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  • 251.
    Sina, Elida
    et al.
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany.
    Buck, Christoph
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany.
    Jilani, Hannah
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany / Institute for Public Health and Nursing Research—IPP, University of Bremen, Germany.
    Tornaritis, Michael
    Research and Education Institute of Child Health, Lefcosia, Cyprus.
    Veidebaum, Toomas
    Department of Chronic Diseases, National Institute for Health Development, Tallin, Estonia.
    Russo, Paola
    Institute of Food Sciences, National Research Council, Avellino, Italy.
    Moreno, Luis A.
    GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of Zaragoza, Spain.
    Molnar, Denes
    Department of Pediatrics, Medical School, University of Pécs, Hungary.
    Eiben, Gabriele
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Marild, Staffan
    Department. of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sweden.
    Pala, Valeria
    Department of Preventive and Predictive Medicine, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany / Faculty of Mathematics/Computer Science, University of Bremen, Germany.
    Hebestreit, Antje
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany.
    Association of infant feeding patterns with taste preferences in European children and adolescents: A retrospective latent profile analysis2019Ingår i: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 11, nr 5, s. 1-16, artikel-id 1040Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim was to investigate associations between the duration of infant feeding practices (FP) and taste preferences (TP) in European children and adolescents. A total of 5526 children (6-16 years old) of the I.Family study completed a Food and Beverage Preference Questionnaire to measure their preferences for sweet, fatty and bitter tastes. Mothers retrospectively reported the FPs duration in months: exclusive breastfeeding (EBF), exclusive formula milk feeding (EFMF), combined breastfeeding (BF&FMF) and the age at the introduction of complementary foods (CF). Using logistic regression analyses and latent class analysis (latent profiles of FP and CF were identified), we explored associations between profiles and TP, adjusting for various covariates, including the Healthy Diet Adherence Score (HDAS). A total of 48% of children had short durations of EBF (≤4 months) and BF&FMF (≤6 months) and were introduced to CF early (<6 months). No significant relationship was observed between the single FPs and TP, even when considering common profiles of FP. HDAS was inversely associated with sweet and fatty TP, but positively with bitter TP. Contrary to our hypotheses, we did not observe associations between FP and children’s TP later in life. Further studies with higher FP variation and longitudinal design are needed to investigate the causal associations between infant FP and taste preferences later in life. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.

  • 252.
    Sjöberg, Susanne
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    De positiva effekterna av fysisk aktivitet gentemot ångest: En litteraturöversikt2018Självständigt arbete på grundnivå (kandidatexamen), 5 poäng / 7,5 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Inledning: Psykisk ohälsa är ett stort hälsoproblem i dagens samhälle och något som många drabbats av någon gång i livet. Ångestsyndrom är en sjukdom som är förknippad med oro och ängslan och kan ge obehagliga symtom. Syftet med litteraturöversikten var att ta reda på vilka positiva effekter som fysisk aktivitet kan bidra med när det gäller behandlingen av ångest.

    Metod: Metoden som har används är en allmän litteraturöversikt, där tio artiklar som söks fram i databasen PubMed har använts. Dessa artiklar har analyserats och sammanställs till fem teman.

    Resultat: Alla artiklarna som är använda i denna här litteraturöversikten, tyder på att fysisk aktivitet hjälper till att minska på ångesten i alla fall något. Olika former av fysisk aktivitet, visar sig vara olika effektivt. Den form som verkar mest effektiv är aerob träning.

    Diskussion:

    När det gäller den fysisk aktivitet som behandlingsform, så verkar inte den ångestdämpande effekten vara tillräckligt stor, för att endast kunna använda sig av detta som behandling mot ångest. Däremot är det mycket som tyder på att den är lämplig som en tilläggsbehandling, både för det fysiska och psykiska välbefinnandet. 

  • 253.
    Suling, M.
    et al.
    Univ Bremen, Inst Prevent Res & Social Med, D-28359 Bremen, Germany.
    Hebestreit, A.
    Univ Bremen, Inst Prevent Res & Social Med, D-28359 Bremen, Germany.
    Peplies, J.
    Univ Bremen, Inst Prevent Res & Social Med, D-28359 Bremen, Germany.
    Bammann, K.
    Univ Bremen, Inst Prevent Res & Social Med, D-28359 Bremen, Germany.
    Nappo, A.
    CNR, Inst Food Sci, Avellino, Italy.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Fernandez Alvira, J. M.
    Univ Zaragoza, Dept Physiatr & Nursing, Zaragoza, Spain.
    Verbestel, V.
    Univ Ghent, Dept Movement & Sports Sci, B-9000 Ghent, Belgium.
    Kovacs, E.
    Univ Pecs, Dept Paediat, Pecs, Hungary.
    Pitsiladis, Y. P.
    Univ Glasgow, Coll Med Vet & Life Sci, Inst Cardiovasc & Med Sci, Glasgow, Lanark, Scotland.
    Veidebaum, T.
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Hadjigeorgiou, C.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Knof, K.
    Bremerhaven Technol Transfer Ctr, Bremerhaven, Germany.
    Ahrens, W.
    Univ Bremen, Inst Prevent Res & Social Med, D-28359 Bremen, Germany.
    Design and results of the pretest of the IDEFICS study2011Ingår i: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 35, s. S30-S44Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: During the preparatory phase of the baseline survey of the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study, standardised survey procedures including instruments, examinations, methods, biological sampling and software tools were developed and pretested for their feasibility, robustness and acceptability. Methods: A pretest was conducted of full survey procedures in 119 children aged 2-9 years in nine European survey centres (N-per (centre) 4-27, mean 13.22). Novel techniques such as ultrasound measurements to assess subcutaneous fat and bone health, heart rate monitors combined with accelerometers and sensory taste perception tests were used. Results: Biological sampling, physical examinations, sensory taste perception tests, parental questionnaire and medical interview required only minor amendments, whereas physical fitness tests required major adaptations. Callipers for skinfold measurements were favoured over ultrasonography, as the latter showed only a low-to-modest agreement with calliper measurements (correlation coefficients of r = -0.22 and r = 0.67 for all children). The combination of accelerometers with heart rate monitors was feasible in school children only. Implementation of the computer-based 24-h dietary recall required a complex and intensive developmental stage. It was combined with the assessment of school meals, which was changed after the pretest from portion weighing to the more feasible observation of the consumed portion size per child. The inclusion of heel ultrasonometry as an indicator of bone stiffness was the most important amendment after the pretest. Discussion: Feasibility and acceptability of all procedures had to be balanced against their scientific value. Extensive pretesting, training and subsequent refinement of the methods were necessary to assess the feasibility of all instruments and procedures in routine fieldwork and to exchange or modify procedures that would otherwise give invalid or misleading results. International Journal of Obesity (2011) 35, S30-S44; doi:10.1038/ijo.2011.33

  • 254.
    Svanström, Leif
    Högskolan i Skövde, Institutionen för vård och natur. Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden.
    It all started in Falköping, Sweden: Safe Communities - global thinking and local action for safety2012Ingår i: International Journal of Injury Control and Safety Promotion, ISSN 1745-7300, E-ISSN 1745-7319, Vol. 19, nr 3, s. 202-208Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    After constructing the Safe Community model and applying it in Falkoping Municipality, Sweden, a first step was taken to establish a Swedish network for knowledge exchange between Safe Communities. Falkoping was the first to be involved, and was then joined by Lidkoping and Motala. Later, there followed Harstad in Norway, and some communities in Australia. Criteria were developed to define the concept operationally. In 1986, collaboration was embarked upon with the World Health Organization, and since 1991 there have been annual conferences on Safe Communities. Many academic centres around the world are now involved. Certification of communities started in 1989, and 272 communities have now been designated as a Safe Community (20 February 2011). The regional organisations, especially the Asian and European networks, embrace more than half of the designated communities. A global organisation has been considered, but the strength of the movement lies in local engagement and regional networking.

  • 255.
    Svanström, Leif
    Högskolan i Skövde, Institutionen för vård och natur. Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden.
    Professional autobiography of Professor Leif Svanström - with a focus on injury prevention and safety promotion2012Ingår i: International Journal of Injury Control and Safety Promotion, ISSN 1745-7300, E-ISSN 1745-7319, Vol. 19, nr 3, s. 198-201Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Professor Svanstrom has spent about forty-five years in the field of Social Medicine and Health and Safety Promotion. His main lines of research and teaching are Injury Epidemiology and Safety Promotion. In the 1960s, he conducted a number of descriptive and analytical studies, and in the 1970s began to address home and occupational injuries. In 1974, he introduced the community approach to safety promotion, encapsulated in the Falköping Model, which has heavily influenced Swedish and international community safety work. Under his leadership of the Research Group on Injury Prevention and Safety Promotion at the Karolinska Institutet in Stockholm, Sweden, more than 30 doctorates have been awarded. His work as Head of the WHO Collaborating Centre on Community Safety Promotion has led to the establishment of Safe Communities worldwide.

  • 256.
    Svensson, A.
    et al.
    Umea Univ, Dept Food & Nutr, Umea, Sweden.
    Larsson, C.
    Umea Univ, Dept Food & Nutr, Umea, Sweden / Univ Gothenburg, Dept Food & Nutr & Sport Sci, Gothenburg, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit, Gothenburg, Sweden.
    Lanfer, A.
    BIPS GmbH, Leibniz Inst Prevent Res & Epidemiol, Dept Epidemiol Methods & Etiol Res, Bremen, Germany.
    Pala, V.
    Ist Nazl Tumori, Fdn IRCSS, Dept Prevent & Predict Med, I-20133 Milan, Italy.
    Hebestreit, A.
    BIPS GmbH, Leibniz Inst Prevent Res & Epidemiol, Dept Epidemiol Methods & Etiol Res, Bremen, Germany.
    Huybrechts, I.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium / IARC, Dietary Exposure Assessment Grp, Lyon, France.
    Fernandez-Alvira, J. M.
    Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Russo, P.
    CNR, Inst Food Sci, Unit Epidemiol & Populat Genet, Avellino, Italy.
    Koni, A. C.
    Univ Glasgow, Coll Med Vet & Life Sci, Inst Cardiovasc & Med Sci, Glasgow, Lanark, Scotland.
    De Henauw, S.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Veidebaum, T.
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Molnar, D.
    Univ Pecs, Fac Med, Dept Paediat, Pecs, Hungary.
    Lissner, L.
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit, Gothenburg, Sweden.
    European children's sugar intake on weekdays versus weekends: the IDEFICS study2014Ingår i: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 68, nr 7, s. 822-828Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To compare the intake of total sugars, foods and drinks rich in added sugar, and energy in children on weekdays (Monday Thursday), Fridays and weekends. METHODS: Dietary intake (g, kJ, energy %) was assessed using a computerized 24-h recall method in a sample of 2- to 9-year-old children from Belgium, Cyprus, Estonia, Germany, Hungary, Italy, Spain and Sweden who were participating in the IDEFICS baseline study (2007-2008). Analyses were performed in 9497 children by selecting one 24-h recall per child (for comparison of weekdays vs weekends, and Fridays vs weekdays and weekends). Selected stratified analyses were performed by country and age group. RESULTS: Intake of total sugars exceeded 20 energy % in all countries but one. In the non-stratified analyses, the intakes of total sugars and foods and drinks rich in added sugar were found to be higher on weekends compared with weekdays (both P < 0.001), and intakes on Fridays were a mix between intakes on weekdays and weekends. Energy intake did not differ between weekdays and weekends. Results were somewhat heterogeneous, both across countries and age groups. CONCLUSIONS: High intake of sugar remains an important nutritional problem in children of many European countries. Interventions aiming to prevent this diet pattern may optimize their impact by targeting dietary habits on Fridays and weekends. Furthermore, when conducting dietary assessment in children, data from weekends and Fridays in combination with a selection of Mondays to Thursdays are needed to capture habitual sugar intake. Age and dietary cultures should also be considered in dietary intervention and assessment as effect modifications were seen for both age and country.

  • 257.
    Swärdh, Anna
    Högskolan i Skövde, Institutionen för vård och natur.
    Fibromyalgi: En litteraturstudie om fibromyalgins möjliga riskfaktorer2013Självständigt arbete på grundnivå (högskoleexamen), 5 poäng / 7,5 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Fibromyalgi är ett syndrom som kännetecknas av utbredd smärta,

    överkänslighet vid beröring men även att övriga delar av kroppen påverkas.

    Metod: En litteraturstudie har genomförts där 10 stycken vetenskapliga artiklar har

    analyserats och utgjort resultatet.

    Syfte: Huvudsyftet är att undersöka möjliga riskfaktorer som kan påverka utvecklandet

    av fibromyalgi.

    Resultat: Studiens resultat har tagit upp fyra teman med tänkabara riskfaktorer.

    Traumatiska barndomshändelser, där både fysisk och verbal misshandel och sexuellt

    utnyttjande var riskfaktorer. Att bli utsatt för trauma som vuxen, där fysisk misshandel,

    operation och arbetsrelaterad skada ingick, var också en riskfaktor. Stress och ett högt

    BMI-värde var också riskfaktorer relaterade till utvecklandet av fibromyalgi.

    Diskussion: Studiens resultat visade på att det är flera riskfaktorer som påverkar

    utvecklandet av detta syndrom. Alla som utsätts för en av dessa riskfaktorer utvecklar

    dock inte fibromyalgi, utan med största sannolikhet så är det en kombination av flera

    riskfaktorer som gör att man utvecklar fibromyalgi.

    Slutsats: Det behövs mer forskning för att studera sambandet mellan fysiska, psykiska

    och sociala riskfaktorer.

  • 258.
    Theurich, Melissa Ann
    et al.
    LMU - Ludwig-Maximilians-Universität Munich, Div. Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, Munich, Germany.
    Davanzo, Riccardo
    Department of Mother and Child Health, ASM-Matera and Task Force on Breastfeeding, MOH, Rome, Italy.
    Busck-Rasmussen, Marianne
    Danish Committee for Health Education, Copenhagen, Denmark.
    Díaz-Gómez, N. Marta
    Instituto de Tecnologías Biomédicas (ITB) and Centro de Investigaciones Biomédicas de Canarias (CIBICAN), Universidad de La Laguna, Spain.
    Brennan, Christine
    Breastfeeding Promotion Foundation, Bern, Switzerland.
    Kylberg, Elisabeth
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Bærug, Anne
    Norwegian National Advisory Unit on Breastfeeding, Oslo, Norway.
    McHugh, Laura
    Health Service Executive, Ennis, Ireland.
    Weikert, Cornelia
    German Federal Institute for Risk Assessment, Department of Food Safety, Berlin, Germany.
    Abraham, Klaus
    German Federal Institute for Risk Assessment, Department of Food Safety, Berlin, Germany.
    Koletzko, Berthold
    LMU - Ludwig-Maximilians-Universität Munich, Div. Metabolic and Nutritional Medicine, Dr. von Hauner Children's Hospital, Munich, Germany.
    Breastfeeding Rates and Programs in Europe: A Survey of 11 National Breastfeeding Committees and Representatives2019Ingår i: Journal of Pediatric Gastroenterology and Nutrition - JPGN, ISSN 0277-2116, E-ISSN 1536-4801, Vol. 68, nr 3, s. 400-407Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Among the world's regions, the WHO European Region has the lowest rates of exclusive breastfeeding at age 6 months with around 25%. Low rates and early cessation of breastfeeding have important adverse health consequences for women, infants and young children. Protecting, promoting and supporting breastfeeding are a public health priority.

    OBJECTIVES: National breastfeeding data and monitoring systems among selected European countries and the WHO European Region are compared. Mechanisms for the support, protection and promotion of breastfeeding are reviewed and successes and challenges in implementation of national programs are presented.

    METHODS: National representatives of national breastfeeding committees and initiatives in eleven European countries, including Belgium, Croatia, Denmark, Germany, Ireland, Italy, The Netherlands, Norway, Spain, Sweden and Switzerland, participated in a standardized survey. Results are evaluated and compared in a narrative review.

    RESULTS: Variation exists in Europe on breastfeeding rates, methodology for data collection and mechanisms for support, protection and promotion of breastfeeding. Directly after birth, between 56 and 98 % of infants in all countries were reported to receive any human milk, and at 6 months 38-71% and 13-39 % of infants to be breastfed or exclusively breastfed, respectively. National plans addressing breastfeeding promotion, protection and support exist in 6 of the 11 countries.

    CONCLUSIONS: National governments should commit to evidence-based breastfeeding monitoring and promotion activities, including financial and political support, to improve breastfeeding rates in the Europe. Renewed efforts for collaboration between countries in Europe, including a sustainable platform for information exchange, are needed.

  • 259.
    Tholander Hasselrot, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Olika yrkeskategoriers följsamhet till basala hygienrutiner inom djursjukvården: En enkätstudie2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Introduktion: Vårdhygien inom djursjukvården är liksom inom sjukvården viktigt för att förebygga och motverka utvecklingen av antibiotikaresistens vilken kan påverka folkhälsan. Basala hygienrutiner är en av de viktigaste vårdhygieniska åtgärderna för att förhindra smitta inom sjukvården och djursjukvården. En god följsamhet till basala hygienrutiner är mycket viktig att uppnå men på grund av liten kunskap om hur det förhåller sig inom djursjukvården är det svårt att skräddarsy insatser. Traditionellt riktas många vårdhygieniska insatser och ansvar till sköterskor i djursjukvården.

    Syfte: Undersöka om följsamheten till basala hygienrutiner skiljer sig mellan olika yrkeskategorier inom djursjukvården.

    Metod: Genom kvantitativ ansats utifrån 313 svar på en webenkät med ett utskick på 360-2600 enkäter om basala hygienrutiner undersöka självskattad följsamhet och med hjälp av statistikprogrammet SPSS beräkna om skillnader finns mellan olika yrkeskategorier inom djursjukvården.

    Resultat: Signifikanta skillnader i följsamhet till basala hygienrutiner mellan yrkeskategorierna veterinärer och sköterskor (djurvårdare och djursjukskötare) fanns inte. Bättre följsamhet sågs på större arbetsplatser samt om personalen fått utbildning på arbetsplatsen. Handdesinfektion före patientkontakt var svårast att följa samt användning av skyddsförkläde/rock vid risk för kontakt med kroppsvätskor.

    Slutsats: I motsats till tidigare praktisk erfarenhet visade resultaten att signifikant skillnad i följsamhet mellan veterinärer och djurvårdare eller mellan veterinärer och djursjukskötare inte kunde ses. Därmed kan konstateras att fler studier behövs för att identifiera dolda faktorer som påverkar följsamheten bland djursjukvårdens personal. Utifrån resultaten kan dock konstateras att interventioner som innebär förbättrade utbildningsprogram i vårdhygien på arbetsplatsen, särskilt på små till medelstora kliniker, bör genomföras. Dessa bör fokusera på handdesinfektion före patientkontakt. Mer effektiv övervakning behövs.

  • 260.
    Thorn, Sara
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Wistrand, Nicole
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Hantera och reducera stress med meditation/mindfulness: En litteraturstudie2017Självständigt arbete på grundnivå (högskoleexamen), 5 poäng / 7,5 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Inledning: Samhället utvecklas och ställer allt högre krav på den enskilde individen som kan leda till ökad stressnivå. Långvarig stress kan leda till allvarliga folkhälsosjukdomar såsom utmattningssyndrom och depression. För att kunna påverka stressens negativa betydelse för hälsan är det viktigt att belysa behandlingsalternativ såsom meditation/mindfulness som kan inkluderas i vardagen.

    Syfte: Syftet med den här litteraturstudien är att undersöka vilka vetenskapliga belägg som finns om hur meditation/mindfulness kan hjälpa individer att hantera och reducera stress och på så sätt öka välbefinnandet och hälsan.

    Metod: Metoden är en litteraturstudie vilket innebär att artiklarna som ingår i studien har kritiskt granskats i en litteraturgenomgång. Tio artiklar ingår i studien som delats in i fyra teman som redovisas i resultatet.

    Resultat: Meditation/mindfulness kan vara effektiva metoder att hantera och reducera stress med, men alla studier var inte lika övertygande. Resultatet är indelat i fyra olika teman, positivt med meditation/mindfulness, tvivel om meditation/mindfulness effektivitet, mindfulness-based stress reduction (MBSR) och onlineprogram. Gällande meditation/mindfulness antydde några studier att det kan öka välbefinnandet och minska stress. Medan andra var mer osäkra på dess fördelar. Mindfulness-based stress reduction (MBSR) visade på tydligare resultat gällande stressreduceringsprogram och likaså onlineprogram. MBSR kan användas av både sjuka och friska människor. Onlineprogram är effektiva både kostnadsmässigt och att individen kan nå programmen var som helst.

    Diskussion: Det fanns inte lika tydliga belägg för meditation/mindfulness effektivitet vid stresshantering som förväntat. Alla studier var inte överens om att det hade någon effekt men trots tvivel vill de forska mer innan de utesluter det som en bra metod. Hur effektivt det är för en individ kan variera för att programmen kräver träning, förståelse och förtroende. Meditation/mindfulness hjälper inte alla individer att hantera sin stress, men för vissa gör den det och för andra kan vara en bra metod i väntan på att få professionell hjälp.

  • 261.
    Tilles-Tirkkonen, Tanja
    et al.
    Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
    Nuutinen, Outi
    Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
    Suominen, Sakari
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Public Health, University of Turku, Turku, Finland.
    Liukkonen, Jarmo
    Department of Sport Sciences, University of Jyväskylä, Jyväskylä, Finland.
    Poutanen, Kaisa
    Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland / VTT—Technical Research Centre of Finland, Finland.
    Karhunen, Leila
    Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland / Institute of Clinical Medicine, Internal Medicine, Kuopio University Hospital, Kuopio, Finland.
    Preliminary Finnish measures of eating competence suggest association with health-promoting eating patterns and related psychobehavioral factors in 10-17 year old adolescents2015Ingår i: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 7, nr 5, s. 3828-3846Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Eating competence is an attitudinal and behavioral concept, based on The Satter Eating Competence Model. In adults, it has been shown to be associated with a higher quality of diet. Eating competence or its association with the quality of diet has not been studied in adolescents. The aim of the current study was to explore the utility of using a preliminary Finnish translation of the ecSI 2.0 for evaluating presumed eating competence and its association with food selection, meal patterns and related psychobehavioral factors in 10-17 year old adolescents. Altogether 976 10-17 years old Finnish adolescents filled in the study questionnaire. When exploring the construct validity of ecSI 2.0, the confirmatory factor analysis (CFA) indicated acceptable model fit and all four components of the ecSI 2.0 (eating attitudes, food acceptance, internal regulation of food intake, management of eating context) correlated with each other and were internally consistent. Over half (58%) of the adolescents scored 32 or higher and were thus classified as presumably eating competent (pEC). Eating competence was associated with greater meal frequency, more frequent consumption of vegetables and fruits, and more health-promoting family eating patterns. In addition the pEC, adolescents more often perceived their body size as appropriate, had less often tried to lose weight and had a higher self-esteem and a stronger sense of coherence than the not pEC ones. Family eating patterns and self-esteem were the main underlying factors of eating competence. In conclusion, this preliminary study suggests eating competence could be a useful concept to characterize eating patterns and related behaviors and attitudes in adolescents. However, these preliminary findings need to be confirmed in further studies with an instrument fully validated for this age group.

  • 262.
    Timpka, Toomas
    et al.
    Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University.
    Jacobsson, Jenny
    Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University.
    Bickenbach, Jerome
    Department of Philosophy, Queen’s University, Kingston, ON, Canada.
    Finch, Caroline F.
    Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, VIC, Australia.
    Ekberg, Joakim
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Nordenfelt, Lennart
    Department of Medical and Health Sciences, Faculty of Health Sciences, Linköping University.
    What is a Sports Injury?2014Ingår i: Sports Medicine, ISSN 0112-1642, E-ISSN 1179-2035, Vol. 44, nr 4, s. 423-428Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Current sports injury reporting systems lack a common conceptual basis. We propose a conceptual foundation as a basis for the recording of health problems associated with participation in sports, based on the notion of impairment used by the World Health Organization. We provide definitions of sports impairment concepts to represent the perspectives of health services, the participants in sports and physical exercise themselves, and sports institutions. For each perspective, the duration of the causative event is used as the norm for separating concepts into those denoting impairment conditions sustained instantly and those developing gradually over time. Regarding sports impairment sustained in isolated events, sports injury denotes the loss of bodily function or structure that is the object of observations in clinical examinations; sports trauma is defined as an immediate sensation of pain, discomfort or loss of functioning that is the object of athlete self-evaluations; and sports incapacity is the sidelining of an athlete because of a health evaluation made by a legitimate sports authority that is the object of time loss observations. Correspondingly, sports impairment caused by excessive bouts of physical exercise is denoted as sports disease (overuse syndrome) when observed by health service professionals during clinical examinations, sports illness when observed by the athlete in self-evaluations, and sports sickness when recorded as time loss from sports participation by a sports body representative. We propose a concerted development effort in this area that takes advantage of concurrent ontology management resources and involves the international sporting community in building terminology systems that have broad relevance.

  • 263.
    Tognon, Gianluca
    et al.
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit, S-40530 Gothenburg, Sweden.
    Rothenberg, Elisabet
    Univ Gothenburg, Sahlgrenska Acad, Dept Clin Nutr, S-40530 Gothenburg, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit, S-40530 Gothenburg, Sweden.
    Sundh, Valter
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit, S-40530 Gothenburg, Sweden.
    Winkvist, Anna
    Univ Gothenburg, Sahlgrenska Acad, Dept Clin Nutr, S-40530 Gothenburg, Sweden.
    Lissner, Lauren
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit, S-40530 Gothenburg, Sweden.
    Does the Mediterranean diet predict longevity in the elderly?: A Swedish perspective2011Ingår i: Age (Omaha), ISSN 0161-9152, E-ISSN 1574-4647, Vol. 33, nr 3, s. 439-450Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Dietary pattern analysis represents a useful improvement in the investigation of diet and health relationships. Particularly, the Mediterranean diet pattern has been associated with reduced mortality risk in several studies involving both younger and elderly population groups. In this research, relationships between dietary macronutrient composition, as well as the Mediterranean diet, and total mortality were assessed in 1,037 seventy-year-old subjects (540 females) information. Diet macronutrient composition was not associated with mortality, while a refined version of the modified Mediterranean diet index showed a significant inverse association (HR = 0.93, 95% CI: 0.89; 0.98). As expected, inactive subjects, smokers and those with a higher waist circumference had a higher mortality, while a reduced risk characterized married and more educated people. Sensitivity analyses (which confirmed our results) consisted of: exclusion of one food group at a time in the Mediterranean diet index, exclusion of early deaths, censoring at fixed follow-up time, adjusting for activities of daily living and main cardiovascular risk factors including weight/waist circumference changes at follow up. In conclusion, we can reasonably state that a higher adherence to a Mediterranean diet pattern, especially by consuming wholegrain cereals, foods rich in polyunsaturated fatty acids, and a limited amount of alcohol, predicts increased longevity in the elderly.

  • 264.
    Truedsson, Karin
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Skolsköterskors agerande när vårdnadshavare tackar nej till HPV-vaccination för flickor i årskurs 5-62018Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Introduktion: Humant papillomvirus, HPV, är världens vanligaste sexuellt överförbara infektion. De flesta HPV-infektioner läker ut av sig själva men de kan också bli kroniska och på sikt leda till cellförändringar och cancer. Sedan 2012 erbjuds alla flickor i Sverige vaccination mot HPV för att förhindra livmoderhalscancer, som är den vanligaste HPV-relaterade cancerformen. Vaccinationen utförs av skolsköterskor i årskurs 5-6. Vaccinationstäckningen för HPV-vaccination är dock lägre än för övriga vaccinationer i det svenska barnvaccinationsprogrammet. Skolsköterskorna har en viktig roll när det gäller att bemöta tveksamma vårdnadshavare och att få upp vaccinationstäckningen för att på sikt minska antalet cancerfall orsakade av HPV. Syftet med studien var att beskriva hur skolsköterskor i Halland agerar när vårdnadshavare tackar nej till HPV-vaccination för flickor i årskurs 5-6 och vad de upplever är anledningen till nekande. Metoden som valdes var en webbaserad enkätundersökning bland skolsköterskor på mellanstadieskolor i de sex halländska kommunerna. Enkäten skickades ut till 101 respondenter. Svarsfrekvensen var 56 procent och resultatet visade att skolsköterskorna i Halland inte agerar alls när vårdnadshavare tackar nej till HPV-vaccination för flickor i årskurs 5-6. Det främsta motivet till detta är att skolsköterskorna erbjuder nytt vaccinationstillfälle i senare årskurser. Skolsköterskornas uppfattning är att desinformation på internet, rädsla för biverkningar och flickornas ringa ålder utgör de vanligaste anledningarna för vårdnadshavare att tacka nej. Slutsats:Fortsatt arbete för att stärka skolsköterskorna i sin roll som vaccinationsförespråkare är nödvändig för att öka vaccinationstäckningen för HPV.  

  • 265.
    Ulfberg, Nina
    et al.
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Wibergh, Sandra
    Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Att främja mental hälsa genom fysisk aktivitet: En litteraturstudie2014Självständigt arbete på grundnivå (högskoleexamen), 5 poäng / 7,5 hpStudentuppsats (Examensarbete)
  • 266.
    Usynina, Anna A.
    et al.
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / International School of Public Health, Northern State Medical University, Arkhangelsk, Russia.
    Grjibovski, Andrej M.
    International School of Public Health, Northern State Medical University, Arkhangelsk, Russia / Department of Preventive Medicine, International Kazakh-Turkish University, Turkestan, Kazakhstan / Department of International Public Health, Norwegian Institute of Public Health, Oslo, Norway / Department of Public Health, Hygiene and Bioethics, Institute of Medicine, North-Eastern Federal University, Yakutsk, Russia.
    Krettek, Alexandra
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Odland, Jon Øyvind
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
    Kudryavtsev, Alexander V.
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / International School of Public Health, Northern State Medical University, Arkhangelsk, Russia.
    Anda, Erik Eik
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
    Risk factors for perinatal mortality in Murmansk County, Russia: a registry-based study2017Ingår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, nr 1, s. 1-10, artikel-id 1270536Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Factors contributing to perinatal mortality (PM) in Northwest Russia remain unclear. This study investigated possible associations between selected maternal and fetal characteristics and PM based on data from the population-based Murmansk County Birth Registry.

    OBJECTIVE: This study investigated possible associations between selected maternal and fetal characteristics and PM based on data from the population-based Murmansk County Birth Registry.

    METHODS: The study population consisted of all live- and stillbirths registered in the Murmansk County Birth Registry during 2006-2011 (n = 52,806). We excluded multiple births, births prior to 22 and after 45 completed weeks of gestation, infants with congenital malformations, and births with missing information regarding gestational age (a total of n = 3,666) and/or the studied characteristics (n = 2,356). Possible associations between maternal socio-demographic and lifestyle characteristics, maternal pre-pregnancy characteristics, pregnancy characteristics, and PM were studied by multivariable logistic regression. Crude and adjusted odds ratios with 95% confidence intervals were calculated.

    RESULTS: Of the 49,140 births eligible for prevalence analysis, 338 were identified as perinatal deaths (6.9 per 1,000 births). After adjustment for other factors, maternal low education level, prior preterm delivery, spontaneous or induced abortions, antepartum hemorrhage, antenatally detected or suspected fetal growth retardation, and alcohol abuse during pregnancy all significantly increased the risk of PM. We observed a higher risk of PM in unmarried women, as well as overweight or obese mothers. Maternal underweight reduced the risk of PM.

    CONCLUSIONS: Our results suggest that both social and medical factors are important correlates of perinatal mortality in Northwest Russia.

  • 267.
    Usynina, Anna A.
    et al.
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / International School of Public Health, Northern State Medical University, Arkhangelsk, Russia.
    Grjibovski, Andrej M.
    International School of Public Health, Northern State Medical University, Arkhangelsk, Russia / Department of International Public Health, Norwegian Institute of Public Health, Oslo, Norway / Department of Preventive Medicine, International Kazakh-Turkish University, Turkestan, Kazakhstan / Department of Public Health, Hygiene and Bioethics, Institute of Medicine, North-Eastern Federal University, Yakutsk, Russia.
    Odland, Jon Øyvind
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
    Krettek, Alexandra
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Social correlates of term small for gestational age babies in a Russian Arctic setting2016Ingår i: International Journal of Circumpolar Health, ISSN 2242-3982, E-ISSN 2242-3982, Vol. 75, artikel-id 32883Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Small for gestational age (SGA) births have been associated with both short- and long-term adverse health outcomes. Although social risk factors for SGA births have been studied earlier, such data are limited from Northern Russia.

    OBJECTIVE: We assessed maternal social risk factors for term SGA births based on data from the population-based Murmansk County Birth Registry (MCBR).

    DESIGN: Data on term live-born singleton infants born between 2006 and 2011 in Murmansk County were obtained from the MCBR. We applied the 10th percentile for only birth weight (SGAW) or for both birth weight and birth length (SGAWL). Binary logistic regression was used to estimate the effect of independent variables on SGA males and females with adjustment for known risk factors and potential confounders. Both crude and adjusted odds ratios with 95% confidence intervals for the studied risk factors were calculated.

    RESULTS: The proportions of term SGAW and SGAWL births were 9.7 and 4.1%, respectively. After adjustment for potential confounders, the risk of term SGA births among less educated, unemployed, unmarried, smoking and underweight women was higher compared with women from the reference groups. Evidence of alcohol abuse was also associated with birth of SGAWL and SGAW boys. Maternal overweight and obesity decreased the risk of SGA.

    CONCLUSIONS: Maternal low education, unemployment, unmarried status, smoking, evidence of alcohol abuse and underweight increased the risk of term SGA births in a Russian Arctic setting. This emphasizes the importance of both social and lifestyle factors for pregnancy outcomes. Public health efforts to reduce smoking, alcohol consumption and underweight of pregnant women may therefore promote a decrease in the prevalence of SGA births.

  • 268.
    Usynina, Anna A.
    et al.
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / International School of Public Health, Northern State Medical University, Arkhangelsk, Russia.
    Postoev, Vitaly A.
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / International School of Public Health, Northern State Medical University, Arkhangelsk, Russia.
    Grjibovski, Andrej M.
    International School of Public Health, Northern State Medical University, Arkhangelsk, Russia / Department of International Public Health, Norwegian Institute of Public Health, Oslo, Norway / Department of Preventive Medicine, International Kazakh-Turkish University, Turkestan, Kazakhstan / North-Eastern Federal University, Yakutsk, Russia.
    Krettek, Alexandra
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Nieboer, Evert
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Biochemistry and Biomedical Sciences, McMaster University, Hamilton, Canada.
    Odland, Jon Øyvind
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway / Department of Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
    Anda, Erik Eik
    Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
    Maternal Risk Factors for Preterm Birth in Murmansk County, Russia: A Registry-Based Study2016Ingår i: Paediatric and Perinatal Epidemiology, ISSN 0269-5022, E-ISSN 1365-3016, Vol. 30, nr 5, s. 462-472Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Globally, about 11% of all liveborn infants are preterm. To date, data on prevalence and risk factors of preterm birth (PTB) in Russia are limited. The aims of this study were to estimate the prevalence of PTB in Murmansk County, Northwestern Russia and to investigate associations between PTB and selected maternal factors using the Murmansk County Birth Registry.

    METHODS: We conducted a registry-based study of 52 806 births (2006-2011). In total, 51 156 births were included in the prevalence analysis, of which 3546 were PTBs. Odds ratios with 95% confidence intervals of moderate-to-late PTB, very PTB and extremely PTB for a range of maternal characteristics were estimated using multinomial logistic regression, adjusting for potential confounders.

    RESULTS: The overall prevalence of PTB in Murmansk County was 6.9%. Unmarried status, prior PTBs, spontaneous and induced abortions were strongly associated with PTB at any gestational age. Maternal low educational level increased the risk of extremely and moderate-to-late PTB. Young (<18 years) or older (≥35 years) mothers, graduates of vocational schools, underweight, overweight/obese mothers, and smokers were at higher risk of moderate-to-late PTB. Secondary education, alcohol abuse, diabetes mellitus, or gestational diabetes were strongly associated with moderate-to-late and very PTB.

    CONCLUSIONS: The observed prevalence of PTB (6.9%) in Murmansk County, Russia was comparable with data on live PTB from European countries. Adverse prior pregnancy outcomes, maternal low educational level, unmarried status, alcohol abuse, and diabetes mellitus or gestational diabetes were the most common risk factors for PTB.

  • 269.
    Vaidya, Abhinav
    et al.
    Kathmandu Medical College, Kathmandu, Nepal / Nordic School of Public Health NHV, Gothenburg.
    Aryal, Umesh Raj
    Kathmandu Medical College, Kathmandu, Nepal / Nordic School of Public Health NHV, Gothenburg.
    Krettek, Alexandra
    Nordic School of Public Health NHV / Sahlgrenska Academy at University of Gothenburg.
    Cardiovascular health knowledge, attitude and practice/behaviour in an urbanising community of Nepal: a population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site2013Ingår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 3, nr 10, artikel-id e002976Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: This study determined the knowledge, attitude and practice/behaviour of cardiovascular health in residents of a semiurban community of Nepal.

    DESIGN: To increase the understanding of knowledge, attitude and practice/behaviour towards cardiovascular health, we conducted in-home interviews using a questionnaire based on the WHO STEPwise approach to surveillance and other resources, scoring all responses. We also recorded blood pressure and took anthropometric measurements.

    SETTING: Our study was conducted as part of the Heart-Health-Associated Research and Dissemination in the Community project in the Jhaukhel-Duwakot Health Demographic Surveillance Site in two urbanising villages near Kathmandu.

    PARTICIPANTS: The study population included 777 respondents from six randomly selected clusters in both villages.

    RESULTS: Seventy per cent of all participants were women and 26.9% lacked formal education. The burden of cardiovascular risk factors was high; 20.1% were current smokers, 43.3% exhibited low physical activity and 21.6% were hypertensive. Participants showed only poor knowledge of heart disease causes; 29.7% identified hypertension and 11% identified overweight and physical activity as causes, whereas only 2.2% identified high blood sugar as causative. Around 60% of respondents did not know any heart attack symptoms compared with 20% who knew 2-4 symptoms. Median percentage scores for knowledge, attitude and practice/behaviour were 79.3, 74.3 and 48, respectively. Nearly 44% of respondents had insufficient knowledge and less than 20% had highly satisfactory knowledge. Among those with highly satisfactory knowledge, only 14.7% had a highly satisfactory attitude and 19.5% and 13.9% had satisfactory and highly satisfactory practices, respectively.

    CONCLUSIONS: Our study demonstrates a gap between cardiovascular health knowledge, attitude and practice/behaviour in a semiurban community in a low-income nation, even among those already affected by cardiovascular disease.

  • 270.
    Vaidya, Abhinav
    et al.
    Nordic School of Public Health, Gothenburg, Sweden / Kathmandu Medical College, Duwakot, Bhaktapur, Nepal.
    Krettek, Alexandra
    Nordic School of Public Health, Gothenburg, Sweden / Sahlgrenska Academy at University of Gothenburg, Sweden.
    Is health promotion the starting point of primary cardiovascular care in low- and middle-income countries like Nepal?2012Ingår i: Health Promotion Practice, ISSN 1524-8399, E-ISSN 1552-6372, Vol. 13, nr 3, s. 412-415Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Cardiovascular diseases (CVDs) are on the rise in low- and middle-income countries (LMICs) but have not received adequate priority. With a lack of concrete policy and programs, the present emphasis of CVD management in most LMICs is on curative aspects. Nepal is a prototype in this trend as it is treatment centric, particularly in urban areas. A major drawback of cure-centrism is that it requires both larger funds and more skilled manpower--both of which are limited in Nepal and other LMICs.

    AIMS: In this article, the authors suggest a possible role of health promotion as starting point for tackling the rising burden of CVDs in LMICs with Nepal as example.

    CONCLUSIONS: Health promotion is practiced in Nepal in connection with many health care programs and could be used to include CVD preventive strategies. The authors believe this to be a first step to increase health literacy toward CVD in the general population which may help bridge limited funds and manpower that the current curative-centric CVD strategy requires. Thus, health promotion strategies should be a tempting option for many LMICs and deserve further explorative attention.

  • 271.
    Vaidya, Abhinav
    et al.
    Kathmandu Medical College, Kathmandu, Nepal / Nordic School of Public Health NHV, Gothenburg, Sweden.
    Krettek, Alexandra
    Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden / Nordic School of Public Health NHV, Gothenburg, Sweden.
    Physical activity level and its sociodemographic correlates in a peri-urban Nepalese population: a cross-sectional study from the Jhaukhel-Duwakot health demographic surveillance site2014Ingår i: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 11, nr 1, artikel-id 39Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Physical inactivity is a leading risk factor for cardiovascular and other noncommunicable diseases in high-, low- and middle-income countries. Nepal, a low-income country in South Asia, is undergoing an epidemiological transition. Although the reported national prevalence of physical inactivity is relatively low, studies in urban and peri-urban localities have always shown higher prevalence. Therefore, this study aimed to measure physical activity in three domains-work, travel and leisure-in a peri-urban community and assess its variations across different sociodemographic correlates.

    METHODS: Adult participants (n=640) from six randomly selected wards of the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) near Kathmandu responded to the Global Physical Activity Questionnaire. To determine total physical activity, we calculated the metabolic equivalent of task in minutes/week for each domain and combined the results. Respondents were categorized into high, moderate or low physical activity. We also calculated the odds ratio for low physical activity in various sociodemographic variables and self-reported cardiometabolic states.

    RESULTS: The urbanizing JD-HDSS community showed a high prevalence of low physical activity (43.3%; 95% CI 39.4-47.1). Work-related activity contributed most to total physical activity. Furthermore, women and housewives and older, more educated and self-or government-employed respondents showed a greater prevalence of physical inactivity. Respondents with hypertension, diabetes or overweight/obesity reported less physical activity than individuals without those conditions. Only 5% of respondents identified physical inactivity as a cardiovascular risk factor.

    CONCLUSIONS: Our findings reveal a high burden of physical inactivity in a peri-urban community of Nepal. Improving the level of physical activity involves sensitizing people to its importance through appropriate multi-sector strategies that provide encouragement across all sociodemographic groups.

  • 272.
    Vaidya, Abhinav
    et al.
    Department of Community Medicine, Kathmandu Medical College / Nordic School of Public Health NHV, Gothenburg, Sweden.
    Oli, Natalia
    Department of Community Medicine, Kathmandu Medical College.
    Aryal, Umesh Raj
    Nordic School of Public Health NHV, Gothenburg, Sweden / Department of Community Medicine, Kathmandu Medical College.
    Karki, D. B.
    Department of Internal Medicine, Kathmandu Medical College.
    Krettek, Alexandra
    Nordic School of Public Health NHV, Gothenburg, Sweden / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Disparities in fruit and vegetable intake by socio-demographic characteristics in peri-urban Nepalese adults: findings from the Heart-Health Associated Research and Dissemination in the Community (HARDIC) Study, Bhaktapur, Nepal2013Ingår i: Journal of Kathmandu Medical College, ISSN 2091-1785, Vol. 2, nr 1, s. 3-11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Inadequate fruit and vegetable intake and other adverse dietary habits – along with tobacco and alcohol abuse and sub-optimal physical activity - make up the four most important behavioural risk factors of non-communicable diseases. Low fruit and vegetable intake is particularly associated with burden of high cardiovascular disease. It has received more attention in the last decade, with studies that explore disparities and determinants in their intake, as well as interventions that attempt to improve the intake.

    Objectives: Our study aimed to determine fruit and vegetable consumption in a peri-urban community of Nepal and to compare this intake in relation to various socio-demographic variables.

    Methods: This cross-sectional study was conducted as a part of the HARDIC (Heart-Health Associated Research and Dissemination in the Community) study in the Jhaukhel-Duwakot Health Demographic Surveillance Site in the Bhaktapur district of Nepal during September-December 2011. Adults from six randomly selected clusters were interviewed by 12 trained interviewers after taking informed consent. WHO-STEPS questions were used to elicit information on fruit and vegetable intake.

    Results: Fruit and vegetable intake in the community was low with 2.1 percent of the study population consuming the WHO-recommended five servings per day. There were differences in the intake according to the various sociodemographic factors.

    Conclusions: Our study reaffirms low fruit and vegetable intake as a public health problem in the Nepalese context. Health-promotional activities aimed at specific target groups are essential. Multi-sectoral coordination of health and other health-related sectors is therefore vital in addressing the issue.

  • 273.
    Vaidya, Abhinav
    et al.
    Department of Community Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.
    Oli, Natalia
    Department of Community Medicine, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden.
    Eiben, Gabriele
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Public Health and Community Medicine, University of Gothenburg, Sweden.
    Krettek, Alexandra
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
    The heart-health associated research, dissemination and intervention in the community (HARDIC) trial for nepalese mothers regarding diet and physical activity: A process evaluation2017Ingår i: Kathmandu University Medical Journal, ISSN 1812-2027, E-ISSN 1812-2078, Vol. 15, nr 58, s. 107-116Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Mothers with young children in the peri-urban Jhaukhel-Duwakot Health Demographic Surveillance site of Bhaktapur district have misconceptions and poor behavioural practice regarding diet and physical activity. We developed the Heart-health Associated Research, Dissemination and Intervention in the Community trial - a health promotion intervention for mothers. Objective The objective of this study was to evaluate the intervention’s feasibility, acceptability, potential for transferability and scaling up, and to determine its immediate outcome. Method Duwakot and Jhaukhel were randomly selected as the intervention and control communities, respectively. We trained 47 peer mothers from Duwakot, each of whom gave classes with 10 fellow mothers of their neighbourhood. The process evaluation was carried out on a continuous basis at different points of the intervention held from August to November 2016. Result In round one, the participation and completion rates were both > 90% for peer mothers; and 85% and 70%, respectively, for the fellow mothers. However, the participation rates fell in the round two of the intervention. On the whole, the mothers expressed satisfaction and acceptance of the course content and training modality. Immediate evaluation of the intervention showed improvement of knowledge, attitude and practice of diet and physical activity among both groups of mothers. Conclusion The successful implementation of the intervention targeting diet and physical activity clearly demonstrates the feasibility of health promotional activities in the Nepalese community for improvement of cardiovascular health. © 2017, Kathmandu University. All rights reserved.

  • 274.
    Vaidya, Abhinav
    et al.
    Kathmandu Medical College, Kathmandu, Nepal.
    Oli, Natalia
    Kathmandu Medical College, Kathmandu, Nepal / University of Gothenburg, Sweden.
    Krettek, Alexandra
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Göteborgs universitet / UiT Norges Arktiska Universitet.
    High prevalence of prehypertension in mothers of young children in peri-urban Nepal2016Ingår i: Journal of Kathmandu Medical College, ISSN 2091-1785, Vol. 5, nr 2, s. 52-60Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Prehypertension is clinically defined as a level of blood pressure between normal and hypertension, i.e. elevated systolic blood pressure between 120-139 or diastolic blood pressure between 80-89 mm Hg. Prehypertension remains neglected as a public health problem, and has not been explored in mothers with small children in Nepal.

    Objectives: We aimed to study prehypertension and its related factors including obesity-related parameters among mothers with children aged 1-7 years in Duwakot and Jhaukhel communities of Bhaktapur district, Nepal.

    Methods: We prepared a sampling frame of all the eligible mothers, and interviewed 962 mothers. The trained enumerators also measured their blood pressure, body weight, height, waist and hip circumferences. We analysed data with SPSS version 22. We received ethical approval from the Nepal Health Research Council to conduct the study, and obtained informed verbal consent from the participating mothers.

    Results: About one-third (31.8%) of the mothers had prehypertension. It was more common among Newars and those aged 30-34 years. Multivariate analysis did not reveal significant association with sociodemographic variables except for education. We found positive correlations between blood pressure and obesity parameters. Overweight and obese participants were 2.24 (95% confidence interval: 1.06-4.73) and 4.65 (95% confidence interval: 1.92-11.23) times, respectively, more likely to have prehypertension than underweight mothers.

    Conclusions: Our study demonstrated a high prevalence of prehypertension, coupled with high obesity parameters, among young mothers of peri-urban Nepal. Primordial preventive efforts at community level are needed not only for the mothers themselves, but for heart-health of their offspring as well.

  • 275.
    Vaidya, Abhinav
    et al.
    Department of Community Medicine, Kathmandu Medical College, Kathmandu.
    Oli, Natalia
    Department of Community Medicine, Kathmandu Medical College, Kathmandu / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Krettek, Alexandra
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / 4Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromso, Norway .
    Eiben, Gabriele
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
    Preference of Food-items and Physical Activity of Peri-urban Children in Bhaktapur2017Ingår i: Journal of Nepal Health Research Council, ISSN 1727-5482, E-ISSN 1999-6217, Vol. 15, nr 2, s. 150-158Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Though cardiovascular diseases are mostly seen in adulthood, the foundation of diet and physical activity is largely formed during childhood. The study aimed to explore children's preference for diet and physical activity in a peri-urban area of Nepal because this is an important dimension to explore in the life-course approach to combat non-communicable diseases.

    METHODS: We conducted a cross-sectional study to enquire young peri-urban children of Duwakot and Jhaukhel villages of Bhaktapur district, Nepal on their preferences for diet and physical activity. All eligible households with children in the age range 5-10 years as enlisted from the Jhaukhel-Duwakot Health Demographic Surveillance Site database were selected for the study. Twelve enumerators visited the selected households and facilitated the eligible children to fill in the questionnaire. We used a child-friendly photo-assisted questionnaire with face-scales that easily enabled the children to select a particular preference for each of the food item and physical activity. During analysis, food items were categorized into 'green', 'yellow' and 'red' on the basis of their nutritive values. Physical activity was categorized based on severity of the activity.

    RESULTS: Four hundred and thirty seven children filled up the questionnaires. Overall, median preference scores for 'red' food were higher than for healthier 'green' food (4.16 vs. 4.03), particularly, if mothers were self-employed. Likewise, the children preferred low over moderate-to-severe physical activity (4.16 vs. 3.50), and preference was affected by parents' occupation and income.

    CONCLUSIONS: The study objectively revealed that most of the children preferred unhealthier food-items and low physical activities. It shall be useful to consider these findings while planning health promotional activities targeted at them.

  • 276.
    Vaidya, Abhinav
    et al.
    Nordic School of Public Health, Gothenburg, Sweden / Kathmandu Medical College, Duwakot, Bhaktapur, Nepal.
    Shakya, Suraj
    Nordic School of Public Health, Gothenburg, Sweden / Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu.
    Krettek, Alexandra
    Nordic School of Public Health, Gothenburg, Sweden / Sahlgrenska Academy at University of Gothenburg, Sweden .
    Obesity Prevalence in Nepal: Public Health Challenges in a Low-Income Nation during an Alarming Worldwide Trend2010Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 7, nr 6, s. 2726-2744Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    The future toll of the obesity epidemic will likely hit hardest in low- and middle-income countries. Ongoing urbanization promotes risk factors including sedentary lifestyle and fat- and sugar-laden diets. Low-income countries like Nepal experience a double disease burden: infectious diseases as well as rising incidence of noncommunicable diseases (e.g., cardiovascular disease and diabetes mellitus) frequently characterized by obesity. Nepal currently directs efforts towards curing disease but pays little attention to preventive actions. This article highlights obesity prevalence in Nepal, delineates the challenges identified by our pilot study (including low health literacy rates), and suggests strategies to overcome this trend.

  • 277.
    Van den Bussche, Karen
    et al.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Michels, Nathalie
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Gracia-Marco, Luis
    Univ Zaragoza, Res Grp, E-50009 Zaragoza, Spain / Univ Exeter, Sch Sport & Hlth Sci, Exeter EX1 2LU, Devon, England.
    Herrmann, Diana
    BIPS Inst Epidemiol & Prevent Res, D-28359 Bremen, Germany.
    Eiben, Gabriele
    Univ Gothenburg, Dept Pediat, Inst Clin Sci, Queen Silvia Childrens Hosp,Sahlgrenska Acad, S-41685 Gothenburg, Sweden.
    De Henauw, Stefaan
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium / Univ Coll Ghent, Dept Hlth Sci, B-9000 Ghent, Belgium.
    Sioen, Isabelle
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium / Res Fdn Flanders, FWO, B-1000 Brussels, Belgium.
    Influence of Birth Weight on Calcaneal Bone Stiffness in Belgian Preadolescent Children2012Ingår i: Calcified Tissue International, ISSN 0171-967X, E-ISSN 1432-0827, Vol. 91, nr 4, s. 267-275Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate the relation between birth weight and calcaneal bone stiffness in a large sample of Belgian, healthy, preadolescent children. Participants were 827 children (3.6-11.2 years, 51.6 % boys) from the Belgian cohort of the IDEFICS study. Birth weight was obtained using a parental questionnaire, and quantitative ultrasound (QUS) measurements were performed to determine calcaneal broadband ultrasound attenuation (BUA), speed of sound (SOS), and stiffness index (SI) using the Lunar Achilles device. Average birth weights were 3435.7 +/- A 512.0 g for boys and 3256.9 +/- A 471.1 g for girls. Average calcaneal QUS measurements were 89.6 +/- A 24.0 (23.3-153.9) dB/MHz for BUA, 1621.4 +/- A 49.6 (1516.3-1776.5) m/s for SOS, and 92.8 +/- A 15.6 (49.0-163.0) for SI. Birth weight was positively associated with BUA (r = 0.13, p = 0.002) and SOS (r = -0.16, p < 0.001). The associations remained after correcting for age and sex in multiple regression analyses but disappeared after correcting for anthropometric covariates. Our findings suggest that birth weight, as a rough proxy indicator for genetic and environmental influences during intrauterine life, is associated with BUA and SOS in preadolescent children and may therefore influence the risk of osteoporosis later in life. Further studies using QUS are needed to investigate the consistency of the results of this study.

  • 278. Van der Moeren, Maaike
    et al.
    Willemsen, Leen
    Hellström Muhli, Ulla
    Högskolan i Skövde, Institutionen för vård och natur.
    Accounts of School Nursing2008Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, nr 1, s. 45-47Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the study was to describe student’s accounts of school nursing and nursing activities. A purposive sample of nine informants was used, spanning students from two different schools aged between 17 and 19 years. Four  categories with sub categories emerged. (i) The students express emotions of being fond of the school nurse, but expect more caring attitudes from her (ii) The school nurse is seen as a good resource; however, the students’ confidence is partial. (iii) Reasons for consulting are mostly physical problems, despite psychological caring needs and (iv) SNHC activities are seen as useful, although too basic. These data expose a caring dilemma between the student’s needs and the professional/institutional achievements.

  • 279.
    Vanaelst, Barbara
    et al.
    Department of Public Health, Ghent University, UZ-2BlokA De Pintelaan 185, 9000, Ghent, Belgium / Research Foundation – Flanders (FWO), Egmontstraat 5, Brussels, Belgium.
    Huybrechts, Inge
    Department of Public Health, Ghent University, UZ-2BlokA De Pintelaan 185, 9000, Ghent, Belgium / Dietary Exposure Assessment Group, International Agency for Research on Cancer (IARC), Lyon, France.
    De Bourdeaudhuij, Ilse
    Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium.
    Bammann, Karin
    Bremen Institute for Prevention Research and Social Medicine, University of Bremen, Achterstr. 30, 28359, Bremen, Germany / Institute for Public Health and Nursing Care Research, University of Bremen, Postfach 330440, 28344, Bremen, Germany.
    Hadjigeorgiou, Charalambos
    Research & Education Institute of Child Health, 8 Attikis Str, 2027, Strovolos, Cyprus.
    Eiben, Gabriele
    Department of Public Health and Community Medicine, Public Health Epidemiology Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Konstabel, Kenn
    National Institute for Health Development, Hiiu 42, 11619, Tallinn, Estonia.
    Michels, Nathalie
    Department of Public Health, Ghent University, UZ-2BlokA De Pintelaan 185, 9000, Ghent, Belgium.
    Molnar, Denes
    National Institute of Health Promotion, University of Pécs, Gyermekklinika, József Attila utca 7, 7623, Pécs, Hungary.
    Moreno, Luis A.
    Pigeot, Iris
    Bremen Institute for Prevention Research and Social Medicine, University of Bremen, Achterstr. 30, 28359, Bremen, Germany.
    Reisch, Lucia
    Department of intercultural communication and management, Copenhagen Business School, Porcelanshaven 18A, DK-2000, Frederiksberg, Denmark.
    Siani, Alfonso
    Epidemiology & Population Genetics, Institute of Food Sciences, CNR, Via Roma 64, 83100, Avellino, Italy.
    Vyncke, Krishna
    Department of Public Health, Ghent University, UZ-2BlokA De Pintelaan 185, 9000, Ghent, Belgium / Research Foundation – Flanders (FWO), Egmontstraat 5, Brussels, Belgium.
    De Henauw, Stefaan
    Department of Public Health, Ghent University, UZ-2BlokA De Pintelaan 185, 9000, Ghent, Belgium. 2 Research Foundation – Flanders (FWO), Egmontstraat 5, Brussels, Belgium.
    Prevalence of negative life events and chronic adversities in European pre- and primary-school children: results from the IDEFICS study2012Ingår i: Archives of Public Health, ISSN 0778-7367, E-ISSN 2049-3258, Vol. 70, nr 1, artikel-id 26Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Children are not always recognized as being susceptible to stress, although childhood stressors may originate from multiple events in their everyday surroundings with negative effects on children's health.

    METHODS: As there is a lack of large-scale, European prevalence data on childhood adversities, this study presents the prevalence of (1) negative life events and (2) familial and social adversities in 4637 European pre- and primary-school children (4-11 years old), using a parentally-reported questionnaire embedded in the IDEFICS project ('Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS').

    RESULTS: The following findings were observed: (1) Certain adversities occur only rarely, while others are very regular (i.e. parental divorce); (2) A large percentage of children is shielded from stressors, while a small group of children is exposed to multiple, accumulating adversities; (3) The prevalence of childhood adversity is influenced by geographical location (e.g. north versus south), age group and sex; (4) Childhood adversities are associated and co-occur, resulting in potential cumulative childhood stress.

    CONCLUSIONS: This study demonstrated the importance of not only studying traumatic events but also of focusing on the early familial and social environment in childhood stress research and indicated the importance of recording or monitoring childhood adversities.

  • 280.
    Varinen, Aleksi
    et al.
    Department of General Practice, Faculty of Medicine and Life Sciences, Tampere University, Finland / Nokia Health Centre, Nokia, Finland.
    Kosunen, Elise
    Department of General Practice, Faculty of Medicine and Life Sciences, Tampere University, Finland / Pirkanmaa Hospital District, Centre for General Practice, Finland.
    Mattila, Kari
    Department of General Practice, Faculty of Medicine and Life Sciences, Tampere University, Finland.
    Suominen, Sakari
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Public Health, University of Turku, Turku University Hospital, Finland.
    Sillanmäki, Lauri
    Department of Public Health, University of Turku, Turku University Hospital, Finland / Health care services, Welfare Division, Turku, Finland.
    Sumanen, Markku
    Department of General Practice, Faculty of Medicine and Life Sciences, Tampere University, Finland.
    The association between bullying victimization in childhood and fibromyalgia: Data from the nationwide Finnish health and social support (HeSSup) study based on a sample of 64,797 individuals2019Ingår i: Journal of Psychosomatic Research, ISSN 0022-3999, E-ISSN 1879-1360, Vol. 117, s. 48-53Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Fibromyalgia is a functional pain syndrome presenting with various psychological symptoms. Several studies have shown that adverse life events are associated with fibromyalgia. The aim of the current study is to explore the association between self-reported bullying victimization in childhood and self-reported fibromyalgia in adulthood. Methods: The basic study setting is cross-sectional - with focused use of retrospective data - derived from a large on-going postal follow up survey (sample N = 64,797) initiated in Finland in 1998. Only respondents having answered the questions on fibromyalgia in both follow ups in 2003 and 2012 were included (N = 11,924). Severity of bullying was divided into three groups starting from no bullying followed by minor and severe bullying. Covariates having shown statistically significant associations with fibromyalgia in cross tabulation using Pearson's chi-squared test were included in the final multiple logistic regression analyses. Results: In our study, 50.6% of the respondents reported victimization of minor and 19.6% of severe bullying in childhood. Participants reporting fibromyalgia in adulthood reported more bullying, and in females alone this association was statistically significant (p =.027). In multiple logistic regression analysis statistically significant associations between bullying victimization in childhood (reference: no bullying) and fibromyalgia were found: adjusted odds ratio (OR) for minor bullying was 1.35 (95% CI 1.09–1.67) and for severe bullying 1.58 (95% CI 1.21–2.06). However, in log-linear and logistic regression interaction models the association between bullying and fibromyalgia was not statistically significant when depression was included in the models. Conclusions: Our results suggest that peer bullying victimization might be associated with fibromyalgia. However, in logistic log linear and logistic interaction models there was no statistically significant association when depression was included. As a result, there is need for further, preferably prospective cohort studies. The findings also emphasize the importance of actions to prevent childhood bullying. 

  • 281.
    Verbestel, V.
    et al.
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    De Henauw, S.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Barba, G.
    CNR, Unit Epidemiol & Populat Genet, Inst Food Sci, Avellino, Italy.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Sahlgrenska Acad, Gothenburg, Sweden.
    Gallois, K.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Hadjigeorgiou, C.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Konstabel, K.
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Maes, L.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Marild, S.
    Univ Gothenburg, Dept Pediat, Queen Silvia Childrens Univ Hosp, Gothenburg, Sweden.
    Molnar, D.
    Univ Pecs, Dept Pediat, Pecs, Hungary.
    Moreno, L. A.
    Univ Zaragoza, Fac Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.;Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil.
    Oja, L.
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Pitsiladis, Y.
    Univ Glasgow, Coll Med Vet & Life Sci, Glasgow, Lanark, Scotland.
    Ahrens, W.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat, Fac Math & Comp Sci, D-28359 Bremen, Germany.
    Pigeot, I.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat, Fac Math & Comp Sci, D-28359 Bremen, Germany.
    De Bourdeaudhuij, I.
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    Effectiveness of the IDEFICS intervention on objectively measured physical activity and sedentary time in European children2015Ingår i: Obesity Reviews, ISSN 1467-7881, E-ISSN 1467-789X, Vol. 16, s. 57-67Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BackgroundThis paper reports on the effectiveness of the prevention of dietary- and lifestyle-induced health effects in children and infants (IDEFICS) intervention on objectively measured physical activity (PA) and sedentary time (ST) in 2- to 9.9-year-old European boys and girls. MethodsThe intervention was evaluated after 2years through a non-randomized cluster-controlled trial in eight European countries (one control and one intervention community per country). All children in the intervention group received a culturally adapted childhood obesity prevention programme through the community, schools/kindergartens and family. A random sub-sample of children participating in the IDEFICS study wore an accelerometer at baseline and follow-up for at least 3days (n=9,184). Of this sample, 81% provided valid accelerometer data at baseline (n=7,413; 51% boys; 6.211.76years; boys: 617170cpmday(-1); girls 556 +/- 156cpmday(-1)) and 3,010 children provided valid accelerometer data at baseline and during the follow-up survey 2years later. ResultsIn boys and girls, no significant differences in PA and ST were found between intervention and control groups over 2years. Strong temporal effects were found in the total sample of boys and girls: the percentage of time spent in light PA per day decreased by 4 percentage points in both boys and girls between baseline and follow-up (both: p<0.001), while time spent in ST per day increased by 4 percentage points in both sexes over time (both: p<0.001). Percentage of time spent in moderate-to-vigorous PA per day remained stable over time in boys and girls. ConclusionDespite the socio-ecological approach and implementation of a culturally adapted intervention in each country, no effects of the IDEFICS intervention were found on children's objectively measured PA and ST. Behavioural interventions for children may need to enhance specificity and intensity at the family level using other behaviour change techniques and more direct strategies to reach parents. 

  • 282.
    Verbestel, Vera
    et al.
    Univ Ghent, Dept Movement & Sports Sci, B-9000 Ghent, Belgium.
    De Henauw, Stefaan
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Bammann, Karin
    Univ Bremen, Inst Publ Hlth & Nursing Res, D-28359 Bremen, Germany.;BIPS Inst Epidemiol & Prevent Res GmbH, Bremen, Germany.
    Barba, Gianvincenzo
    CNR, Unit Epidemiol & Populat Genet, Inst Food Sci, Avellino, Italy.
    Hadjigeorgiou, Charalambos
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Konstabel, Kenn
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Kovacs, Eva
    Univ Pecs, Dept Pediat, Pecs, Hungary.
    Pitsiladis, Yannis
    Univ Glasgow, Coll Med Vet & Life Sci, Glasgow, Lanark, Scotland.
    Reisch, Lucia
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Frederiksberg, Denmark.
    Santaliestra-Pasias, Alba M.
    Univ Zaragoza, Univ Sch Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Maes, Lea
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    De Bourdeaudhuij, Ilse
    Univ Ghent, Dept Movement & Sports Sci, B-9000 Ghent, Belgium.
    Are context-specific measures of parental-reported physical activity and sedentary behaviour associated with accelerometer data in 2-9-year-old European children?2015Ingår i: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 18, nr 5, s. 860-868Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The aim of the present study was to investigate if context-specific measures of parental-reported physical activity and sedentary behaviour are associated with objectively measured physical activity and sedentary time in children. Design: Cross-sectional study. Setting: Seven European countries taking part in the IDEFICS (Identification and Prevention of Dietary-and Lifestyle-induced Health Effects in Children and Infants) study. Subjects: Data were analysed from 2-9-year-old children (n 5982) who provided both parental-reported and accelerometer-derived physical activity/sedentary behaviour measures. Parents reported their children's daily screen-time, weekly sports participation and daily outdoor playtime by means of the Outdoor Playtime Checklist (OPC) and Outdoor Playtime Recall Questions (OPRQ). Results: Sports participation, OPC-and OPRQ-derived outdoor play were positively associated with accelerometer-derived physical activity. Television viewing and computer use were positively associated with accelerometer-derived sedentary time. All parental-reported measures that were significantly associated with accelerometer outcomes explained only a minor part of the variance in accelerometer-derived physical activity or sedentary time. Conclusions: Parental-reported measures of physical activity and sedentary behaviour are not useful as a proxy for 2-9-year-old children's physical activity and sedentary time. Findings do not preclude the use of context-specific measures but imply that conclusions should be limited to the context-specific behaviours that are actually measured. Depending on the aim of the study, future research should carefully consider the choice of measurements, including the use of subjective or objective measures of the behaviour of interest or a combination of both.

  • 283.
    Verbestel, Vera
    et al.
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    De Henauw, Stefaan
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Maes, Lea
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Haerens, Leen
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.;Univ Ghent, Res Fdn Flanders, B-9000 Ghent, Belgium.
    Marild, Staffan
    Univ Gothenburg, Dept Pediat, Queen Silivia Childrens Univ, S-41685 Gothenburg, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Sahlgrenska Acad, S-40530 Gothenburg, Sweden.
    Lissner, Lauren
    Univ Gothenburg, Dept Publ Hlth & Community Med, Sahlgrenska Acad, S-40530 Gothenburg, Sweden.
    Moreno, Luis A.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev, Res Grp, Univ Sch Hlth Sci, Zaragoza 50009, Spain.
    Frauca, Natalia Lascorz
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev, Res Grp, Univ Sch Hlth Sci, Zaragoza 50009, Spain.
    Barba, Gianvincenzo
    CNR, Unit Epidemiol & Populat Genet, Inst Food Sci, I-83100 Avellino, Italy.
    Kovacs, Eva
    Univ Pecs, Dept Pediat, H-7623 Pecs, Hungary.
    Konstabel, Kenn
    Natl Inst Hlth Dev, EE-50410 Tallinn, Estonia.
    Tornaritis, Michael
    Res & Educ Inst Child Hlth, CY-2027 Strovolos, Cyprus.
    Gallois, Katharina
    Univ Bremen, Bremen Inst Prevent Res & Social Med BIPS, D-28359 Bremen, Germany.
    Hassel, Holger
    Univ Bremen, Bremen Inst Prevent Res & Social Med BIPS, D-28359 Bremen, Germany / Univ Appl Sci, Hsch Coburg, Coburg, Germany.
    De Bourdeaudhuij, Ilse
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    Using the intervention mapping protocol to develop a community-based intervention for the prevention of childhood obesity in a multi-centre European project: the IDEFICS intervention2011Ingår i: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 8, artikel-id 82Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The prevalence of childhood obesity has increased during the past decades and is now considered an urgent public health problem. Although stabilizing trends in obesity prevalence have been identified in parts of Europe, preventive efforts in children are still needed. Using the socio-ecological approach as the underlying theoretical perspective, the IDEFICS project aimed to develop, implement and evaluate a community-based intervention for the prevention of childhood obesity in eight European countries. The aim of the present manuscript was to describe the content and developmental process of the IDEFICS intervention. Methods: The intervention mapping protocol (IMP) was used to develop the community-based intervention for the prevention of childhood obesity in 3 to 10 years old children. It is a theory-and evidence-based tool for the structured planning and development of health promotion programs that requires the completion of six different steps. These steps were elaborated by two coordinating centers and discussed with the other participating centers until agreement was reached. Focus group research was performed in all participating centers to provide an informed basis for intervention development. Results: The application of the IMP resulted in an overall intervention framework with ten intervention modules targeting environmental and personal factors through the family, the school and the community. The summary results of the focus group research were used to inform the development of the overall intervention. The cultural adaptation of the overall intervention was realised by using country specific focus group results. The need for cultural adaptation was considered during the entire process to improve program adoption and implementation. A plan was developed to evaluate program effectiveness and quality of implementation. Conclusions: The IDEFICS project developed a community-based intervention for the prevention of childhood obesity by using to the intervention mapping heuristic. The IDEFICS intervention consists of a general and standardized intervention framework that allows for cultural adaptation to make the intervention feasible and to enhance deliverability in all participating countries. The present manuscript demonstrates that the development of an intervention is a long process that needs to be done systematically. Time, human resources and finances need to be planned beforehand to make interventions evidence-based and culturally relevant.

  • 284.
    Viberg, Tove
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Skolbaserade interventioner för stresshantering – vad fungerar?: En systematisk litteraturöversikt2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Inledning: Stress är ett stort och växande problem i Sverige, där en av de grupper som är särskilt utsatta är tonåringar. Långvarig stress kan medföra förödande konsekvenser för såväl individen som samhället, och åtgärder behöver därför vidtas för att minska stressen hos denna grupp. En viktig arena för detta arbete är skolan. Syfte: Syftet med denna studie var att undersöka vilka faktorer som gör skolbaserade interventioner för stresshantering effektiva för att minska stress hos tonåringar. Metod: En systematisk litteraturöversikt genomfördes, där 15 kvantitativa artiklar publicerade under de senaste tio åren inkluderades. De databaser som användes var PubMed, CINAHL och PsycINFO. Resultat: Resultatet visade att preventionsnivå, tidsfaktorer och typ av verktyg för stresshantering hade en påverkan på när en skolbaserad intervention för stresshantering var effektiv. Diskussion: Tre faktorer som hade en påverkan på när skolbaserade interventioner för stresshantering är effektiva identifierades i de inkluderade studierna. Dock är studierna mycket heterogena och i de flesta fall småskaliga, samtidigt som det i vissa fall finns en osäkerhet kring resultatet, vilket medför svårigheter att dra slutsatser och att ge rekommendationer. Mer forskning på området uppmanas och bör prioriteras.

  • 285.
    Virtanen, Marianna
    et al.
    Department of Public Health and Caring Sciences, University of Uppsala, Uppsala, Sweden / Finnish Institute of Occupational Health, Helsinki and Turku, Finland.
    Ervasti, Jenni
    Finnish Institute of Occupational Health, Helsinki and Turku, Finland.
    Head, Jenny
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Oksanen, Tuula
    Finnish Institute of Occupational Health, Helsinki and Turku, Finland.
    Salo, Paula
    Finnish Institute of Occupational Health, Helsinki and Turku, Finland / Department of Psychology, University of Turku, Turku, Finland.
    Pentti, Jaana
    Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland.
    Kouvonen, Anne
    Faculty of Social Sciences, University of Helsinki, Helsinki, Finland / SWPS University of Social Sciences and Humanities, Wroclaw, Poland.
    Väänänen, Ari
    Finnish Institute of Occupational Health, Helsinki and Turku, Finland / School of Social Policy, Sociology and Social Research, University of Kent, United Kingdom.
    Suominen, Sakari
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland / Folkhälsan Research Center, Helsinki, Finland.
    Koskenvuo, Markku
    Clinicum, Faculty of Medicine, University of Helsinki, Finland.
    Vahtera, Jussi
    Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland.
    Elovainio, Marko
    Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland / National Institute for Health and Welfare, Helsinki, Finland.
    Zins, Marie
    Inserm, Population-based Epidemiologic Cohorts Unit UMS 011, Villejuif, France / Paris Descartes University, Paris, France.
    Goldberg, Marcel
    Inserm, Population-based Epidemiologic Cohorts Unit UMS 011, Villejuif, France / Paris Descartes University, Paris, France.
    Kivimäki, Mika
    Department of Epidemiology and Public Health, University College London, London, United Kingdom / Clinicum, Faculty of Medicine, University of Helsinki, Finland.
    Lifestyle factors and risk of sickness absence from work: a multicohort study2018Ingår i: Lancet Public Health, ISSN 2468-2667, Vol. 3, nr 11, s. E545-E554Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Lifestyle factors influence the risk of morbidity and mortality, but the extent to which they are associated with employees' absence from work due to illness is unclear. We examined the relative contributions of smoking, alcohol consumption, high body-mass index, and low physical activity to diagnosis-specific sickness absence. Methods We did a multicohort study with individual-level data of participants of four cohorts from the UK, France, and Finland. Participants' responses to a lifestyle survey were linked to records of sickness absence episodes, typically lasting longer than 9 days; for each diagnostic category, the outcome was the total number of sickness absence days per year. We estimated the associations between lifestyle factors and sickness absence by calculating rate ratios for the number of sickness absence days per year and combining cohort-specific estimates with meta-analysis. The criteria for assessing the evidence included the strength of association, consistency across cohorts, robustness to adjustments and multiple testing, and impact assessment by use of population attributable fractions (PAF), with both internal lifestyle factor prevalence estimates and those obtained from European populations (PAF external). Findings For 74 296 participants, during 446 478 person-years at risk, the most common diagnoses for sickness absence were musculoskeletal diseases (70.9 days per 10 person-years), depressive disorders (26.5 days per 10 person-years), and external causes (such as injuries and poisonings; 12.8 days per 10 person-years). Being overweight (rate ratio [adjusted for age, sex, socioeconomic status, and chronic disease at baseline] 1.30, 95% CI 1.21-1.40; PAF external 8.9%) and low physical activity (1.23, 1.14-1.34; 7.8%) were associated with absences due to musculoskeletal diseases; heavy episodic drinking (1.90, 1.41-2.56; 15.2%), smoking (1.70, 1.42-2.03; 11.8%), low physical activity (1.67, 1.42-1.96; 19.8%), and obesity (1.38, 1.11-1.71; 5.6%) were associated with absences due to depressive disorders; heavy episodic drinking (1.64, 1.33-2.03; 11.3%), obesity (1.48, 1.27-1.72; 6.6%), smoking (1.35, 1.20-1.53; 6.3%), and being overweight (1.20, 1.08-1.33; 6.2%) were associated with absences due to external causes; obesity (1.82, 1.40-2.36; 11.0%) and smoking (1.60, 1.30-1.98; 10.3%) were associated with absences due to circulatory diseases; low physical activity (1.37, 1.25-1.49; 12.0%) and smoking (1.27, 1.16-1.40; 4.9%) were associated with absences due to respiratory diseases; and obesity (1.67, 1.34-2.07; 9.7%) was associated with absences due to digestive diseases. Interpretation Lifestyle factors are associated with sickness absence due to several diseases, but observational data cannot determine the nature of these associations. Future studies should investigate the cost-effectiveness of lifestyle interventions aimed at reducing sickness absence and the use of information on lifestyle for identifying groups at risk. 

  • 286.
    Virtanen, Marianna
    et al.
    Finnish Institute of Occupational Health, Helsinki, Finland / Department of Public Health and Caring Sciences, University of Uppsala, Sweden.
    Jokela, Markus
    Institute of Behavioral Sciences, University of Helsinki, Helsinki, Finland.
    Madsen, Ida E. H.
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Magnusson Hanson, Linda L.
    Stress Research Institute, Stockholm University, Stockholm, Sweden.
    Lallukka, Tea
    Finnish Institute of Occupational Health, Helsinki, Finland / Department of Public Health, University of Helsinki, Finland.
    Nyberg, Solja T.
    Department of Public Health, University of Helsinki, Finland.
    Alfredsson, Lars
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden / Centre for Occupational and Environmental Medicine, Stockholm County Council, Sweden.
    Batty, G David
    Department of Epidemiology and Public Health, University College London, United Kingdom.
    Bjorner, Jakob B.
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Borritz, Marianne
    Department of Occupational Medicine, Koge Hospital, Koge, Denmark.
    Burr, Hermann
    Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany.
    Dragano, Nico
    Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.
    Erbel, Raimund
    Department of Cardiology, West-German Heart Center Essen, University Duisburg-Essen, Essen, Germany.
    Ferrie, Jane E.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom / School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom.
    Heikkilä, Katriina
    Department of Health Services and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom.
    Knutsson, Anders
    Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Koskenvuo, Markku
    Department of Public Health, University of Helsinki, Finland.
    Lahelma, Eero
    Department of Public Health, University of Helsinki, Finland.
    Nielsen, Martin L.
    Unit of Social Medicine, Frederiksberg University Hospital, Copenhagen, Denmark.
    Oksanen, Tuula
    Finnish Institute of Occupational Health, Helsinki, Finland.
    Pejtersen, Jan H.
    Danish National Centre for Social Research, Copenhagen, Denmark.
    Pentti, Jaana
    Department of Public Health, University of Helsinki, Finland.
    Rahkonen, Ossi
    Department of Public Health, University of Helsinki, Finland.
    Rugulies, Reiner
    National Research Centre for the Working Environment, Copenhagen, Denmark / Department of Public Health and Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
    Salo, Paula
    Finnish Institute of Occupational Health, Helsinki, Finland / Department of Psychology, University of Turku, Turku, Finland.
    Schupp, Jürgen
    German Institute for Economic Research, Berlin, Germany / Free University of Berlin, Berlin, Germany.
    Shipley, Martin J.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Siegrist, Johannes
    Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.
    Singh-Manoux, Archana
    Department of Epidemiology and Public Health, University College London, London, United Kingdom / Centre for Research in Epidemiology and Population Health, Villejuif, France.
    Suominen, Sakari
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Public Health, University of Turku, Turku, Finland / Folkhälsan Research Center, Helsinki, Finland.
    Theorell, Töres
    Stress Research Institute, Stockholm University, Stockholm, Sweden.
    Vahtera, Jussi
    Department of Public Health, University of Turku, Turku, Finland / Turku University Hospital, Turku, Finland.
    Wagner, Gert G.
    German Institute for Economic Research, Berlin, Germany / Max Planck Institute for Human Development, Berlin, Germany / Berlin University of Technology, Berlin, Germany.
    Wang, Jian Li
    University of Ottawa Institute of Mental Health Research, School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, Ottawa, Canada.
    Yiengprugsawan, Vasoontara
    Centre for Research on Ageing, Health and Wellbeing and the ARC Centre of Excellence on Population Ageing Research, The Australian National University, Canberra, Australia.
    Westerlund, Hugo
    Stress Research Institute, Stockholm University, Stockholm, Sweden.
    Kivimäki, Mika
    Finnish Institute of Occupational Health, Helsinki, Finland / Department of Public Health, University of Helsinki, Finland / Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Long working hours and depressive symptoms: systematic review and meta-analysis of published studies and unpublished individual participant data2018Ingår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 44, nr 3, s. 239-250, artikel-id 3712Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Objectives This systematic review and meta-analysis combined published study-level data and unpublished individual-participant data with the aim of quantifying the relation between long working hours and the onset of depressive symptoms. Methods We searched PubMed and Embase for published prospective cohort studies and included available cohorts with unpublished individual-participant data. We used a random-effects meta-analysis to calculate summary estimates across studies. Results We identified ten published cohort studies and included unpublished individual-participant data from 18 studies. In the majority of cohorts, long working hours was defined as working ≥55 hours per week. In multivariable-adjusted meta-analyses of 189 729 participants from 35 countries [96 275 men, 93 454 women, follow-up ranging from 1-5 years, 21 747 new-onset cases), there was an overall association of 1.14 (95% confidence interval (CI) 1.03-1.25] between long working hours and the onset of depressive symptoms, with significant evidence of heterogeneity (I 2=45.1%, P=0.004). A moderate association between working hours and depressive symptoms was found in Asian countries (1.50, 95% CI 1.13-2.01), a weaker association in Europe (1.11, 95% CI 1.00-1.22), and no association in North America (0.97, 95% CI 0.70-1.34) or Australia (0.95, 95% CI 0.70-1.29). Differences by other characteristics were small. Conclusions This observational evidence suggests a moderate association between long working hours and onset of depressive symptoms in Asia and a small association in Europe.

  • 287.
    Vojdani Moghaddam, Mohammad
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Skyddsfaktorer som påverkar psykisk hälsa och välbefinnande hos ensamkommande barn: En litteraturstudie2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Antalet ensamkommande barn som söker asyl i Europa har ökat de senaste decennier och nådde sin topp hittills år 2015 med 90 000 ensamkommande asylsökande av vilka 35 000 kom till Sverige. Ensamkommande som flydde krig, konflikter och fattigdom. Den långdragna asylprocessen, tillfälliga uppehållstillstånd och tidigare trauman ökar risken av att bland annat drabbas av depression och PTSD. Trots det finns det ensamkommande barn som lyckas motstå olika påfrestningar. Syfte: Syftet med denna uppsats var att belysa skyddsfaktorer som främjar psykisk hälsa och välbefinnande hos ensamkommande barn. Metod: Denna studie är en systematisk litteraturstudie där 16 vetenskapliga artiklar har ingått i analysen. Resultat: Fyra teman identifierades som skyddsfaktorer; Socialt stöd, motivation, religion och distraktion. Socialt stöd visade sig vara bland det viktigaste skyddsfaktor för ensamkommande barns psykisk hälsa och välbefinnande. Diskussion: Resultatet av denna studie visade att ensamkommande trots svårigheter som de har genomgått, har styrkor och strategier som hjälper dem att gå vidare och kämpa i sina liv. Studien visade även vikten av att skapa trygga relationer och att få stöd av förtroende personer i ensamkommande barns omgivning. Denna studie kan med fördel förse aktörer som direkt eller indirekt berör ensamkommande barns situation, med kunskap och förståelse vilket kan förhoppningsvis bidra till ökad mental hälsa och välbefinnande hos ensamkommande barn.

  • 288.
    Volanen, Salla-Maarit
    et al.
    Folkhälsan Research Center, Helsinki, Finland / Clinicum, Department of Public Health, University of Helsinki, Finland.
    Lassander, Maarit
    Institute of Behavioural Sciences, University of Helsinki, Finland.
    Hankonen, Nelli
    Social Psychology Unit, Faculty of Social Sciences, University of Helsinki, Finland.
    Santalahti, Päivi
    National Institute for Health and Welfare, Finland.
    Hintsanen, Mirka
    Unit of Psychology, University of Oulu, Finland.
    Simonsen, Nina
    Folkhälsan Research Center, Helsinki, Finland / Clinicum, Department of Public Health, University of Helsinki, Finland.
    Raevuori, Anu H.
    Clinicum, Department of Public Health, University of Helsinki, Finland / Department of Adolescent Psychiatry, Helsinki University Central Hospital, Finland / Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Helsinki, Finland.
    Mullola, Sari
    Institute of Behavioural Sciences, University of Helsinki, Finland / Department of Teacher Education, University of Helsinki, Finland.
    Vahlberg, Tero Juhani
    Department of Biostatistics, University of Turku, Finland.
    But, Anna
    Clinicum, Department of Public Health, University of Helsinki, Finland.
    Suominen, Sakari
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Public Health, University of Turku, Finland.
    Healthy learning mind – Effectiveness of a mindfulness program on mental health compared to a relaxation program and teaching as usual in schools: A cluster-randomised controlled trial2020Ingår i: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 260, s. 660-669Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Mindfulness-Based Interventions (MBIs) have shown promising effects on mental health among children and adolescents, but high-quality studies examining the topic are lacking. The present study assessed the effects of MBI on mental health in school-setting in an extensive randomised controlled trial. Methods: Finnish school children and adolescents (N = 3519), aged 12–15 years (6th to 8th graders), from 56 schools were randomized into a 9 week MBI group, and control groups with a relaxation program or teaching as usual. The primary outcomes were resilience, socio-emotional functioning, and depressive symptoms at baseline, at completion of the programs at 9 weeks (T9), and at follow-up at 26 weeks (T26). Results: Overall, mindfulness did not show more beneficial effects on the primary outcomes compared to the controls except for resilience for which a positive intervention effect was found at T9 in all participants (β=1.18, SE 0.57, p = 0.04) as compared to the relaxation group. In addition, in gender and grade related analyses, MBI lowered depressive symptoms in girls at T26 (β=−0.49, SE 0.21, p = 0.02) and improved socio-emotional functioning at T9 (β=−1.37, SE 0.69, p = 0.049) and at T26 (β=−1.71, SE 0.73, p = 0.02) among 7th graders as compared to relaxation. Limitations: The inactive control group was smaller than the intervention and active control groups, reducing statistical power. Conclusions: A short 9-week MBI in school-setting provides slight benefits over a relaxation program and teaching as usual. Future research should investigate whether embedding regular mindfulness-based practice in curriculums could intensify the effects. 

  • 289.
    Volanen, Salla-Maarit
    et al.
    Folkhälsan Research Center, Helsinki, Finland / Department of Public Health, University of Helsinki, Helsinki, Finland.
    Lassander, Maarit
    Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland.
    Hankonen, Nelli
    School of Social Sciences and Humanities, University of Tampere, Tampere, Finland.
    Santalahti, Päivi
    National Institute for Health and Welfare, Helsinki, Finland.
    Hintsanen, Mirka
    Unit of Psychology, University of Oulu, Oulu, Finland.
    Simonsen, Nina
    Folkhälsan Research Center, Helsinki, Finland / Department of Public Health, University of Helsinki, Helsinki, Finland.
    Raevuori, Anu
    Department of Public Health, University of Helsinki, Helsinki, Finland / Department of Adolescent Psychiatry, Helsinki University Central Hospital, Helsinki, Finland / Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Helsinki, Finland.
    Mullola, Sari
    Institute of Behavioural Sciences, University of Helsinki, Helsinki, Finland / Department of Teacher Education, University of Helsinki, Helsinki, Finland.
    Vahlberg, Tero
    Department of Biostatistics, University of Turku, Turku, Finland.
    But, Anna
    Department of Public Health, University of Helsinki, Helsinki, Finland.
    Suominen, Sakari
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Folkhälsan Research Center, Helsinki, Finland / Department of Public Health, University of Turku, Turku, Finland.
    Healthy Learning Mind - a school-based mindfulness and relaxation program: a study protocol for a cluster randomized controlled trial2016Ingår i: BMC Psychology, E-ISSN 2050-7283, Vol. 4, artikel-id 35Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Mindfulness has shown positive effects on mental health, mental capacity and well-being among adult population. Among children and adolescents, previous research on the effectiveness of mindfulness interventions on health and well-being has shown promising results, but studies with methodologically sound designs have been called for. Few intervention studies in this population have compared the effectiveness of mindfulness programs to alternative intervention programs with adequate sample sizes.

    METHODS/DESIGN: Our primary aim is to explore the effectiveness of a school-based mindfulness intervention program compared to a standard relaxation program among a non-clinical children and adolescent sample, and a non-treatment control group in school context. In this study, we systematically examine the effects of mindfulness intervention on mental well-being (primary outcomes being resilience; existence/absence of depressive symptoms; experienced psychological strengths and difficulties), cognitive functions, psychophysiological responses, academic achievements, and motivational determinants of practicing mindfulness. The design is a cluster randomized controlled trial with three arms (mindfulness intervention group, active control group, non-treatment group) and the sample includes 59 Finnish schools and approx. 3 000 students aged 12-15 years. Intervention consists of nine mindfulness based lessons, 45 mins per week, for 9 weeks, the dose being identical in active control group receiving standard relaxation program called Relax. The programs are delivered by 14 educated facilitators. Students, their teachers and parents will fill-in the research questionnaires before and after the intervention, and they will all be followed up 6 months after baseline. Additionally, students will be followed 12 months after baseline. For longer follow-up, consent to linking the data to the main health registers has been asked from students and their parents.

    DISCUSSION: The present study examines systematically the effectiveness of a school-based mindfulness program compared to a standard relaxation program, and a non-treatment control group. A strength of the current study lies in its methodologically rigorous, randomized controlled study design, which allows novel evidence on the effectiveness of mindfulness over and above a standard relaxation program.

    TRIAL REGISTRATION: ISRCTN18642659 . Retrospectively registered 13 October 2015.

  • 290.
    Vuorio, Tina
    et al.
    Department of Family Medicine, Institute of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland.
    Suominen, Sakari
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande. Department of Public Health, University of Turku, Turku, Finland.
    Kautiainen, Hannu
    Folkhälsan Research Center, Helsinki, Finland / Unit of Primary Health Care, Kuopio University Hospital, Kuopio, Finland.
    Korhonen, Päivi
    Department of Family Medicine, Institute of Clinical Medicine, University of Turku and Turku University Hospital, Turku, Finland / Health Center of Harjavalta, Central Satakunta Health Federation of Municipalities, Harjavalta, Finland.
    Determinants of sickness absence rate among Finnish municipal employees2019Ingår i: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 37, nr 1, s. 3-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: In addition to acute health problems, various aspects of health behavior, work-related and sociodemographic factors have been shown to influence the rate of sickness absence. The aim of this study was to concomitantly examine factors known to have an association with absenteeism. We hypothesized the prevalence of chronic diseases being the most important factor associated with sickness absence. Design: A cross-sectional study. Setting: Occupational health care in the region of Pori, Finland. Subjects: 671 municipal employees (89% females) with a mean age of 49 (SD 10) years. Information about the study subjects was gathered from medical records, by physical examination and questionnaires containing information about physical and mental health, health behavior, work-related and sociodemographic factors. The number of sickness absence days was obtained from the records of the city of Pori. Main outcome measures: The relationship of absenteeism rate with sociodemographic, health- and work-related risk factors. Results: In the multivariate analysis, the mean number of chronic diseases (IRR 1.24, 95% CI 1.13 to 1.36), work ability (IRR 0.83, 95% CI 0.76 to 0.91), and length of years in education (IRR 0.90, 95% CI 0.85 to 0.95) remained as independent factors associated with absenteeism. Conclusion: According to our results, chronic diseases, self-perceived work ability and length of years in education are the most important determinants of the rate of sickness absence. This implies that among working-aged people the treatment of chronic medical conditions is also worth prioritizing, not only to prevent complications, but also to avoid sickness absences. KEY POINTS Various sociodemographic, health- and work- related risk factors have been shown to influence sickness absence. The study aimed to find the most important determinants of absenteeism among several known risk factors in Finnish municipal employees. Chronic diseases, self-perceived work ability and education years remained as the most important determinants of sickness absence rates. Treatment of chronic medical conditions should be prioritized in order to reduce sickness absence rate. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

  • 291.
    Waldholm, Therese
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Är fysisk aktivitet lösningen på framtidens sömnlöshetsproblem?: En systematisk litteraturstudie2018Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Inledning: Sömnlöshet (insomni) är ett stort och växande folkhälsoproblem för den vuxna befolkningen. I dagsläget rekommenderas läkemedel och kognitiv beteendeterapi som behandling för diagnosen, men inga särskilda vetenskapliga rekommendationer finns i syfte att förebygga insomni. Forskning visar att individers levnadsvanor verkar som bestämningsfaktorer för deras sömnkvalitet, men ännu bedöms området vara relativt outforskat. Syfte: Denna studie syftade till att undersöka om fysisk aktivitet kan förebygga kronisk sömnlöshet och sömnlöshetssymtom hos den vuxna befolkningen. Metod: Systematiskt litteraturstudie i PubMed. Resultat: Fysisk aktivitet visade sig vara associerat med kronisk insomni och sömnlöshetssymtom, och föreningen påverkades emellertid av individens body mass indiex. Skillnader beträffande intensitetsnivåer och form av fysisk aktivitet observerades både mellan könen och i olika åldersgrupper. Diskussion: Förskrivning av fysisk aktivitet på recept i förebyggande syfte för individer i riskgrupp för sömnlöshet, eller i behandlingssyfte för lidande patienter, utgör en potentiell framtida folkhälsosatsning av sömnlöshet, men kostnadseffektivitet måste utvärderas.

  • 292.
    Wamala, Sarah
    et al.
    Centre for Public Health, Stockholms Läns Landsting and Karolinska Institutet, Stockholm, Sweden.
    Boström, Gunnel
    Swedish National Institute of Public Health, Stockholm, Sweden.
    Akhavan, Sharareh
    Högskolan i Skövde, Institutionen för vård och natur.
    Bildt, Carina
    Gotland University College and Karolinska Institutet, Stockholm, Sweden.
    Does socioeconomic disadvantage explain why immigrants in Sweden refrain from seeking the needed medical treatment?2007Ingår i: Italian Journal of Public Health, ISSN 1723-7807, E-ISSN 1723-7815, Vol. 4, nr 3, s. 227-233Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: For the last 20 years, Sweden has changed from a homogeneous to multicultural society with about 20% of immigrants born in other countries. The existing Swedish studies have not shown coherent results on how access to health care services varies by ethnicity. The aim of this paper was to analyze the association between country of birth and refraining from seeking medical treatment and whether socioeconomic disadvantage modifies this association.Methods: Cross-sectional Swedish National Survey of Public Health 2004. A population-based sample comprising of 14,732 men (1,382 immigrants) and 17,115 women (1,717 immigrants) aged 21 to 84 years. Country of birth was categorised as being born in Sweden, other OECD countries or other countries (non-OECD). The main outcome was the self-reporting of refraining from seeking medical treatment during the past three months. Data was collected within a three-month period during the spring of 2004 and was based on a postal self-administered questionnaire linked to registry data from Statistics Sweden. The nonresponse rate was 37%.Main results: In spite of the fact that immigrants reported poorer health status, they were more likely to refrain from seeking medical treatment as compared to Swedish-born residents (odds for immigrants from other OECD countries were ORmen = 2.2, 95% CI 1.8-2.6 and ORwomen = 1.8, 95% CI 1.5-2.1 and forimmigrants from other countries (ORmen = 3.1, 95% CI 2.4-3.4 and ORwomen = 2.3, 95% CI 1.8-2.9). Socioeconomic disadvantage (SDI) did not explain why immigrants fromother OECD countries had increased odds for refraining fromseekingmedical treatment. However SDI explained about 20%of the increased odds for refraining from seeking medical treatment among immigrants from other (non-OECD) countries.Conclusions: Socioeconomic disadvantage does not fully explain why immigrants refrain from seeking medical treatment. Public health strategies towards the goal “care on equal terms” cannot be achieved without addressing wider socioeconomic determinants including interactions between class and ethnicity.

  • 293.
    Wang, Shu Mei
    et al.
    Key Laboratory of Public Health Safety, School of Public Health, Fudan University, China.
    Zou, Jin Liang
    Key Laboratory of Public Health Safety, School of Public Health, Fudan University, China.
    Gifford, Mervyn
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Dalal, Koustuv
    School of Health & Medical Sciences, Department of Public Health Science, Örebro University, Sweden.
    Young students' knowledge and perception of health and fitness: A study in Shanghai, China2014Ingår i: Health Education Journal, ISSN 0017-8969, E-ISSN 1748-8176, Vol. 73, nr 1, s. 20-27Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: This study investigated how young urban students conceptualize health and fitness and tried to identify their sources of information about health-related issues. The findings are intended to help make suggestions for policy makers to design and develop effective health-education strategies. Methods: Focus group discussions (FGDs) of 20 groups, each comprised of eight 10th-grade students, were carried out. In total 160 students participated in the FGDs. Results: Young students' knowledge and perceptions about health and fitness had certain limitations, although most of the students emphasized the importance of good health and felt that they knew the meaning of health and fitness. They were most concerned with physical health and failed to consider other aspects of health such as mental/psychological, behavioural and social aspects. This represents a lack of awareness of contemporary conceptions of health and illness. Conclusion: These findings are important when considering the design of effective high school health education strategies that meet state content standards and for influencing students to continue participating in health-promoting activities.

  • 294.
    Wegefelt, Linda
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Vuxnas uppfattning om att använda digitala verktyg inom området fysisk aktivitet2018Studentuppsats (Examensarbete)
    Abstract [sv]

    Introduktion: Tillgång till stöd är väsentligt för att motverka fysisk inaktivitet som är ettomfattande folkhälsoproblem. Digitala verktyg har potential att öka aktivitetsnivån och ettintresse har väckts för att undersöka vuxnas uppfattning av sådan användning.Syfte: Syftet är att beskriva vuxna människors uppfattning av främjande respektivehämmande faktorer i digitala verktyg på området av fysisk aktivitet.Metod: En systematisk litteraturstudie med grund i kvalitativ forskning genomfördes iPubMed där 15 stycken artiklar kom att analyseras i en beskrivande syntes.Resultat: Resultatet indikerar att människor upplever möjligheten till målsättningar, tävlingoch stöd i digitala verktyg som främjande. Tekniska hinder och otillräcklig personliganpassning anses istället vara hämmande för användandet.Diskussion: Kommunikation och stöd online innebär ett relativt nytt sätt att erhålla stöd. Att iframtiden inkludera digitala verktyg i hälso- och sjukvården kan ses innebära storamöjligheter för såväl individ som vårdgivare till insyn och kontroll över den egna hälsan. Urett folkhälsoperspektiv blir ett fokus på tillgänglighet och personlig anpassning särskiltbetydelsefullt.

  • 295.
    Weimann, Hanna
    et al.
    Lund Univ, Div Occupat & Environm Med, S-22185 Lund, Sweden.
    Björk, Jonas
    Lund Univ, Div Occupat & Environm Med, S-22185 Lund, Sweden.
    Rylander, Lars
    Lund Univ, Div Occupat & Environm Med, S-22185 Lund, Sweden.
    Bergman, Patrick
    Linnaeus Univ, Dept Sport Sci, Kalmar, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Neighborhood environment and physical activity among young children: A cross-sectional study from Sweden2015Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, nr 3, s. 283-293Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims: The aims of this study were to investigate the association between the neighbourhood environment and physical activity among young children in a Scandinavian setting, and to assess the influences of seasonal variations, age, sex and parental education. Methods: Physical activity was assessed with an accelerometer and neighbourhood resources were estimated using geographic information systems for 205 Swedish children aged 4-11 years. Neighbourhood resources were generated as the sum of three neighbourhood attributes: (a) foot and bike paths, (b) non-restricted destinations and (c) recreational area, all within 300 m of each child's home. Physical activity was assessed as: (a) total volume of physical activity (i.e. counts per minute), (b) sedentary time and (c) moderate to vigorous physical activity (MVPA). The association between neighbourhood resources and physical activity was analysed using mixed linear models weighted by measurement time and adjusted for sex, age, season of activity measurement, type of housing and parental education. Results: Children were more physically active in areas with intermediate access to neighbourhood resources for physical activity compared to areas with worst access, while the difference between intermediate and best neighbourhood resource areas was less clear. The association between physical activity and neighbourhood resources was weaker than with seasonal variations but compatible in magnitude with sex, age, type of housing and parental education. Among specific neighbourhood attributes, the amount of foot and bike paths was associated with less sedentary time and more MVPA. Conclusions:This study provides some, not entirely consistent, evidence overall for an association between the neighbourhood environment and physical activity among young children in Scandinavia.

  • 296.
    Westman, Jolin
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Skiftarbetes inverkan på sjuksköterskors hälsa: En litteraturstudie2016Självständigt arbete på grundnivå (högskoleexamen), 5 poäng / 7,5 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Inledning: Skiftarbete påverkar dygnsrytmen. Vid, exempelvis, nattarbete störs dygnsrytmen, något som kan medföra negativa effekter på hälsan, sjuksköterskor är en speciellt utsatt gruppinom vården då de ofta arbetar skift.Syfte: Syftet med litteraturstudien var att utforska hur sjuksköterskor påverkas av skiftarbete och vilka effekter skiftarbete kan ha på sjuksköterskors hälsa.Metod:Arbetet genomfördes som en litteraturstudie med ett systematiskt tillvägagångssätt, där 10 vetenskapliga artiklar valdes ut från databaserna Academic Search Elite, CINAHL och MEDLINE. De granskades, analyserades, resultat sammanfattades och slutsatser drogs.Resultat: Många sjuksköterskor, ofta oberoende av vilken typ av skiftarbete de har, lider av bland annat sömnlöshet, trötthet, utmattning och mag-och tarmproblem. För kort vila mellan arbetspassen och arbetsbörda nämns i flera artiklar som bidragande orsaker till problemen.Diskussion: För kort vila mellan arbetspassen kan vara en stor bidragande orsak till problemen, dygnsrytm och skiftarbete i sig kanske inte påverkar hälsan lika negativt som kort vila och för lite tid för återhämtning.

  • 297.
    Wiberger, Maja
    et al.
    Univ Gothenburg, Dept Publ Hlth Epidemiol & Community Med, SE-40530 Gothenburg, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth Epidemiol & Community Med, SE-40530 Gothenburg, Sweden.
    Lisner, Lauren
    Univ Gothenburg, Dept Publ Hlth Epidemiol & Community Med, SE-40530 Gothenburg, Sweden.
    Mehlig, Kirsten
    Univ Gothenburg, Dept Publ Hlth Epidemiol & Community Med, SE-40530 Gothenburg, Sweden.
    Papoutsou, Stalo
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Hunsberger, Monica
    Univ Gothenburg, Dept Publ Hlth Epidemiol & Community Med, SE-40530 Gothenburg, Sweden.
    Children consuming milk cereal drink are at increased risk for overweight: The IDEFICS Sweden study, on behalf of the IDEFICS Consortium2014Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 42, nr 6, s. 518-524Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims: The aims of this study were to characterize milk cereal drink (MCD) consumption among Swedish children and to investigate the association between MCD and overweight in a longitudinally followed cohort of children over 2 years of age. Methods: In the Swedish cohort from IDEFICS (Identification and prevention of Dietary-and lifestyle-induced health EFfects In Children and infantS) we examined early feeding practices and weight status when children were aged 2-9 years (2007/2008) and at 2-year follow-up. Weight and height were measured at both time points in 1077 children. Characteristics of MCD consumers were explored with logistic regression. Body mass index (BMI) z-scores at both time points and weight status at follow-up were regressed on explanatory factors using mixed linear and logistic regression, respectively. Results: Nearly 69% of children had consumed MCD. The MCD consumers were more likely than never-consumers to have two native Swedish parents, parents with less than 2 years of post-secondary education, and a shorter period of breastfeeding. MCD consumers had a higher BMI z-score at follow-up compared with baseline (difference in BMI z-score=0.12, 95% confidence interval (CI)= 0.07, 0.17), while the average BMI z-score in non-consumers remained stable over time (0.00, 95% CI= -0.07, 0.07). MCD consumers were nearly five times more likely than non-consumers to become overweight during the follow-up (odds ratio (OR)= 4.78, 95% CI= 1.68, 13.59), independent of breastfeeding. Conclusions: MCD was consumed by the majority of children in this study. MCD consumption is associated with an increased risk for overweight and less exposure to breastfeeding. Our findings motivate future research aimed at investigating how MCD should be recommended.

  • 298.
    Wolters, M.
    et al.
    Leibniz Inst Prevent Res & Epidemiol BIPS, D-28359 Bremen, Germany.
    Schlenz, H.
    Leibniz Inst Prevent Res & Epidemiol BIPS, D-28359 Bremen, Germany.
    Foraita, R.
    Leibniz Inst Prevent Res & Epidemiol BIPS, D-28359 Bremen, Germany.
    Galli, C.
    Univ Milan, Dept Pharmacol & Biomol Sci, DiSFeB, Milan, Italy.
    Rise, P.
    Univ Milan, Dept Pharmacol & Biomol Sci, DiSFeB, Milan, Italy.
    Moreno, L. A.
    Univ Zaragoza, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    Molnar, D.
    Univ Pecs, Natl Inst Hlth Promot, Pecs, Hungary.
    Russo, P.
    CNR, Inst Food Sci, Epidemiol & Populat Genet, Avellino, Italy.
    Veidebaum, T.
    Natl Inst Hlth Dev, Dept Chron Dis, Tallinn, Estonia.
    Tornaritis, M.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Vyncke, K.
    Univ Ghent, Dept Publ Hlth, Fac Med & Hlth Sci, B-9000 Ghent, Belgium.
    Eiben, Gabriele
    Queen Silvia Childrens Hosp, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Iacoviello, L.
    IRCCS Ist Neurol Mediterraneo Neuromed, Dept Epidemiol & Prevent, Lab Mol & Nutr Epidemiol, Pozzilli, Italy.;Casa Cura Montevergine, Lab Cardiovasc & Neurovasc Epidemiol, Mercogliano, Italy.
    Ahrens, W.
    Leibniz Inst Prevent Res & Epidemiol BIPS, D-28359 Bremen, Germany.;Univ Bremen, Fac Math & Comp Sci, Inst Stat, D-28359 Bremen, Germany.
    Reference values of whole-blood fatty acids by age and sex from European children aged 3-8 years2014Ingår i: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 38, s. S86-S98Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To establish reference values for fatty acids (FA) especially for n-3 and n-6 long-chain polyunsaturated FAs (LC PUFA) in whole-blood samples from apparently healthy 3-8-year-old European children. The whole-blood FA composition was analysed and the age-and sex-specific distribution of FA was determined. DESIGN AND SUBJECTS: Blood samples for FA analysis were taken from 2661 children of the IDEFICS (identification and prevention of dietary-and lifestyle-induced health effects in children and infants) study cohort. Children with obesity (n = 454) and other diseases that are known to alter the FA composition (n = 450) were excluded leaving 1653 participants in the reference population. MEASUREMENTS: The FA composition of whole blood was analysed from blood drops by a rapid, validated gas chromatographic method. RESULTS: Pearson correlation coefficients showed an age-dependent increase of C18:2n-6 and a decrease of C18:1n-9 in a subsample of normal weight boys and girls. Other significant correlations with age were weak and only seen either in boys or in girls, whereas most of the FA did not show any age dependence. For age-dependent n-3 and n-6 PUFA as well as for other FA that are correlated with age (16:0, C18:0 and C18:1n-9) percentiles analysed with the general additive model for location scale and shape are presented. A higher median in boys than in girls was observed for C20:3n-6, C20:4n-6 and C22:4n-6. CONCLUSIONS: Given the reported associations between FA status and health-related outcome, the provision of FA reference ranges may be useful for the interpretation of the FA status of children in epidemiological and clinical studies.

  • 299.
    Wolters, Maike
    et al.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Boernhorst, Claudia
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Schwarz, Heike
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Rise, Patrizia
    Univ Milan, Dept Pharmacol & Biomol Sci, DiSFeB, Milan, Italy.
    Galli, Claudio
    Univ Milan, Dept Pharmacol & Biomol Sci, DiSFeB, Milan, Italy.
    Moreno, Luis A.
    Univ Zaragoza, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    Pala, Valeria
    Fdn IRCCS Ist Nazl Tumori, Dept Prevent & Predict Med, Epidemiol & Prevent Unit, Milan, Italy.
    Russo, Paola
    CNR, Inst Food Sci, Epidemiol & Populat Genet, Avellino, Italy.
    Veidebaum, Toomas
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Tornaritis, Michael
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Fraterman, Arno
    Med Versorgungszentrum Dr Eberhard & Partner Dort, Lab Med, Dortmund, Germany.
    De Henauw, Stefaan
    Univ Ghent, Fac Med & Hlth Sci, Dept Publ Hlth, Ghent, Belgium.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Epidemiol & Social Med, Gothenburg, Sweden.
    Lissner, Lauren
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Epidemiol & Social Med, Gothenburg, Sweden.
    Molnar, Denes
    Univ Pecs, Natl Inst Hlth Promot, Pecs, Hungary.
    Ahrens, Wolfgang
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat, Fac Math & Comp Sci, Bremen, Germany.
    Association of desaturase activity and C-reactive protein in European children2017Ingår i: Pediatric Research, ISSN 0031-3998, E-ISSN 1530-0447, Vol. 81, nr 1, s. 27-32Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Desaturase enzymes influence the fatty acid (FA) composition of body tissues and their activity affects the conversion rate of saturated to monounsaturated FA and of polyunsaturated FA (PUFA) to long-chain PUFA. Desaturase activity has further been shown to be associated with inflammation. We investigate the association between delta-9 (D9D), delta-6 (D6D) and delta-5 desaturase (D5D) activity and high sensitive C-reactive protein (CRP) in young children. METHODS: In the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) cohort study children were examined at baseline (TO) and after 2 y (T1). D9D, D6D, and D5D activities were estimated from TO product-precursor FA ratios. CRP was measured at TO and T1. In a subsample of 1,943 children with available information on FA, CRP, and covariates, the cross-sectional and longitudinal associations of desaturase activity and CRP were analyzed. RESULTS: Cross-sectionally, a D9D increase of 0.01 units was associated with a 11% higher risk of having a serum CRP Percentile 75 (P75) (OR, 99% CI: 1.11 (1.01; 1.22)) whereas D6D and D5D were not associated with CRP. No significant associations were observed between baseline desaturase activity and CRP 2 y later. CONCLUSION: Cross-sectionally, our results indicate a positive association of D9D and CRP independent of weight status. High D9D activity may increase the risk of subclinical inflammation which is associated with metabolic disorders. As D9D expression increases with higher intake of saturated FA and carbohydrates, dietary changes may influence D9D activity and thus CRP. However, it remains to be investigated whether there is a causal relationship between D9D activity and CRP.

  • 300.
    Wongsala, Manothai
    et al.
    Mälardalen University.
    Anbäcken, Els-Marie
    Mälardalen University.
    Rosendahl, Sirpa
    Högskolan i Skövde, Institutionen för hälsa och lärande. Högskolan i Skövde, Forskningsspecialiseringen Hälsa och Lärande.
    Lomwong Saansook: Improving Health, Participation and Security Among Thai Older Adults Using PDSA Wheel2019Konferensbidrag (Refereegranskat)
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