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Lövestam, Elin
Publications (10 of 17) Show all publications
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: 2018-05-21Bibliographically approved
Lövestam, E., Neuman, N. & Nowicka, P. (2018). Kritisk dietetik: självreflektion, ödmjukhet och dialog [Letter to the editor]. DietistAktuellt, XXVII(2), 46-48
Open this publication in new window or tab >>Kritisk dietetik: självreflektion, ödmjukhet och dialog
2018 (Swedish)In: DietistAktuellt, Vol. XXVII, no 2, p. 46-48Article in journal, Letter (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Tack vare medel från Vetenskapsrådet och Letterstedtska föreningen anordnade vi den 25 augusti konferensen ”The 1st Scandinavian Critical Dietetics Conference”, som syftade till att introducera ämnet kritisk dietetik i Sverige. I Dietistaktuellt nr 6 2017 skriver redaktören Magnus Forslin en personlig reflektion på åtta sidor där han angriper konferensen och de diskussioner som fördes där. Tonen i texten – kombinerat med associationer till bl a förintelseförnekelse och stalinism samt hånfulla illustrationer – inbjuder tyvärr inte till dialog. Istället för att ge oss in i en debatt på de premisserna tar vi tillfället i akt att kort och koncist lyfta några punkter om kritisk dietetik som vi gärna förtydligar. Då många av de antaganden och insinuationer som görs i artikeln saknar grund vill vi också bjuda in Dietistaktuellts läsare att själva ta del av konferensens presentationer, vilka ligger öppet på Institutionen för kostvetenskap, Uppsala Universitets webbplats.

Place, publisher, year, edition, pages
Bjuv: , 2018
Keywords
dietetik, kostvetenskap, socioekonomi, ojämlikhet
National Category
Health Sciences
Research subject
History of Art
Identifiers
urn:nbn:se:uu:diva-341378 (URN)
Funder
Swedish Research Council, 2016-06849
Available from: 2018-02-07 Created: 2018-02-07 Last updated: 2018-02-13Bibliographically approved
Bergman, K., Persson Osowski, C., Eli, K., Lövestam, E., Elmståhl, H. & Nowicka, P. (2018). Stakeholder responses to governmental dietary guidelines: Challenging the status quo, or reinforcing it?. British Food Journal, 120(3), 613-624
Open this publication in new window or tab >>Stakeholder responses to governmental dietary guidelines: Challenging the status quo, or reinforcing it?
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2018 (English)In: British Food Journal, ISSN 0007-070X, E-ISSN 1758-4108, Vol. 120, no 3, p. 613-624Article in journal (Refereed) Published
Abstract [en]

Purpose

The purpose of this paper is to explore how stakeholders in the food and nutrition field construct and conceptualise “appropriate” national dietary advice.

Design/methodology/approach

In total, 40 voluntarily written stakeholder responses to updated official dietary guidelines in Sweden were analysed thematically. The analysis explored the logics and arguments employed by authorities, interest organisations, industry and private stakeholders in attempting to influence the formulation of dietary guidelines.

Findings

Two main themes were identified: the centrality of anchoring advice scientifically and modes of getting the message across to the public. Stakeholders expressed a view of effective health communication as that which is nutritionally and quantitatively oriented and which optimises individuals’ capacities to take action for their own health. Their responses did not offer alternative framings of how healthy eating could be practiced but rather conveyed an understanding of dietary guidelines as documents that provide simplified answers to complex questions.

Practical implications

Policymakers should be aware of industrial actors’ potential vested interests and actively seek out other stakeholders representing communities and citizen interests. The next step should be to question the extent to which it is ethical to publish dietary advice that represents a simplified way of conceptualising behavioural change, and thereby places responsibility for health on the individual.

Originality/value

This research provides a stakeholder perspective on the concept of dietary advice and is among the first to investigate referral responses to dietary guidelines.

Keywords
Food policy, Concept of advice, Dietary guidelines, Nutritional reductionism, Stakeholder influences
National Category
Social Sciences Interdisciplinary
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-341383 (URN)10.1108/BFJ-08-2017-0466 (DOI)
Available from: 2018-02-07 Created: 2018-02-07 Last updated: 2018-04-25Bibliographically approved
Neuman, N. & Lövestam, E. (2018). Toward a critical dietetics in the Nordic countries. Journal of Critical Dietetics, 4(1), 5-14
Open this publication in new window or tab >>Toward a critical dietetics in the Nordic countries
2018 (English)In: Journal of Critical Dietetics, ISSN 1923-1237, Vol. 4, no 1, p. 5-14Article in journal (Refereed) Published
Abstract [en]

Whereas Critical Dietetics is still primarily centered in the Anglo-American countries, the movement is expanding internationally and has recently come to develop in the Nordic countries as well. On the 25th of August 2017, the first conference for Critical Dietetics in Scandinavia was held at Uppsala University, Sweden, and, following this, a network has been established: The Nordic Network for Critical Dietetics (NNCD). This paper is yet another step in this internationalization of Critical Dietetics. We discuss why we think that the Nordic countries have great potential to develop Critical Dietetics into an influential part of the future development of this promising international movement. We then explore three areas of controversy from a Nordic context that we see as touching upon, or being relevant for, Critical Dietetics. These are thematized as 1) challenges to individualism and cognitivism in behavioral change policies, 2) working against body weight and “bad lifestyles” stigmatization, and 3) trust and recognition: challenges to the professions. Each area is illustrated by a few examples of Nordic research and current public debates and campaigns from Sweden. The main argument is that the Nordic region already has a soil in which seeds of Critical Dietetics have been sown; it is time for them to grow.

National Category
Public Health, Global Health, Social Medicine and Epidemiology Other Social Sciences
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-350257 (URN)
Available from: 2018-05-08 Created: 2018-05-08 Last updated: 2018-05-28Bibliographically approved
Bergman, K., Elmståhl, H., Lövestam, E., Nowicka, P., Eli, K. & Persson Osowski, C. (2017). Healthy eating as conceptualized in referral responses to Sweden’s updated dietary guidelines: excluding the complexity of everyday life. In: : . Paper presented at Fifth BSA Sociology of Food Study Group Conference 2017 Food and Society, London 26 June-27 June..
Open this publication in new window or tab >>Healthy eating as conceptualized in referral responses to Sweden’s updated dietary guidelines: excluding the complexity of everyday life
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2017 (English)Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

National Dietary Guidelines have been published in many countries to support healthier food habits among the public. In Sweden, the guidelines are produced in a process involving experts and stakeholders under the responsibility of the National Food Agency. Stakeholder perspectives on the concept of state dietary advice was explored in this study, by analyzing 40 referral responses on updated guidelines in Sweden 2015. The study focused on ideas about how state dietary advice should be framed and what it should be based on. Thematic analysis was used and resulted in two main themes. 'Securing scientifically proven advice' represented a perspective of the guidelines as to be scientifically correct and verified, and built upon an underlying assumption to present an objective and optimal composition of foods and nutrients that will fit all. Arguments based on nutritional reductionism could be seen, which gave a delimited idea of what healthy food is. 'Getting the message across' represented a perspective of the guidelines to be easily understood by and inclusive to the end user. Clarity in advice was seen to be reached by explaining difficult words, defining amounts and exact mechanisms of why something is a good choice. Also this perspective added to excluding other values of food, especially qualitative ones. The construction of a healthy diet in these remittance responses builds upon a notion of an ideal diet composed on the basis of the best scientific proof and clearly presented so as to be easily understood and practiced. It was clearly based on an individualistic behavioral view making the individual responsible to make informed and good choices for a healthy diet. This approach may be questioned, as it is too simplified to include the complex reality of everyday life.

Keywords
dietary guidelines
National Category
Other Social Sciences
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-328784 (URN)
Conference
Fifth BSA Sociology of Food Study Group Conference 2017 Food and Society, London 26 June-27 June.
Available from: 2017-08-31 Created: 2017-08-31 Last updated: 2017-10-04
Lövestam, E., Neuman, N. & Nowicka, P. (2017). Kritisk dietetik: Att se mat och ätande bortom kalorier. Dietistaktuellt, 26(3), 32-34
Open this publication in new window or tab >>Kritisk dietetik: Att se mat och ätande bortom kalorier
2017 (Swedish)In: Dietistaktuellt, Vol. 26, no 3, p. 32-34Article in journal (Other (popular science, discussion, etc.)) Published
Abstract [sv]

Epidemiologiska studier visar att aspekter som låg utbildning, utländsk härkomst, hög arbetslöshet och boende i områden med lägre status är kopplade till större förekomst av ohälsa, exempelvis hjärtsjukdom, diabeteskomplikationer och fetma. Även vid sjukdomsrelaterad undernäring kan patientens sociala och ekonomiska situation vara avgörande för huruvida nutritionsbehandlingen ska lyckas. Men vilken verklighet och vilken vardag döljer sig bakom dessa samband? Hur ska dietister förhålla sig till det faktum att andra faktorer förutom omtanke om egen hälsa kan ha avgörande betydelse för patientens förmåga att göra hälsobefrämjande val? Bör vi ta ställning till och diskutera dessa frågor även utanför det rent nutritionsmässiga perspektivet?  

Place, publisher, year, edition, pages
Bjuv: , 2017
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:uu:diva-327192 (URN)
Available from: 2017-08-06 Created: 2017-08-06 Last updated: 2018-01-13Bibliographically approved
Lövestam, E., Vivanti, A. & Papoutsakis, C. (2017). NCP around the world: experiences from USA and other countries. In: Journal of the Academy of Nutrition and Dietetics: The 91st Food and Nutrition Conference and Expo. Paper presented at The 91st Food and Nutrition Conference and Expo. Chicago.. Chicago
Open this publication in new window or tab >>NCP around the world: experiences from USA and other countries
2017 (English)In: Journal of the Academy of Nutrition and Dietetics: The 91st Food and Nutrition Conference and Expo, Chicago, 2017Conference paper, Oral presentation with published abstract (Refereed)
Place, publisher, year, edition, pages
Chicago: , 2017
National Category
Other Social Sciences not elsewhere specified
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-340244 (URN)10.1016/j.jada.2008.08.022 (DOI)
Conference
The 91st Food and Nutrition Conference and Expo. Chicago.
Available from: 2018-01-29 Created: 2018-01-29 Last updated: 2018-01-29
Lövestam, E., Boström, A.-M. & Orrevall, Y. (2017). Nutrition Care Process Implementation: Experiences in Various Dietetics Environments in Sweden. Journal of the Academy of Nutrition and Dietetics, 117(11), 1738-1748
Open this publication in new window or tab >>Nutrition Care Process Implementation: Experiences in Various Dietetics Environments in Sweden
2017 (English)In: Journal of the Academy of Nutrition and Dietetics, ISSN 2212-2672, E-ISSN 2212-2680, Vol. 117, no 11, p. 1738-1748Article in journal (Refereed) Published
Abstract [en]

Background

The Nutrition Care Process (NCP) and Nutrition Care Process Terminology (NCPT) are currently being implemented by nutrition and dietetics practitioners all over the world. Several advantages have been related to this implementation, such as consistency and clarity of dietetics-related health care records and the possibility to collect and research patient outcomes. However, little is known about dietitians’ experiences of the implementation process.

Objective

The aim of this qualitative study was to explore Swedish dietitians’ experiences of the NCP implementation process in different dietetics environments.

Method

Thirty-seven Swedish dietitians from 13 different dietetics workplaces participated in seven focus group discussions that were audiotaped and carefully transcribed. A thematic secondary analysis was performed, after which all the discussions were re-read, following the implementation narrative from each workplace. In the analysis, The Promoting Action on Research Implementation in Health Services implementation model was used as a framework.

Results

Main categories identified in the thematic analysis were leadership and implementation strategy, the group and colleagues, the electronic health record, and evaluation. Three typical cases are described to illustrate the diversity of these aspects in dietetics settings: Case A represents a small hospital with an inclusive leadership style and discussion-friendly culture where dietitians had embraced the NCP/NCPT implementation. Case B represents a larger hospital with a more hierarchical structure where dietitians were more ambivalent toward NCP/NCPT implementation. Case C represents the only dietitian working at a small multiprofessional primary care center who received no dietetics-related support from management or colleagues. She had not started NCP/NCPT implementation.

Conclusions

The diversity of dietetics settings and their different prerequisites should be considered in the development of NCP/NCPT implementation strategies. Tailored implementation strategies should be considered in relation to context, such as increased dietetics support and facilitation where management does not lead or support the implementation process.

National Category
Other Social Sciences
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-329228 (URN)10.1016/j.jand.2017.02.001 (DOI)000417199800009 ()
Available from: 2017-09-11 Created: 2017-09-11 Last updated: 2018-03-09Bibliographically approved
Papoutsakis, C., Lövestam, E. & Orrevall, Y. (2017). The International NCP (Nutrition Care Process) Implementation Survey (INIS): Preliminary Data from Greek Dietitians-Nutritionists. In: Journal of the Academy of Nutrition and Dietetics: 91st Annual Food & Nutrition Conference & Expo. Paper presented at 91st Annual Food & Nutrition Conference & Expo. Chicago
Open this publication in new window or tab >>The International NCP (Nutrition Care Process) Implementation Survey (INIS): Preliminary Data from Greek Dietitians-Nutritionists
2017 (English)In: Journal of the Academy of Nutrition and Dietetics: 91st Annual Food & Nutrition Conference & Expo, Chicago, 2017Conference paper, Poster (with or without abstract) (Refereed)
Place, publisher, year, edition, pages
Chicago: , 2017
National Category
Other Social Sciences not elsewhere specified
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-340247 (URN)
Conference
91st Annual Food & Nutrition Conference & Expo
Available from: 2018-01-29 Created: 2018-01-29 Last updated: 2018-01-29
Lövestam, E., Orrevall, Y., Koochek, A. & Andersson, A. (2016). The struggle to balance system and lifeworld: Swedish dietitians’ experiences of a standardised nutrition care process and terminology. Health Sociology Review, 25(3), 240-255
Open this publication in new window or tab >>The struggle to balance system and lifeworld: Swedish dietitians’ experiences of a standardised nutrition care process and terminology
2016 (English)In: Health Sociology Review, ISSN 1446-1242, E-ISSN 1839-3551, Vol. 25, no 3, p. 240-255Article in journal (Refereed) Published
Abstract [en]

In this study, we explored Swedish dietitians’ experiences of a standardised Nutrition Care Process (NCP) and terminology from the perspective of Habermas’ concepts of system and lifeworld. Seven focus group discussions were analysed thematically. In thispaper, we argue that dietitians seem to mainly connect the NCP with a system perspective, highlighting aspects such as professionalism, measurability and clarity of the patient record as helpful outcomes from the NCP standardisation. We also see a tension between system and lifeworld, as dietitians emphasised the importance of the dietitian–patient relationship, stating that a patient’s complex situation does not always fit into the pre-defined NCP terms and measurements. Several approaches were identified whereby dietitians tried to reach a balance between the system and lifeworld. We argue that strategies for achieving this balance need more attention in the education and implementation of standardised care processes and terminologies.

Keywords
Nutrition Care Process; dietitian; professionalism; terminology; Habermas
National Category
Other Social Sciences not elsewhere specified Nutrition and Dietetics
Research subject
Food, Nutrition and Dietetics
Identifiers
urn:nbn:se:uu:diva-263914 (URN)10.1080/14461242.2016.1197783 (DOI)000384077900002 ()
Available from: 2015-10-04 Created: 2015-10-04 Last updated: 2017-12-01Bibliographically approved
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