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Andersson, Agneta
Publications (10 of 65) Show all publications
Liljeberg, E., Andersson, A. & Nydahl, M. (2019). Factors associated with adherence to oral nutritional supplements among free-living hospital outpatients. In: Journal of Parenteral and Enteral Nutrition (Ed.), ASPEN 2019 Nutrition Science and Practice Conference: Phoenix, Arizona 23-26 March, 2019: Vars Candidates, Trainee Awards, Best of ASPEN (Topic Awards), International Awards, Abstracts of Distinction, Posters of Distinction and Other Abstracts. Paper presented at ASPEN 2019 Nutrition Science and Practice Conference: Phoenix, Arizona 23-26, 2019 (pp. 445-445). , 43, Article ID 10.1002/jpen.1511.
Open this publication in new window or tab >>Factors associated with adherence to oral nutritional supplements among free-living hospital outpatients
2019 (English)In: ASPEN 2019 Nutrition Science and Practice Conference: Phoenix, Arizona 23-26 March, 2019: Vars Candidates, Trainee Awards, Best of ASPEN (Topic Awards), International Awards, Abstracts of Distinction, Posters of Distinction and Other Abstracts / [ed] Journal of Parenteral and Enteral Nutrition, 2019, Vol. 43, p. 445-445, article id 10.1002/jpen.1511Conference paper, Oral presentation with published abstract (Other academic)
Keywords
Malnutrition, oral nutritional supplements, adherence
National Category
Nutrition and Dietetics
Research subject
Nutrition
Identifiers
urn:nbn:se:uu:diva-380585 (URN)10.1002/jpen.1511 (DOI)
Conference
ASPEN 2019 Nutrition Science and Practice Conference: Phoenix, Arizona 23-26, 2019
Funder
Swedish Nutrition Foundation (SNF)
Available from: 2019-03-29 Created: 2019-03-29 Last updated: 2019-03-29
Liljeberg, E., Andersson, A., Malmberg, K. B. & Nydahl, M. (2019). High adherence to oral nutrition supplements prescribed by dietitians:: A cross‐sectional study on hospital outpatients. Nutrition in clinical practice
Open this publication in new window or tab >>High adherence to oral nutrition supplements prescribed by dietitians:: A cross‐sectional study on hospital outpatients
2019 (English)In: Nutrition in clinical practice, ISSN 0884-5336Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: This study aimed to assess adherence to oral nutrition supplements (ONS) among hospital outpatients and to assess patient characteristics, experiences of ONS, and the characteristics of ONS prescriptions in clinical practice.

Methods: Hospital outpatients aged 18 years and prescribed ONS by a dietitian at a Swedish hospital were referred to the study from September 2016 to February 2017. Data were collected from structured telephone interviews, medical records, and a register of ONS delivered. Adherence to ONS was measured by dividing self-reported intake of ONS (frequency question and 24-hour recall question) by the amount prescribed and using the medication possession ratio (MPR).

Results: Of the 96 patients included (mean age 67±13 years), 52% were male. The 2 most frequent medical diagnoses were malignancy and digestive system disease. Mean adherence to ONS was 93% measured by the frequency question, 87% measured by the 24-hour recall question, and 76% according to MPR. The majority of the patients (83%) were prescribed 1–3 bottles of ONS/day. The average number of flavors of ONS delivered was 4.2. Before prescription, 69% of the patients had been allowed to taste the ONS and 92% had chosen the flavors to be prescribed. Over 75% liked the taste of the ONS and considered them to be good for their health.

Conclusions: Adherence to ONS was high in this population, which might be explained by the individual tailoring of ONS prescriptions by a dietitian, positive experiences of ONS, and the relatively young mean age of the participants.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
malnutrition, medical nutrition therapy, oral nutrition supplement, adherence
National Category
Nutrition and Dietetics
Research subject
Food, Nutrition and Dietetics; Nutrition
Identifiers
urn:nbn:se:uu:diva-373561 (URN)10.1002/ncp.10243 (DOI)
Funder
Swedish Nutrition Foundation (SNF)
Available from: 2019-01-15 Created: 2019-01-15 Last updated: 2019-04-26Bibliographically approved
Liljeberg, E., Andersson, A. & Nydahl, M. (2018). Adherence to oral nutritional supplements among hospital outpatients. In: : . Paper presented at ESPEN Congress on Clinical Nutrition and Metabolism, Madrid, 1-4 September, 2018..
Open this publication in new window or tab >>Adherence to oral nutritional supplements among hospital outpatients
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract
Keywords
Oral nutritional supplements, malnutrition, adherence
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-359916 (URN)
Conference
ESPEN Congress on Clinical Nutrition and Metabolism, Madrid, 1-4 September, 2018.
Funder
Swedish Nutrition Foundation (SNF)
Available from: 2018-09-07 Created: 2018-09-07 Last updated: 2018-09-10
Liljeberg, E., Andersson, A., Lövestam, E. & Nydahl, M. (2018). Incomplete descriptions of oral nutritional supplement interventions in reports of randomised controlled trials. Clinical Nutrition, 37(1), 61-71
Open this publication in new window or tab >>Incomplete descriptions of oral nutritional supplement interventions in reports of randomised controlled trials
2018 (English)In: Clinical Nutrition, ISSN 0261-5614, E-ISSN 1532-1983, Vol. 37, no 1, p. 61-71Article in journal (Refereed) Published
Abstract [en]

Background & aims

The effects of oral nutritional supplements (ONS) have been evaluated in several clinical trials and more studies have been requested. To facilitate replication, support accurate evaluations of research results and avoid research waste, high quality reporting of interventions in clinical trials is needed. The aim of this study is to assess the quality of reporting of interventions in publications describing randomised controlled trials of ONS in populations with malnutrition or at nutritional risk.

Methods

The PubMed database was searched for articles describing ONS trials published between January 2002 and December 2015. The quality of intervention descriptions was evaluated using the Template for Intervention Description and Replication (TIDieR) checklist and guide, which contains twelve items. Articles published before and after 2011 were compared.

Results

Of 76 articles identified, only 3% reported all TIDieR items in sufficient detail. The most frequently missing elements were descriptions of the intervention procedures (e.g. how the ONS were to be taken and if participants were given a choice of flavours), which were adequately presented in only 26% of the articles. Less than half of the articles included a description of the intervention provider and sufficient information about the location(s) for the intervention. Information about adherence and mode of delivery was reported in 60–65% of the articles. Most frequently reported, in >70% of the articles, were items regarding the brief name of the intervention, the rationale for the intervention and the materials used (i.e. information about the specific ONS product(s) administered). The reporting quality for two of the items (materials and provider) was higher in articles published after 2011.

Conclusions

The quality of reporting of ONS interventions was found to be poor. The descriptions mostly lacked information about intervention procedures, provider and location(s). A moderately higher reporting quality was observed in articles published after 2011. These findings imply that an improvement in the descriptions of ONS interventions is required in future clinical trials of malnutrition treatment.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Oral Nutritional Supplements, Reporting quality, Malnutrition
National Category
Nutrition and Dietetics
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-319841 (URN)10.1016/j.clnu.2017.03.024 (DOI)000425564200005 ()28390844 (PubMedID)
Available from: 2017-04-10 Created: 2017-04-10 Last updated: 2018-08-22Bibliographically approved
Andersson, A. & Martin, L. (2018). Specialistkompetens - professionskvalitet och karriärsutveckling: Hur står vi oss gentemot övrig hälso- och sjukvårdspersonal?. Dietistaktuellt, XXVII(4), 36-43
Open this publication in new window or tab >>Specialistkompetens - professionskvalitet och karriärsutveckling: Hur står vi oss gentemot övrig hälso- och sjukvårdspersonal?
2018 (Swedish)In: Dietistaktuellt, ISSN 1102-9285, Vol. XXVII, no 4, p. 36-43Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Bjuv: , 2018
Keywords
dietist, hälso- och sjukvårdspersonal, specialistkompetens, legitimationsyrke
National Category
Learning Nutrition and Dietetics Other Social Sciences not elsewhere specified
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-371457 (URN)
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2019-05-13Bibliographically approved
Ax, E., Warensjö-Lemming, E., Becker, W., Andersson, A., Lindroos, A. K., Cederholm, T., . . . Fung, T. T. (2016). Dietary patterns in Swedish adults: results from a national dietary survey. British Journal of Nutrition, 115(1), 95-104
Open this publication in new window or tab >>Dietary patterns in Swedish adults: results from a national dietary survey
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2016 (English)In: British Journal of Nutrition, ISSN 0007-1145, E-ISSN 1475-2662, Vol. 115, no 1, p. 95-104Article in journal (Refereed) Published
Abstract [en]

Dietary patterns derived by statistical procedures is a way to identify overall dietary habits in specific populations. The aim of this study was to identify and characterise dietary patterns in Swedish adults using data from the national dietary survey Riksmaten adults 2010–11 (952 women, 788 men). Principal component analyses were used and two patterns were identified in both sexes: a healthy pattern loading positively on vegetables, fruits, fish and seafood, and vegetable oils, and negatively on refined bread and fast food, and a Swedish traditional pattern loading positively on potatoes, meat and processed meat, full-fat milk products, sweet bakery products, sweet condiments and margarine. In addition, a light-meal pattern was identified in women with positive loadings on fibre-rich bread, cheese, rice, pasta and food grain dishes, substitute products for meat and dairy products, candies and tea. The healthy pattern was positively correlated to dietary fibre (r 0·51–0·58) and n-3 (r 0·25–0·31) (all P<0·0001), and had a higher nutrient density of folate, vitamin D and Se. The Swedish traditional and the light-meal pattern were positively correlated to added sugar (r 0·20–0·25) and the Swedish traditional also to SFA (r 0·13–0·21) (all P<0·0001); both patterns were in general negatively correlated to micronutrients. Dietary pattern scores were associated with, for example, age, physical activity, education and income. In conclusion, we identified three major dietary patterns among Swedish adults. The patterns can be further used for examining the association between whole diet and health outcomes.

Keywords
Dietary pattern, Food habits, National survey, Principal component analysis, Total diet quality, Sweden
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-249160 (URN)10.1017/S0007114515004110 (DOI)000367234800012 ()26490112 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2011-1166
Available from: 2015-04-11 Created: 2015-04-11 Last updated: 2018-02-22Bibliographically approved
Andersson, A. (2015). Bakom frånvaron av klagandets röst - en betraktelse (1ed.). In: Christina Fjellström (Ed.), Klagandets diskurs: matforskare reflekterar (pp. 207-212). Uppsala: Acta Universitatis Upsaliensis
Open this publication in new window or tab >>Bakom frånvaron av klagandets röst - en betraktelse
2015 (Swedish)In: Klagandets diskurs: matforskare reflekterar / [ed] Christina Fjellström, Uppsala: Acta Universitatis Upsaliensis, 2015, 1, p. 207-212Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2015 Edition: 1
Series
Studia cibi nutritionisque Upsaliensia
Keywords
mat, måltid, klagande
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:uu:diva-252936 (URN)978-91-554-9176-5 (ISBN)
Available from: 2015-05-18 Created: 2015-05-18 Last updated: 2018-01-11
Hanhineva, K., Brunius, C., Andersson, A., Marklund, M., Juvonen, R., Keski-Rahkonen, P., . . . Landberg, R. (2015). Discovery of urinary biomarkers of whole grain rye intake in free-living subjects using non-targeted LC-MS metabolite profiling. Molecular Nutrition & Food Research, 59(11), 2315-2325
Open this publication in new window or tab >>Discovery of urinary biomarkers of whole grain rye intake in free-living subjects using non-targeted LC-MS metabolite profiling
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2015 (English)In: Molecular Nutrition & Food Research, ISSN 1613-4125, E-ISSN 1613-4133, Vol. 59, no 11, p. 2315-2325Article in journal (Refereed) Published
Abstract [en]

SCOPE: Whole grain (WG) intake is associated with decreased risk of developing colorectal cancer, type 2 diabetes and cardiovascular disease and its comorbidities. However, the role of specific grains is unclear. Moreover, intake of specific WG is challenging to measure accurately with traditional dietary assessment methods. Our aim was to use non-targeted metabolite profiling to discover specific urinary biomarkers for WG rye to objectively reflect intake under free-living conditions.

METHODS AND RESULTS: WG rye intake was estimated by weighed food records, and 24 h urine collections were analyzed by LC-MS. Multivariate modelling was undertaken by repeated double cross-validated partial least squares regression against reported WG rye intake, which correlated well with multivariate prediction estimates (r = 0.67-0.80, p<0.001), but not with intakes of WG wheat or oats. Hydroxyhydroxyphenyl acetamide (HHPA) sulfate, 3,5-dihydroxyphenylpropionic acid (DHPPA) sulfate, caffeic acid sulfate and hydroxyphenyl acetamide (HPAA) sulfate were among the 20 features which had the greatest potential as intake biomarkers of WG. In addition, three compounds exhibited MS/MS fragmentation of carnitine structures.

CONCLUSION: With this non-targeted approach, we confirmed the specificity of alkylresorcinol metabolites as biomarkers for WG rye intake, but also discovered other compounds that should be evaluated as putative biomarkers in future studies.

Keywords
Dietary biomarker, Whole grain
National Category
Nutrition and Dietetics
Research subject
Nutrition; Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-262344 (URN)10.1002/mnfr.201500423 (DOI)000367729600019 ()26264776 (PubMedID)
Funder
Swedish Research Council FormasSwedish Research Council for Environment, Agricultural Sciences and Spatial PlanningSwedish Research Council
Available from: 2015-09-14 Created: 2015-09-14 Last updated: 2017-12-04Bibliographically approved
Lövestam, E., Orrevall, Y., Koochek, A., Karlström, B. & Andersson, A. (2015). Evaluation of Nutrition Care Process documentation in electronic patient records: Need of improvement. Nutrition & Dietetics, 72(1), 74-80
Open this publication in new window or tab >>Evaluation of Nutrition Care Process documentation in electronic patient records: Need of improvement
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2015 (English)In: Nutrition & Dietetics, ISSN 1446-6368, E-ISSN 1747-0080, Vol. 72, no 1, p. 74-80Article in journal (Refereed) Published
Abstract [en]

Aim

High-quality documentation in patient records is essential for patient safety and plays a prominent role in the delivery and evaluation of dietetic/nutrition care. We aimed to evaluate dietitians' documentation in patient records according to the four steps in the Nutrition Care Process: assessment, diagnosis, intervention and monitoring/evaluation.

Methods

A retrospective audit of 147 systematically collected outpatient dietetic notes from primary care centres and hospitals in central Sweden was performed using a validated audit instrument. The instrument was used to assess the documentation of 14 items: 10 items focusing on the Nutrition Care Process steps and four items on language clarity and structure, with a maximum total score of 26 for each dietetic note. The notes were divided into three different quality levels, A (high score), B (medium score) or C (low score). Comparisons were made between notes from primary care and hospitals.

Results

The audit showed that the majority of the notes were placed at level B, scoring 13.5–19.5. Only 3% of the notes scored higher than 19.5. The most frequently documented items were intervention (90%), evaluation (70%) and nutrition problem (56%), whereas the least documented items were nutrition prescription (15%), goal of intervention (9%) and connection of problem-etiology-symptom (5%). Flaws in lingual clarity were common (72%). Primary care notes received higher scores than those from hospitals.

Conclusions

The audit shows that Swedish dietetic documentation needs to be improved, for example, by further training and education in the Nutrition Care Process and its standardised terminology.

National Category
Other Social Sciences Nutrition and Dietetics
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-230205 (URN)10.1111/1747-0080.12128 (DOI)000352153400012 ()
Available from: 2014-08-20 Created: 2014-08-20 Last updated: 2017-12-05Bibliographically approved
Lövestam, E., Fjellström, C., Koochek, A. & Andersson, A. (2015). The power of language on patient‐centredness: linguistic devices in the dietetic notes of patient records. International Journal of Applied Linguistics, 25(2), 225-245
Open this publication in new window or tab >>The power of language on patient‐centredness: linguistic devices in the dietetic notes of patient records
2015 (English)In: International Journal of Applied Linguistics, ISSN 0802-6106, E-ISSN 1473-4192, Vol. 25, no 2, p. 225-245Article in journal (Refereed) Published
Abstract [en]

n this paper, 30 notes written by Swedish dietitians in patient records are analysed, inspired by Critical Linguistics and Critical Discourse Analysis. Focusing on linguistic devices such as agency sources and evidential markers, we describe how patients are constantly referred to only in terms of the institutional patient role, or not referred to at all, through different techniques such as nominalization and passive verbs. The dietitians writing the notes are even more absent from the text, as they almost never refer to themselves as persons in the dietetic notes. There is a stated ambition in health care to provide patient-centred care and a collaborative patient-clinician relationship. However, we suggest that there might be a need for more person-centred language in dietetics.

Keywords
Patient records, dietetics, medical discourse, patient-centered care
National Category
Other Social Sciences General Language Studies and Linguistics
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-230206 (URN)10.1111/ijal.12064 (DOI)000368177400005 ()
Available from: 2014-08-20 Created: 2014-08-20 Last updated: 2018-01-11Bibliographically approved
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