans streptococci in children - the IDEFICS Sweden study2016Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, nr 6, s. 1088-1092Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The objective of the present study was to investigate the association between salivary counts of mutans streptococci (MS) and children's weight status, while considering associated covariates. MS ferments carbohydrates from the diet and contributes to caries by lowering the pH in dental plaque. In adults, high counts of MS in saliva have been associated with overweight, but this has not been shown in children. Design: Cross-sectional study investigating salivary counts of MS, BMI Z-score, waist circumference, meal frequency, sugar propensity and sleep duration, in children. Setting: West Sweden. Subjects: Children (n 271) aged 4-11 years. Results: Medium-high counts of MS were positively associated with higher BMI Z-score (OR=1.6; 95 % CI 1.1, 2.3). Positive associations were also found between medium-high counts of MS and more frequent meals per day (OR=1.5; 95 % CI 1.1, 2.2), greater percentage of sugar-rich foods consumed (OR=1.1; 95 % CI 1.0, 1.3) and female sex (OR=2.4; 95 % CI 1.1, 5.4). A negative association was found between medium-high counts of MS and longer sleep duration (OR=0.5; 95 % CI 0.3, 1.0). Conclusions: BMI Z-score was associated with counts of MS. Promoting adequate sleep duration and limiting the intake frequency of sugar-rich foods and beverages could provide multiple benefits in public health interventions aimed at reducing dental caries and childhood overweight.

  • 5.
    Assey, Vincent D.
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa.
    Mgoba, Celestin
    Mlingi, Nicholaus
    Sanga, Alfred
    Ndossi, Godwin D.
    Greiner, Ted
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa.
    Peterson, Stefan
    Remaining challenges in Tanzania's efforts to eliminate iodine deficiency2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 10, s. 1032-1038Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To determine iodine levels in salt and iodine deficiency prevalence in school-aged children in 16 districts in Tanzania with previous severe iodine deficiency. Design: A cross-sectional study in schoolchildren. Systematic probability sampling was used to select schools and subjects for goitre assessment and urinary iodine determination. Setting: Sixteen districts randomly selected from the 27 categorised as severely iodine-deficient in Tanzania. Subjects: The stndy population was primary-school children aged 6-18 years who were examined for goitre prevalence and urinary, iodine concentration (UIC). Salt samples from schoolchildren's homes and from shops were tested for iodine content. Results. The study revealed that 83.3% of households (n = 21 160) in the surveyed districts used iodised salt. Also, 94% of sampled shops (n = 397) sold iodised salt, with a median iodine level of 37.0 ppm (range 4.2-240 ppm). Median UIC in 2089 schoolchildren vas 235.0 mu g 1(-1) and 9.3% had UIC values below 50 mu g 1(-1). The overall unweighted mean visible and total goitre prevalence was 6.7% and 24.3%, respectively (n = 16 222). The age group 6-12 Nears had the lowest goitre prevalence (3.6% visible and 18.0% total goitre, 11 = 7147). The total goitre prevalence had decreased significantly in all districts from an unweighted mean of 65.4% in the 1980s to 24.3% in 1999 (P < 0.05). We believe this difference was also biologically significant. Conclusion: These findings indicate that iodine deficiency is largely eliminated in the 16 districts categorised as severely iodine-deficient in Tanzania, and that the iodine content of salt purchased from shops is highly variable.

  • 6. Assi, Nada
    et al.
    Moskal, Aurelie
    Slimani, Nadia
    Viallon, Vivian
    Chajes, Veronique
    Freisling, Heinz
    Monni, Stefano
    Knueppel, Sven
    Foerster, Jana
    Weiderpass, Elisabete
    Lujan-Barroso, Leila
    Amiano, Pilar
    Ardanaz, Eva
    Molina-Montes, Esther
    Salmeron, Diego
    Ramon Quiros, Jose
    Olsen, Anja
    Tjonneland, Anne
    Dahm, Christina C.
    Overvad, Kim
    Dossus, Laure
    Fournier, Agnes
    Baglietto, Laura
    Fortner, Renee Turzanski
    Kaaks, Rudolf
    Trichopoulou, Antonia
    Bamia, Christina
    Orfanos, Philippos
    De Magistris, Maria Santucci
    Masala, Giovanna
    Agnoli, Claudia
    Ricceri, Fulvio
    Tumino, Rosario
    de Mesquita, H. Bas Bueno
    Bakker, Marije F.
    Peeters, Petra H. M.
    Skeie, Guri
    Braaten, Tonje
    Winkvist, Anna
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Näringsforskning.
    Johansson, Ingegerd
    Umeå universitet, Medicinska fakulteten, Institutionen för odontologi. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Näringsforskning.
    Khaw, Kay-Tee
    Wareham, Nicholas J.
    Key, Tim
    Travis, Ruth
    Schmidt, Julie A.
    Merritt, Melissa A.
    Riboli, Elio
    Romieu, Isabelle
    Ferrari, Pietro
    A treelet transform analysis to relate nutrient patterns to the risk of hormonal receptor-defined breast cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC)2016Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, nr 2, s. 242-254Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective Pattern analysis has emerged as a tool to depict the role of multiple nutrients/foods in relation to health outcomes. The present study aimed at extracting nutrient patterns with respect to breast cancer (BC) aetiology. Design Nutrient patterns were derived with treelet transform (TT) and related to BC risk. TT was applied to twenty-three log-transformed nutrient densities from dietary questionnaires. Hazard ratios (HR) and 95 % confidence intervals computed using Cox proportional hazards models quantified the association between quintiles of nutrient pattern scores and risk of overall BC, and by hormonal receptor and menopausal status. Principal component analysis was applied for comparison. Setting The European Prospective Investigation into Cancer and Nutrition (EPIC). Subjects Women (n 334 850) from the EPIC study. Results The first TT component (TC1) highlighted a pattern rich in nutrients found in animal foods loading on cholesterol, protein, retinol, vitamins B-12 and D, while the second TT component (TC2) reflected a diet rich in -carotene, riboflavin, thiamin, vitamins C and B-6, fibre, Fe, Ca, K, Mg, P and folate. While TC1 was not associated with BC risk, TC2 was inversely associated with BC risk overall (HRQ5 v. Q1=089, 95 % CI 083, 095, P-trend<001) and showed a significantly lower risk in oestrogen receptor-positive (HRQ5 v. Q1=089, 95 % CI 081, 098, P-trend=002) and progesterone receptor-positive tumours (HRQ5 v. Q1=087, 95 % CI 077, 098, P-trend<001). Conclusions TT produces readily interpretable sparse components explaining similar amounts of variation as principal component analysis. Our results suggest that participants with a nutrient pattern high in micronutrients found in vegetables, fruits and cereals had a lower risk of BC.

  • 7.
    Balter, Olle
    et al.
    Royal Inst Technol, Sch Comp Sci & Commun, Stockholm, Sweden..
    Fondell, Elinor
    Karolinska Inst, Dept Med Epidemiol & Biostat, SE-17177 Stockholm, Sweden.;Karolinska Inst, Osher Ctr Integrat Med, SE-17177 Stockholm, Sweden..
    Bälter, Katarina
    Karolinska Inst, Dept Med Epidemiol & Biostat, SE-17177 Stockholm, Sweden..
    Feedback in web-based questionnaires as incentive to increase compliance in studies on lifestyle factors2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 6, s. 982-988Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: We explored the use of feedback in interactive web-based questionnaires for collecting data on lifestyle factors in epidemiological studies. Design: Here we report from a cohort study on lifestyle factors and upper respiratory tract infections among 1805 men and women. We introduced interactivity in the form of personalized feedback and feedback on a group level regarding dietary intake, physical activity and incidence of infections in web-based questionnaires as incentives for the respondents to continue answering questions and stay in the study. Setting: The study was performed in Sweden. Subjects: All participants were randomly selected from the population registry. Results: Personalized feedback was offered in the baseline questionnaire and feedback on a group level in the five follow-up questionnaires. In total, 88% of the participants actively chose to get personalized feedback at least once in the baseline questionnaire. The follow-up questionnaires were sent by email and the overall compliance at each follow-up was 83-84%, despite only one reminder. In total, 74% completed all five follow-ups. However, the compliance was higher among those who chose feedback in the baseline questionnaire compared with those who did not choose feedback. Conclusions: The results show that it is possible to use feedback in web questionnaires and that it has the potential to increase compliance. The majority of the participants actively chose to take part in the personalized feedback in the baseline questionnaire and future research should focus on improving the design of the feedback, which may ultimately result in even higher compliance in research studies.

  • 8. Bamia, Christina
    et al.
    Trichopoulos, Dimitrios
    Ferrari, Pietro
    Overvad, Kim
    Bjerregaard, Lone
    Tjønneland, Anne
    Halkjaer, Jytte
    Clavel-Chapelon, Françoise
    Kesse, Emmanuelle
    Boutron-Ruault, Marie-Christine
    Boffetta, Paolo
    Nagel, Gabriele
    Linseisen, Jacob
    Boeing, Heiner
    Hoffmann, Kurt
    Kasapa, Christina
    Orfanou, Anastasia
    Travezea, Chrysoula
    Slimani, Nadia
    Norat, Teresa
    Palli, Domenico
    Pala, Valeria
    Panico, Salvatore
    Tumino, Rosario
    Sacerdote, Carlotta
    Bueno-de-Mesquita, H Bas
    Waijers, Patricia M C M
    Peeters, Petra H M
    van der Schouw, Yvonne T
    Berenguer, Antonio
    Martinez-Garcia, Carmen
    Navarro, Carmen
    Barricarte, Aurelio
    Dorronsoro, Miren
    Berglund, Göran
    Wirfält, Elisabet
    Johansson, Ingegerd
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Näringsforskning. Umeå universitet, Medicinska fakulteten, Institutionen för odontologi.
    Johansson, Gerd
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Näringsforskning.
    Bingham, Sheila
    Khaw, Kay-Tee
    Spencer, Elizabeth A
    Key, Tim
    Riboli, Elio
    Trichopoulou, Antonia
    Dietary patterns and survival of older Europeans: the EPIC-Elderly Study (European Prospective Investigation into Cancer and Nutrition)2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 6, s. 590-598Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To investigate the association of a posteriori dietary patterns with overall survival of older Europeans.

    Design and setting: This is a multi-centre cohort study. Cox regression analysis was used to investigate the association of the prevailing, a posteriori-derived, plant-based dietary pattern with all-cause mortality in a population of subjects who were 60 years or older at recruitment to the European Prospective Investigation into Cancer and Nutrition (EPIC-Elderly cohort). Analyses controlled for all known potential risk factors.

    Subjects: In total, 74 607 men and women, 60 years or older at enrolment and without previous coronary heart disease, stroke or cancer, with complete information about dietary intakes and potentially confounding variables, and with known survival status as of December 2003, were included in the analysis.

    Results: An increase in the score which measures the adherence to the plant-based diet was associated with a lower overall mortality, a one standard deviation increment corresponding to a statistically significant reduction of 14% (95% confidence interval 5–23%). In country-specific analyses the apparent association was stronger in Greece, Spain, Denmark and The Netherlands, and absent in the UK and Germany.

    Conclusions: Greater adherence to the plant-based diet that was defined a posteriori in this population of European elders is associated with lower all-cause mortality. This dietary score is moderately positively correlated with the Modified Mediterranean Diet Score that has been constructed a priori and was also shown to be beneficial for the survival of the same EPIC-Elderly cohort.

  • 9.
    Bel-Serrat, Silvia
    et al.
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
    Mouratidou, Theodora
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
    Pala, Valeria
    Fondaz IRCSS Ist Nazl Tumori, Nutrit Epidemiol Unit, Dept Prevent & Predict Med, Milan, Italy.
    Huybrechts, Inge
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Boernhorst, Claudia
    Univ Bremen, Inst Epidemiol & Prevent Res, BIPS, D-28359 Bremen, Germany.
    Fernandez-Alvira, Juan Miguel
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
    Hadjigeorgiou, Charalampos
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Hebestreit, Antje
    Univ Bremen, Inst Epidemiol & Prevent Res, BIPS, D-28359 Bremen, Germany.
    Lissner, Lauren
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Molnar, Denes
    Univ Pecs, Fac Med, Dept Pediat, Pecs, Hungary.
    Siani, Alfonso
    Inst Food Sci, Unit Epidemiol & Populat Genet, CNR, Avellino, Italy.
    Veidebaum, Toomas
    Natl Inst Hlth Dev, Ctr Hlth & Behav Sci, Tallinn, Estonia.
    Krogh, Vittorio
    Fondaz IRCSS Ist Nazl Tumori, Nutrit Epidemiol Unit, Dept Prevent & Predict Med, Milan, Italy.
    Moreno, Luis A.
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, E-50009 Zaragoza, Spain.
    Relative validity of the Children's Eating Habits Questionnaire- food frequency section among young European children: the IDEFICS Study2014Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 17, nr 2, s. 266-276Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To compare, specifically by age group, proxy-reported food group estimates obtained from the food frequency section of the Children's Eating Habits questionnaire (CEHQ-FFQ) against the estimates of two non-consecutive 24h dietary recalls (24-HDR). Design: Estimates of food group intakes assessed via the forty-three-food-group CEHQ-FFQ were compared with those obtained by a computerized 24-HDR. Agreement on frequencies of intakes (equal to the number of portions per recall period) between the two instruments was examined using crude and de-attenuated Pearson's correlation coefficients, cross-classification analyses, weighted kappa statistics (kappa(w)) and Bland-Altman analysis. Setting: Kindergartens/schools from eight European countries participating in the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS) Study cross-sectional survey (2007-2008). Subjects: Children aged 2-9 years (n 2508, 50.4% boys). Results: The CEHQ-FFQ provided higher intake estimates for most of the food groups than the 24-HDR. De-attenuated Pearson correlation coefficients ranged from 0.01 (sweetened fruit) to 0.48 (sweetened milk) in children aged 2-<6 years (mean = 0.25) and from 0.01 (milled cereal) to 0.44 (water) in children aged 6-9 years (mean = 0.23). An average of 32 % and 31 % of food group intakes were assigned to the same quartile in younger and older children, respectively, and classification into extreme opposite quartiles was <= 12 % for all food groups in both age groups. Mean kappa(w) was 0.20 for 2-<6-year-olds and 0.17 for 6-9-year-olds. Conclusions: The strength of association estimates assessed by the CEHQ-FFQ and the 24-HDR varied by food group and by age group. Observed level of agreement and CEHQ-FFQ ability to rank children according to intakes of food groups were considered to be low.

  • 10.
    Blaznik, Urška
    et al.
    National Institute of Public Health, Ljubljana, Slovenija.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Eržen, Ivan
    National Institute of Public Health, Ljubljana, Slovenija; Department of the Public Health, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
    Hlastan Ribič, Cirila
    National Institute of Public Health, Ljubljana, Slovenija; Department of the Public Health, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
    Consumption of fruits and vegetables and probabilistic assessment of the cumulative acute exposure to organophosphorus and carbamate pesticides of schoolchildren in Slovenia2016Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, nr 4, s. 557-563Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Adequate consumption of fruits and vegetables is a part of recommendations for a healthy diet. The aim of the present study was to assess acute cumulative dietary exposure to organophosphorus and carbamate pesticides via fruit and vegetable consumption by the population of schoolchildren aged 11-12 years and the level of risk for their health.

    Design: Cumulative probabilistic risk assessment methodology with the index compound approach was applied.

    Setting: Slovenia, primary schools.

    Subjects: Schoolchildren (n 1145) from thirty-one primary schools in Slovenia. Children were part of the PRO GREENS study 2009/10 which assessed 11-year-olds' consumption of fruit and vegetables in ten European countries.

    Results: The cumulative acute exposure amounted to 8·3 (95 % CI 7·7, 10·6) % of the acute reference dose (ARfD) for acephate as index compound (100 µg/kg body weight per d) at the 99·9th percentile for daily intake and to 4·5 (95 % CI 3·5, 4·7) % of the ARfD at the 99·9th percentile for intakes during school time and at lunch. Apples, bananas, oranges and lettuce contributed most to the total acute pesticides intake.

    Conclusions: The estimations showed that acute dietary exposure to organophosphorus and carbamate pesticides is not a health concern for schoolchildren with the assessed dietary patterns of fruit and vegetable consumption.

  • 11.
    Blaznik, Urška
    et al.
    National Institute of Public Health, Ljubljana, Slovenija.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Eržen, Ivan
    National Institute of Public Health, Ljubljana, Slovenija; Department of the Public Health, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
    Hlastan Ribič, Cirila
    National Institute of Public Health, Ljubljana, Slovenija; Department of the Public Health, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
    Consumption of fruits and vegetables and probabilistic assessment of the cumulative acute exposure to organophosphorus and carbamate pesticides of schoolchildren in Slovenia2016Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, nr 4, s. 557-563Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Adequate consumption of fruits and vegetables is a part of recommendations for a healthy diet. The aim of the present study was to assess acute cumulative dietary exposure to organophosphorus and carbamate pesticides via fruit and vegetable consumption by the population of schoolchildren aged 11-12 years and the level of risk for their health.

    Design: Cumulative probabilistic risk assessment methodology with the index compound approach was applied.

    Setting: Slovenia, primary schools.

    Subjects: Schoolchildren (n 1145) from thirty-one primary schools in Slovenia. Children were part of the PRO GREENS study 2009/10 which assessed 11-year-olds' consumption of fruit and vegetables in ten European countries.

    Results: The cumulative acute exposure amounted to 8·3 (95 % CI 7·7, 10·6) % of the acute reference dose (ARfD) for acephate as index compound (100 µg/kg body weight per d) at the 99·9th percentile for daily intake and to 4·5 (95 % CI 3·5, 4·7) % of the ARfD at the 99·9th percentile for intakes during school time and at lunch. Apples, bananas, oranges and lettuce contributed most to the total acute pesticides intake.

    Conclusions: The estimations showed that acute dietary exposure to organophosphorus and carbamate pesticides is not a health concern for schoolchildren with the assessed dietary patterns of fruit and vegetable consumption.

  • 12.
    Bälter, Olle
    et al.
    KTH, Skolan för datavetenskap och kommunikation (CSC), Medieteknik och interaktionsdesign, MID.
    Fondell, Elinor
    Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm, Sweden.
    Bälter, Katarina
    Karolinska Institutet.
    Feedback in web-based questionnaires as incentive to increase compliance in studies on lifestyle factors2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 6, s. 982-988Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: We explored the use of feedback in interactive web-based questionnaires for collecting data on lifestyle factors in epidemiological studies.

    Design: Here we report from a cohort study on lifestyle factors and upper respiratory tract infections among 1805 men and women. We introduced interactivity in the form of personalized feedback and feedback on a group level regarding dietary intake, physical activity and incidence of infections in web- based questionnaires as incentives for the respondents to continue answering questions and stay in the study.

    Setting: The study was performed in Sweden.

    Subjects: All participants were randomly selected from the population registry.

    Results: Personalized feedback was offered in the baseline questionnaire and feedback on a group level in the five follow-up questionnaires. In total, 88 % of the participants actively chose to get personalized feedback at least once in the baseline questionnaire. The follow-up questionnaires were sent by email and the overall compliance at each follow-up was 83–84 %, despite only one reminder. In total, 74 % completed all five follow-ups. However, the compliance was higher among those who chose feedback in the baseline questionnaire compared with those who did not choose feedback.

    Conclusions: The results show that it is possible to use feedback in web ques- tionnaires and that it has the potential to increase compliance. The majority of the participants actively chose to take part in the personalized feedback in the baseline questionnaire and future research should focus on improving the design of the feedback, which may ultimately result in even higher compliance in research studies.

    Fulltekst (pdf)
    Feedback in web-based questionnaires as incentive
  • 13.
    Börnhorst, Claudia
    et al.
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Huybrechts, Inge
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.;IARC, Dietary Exposure Assessment Grp DEX, Lyon, France.
    Hebestreit, Antje
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Vanaelst, Barbara
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.;Res Fdn Flanders FWO, Brussels, Belgium.
    Molnar, Denes
    Univ Pecs, Dept Pediat, Fac Med, Pecs, Hungary.
    Bel-Serrat, Silvia
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Mouratidou, Theodora
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Moreno, Luis A.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Pala, Valeria
    Fdn IRCSS, Ist Nazl Tumori, Dept Prevent & Predict Med, Nutr Epidemiol Unit, Milan, Italy.
    Eha, Marge
    Natl Inst Hlth Dev, Dept Surveillance & Evaluat, Tallinn, Estonia.
    Kourides, Yiannis A.
    Res & Educ Fdn Child Hlth, Paphos, Cyprus.
    Siani, Alfonso
    CNR, Inst Food Sci, Avellino, Italy.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Pigeot, Iris
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Diet-obesity associations in children: approaches to counteract attenuation caused by misreporting2013Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 16, nr 2, s. 256-266Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Measurement errors in dietary data lead to attenuated estimates of associations between dietary exposures and health outcomes. The present study aimed to compare and evaluate different approaches of handling implausible reports by exemplary analysis of the association between dietary intakes (total energy, soft drinks, fruits/vegetables) and overweight/obesity in children. Design: Cross-sectional multicentre study. Setting: Kindergartens/schools from eight European countries participating in the IDEFICS Study. Subjects: Children (n 5357) aged 2-9 years who provided one 24 h dietary recall and complete covariate information. Results: The 24 h recalls were classified into three reporting groups according to adapted Goldberg cut-offs: under-report, plausible report or over-report. In the basic logistic multilevel model (adjusted for age and sex, including study centre as random effect), the dietary exposures showed no significant association with overweight/obesity (energy intake: OR=0.996 (95% CI 0.983, 1.010); soft drinks: OR=0.999 (95% CI 0.986, 1.013)) and revealed even a positive association for fruits/vegetables (OR=1.009 (95% CI 1.001, 1.018)). When adding the reporting group (dummy variables) and a propensity score for misreporting as adjustment terms, associations became significant for energy intake as well as soft drinks (energy: OR=1.074 (95% CI 1.053, 1.096); soft drinks: OR=1.015 (95% CI 1.000, 1.031)) and the association between fruits/vegetables and overweight/obesity pointed to the reverse direction compared with the basic model (OR=0.993 (95% CI 0.984, 1.002)). Conclusions: Associations between dietary exposures and health outcomes are strongly affected or even masked by measurement errors. In the present analysis consideration of the reporting group and inclusion of a propensity score for misreporting turned out to be useful tools to counteract attenuation of effect estimates.

  • 14.
    Cattaneo, Adriano
    et al.
    U. for Hlth. Serv. Res./Intl. Coop., Istituto per l'Infanzia, Trieste, Italy .
    Yngve, Agneta
    Unit for Preventive Nutrition, Department of Biosciences at Novum, Karolinska Institutet, Huddinge, Sweden .
    Koletzko, Berthold
    Metabolic Diseases and Nutrition, Dr. von Hauner Children's Hospital, University of Munich, Germany .
    Guzman, Luis Ruiz
    Baby Friendly Hospital Initiative, Barcelona, Spain .
    Protection, promotion and support of breast-feeding in Europe: current situation2005Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 8, nr 1, s. 39-46Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To describe the current situation regarding protection, promotion and support of breast-feeding in Europe, as a first step towards the development of a blueprint for action.

    DESIGN AND SETTING: A questionnaire was completed by 29 key informants and 128 other informants in the EU, including member states, accession and candidate countries.

    RESULTS: EU countries do not fully comply with the policies and recommendations of the Global Strategy on Infant and Young Child Feeding that they endorsed during the 55th World Health Assembly in 2002. Some countries do not even comply with the targets of the Innocenti Declaration (1990). Pre-service training on breast-feeding practice is inadequate and in-service training achieves only low to medium coverage. The Baby Friendly Hospital Initiative is well developed only in three countries; in 19 countries, less than 15% of births occur in baby-friendly hospitals. The International Code of Marketing of Breastmilk Substitutes, endorsed in 1981 by all countries, is not fully applied and submitted to independent monitoring. The legislation for working mothers meets on average the International Labour Organization standards, but covers only women with full formal employment. Voluntary mother-to-mother support groups and trained peer counsellors are present in 27 and 13 countries, respectively. Breast-feeding rates span over a wide range; comparisons are difficult due to use of non-standard methods. The rate of exclusive breast-feeding at 6 months is low everywhere, even in countries with high initiation rates.

    CONCLUSIONS: EU countries need to revise their policies and practices to meet the principles inscribed in the Global Strategy on Infant and Young Child Feeding in order to better protect, promote and support breast-feeding.

  • 15.
    Cattaneo, Adriano
    et al.
    U. for Hlth. Serv. Res./Intl. Coop., Istituto per l'Infanzia, Trieste, Italy .
    Yngve, Agneta
    Unit for Preventive Nutrition, Department of Biosciences at Novum, Karolinska Institutet, Huddinge, Sweden .
    Koletzko, Berthold
    Metabolic Diseases and Nutrition, Dr. von Hauner Children's Hospital, University of Munich, Germany .
    Guzman, Luis Ruiz
    Baby Friendly Hospital Initiative, Barcelona, Spain .
    Protection, promotion and support of breast-feeding in Europe: current situation2005Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 8, nr 1, s. 39-46Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To describe the current situation regarding protection, promotion and support of breast-feeding in Europe, as a first step towards the development of a blueprint for action.

    DESIGN AND SETTING: A questionnaire was completed by 29 key informants and 128 other informants in the EU, including member states, accession and candidate countries.

    RESULTS: EU countries do not fully comply with the policies and recommendations of the Global Strategy on Infant and Young Child Feeding that they endorsed during the 55th World Health Assembly in 2002. Some countries do not even comply with the targets of the Innocenti Declaration (1990). Pre-service training on breast-feeding practice is inadequate and in-service training achieves only low to medium coverage. The Baby Friendly Hospital Initiative is well developed only in three countries; in 19 countries, less than 15% of births occur in baby-friendly hospitals. The International Code of Marketing of Breastmilk Substitutes, endorsed in 1981 by all countries, is not fully applied and submitted to independent monitoring. The legislation for working mothers meets on average the International Labour Organization standards, but covers only women with full formal employment. Voluntary mother-to-mother support groups and trained peer counsellors are present in 27 and 13 countries, respectively. Breast-feeding rates span over a wide range; comparisons are difficult due to use of non-standard methods. The rate of exclusive breast-feeding at 6 months is low everywhere, even in countries with high initiation rates.

    CONCLUSIONS: EU countries need to revise their policies and practices to meet the principles inscribed in the Global Strategy on Infant and Young Child Feeding in order to better protect, promote and support breast-feeding.

  • 16. Chaparro, M Pia
    et al.
    Koupil, Ilona
    Byberg, L
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Ortopedi.
    Maternal pre-pregnancy BMI and offspring body composition in young adulthood: the modifying role of offspring sex and birth order.2017Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 20, nr 17, s. 3084-3089Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To investigate if the association between maternal pre-pregnancy BMI and offspring's body composition in late adolescence and young adulthood varies by offspring birth order and sex.

    DESIGN: Family cohort study, with data from registers, questionnaires and physical examinations. The main outcome under study was offspring body composition (percentage fat mass (%FM), percentage lean mass (%LM)) measured by dual-energy X-ray absorptiometry.

    SETTING: Uppsala, Sweden.

    SUBJECTS: Two hundred and twenty-six siblings (first-born v. second-born; average age 19 and 21 years) and their mothers.

    RESULTS: In multivariable linear regression models, maternal pre-pregnancy BMI was positively associated with daughter's %FM, with stronger estimates for first-born (β=0·97, 95 % CI 0·14, 1·80) v. second-born daughters (β=0·64, 95 % CI 0·08, 1·20). Mother's BMI before her first pregnancy was associated with her second-born daughter's body composition (β=1·05, 95 % CI 0·31, 1·79 (%FM)) Similar results albeit in the opposite direction were observed for %LM. No significant associations were found between pre-pregnancy BMI and %FM (β=0·59, 95 % CI-0·27, 1·44 first-born; β=-0·13, 95 % CI-0·77, 0·52 second-born) or %LM (β=-0·54, 95 % CI-1·37, 0·28 first-born; β=0·11, 95 % CI-0·52, 0·74 second-born) for sons.

    CONCLUSIONS: A higher pre-pregnancy BMI was associated with higher offspring %FM and lower offspring %LM in late adolescence and young adulthood, with stronger associations for first-born daughters. Preventing obesity at the start of women's reproductive life might reduce the risk of obesity in her offspring, particularly for daughters.

  • 17. Chaparro, M. Pia
    et al.
    Koupil, Ilona
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om ojämlikhet i hälsa (CHESS). Karolinska Institutet, Sweden.
    Byberg, Liisa
    Maternal pre-pregnancy BMI and offspring body composition in young adulthood: the modifying role of offspring sex and birth order2017Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 20, nr 17, s. 3084-3089Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To investigate if the association between maternal pre-pregnancy BMI and offspring’s body composition in late adolescence and young adulthood varies by offspring birth order and sex.

    Family cohort study, with data from registers, questionnaires and physical examinations. The main outcome under study was offspring body composition (percentage fat mass (%FM), percentage lean mass (%LM)) measured by dual-energy X-ray absorptiometry.

    Uppsala, Sweden.

    Two hundred and twenty-six siblings (first-born v. second-born; average age 19 and 21 years) and their mothers.

    In multivariable linear regression models, maternal pre-pregnancy BMI was positively associated with daughter’s %FM, with stronger estimates for first-born (β=0·97, 95 % CI 0·14, 1·80) v. second-born daughters (β=0·64, 95 % CI 0·08, 1·20). Mother’s BMI before her first pregnancy was associated with her second-born daughter’s body composition (β=1·05, 95 % CI 0·31, 1·79 (%FM)) Similar results albeit in the opposite direction were observed for %LM. No significant associations were found between pre-pregnancy BMI and %FM (β=0·59, 95 % CI−0·27, 1·44 first-born; β=−0·13, 95 % CI−0·77, 0·52 second-born) or %LM (β=−0·54, 95 % CI−1·37, 0·28 first-born; β=0·11, 95 % CI−0·52, 0·74 second-born) for sons.

    A higher pre-pregnancy BMI was associated with higher offspring %FM and lower offspring %LM in late adolescence and young adulthood, with stronger associations for first-born daughters. Preventing obesity at the start of women’s reproductive life might reduce the risk of obesity in her offspring, particularly for daughters.

  • 18.
    Cuenca-Garcia, Magdalena
    et al.
    School of Medicine, University of Granada, Spain.
    Ruiz, Jonatan
    Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Sweden.
    Ortega, Francisco B
    Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Sweden.
    Labayen, Idoia
    Department of Nutrition and Food Science, University of the Basque Country, Vitoria, Spain.
    González Gross, Marcela
    Facultad de Ciencias de la Actividad Física y del Deporte, Universidad Politécnica de Madrid, Spain.
    Moreno, Luis
    Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza, Spain.
    Gómez-Martínez, Sonia
    Instituto del Frío, Spanish National Research Council, Spain.
    Ciarapica, Donatella
    Nationell research institute for Food and Nutrition, Rome, Italy.
    Hallström, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wästlund, Acki
    Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Sweden.
    Molnar, Dénes
    University of Pecs, Pecs, Hungary.
    Gottrand, Frédéric
    Faculté de Médecine, Université de Lille, France.
    Manios, Yannis
    Department: Nutrition & Dietetics; Harokopio University, Athens, Greece.
    Widhalm, Kurt
    Department of Pediatrics, Medical University of Vienna, Austria.
    Kafatos, Anthony
    Preventive Medicine and Nutrition Clinic, Department of Social Medicine, School of Medicine, University of Crete, Greece.
    De Henauw, Stefaan
    Ghent University, Ghent, Belgium.
    Sjöström, Michael
    Department of Biosciences and Nutrition, Karolinska Institutet, Sweden.
    Castillo, Manuel J
    School of Medicine, University of Granada, Spain.
    Association of breakfast consumption with objectively measured and self-reported physical activity, sedentary time and physical fitness in European adolescents: the HELENA (Healthy Lifestylein Europe by Nutrition in Adolescence) Study2014Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 17, nr 10, s. 2226-2236Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To examine the association of breakfast consumption with objectively measured and self-reported physical activity, sedentary time and physical fitness.

    Design: The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Cross-Sectional Study. Breakfast consumption was assessed by two non-consecutive 24 h recalls and by a 'Food Choices and Preferences' questionnaire. Physical activity, sedentary time and physical fitness components (cardiorespiratory fitness, muscular fitness and speed/agility) were measured and self-reported. Socio-economic status was assessed by questionnaire. 

    Setting: Ten European cities. Subjects: Adolescents (n 2148; aged 12.5-17.5 years). 

    Results: Breakfast consumption was not associated with measured or self-reported physical activity. However, 24 h recall breakfast consumption was related to measured sedentary time in males and females; although results were not confirmed when using other methods to assess breakfast patterns or sedentary time. Breakfast consumption was not related to muscular fitness and speed/agility in males and females. However, male breakfast consumers had higher cardiorespiratory fitness compared with occasional breakfast consumers and breakfast skippers, while no differences were observed in females. Overall, results were consistent using different methods to assess breakfast consumption or cardiorespiratory fitness (all P <= 0.005). In addition, both male and female breakfast skippers (assessed by 24 h recall) were less likely to have high measured cardiorespiratory fitness compared with breakfast consumers (OR = 0.33; 95% CI 0.18, 0.59 and OR = 0.56; 95 % CI 0.32, 0.98, respectively). Results persisted across methods. 

    Conclusions: Skipping breakfast does not seem to be related to physical activity, sedentary time or muscular fitness and speed/agility as physical fitness components in European adolescents; yet it is associated with both measured and self-reported cardiorespiratory fitness, which extends previous findings.

  • 19.
    Dapi N., Léonie
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Hörnell, Agneta
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för kostvetenskap.
    Janlert, Urban
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Stenlund, Hans
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Larsson, Christel
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för kostvetenskap.
    Energy and nutrient intake in relation to sex and socioeconomic status among adolescents in urban Cameroon, Africa2011Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 14, nr 5, s. 904-913Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    OBJECTIVE: To assess energy and nutrient intakes and physical activity of adolescents in urban Cameroon according to sex and socio-economic status (SES).

    DESIGN: Cross-sectional study with adolescents randomly selected from schools in low-, middle- and high-SES areas. Weight and height were measured and information about food intake and physical activity was obtained through repeated individual 24 h recalls. Under- and over-reporting of energy intake and inadequacy of nutrient intake were assessed.

    SETTING: Yaoundé, Cameroon.

    SUBJECTS: Boys and girls aged 12-16 years (n 227).

    RESULTS: Boys had a lower BMI and reported higher energy expenditures and physical activity levels (PAL) than girls. Under-reporting of energy intake was large among boys and girls regardless of PAL; boys under-reported more than girls. Among those with low PAL, over-reporting of energy intake was common. Over 50 % of boys and girls had protein below the recommendations. The intake of fat varied; 26 % of the adolescents were below and 25 % were above the recommendations. Inadequate intakes of vitamin B1, vitamin B3 and Fe were more common among girls, while boys more often had inadequate intake of vitamin A. Adolescents with low SES were more likely to be below the recommendations for fat and vitamins B2, B3, B6 and B12 than those with high SES.

    CONCLUSIONS: A high proportion of boys and girls reported inadequate intakes. However under- and over-reporting were also very common. Boys under-reported energy intake more than girls and inadequate nutrient intake was more frequently reported by adolescents with low SES than by those with high SES.

  • 20.
    Dapi Nzefa, Leonie
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och folkhälsovetenskap.
    Hörnell, Agneta
    Janlert, Urban
    Stenlund, Hans
    Larsson, Christel
    Energy and nutrient intakes in relation to sex and socio-economic status among school adolescents in urban Cameroon, Africa.2011Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 14, nr 5, s. 904-13Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To assess energy and nutrient intakes and physical activity of adolescents in urban Cameroon according to sex and socio-economic status (SES).

    DESIGN: Cross-sectional study with adolescents randomly selected from schools in low-, middle- and high-SES areas. Weight and height were measured and information about food intake and physical activity was obtained through repeated individual 24 h recalls. Under- and over-reporting of energy intake and inadequacy of nutrient intake were assessed.

    SETTING: Yaoundé, Cameroon.

    SUBJECTS: Boys and girls aged 12-16 years (n 227).

    RESULTS: Boys had a lower BMI and reported higher energy expenditures and physical activity levels (PAL) than girls. Under-reporting of energy intake was large among boys and girls regardless of PAL; boys under-reported more than girls. Among those with low PAL, over-reporting of energy intake was common. Over 50% of boys and girls had protein below the recommendations. The intake of fat varied; 26% of the adolescents were below and 25% were above the recommendations. Inadequate intakes of vitamin B₁, vitamin B₃ and Fe were more common among girls, while boys more often had inadequate intake of vitamin A. Adolescents with low SES were more likely to be below the recommendations for fat and vitamins B₂, B₃, B₆ and B₁₂ than those with high SES.

    CONCLUSIONS: A high proportion of boys and girls reported inadequate intakes. However under- and over-reporting were also very common. Boys under-reported energy intake more than girls and inadequate nutrient intake was more frequently reported by adolescents with low SES than by those with high SES.

  • 21. Dernini, S
    et al.
    Berry, E M
    Serra-Majem, L
    La Vecchia, C
    Capone, R
    Medina, F X
    Aranceta-Bartrina, J
    Belahsen, R
    Burlingame, B
    Calabrese, G
    Corella, D
    Donini, L M
    Lairon, D
    Meybeck, A
    Pekcan, A G
    Piscopo, S
    Yngve, Agneta
    International Foundation of Mediterranean Diet (IFMeD), London, UK; School of Hospitality, Culinary Arts and Meal Science, Örebro University, Örebro, Sweden, .
    Trichopoulou, A
    Med Diet 4.0: the Mediterranean diet with four sustainable benefits.2017Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 20, nr 7, s. 1322-1330Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To characterize the multiple dimensions and benefits of the Mediterranean diet as a sustainable diet, in order to revitalize this intangible food heritage at the country level; and to develop a multidimensional framework - the Med Diet 4.0 - in which four sustainability benefits of the Mediterranean diet are presented in parallel: major health and nutrition benefits, low environmental impacts and richness in biodiversity, high sociocultural food values, and positive local economic returns.

    DESIGN: A narrative review was applied at the country level to highlight the multiple sustainable benefits of the Mediterranean diet into a single multidimensional framework: the Med Diet 4.0. Setting/subjects We included studies published in English in peer-reviewed journals that contained data on the characterization of sustainable diets and of the Mediterranean diet. The methodological framework approach was finalized through a series of meetings, workshops and conferences where the framework was presented, discussed and ultimately refined.

    RESULTS: The Med Diet 4.0 provides a conceptual multidimensional framework to characterize the Mediterranean diet as a sustainable diet model, by applying principles of sustainability to the Mediterranean diet.

    CONCLUSIONS: By providing a broader understanding of the many sustainable benefits of the Mediterranean diet, the Med Diet 4.0 can contribute to the revitalization of the Mediterranean diet by improving its current perception not only as a healthy diet but also a sustainable lifestyle model, with country-specific and culturally appropriate variations. It also takes into account the identity and diversity of food cultures and systems, expressed within the notion of the Mediterranean diet, across the Mediterranean region and in other parts of the world. Further multidisciplinary studies are needed for the assessment of the sustainability of the Mediterranean diet to include these new dimensions.

  • 22.
    Dernini, S.
    et al.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Forum on Mediterranean Food Cultures, Rome, Italy; Food and Agriculture Organization of the United Nations, Rome, Italy.
    Berry, E. M.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Department of Human Nutrition and Metabolism, Braun School of Public Health, Hebrew University-Hadassah Medical School, Jerusalem, Israel.
    Serra-Majem, L.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; University of Las Palmas of Gran Canaria, Las Palmas, Spain; Inter-University International Centre of Mediterranean Food Cultures Studies (CIISCAM), Rome, Italy.
    La Vecchia, C.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
    Capone, R.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; International Centre for Advanced Mediterranean Agronomic Studies (CIHEAM), Bari, Italy.
    Medina, F. X.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Universitat Oberta de Catalunya/Open University of Catalonia, Barcelona, Spain.
    Aranceta-Bartrina, J.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; University of Navarra, Navarra, Spain.
    Belahsen, R.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Chouaib Doukkali University, El Jadida, Morocco.
    Burlingame, B.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Massey University, Palmerston North, New Zealand.
    Calabrese, G.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; University of Turin, Turin, Italy.
    Corella, D.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Department of Preventive Medicine, University of Valencia, Valencia, Spain; CIBER Fisiopatologia de la Obesidad y Nutricion, Valencia, Spain.
    Donini, L. M.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Inter-University International Centre of Mediterranean Food Cultures Studies (CIISCAM), Rome, Italy; INRA, INSERM, NORT/Aix-Marseille University, Marseille, France.
    Lairon, D.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Sapienza University of Rome, Rome, Italy.
    Meybeck, A.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Food and Agriculture Organization of the United Nations, Rome, Italy.
    Pekcan, A. G.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Department of Nutrition and Dietetic, Hacettepe University, Ankara, Turkey.
    Piscopo, S.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Inter-University International Centre of Mediterranean Food Cultures Studies (CIISCAM), Rome, Italy.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan. International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom.
    Trichopoulou, A.
    International Foundation of Mediterranean Diet (IFMeD), London, United Kingdom; Hellenic Health Foundation, Athens, Greece.
    Med Diet 4.0: the Mediterranean diet with four sustainable benefits2017Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 20, nr 7, s. 1322-1330Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Objective: To characterize the multiple dimensions and benefits of the Mediterranean diet as a sustainable diet, in order to revitalize this intangible food heritage at the country level; and to develop a multidimensional framework - the Med Diet 4.0 - in which four sustainability benefits of the Mediterranean diet are presented in parallel: major health and nutrition benefits, low environmental impacts and richness in biodiversity, high sociocultural food values, and positive local economic returns.

    Design: A narrative review was applied at the country level to highlight the multiple sustainable benefits of the Mediterranean diet into a single multidimensional framework: the Med Diet 4.0.

    Setting/subjects: We included studies published in English in peer-reviewed journals that contained data on the characterization of sustainable diets and of the Mediterranean diet. The methodological framework approach was finalized through a series of meetings, workshops and conferences where the framework was presented, discussed and ultimately refined.

    Results: The Med Diet 4.0 provides a conceptual multidimensional framework to characterize the Mediterranean diet as a sustainable diet model, by applying principles of sustainability to the Mediterranean diet.

    Conclusions: By providing a broader understanding of the many sustainable benefits of the Mediterranean diet, the Med Diet 4.0 can contribute to the revitalization of the Mediterranean diet by improving its current perception not only as a healthy diet but also a sustainable lifestyle model, with country-specific and culturally appropriate variations. It also takes into account the identity and diversity of food cultures and systems, expressed within the notion of the Mediterranean diet, across the Mediterranean region and in other parts of the world. Further multidisciplinary studies are needed for the assessment of the sustainability of the Mediterranean diet to include these new dimensions.

  • 23. Draper, Catherine E.
    et al.
    Tomaz, Simone A.
    Jones, Rachel A.
    Hinkley, Trina
    Twine, Rhian
    Kahn, Kathleen
    Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa. MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; INDEPTH Network, Accra, Ghana.
    Norris, Shane A.
    Cross-sectional associations of physical activity and gross motor proficiency with adiposity in South African children of pre-school age2019Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 22, nr 4, s. 614-623Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The study aimed to investigate the relationship between physical activity, gross motor skills and adiposity in South African children of pm-school age.

    Design: Cross-sectional study.

    Setting: High-income urban, and low-income urban and rural settings in South Africa.

    Participants: Children (3-6 years old, n 268) were recruited from urban high-income (n 46), urban low-income (n 91) and rural low-income (n 122) settings. Height and weight were measured to calculate the main outcome variables: BMI and BMI-for-age Z-score (BAZ). Height-for-age and weight-for-age Z-scores were also calculated. Actigraph GT3X+ accelerometers were used to objectively measure physical activity; the Test of Gross Motor Development (Version 2) was used to assess gross motor skills.

    Results: More children were overweight/obese and had a higher BAZ from urban low-income settings compared with urban high-income settings and rural low-income settings. Being less physically active was associated with thinness, but not overweight/obesity. Time spent in physical activity at moderate and vigorous intensities was positively associated with BMI and BAZ. Gross motor proficiency was not associated with adiposity in this sample.

    Conclusions: The findings of this research highlight the need for obesity prevention particularly in urban low-income settings, as well as the need to take into consideration the complexity of the relationship between adiposity, physical activity and gross motor skills in South African pre-school children.

  • 24.
    Dratva, Julia
    et al.
    Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Socinstr 57,POB 4002, CH-4002 Basel, Switzerland.;Univ Basel, Basel, Switzerland..
    Bertelsen, Randi
    Haukeland Hosp, Dept Occupat Med, Bergen, Norway..
    Janson, Christer
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Lungmedicin och allergologi.
    Johannessen, Ane
    Haukeland Hosp, Dept Occupat Med, Bergen, Norway.;Univ Bergen, Dept Clin Sci, Bergen, Norway..
    Benediktsdottir, Bryndis
    Landspitali Univ Hosp, Dept Allergy Resp Med & Sleep, Reykjavik, Iceland..
    Bråback, Lennart
    Umea Univ, Dept Publ Hlth & Clin Med, Occupat & Environm Med, Umea, Sweden..
    Dharmage, Shyamali C.
    Univ Melbourne, Melbourne Sch Populat & Global Hlth, Ctr Epidemiol & Biostat, Allergy & Lung Hlth Unit, Melbourne, Vic, Australia..
    Forsberg, Bertil
    Umea Univ, Dept Publ Hlth & Clin Med, Occupat & Environm Med, Umea, Sweden..
    Gislason, Thorarinn
    Landspitali Univ Hosp, Dept Allergy Resp Med & Sleep, Reykjavik, Iceland..
    Jarvis, Debbie
    Imperial Coll, Fac Med, Natl Heart & Lung Inst, London, England..
    Jogi, Rain
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Lungmedicin och allergologi. Fdn Tartu Univ Clin, Lung Clin, Tartu, Estonia.;Univ Tartu, Dept Pulm Med, Tartu, Estonia..
    Lindberg, Eva
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Lungmedicin och allergologi.
    Norback, Dan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Omenaas, Ernst
    Univ Bergen, Dept Clin Sci, Bergen, Norway..
    Skorge, Trude D.
    Haukeland Hosp, Dept Occupat Med, Bergen, Norway..
    Sigsgaard, Torben
    Aarhus Univ, Dept Publ Hlth, Aarhus, Denmark..
    Toren, Kjell
    Univ Gothenburg, Sahlgrenska Acad, Occupat & Environm Med, Gothenburg, Sweden..
    Waatevik, Marie
    Univ Bergen, Dept Clin Sci, Bergen, Norway..
    Wieslander, Gunilla
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Arbets- och miljömedicin.
    Schlünssen, Vivi
    Aarhus Univ, Dept Publ Hlth, Aarhus, Denmark..
    Svanes, Cecilie
    Haukeland Hosp, Dept Occupat Med, Bergen, Norway.;Univ Bergen, Ctr Int Hlth, Bergen, Norway..
    Real, Francisco Gomez
    Univ Bergen, Dept Clin Sci, Bergen, Norway.;Haukeland Hosp, Dept Gynecol & Obstet, Bergen, Norway..
    Validation of self-reported figural drawing scales against anthropometric measurements in adults2016Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, nr 11, s. 1944-1951Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of the present study was to validate figural drawing scales depicting extremely lean to extremely obese subjects to obtain proxies for BMI and waist circumference in postal surveys.

    Design: Reported figural scales and anthropometric data from a large population-based postal survey were validated with measured anthropometric data from the same individuals by means of receiver-operating characteristic curves and a BMI prediction model.

    Setting: Adult participants in a Scandinavian cohort study first recruited in 1990 and followed up twice since.

    Subjects: Individuals aged 38-66 years with complete data for BMI (n 1580) and waist circumference (n 1017).

    Results: Median BMI and waist circumference increased exponentially with increasing figural scales. Receiver-operating characteristic curve analyses showed a high predictive ability to identify individuals with BMI > 25.0 kg/m(2) in both sexes. The optimal figural scales for identifying overweight or obese individuals with a correct detection rate were 4 and 5 in women, and 5 and 6 in men, respectively. The prediction model explained 74% of the variance among women and 62% among men. Predicted BMI differed only marginally from objectively measured BMI.

    Conclusions: Figural drawing scales explained a large part of the anthropometric variance in this population and showed a high predictive ability for identifying overweight/obese subjects. These figural scales can be used with confidence as proxies of BMI and waist circumference in settings where objective measures are not feasible.

  • 25. Dratva, Julia
    et al.
    Bertelsen, Randi
    Janson, Christer
    Johannessen, Ane
    Benediktsdóttir, Bryndis
    Bråbäck, Lennart
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
    Dharmage, Shyamali C
    Forsberg, Bertil
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
    Gislason, Thorarinn
    Jarvis, Debbie
    Jogi, Rain
    Lindberg, Eva
    Norback, Dan
    Omenaas, Ernst
    Skorge, Trude D
    Sigsgaard, Torben
    Toren, Kjell
    Waatevik, Marie
    Wieslander, Gundula
    Schlünssen, Vivi
    Svanes, Cecilie
    Real, Francisco Gomez
    Validation of self-reported figural drawing scales against anthropometric measurements in adults2016Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, nr 11, s. 1944-1951Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: The aim of the present study was to validate figural drawing scales depicting extremely lean to extremely obese subjects to obtain proxies for BMI and waist circumference in postal surveys.

    DESIGN: Reported figural scales and anthropometric data from a large population-based postal survey were validated with measured anthropometric data from the same individuals by means of receiver-operating characteristic curves and a BMI prediction model.

    SETTING: Adult participants in a Scandinavian cohort study first recruited in 1990 and followed up twice since.

    SUBJECTS: Individuals aged 38-66 years with complete data for BMI (n 1580) and waist circumference (n 1017).

    RESULTS: Median BMI and waist circumference increased exponentially with increasing figural scales. Receiver-operating characteristic curve analyses showed a high predictive ability to identify individuals with BMI > 25·0 kg/m2 in both sexes. The optimal figural scales for identifying overweight or obese individuals with a correct detection rate were 4 and 5 in women, and 5 and 6 in men, respectively. The prediction model explained 74 % of the variance among women and 62 % among men. Predicted BMI differed only marginally from objectively measured BMI.

    CONCLUSIONS: Figural drawing scales explained a large part of the anthropometric variance in this population and showed a high predictive ability for identifying overweight/obese subjects. These figural scales can be used with confidence as proxies of BMI and waist circumference in settings where objective measures are not feasible.

    Fulltekst (pdf)
    fulltext
  • 26. Eiben, G
    et al.
    Andersson, C S
    Rothenberg, Elisabet
    Göteborgs universitet.
    Sundh, V
    Steen, B
    Lissner, L
    Secular trends in diet among elderly Swedes: cohort comparisons over three decades2004Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 7, nr 5, s. 637-644Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The purpose of this study was to compare dietary practices among different birth cohorts of 70-year-old Swedes, who were examined between 1971 and 2000.

    Setting: Göteborg, Sweden.

    Design: Four population-based samples of 1360 70-year-olds, born in 1901, 1911, 1922 and 1930, have undergone health examinations and dietary assessments over a period of almost three decades. One-hour diet history (DH) interviews were conducted in 1971, 1981, 1992 and 2000 with a total of 758 women and 602 women. The formats and contents of the dietary examinations were similar over the years. Statistical analysis of linear trends was conducted, using year of examination as the independent variable, to detect secular trends in food and nutrient intakes across cohorts.

    Results: At the 2000 examination, the majority of 70-year-olds consumed nutritionally adequate diets. Later-born cohorts consumed more yoghurt, breakfast cereals, fruit, vegetables, chicken, rice and pasta than earlier-born cohorts. Consumption of low-fat spread and milk also increased, along with that of wine, light beer and candy. In contrast, potatoes, cakes and sugar were consumed less in 2000 than in 1971. The ratio of reported energy intake to estimated basal metabolic rate did not show any systematic trend over time in women, but showed a significant upward trend in men.

    Conclusions: The diet history method has captured changes in food selections in the elderly without changing in general format over three decades. Dietary quality has improved in a number of ways, and these findings in the elderly are consistent with national food consumption trends in the general population.

  • 27.
    Eiben, Gabriele
    et al.
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Andersson, C. S.
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden / Department of Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Rothenberg, E.
    Department of Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden / Department for Clinical Nutrition, Sahlgrenska University Hospital, Göteborg, Sweden.
    Sundh, V.
    Department of Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Steen, B.
    Department of Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Lissner, L.
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden / Nordic School of Public Health, Göteborg, Sweden.
    Secular trends in diet among elderly Swedes – cohort comparisons over three decades2004Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 7, nr 5, s. 637-644Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: The purpose of this study was to compare dietary practices among different birth cohorts of 70-year-old Swedes, who were examined between 1971 and 2000.

    SETTING: Göteborg, Sweden.

    DESIGN: Four population-based samples of 1360 70-year-olds, born in 1901, 1911, 1922 and 1930, have undergone health examinations and dietary assessments over a period of almost three decades. One-hour diet history (DH) interviews were conducted in 1971, 1981, 1992 and 2000 with a total of 758 women and 602 women. The formats and contents of the dietary examinations were similar over the years. Statistical analysis of linear trends was conducted, using year of examination as the independent variable, to detect secular trends in food and nutrient intakes across cohorts.

    RESULTS: At the 2000 examination, the majority of 70-year-olds consumed nutritionally adequate diets. Later-born cohorts consumed more yoghurt, breakfast cereals, fruit, vegetables, chicken, rice and pasta than earlier-born cohorts. Consumption of low-fat spread and milk also increased, along with that of wine, light beer and candy. In contrast, potatoes, cakes and sugar were consumed less in 2000 than in 1971. The ratio of reported energy intake to estimated basal metabolic rate did not show any systematic trend over time in women, but showed a significant upward trend in men.

    CONCLUSIONS: The diet history method has captured changes in food selections in the elderly without changing in general format over three decades. Dietary quality has improved in a number of ways, and these findings in the elderly are consistent with national food consumption trends in the general population.

  • 28.
    Ekelund, Ulf
    et al.
    Medical Research Council Epidemiology Unit, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge.
    Sepp, Hanna
    National Food Administration, Uppsala.
    Brage, Sören
    Medical Research Council Epidemiology Unit, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge.
    Becker, Wulf
    National Food Administration, Uppsala.
    Jakes, Rupert
    Medical Research Council Epidemiology Unit, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge.
    Hennings, Mark
    Wareham, Nicholas J.
    Medical Research Council Epidemiology Unit, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge.
    Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults2006Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 9, nr 2, s. 258-265Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To examine the validity of the short, last 7-day, self-administered form of the International Physical Activity Questionnaire (IPAQ). DESIGN: All subjects wore an accelerometer for seven consecutive days and completed the IPAQ questionnaire on the eighth day. Criterion validity was assessed by linear regression analysis and by modified Bland-Altman analysis. Specificity and sensitivity were calculated for classifying respondents according to the physical activity guidelines of the American College of Sports Medicine/Centers for Disease Control and Prevention. SETTING: Workplaces in Uppsala, Sweden. SUBJECTS: One hundred and eighty-five (87 males) participants, aged 20 to 69 years. RESULTS: Total self-reported physical activity (PA) (MET-min day(-1)) was significantly correlated with average intensity of activity (counts min(-1)) from accelerometry (r = 0.34, P < 0.001). Gender, age, education and body mass index did not affect this relationship. Further, subcomponents of self-reported PA (time spent sitting, time in PA, time in moderate and vigorous activity (MVPA)) were significantly correlated with objectively measured PA (P < 0.05). Self-reported time in PA was significantly different from time measured by accelerometry (mean difference: -25.9 min day(-1); 95% limits of agreement: -172 to 120 min day(-1); P < 0.001). IPAQ identified 77% (specificity) of those who met the current PA guidelines of accumulating more than 30 min day(-1) in MVPA as determined by accelerometry, whereas only 45% (sensitivity) of those not meeting the guidelines were classified correctly. CONCLUSIONS: Our results indicate that the short, last 7-days version of the IPAQ has acceptable criterion validity for use in Swedish adults. However, the IPAQ instrument significantly overestimated self-reported time spent in PA. The specificity to correctly classify people achieving current PA guidelines was acceptable, whereas the sensitivity was low.

    Fulltekst (pdf)
    FULLTEXT01
  • 29. Ekelund, Ulf
    et al.
    Sepp, Hanna
    Brage, Sören
    Becker, Wulf
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism. Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap.
    Jakes, Rupert
    Hennings, Mark
    Wareham, Nicholas J
    Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults2006Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 9, nr 2, s. 258-265Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

     

     

     

     

     

     

     

     

     

     

     

    Objective:

    To examine the validity of the short, last 7-day, self-administered form of

    the International Physical Activity Questionnaire (IPAQ).

     

    Design:

     

     

    All subjects wore an accelerometer for seven consecutive days and completed the IPAQ questionnaire on the eighth day. Criterion validity was assessed by linear regression analysis and by modified Bland–Altman analysis. Specificity and sensitivity were calculated for classifying respondents according to the physical activity guidelines of the American College of Sports Medicine/Centers for Disease Control and Prevention.

     

    Setting:

     

     

    Workplaces in Uppsala, Sweden.

    Subjects:

     

     

    One hundred and eighty-five (87 males) participants, aged 20 to 69 years.

    Results:

    Total self-reported physical activity (PA) (MET-min day21) was significantly correlated with average intensity of activity (counts min

    21) from accelerometry (r ¼ 0.34, P 0.001). Gender, age, education and body mass index did not affect this relationship. Further, subcomponents of self-reported PA (time spent sitting, time in PA, time in moderate and vigorous activity (MVPA)) were significantly correlated with objectively measured PA (P , 0.05). Self-reported time in PA was significantly different from time measured by accelerometry (mean difference: 225.9 min day21; 95% limits of agreement: 2172 to 120 min day21; P , 0.001). IPAQ identified 77% (specificity) of those who met the current PA guidelines of accumulating more than 30 min day 21

    in MVPA as determined by accelerometry, whereas only 45% (sensitivity) of those not meeting the guidelines were classified correctly.

     

    Conclusions:

     

     

    Our results indicate that the short, last 7-days version of the IPAQ has acceptable criterion validity for use in Swedish adults. However, the IPAQ instrument significantly overestimated self-reported time spent in PA. The specificity to correctly classify people achieving current PA guidelines was acceptable, whereas the sensitivity was low.

  • 30. Engeset, Dagrun
    et al.
    Hofoss, Dag
    Nilsson, Lena Maria
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Näringsforskning.
    Olsen, Anja
    Tjønneland, Anne
    Skeie, Guri
    Dietary patterns and whole grain cereals in the Scandinavian countries: differences and similarities. The HELGA project2015Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 18, nr 5, s. 905-915Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To identify dietary patterns with whole grains as a main focus to see if there is a similar whole grain pattern in the three Scandinavian countries; Denmark, Sweden and Norway. Another objective is to see if items suggested for a Nordic Food Index will form a typical Nordic pattern when using factor analysis. Setting: The HELGA study population is based on samples of existing cohorts: the Norwegian Women and Cancer Study, the Swedish Vasterbotten cohort and the Danish Diet, Cancer and Health study. The HELGA study aims to generate knowledge about the health effects of whole grain foods. Subjects: The study included a total of 119 913 participants. Design: The associations among food variables from FFQ were investigated by principal component analysis. Only food groups common for all three cohorts were included. High factor loading of a food item shows high correlation of the item to the specific diet pattern. Results: The main whole grain for Denmark and Sweden was rye, while Norway had highest consumption of wheat. Three similar patterns were found: a cereal pattern, a meat pattern and a bread pattern. However, even if the patterns look similar, the food items belonging to the patterns differ between countries. Conclusions: High loadings on breakfast cereals and whole grain oat were common in the cereal patterns for all three countries. Thus, the cereal pattern may be considered a common Scandinavian whole grain pattern. Food items belonging to a Nordic Food Index were distributed between different patterns.

  • 31. Erlich, Rita
    et al.
    Yngve, Agneta
    Karolinska Institute, Stockholm.
    Wahlqvist, Mark L
    Cooking as a healthy behaviour2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 7, s. 1139-1140Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 32. Erlich, Rita
    et al.
    Yngve, Agneta
    Karolinska Institute, Stockholm, Sweden.
    Wahlqvist, Mark L
    Cooking as a healthy behaviour2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 7, s. 1139-1140Artikkel i tidsskrift (Fagfellevurdert)
    Fulltekst (pdf)
    fulltext
  • 33.
    Ferdous, Tamanna
    et al.
    Uppsala universitet, Uppsala University.
    Kabir, Zarina Nahar
    Karolinska Institutet and BRAC, Bangladesh.
    Wahlin, Åke
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen.
    Streatfield, Kim
    Cederholm, Tommy
    Uppsala universitet, Uppsala University.
    The multidimensional background of malnutrition among rural older individuals in Bangladesh: A challenge for the Millennium Development Goal2009Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 12, nr 12, s. 2270-2278Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To investigate the associations and relative impact of illness, socio-economic and social indicators for nutritional status among elderly persons in rural Bangladesh.

    Design: A multidisciplinary, cross-sectional study employing home interviews to collect information on demographic, socio-economic and social status; clinical examination to classify medical diagnoses; and Mini Nutritional Assessment (MNA) to assess the nutritional status of each participant.

    Setting: Matlab, Bangladesh.

    Subjects: A total of 625 randomly selected individuals (≥60 years of age) participated in home interviews and 473 underwent clinical examination. Complete information on nutritional status was available for 457 individuals, median age 68 years, 55 % women.

    Results: Twenty-six per cent of the elderly participants were undernourished and 62 % were at risk of malnutrition according to MNA. More than three-quarters of the participants had acute infections, 66 % suffered from chronic illnesses, 36 % had sensory impairments and 81 % were suffering from gastrointestinal disorders. Acute infections (P < 0·001), gastrointestinal disorders (P < 0·01), depressive symptoms (P < 0·001) and impaired cognitive function (P < 0·01) were significantly and independently associated with poorer nutritional status. Moreover, female gender (P < 0·05), having no income (P < 0·01), being illiterate (P < 0·01) and not receiving regular financial support (P < 0·05) were also independently associated with poor nutritional status.

    Conclusions: Malnutrition among elderly people in rural Bangladesh is associated with female gender, medical, psychological, socio-economic and social indicators. A multidimensional approach is probably needed to reduce undernutrition in older populations in low-income countries like Bangladesh.

  • 34.
    Ferdous, Tamanna
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Kabir, Zarina Nahar
    Division of Nursing, NVS, Karolinska Institutet.
    Wahlin, Åke
    Department of Psychology, Stockholm University.
    Streatfield, Kim
    icddr, b: Knowledge for Global Lifesaving Solutions, Dhaka, Bangladesh.
    Cederholm, Tommy
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    The multidimensional background of malnutrition amongrural older individuals in Bangladesh – a challenge for the Millennium Development Goal2009Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 12, nr 12, s. 2270-2278Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To investigate the associations and relative impact of illness, socio-economic and social indicators for nutritional status among elderly persons in rural Bangladesh.

    Design: A multi-disciplinary cross-sectional study employing home interviews to collect information on demographic, socio-economic, and social status; clinical examination to classify medical diagnoses, and the Mini Nutritional Assessment (MNA) to assess nutritional status of each participant.

    Setting: Matlab, Bangladesh.

    Subjects: A total of 625 randomly selected individuals (≥60 years of age) participated in home interviews, and 473 underwent clinical examination. Complete information on nutritional status was available for 457 individuals, median age 68 years, 55% women.

    Results: Twenty-six percent of the elderly participants were undernourished and 62% were at risk of malnutrition according to MNA. More than three quarters of the participants had acute infections, 66% suffered from chronic illnesses, 36% had sensory impairments, and 81% were suffering from gastrointestinal disorders. Acute infections (p<0.001), gastrointestinal disorders (p<0.05), depressive symptoms (p<0.001), and impaired cognitive function (p<0.01) were significantly and independently associated with poorer nutritional status. Moreover, female gender (p<0.05), having no income (p<0.01), being illiterate (p<0.01), and not receiving regular financial support (p<0.05) were also independently associated with poor nutritional status.

    Conclusions: Malnutrition among elderly people in rural Bangladesh is associated with female gender, medical, psychological, socio-economic and social indicators. A multidimensional approach is probably needed to reduce undernutrition in older populations in low-income countries like Bangladesh.

    Fulltekst (pdf)
    FULLTEXT01
  • 35.
    Fernández-Alvira, Juan Miguel
    et al.
    GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI,C/Pedro Cerbuna s/n, Zaragoza, Spain / Fundación Centro Nacional de Investigaciones Cardiovasculares Carlos III, Madrid, Spain.
    Bammann, Karin
    Institute for Public Health and Nursing Sciences (IPP),University of Bremen,Bremen,Germany.
    Eiben, Gabriele
    Department of Public Health and Community Medicine, Public Health Epidemiology Unit (EPI), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hebestreit, Antje
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
    Kourides, Yannis A.
    Research and Education Institute of Child Health, Strovolos, Cyprus.
    Kovacs, Eva
    Institute for Medical Information Processing, Biometrics and Epidemiology and German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University, Munich, Germany.
    Michels, Nathalie
    Department of Public Health,Ghent University,Ghent,Belgium.
    Pala, Valeria
    Department of Preventive and Predictive Medicine, Epidemiology Unit,Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
    Reisch, Lucia
    Copenhagen Business School, Copenhagen, Denmark.
    Russo, Paola
    Institute of Food Sciences, National Research Council, Avellino, Italy.
    Veidebaum, Tomas
    Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia.
    Moreno, Luis A.
    GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Edificio del SAI,C/Pedro Cerbuna s/n, Zaragoza, Spain / Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Aragón, Spain / Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Spain.
    Börnhorst, Claudia
    Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
    Prospective associations between dietary patterns and body composition changes in European children: the IDEFICS study2017Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 20, nr 18, s. 3257-3265Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To describe dietary patterns by applying cluster analysis and to describe the cluster memberships of European children over time and their association with body composition changes.

    DESIGN: The analyses included k-means clustering based on the similarities between the relative frequencies of consumption of forty-three food items and regression models were fitted to assess the association between dietary patterns and body composition changes.

    SETTING: Primary schools and pre-schools of selected regions in Italy, Estonia, Cyprus, Belgium, Sweden, Hungary, Germany and Spain.

    SUBJECTS: Participants (n 8341) in the baseline (2-9 years old) and follow-up (4-11 years old) surveys of the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS) study.

    RESULTS: Three persistent clusters were obtained at baseline and follow-up. Children consistently allocated to the 'processed' cluster presented increased BMI (β=0·050; 95 % CI 0·006, 0·093), increased waist circumference (β=0·071; 95 % CI 0·001, 0·141) and increased fat mass gain (β=0·052; 95 % CI 0·014, 0·090) over time v. children allocated to the 'healthy' cluster. Being in the 'processed'-'sweet' cluster combination was also linked to increased BMI (β=0·079; 95 % CI 0·015, 0·143), increased waist circumference (β=0·172; 95 % CI 0·069, 0·275) and increased fat mass gain (β=0·076; 95 % CI 0·019, 0·133) over time v. the 'healthy' cluster.

    CONCLUSIONS: Children consistently showing a processed dietary pattern or changing from a processed pattern to a sweet pattern presented the most unfavourable changes in fat mass and abdominal fat. These findings support the need to promote overall healthy dietary habits in obesity prevention and health promotion programmes targeting children.

  • 36.
    Fondell, Elinor
    et al.
    Karolinska Inst, Dept Med Epidemiol & Biostat, SE-17177 Stockholm, Sweden.;Karolinska Inst, Osher Ctr Integrat Med, SE-17177 Stockholm, Sweden..
    Christensen, Sara E.
    Karolinska Inst, Dept Med Epidemiol & Biostat, SE-17177 Stockholm, Sweden..
    Bälter, Katarina
    Karolinska Inst, Dept Med Epidemiol & Biostat, SE-17177 Stockholm, Sweden.;Royal Inst Technol, Sch Comp Sci & Commun, Stockholm, Sweden..
    Adherence to the Nordic Nutrition Recommendations as a measure of a healthy diet and upper respiratory tract infection2011Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 14, nr 5, s. 860-869Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The Nordic countries have published joint dietary recommendations, the Nordic Nutrition Recommendations (NNR), since 1980. We evaluated adherence to the NNR as a measure of a healthy diet and its potential association with self-reported upper respiratory tract infection (URTI). Design: A prospective, population-based study with a follow-up period of 4 months. Dietary intake was assessed using a semi-quantitative FFQ with ninety-six items, along with other lifestyle factors, at baseline. URTI was assessed every three weeks. A Poisson regression model was used to control for age, sex and other confounding factors. Setting: A middle-sized county in northern Sweden. Subjects: Swedish men and women (n 1509) aged 20-60 years. Results: The NNR include recommendations on macronutrient proportions, physical activity and intake of micronutrients, sodium, fibre and alcohol. We found that overall adherence to the NNR was moderately good. In addition, we found that high adherence to the NNR (>5.5 adherence points) was not associated with a lower risk of URTI (incidence rate ratio (IRR) 0.89, 95% CI 0.73, 1.08) compared with low adherence (<4.5 adherence points). When investigating individual components of the NNR, only high physical activity was associated with lower URTI risk (IRR=0.82, 95% CI 0.69, 0.97) whereas none of the dietary components were associated with risk of URTI. Conclusions: Overall adherence to the NNR was moderately good. Overall adherence to the NNR was not associated with URTI risk in our study. However, when investigating individual components of the NNR, we found that high physical activity was associated with lower URTI risk.

  • 37. Fondell, Elinor
    et al.
    Christensen, Sara E.
    Bälter, Olle
    KTH, Skolan för datavetenskap och kommunikation (CSC), Människa-datorinteraktion, MDI.
    Bälter, Katarina
    Adherence to the Nordic Nutrition Recommendations as a measure of a healthy diet and upper respiratory tract infection2011Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 14, nr 5, s. 860-869Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The Nordic countries have published joint dietary recommendations, the Nordic Nutrition Recommendations (NNR), since 1980. We evaluated adherence to the NNR as a measure of a healthy diet and its potential association with self-reported upper respiratory tract infection (URTI). Design: A prospective, population-based study with a follow-up period of 4 months. Dietary intake was assessed using a semi-quantitative FFQ with ninety-six items, along with other lifestyle factors, at baseline. URTI was assessed every three weeks. A Poisson regression model was used to control for age, sex and other confounding factors. Setting: A middle-sized county in northern Sweden. Subjects: Swedish men and women (n 1509) aged 20-60 years. Results: The NNR include recommendations on macronutrient proportions, physical activity and intake of micronutrients, sodium, fibre and alcohol. We found that overall adherence to the NNR was moderately good. In addition, we found that high adherence to the NNR (>5.5 adherence points) was not associated with a lower risk of URTI (incidence rate ratio (IRR) 0.89, 95% CI 0.73, 1.08) compared with low adherence (<4.5 adherence points). When investigating individual components of the NNR, only high physical activity was associated with lower URTI risk (IRR=0.82, 95% CI 0.69, 0.97) whereas none of the dietary components were associated with risk of URTI. Conclusions: Overall adherence to the NNR was moderately good. Overall adherence to the NNR was not associated with URTI risk in our study. However, when investigating individual components of the NNR, we found that high physical activity was associated with lower URTI risk.

  • 38. Frith, Amy L
    et al.
    Ziaei, Shirin
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Internationell mödra- och barnhälsovård (IMCH).
    Naved, Ruchira Tabassum
    Khan, Ashraful Islam
    Kabir, Iqbal
    Ekström, Eva-Charlotte
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Internationell mödra- och barnhälsovård (IMCH).
    Breast-feeding counselling mitigates the negative association of domestic violence on exclusive breast-feeding duration in rural Bangladesh. The MINIMat randomized trial.2017Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 20, nr 15, s. 2810-2818Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To determine if exclusive breast-feeding counselling modifies the association of experience of any lifetime or specific forms of domestic violence (DV) on duration of exclusive breast-feeding (EBF).

    DESIGN: In the MINIMat trial pregnant women were randomized to receive either usual health messages (UHM) or usual health messages with breast-feeding counselling (BFC) in eight visits. During pregnancy (30 weeks), lifetime experience of any or specific forms of DV was measured. Infant feeding practice information was collected from 0 to 6 months at 15 d intervals.

    SETTING: Matlab, Bangladesh.

    SUBJECTS: Pregnant and postpartum women (n 3186) and their infants.

    RESULTS: Among women in the UHM group, those who had experienced any lifetime DV exclusively breast-fed for a shorter duration than women who did not experience any lifetime DV (P=0·02). There was no difference, however, in duration of EBF among women in the BFC group based on their experience of any lifetime DV exposure (P=0·48). Using Cox regression analysis, there was an interaction of exposure to any lifetime DV, sexual violence and controlling behaviour, and counselling group with duration of breast-feeding at or before 6 months (P-interaction≤0·08). Among the UHM group, experience of any lifetime DV, sexual violence or controlling behaviour was associated with fewer days of EBF (P<0·05). In contrast, among the BFC group, experience of DV was not associated with duration of EBF.

    CONCLUSIONS: The experience of DV compromises EBF and the support of breast-feeding counselling programmes could assist this vulnerable group towards better infant feeding practices.

    Fulltekst (pdf)
    fulltext
  • 39.
    Goris, Janny M
    et al.
    School of Population Health, MPH Program (partially funded by Queensland Health), The University of Queensland, Herston, QLD, Australia.
    Petersen, Solveig
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri. Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
    Stamatakis, Emmanuel
    Department of Epidemiology and Public Health, National Institute for Health Research, University College London, London, UK.
    Veerman, J Lennert
    School of Population Health, The University of Queensland, Herston, QLD, Australia.
    Television food advertising and the prevalence of childhood overweight and obesity: a multicountry comparison2010Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 13, nr 7, s. 1003-1012Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective To estimate the contribution of television (TV) food advertising to the prevalence of obesity among 6–11-year-old children in Australia, Great Britain (England and Scotland only), Italy, The Netherlands, Sweden and the United States.

    Design Data from contemporary representative studies on the prevalence of childhood obesity and on TV food advertising exposure in the above countries were entered into a mathematical simulation model. Two different effect estimators were used to calculate the reduction in prevalence of overweight and obesity in the absence of TV food advertising in each country; one based on literature and one based on experts’ estimates.

    Setting Six- to eleven-year-old children in six Western countries.

    Results Estimates of the average exposure of children to TV food advertising range from 1·8 min/d in The Netherlands to 11·5 min/d in the United States. Its contribution to the prevalence of childhood obesity is estimated at 16 %–40 % in the United States, 10 %–28 % in Australia and Italy and 4 %–18 % in Great Britain, Sweden and The Netherlands.

    Conclusions The contribution of TV advertising of foods and drinks to the prevalence of childhood obesity differs distinctly by country and is likely to be significant in some countries.

  • 40. Haapala, Irja
    et al.
    Hodge, Allison
    McNeill, Geraldine
    Tseng, Marilyn
    Yngve, Agneta
    Dept Biosci & Nutr, Karolinska Inst, Stockholm, Sweden.
    Improving the quality of meals eaten or prepared outside the home2011Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 14, nr 2, s. 191-192Artikkel i tidsskrift (Annet vitenskapelig)
  • 41. Haapala, Irja
    et al.
    Hodge, Allison
    Tseng, Marilyn
    McNeill, Geraldine
    Yngve, Agneta
    Novum, Dept Bioscience & Nutrition, Karolinska Institute, Huddinge, Sweden.
    Nutritional environments affecting the future of our children2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 6, s. 949-950Artikkel i tidsskrift (Annet vitenskapelig)
  • 42. Haapala, Irja
    et al.
    Tseng, Marilyn
    Hodge, Allison
    Yngve, Agneta
    Karolinska sjukhuset, Stockholm, Sweden.
    McNeill, Geraldine
    Nutritional well-being among older people2011Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 14, nr 11, s. 1891-1892Artikkel i tidsskrift (Annet vitenskapelig)
  • 43.
    Hallström, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Ruiz, Jonatan
    Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Sweden.
    Labayen, Idoia
    Department of Nutrition and Food Science, University of the Basque Country, Vitoria, Spain.
    Paterson, Emma
    Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institutet, Sweden.
    Vereecken, Carine
    Department of Public Health, University Hospital, Ghent, Belgium.
    Christina Breidenassel, Christina
    fInstitut für Ernährungs- und Lebensmittelwissenschaften-Humanernährung, Rheinische Friedrich-Wilhelms Universität, Bonn, Germany.
    Gottrand, Frédéric
    Faculté de Médecine, Université de Lille, France.
    Huybrechts, Inge
    Department of Public Health, Ghent University, Belgium.
    Manios, Yannis
    Department: Nutrition & Dietetics; Harokopio University Athens, Greece.
    Mistura, Lorenza
    National Research Institute on Food and Nutrition, Italy.
    Widhalm, Kurt
    Department of Pediatrics, Medical University of Vienna, Austria.
    Moreno, Luis
    Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza, Spain.
    Sjöström, Michael
    Department of Biosciences and Nutrition, Karolinska Institutet, Sweden.
    Breakfast consumption and CVD risk factors in European adolescents: The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study2013Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 16, nr 7, s. 1296-1305Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
    Abstract [en]

    Objective To examine the association between breakfast consumption and CVD risk factors in European adolescents. Design Cross-sectional. Breakfast consumption was assessed by the statement 'I often skip breakfast' and categorized into 'consumer', 'occasional consumer' and 'skipper'. Blood pressure, weight, height, waist circumference, skinfold thickness, total cholesterol (TC), HDL cholesterol (HDL-C), LDL cholesterol (LDL-C), TAG, insulin and glucose were measured and BMI, TC:HDL-C, LDL-C:HDL-C and homeostasis model assessment-insulin resistance index (HOMA-IR) were calculated. Setting The European Union-funded HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Subjects European adolescents, aged 12·50- 17·49 years, from ten cities within the HELENA study (n 2929, n 925 with blood sample, 53 % females). Results In males, significant differences across breakfast consumption category ('consumer', 'occasional consumer' and 'skipper') were seen for age, BMI, skinfold thickness, waist circumference, cardiorespiratory fitness, systolic and diastolic blood pressures, TC:HDL-C, LDL-C:HDL-C, glucose, insulin, HOMA-IR and LDL-C; in females, for cardiorespiratory fitness, skinfold thickness, BMI, insulin and HOMA-IR. In overweight/obese males significant differences were also seen for TC and LDL-C, whereas no differences were observed in non-overweight males or in females regardless of weight status. Conclusions Our findings among European adolescents confirm previous data indicating that adolescents who regularly consume breakfast have lower body fat content. The results also show that regular breakfast consumption is associated with higher cardiorespiratory fitness in adolescents, and with a healthier cardiovascular profile, especially in males. Eating breakfast regularly may also negate somewhat the effect of excess adiposity on TC and LDL-C, especially in male adolescents.

  • 44.
    Hallström, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Sichert-Hellert, Wolfgang
    Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms Universität Bonn, Dortmund, Germany.
    Beghin, Laurent
    Université Lille, France.
    De Henauw, Stefaan
    Ghent University, Ghent, Belgium.
    GRAMMATIKAKI, Eva
    Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.
    Manios, Yannis
    Department: Nutrition & Dietetics; Harokopio University Athens.
    Mesana, Maribella
    Escuela Universitaria de Ciencias de la Salud. Universidad de Zaragoza. Zaragoza.
    Molnar, Dénes
    University of Pecs, Pecs, Hungary.
    Dietrich, Sabina
    Devision of Clinical Nutrition and Prevention, Medical University of Vienna, Vienna, Austria.
    PICCINELLI, Raffaela
    National Research Institute for Food and Nutrition, Rome, Italy.
    Plada, Maria
    Preventive Medicine & Nutrition Unit, University of Crete, Heraklion, Crete, Greece.
    Sjöström, Michael
    Department of Biosciences and Nutrition, Karolinska Institute.
    Moreno, Luis
    Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza.
    Kersting, Mathilde
    Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms Universität Bonn, Dortmund, Germany.
    Nutritional knowledge in European adolescents: results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study2011Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 14, nr 12, s. 2083-2091Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To build up sufficient knowledge of a ‘healthy diet’. Here, we report on the assessment of nutritional knowledge using a uniform method in a large sample of adolescents across Europe.

    Design: A cross-sectional study.

    Setting: The European multicentre HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study conducted in 2006–2007 in ten cities in Austria, Belgium, France, Germany, Greece (one inland and one island city), Hungary, Italy, Spain and Sweden.

    Subjects: A total of 3546 adolescents (aged 12,5–17,5 years) completed a validated nutritional knowledge test (NKT). Socio-economic variables and anthropometric data were considered as potential confounders.

    Results: NKT scores increased with age and girls had higher scores compared with boys (62% v.59 %;P<0,0001). Scores were approximately 10% lower in ‘immigrant’ adolescents or in adolescents with ‘immigrant’ mothers. Misconceptions with respect to the sugar content in food or in beverages were found. Overall, there was no correlation between BMI values and NKT scores. After categorization according to BMI, scores increased significantly with BMI group only in boys. These differences disappeared after controlling for socio-economic status (SES). Smoking status and educational level of the mother influenced the NKT scores significantly in boys, as well as the educational levels of both parents in girls.

    Conclusions: Nutritional knowledge was modest in our sample. Interventions should be focused on the lower SES segments of the population. They should be initiated at a younger age and should be combined with environmental prevention (e.g. healthy meals in school canteens).

    Fulltekst (pdf)
    fulltext
  • 45.
    Hallström, Lena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Vereecken, Carine
    Department of Public Health, University Hospital, Ghent.
    Labayen, Idoia
    Department of Nutrition and Food Science, University of the Basque Country, Vitoria, Spain.
    Ruiz, Jonatan
    Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institute.
    Le Donne, Cinzia
    National Research Institute on Food and Nutrition, Italy.
    Cuenca, Magdalena
    School of Medicine, University of Granada.
    Gilbert, Chantal
    Campden BRI, Gloucestershire, UK.
    Gómez-Martínezi, Sonia
    Instituto del Frío, Spanish National Research Council.
    GRAMMATIKAKI, Eva
    Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.
    Huybrechts, Inge
    Department of Public Health, Ghent University.
    Kafatos, Anthony
    Preventive Medicine and Nutrition Clinic, Department of Social Medicine, School of Medicine, University of Crete, Greece.
    Kersting, Mathilde
    Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms Universität Bonn, Dortmund, Germany.
    Manios, Yannis
    Department: Nutrition & Dietetics; Harokopio University Athens.
    Molnar, Dénes
    University of Pecs, Pecs, Hungary.
    Paterson, Emma
    Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institute.
    Widhalm, Kurt
    Department of Pediatrics, Medical University of Vienna.
    DeVriendt, Tinike
    Ghent University, Department of Public Health, Ghent, Belgium.
    Moreno, Luis
    Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza.
    Sjöström, Michael
    Department of Biosciences and Nutrition, Karolinska Institute.
    Breakfast Habits and their Association with Socio-demographic Factors among European Adolescents: The HELENA study.2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 10, s. 1879-1889Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe breakfast habits on food group level in European adolescents and to investigate the associations between these habits and socio-demographic factors.

    Design: Cross-sectional study

    Setting: Secondary schools from nine European cities participating in the HELENA (Healthy Lifestyle inEuropeby Nutrition in Adolescence) Study. Breakfast habits were assessed twice using a computer-based 24-h dietary recall. Adolescents who consumed breakfast on at least one recall day were classified as ‘breakfast consumers’ and adolescents who did not have anything for breakfast on either of the two recall days were considered ‘breakfast skippers’. A ‘breakfast quality-index’ to describe breakfast quality was created based on the consumption or non-consumption of: cereals/cereal products, dairy products and fruits/vegetables. The socio-demographic factors studied were sex, age, region of Europe, maternal and paternal education, family structure and family affluence.

    Subjects: 2672 adolescents (12-17 years, 53 % girls).

    Results: The majority of the adolescents reported a breakfast that scored poorly on the breakfast quality index. Older adolescents, adolescents from the southern part of Europe and adolescents from families with low socio-economic status were more likely to consume a low-quality breakfast.

    Conclusion: This study highlights the need to promote the consumption of a high-quality breakfast among adolescents, particularly in older adolescents, adolescents from southern Europe and to adolescents from families with low socio-economic status, in order to improve public health.

  • 46.
    Hamdan, May
    et al.
    Department of Nutrition and Food Science, Research Group Nutrition, Diet and Risk Assessment (AGR-255), University of Granada, Granada, Spain; An-Najah National University, Nablus, Palestine.
    Monteagudo, Celia
    Department of Nutrition and Food Science, Research Group Nutrition, Diet and Risk Assessment (AGR-255), University of Granada, Granada, Spain.
    Lorenzo-Tovar, Maria-Luisa
    Department of Nutrition and Food Science, Research Group Nutrition, Diet and Risk Assessment (AGR-255), University of Granada, Granada, Spain.
    Tur, José-Antonio
    Research Group on Community Nutrition and Oxidative Stress, CIBERobn, University of the Balearic Islands, Palma de Mallorca, Spain.
    Olea-Serrano, Fatima
    Department of Nutrition and Food Science, Research Group Nutrition, Diet and Risk Assessment (AGR-255), University of Granada, Granada, Spain.
    Mariscal-Arcas, Miguel
    Department of Nutrition and Food Science, Research Group Nutrition, Diet and Risk Assessment (AGR-255), University of Granada, Granada, Spain; Department of Food Technology, Nutrition and Food Science, University of Murcia, Murcia, Spain.
    Development and validation of a nutritional questionnaire for the Palestine population2014Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 17, nr 11, s. 2512-2518Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Dietary habits vary widely among regions and cultural groups, and FFQ need to be designed for specific populations. The objectives of the present study were to develop and test the repeatability and relative validity of a medium-length semi-quantitative FFQ for measuring the energy and macronutrient intakes of a specific population and to contribute a methodological framework for this procedure.

    Setting: Palestinian families in the Hebron area.

    Design: After a preliminary survey of a subgroup of homemakers using 3 d diet recall, stepwise multiple regression analysis was used for selected nutrients to choose foods for inclusion in the FFQ.

    Subjects: The FFQ was administered to a study population of 169 women representing the same number of families.

    Results: The Wilcoxon test and Bland-Altman plots were used to compare the FFQ results with the mean 3 d diet recall results. A high level of concordance was found, validating the FFQ. In this population, the mean consumption of SFA was above recommendations and the intakes of vitamin D, folic acid, Ca, Fe and K were deficient.

    Conclusions: The availability of diet assessment instruments designed for specific populations and cultures is of immense value to researchers and policy makers. The study describes a simple and effective method to develop and validate an FFQ for a given population of interest.

  • 47.
    Hawlader, Mohammad Delwer Hossain
    et al.
    Department of Clinical Trial and Clinical Epidemiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
    Noguchi, Emiko
    Department of Medical Genetics, Faculty of Medicine, University of Tsukuba, Japan.
    El Arifeen, Shams
    International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
    Persson, Lars-Åke
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Internationell mödra- och barnhälsovård (IMCH).
    Moore, Sophie E
    MRC International Nutrition Group, London School of Hygiene & Tropical Medicine, London, UK.
    Raqib, Rubhana
    International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
    Wagatsuma, Yukiko
    Department of Clinical Trial and Clinical Epidemiology, Faculty of Medicine, University of Tsukuba, Japan.
    Nutritional status and childhood wheezing in rural Bangladesh2014Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 17, nr 7, s. 1570-1577Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE:

    To investigate the association between current childhood nutritional status and current wheezing among pre-school children in rural Bangladesh.

    DESIGN:

    Cross-sectional study.

    SETTING:

    Matlab region, rural Bangladesh.

    SUBJECTS:

    Children (n 912) aged 4·5 years. Anthropometric measurements of the mothers and their children were taken during a 1-year period from December 2007 to November 2008. Current wheezing was identified using the International Study of Asthma and Allergies in Childhood questionnaire. Serum total IgE was measured by human IgE quantitative ELISA. IgE specific antibody to dust mites (Dermatophagoides pteronyssinus) was measured by the CAP-FEIA system (Phadia AB, Uppsala, Sweden).

    RESULTS:

    Wheezing at 4·5 years old was significantly associated with stunting (OR = 1·58; 95 % CI 1·13, 2·22) and underweight (OR = 1·39; 95 % CI 1·00, 1·94). The association with stunting remained significant after adjustment for sex, birth weight, birth length, gestational age at birth, mother's parity, maternal BMI, family history of asthma, socio-economic status, season of birth and intervention trial arm (OR = 1·74; 95 % CI 1·19, 2·56).

    CONCLUSIONS:

    Stunting was a significant risk factor for wheezing among rural Bangladeshi children. Further studies will be required to confirm the relationship between nutritional status and allergic illnesses in developing countries.

  • 48. Hodge, Allison
    et al.
    Haapala, Irja
    Yngve, Agneta
    Karolinska Inst, Novum, Dept Biosci & Nutr, SE-14183 Huddinge, Sweden.
    McNeill, Geraldine
    Tseng, Marilyn
    A refresher in research publication ethics2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 3, s. 377-378Artikkel i tidsskrift (Annet vitenskapelig)
  • 49. Hodge, Allison
    et al.
    Haapala, Irja
    Yngve, Agneta
    Novum, Dept Bioscience & Nutrition, Karolinska Inst, Huddinge, Sweden.
    McNeill, Geraldine
    Tseng, Marilyn
    A refresher in research publication ethics2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 3, s. 377-378Artikkel i tidsskrift (Annet vitenskapelig)
  • 50. Holowko, Natalie
    et al.
    Jones, Mark
    Koupil, Ilona
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om ojämlikhet i hälsa (CHESS). Karolinska Institutet, Sweden.
    Tooth, Leigh
    Mishra, Gita
    High education and increased parity are associated with breast-feeding initiation and duration among Australian women2016Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, nr 14, s. 2551-2561Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Breast-feeding is associated with positive maternal and infant health and development outcomes. To assist identifying women less likely to meet infant nutritional guidelines, we investigated the role of socio-economic position and parity on initiation of and sustaining breast-feeding for at least 6 months.

    Design: Prospective cohort study.

    Setting: Australia.

    Subjects: Parous women from the Australian Longitudinal Study on Women’s Health (born 1973–78), with self-reported reproductive and breast-feeding history (N 4777).

    Results: While 89 % of women (83 % of infants) had ever breast-fed, only 60 % of infants were breast-fed for at least 6 months. Multiparous women were more likely to breast-feed their first child (~90 % v. ~71 % of primiparous women), and women who breast-fed their first child were more likely to breast-feed subsequent children. Women with a low education (adjusted OR (95 % CI): 2·09 (1·67, 2·62)) or a very low-educated parent (1·47 (1·16, 1·88)) had increased odds of not initiating breast-feeding with their first or subsequent children. While fewer women initiated breast-feeding with their youngest child, this was most pronounced among high-educated women. While ~60 % of women breast-fed their first, second and third child for at least 6 months, low-educated women (first child, adjusted OR (95 % CI): 2·19 (1·79, 2·68)) and women with a very low (1·82 (1·49, 2·22)) or low-educated parent (1·69 (1·33, 2·14)) had increased odds of not breast-feeding for at least 6 months.

    Conclusions: A greater understanding of barriers to initiating and sustaining breastfeeding, some of which are socio-economic-specific, may assist in reducing inequalities in infant breast-feeding.

12345 1 - 50 of 231
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf