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  • 1501. Wisnuwardani, Ratih Wirapuspita
    et al.
    De Henauw, Stefaan
    Forsner, Maria
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. School of Education, Health and Social Sciences, Dalarna University, Falun, Sweden.
    Gottrand, Frédéric
    Huybrechts, Inge
    Knaze, Viktoria
    Kersting, Mathilde
    Le Donne, Cinzia
    Manios, Yannis
    Marcos, Ascensión
    Molnár, Dénes
    Rothwell, Joseph A.
    Scalbert, Augustin
    Sjöström, Michael
    Widhalm, Kurt
    Moreno, Luis A.
    Michels, Nathalie
    Polyphenol intake and metabolic syndrome risk in European adolescents: the HELENA study2019Inngår i: European Journal of Nutrition, ISSN 1436-6207, E-ISSN 1436-6215Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The role of polyphenol intake during adolescence to prevent metabolic syndrome (MetS) is little explored. This study aimed to evaluate the association between intake of total polyphenols, polyphenol classes and the 10 most consumed individual polyphenols with MetS risk in European adolescents.

    Methods: Of the cross-sectional HELENA study, 657 adolescents (54% girls; 14.8% overweight; 12.5–17.5 year) had a fasting blood sample and polyphenol intake data from two non-consecutive 24-h recalls matched with the Phenol-Explorer database. MetS was defined via the pediatric American Heart Association definition. Multilevel linear regressions examined the associations of polyphenol quartiles with MetS components, while logistic regression examined the associations with MetS risk.

    Results: After adjusting for all potential confounders (socio-demographics and nine nutrients), total polyphenol intake, polyphenol classes and individual polyphenols were not associated with MetS risk. From all MetS components, only BMI z-score was modestly inversely associated with total polyphenol intake. Further sub analyses on polyphenol classes revealed that flavonoid intake was significantly associated with higher diastolic blood pressure and lower BMI, and phenolic acid intake was associated with higher low-density cholesterol. For individual polyphenols, the above BMI findings were often confirmed (not independent from dietary intake) and a few associations were found with insulin resistance.

    Conclusion: Higher intakes of total polyphenols and flavonoids were inversely associated with BMI. No consistent associations were found for other MetS components.

  • 1502.
    Wissing, Ulla E.
    et al.
    Linköping University, Campus Norrköping, Faculty of Health Sciences, Hälsouniversitetet, Norrköping.
    Unosson, Mitra
    Linköping University, Campus Norrköping, Faculty of Health Sciences, Department of Caring Sciences, Faculty of Health Sciences, University of Linköping.
    Lennernäs, Maria A.-C.
    National Food Administration, Nutrition Division, Uppsala, Sweden; Department of domestic sciences, Faculty of Social Sciences, University of Uppsala, Uppsala, Sweden.
    Ek, Anna-Christina
    Linköping University, Campus Norrköping, Faculty of Health Sciences, Department of Caring Sciences, Faculty of Health Sciences, University of Linköping.
    Nutritional intake and physical activity in leg ulcer patients1997Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 25, nr 3, s. 571-578Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study was to describe the nutritional intake, meal patterns, physical activity and need for help in nine women living in their own homes and being treated for venous leg ulcers. Food habits were identified by use of interviews and food diaries completed by the women during a period of seven days. The intake of energy and nutrients from 304 eating events during seven days was calculated and meal patterns were evaluated using a qualitative system for meal classification. Physical activity and the degree of need were identified with the help of interviews. The intakes of energy and key nutrients for wound healing, such as protein, vitamin C and zinc, were not optimal according to the Swedish nutrition recommendations, although food habits were well organized. Most of the women had hardly any physical activities and the need of help and support varied, from daily visits to visits every second week.

  • 1503.
    Wleklik, Marta
    et al.
    Wroclaw Med Univ, Dept Clin Nursing, Wroclaw, Poland.
    Lisiak, Magdalena
    Wroclaw Med Univ, Dept Clin Nursing, Wroclaw, Poland.
    Andreae, Christina
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
    Uchmanowicz, Izabella
    Wroclaw Med Univ, Dept Clin Nursing, Wroclaw, Poland.
    Psychometric Evaluation Of Appetite Questionnaires In Elderly Polish Patients With Heart Failure2019Inngår i: Patient Preference and Adherence, ISSN 1177-889X, E-ISSN 1177-889X, Vol. 13, s. 1751-1759Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: Loss of appetite is caused by multifaceted disorders and affects an average of 40% of patients with heart failure (HF). The Council on Nutrition Appetite Questionnaire (CNAQ) and the Simplified Nutritional Appetite Questionnaire (SNAQ) are designed to assess appetite among older adults. We aimed to assess the psychometric properties of both CNAQ and SNAQ questionnaires in elderly Polish patients with HF.

    Methods: The study sample involved 103 patients aged >= 65 years with HF diagnosed according to the New York Heart Association (NYHA) functional classes II-IV. The study was conducted among hospitalized patients with HF. In the study, the Mini Nutritional Assessment (MNA) questionnaire was used to assess the validity of the questionnaire. The evaluation of the following psychometric values was taken into account: data quality and homogeneity, factor structure, construct validity and internal consistency.

    Results: Parallel analysis confirmed the unidimensional structure of both CNAQ and SNAQ. The adjusted eigenvalues for CNAQ were 3.50 for the first factor and 0.62 for the second factor, and for SNAQ they were 2.2 and 0.31, respectively. For CNAQ, the desired CFA values were obtained after modification (RMSEA <0.06, CFI, TLI> 0.95), for SNAQ without modification (RMSEA <0.06, CFI, TLI> 0.95). The correlation between CNAQ and SNAQ and MNA was strong (rs = 0.8 and rs = 0.81, p <0.001, respectively). The internal consistency of the CNAQ and SNAQ tools was 0.88 and 0.86, respectively.

    Conclusion: The CNAQ and SNAQ questionnaires have positive psychometric properties and can be used to evaluate appetite among elderly Polish patients with HF.

  • 1504.
    Wolf, Alexandra
    et al.
    Institute for Nutritional Sciences, University of Vienna, Vienna, Austria .
    Yngve, Agneta
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institutet, Stockholm, Sweden .
    Elmadfa, Ibrahim
    Institute for Nutritional Sciences, University of Vienna, Vienna, Austria; University of Vienna, Institute for Nutritional Sciences, Vienna, Austria.
    Poortvliet, Eric
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institutet, Stockholm, Sweden .
    Ehrenblad, Bettina
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institutet, Stockholm, Sweden .
    Pérez-Rodrigo, Carmen
    Community Nutrition Unit, Bilbao, Spain .
    Thórsdóttir, Inga
    Unit for Nutrition Research, Landspitali University Hospital, Reykjavik, Iceland; Department of Food Science, University of Iceland, Reykjavik, Iceland .
    Haraldsdóttir, Jóhanna
    Research Department of Human Nutrition, Royal Veterinary and Agricultural University, Copenhagen, Denmark .
    Brug, Johannes
    Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands .
    Maes, Lea
    Department of Public Health, Ghent University, Ghent, Belgium.
    Vaz de Almeida, Maria Daniel
    Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal .
    Krølner, Rikke
    Department of Social Medicine, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark .
    Klepp, Knut-Inge
    Department of Nutrition, Faculty of Medicine, University of Oslo, Oslo, Norway .
    Fruit and vegetable intake of mothers of 11-year-old children in nine European countries: the Pro Children Cross-sectional Survey2005Inngår i: Annals of Nutrition and Metabolism, ISSN 0250-6807, E-ISSN 1421-9697, Vol. 49, nr 4, s. 246-254Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To describe and compare fruit and vegetable intakes of mothers of 11-year-old children across Europe.

    METHODS: Cross-sectional surveys were carried out in 9 European countries in October/November 2003. Self-administered questionnaires assessing fruit and vegetable consumption were used for data collection. The current paper presents dietary intake data obtained by a precoded 24-hour recall and a food frequency questionnaire.

    RESULTS: The consumption levels of fruit and vegetables (without fruit juice) were in line with World Health Organization recommendations of > or =400 g/day for only 27% of all participating mothers. Based on both instruments, the Pro Children results showed comparatively high average fruit intake levels in Portugal, Denmark and Sweden (211, 203 and 194 g/day) and the lowest intake in Iceland (97 g/day). High vegetable intake levels were found in Portugal and Belgium (169 and 150 g/day), the lowest in Spain (88 g/day). A south-north gradient could not be observed in the Pro Children study.

    CONCLUSION: Fruit and vegetable intakes are low in mothers of 11-year-olds across Europe. Especially vegetable consumption can be regarded as marginal in most of the studied European countries. A high percentage of mothers indicated to eat fruit and vegetables less than once a day. The results have shown that national and international interventions are necessary to promote fruit and especially vegetable consumption in the European population of mothers.

  • 1505.
    Wolf, Alexandra
    et al.
    Institute for Nutritional Sciences, University of Vienna, Vienna, Austria .
    Yngve, Agneta
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institutet, Stockholm, Sweden .
    Elmadfa, Ibrahim
    Institute for Nutritional Sciences, University of Vienna, Vienna, Austria; University of Vienna, Institute for Nutritional Sciences, Vienna, Austria.
    Poortvliet, Eric
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institutet, Stockholm, Sweden .
    Ehrenblad, Bettina
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institutet, Stockholm, Sweden .
    Pérez-Rodrigo, Carmen
    Community Nutrition Unit, Bilbao, Spain .
    Thórsdóttir, Inga
    Unit for Nutrition Research, Landspitali University Hospital, Reykjavik, Iceland; Department of Food Science, University of Iceland, Reykjavik, Iceland .
    Haraldsdóttir, Jóhanna
    Research Department of Human Nutrition, Royal Veterinary and Agricultural University, Copenhagen, Denmark .
    Brug, Johannes
    Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands .
    Maes, Lea
    Department of Public Health, Ghent University, Ghent, Belgium.
    Vaz de Almeida, Maria Daniel
    Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal .
    Krølner, Rikke
    Department of Social Medicine, Institute of Public Health, University of Copenhagen, Copenhagen, Denmark .
    Klepp, Knut-Inge
    Department of Nutrition, Faculty of Medicine, University of Oslo, Oslo, Norway .
    Fruit and vegetable intake of mothers of 11-year-old children in nine European countries: the Pro Children Cross-sectional Survey2005Inngår i: Annals of Nutrition and Metabolism, ISSN 0250-6807, E-ISSN 1421-9697, Vol. 49, nr 4, s. 246-254Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To describe and compare fruit and vegetable intakes of mothers of 11-year-old children across Europe.

    METHODS: Cross-sectional surveys were carried out in 9 European countries in October/November 2003. Self-administered questionnaires assessing fruit and vegetable consumption were used for data collection. The current paper presents dietary intake data obtained by a precoded 24-hour recall and a food frequency questionnaire.

    RESULTS: The consumption levels of fruit and vegetables (without fruit juice) were in line with World Health Organization recommendations of > or =400 g/day for only 27% of all participating mothers. Based on both instruments, the Pro Children results showed comparatively high average fruit intake levels in Portugal, Denmark and Sweden (211, 203 and 194 g/day) and the lowest intake in Iceland (97 g/day). High vegetable intake levels were found in Portugal and Belgium (169 and 150 g/day), the lowest in Spain (88 g/day). A south-north gradient could not be observed in the Pro Children study.

    CONCLUSION: Fruit and vegetable intakes are low in mothers of 11-year-olds across Europe. Especially vegetable consumption can be regarded as marginal in most of the studied European countries. A high percentage of mothers indicated to eat fruit and vegetables less than once a day. The results have shown that national and international interventions are necessary to promote fruit and especially vegetable consumption in the European population of mothers.

  • 1506. Wopereis, Harm
    et al.
    van Ampting, Marleen T. J.
    Cetinyurek-Yavuz, Aysun
    Slump, Rob
    Candy, David C. A.
    Butt, Assad M.
    Peroni, Diego G.
    Vandenplas, Yvan
    Fox, Adam T.
    Shah, Neil
    Roeselers, Guus
    Harthoorn, Lucien F.
    Michaelis, Louise J.
    Knol, Jan
    West, Christina E.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
    A specific synbiotic-containing amino acid-based formula restores gut microbiota in non-IgE mediated cow's milk allergic infants: a randomized controlled trial2019Inngår i: Clinical and Translational Allergy, ISSN 2045-7022, E-ISSN 2045-7022, Vol. 9, artikkel-id 27Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Altered gut microbiota is implicated in cow’s milk allergy (CMA) and differs markedly from healthy, breastfed infants. Infants who suffer from severe CMA often rely on cow’s milk protein avoidance and, when breastfeeding is not possible, on specialised infant formulas such as amino-acid based formulas (AAF). Herein, we report the effects of an AAF including specific synbiotics on oral and gastrointestinal microbiota of infants with non-IgE mediated CMA with reference to healthy, breastfed infants.

    Methods: In this prospective, randomized, double-blind controlled study, infants with suspected non-IgE mediated CMA received test or control formula. Test formula was AAF with synbiotics (prebiotic fructo-oligosaccharides and probiotic Bifidobacterium breve M-16V). Control formula was AAF without synbiotics. Healthy, breastfed infants were used as a separate reference group (HBR). Bacterial compositions of faecal and salivary samples were analysed by 16S rRNA-gene sequencing. Faecal analysis was complemented with the analysis of pH, short-chain fatty acids (SCFAs) and lactic acids.

    Results: The trial included 35 test subjects, 36 controls, and 51 HBR. The 16S rRNA-gene sequencing revealed moderate effects of test formula on oral microbiota. In contrast, the gut microbiota was substantially affected across time comparing test with control. In both groups bacterial diversity increased over time but was characterised by a more gradual increment in test compared to control. Compositionally this reflected an enhancement of Bifidobacterium spp. and Veillonella sp. in the test group. In contrast, the control-fed infants showed increased abundance of adult-like species, mainly within the Lachnospiraceaefamily, as well as within the Ruminococcus and Alistipes genus. The effects on Bifidobacterium spp. and Lachnospiraceae spp. were previously confirmed through enumeration by fluorescent in situ hybridization and were shown for test to approximate the proportions observed in the HBR. Additionally, microbial activity was affected as evidenced by an increase of l-lactate, a decrease of valerate, and reduced concentrations of branched-chain SCFAs in test versus control.

    Conclusions: The AAF including specific synbiotics effectively modulates the gut microbiota and its metabolic activity in non-IgE mediated CMA infants bringing it close to a healthy breastfed profile.

  • 1507.
    Wu, Ping-Hsun
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Endokrinologi och mineralmetabolism. Kaohsiung Med Univ, Grad Inst Clin Med, Coll Med, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ, Fac Med, Coll Med, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung 80708, Taiwan.
    Chiu, Yi-Wen
    Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ, Fac Renal Care, Coll Med, Kaohsiung 80708, Taiwan.
    Zou, Hsin-Bai
    Natl Taiwan Univ, Dept Chem, Taipei 10617, Taiwan.
    Hsu, Cheng-Chih
    Natl Taiwan Univ, Dept Chem, Taipei 10617, Taiwan.
    Lee, Su-Chu
    Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung 80708, Taiwan.
    Yi-Ting, Lin
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Kardiologi. Kaohsiung Med Univ, Grad Inst Clin Med, Coll Med, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ, Fac Med, Coll Med, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ Hosp, Dept Family Med, Kaohsiung 80708, Taiwan.
    Tsai, Yi-Chun
    Kaohsiung Med Univ, Fac Med, Coll Med, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Div Gen Med, Kaohsiung 80708, Taiwan.
    Kuo, Mei-Chuan
    Kaohsiung Med Univ, Fac Med, Coll Med, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ, Fac Renal Care, Coll Med, Kaohsiung 80708, Taiwan.
    Hwang, Shang-Jyh
    Kaohsiung Med Univ, Fac Med, Coll Med, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ Hosp, Dept Internal Med, Div Nephrol, Kaohsiung 80708, Taiwan;Kaohsiung Med Univ, Fac Renal Care, Coll Med, Kaohsiung 80708, Taiwan.
    Exploring the Benefit of 2-Methylbutyric Acid in Patients Undergoing Hemodialysis Using a Cardiovascular Proteomics Approach2019Inngår i: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 11, nr 12, artikkel-id 3033Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Short-chain fatty acids (SCFAs) can reduce pro-inflammatory parameters and oxidative stress, providing potential cardiovascular (CV) benefits. Although some evidence links SCFAs with host metabolic health via several biological mechanisms, the role of SCFA on CV disease in patients with kidney disease remains unclear. Herein, we investigate the association between a SCFA, 2-methylbutyric acid, and target CV proteomics to explore the potential pathophysiology of SCFA-related CV benefit in patients with kidney disease. Circulating 2-methylbutyric acid was quantified by high-performance liquid chromatography and 181 CV proteins by a proximity extension assay in 163 patients undergoing hemodialysis (HD). The associations between 2-methylbutyric acid and CV proteins were evaluated using linear regression analysis with age and gender, and multiple testing adjustment. The selected CV protein in the discovery phase was further confirmed in multivariable-adjusted models and evaluated by continuous scale association. The mean value of circulating 2-methylbutyric acid was 0.22 +/- 0.02 mu m which was negatively associated with bone morphogenetic protein 6 (BMP-6) according to the false discovery rate (FDR) multiple testing adjustment method. The 2-methylbutyric acid level remained negatively associated with BMP-6 (beta coefficient -1.00, 95% confidence interval -1.45 to -0.55, p < 0.001) after controlling for other CV risk factors in multivariable models. The cubic spline curve demonstrated a linear relationship. In conclusion, circulating 2-methylbutyric acid level was negatively associated with BMP-6, suggesting that this pathway maybe involved in vascular health in patients undergoing HD. However, further in vitro work is still needed to validate the translation of the mechanistic pathways.

  • 1508.
    Xu, H.
    et al.
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med, SE-14186 Stockholm, Sweden.;Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Baxter Novum, SE-14186 Stockholm, Sweden..
    Rossi, M.
    Princess Alexandra Hosp, Ctr Kidney Dis Res, Brisbane, Qld 4102, Australia.;Kings Coll London, Div Diabet & Nutr Sci, London WC2R 2LS, England..
    Campbell, K. L.
    Princess Alexandra Hosp, Ctr Kidney Dis Res, Brisbane, Qld 4102, Australia.;Bond Univ, Fac Hlth Sci & Med, Robina, Australia..
    Sencion, G. L.
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med, SE-14186 Stockholm, Sweden.;Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Baxter Novum, SE-14186 Stockholm, Sweden..
    Ärnlöv, Johan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Kardiovaskulär epidemiologi. Dalarna Univ, Sch Hlth & Social Studies, Falun, Sweden..
    Cederholm, Tommy
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Sjögren, Per
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Riserus, Ulf
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Lindholm, B.
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med, SE-14186 Stockholm, Sweden.;Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Baxter Novum, SE-14186 Stockholm, Sweden..
    Carrero, J. J.
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med, SE-14186 Stockholm, Sweden.;Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Baxter Novum, SE-14186 Stockholm, Sweden.;Karolinska Inst, Ctr Mol Med, SE-14186 Stockholm, Sweden..
    Excess protein intake relative to fiber and cardiovascular events in elderly men with chronic kidney disease2016Inngår i: NMCD. Nutrition Metabolism and Cardiovascular Diseases, ISSN 0939-4753, E-ISSN 1590-3729, Vol. 26, nr 7, s. 597-602Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and aims: The elevated cardiovascular (CVD) risk observed in chronic kidney disease (CKD) may be partially alleviated through diet. While protein intake may link to CVD events in this patient population, dietary fiber has shown cardioprotective associations. Nutrients are not consumed in isolation; we hypothesize that CVD events in CKD may be associated with dietary patterns aligned with an excess of dietary protein relative to fiber. Methods and Results: Prospective cohort study from the Uppsala Longitudinal Study of Adult Men. Included were 390 elderly men aged 70-71 years with CKD and without clinical history of CVD. Protein and fiber intake, as well as its ratio, were calculated from 7-day dietary records. Cardiovascular events were registered prospectively during a median follow-up of 9.1 (inter-quartile range, 4.5-10.7) years. The median dietary intake of protein and fiber was 66.7 (60.7-71.1) and 16.6 (14.5-19.1) g/day respectively and the protein-to-fiber intake ratio was 4.0 (3.5-4.7). Protein-to-fiber intake ratio was directly associated with serum C-reactive protein levels. During follow-up, 164 first-time CVD events occurred (incidence rate 54.5/1000 per year). Protein-fiber intake ratio was an independent risk factor for CVD events [adjusted hazard ratio, HR per standard deviation increase (95% confidence interval, CI) 1.33 (1.08, 1.64)]. Although in opposing directions, dietary protein [1.18 (0.97, 1.44)], dietary fiber alone [0.81 (0.64, 1.02)], were not significantly associated with CVD events. Conclusions: An excess of dietary protein relative to fiber intake was associated with the incidence of cardiovascular events in a homogeneous population of older men with CKD.

  • 1509.
    Xu, H.
    et al.
    Karolinska Inst, Div Renal Med, Stockholm, Sweden.;Karolinska Inst, Div Baxter Novum, Stockholm, Sweden..
    Ärnlöv, Johan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Kardiovaskulär epidemiologi. Dalarna Univ, Sch Hlth & Social Studies, Falun, Sweden..
    Sandhagen, Bo
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Kardiovaskulär epidemiologi.
    Risérus, Ulf
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Lindholm, B.
    Karolinska Inst, Div Renal Med, Stockholm, Sweden.;Karolinska Inst, Div Baxter Novum, Stockholm, Sweden..
    Lind, Lars
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Kardiovaskulär epidemiologi.
    Carrero, J. J.
    Karolinska Inst, Div Renal Med, Stockholm, Sweden.;Karolinska Inst, Div Baxter Novum, Stockholm, Sweden.;Karolinska Inst, Ctr Mol Med, Stockholm, Sweden..
    Lipophilic index, kidney function, and kidney function decline2016Inngår i: NMCD. Nutrition Metabolism and Cardiovascular Diseases, ISSN 0939-4753, E-ISSN 1590-3729, Vol. 26, nr 12, s. 1096-1103Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and aims: Unhealthy dietary fats are associated with faster kidney function decline. The cell membrane composition of phospholipid fatty acids (FAs) is a determinant of membrane fluidity and rheological properties. These properties, which have been linked to kidney damage, are thought to be reflected by the lipophilic index (LI). We prospectively investigated the associations of LI with kidney function and its decline. Methods and results: Observational study from the Prospective Investigation of Vasculature in Uppsala Seniors including 975 men and women with plasma phospholipid FAs composition and cystatin-C estimate glomerular filtration rate (eGFR). Of these, 780 attended reexamination after 5 years, and eGFR changes were assessed. Participants with a 5-year eGFR reduction >= 30% were considered chronic kidney disease (CKD) progressors (n = 198). LI was calculated as the sum of the products of the FA proportions with the respective FAs melting points. Blood rheology/viscosity measurements were performed in a random subsample of 559 subjects at baseline. Increased LI showed a statistically significant but overall weak association with blood, plasma viscosity (both Spearman rho = 0.16, p < 0.01), and erythrocyte deformability (rho = -0.09, p < 0.05). In cross-sectional analyses, LI associated with lower eGFR (regression coefficient 3.00 ml/min/1.73 m(2) 1-standard deviation (SD) increment in LI, 95% CI: -4.31, -1.69, p < 0.001). In longitudinal analyses, LI associated with a faster eGFR decline (-2.13 [95% CI -3.58, -0.69] ml/min/1.73 m(2), p < 0.01) and with 32% increased odds of CKD progression (adjusted OR 1.32 [95%, CI 1.05-1.65]). Conclusions: A high LI was associated with lower kidney function, kidney function decline, and CKD progression.

  • 1510. Xu, Hong
    et al.
    Sjögren, Per
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Ärnlöv, Johan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Kardiovaskulär epidemiologi.
    Banerjee, Tanushree
    Cederholm, Tommy
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Risérus, Ulf
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Lindholm, Bengt
    Lind, Lars
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Kardiovaskulär epidemiologi.
    Carrero, Juan Jesus
    A Proinflammatory Diet Is Associated with Systemic Inflammation and Reduced Kidney Function in Elderly Adults2015Inngår i: Journal of Nutrition, ISSN 0022-3166, E-ISSN 1541-6100, Vol. 145, nr 4, s. 729-735Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Diet can affect kidney health through its effects on inflammation. Objective: We tested whether the Adapted Dietary Inflammatory Index (ADII) is associated with kidney function and whether effects of diet on chronic low-grade inflammation explain this association. Methods: This was an observational analysis in 1942 elderly community-dwelling participants aged 70-71 y from 2 independent cohorts: the Uppsala Longitudinal Study of Adult Men (n = 1097 men) and the Prospective Investigation of Vasculature in Uppsala Seniors (n = 845 men and women). The ADII was calculated from 7-d food records, combining putatively proinflammatory and anti-inflammatory effects of nutrients, vitamins, and trace elements. The ADII was validated against serum C-reactive protein (CRP) concentrations. The estimated glomerular filtration rate (eGFR) was assessed from serum cystatin C (cys) and creatinine (crea). Associations between the ADII and eGFR were investigated, and CRP was considered to be a mediator. Results: In adjusted analysis, a 1-SD higher ADII was associated with higher CRP (beta: 6%, 95% Cl: 1%, 10%; P= 0.01) and lower eGFR [Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI)(cys): -2.1%, 95% Cl: -3.2%, -1.1%; CKD-EPi(cys+crea): -1.8%; 95% Cl: -2.7%, -0.9%; both P < 0.001]. CRP was also inversely associated with eGFR. Mediation analyses showed that of the total effect of the ADII on kidney function, 15% and 17% (for CKD-EPIcys+crea and CKD-EPIcys equations, respectively) were explained/mediated by serum CRP. Findings were similar when each cohort was analyzed separately. Conclusions: A proinflammatory diet was associated with systemic inflammation as well as with reduced kidney function in a combined analysis of 2 community-based cohorts of elderly individuals. Our results also suggest systemic inflammation to be one potential pathway through which this dietary pattern is linked to kidney function.

  • 1511.
    Xu, Hong
    et al.
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med & Baxter Novum, Stockholm, Sweden..
    Xiong, Zibo
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med & Baxter Novum, Stockholm, Sweden.;Peking Univ, Shenzhen Hosp, Div Nephrol, Shenzhen, Guangdong, Peoples R China..
    Ärnlöv, Johan
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Kardiovaskulär epidemiologi. Dalarna Univ, Sch Hlth & Social Studies, Falun, Sweden..
    Qureshi, Abdul Rashid
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med & Baxter Novum, Stockholm, Sweden..
    Cederholm, Tommy
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Sjögren, Per
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Lindholm, Bengt
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med & Baxter Novum, Stockholm, Sweden..
    Riserus, Ulf
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för folkhälso- och vårdvetenskap, Klinisk nutrition och metabolism.
    Carrero, Juan Jesus
    Karolinska Inst, Dept Clin Sci Intervent & Technol, Div Renal Med & Baxter Novum, Stockholm, Sweden.;Karolinska Inst, Ctr Mol Med, Stockholm, Sweden..
    Circulating Alpha-Tocopherol and Insulin Sensitivity Among Older Men With Chronic Kidney Disease2016Inngår i: Journal of renal nutrition (Print), ISSN 1051-2276, E-ISSN 1532-8503, Vol. 26, nr 3, s. 177-182Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Insulin resistance is common in individuals with chronic kidney disease (CKD) and may be partly explained by modifiable risk factors. In the general population, vitamin E supplementation has been suggested to improve both insulin sensitivity and secretion. We here explore the potential role of vitamin E as a modifiable risk factor for insulin resistance among individuals with CKD. Design: Observational study. Setting: A total of 273 nondiabetic men aged 70 to 71 years with CKD defined as either cystatin C estimated glomerular filtration rate, < 60 mL/minute/1.73 m(2) or urinary albumin excretion rate >= 20 mg/minute from the third examination cycle of Uppsala Longitudinal Study of Adult Men. Subjects: A total of 273 nondiabetic men aged 70 to 71 years with CKD defined as either cystatin C estimated glomerular filtration rate, 60 mL/minute/1.73 m(2) or urinary albumin excretion rate >= 20 mu g/minute. Methods: Serum alpha-, beta-, and gamma-tocopherol concentrations were measured by high-performance liquid chromatography and expressed as mmol/total serum cholesterol and triglycerides (in mmol). Dietary vitamin E intake was estimated from 7-day food records. Main Outcome Measure: Insulin sensitivity index (M/I ratio) was measured by hyperinsulinemic-euglycemic glucose clamps. Univariate and multivariate regression models were fitted to assess the association between M/I and circulating concentrations of tocopherols. Results: The mean serum concentration of alpha-, beta-, and gamma- was 37.4 +/- 6.58, 0.89 +/- 0.23, and 4.32 +/- 1.69 mu mol/mmol, respectively. Median dietary vitamin E intake was 6.14 (interquartile range, 5.48-6.82) mg/day. In crude and fully-adjusted multivariate regression analyses, serum alpha-tocopherol levels were directly and strongly associated with M/I (standard beta = 0.17, P = .003). No such association was observed for dietary vitamin E, serum beta-, and gamma-tocopherol concentrations. Conclusions: Serum a-tocopherol concentration associates with insulin sensitivity in nondiabetic older men with CKD.

  • 1512.
    Xu, Jie
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för neuro- och inflammationsvetenskap. Linköpings universitet, Medicinska fakulteten.
    Jonsson, Tommy
    Lund Univ, Sweden.
    Plaza, Merichel
    Univ Alcala De Henares, Spain; Lund Univ, Sweden.
    Hakansson, Asa
    Lund Univ, Sweden.
    Antonsson, Martin
    ProViva AB, Sweden.
    Ahren, Irini Lazou
    Probi AB, Sweden.
    Turner, Charlotta
    Lund Univ, Sweden.
    Spegel, Peter
    Lund Univ, Sweden.
    Granfeldt, Yvonne
    Lund Univ, Sweden.
    Probiotic fruit beverages with different polyphenol profiles attenuated early insulin response2018Inngår i: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 17, artikkel-id 34Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Consumption of polyphenol-rich fruits and vegetables may improve postprandial glucose and insulin levels and hence promote well-being. Previously it has been observed that consumption of bilberry decreases the postprandial insulin demand. The intention with the present study was to compare the impact of different supplements with various polyphenol profiles, on the postprandial glucose and insulin responses in healthy young adults. Methods: In a randomized, controlled, crossover study the postprandial glycemic and insulin responses were observed in eleven healthy adults after intake of five different beverages containing bilberry (European blueberry), blackcurrant, beetroot, mango and rose hip, respectively; all drinks were enriched with the same composition of fermented oatmeal and probiotics. The control was a glucose drink. The profile and content of the polyphenols in the different beverages were determined by HPLC-DAD analysis. The antioxidative capacity of the different beverages were measured by TEAC and DPPH assays. Results: Beverages containing bilberry, blackcurrant, mango or rose hip significantly attenuated the early postprandial insulin response (0-90 min), but showed no effect on glucose response. Drinks with bilberry or rose hip reduced the insulin response from the very early phase (0-30 min), and had significantly lower insulin index compared with the control. The efficiency of the bilberry and rose hip to decrease early postprandial insulin responses correlated with higher phenolic contents. Conclusions: Supplements with bilberry, blackcurrant, mango or rose hip in the tested probiotic and oatmeal enriched beverage attenuated early-phase insulin response, but had no effect on the postprandial glycemic response. The improved ability of bilberry and rose hip to lower the very early phase of insulin response seems to be due to a higher phenolic content.

  • 1513.
    Xu, Weili
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI). Tianjin Medical University, China.
    Zhang, Hua
    Paillard-Borg, Stephanie
    Zhu, Hong
    Qi, Xiuying
    Rizzuto, Debora
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI).
    Prevalence of Overweight and Obesity among Chinese Adults: Role of Adiposity Indicators and Age2016Inngår i: Obesity Facts, ISSN 1662-4025, E-ISSN 1662-4033, Vol. 9, nr 1, s. 17-28Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The role of different body fat indicators and age in assessing the prevalence of obesity is unclear. We aimed to examine to what extent different body fat indicators including BMI, waist circumference (WC) and waist-to-hip ratio (WHR) affect the prevalence of overweight and obesity among Chinese adults taking age into account. Methods: This population-based cross-sectional study included a random sample of 7,603 adults aged 20-79 years across entire Tianjin, China. BMI, WC, and WHR were used to define overweight and obesity following standard criteria. Prevalence rates were calculated and standardized using local age-and gender-specific census data. Logistic regression was used in data analysis. Results: Using the combination of BMI, WC, and WHR, the prevalence of overweight and obesity was 69.8%, and increased with age till the age of 60 and a decline thereafter. The prevalence of overweight assessed by BMI was higher than that assessed by WC and WHR, while the prevalence of obesity defined by BMI was much lower than that defined by WC or WHR. Conclusion: The prevalence of overweight and obesity is about 70% among Chinese adults. Adiposity indicators and age play an important role in the prevalence of overweight and obesity.

  • 1514.
    Yao, Shuyang
    et al.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Kuja-Halkola, Ralf
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Thornton, Laura M.
    Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill NC, United States.
    Norring, Claes
    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Stockholm Center for Eating Disorders, Stockholm Health Care Services, Stockholm, Sweden.
    Almqvist, Catarina
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
    D'Onofrio, Brian M.
    Department of Psychological and Brain Science, Indiana University, Bloomington IN, United States.
    Lichtenstein, Paul
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Långström, Niklas
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Neuroscience, Uppsala University, Uppsala, Sweden.
    Bulik, Cynthia M.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill NC, United States; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill NC, United States.
    Larsson, Henrik
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Risk of being convicted of theft and other crimes in anorexia nervosa and bulimia nervosa: A prospective cohort study in a Swedish female population2017Inngår i: International Journal of Eating Disorders, ISSN 0276-3478, E-ISSN 1098-108X, Vol. 50, nr 9, s. 1095-1103Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: We examined epidemiological associations between anorexia nervosa (AN) and bulimia nervosa (BN) and risks of committing theft and other crimes in a nationwide female population.

    Method: Females born in Sweden during 1979-1998 (N=957,106) were followed from age 15 for up to 20 years using information on clinically diagnosed AN and BN (exposures), convictions of theft and other crimes (outcomes), psychiatric comorbidities, and familial relatedness from Swedish national registers. We estimated hazard ratios (HRs) of criminality in exposed versus unexposed females using Cox proportional hazards regressions and explored how comorbidities and unmeasured familial factors explained the associations.

    Results: The cumulative incidence of convictions of theft (primarily petty theft) and other crimes was higher in exposed females (AN: 11.60% theft, 7.39% other convictions; BN: 17.97% theft, 13.17% other convictions) than in unexposed females (approximate to 5% theft, approximate to 6% other convictions). The significantly increased risk of being convicted of theft in exposed females (AN: HR=2.51, 95% confidence interval=[2.29, 2.74], BN: 4.31 [3.68, 5.05]) was partially explained by comorbidities; unmeasured familial factors partially explained the association with convictions of theft in BN but not in AN. Females with BN had a doubled risk of convictions of other crimes, which was partially explained by comorbidities.

    Discussion: Individuals with eating disorders had increased risk for convictions of theft and potentially other crimes. Results underscore the importance of regular forensic screening and encourage research on mechanisms underlying the relation between crime and eating disorder psychopathology and efforts to determine how best to address such relation in treatment.

  • 1515.
    Yao, Shuyang
    et al.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, Stockholm, Sweden.
    Kuja-Halkola, Ralf
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, Stockholm, Sweden.
    Thornton, Laura M.
    Univ North Carolina Chapel Hill, Dept Psychiat, Chapel Hill, NC USA.
    Norring, Claes
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden;Stockholm Hlth Care Serv, Stockholm Ctr Eating Disorders, Stockholm, Sweden.
    Almqvist, Catarina
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, Stockholm, Sweden;Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Stockholm, Sweden.
    D'Onofrio, Brian M.
    Indiana Univ, Dept Psychol & Brain Sci, Bloomington, IN USA.
    Lichtenstein, Paul
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, Stockholm, Sweden.
    Långström, Niklas
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för neurovetenskap, Barn- och ungdomspsykiatri. Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, Stockholm, Sweden.
    Bulik, Cynthia M.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, Stockholm, Sweden;Univ North Carolina Chapel Hill, Dept Nutr, Chapel Hill, NC USA;Univ North Carolina Chapel Hill, Dept Psychiat, Chapel Hill, NC USA.
    Larsson, Henrik
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, Stockholm, Sweden;Orebro Univ, Sch Med Sci, Orebro, Sweden.
    Risk of being convicted of theft and other crimes in anorexia nervosa and bulimia nervosa: A prospective cohort study in a Swedish female population2017Inngår i: International Journal of Eating Disorders, ISSN 0276-3478, E-ISSN 1098-108X, Vol. 50, nr 9, s. 1095-1103Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    ObjectiveWe examined epidemiological associations between anorexia nervosa (AN) and bulimia nervosa (BN) and risks of committing theft and other crimes in a nationwide female population. MethodFemales born in Sweden during 1979-1998 (N=957,106) were followed from age 15 for up to 20 years using information on clinically diagnosed AN and BN (exposures), convictions of theft and other crimes (outcomes), psychiatric comorbidities, and familial relatedness from Swedish national registers. We estimated hazard ratios (HRs) of criminality in exposed versus unexposed females using Cox proportional hazards regressions and explored how comorbidities and unmeasured familial factors explained the associations. ResultsThe cumulative incidence of convictions of theft (primarily petty theft) and other crimes was higher in exposed females (AN: 11.60% theft, 7.39% other convictions; BN: 17.97% theft, 13.17% other convictions) than in unexposed females (approximate to 5% theft, approximate to 6% other convictions). The significantly increased risk of being convicted of theft in exposed females (AN: HR=2.51, 95% confidence interval=[2.29, 2.74], BN: 4.31 [3.68, 5.05]) was partially explained by comorbidities; unmeasured familial factors partially explained the association with convictions of theft in BN but not in AN. Females with BN had a doubled risk of convictions of other crimes, which was partially explained by comorbidities. DiscussionIndividuals with eating disorders had increased risk for convictions of theft and potentially other crimes. Results underscore the importance of regular forensic screening and encourage research on mechanisms underlying the relation between crime and eating disorder psychopathology and efforts to determine how best to address such relation in treatment.

  • 1516. Yin, Z.
    et al.
    Fei, Z.
    Qiu, C.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI).
    Brasher, M. S.
    Kraus, V. B.
    Zhao, W.
    Shi, X.
    Zeng, Y.
    Dietary diversity and cognitive function among elderly people: A population-based study2017Inngår i: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 21, nr 10, s. 1089-1094Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    To explore associations of dietary diversity with cognitive function among Chinese elderly. This cross-sectional study was conducted in 2011-2012, data were analyzed using multiple linear regression and logistic regression models. community-based setting in the 23 provinces in China. 8,571 elderly participants, including 2984 younger elderly aged 65-79 and 5587 oldest old aged 80+ participated in this study. Intake frequencies of food groups was collected and dietary diversity (DD) was assessed based on the mean of DD score. Cognitive function was assessed using the Chinese version of Mini-Mental State Examination (MMSE), and cognitive impairment was defined using education-based cutoffs. Information about socio-demographics, lifestyles, resilience and health status was also collected. Poor dietary diversity was significantly associated with cognitive function, with beta (95% CI) of -0.11(-0.14, -0.08) for - log (31-MMSE score) and odds ratio (95% CI) of 1.29 (1.14, 1.47) for cognitive impairment. Interaction effect of age with DD was observed on cognitive impairment (P interaction=0.018), but not on-log (31-MMSE score) (P interaction=0.08). Further separate analysis showed that poor DD was significantly associated with increased risk of cognitive impairment in the oldest old (p < 0.01), with odds ratio (95% CI) of 1.34 (1.17, 1.54), while not in the younger elderly (p > 0.05), with OR (95% CI) being 1.09 (0.80, 1.47) in the fully adjusted model. Similar results were obtained when DD was categorized into four groups. Poor dietary diversity was associated with worse global cognitive function among Chinese elderly, and particularly for the oldest old. This finding would be very meaningful for prevention of cognitive impairment.

  • 1517.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    2009-the year of solutions?2009Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 12, nr 1, s. 1-1Artikkel i tidsskrift (Annet vitenskapelig)
  • 1518. Yngve, Agneta
    A new academic year2008Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 11, nr 9, s. 875-876Artikkel i tidsskrift (Annet vitenskapelig)
  • 1519. Yngve, Agneta
    A new academic year2008Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 11, nr 9, s. 875-876Artikkel i tidsskrift (Annet vitenskapelig)
  • 1520.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    Berry important2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 11, s. 1207-1208Artikkel i tidsskrift (Annet vitenskapelig)
  • 1521.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    Challenges for Public Health Nutrition are immense: to be a good public health nutrition leader requires networking and collaboration2006Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 9, nr 5, s. 535-537Artikkel i tidsskrift (Annet vitenskapelig)
  • 1522.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    Challenges for Public Health Nutrition are immense: to be a good public health nutrition leader requires networking and collaboration2006Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 9, nr 5, s. 535-537Artikkel i tidsskrift (Annet vitenskapelig)
  • 1523.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Childhood obesity2013Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 16, nr 2, s. 191-192Artikkel i tidsskrift (Fagfellevurdert)
  • 1524.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci Novum, Unit Prevent Nutr, Stockholm, Sweden.
    Children's rights and wrongs2008Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 11, nr 4, s. 329-329Artikkel i tidsskrift (Annet vitenskapelig)
  • 1525. Yngve, Agneta
    China calling2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 8, s. 756-757Artikkel i tidsskrift (Annet vitenskapelig)
  • 1526.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Debate Public Health Nutrition vs Personalized Nutrition2013Konferansepaper (Fagfellevurdert)
  • 1527.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    Female students: male power2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 6, s. 537-538Artikkel i tidsskrift (Annet vitenskapelig)
  • 1528.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    Folic acid follies2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 9, s. 863-863Artikkel i tidsskrift (Annet vitenskapelig)
  • 1529.
    Yngve, Agneta
    Karolinska Institute, Stockholm, Sweden.
    Food and drink marketing to children: a continuing scandal2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 10, s. 971-972Artikkel i tidsskrift (Fagfellevurdert)
  • 1530.
    Yngve, Agneta
    Karolinska Institute, Stockholm, Sweden.
    Food and drink marketing to children: a continuing scandal2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 10, s. 971-972Artikkel i tidsskrift (Fagfellevurdert)
  • 1531. Yngve, Agneta
    Food fights, food peace, love and understanding - and the role of this journal2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 1, s. 1-2Artikkel i tidsskrift (Annet vitenskapelig)
  • 1532. Yngve, Agneta
    Food fights, food peace, love and understanding - and the role of this journal: Onward2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 1, s. 2-2Artikkel i tidsskrift (Annet vitenskapelig)
  • 1533. Yngve, Agneta
    Friends, vouchers, work force and plant foods2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 6, s. 538-539Artikkel i tidsskrift (Annet vitenskapelig)
  • 1534.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Fruit and vegetable consumption revisited2013Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 16, nr 11, s. 1911-1911Artikkel i tidsskrift (Fagfellevurdert)
  • 1535.
    Yngve, Agneta
    Dept Biosci & Nutr, Karolinska Inst, Stockholm, Sweden.
    In this issue2010Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 13, nr 10, s. 1487-1487Artikkel i tidsskrift (Annet vitenskapelig)
  • 1536.
    Yngve, Agneta
    Karolinska Inst, Stockholm, Sweden.
    In this issue2009Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 12, nr 4, s. 443-443Artikkel i tidsskrift (Annet vitenskapelig)
  • 1537. Yngve, Agneta
    In this issue Testing, testing2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 9, s. 864-864Artikkel i tidsskrift (Annet vitenskapelig)
  • 1538.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Introduction2015Inngår i: Annals of Nutrition and Metabolism, ISSN 0250-6807, E-ISSN 1421-9697, Vol. 67, nr Suppl. 1, s. 12-12Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Today, dietary assessment is mostly dealing with nutritional quality of the meal and to a lesser extent assesses the environment, the commensality and the design of the meal as such. This seminar is an effort to combine anthropology, meal design and nutrition in a common seminar to increase mutual understanding of a widened approach to meal assessment. Previously, the five aspects meal model has been proposed as a theoretical framework for commercial meal planning and quality assurance. This model includes the product, the room and the service, combined with the ambience and the management system. In this introductory talk, the five aspects meal model will be compared with methods of marketing, including, product, place, price and promotion and with consumer orientation aspects of social marketing. In the broader aspect of public meal planning, consumer orientation aspects are suggested to be an integral part of meal assessment. Issues related to sustainability, food waste and nutritional status and well-being in a broader sense also need to be taken into consideration in the planning of public meals as well as in the provision of meal guidelines and – support to the public. The other presentations during this symposium deal with meal design in three different contexts, a new way of assessment of individual food choice and a historical overview of commensality and meal design.

  • 1539.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Introduction to community based actions in public health nutrition2014Inngår i: International Journal of Community Nutrition: Abstracts of the III World Congress of Public Health Nutrition / [ed] Serra-Majem, L, Aalborg University , 2014, s. 23-23Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Access to good food and possibilities to physical activity in the local com-munity is essential to population health. Efforts exist to influence city planning and change obesogenic environments in residential areas. lne-quity in health is very visible in most countries in relation to residential areas and local community setup. This presentation briefly introduces the symposium and tracks the roots and origins of community based envi-ronmental monitoring and interventions including the Change approach to community based assessment of health environments.

  • 1540.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Making the best of international conferences2009Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 12, nr 9, s. 1309-1310Artikkel i tidsskrift (Annet vitenskapelig)
  • 1541.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    Matters of trust2008Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 11, nr 3, s. 220-220Artikkel i tidsskrift (Annet vitenskapelig)
  • 1542.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Meal design and assessment: Introduction2015Inngår i: Annals of Nutrition and Metabolism, ISSN 0250-6807, E-ISSN 1421-9697, Vol. 67, nr suppl. 1, s. 12-12Artikkel i tidsskrift (Fagfellevurdert)
  • 1543.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    News on waists, energy density and Eurodiets2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 8, s. 755-756Artikkel i tidsskrift (Annet vitenskapelig)
  • 1544.
    Yngve, Agneta
    Dept Biosci & Nutr, Karolinska Inst, Stockholm, Sweden.
    On authorship, mentorship and responsibility for data accuracy2010Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 13, nr 4, s. 451-452Artikkel i tidsskrift (Annet vitenskapelig)
  • 1545.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Principles: Overview2007Inngår i: Public health nutrition: from principles to practice / [ed] Lawrence, M. & Worsley, T., Maidenhead: Open University Press, 2007, s. 1-4Kapittel i bok, del av antologi (Fagfellevurdert)
  • 1546.
    Yngve, Agneta
    Karolinska Inst, Unit Publ Hlth Nutr, Dept Biosci & Nutr, Stockholm, Sweden.
    Scientific publishing, transparency and the role of the medical library2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 3, s. 215-216Artikkel i tidsskrift (Annet vitenskapelig)
  • 1547. Yngve, Agneta
    Shaping up Europe2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 2, s. 109-109Artikkel i tidsskrift (Fagfellevurdert)
  • 1548.
    Yngve, Agneta
    Karolinska Inst, Dept Biosci & Nutr, S-10401 Stockholm, Sweden.
    Stirring, shaking and spinning: breastfeeding and salt intake2007Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 10, nr 7, s. 645-646Artikkel i tidsskrift (Annet vitenskapelig)
  • 1549.
    Yngve, Agneta
    Örebro universitet, Restaurang- och hotellhögskolan.
    Surt, sa räven2014Inngår i: Gastronomisk kalender: Gastronomiska akademins årsbok. 2015 / [ed] Ribbing, M.; Thurfjell, K.; Möller, C.; Lind, M. & Rådström, N., Stockholm, Sweden: Carlsson Bokförlag, 2014Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 1550.
    Yngve, Agneta
    Dept Bioscience & Nutrition, Karolinska Inst, Stockholm, Sweden.
    Thank you but not goodbye2012Inngår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 15, nr 12, s. 2169-2169Artikkel i tidsskrift (Annet vitenskapelig)
282930313233 1501 - 1550 of 1649
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