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  • 151.
    Carlsson, Nelly
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Sahlman, Sofia
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Covid-19 och dess påverkan på måltidsmiljö och måltidsmönster: En enkätstudie om den upplevda förändringen till följd av social isolering2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Pandemin covid-19 har världen över påverkat människors vardag, och därigenom var, när och med vem måltider intas. Ett flertal studier härleder till att en total nedstängning av samhället inverkar på val av livsmedel, mängd samt frekvens för intag. Sverige har inte ingått en total nedstängning och i vilken omfattning måltidsmiljö och måltidsmönster förändrats givet dessa förutsättningar är outforskat.

    Syfte: Syftet är med anledning av detta att undersöka graden av social isolering, samt hur eventuella förändringar i den sociala interaktionen, måltidsmiljön och måltidsmönstret upplevs.

    Metod: En kvantitativ webbaserad enkätstudie genomfördes våren 2021. Deltagarna är en vuxen population boendes i Sverige, och uppgick till 120 män och kvinnor. Analysen av resultatet utfördes i statistikprogrammet Jamovi.

    Resultat: Över 85% uppger att den sociala interaktionen minskat, vilket för majoriteten upplevs negativt. Den huvudsakliga sysselsättningen utförs för nära 60% av deltagarna på distans. Måltiderna intas för 50% av deltagarna mer frekvent i hemmet, och ett likvärdigt resultat återfinns för ofrivillig ensamhet i samband med måltid. Förändringar i måltidsmönstret förefaller genom att 60% av deltagarna uppger ett ökat småätande, vilket till viss del upplevs negativt. 35% uppger sig laga mat i en högre frekvens än tidigare. Detta upplevs vara en positiv förändring.

    Slutsats: Covid-19 har för många medfört förändringar av måltidsmiljön, måltidsmönstret samt en social isolation. Många upplever förändringarna vara av negativ karaktär, framför allt rörande en minskad social interaktion och förändringar av måltidsmiljön, där fler måltider intas i ensamhet i hemmet. En del upplever vissa förändringar positiva, i synnerhet rörande en ökad matlagningsfrekvens. Fler studier behövs för att kartlägga följderna och för främjandet av framtida hälsosamma vanor.

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  • 152.
    Carpsjö Sjögren, Johanna
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Frösell, Paula
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    "Finns annan mat som är lättare att tillaga och godare": En enkätstudie bland unga vuxna om orsakerna till låg fisk- och skaldjurskonsumtion2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    BAKGRUND: Idag äter många på ett sätt som inte är fördelaktigt för hälsan, exempelvis för mycket utrymmesmat och för lite frukt, grönsaker och fisk. Det bidrar till en stigande andel överviktiga och feta och idag är kroniska välfärdssjukdomar den vanligaste dödsorsaken i väst-världen. Livsmedelsverkets kostråd syftar till att förebygga sjukdom, men följs endast i begrän-sad utsträckning. Två tredjedelar äter mindre fisk och skaldjur än kostråden säger och allra minst äter de mellan 18 och 30 år.

    SYFTE: Ta reda på varför unga vuxna äter så lite fisk och skaldjur samt vad och vem som skulle kunna påverka dem att äta mer.

    METOD: En enkätundersökning med 92 deltagare; kvinnor och män mellan 18 och 30 år med låg fisk- och skaldjurskonsumtion, genomfördes i Stockholm.

    RESULTAT: Den främsta orsaken till den låga fisk- och skaldjurskonsumtionen var upplevda svårigheter att tillreda dessa livsmedel men också att många inte tyckte om fisk och skaldjur. Ett uppfattat högt pris och ovana från barndomen att äta fisk och skaldjur visade sig också vara betydande orsaker. Följaktligen framkom även att om respondenterna hade tillgång till fler bra recept så skulle många av dem öka sitt intag. De största inspirationskällorna som skulle kunna öka fisk- och skaldjursintaget var dagligvaruhandeln samt vänner och familj.

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  • 153.
    Cedenheim, Anna
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Wessling, Johanna
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Nyckelhålsmärkta livsmedel: En kvalitativ studie om hur symbolen uppfattas och hur konsumenter väljer och varför2013Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Nyckelhålssymbolen infördes i Sverige år 1989 i syfte att hjälpa konsumenter välja hälsosamma livsmedel. Enligt Riksmaten vuxna 2010 – 2011 äter en stor del av den svenska befolkningen för lite frukt och grönsaker, samt för lite fullkorn och fiber. Många äter för mycket salt, socker och mättat fett. År 2013 uppgav 98 procent av konsumenterna att de kände till nyckelhålssymbolen. De senaste åren har försäljningen av nyckelhålsmärkta livsmedel minskat.

    Syfte: Att undersöka hur konsumenter uppfattar livsmedel märkta med nyckelhålssymbolen samt varför de väljer eller inte väljer dessa livsmedel.

    Material och metod: I studien ingick 17deltagare mellan 19 och 87 år. Fyra fokusgrupper med fyra till fem personer i varje grupp, intervjuades under 45 – 75 minuter. Det transkriberade materialet analyserades utifrån kvalitativ innehållsanalys med induktiv ansats.

    Resultat: Analysen resulterade i kategorierna: kostnad, information, märkning, tillit, sensoriska egenskaper, val, trend, kännedom, trygghet och sjukdom, vilka sammanfattar huvudfynden i studien.

    Slutsats: Våra resultat tyder på en omedvetenhet när det gäller köp av nyckelhålsmärkta livsmedel samt att kännedom om symbolens betydelse är låg. Anledningar till varför deltagarna inte väljer nyckelhålsmärkta livsmedel är att symbolen uppfattas som för liten, felplacerad på vissa förpackningar, samt att den är otrendig. Priset är för högt, informationen genom media och i affärer uppfattas som bristfällig och smak samt vana går före hälsosamma livsmedelsval. Emellertid visades sjukdomsdiagnos vara ett motiv till förändrade matvanor. Dock anser deltagare attnyckelhålsmärket fungerar som en bra guide, som de känner tillit för i den märkningsdjungel som enligt dem råder.

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    Cedenheim-Wessling
  • 154.
    Ceder Hof, Cajsa
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Forsberg, Emma
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Hur upplever skolkökspersonal arbetet med matsvinn?: En kvalitativ intervjustudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Andelen mat som slängs globalt är ett stort problem. I Sverige har Livsmedelsverket på uppdrag av regeringen tagit fram handlingsplaner på hur de offentliga måltidsverksamheterna kan arbeta mot ett minskat matsvinn. För att kunna utveckla matsvinnsarbetet ytterligare kan det vara av intresse att undersöka hur matsvinnsarbetet upplevs hos kökspersonalen som dagligen arbetar med detta.

    Syfte: Syftet är att undersöka hur skolkökspersonal upplever arbetet med matsvinn.

    Metod: Fem stycken semistrukturerade intervjuer genomfördes med skolkökspersonal som arbetar som kockar i olika kommuner i Sverige. Intervjuerna genomfördes via kommunikationsmedlet Zoom och därefter transkriberades inspelningarna. Slutligen gjordes en tematisk analys för att identifiera teman.

    Resultat: De huvudresultat som framkommit i denna intervjustudie är att tidigare erfarenheter och intresse tycks påverka hur arbetet på deras nuvarande arbetsplats fungerar samt att uppföljning och återkoppling på resultat upplevs viktigt att få från chefer och att den kommunikationen behöver fungera för att respondenterna ska känna sig motiverade i det fortsatta matsvinnsarbetet. Samtliga respondenter menar att förbättringspotentialen är stor när det kommer till kommunikationen mellan skolorna och köken för att minska matsvinnet och öka elevers kunskap kring ämnet.

    Slutsats: Den slutsats som kan dras utifrån denna intervjustudie är att arbetet med matsvinn i offentlig måltidsverksamhet kan ses som komplext. Detta då verksamheter på olika organisatoriska nivåer i samhället behöver samarbeta och samverka för att arbetet ska bedrivas på det mest resurseffektiva och miljömässigt hållbara sätt som möjligt.

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  • 155.
    Christensen, Linn
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Spangfort, Annie
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Unga vuxnas kunskap om fettkvalitet och val av matfett: En enkätsundersökning2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: En hälsosam kost med fördelaktig fettkvalitet är en preventiv åtgärd för att minska risken för kostrelaterade sjukdomar. Myndigheter rekommenderar därför ett minskat intag av mättat fett och utbyte av livsmedel med hög andel mättat fett till livsmedelskällor med hög andel omättat fett. Forskning visar att unga vuxna i Sverige är den åldersgrupp med sämst kosthållning och minst kännedom om aktuella kostråd.

    Syfte: Att undersöka unga vuxnas kunskap om fettkvalitet och vilken typ av matfett de väljer på smörgåsen och i matlagningen samt vad som ligger till grund för dessa val.

    Metod: Webbaserad enkätsundersökning via Facebook. Deltagare mellan 18-30 år rekryterades genom bekvämlighetsurval. Statistisk analys genomfördes med indipendent t-test och one-way ANOVA.

    Resultat: Etthundrasextionio deltagare inkluderades. Reultaten visar att en majoritet av deltagarna har kunskap om fettkvalitet i 12 av 16 livsmedelskällor och att hälften har kunskap om Livsmedelsverkets kostråd om fettkvalitet. Merparten använder ett smörgåsfett med mindre hälsosam fettkvalitet (66%) och matlagningsfett med med häsosam fettkvalitet (80%). Främsta faktorerna till dessa val är smak och vana. Signifikant skillnad (p<0,05) förekom mellan utbildningsnivå, deltagare som studerat på eftergymnasial nivå har högre kunskap om fettkvalitet än de med lägre utbildningsnivå. Signifikant skillnad (p<0,05) sågs även mellan deltagare med olika kosthållning, de med vegansk kosthållning använder i högre grad hälsosamma matfetter än de som äter en blandkost. Inget samband sågs mellan kunskap om och val av matfett.

    Slutsats: Resultaten tyder på att det finns utrymme för förbättring gällande kunskap om fettkvalitet och val av matfett. Ökad kunskap kring faktorer som ligger till grund för livsmedelsval samt förbättrad hälsokommunikation till denna målgrupp behövs.

  • 156.
    Christensen, Ruben
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Nordén, Siri
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Omformulering av recept: Ett jämförande konsumenttest inför byte av huvudingrediens2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Vid utveckling av nya såväl som befintliga produkter är marknadsföringsundersökningen en viktig komponent. Genom att använda sensorisk analys och konsumenttest ökar chanserna att skapa en konkurrenskraftig produkt.

    Denna studie grundas på ett samarbete mellan Institutionen för kostvetenskap vid Uppsala universitet och ett svenskt livsmedelsföretag.

    Syftet var att undersöka huruvida en förändring i grundreceptet hos fem (A, B, C,D,E) produkter kunde uppfattas av konsumenten samt om de nya versionerna föredrogs framför de befintliga. Slutligen undersöktes om ett visst attribut förklarade konsumentens val. Två konsumenttest, ett acceptanstest och ett preferenstest utfördes där 100 deltagare testade produkt A och resterande produkter testades av 30 personer respektive (N=220).

    Resultatet från preferenstestet visade att en majoritet av respondenterna föredrog den nya versionen för Produkt A, B, D och E men att en signifikant skillnad (P=5%) kunde endast utlösas för Produkt A (P=0,002). Inget av acceptanstesten visade någon signifikant skillnad.

    Slutsatsen som dras är att byte av huvudingrediens inte uppfattas negativt av konsumenten och att den nya versionen är ett acceptabelt alternativ. Det finns inget skäl att avråda från användning av någondera versionen.

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    Christensen-Nordén
  • 157.
    Christofferson, Eva
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Vitamin D - intag och status hos personer med inflammatorisk tarmsjukdom2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: I NNR 2012, har man höjt rekommenderat intag av vitamin D från 7,5 μg/dag till 10 μg/dag för personer från 2 år upp till 74 års ålder. Livsmedelsverkets matvaneundersökning Riksmaten bland vuxna 2010-11 visar att medelintaget av vitamin D i genomsnitt var 7,0 μg/dag. Patienter med inflammatoriska tarmsjukdomar (IBD) har en högre risk för osteoporos på grund av medicinering med cortison samt brist på vitamin D.

    Syfte: Att undersöka om personer med IBD uppnår de nya höjda rekommendationerna gällande intag av vitamin D via maten och/eller kosttillägg och kosttillskott. Vidare hur vitamin D-status ser ut hos studiedeltagarna vid denna säsong samt undersöka eventuella samband.

    Metod: FFQ för att uppskatta intaget av vitamin D via maten. Följdfrågor om kosttillskott, kosttillägg, resor till soligt land och solvanor. Short health scale-formulär. BMI. Analys av 25(OH)D. Möjliga samband undersöktes.

    Material: n=17. Ulcerös colit eller Crohns sjukdom. I remission. Ingen tarmresektion. Endast colonengagemang. Ålder 18 till 74 år. Kaukasier.

    Resultat: Av studiedeltagarna når inte 76 % upp till rekommenderat dagligt intag av vitamin D och 35 % har brist eller bristfällig nivå av 25(OH)D <50 nmol/l. En trend med negativt linjärt samband visades mellan 25(OH)D och BMI, p=0,052, β= -3,1 och r2=0,244. Ingen använde kosttillägg. Inga andra signifikanta samband återfanns.

    Slutsats: Flertalet av deltagarna når inte upp till rekommenderat intag av vitamin D via maten. Flera har brist eller bristfällig nivå av 25(OH)D vid denna säsong. Det är angeläget att som dietist informera om vitamin D till denna patientgrupp.

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    Christofferson
  • 158.
    Dadgar, Azin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Wass, Hilma
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Könsskillnader i intag av olika proteinkälloroch attityder till att äta växtbaserat: En kvantitativ enkätstudie på unga svenskar2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: För att svenskars matkonsumtion ska bli mer hållbar behöver konsumtionen av animaliska proteinkällor minskas för att ge mer utrymme till växtbaserat. Tidigare studier stärker stödet för att ett ökat intag av vegetabiliska proteinkällor kan påverka både hälsa och livslängd positivt. Minskning av köttkonsumtion förväntas i sin tur bidra till mindre växthusgasutsläpp och därmed ha en betydande påverkan för den globala uppvärmningen.

    Syfte: Uppsatsen syftar till att mäta unga svenskars intag av olika proteinrika livsmedel samt undersöka de bakomliggande attityder som finns till en växtbaserad kost och hur dessa skiljer sig män och kvinnor emellan.

    Metod: En kvantitativ metod i form av en webbenkät på 21 frågor användes. Dataan alyserades i Jamovie. Jämförelser gjordes utifrån kön samt deltagarnas aktivitetsnivå.

    Resultat: 110 personer deltog i studien. Resultatet visade att män i högre grad än kvinnor konsumerar animaliskt protein medan kvinnor har ett högre intag av baljväxter och vegoprodukter. Kvinnor hade en mer positiv attityd till att äta växtbaserat. De respondenter som tränade mer än två timmar per vecka hade ett högre intag av animaliska proteinkällor samt sämre attityd till att äta en växtbaserad kost.

    Slutsats: Män tycks konsumera mer animaliskt protein än kvinnor, som i sin tur äter mer växtbaserat än män. Det kan förklaras av att män generellt har en mindre positiv attityd till attäta växtbaserat. Framtida forskning som kan identifiera varför det finns skillnader i attityder mellan män och kvinnor till att äta växtbaserat är viktigt för att bryta fördomar och könsnormer och främja mer hälsosamma matmönster.

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  • 159.
    Dagergård, Frida
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Skatt, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    ”Man ville liksom att han skulle vara mätt inför natten”: Småbarnsföräldrars upplevelser av välling2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Majoriteten av svenska småbarnsföräldrar ger välling till sina barn. En av vällingens fördelar är att den är berikad med järn som har stor betydelse för små barns tillväxt och utveckling.  Forskning visar dock på flera potentiella nackdelar, där bevisen är särskilt starka för att barn som dricker välling löper större risk att utveckla övervikt.

    Syfte: Att undersöka upplevelser av välling bland föräldrar som ger eller nyligen slutat ge sitt barn välling. 

    Metod: Sex semistrukturerade intervjuer med mödrar i åldern 30-37 år med ett eller två barn i åldern åtta mån till sju år. Samtliga mödrar hade en eftergymnasial utbildning och bodde i Stockholm. Intervjuerna transkriberades och analyserades tematiskt.

    Resultat: Analysen resulterade i två teman med tillhörande underteman: allsidigt hjälpmedel uppdelat i bekvämt för barnet och praktiskt för föräldrarna samt tveksamheter och tvivel med underteman konsekvenser för barnet och osäkerhet hos föräldrarna. I intervjuerna framkommer hur vällingen används som ett praktiskt hjälpmedel i vardagen. Den är lätt att tillreda och bekväm att servera i nappflaska och ingår ofta i en rutin inför natten och upplevs få barnet att komma till ro och sova bättre under natten. Föräldrar nämner även viss oro och osäkerhet kring vällingen, hur den påverkar barnets tandhälsa, dess innehåll och tillsatser samt en tydlig ängslan inför att sluta ge välling.

    Slutsats: Välling ses som en given del av barnets kost och beslutet att börja med välling har skett naturligt och har ej påverkats av aktuell forskning eller av råd från barnavårdscentraler eller Livsmedelsverket.

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  • 160.
    Dahlbom, Miranda
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Seni orer, undernäring och vikt: En enkätstudie om uppfattningen av undernäring och synen på den egna vikten hos kvinnor och män i pensionärsföreningar2016Student thesis
    Abstract [sv]

    Bakgrund: På grund av flera bakomliggande faktorer är seniorer en riskgrupp för att utveckla undernäring. Studier har visat att många äldre önskar gå ner i vikt, trots att de rekommenderade BMI-gränserna ligger högre än hos yngre och att viktnedgång kan öka risken för att bli undernärd.

    Syfte: Att undersöka seniorers uppfattning om begreppet undernäring, dess orsaker och konsekvenser. Vidare att undersöka deras egen syn på sin vikt, samt om dessa åsikter skiljer sig mellan kvinnor och män.

    Metod: En kvantitativ design i form av en enkät valdes för att utvärdera uppfattningar och åsikter. Enkäterna delades ut och samlades in på plats under redan inbokade möten med olika pensionärsföreningar.

    Material: Deltagarna var 79 kvinnor och 35 män (n=114), mellan 65 och 96 år (medelålder 76 år), från 6 pensionärsföreningar i Uppsala och Stockholm med omnejd.

    Resultat: Deltagarnas uppfattning av begreppet undernäring, dess orsaker och konsekvenser stämmer till viss del överens med bakgrundslitteraturen, dock svarade endast 24% att viktnedgång kan leda till undernäring. Majoriteten var nöjda med sin vikt, ändå ville cirka 44% gå ner i vikt. Inga skillnader hittades mellan män och kvinnor.

    Slutsats: Majoriteten av seniorer känner till begreppet undernäring, dess konsekvenser och riskfaktorer, med undantag för att viktnedgång kan vara en riskfaktor. De flesta seniorer är nöjda med sin vikt, dock önskar kvinnor och män i samma utsträckning att gå ner i vikt. Detta indikerar ett behov av mer information och kunskap hos seniorer.

  • 161.
    Dahlin, Jannica
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Nilsson, Emelie
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Barns konsumtion av frukt och grönt: en kvantitativ enkätundersökning på barn i åldrarna tre till sex år2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Levnadsvanor grundläggs under barndomen och följer individen under hela livet. Tidigare forskning visar på att svenska barn inte når upp till näringsrekommendationerna gällande frukt och grönt, vilket är 400 gram per dag.

    Syftet: Att undersöka konsumtion av frukt och grönt i hemmet hos barn i åldrarna tre till sex år.

    Metod: En självadministrerad internetenkät riktad till barns vårdnadshavare (n=579) där 50,3% var pojkar, 49,1% var flickor och 0,7% definierade sig som annat. Respondenterna rekryterades via en Facebook-grupp, två privata Facebook-konton samt via två förskolor i Stockholmsområdet. Två statistiska analyser användes, Mann-Whitney U-test och Spearmans rangkorrelationstest för att undersöka om det fanns en skillnad mellan könen beträffande konsumtion av frukt och grönt, samt om det fanns ett samband mellan vårdnadshavarens- och barnets konsumtion av frukt och grönt.

    Resultat: Det fanns ingen signifikant skillnad mellan pojkar och flickors konsumtion av frukt och grönt. Majoriteten av barnen konsumerade frukt till två måltider per dag och detsamma för grönsaker, med denna frekvens kan det vara svårt att nå upp till den rekommenderade mängden, 400 gram per dag. Däremot fanns det ett svagt samband mellan vårdnadshavarens- och barnets konsumtion av frukt och grönt. Korrelationen för grönsakskonsumtionen låg på 0,244 och fruktkonsumtionen på 0,238.

    Slutsats: Undersökningen visade att barnen konsumerade frukt och grönt i snitt fyra måltider per dag i hemmet, detta ger positiva och lovande indikationer gällande frukt- och gröntkonsumtionen i hemmet. Då undersökningen inte inkluderade konsumtion i förskolan kan ingen slutsats dras om huruvida barnens verkliga konsumtion av frukt och grönt såg ut.

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  • 162. Dahlström, Sara
    et al.
    Henning, Ida
    McGreevy, Jenny
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research Sörmland. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food Studies, Nutrition and Dietetics.
    Bergström, Liza
    How Valid and Reliable Is the International Dysphagia Diet Standardisation Initiative (IDDSI) When Translated into Another Language?2023In: Dysphagia (New York. Print), ISSN 0179-051X, E-ISSN 1432-0460, Vol. 38, no 2, p. 667-675Article in journal (Refereed)
    Abstract [en]

    Swallowing difficulties are estimated to affect 590 million people worldwide and the modification of food and fluids is considered the cornerstone of dysphagia management. Contemporary practice uses the International Dysphagia Diet Standardisation Initiative (IDDSI), however, the validity and reliability of IDDSI when translated into another language has not been investigated. This study describes the translation process and confirms the validity and reliability of IDDSI when translated into another language (Swedish). The translation used a 12-step process based on the World Health Organization recommendations. Validity was tested using Content Validity Index (CVI) based on three ratings by a panel of 10-12 experts (Dietitians and Speech-Language Pathologists [SLPs]). The translation was rated for linguistic correlation as well as understandability and applicability in a Swedish context. Inter-rater reliability was calculated using Intraclass Correlation Coefficient (ICC) from 20 SLP assessments of 10 previously published patient cases. Significant improvement (p < 0.05) of CVI between Expert Panel assessments was shown for linguistic correlation (improvement from 0.74-0.98) and understandability/applicability (improvement from 0.79-0.93 across ratings). Excellent validity (Item-CVI > 0.78 and Scale-CVI/Average > 0.8) and very high inter-rater reliability (ICC > 0.9) were demonstrated. Results show that, when using a multi-step translation process, a translated version of IDDSI (into Swedish) demonstrates high validity and reliability. This further contributes to the evidence for use of IDDSI.

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  • 163.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Conceptual model for dietary behaviour change at household level: a 'best-fit' qualitative study using primary data.2014In: BMC Public Health, E-ISSN 1471-2458, Vol. 14, article id 574Article in journal (Refereed)
  • 164.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    DN Debatt. ”Sverige måste kraftsamla för att stoppa barnfetman”2016Other (Other (popular science, discussion, etc.))
  • 165.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Empowering Towards Healthy Behaviours2015Report (Other (popular science, discussion, etc.))
  • 166.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Global Alliance for Chronic Disease researchers' statement on multimorbidity.2018In: The Lancet Global Health, E-ISSN 2214-109X, Vol. 6, no 12, p. 1270-1271Article in journal (Refereed)
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  • 167.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Kapitel 3. Hälsa: Hur kan fler må bättre?2018In: Mot en hållbar framtid: Så genomför vi FN:s Agenda 2030 och de globala målen för hållbar utveckling / [ed] Elin Andersdotter Fabre & Joel Ahlgren, Stockholm: Global utmaning , 2018, p. 35-39Chapter in book (Other (popular science, discussion, etc.))
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  • 168.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Sjukdomar som inte smittar: den osynliga folkhälsoutmaningen2017In: 12 vägar till global hälsa: från forskning till policy, Stockholm: Global utmaning , 2017, , p. 77p. 51-55Chapter in book (Other (popular science, discussion, etc.))
  • 169.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Why reality matters when developing interventions2015In: Klagandets diskurs -: matsforskare reflekterar / [ed] Christina Fjelström, Uppsala, Sweden: Institutionen för kostvetenskap, Uppsala Universitet , 2015, p. 173-182Chapter in book (Other (popular science, discussion, etc.))
  • 170.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Why reality matters when developing interventions2015In: Klagandets diskurs: matforskare refleckterar / [ed] Christina Fjellström, Uppsala: Acta Universitatis Upsaliensis, 2015, p. 173-182Chapter in book (Other academic)
  • 171.
    Daivadanam, Meena
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics. Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Ingram, Maia
    Univ Arizona, Dept Commun Environm & Policy, Tucson, AZ USA.
    Annerstedt, Kristi Sidney
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Parker, Gary
    UCL, Global Alliance Chron Dis, London, England.
    Bobrow, Kirsty
    Univ Cape Town, Dept Med, Rondebosch, South Africa.
    Dolovich, Lisa
    McMaster Univ, Dept Family Med, Hamilton, ON, Canada.
    Gould, Gillian
    Univ Newcastle, Sch Med & Publ Hlth, Callaghan, NSW, Australia.
    Riddell, Michaela
    Monash Univ, Dept Epidemiol & Prevent Med, Clayton, Vic, Australia.
    Vedanthan, Rajesh
    NYU, Sch Med, Dept Populat Hlth, New York, NY USA.
    Webster, Jacqui
    Univ New South Wales, George Inst Global Hlth, Newtown, NSW, Australia.
    Absetz, Pilvikki
    Collaborat Care Syst Finland, Helsinki, Finland;Univ Eastern Finland, Helsinki, Finland.
    Alvesson, Helle Molsted
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Androutsos, Odysseas
    Harokopio Univ, Dept Nutr & Dietet, Sch Hlth Sci & Educ, Athens, Greece.
    Chavannes, Niels
    Leiden Univ, Med Ctr, Dept Publ Hlth & Primary Care, Leiden, Netherlands.
    Cortez, Briana
    Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA.
    Devarasetty, Praveen
    George Inst Global Hlth India, Populat Hlth Div, New Delhi, India.
    Fottrell, Edward
    UCL, Global Alliance Chron Dis, London, England.
    Gonzalez-Salazar, Francisco
    Univ Monterrey, Dept Basic Sci, Monterrey, Nuevo Leon, Mexico;Inst Mexicano Seguro Social, Ctr Invest Biomed, Monterrey, Nuevo Leon, Mexico.
    Goudge, Jane
    Univ Witwatersrand, Sch Publ Hlth, Ctr Hlth Policy, Fac Hlth Sci, Johannesburg, South Africa.
    Herasme, Omarys
    Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA.
    Jennings, Hannah
    UCL, Global Alliance Chron Dis, London, England.
    Kapoor, Deksha
    All India Inst Med Sci, Dept Endocrinol & Metab, Delhi, India.
    Kamano, Jemima
    Moi Univ, Sch Med, Coll Hlth Sci, Eldoret, Kenya.
    Kasteleyn, Marise J.
    Leiden Univ, Med Ctr, Dept Publ Hlth & Primary Care, Leiden, Netherlands.
    Kyriakos, Christina
    European Network Smoking & Tobacco Prevent, Brussels, Belgium.
    Manios, Yannis
    Harokopio Univ, Dept Nutr & Dietet, Sch Hlth Sci & Educ, Athens, Greece.
    Mogulluru, Kishor
    George Inst Global Hlth India, Populat Hlth Div, New Delhi, India.
    Owolabi, Mayowa
    Univ Ibadan, Univ Coll Hosp, Dept Med, Ibadan, Nigeria.
    Lazo-Porras, Maria
    Univ Peruana Cayetano Heredia, CRON Ctr Excellence Chron Dis, Unidad Conocimiento & Evidencia CONEVID, Lima, Peru.
    Silva, Wnurinham
    Imperial Coll London, Sch Publ Hlth, London, England.
    Thrift, Amanda
    Monash Univ, Dept Epidemiol & Prevent Med, Clayton, Vic, Australia.
    Uvere, Ezinne
    Univ Ibadan, Univ Coll Hosp, Dept Med, Ibadan, Nigeria.
    Webster, Ruth
    Univ New South Wales, George Inst Global Hlth, Newtown, NSW, Australia.
    van der Kleij, Rianne
    Leiden Univ, Med Ctr, Dept Publ Hlth & Primary Care, Leiden, Netherlands.
    van Olmen, Josefien
    Inst Trop Med Antwerp, Dept Publ Hlth, Antwerp, Belgium;Univ Antwerp, Antwerp, Belgium.
    Vardavas, Constantine
    European Network Smoking & Tobacco Prevent, Brussels, Belgium.
    Zhang, Puhong
    Peking Univ, Hlth Sci Ctr, George Inst Global Hlth, Beijing, Peoples R China.
    Almeda-Valdes, Paloma
    Britton, John
    Cristobal, Fortunato
    Delobelle, Peter
    Gonzalez, Clicerio
    Guwatudde, David
    Gyamfi, Joyce
    Johnson, Claire
    Kirkham, Renae
    Lopez-Jaramillo, Patricio
    Lucero, Vilarmina Ponce
    Mills, Katherine
    Oldenburg, Brian
    Patel, Anushka
    Saulson, Raelle
    Silva, Ninha
    Trieu, Kathy
    The role of context in implementation research for non-communicable diseases: Answering the 'how-to' dilemma2019In: PLOS ONE, E-ISSN 1932-6203, Vol. 14, no 4, article id e0214454Article in journal (Refereed)
    Abstract [en]

    Introduction Understanding context and how this can be systematically assessed and incorporated is crucial to successful implementation. We describe how context has been assessed (including exploration or evaluation) in Global Alliance for Chronic Diseases (GACD) implementation research projects focused on improving health in people with or at risk of chronic disease and how contextual lessons were incorporated into the intervention or the implementation process. Methods Using a web-based semi-structured questionnaire, we conducted a cross-sectional survey to collect quantitative and qualitative data across GACD projects (n = 20) focusing on hypertension, diabetes and lung diseases. The use of context-specific data from project planning to evaluation was analyzed using mixed methods and a multi-layered context framework across five levels; 1) individual and family, 2) community, 3) healthcare setting, 4) local or district level, and 5) state or national level. Results Project teams used both qualitative and mixed methods to assess multiple levels of context (avg. = 4). Methodological approaches to assess context were identified as formal and informal assessments, engagement of stakeholders, use of locally adapted resources and materials, and use of diverse data sources. Contextual lessons were incorporated directly into the intervention by informing or adapting the intervention, improving intervention participation or improving communication with participants/stakeholders. Provision of services, equipment or information, continuous engagement with stakeholders, feedback for personnel to address gaps, and promoting institutionalization were themes identified to describe how contextual lessons are incorporated into the implementation process. Conclusions Context is regarded as critical and influenced the design and implementation of the GACD funded chronic disease interventions. There are different approaches to assess and incorporate context as demonstrated by this study and further research is required to systematically evaluate contextual approaches in terms of how they contribute to effectiveness or implementation outcomes.

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  • 172.
    Daivadanam, Meena
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food Studies, Nutrition and Dietetics.
    Järpemo, Amanda
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food Studies, Nutrition and Dietetics.
    Stjärnefeldt, Johanna
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food Studies, Nutrition and Dietetics.
    Food retail managers’ perspectives of in-store health interventions in disadvantaged areas: a qualitative study2021Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Non-communicable diseases (NCDs) are increasing throughout the world and are estimated to cause 90% of all deaths in Sweden. Non-European immigrants have a two-fold risk of developing NCDs andsuburbs with higher proportion of immigrants have a higher prevalence of these diseases. Food retail is in a unique position to deliver interventions that can influence healthier eating behavior since it is the setting where most of the food is procured. A key factor in the future success of health interventions in food retail stores is support of managers, but studies from their perspective are lacking.

    Methods: Nine in-depth interviews were conducted, among two categories of participants: Managers of food retail stores in socio-disadvantaged areas, referred as store managers, and Dieticians working with health issues within food retail referred as health managers. Thematic analysis was conducted to analyze the transcripts.

    Results: The analysis resulted in two main themes: Constrained by reality and Reframing responsibilities. Store managers felt reluctance to initiate health interventions due to lack of health awareness and interest among their customers. Health managers were involved in many national health promotion activities, but stressed the need for local initiatives if health interventions were to be successful. Both store and health managers thought government should take more actions and set defined health regulations for them to follow.

    Conclusion: Food retailer managers did not perceive themselves as initiators of health interventions as a part of business practice and identified structural barriers that hinder in-store health initiatives. A shared belief was the need for a structural approach for improving public health, including a governmental responsibility to improve health in disadvantaged areas and clear regulations to influence public health.

    Keywords: Food retail managers, health managers, store managers, health interventions, disadvantaged suburbs, in-depth interviews, prevention of non-communicable disease, environmental health. 

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  • 173.
    Daivadanam, Meena
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics. Sree Chitra Tirunal Inst Med Sci & Technol, Achutha Menon Ctr Hlth Sci Studies, Thiruvananthapuram 695011, Kerala, India.;Karolinska Inst, Dept Publ Hlth Sci Global Hlth, Tomtebodavagen 18A, S-17177 Stockholm, Sweden..
    Ravindran, T. K. Sundari
    Sree Chitra Tirunal Inst Med Sci & Technol, Achutha Menon Ctr Hlth Sci Studies, Thiruvananthapuram 695011, Kerala, India..
    Thankappan, K. R.
    Sree Chitra Tirunal Inst Med Sci & Technol, Achutha Menon Ctr Hlth Sci Studies, Thiruvananthapuram 695011, Kerala, India..
    Sarma, P. S.
    Sree Chitra Tirunal Inst Med Sci & Technol, Achutha Menon Ctr Hlth Sci Studies, Thiruvananthapuram 695011, Kerala, India..
    Wahlström, Rolf
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Karolinska Inst, Dept Publ Hlth Sci Global Hlth, Tomtebodavagen 18A, S-17177 Stockholm, Sweden..
    Development of a Tool to Stage Households' Readiness to Change Dietary Behaviours in Kerala, India2016In: PLOS ONE, E-ISSN 1932-6203, Vol. 11, no 11, article id e0165599Article in journal (Refereed)
    Abstract [en]

    Dietary interventions and existing health behaviour theories are centred on individuals; therefore, none of the available tools are applicable to households for changing dietary behaviour. The objective of this pilot study was to develop a practical tool that could be administered by community volunteers to stage households in rural Kerala based on readiness to change dietary behaviour. Such a staging tool, comprising a questionnaire and its algorithm, focusing five dietary components (fruits, vegetables, salt, sugar and oil) and households (rather than individuals), was finalised through three consecutive pilot validation sessions, conducted over a four-month period. Each revised version was tested with a total of 80 households (n = 30, 35 and 15 respectively in the three sessions). The tool and its comparator, Motivational Interviewing (MI), assessed the stage-of-change for a household pertaining to their: 1) fruit and vegetable consumption behaviour; 2) salt, sugar and oil consumption behaviour; 3) overall readiness to change. The level of agreement between the two was tested using Kappa statistics to assess concurrent validity. A value of 0.7 or above was considered as good agreement. The final version was found to have good face and content validity, and also a high level of agreement with MI (87%; weighted kappa statistic: 0.85). Internal consistency testing was performed using Cronbach's Alpha, with a value between 0.80 and 0.90 considered to be good. The instrument had good correlation between the items in each section (Cronbach's Alpha: 0.84 (fruit and vegetables), 0.85 (salt, sugar and oil) and 0.83 (Overall)). Pre-contemplation was the most difficult stage to identify; for which efficacy and perceived cooperation at the household level were important. To the best of our knowledge, this is the first staging tool for households. This tool represents a new concept in community-based dietary interventions. The tool can be easily administered by lay community workers and can therefore be used in large population-based studies. A more robust validation process with a larger sample is needed before it can be widely used.

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  • 174.
    Daivadanam, Meena
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics. Karolinska Institute.
    Van Olmen, Josefien
    Institute of Tropical Medicine, Antwerp.
    Delobelle, Peter
    University of Western Cape School of Public Health, South Africa.
    Absetz, Pilvikki
    Collaborative Care Systems, Finland.
    Guwatudde, David
    Makerere University School of Public Health, Uganda.
    Puoane, Thandi
    University of Western Cape School of Public Health, South Africa.
    Improving self-management for diabetes in diverse settings: example of Reciprocal Learning Approach2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no Suppl. 3, p. 64-Article in journal (Refereed)
  • 175.
    Daivadanam, Meena
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics. Karolinska Inst, Dept Publ Hlth Sci Global Hlth, Stockholm, Sweden; Sree Chitra Tirunal Inst Med Sci & Technol, Achutha Menon Ctr Hlth Sci Studies, Trivandrum, Kerala, India.
    Wahlström, Rolf
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine. Karolinska Inst, Dept Publ Hlth Sci Global Hlth, Stockholm, Sweden.
    Ravindran, T. K. Sundari
    Sarma, P. Sankara
    Sivasankaran, S.
    Thankappan, K. R.
    Changing household dietary behaviours through community-based networks: A pragmatic cluster randomized controlled trial in rural Kerala, India2018In: PLOS ONE, E-ISSN 1932-6203, Vol. 13, no 8, article id e0201877Article in journal (Refereed)
    Abstract [en]

    Trial design: With the rise in prevalence of non-communicable diseases in India and Kerala in particular, efforts to develop lifestyle interventions have increased. However, contextualised interventions are limited. We developed and implemented contextualised behavioural intervention strategies focusing on household dietary behaviours in selected rural areas in Kerala and conducted a community-based pragmatic cluster randomized controlled trial to assess its effectiveness to increase the intake of fruits and vegetables at individual level, and the procurement of fruits and vegetables at the household level and reduce the consumption of salt, sugar and oil at the household level.

    Methods: Six out of 22 administrative units in the northern part of Thiruvananthapuram district of Kerala state were selected as geographic boundaries and randomized to either intervention or control arms. Stratified sampling was carried out and 30 clusters comprising 6-11 households were selected in each arm. A cluster was defined as a neighbourhood group functioning in rural areas under a state-sponsored community-based network (Kudumbasree). We screened 1237 households and recruited 479 (intervention: 240; control: 239) households and individuals (male or female aged 25-45 years) across the 60 clusters. 471 households and individuals completed the intervention and end-line survey and one was excluded due to pregnancy. Interventions were delivered for a period of one-year at household level at 0, 6, and 12 months, including counselling sessions, telephonic reminders, home visits and general awareness sessions through the respective neighbourhood groups in the intervention arm. Households in the control arm received general dietary information leaflets. Data from 478 households (239 in each arm) were included in the intention-to-treat analysis, with the household as the unit of analysis.

    Results: There was significant, modest increase in fruit intake from baseline in the intervention arm (12.5%); but no significant impact of the intervention on vegetable intake over the control arm. There was a significant increase in vegetable procurement in the intervention arm compared to the control arm with the actual effect size showing an overall increase by 19%; 34% of all households in the intervention arm had increased their procurement by at least 20%, compared to 17% in the control arm. Monthly household consumption of salt, sugar and oil was greatly reduced in the intervention arm compared to the control arm with the actual effect sizes showing an overall reduction by 45%, 40% and 48% respectively.

    Conclusions: The intervention enabled significant reduction in salt, sugar and oil consumption and improvement in fruit and vegetable procurement at the household level in the intervention arm. However, there was a disconnect between the demonstrated increase in FV procurement and the lack of increase in FV intake. We need to explore fruit and vegetable intake behaviour further to identify strategies or components that would have made a difference. We can take forward the lessons learned from this study to improve our understanding of human dietary behaviour and how that can be changed to improve health within this context.

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  • 176.
    Daivadanam, Meena
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Wahlström, Rolf
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Thankappan, K. R.
    Ravindran, T. K. Sundari
    Balancing expectations amidst limitations: the dynamics of food decision-making in rural Kerala2015In: BMC Public Health, E-ISSN 1471-2458, Vol. 15, article id 644Article in journal (Refereed)
    Abstract [en]

    Background: Food decision-making is a complex process and varies according to the setting, based on cultural and contextual factors. The study aimed to understand the process of food decision-making in households in rural Kerala, India, to inform the design of a dietary behaviour change intervention. Methods: Three focus group discussions (FGDs) and 17 individual interviews were conducted from September 2010 to January 2011 among 13 men and 40 women, between 23 and 75 years of age. An interview guide facilitated the process to understand: 1) food choices and decision-making in households, with particular reference to access; and 2) beliefs about foods, particularly fruits, vegetables, salt, sugar and oil. The interviews and FGDs were transcribed verbatim and analysed using qualitative content analysis. Results: The analysis revealed one main theme: 'Balancing expectations amidst limitations' with two sub-themes: 'Counting and meeting the costs'; and 'Finding the balance'. Food decisions were made at the household level, with money, time and effort costs weighed against the benefits, estimated in terms of household needs, satisfaction and expectations. The most crucial decisional point was affordability in terms of money costs, followed by food preferences of husband and children. Health and the risk of acquiring chronic diseases was not a major consideration in the decision-making process. Foods perceived as essential for children were purchased irrespective of cost, reportedly owing to the influence of food advertisements. The role of the woman as the homemaker has gendered implications, as the women disproportionately bore the burden of balancing the needs and expectations of all the household members within the available means. Conclusions: The food decision-making process occurred at household level, and within the household, by the preferences of spouse and children, and cost considerations. The socio-economic status of households was identified as limiting their ability to manoeuvre this fine balance. The study has important policy implications in terms of the need to raise public awareness of the strong link between diet and chronic non-communicable diseases.

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  • 177.
    Daivadanamn, Meena
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Cajander, Åsa
    Uppsala University, Disciplinary Domain of Science and Technology, Mathematics and Computer Science, Department of Information Technology, Computerized Image Analysis and Human-Computer Interaction.
    Huvila, Isto
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Department of ALM.
    Dahl, Jo-Anne
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
    Empowering towards healthy behaviours2016In: Ending Childhood Obesity: Actions through health and food equity, Uppsala University, 2016, p. 34-39Conference paper (Other academic)
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    Precedings
  • 178.
    Damast, Gabriella
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Danielsson, Emelie
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Barn och dryckesvanor: Vad frågar vårdpersonal om? En pilotstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Förekomsten av obesitas hos barn har ökat de senaste decennierna. Ett högt intag av sötade drycker tros vara den största bidragande kostrelaterade riskfaktorn. Då obesitas medför en ökad risk för att utveckla allvarliga komplikationer är det viktigt att vårdpersonal integreras i arbetet att tidigt förebygga och behandla obesitas hos barn.

    Syfte: Denna enkätstudie syftade till att undersöka hur vårdpersonal frågar och ger råd om barns dryckesvanor samt om detta skiljer sig beroende på arbetsplats.

    Material och metod: Sjukvårdspersonal från Stockholms läns landstings barnavårdscentraler (BVC), barn-/ungdomsmedicinska mottagningar (BUMM) och skolhälsovården (SHV) fick fylla i ett frågeformulär om bedömning och rådgivning angående barns dryckesvanor samt deras upplevda säkerhet i att besvara frågor om barns vätskeintag och behov.

    Resultat: Knappt hälften av de 313 deltagarna frågar alltid eller ofta hur mycket barnet dricker (48,3 %). Vårdpersonalen frågar främst om dryckesvanor vid misstanke om stort intag av kaloririka drycker (60 %). Vanligaste rådet de ger är att minska intaget av vissa drycker (53 %). Det finns en signifikant skillnad för hur ofta vårdpersonalen på de olika arbetsplatserna frågar hur mycket barnet dricker (p = 0,001, BUMM frågar oftast), samt huruvida de själva får frågor om vätskeintag och behov (p = 0,000, BVC får oftast frågor). Deras upplevda kompetens i att besvara dessa frågor skiljer sig inte signifikant mellan olika arbetsplatser.

    Slutsats: Det finns signifikanta skillnader avseende hur vårdpersonal på de olika arbetsplatserna frågar om barns dryckesvanor. Generellt kan vårdpersonalen bli bättre på att fråga om dryckesvanor.

  • 179.
    Danielson, Jenny
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Fasth, Katarina
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Ekologiska livsmedel i offentlig måltidsverksamhet2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In our everyday life we are faced with many choices that have consequences on the environment. One of these is the food we choose to eat since food production has a big impact on the environment. In organic production the aim is to have a natural production process, where environmental impacts are minimized. By choosing organic food it is therefore possible to contribute to a better environment. A large number of meals are served every day in the public sector, which makes it an important player in the consumer sector that could make a major difference for the environment.

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  • 180.
    Davidsson, Sandra
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Ulander, Angelica
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Föräldrars gränssättning i relation till barns BMI SDS: En enkätstudie på barn födda 2008 och 20092013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Barnfetma är ett växande problem världen över och är en riskfaktor för övervikt och fetma senare i livet. Övervikt och fetma i barndomen är förknippat med riskfaktorer, så som överviktiga och feta föräldrar samt föräldrar med svårigheter att sätta gränser. Tidigare studier har även sett samband mellan barnets vikt och föräldrars utbildningsnivå samt antal syskon.

    Syfte: Vi ämnar undersöka sambandet mellan föräldrars självrapporterade gränssättning och barns BMI SDS. Vi ämnar även undersöka andra bakomliggande faktorer till barnets vikt så som förälderns vikt; utbildning samt antal syskon. Ett delsyfte är att validera enkäten Kommunikation med barnet.

    Material och Metod: Studien är en teoriprövande kvantitativ studie med ett deduktivt angreppssätt. Till vår undersökning användes 595 stycken häften med tryckta enkäter som delades ut på 20 stycken förskolor i Stockholmsområdet, till föräldrar med barn födda 2008 och 2009. Vi fick 196 svarande. Spearman’s korrelationstest och deskriptiv statistik användes.

    Resultat: Icke statistiskt signifikant samband mellan förälderns självrapporterade gränssättning och barnets BMI SDS kunde ses. Ett signifikant samband sågs mellan förälderns BMI och barnets BMI SDS. Enkäten är inte validerad med vår metod.

    Diskussion: Vårt stickprov har en stor andel högutbildade föräldrar och många normalviktiga barn, vilket gör att det blir svårt att dra några slutsatser gällande gränssättning och barnets vikt. Vi har inte sett några tydliga samband mellan barnets BMI SDS och andra faktorer. Detta anser vi bero på att vad som påverkar barnets vikt är komplext.

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  • 181.
    Davinder, Linnéa
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Olsson, Sebastian
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Primärvårdsdietisters upplevelser av att bemöta patienter som äter vegansk kost: En kvalitativ intervjustudie med primärvårdsdietister i Stockholm2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Antalet veganer i Sverige har inte ökat de senaste åren men däremot har intresset för växtbaserade alternativ blivit större. Dietisters syn på vegansk kost skiljer sig och i Sverige pågår en debatt i media med delade åsikter om ämnet.

    Syfte: Syftet med denna studie är att undersöka hur dietister upplever och hanterar patienter som äter vegansk kost. 

    Metodbeskrivning: Kvalitativa intervjuer har hållits med sex stycken primärvårdsdietister, fem kvinnor och en man i Stockholms län. Materialet har sedan analyserats med hjälp av tematisk analys.

    Resultat: Två övergripande teman identifierades, överenskommelse mellan dietist och patient samt kunskapsmässig asymmetri mellan dietist, patient och annan vårdpersonal. Dietisternas beskrivning av patienter som äter vegansk kost hade en generellt positiv klang. Patienterna upplevdes relativt enkla att behandla då kosthållningen sällan ansågs vara ett större hinder vid behandling. Patientens val och respekten för detta uttrycktes av samtliga deltagare. Situationer där vegansk kost inte var förenlig med behandling skildrades. Vegansk kost i relation till ätstörningar upplevdes som ett vanligt problem. Vidare uppfattades ett glapp i kunskapsläge om, och förståelse för kosten hos annan vårdpersonal. Resultaten tyder även på att dietistutbildningen inte givit deltagarna tillräckligt omfattande kunskaper om vegansk kost.   

    Slutsats: Resultatet tyder på att personcentrerad vård var en ambition hos deltagarna. Remisser från BVC var inte alltid nödvändiga vilket troddes bero på bristande kunskap hos vårdpersonalen kring vegansk kost vilket kan bidra till längre kötider. Större tillgång av dietister på BVC skulle kunna förhindra att onödiga remisser skickas till primärvården. Dietisterna ansåg att de inte jobbade förebyggande vilket det verkar finnas en efterfrågan för.

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  • 182. De Craemer, Marieke
    et al.
    Verloigne, Maïté
    De Bourdeaudhuij, Ilse
    Androutsos, Odysseas
    Iotova, Violeta
    Moreno, Luis
    Koletzko, Berthold
    Socha, Piotr
    Manios, Yannis
    Cardon, Greet
    Effect and process evaluation of a kindergarten-based, family-involved cluster randomised controlled trial in six European countries on four- to six-year-old children's steps per day: the ToyBox-study.2017In: International Journal of Behavioral Nutrition and Physical Activity, E-ISSN 1479-5868, Vol. 14, no 1, article id 116Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The ToyBox-intervention is a theory- and evidence-based intervention delivered in kindergartens to improve four- to six-year-old children's energy balance-related behaviours and prevent obesity. The current study aimed to (1) examine the effect of the ToyBox-intervention on increasing European four- to six-year-old children' steps per day, and (2) examine if a higher process evaluation score from teachers and parents was related to a more favourable effect on steps per day.

    METHODS: A sample of 2438 four- to six-year-old children (51.9% boys, mean age 4.75 ± 0.43 years) from 6 European countries (Belgium, Bulgaria, Germany, Greece, Poland and Spain) wore a motion sensor (pedometer or accelerometer) for a minimum of two weekdays and one weekend day both at baseline and follow-up to objectively measure their steps per day. Kindergarten teachers implemented the physical activity component of the ToyBox-intervention for 6 weeks in total, with a focus on (1) environmental changes in the classroom, (2) the child performing the actual behaviour and (3) classroom activities. Children's parents received newsletters, tip cards and posters. To assess intervention effects, multilevel repeated measures analyses were conducted for the total sample and the six intervention countries separately. In addition, process evaluation questionnaires were used to calculate a total process evaluation score (with implementation and satisfaction as a part of the overall score) for teachers and parents which was then linked with the physical activity outcomes.

    RESULTS: No significant intervention effects on four- to six-year-old children' steps per weekday, steps per weekend day and steps per average day were found, both in the total sample and in the country-specific samples (all p > 0.05). In general, the intervention effects on steps per day were least favourable in four- to six-year-old children with a low teachers process evaluation score and most favourable in four- to six-year-old children with a high teachers process evaluation score. No differences in intervention effects were found for a low, medium or high parents' process evaluation score.

    CONCLUSION: The physical activity component of the ToyBox-intervention had no overall effect on four- to six-year-old children' steps per day. However, the process evaluation scores showed that kindergarten teachers that implemented the physical activity component of the ToyBox-intervention as planned and were satisfied with the physical activity component led to favourable effects on children's steps per day. Strategies to motivate, actively involve and engage the kindergarten teachers and parents/caregivers are needed to induce larger effects.

  • 183.
    De Man, Jeroen
    et al.
    Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium;Univ Antwerp, Dept Primary & Interdisciplinary Care, Antwerp, Belgium.
    Aweko, Juliet
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics. Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Alvesson, Helle Molsted
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Delobelle, Peter
    Univ Western Cape, Sch Publ Hlth, Bellville, South Africa;Univ Cape Town, Chron Dis Initiat Africa, Cape Town, South Africa.
    Mayega, Roy William
    Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Coll Hlth Sci, Kampala, Uganda.
    Ostenson, Claes-Goran
    Karolinska Inst, Dept Mol Med & Surg, Diabet & Endocrine Unit, Stockholm, Sweden.
    Kirunda, Barbara
    Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Coll Hlth Sci, Kampala, Uganda.
    Kasujja, Francis Xavier
    Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Coll Hlth Sci, Kampala, Uganda.
    Guwattude, David
    Makerere Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Coll Hlth Sci, Kampala, Uganda.
    Puoane, Thandi
    Univ Western Cape, Sch Publ Hlth, Bellville, South Africa.
    Sanders, David
    Univ Western Cape, Sch Publ Hlth, Bellville, South Africa.
    Peterson, Stefan
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Tomson, Goran
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden;Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden.
    Sundberg, Carl Johan
    Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden;Karolinska Inst, Dept Physiol & Pharmacol, Stockholm, Sweden.
    Absetz, Pilvikki
    Collaborat Care Syst Finland, Helsinki, Finland;Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland.
    Van Olmen, Josefien
    Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium;Univ Antwerp, Dept Primary & Interdisciplinary Care, Antwerp, Belgium.
    Diabetes self-management in three different income settings: Cross-learning of barriers and opportunities2019In: PLOS ONE, E-ISSN 1932-6203, Vol. 14, no 3, article id e0213530Article in journal (Refereed)
    Abstract [en]

    The burden of type 2 diabetes is increasing rapidly, not least in Sub-Saharan Africa, and disadvantaged populations are disproportionally affected. Self-management is a key strategy for people at risk of or with type 2 diabetes, but implementation is a challenge. The objective of this study is to assess the determinants of self-management from an implementation perspective in three settings: two rural districts in Uganda, an urban township in South Africa, and socio-economically disadvantaged suburbs in Sweden. Data collection followed an exploratory multiple-case study design, integrating data from interviews, focus group discussions, and observations. Data collection and analysis were guided by a contextualized version of a transdisciplinary framework for self-management. Findings indicate that people at risk of or with type 2 diabetes are aware of major self-management strategies, but fail to integrate these into their daily lives. Depending on the setting, opportunities to facilitate implementation of self-management include: improving patient-provider interaction, improving health service delivery, and encouraging community initiatives supporting self-management. Modification of the physical environment (e.g. accessibility to healthy food) and the socio-cultural environment (i.e. norms, values, attitudes, and social support) may have an important influence on people's lifestyle. Regarding the study methodology, we learned that this innovative approach can lead to a comprehensive analysis of self-management determinants across different settings. An important barrier was the difficult contextualization of concepts like perceived autonomy and self-efficacy. Intervention studies are needed to confirm whether the pathways suggested by this study are valid and to test the proposed opportunities for change.

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  • 184.
    De Man, Jeroen
    et al.
    Univ Antwerp, Ctr Gen Practice, Dept Family Med & Populat Hlth, Doornstr 331, B-2610 Antwerp, Belgium..
    Kasujja, Francis Xavier
    Makerere Univ, Coll Hlth Sci, Sch Publ Hlth, Dept Epidemiol & Biostat, Kampala, Uganda.;MRC UVRI, Chron Dis & Canc Theme, Entebbe, Uganda.;LSHTM Uganda Res Unit, Entebbe, Uganda..
    Delobelle, Peter
    Univ Western Cape, Sch Publ Hlth, Bellville, South Africa.;Univ Cape Town, Chron Dis Initiat Africa, Cape Town, South Africa.;Vrije Univ Brussel, Dept Publ Hlth, Brussels, Belgium..
    Annerstedt, Kristi Sidney
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden..
    Alvesson, Helle Molsted
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden..
    Absetz, Pilvikki
    Collaborat Care Syst Finland, Helsinki, Finland.;Univ Eastern Finland, Inst Publ Hlth & Clin Nutr, Kuopio, Finland..
    Wouters, Edwin
    Univ Antwerp, Ctr Populat Family & Hlth, Dept Sociol, Antwerp, Belgium..
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Child Health and Nutrition. Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden..
    Guwatudde, David
    Makerere Univ, Coll Hlth Sci, Sch Publ Hlth, Dept Epidemiol & Biostat, Kampala, Uganda..
    Puoane, Thandi
    Univ Western Cape, Sch Publ Hlth, Bellville, South Africa..
    Remmen, Roy
    Univ Antwerp, Ctr Gen Practice, Dept Family Med & Populat Hlth, Doornstr 331, B-2610 Antwerp, Belgium..
    Tabana, Hanani
    Univ Western Cape, Sch Publ Hlth, Bellville, South Africa..
    Van Olmen, Josefien
    Univ Antwerp, Ctr Gen Practice, Dept Family Med & Populat Hlth, Doornstr 331, B-2610 Antwerp, Belgium.;Inst Trop Med Antwerp, Dept Publ Hlth, Antwerp, Belgium..
    Motivational determinants of physical activity in disadvantaged populations with (pre)diabetes: a cross-cultural comparison2022In: BMC Public Health, E-ISSN 1471-2458, Vol. 22, no 1, article id 164Article in journal (Refereed)
    Abstract [en]

    Background Understanding motivational determinants of physical activity (PA) is essential to guide the implementation of PA at individual and population level. Knowledge about the cross-cultural generalizability of these determinants is lacking and they have mostly been studied as separate factors. This study compares a motivational process model across samples from diverse populations with, or at risk of diabetes. Methods Measurement invariance of barrier identified regulation, barrier self-efficacy and social support was assessed in a rural Ugandan sample (n = 712) and disadvantaged samples with high proportions of immigrants in urban South Africa (n = 566) and Sweden (n = 147). These motivational determinants were then compared through multigroup structural equation modeling. Results The studied motivational constructs showed scalar invariance. Latent mean levels of perceived social support and barrier self-efficacy were lower in South Africa and Sweden. Structural models (for different PA outcomes) were not consistent across settings except for the association between perceived social support and identified regulation. Identified regulation was only associated with vigorous PA in Uganda and with moderate PA in South Africa. The association between social support and PA outcomes ranged from weak to not significant and the association between self-efficacy and PA was not significant. Self-reported PA was highest in Uganda and lowest in Sweden. Self-reported vigorous PA was significantly related to lower hemoglobin A1c levels, while moderate PA was not. Conclusions Findings suggest that: 1) it is feasible to compare a motivational process model across diverse settings; 2) there is lower perceived social support and self-efficacy in the urban, migrant samples; 3) identified regulation is a more promising determinant of PA than self-efficacy or social support in these populations; 4) associations between motivational determinants and PA depend on the perceived type and/or intensity of PA; 5) perceived relatedness functions as a basic psychological need across diverse settings; and 6) people's perception of the PA they perform depends on their perceived level of intensity of PA which would have major implications for health promotion.

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  • 185. De Man, Jeroen
    et al.
    Wouters, Edwin
    Absetz, Pilvikki
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Child Health and Nutrition.
    Naggayi, Gloria
    Kasujja, Francis Xavier
    Remmen, Roy
    Guwatudde, David
    Van Olmen, Josefien
    What Motivates People With (Pre)Diabetes to Move? Testing Self-Determination Theory in Rural Uganda.2020In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 11, article id 404Article in journal (Refereed)
    Abstract [en]

    Introduction: Sub-Saharan Africa is experiencing a rapid growth of type 2 diabetes (T2D) and its related burden. Regular physical activity (PA) is a successful prevention strategy but is challenging to maintain. Self-determination theory (SDT) posits that more autonomous forms of motivation are associated with more sustainable behavior change. Evidence to support this claim is lacking in sub-Saharan Africa. This study aims to explore the relationships between latent constructs of autonomous and controlled motivation, perceived competence, perceived relatedness, PA behavior, and glycemic biomarkers.

    Methods: Structural equation modeling was applied to cross-sectional data from a rural Ugandan population (N = 712, pre-diabetes = 329, diabetes = 383). Outcome measures included self-reported moderate and vigorous PA, pedometer counts, and fasting plasma glucose (FPG) and glycated hemoglobin (HbA1C).

    Results: Our findings support SDT, but also suggest that different types of motivation regulate different domains and intensities of PA. Higher frequency of vigorous PA - which was linked to a lower HbA1C and FPG - was predicted by autonomous motivation (β = 0.24) but not by controlled motivation (β = -0.05). However, we found no association with moderate PA frequency nor with pedometer counts. Perceived competence and perceived relatedness predicted autonomous motivation. Autonomous motivation functioned as a mediator between those needs and PA behavior.

    Conclusion: This is the first study providing evidence for a SDT model explaining PA among people at risk of, or living with, T2D in a rural sub-Saharan African setting. Our findings suggest that individuals who experience genuine support from friends or family and who feel competent in doing vigorous PA can become motivated through identification of health benefits of PA as their own goals. This type of motivation resulted in a higher frequency of vigorous PA and better glycemic biomarkers. On the other hand, people who felt more motivated through pressure from others or through feelings of guilt or shame were not more engaged in PA.

    Clinical Trial Registration: ISRCTN 11913581. Registered January 10, 2017.

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  • 186. De Man, Jeroen
    et al.
    Wouters, Edwin
    Delobelle, Peter
    Puoane, Thandi
    Daivadanam, Meena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Child Health and Nutrition. Health Systems and Policy Research Group, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Absetz, Pilvikki
    Remmen, Roy
    van Olmen, Josefien
    Testing a Self-Determination Theory Model of Healthy Eating in a South African Township2020In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 11, article id 2181Article in journal (Refereed)
    Abstract [en]

    Introduction: The burden of type 2 diabetes is growing rapidly in sub-Saharan Africa. Healthy eating has been shown to prevent the disease but is challenging to maintain. Self-determination theory offers a motivational framework for maintaining a healthy diet based on evidence from western settings. This study aims to assess whether self-determination theory can explain healthy diet behavior in a disadvantaged urban South African population.

    Methods: Cross-sectional data from a South African township population (N = 585; pre-diabetes = 292, diabetes = 293, age 30-75) were analyzed using structural equation modeling, while controlling for socio-demographic factors. Measures included self-reported autonomous and controlled motivation, perceived competence (measured through barrier self-efficacy), perceived relatedness (measured through perceived participation of significant others) and, as indicator for healthy diet, frequency of fruit, vegetable, and non-refined starch intake.

    Results: Healthy eating was positively associated (β = 0.26) with autonomous motivation, and negatively associated (β = -0.09) with controlled motivation. Perceived competence and relatedness were positively associated with healthy eating (β = 0.49 and 0.37) and autonomous motivation (β = 0.65 and 0.35), and negatively associated with controlled motivation (β = -0.26 and -0.15). Autonomous motivation mediated the effect of perceived competence and relatedness on healthy eating. The model supported a negative association between controlled and autonomous motivation.

    Conclusion: This is the first study providing evidence for self-determination theory explaining healthy eating in a disadvantaged sub-Saharan African setting among people at risk of or with diabetes type two. Our findings suggest that individuals who experience support from friends or family and who feel competent in adopting a healthy diet are more likely to become more motivated through identifying the health benefits of healthy eating as their goal. This type of autonomous motivation was associated with a healthier diet compared to individuals whose motivation originated in pressure from others or feelings of guilt or shame. Our recommendations for public health interventions include: focus on the promotion of diet-related health benefits people can identify with; encourage social support by friends or family; reinforce people's sense of competence and skills; and avoid triggering perceived social pressure or feelings of guilt.

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  • 187.
    Demir, Kevin
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food Studies, Nutrition and Dietetics.
    Matbeteende hos barn med läkemedelsbehandlad ADHD: ur ett föräldrarperspektiv2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Attention Deficit-Hyperactivity Disorder (ADHD) är en neuropsykiatrisk funktionsnedsättning som ofta medför funktionella svårigheter i vardagen med beteenden såsom försämrad fokus, impulsivitet och hyperaktivitet. Centralstimulerande läkemedel, vars verkan påvisat stora risker gällande aptitnedsättning, är således en vanlig behandling att implementera för att kontrollera symtomen. Tillståndet ADHD, relaterat till kärnsymtomen och potentiell läkemedelsbehandling, ökar därmed sannolikheten för alstrandet av diverse ät- och matproblematik, svårigheter som kan innebära bekymmer för föräldrar till barn med ADHD.

    Syfte: Att undersöka matbeteendet hos barn med läkemedelsbehandlad ADHD utifrån ett föräldraperspektiv.

    Metod: En enkätundersökning genomfördes via ADHD-center i Stockholm. Studien inkluderade 118 föräldrar till barn med läkemedelsbehandlad ADHD som besökte mottagningen under en hel vecka. Barnen skulle vara mellan 6 och 13 år.

    Resultat: Barnen uppvisade en bristande aptit och oregelbundna måltidsvanor enligt resultaten. Dessutom misstänks kärnsymtomen för ADHD ha haft en negativ inverkan på barnens livsmedelspreferenser.  

    Slutsats: Det är möjligt att läkemedelsbehandling, kombinerat med kärnsymtomen för ADHD, kan ha en påverkan på kostvanor vad gäller aptit, regelbundna måltider och livsmedelsval. 

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  • 188.
    Dernmar, Maria
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Wessbergh, Amanda
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Barns kostvanor: En kvantitativ studie om huruvida näringsrekommendationerna efterföljs, samt hur moderns ålder och utbildninagsnivå påverkar intaget2012Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
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  • 189.
    Dimander, Josefin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
    Andersson, Agneta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food Studies, Nutrition and Dietetics.
    Lindqvist, Catarina
    Department of Medicine Huddinge, Karolinska Institutet, 141 52, Stockholm, Sweden.
    Miclescu, Adriana
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Pain.
    Huss, Fredrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
    Documented nutritional therapy in relation to nutritional guidelines post burn injury: a retrospective observational study2023In: Clinical Nutrition ESPEN, E-ISSN 2405-4577, Vol. 56, p. 222-229Article in journal (Refereed)
    Abstract [en]

    Background & aims: Intensive nutritional therapy is an essential component of burn care. Regardingpost-minor burn injuries, the literature is lacking. The aim of this study was to evaluate documentednutritional therapy in relation to international guidelines after both minor and major burn injuries. The secondary aim of this study was to evaluate the adequacy of energy and protein intake compared toindividual nutritional goals post-burn injury.

    Methods: A retrospective observational single-centre study including patients admitted between 2017and 2019 at a burn centre in Sweden was performed. The patients included in the study were >18 years old and in need of hospital care for > 72 h post-burn injury. Information about patients' demographics,nutritional therapy, and clinical characteristics of burn injury was collected. The patients were dividedaccording to total body surface area burnt (TBSA %) into minor burn injuries (TBSA <20%) and major burninjuries (TBSA >20%). Descriptive statistics were used to analyse data. Adherence to guidelines wasestablished by comparing 24 nutritional therapy recommendations to documented treatment. If documented nutritional treatment were in accordance with guidelines, adherence was considered high(>80%), moderate (60-79.9%) or low (<59.9%).

    Results: One hundred thirty-four patients were included, 90 patients with minor burn injuries and 44patients with major burn injuries. Documented adherence to the nutritional guideline was overall low.After minor burn injury, 8% (2/24) of nutritional therapy recommendations had a high adherence (fatintake <35% of total energy intake and enteral nutrition as prioritized feeding route), 17% (4/24) amoderate adherence, and 75% (18/24) a low adherence. In patients treated after a major burn injury,there were two recommendations with documented high adherence (Vitamin C and Zinc); 25% (6/24)had moderate adherence, and 67% (16/24) had low adherence. In addition, quite a large amount ofmissing data was found.Adequacy of documented nutritional intake, compared to the individual documented goal, was 78%(±23%) for energy and 66% (±22%) for protein after minor burn injury. After major burn injury, the adequacy was 89% (±21%) for energy and 78% (±19%) for protein, respectively.

    Conclusions: This study revealed low adherence to nutritional guidelines in patients treated for minorand major burn injuries. Compared to major burn injuries, lower documented adequacy for both energyand proteins was found in minor burn injuries. Given the disparity between guidelines and documentednutritional therapy, and the lack of specific guidelines for minor burn injuries, there could be aconsiderable risk of inadequate nutritional therapy post-burn injury.

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  • 190.
    Dimander, Josefin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery. Burn Centre, Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital.
    Andersson, Agneta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food Studies, Nutrition and Dietetics.
    Miclescu, Adriana
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Pain.
    Huss, Fredrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery. Burn Centre, Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital.
    Two Modified Questionnaires for the Assessment of Nutrition Impact Symptoms in the Rehabilitation Phase after Burn Injury: A Content Validation Study2022In: European Burn Journal, E-ISSN 2673-1991, Vol. 3, no 1, p. 156-164Article in journal (Refereed)
    Abstract [en]

    Disease Related Appetite Questionnaire (DRAQ) and Eating Symptom Questionnaire(ESQ) are used to assess nutrition impact symptoms, which are symptoms that can negatively affectthe patients’ food intake. However, these questionnaires have not yet been adapted to the needsof patients recovering from burn injuries. Our aim was therefore to develop DRAQ and ESQ forassessments of nutrition impact symptoms after burn injury. A content validation index (I-CVI) foritems included in DRAQ and ESQ, regarding their relevance for possible nutrition impact symptomsin a burn-injured patient (Likert scale 1–4), was performed by an expert review group. A clarityvalidation by expert and non-expert reviewers was carried out. Two of the eleven questions inDRAQ and eight of the fourteen questions in ESQ were not considered relevant and were thereforeremoved from the questionnaires. Five additional questions were added to DRAQ and two to ESQ.A high degree of consensus on relevance (scale-content validity index average, S-CVI/Ave, 0.86 forDRAQ-burn and 0.83 for ESQ-burn) was reached in the expert group. To conclude, it is suggestedthat we use developed forms of DRAQ and ESQ (DRAQ-burn and ESQ-burn) for the assessment ofnutrition impact symptoms, specifically during the rehabilitation phase of burn-injured patients.

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  • 191.
    Diraoui, Manal
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Hartland, Frida
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Den offentliga måltiden i skolan ur ett antal politikers perspektiv: En undersökning om hur politiker tar ställning till skolmaten2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
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    Diraoui-Hartland
  • 192.
    Divya, Jagasia
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Zanzi Ferrando, Vanesa
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Tempeh: a tempting potential vitamin B12 treat: An exploration of legumes and vitamin B122015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Legumes are beneficial for the environment, nutritious and coupled with various health benefits. However, they lack the essential vitamin B12 and a vitamin B12 deficiency can lead to hazardous health problems. Tempeh is a fermented legume product that has the potential of carrying vitamin B12.

    Aim: The aim of this thesis is to investigate consumers' awareness of vitamin B12 and explore the indications for the possibility to introduce tempeh - a fermented legume product.

    Method: A quantitative survey was carried out within four different areas of Stockholm using a clustering sample technique with 195 participants who were recruited outside supermarkets through convenience sampling.

    Results: The majority of the subjects had moderate consumption of legumes and was open to trying tempeh even though they had never heard about it. While their knowledge of vitamin B12 was limited, the biggest risk groups, vegans and the elderly, were aware that they were a risk group but only a minority of them knew the correct vitamin B12 food sources.

    Conclusion: The participants in this study had little knowledge about vitamin B12 food sources, deficiencies or risk groups. Since their legume consumption was regular and they were positive towards trying tempeh even though they had never heard about tempeh before, there is potential for it in the market. However, more studies are needed to research the bioavailability of vitamin B12 in tempeh even though new research gives hope that it can be a possibility.

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  • 193. Duncanson, K.
    et al.
    Shrewsbury, V.
    Burrows, T.
    Chai, L. K.
    Ashton, L.
    Taylor, R.
    Gow, M.
    Ho, M.
    Ells, L.
    Stewart, L.
    Garnett, S.
    Jensen, M. E.
    Nowicka, Paulina
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Littlewood, R.
    Demaio, A.
    Coyle, D. H.
    Walker, J. L.
    Collins, C. E.
    Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: a systematic review with meta-analysis2021In: Journal of human nutrition and dietetics, ISSN 0952-3871, E-ISSN 1365-277X, Vol. 34, no 1, p. 147-177Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The impact of obesity interventions on dietary intake in children and adolescents with overweight or obesity is unclear. This systematic review aimed to investigate the impact of the dietary component of weight management interventions on the change in diet in children and adolescents with overweight or obesity.

    METHODS: Eligible randomised controlled trials (RCTs) published between 1975 and 2020 were identified by a systematic search following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Meta-analyses of eligible study outcomes were performed using statistical software. A multilevel random effects model was used with three significant random effects fitted using restricted maximum likelihood estimation.

    RESULTS: This review identified 109 RCTs, including 95 that reported at least one statistically significant dietary outcome change and 14 reporting no significant dietary change. Results from the meta-analyses (n = 29 studies) indicated that, compared to control groups, intervention groups achieved significantly greater reductions in mean total energy intake at ≤6 months (-194 kcal day-1 , 95% confidence interval = -275.80 to -112.90 kcal day-1 , P < 0.001) and up to 12 months (-112 kcal day-1 95% confidence interval = -218.92 to -5.83 kcal day-1 ) P = 0.038), increases in fruit and/or vegetable intakes over 2-12 months (n = 34, range +0.6 to +1.5 servings day-1 ) and reductions in consumption of sugar-sweetened beverages (n = 28, range -0.25 to -1.5 servings day-1 ) at 4-24 months follow-up.

    CONCLUSIONS: Obesity interventions with a dietary component have a modest but sustained impact on reducing total energy intake and improving intakes of specific food groups in children and adolescents with overweight or obesity. High quality RCTs that are powered to detect change in diet as a primary outcome are warranted.

  • 194.
    Dunger, Karin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Nedergård, Nathalie
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Tarmflora – Kostens betydelse och studenters inställning till och kunskap om livsmedel som främjar tarmfloran2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Tidigare studier har visat att tarmfloran har stor betydelse för hälsa och att kosten påverkar tarmfloran.

    Syfte: Att undersöka ett urval av Uppsalastudenters inställning till och kunskap om livsmedel som främjar tarmfloran och hur ofta de tar hänsyn till denna aspekt vid livsmedelsval.

    Metod: En webbenkät skickades till alla administratörer vid Uppsala Universitet. Vissa institutioner publicerade denna på sin studentportal. Enkäten lades även ut i studentgrupper på facebook. Svarsinsamligen skedde under 12 dagar. Svaren analyserades i SPSS och flera Chi två-tester utfördes för att se om signifikanta samband förekom.

    Resultat: 727 personer deltog. En signifikant majoritet höll helt eller delvis med att tarmfloran har en stor betydelse för människors hälsa (92%), samt att val av livsmedel till stor del kan påverka tarmfloran (89%). 12% av deltagarna hade dagligen ätit/druckit något med hänsyn till tarmfloran och 32% hade gjort det minst en gång per månad. Temat magproblem framkom efter tolkning av anledningarna till varför/varför inte livsmedel valts med hänsyn till tarmfloran. Den generella kunskapsnivån gällande prebiotika och probiotika tolkades som låg.

    Slutsats: Grupper som signifikant skiljde sig gällande om de valt livsmedel för dess effekt på tarmfloran var kvinnor, personer äldre än 30 år och studenter som läst kostvetenskap på universitetsnivå. De grupper med signifikant större kunskap var de studenter som läst kostvetenskap på universitetsnivå och de som haft vetenskapliga artiklar som huvudsaklig kunskapskälla. Fler undersökningar inom området tarmflora och konsumenter behövs.

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  • 195.
    Dölhed, Anna
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Hansson, Emma
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Stenberg, Matilda
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Den frivilliga märkningens roll för konsumentens val av livsmedel: Focus på EU-lövet, KRAV, Från Sverige & Nyckelhålet2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Livsmedelsmärkning är ett komplext område som underlättar för konsumenten vid val av livsmedelsprodukter. Kännedom om märkningens innebörd och kunskap om hur den ska avläsas är en förutsättning för medvetna val i mataffären.

    Syfte: Syftet med denna studie var att undersöka rollen av de frivilliga märkningarna EU-lövet, KRAV, Från Sverige och Nyckelhålet för konsumenternas val av nötkött, ägg, bröd och potatis. Vidare var syftet att undersöka kännedom om märkningen, frekvensen och motiven bakom ovan nämnda val.

    Metod: Genom Google formulär samlades 121 enkätsvar in. Deltagare rekryterades till studien genom ett bekvämlighetsurval via Facebook. Deskriptiv statistik användes för att bearbeta resultatet.

    Resultat: 112 giltiga enkätssvar visade att respondenterna har god självupplevd kännedom om samtliga märkningar, dock ej EU-lövet. Från Sverige valdes med högst frekvens för samtliga livsmedelsgrupper. Djurhållning och Kvalitet var de främsta skälen till dessa val. Därefter var KRAV viktigast för nötkött, ägg och potatis. Skälen till dessa var Kvalitet, Djurhållning och Hållbarhet. För alla livsmedel var EU-lövet och Nyckelhålet minst viktiga märkningar, med undantag för bröd märkt med Nyckelhålet, som var viktigt gällande Hälsa.

    Slutsats: Livsmedelsmärkningar hade en vägledande roll och den självupplevda kännedomen om märkningarna var hög med undantag för EU-lövet. Från Sverige var den märkning som oftast valdes för samtliga livsmedel. Skälen till detta var främst Djurhållning och Kvalitet. Det fanns en betydande vilja för respondenterna att lära sig mer om både EU-lövet och KRAV.

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  • 196.
    Edling, Kristin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Johansson, Helena
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    "Alla måste med på tåget": En kvalitativ studie om ansvarigas upplevelser av att arbeta för att minska köttkonsumtionen i kommunalt drivna måltidsverksamheter2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att minska köttkonsumtionen är ett diskuterat ämne idag. Anledningen är den klimatförändring som just nu sker och kött är det livsmedel som påverkar vår miljö allra mest. Dagligen serveras cirka tre miljoner måltider inom måltidsservice i Sverige och den offentliga sektorn, däribland skola och förskola inkluderat, är en stor aktör som når ut till många människor. Fler och fler kommuner får i uppdrag att minska på köttet i sina verksamheter, vilket många också börjat arbeta aktivt med.

    Syfte: Att undersöka hur ansvarig kostchef eller likvärdig, i fem utvalda svenska kommuner upplevt arbetet med att minska köttkonsumtionen i förskola och skola.

    Metod: En kvalitativ metod användes där fem semistrukturerade intervjuer genomfördes, spelades in, transkriberades och analyserades enligt metoden tematisk analys.

    Resultat: Efter genomfört analysarbete framkom två teman: "upplevda förutsättningar för förändring" och "det praktiska förändringsarbetet och dess utmaningar". Samtliga informanter uttrycker vikten av kompetens hos medarbetare som en förutsättning för detta förändrinsarbete och för praktiskt genomförande påtalas vikten av delaktighet från både medarbetare och matgäster. Att hitta strategier för en ökad acceptans av den vegetariska kosten hos matgästerna samt strategier för ökat engagemang hos medarbetare i köken är något som informanterna ständigt arbetar med.

    Slutsats: Att ha "alla med på tåget" upplevs av de kostansvariga som en viktig aspekt och nyckeln till ett lyckat arbete för att minska köttkonsumtionen, detta som en del i det arbete som bedrivs kring hållbarhet och klimatfrågor. Att skapa engagemang och motivation hos medarbetare ute i köken upplevs av kostansvariga respondenterna vara en utmaning likväl att få förståelse hos matgästerna om varför denna förändring behövs.

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  • 197.
    Edqvist, Jenny
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Hassan, Mariam
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Protein and Energy Intake in Children with Cow’s Milk Protein Allergy: The results of three-day estimated food records in Swedish children 2-11 years of age compared to control group2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cow’s Milk Protein Allergy (CMA) is one of the most common food allergies among young children. There is no effective treatment for CMA aside from elimination diets, which increase the risk for malnutrition. Proper nutritional counseling on a regular basis is recommended for children with CMA in order to guarantee an adequate dietary intake.

    Objective: The purpose of this study was to estimate the energy and protein intake among Swedish children 2-11 years of age with CMA and compare it with control group of children with no food allergies as well as with dietary recommendations.

    Method: Families who were interested in participating in this study (n=20) were asked to fill in a three-day estimated food record as well as answer a questionnaire.

    Results: Results show that the average daily intake of energy and protein in children 2-11 years with CMA was almost 10% lower compared to non-allergic children of the same age. The estimated energy intake in both groups was close to the daily requirements of the Nordic Nutrition Recommendations (NNR), as opposed to that by the America Academy of Pediatrics (AAP). The estimated protein intake in both groups was higher than the NNR and WHO daily recommendations per kg/day. The questionnaire shows that 60% of families of children with CMA have previously received nutritional support from a clinical dietitian. Most families of allergic children choose either soya-based or oat-based products as alternatives to milk, all of which contain less protein than milk. While none of the children in both groups reached the recommended daily intake for calcium, only 30% of children with CMA took calcium supplements. None of the children in both groups reached the recommended daily intake for vitamin D.

    Conclusion: Results of this study suggests an increased need for nutritional guidance by a clinical dietitian on a regular basis among children aged 2-11 years with CMA, as these children were found to have almost 10% lower average daily intake of both energy and protein than non-allergic children of the same age. Alternatives to milk used among families of children with CMA contain less protein than milk. Low calcium intake among children with CMA suggests a need for calcium supplements among all children with CMA. Vitamin D intake was low among all children in this study.

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    Edqvist-Hassan
  • 198.
    Edvinsson, Amanda
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Ytterskog, Amanda
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Konsumenternas preferenser för hamburgerbröd bakat på rågmjöl och surdeg: Produktutveckling i samarbete med industrin2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Endast tre av tio får i sig tillräckligt med fibrer. Råg innehåller mest fibrer av sädesslagen och därför finns potential till utveckling av populära snabbmatsprodukter innehållandes råg.

    Syfte: Att studera konsumenternas acceptans och preferenser för två nya typer av hamburgerbröd bakade på rågmjöl och med olika surdegskulturer samt för ett hamburgerbröd som finns på befintliga marknaden.

    Metod och material: Två recept på hamburgerbröd framtagna under en tidigare kurs Sensorisk analysteknik och produktutveckling bakades på Fazer bageri och testades i ett konsumenttest (n=300). Testet utfördes i en livsmedelsbutik samt på ett universitetsområde. Enkäten omfattade ett acceptanstest med 7-gradig hedonisk skala, preferens rangtest och bakgrundsfrågor relaterade till konsumtion.

    Resultat: Båda experimentella hamburgerbröden fick en lägre acceptans (md=5) än referensbrödet (md6). Enligt ANOVA var det signifikant skillnad mellan referensbrödet och båda experimentella hamburgerbröden. Friedmans test visade signifikanta skillnader mellan proverna i preferensrangtestet. Enligt parvisjämförelsen föredrog konsumenterna referensbrödet framför de experimentella hamburgerbröden. Konsumenterna ansåg att gott, saftigt och nyttigt var viktiga egenskaper. Köpviljan var högst för referensbrödet.

    Konklusion: Testen visade att de experimentella bröden inte föredrogs. Acceptansgraden var på den positiva delen av acceptansskalan. Det finns behov av hälsosammare hamburgerbröd på marknaden som har en hög sensorisk acceptans och utvecklingspotential i receptet för dessa. Mer resurser behövs för anpassning av receptet för att fungera i en inustriell skala.

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  • 199.
    Eiffener, Elodie
    et al.
    Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center+, Maastricht, the Netherlands.
    Eli, Karin
    Unit for Biocultural Variation and Obesity, Institute of Social and Cultural Anthropology, University of Oxford, Oxford, UK ; Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
    Ek, Anna
    Unit of Pediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
    Sandvik, Pernilla
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Somaraki, Maria
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics.
    Kremers, Stef
    Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center+, Maastricht, the Netherlands.
    Sleddens, Ester
    Department of Health Promotion, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center+, Maastricht, the Netherlands.
    Nowicka, Paulina
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics. Unit of Pediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
    The influence of preschoolers' emotional and behavioural problems on obesity treatment outcomes: Secondary findings from a randomized controlled trial2019In: Pediatric Obesity, ISSN 2047-6302, E-ISSN 2047-6310, Vol. 14, no 11, article id e12556Article in journal (Refereed)
    Abstract [en]

    Background: Few studies have explored the influence of preschoolers' behavioural problems on obesity treatment.

    Objectives: To assess emotional and behavioural problems before and after an obesity intervention and examine relationships between changes in child behaviour and changes in weight status.

    Method: The study included 77 children (4‐6 years old, 53% girls, mean body mass index [BMI] z‐score of 3.0 [SD 0.6]) who participated in the More and Less Study, a randomized controlled trial. Families were randomized to a parenting program or to standard treatment. The children's heights and weights (BMI z‐score, primary outcome) were measured at baseline and 12 months post baseline. Parents rated their children's behaviours (secondary outcome) on the Child Behavior Checklist (CBCL) for ages 1.5 to 5 years, a questionnaire that measures psychosocial health and functioning, encompassing emotional and behavioural problems. Changes in child behaviour during treatment were examined through paired samples t tests; the influence of child behaviour on treatment effects was examined through linear regressions.

    Results: Child emotional and behavioural problems significantly improved after obesity treatment. Lower scores were found for Emotional Reactivity, Sleep Problems, Affective Problems, Aggressive Behaviour, Externalizing Behaviours, Oppositional Defiant Problems, and Total Problems. Child behaviour significantly affected obesity treatment results: Attention Problems and attention deficit hyperactivity disorder (ADHD) at baseline contributed to increasing BMI z‐scores, whereas Oppositional Defiant Problems, Externalizing Behaviours, and a higher number of behavioural problems predicted decreasing BMI z‐scores.

    Conclusions: Child behaviours at baseline influenced treatment results. Child emotional and behavioural problems improved post treatment. The results suggest that obesity treatment may help in reducing emotional distress among preschoolers.

  • 200. Ek, Anna
    et al.
    Brissman, Markus
    Nordin, Karin
    Eli, Karin
    Nowicka, Paulina
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food Studies, Nutrition and Dietetics. Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Pediatrics, Karolinska Institutet, Stockholm, Sweden.
    A long-term follow-up of treatment for young children with obesity: a randomized controlled trial2023In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 47, no 11, p. 1152-1160Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Early childhood obesity interventions supporting parents have the largest effects on child weight status. However, long-term follow-ups are lacking.

    OBJECTIVE: To examine weight status 48 months after obesity treatment initiation for 4- to 6-year-olds.

    METHODS: 177 families were recruited to the More and Less study, a 12-month randomized controlled trial (RCT) conducted in Sweden (2012-2017); 6 children were excluded due to medical diagnoses. Thus, 171 families (non-Swedish origin 59%, university degree 40%) were eligible for this 48-month follow-up with modified intention-to-treat (n = 114 had 48-month data, n = 34 dropped out, n = 23 lost to follow-up). The RCT compared 3 treatment approaches: a 10-week parent support program (1.5 h/w) with follow-up booster sessions (PGB) or without (PGNB), and standard outpatient treatment (ST). Treatment effects on primary outcome (BMI-SDS) and secondary outcomes (BMI, %IOTF25 i.e., the distance, in percent, above the cut-off for overweight) were assessed. Clinically significant reduction of BMI-SDS (≥0.5) was assessed with risk ratio. Sociodemographic factors and attendance were examined by three-way interactions.

    RESULTS: After 48 months (mean 50 months, range 38-67 months) mean (95% CI) BMI-SDS was reduced in all groups: PGB -0.45 (-0.18 to -0.73, p < 0.001), PGNB -0.34 (-0.13 to -0.55, p < 0.001), ST -0.25 (-0.10 to -0.40, p < 0.001), no significant difference between groups. A clinically significant reduction of BMI-SDS ≥ 0.5 was obtained in 53.7% of PGB which was twice as likely compared to ST, 33.0%, RR 2.03 (1.27 to 3.27, p = 0.003), with no difference to PGNB, 46.6% (p = 0.113). %IOTF25 was unchanged from baseline for PGB 4.50 (-1.64 to 10.63), and significantly lower compared to ST 11.92 (8.40 to 15.44) (p = 0.043). Sociodemographics or attendance had no effect.

    CONCLUSION: The intensive parent-support early childhood obesity intervention led to better weight status outcomes over time, though BMI-SDS alone did not reflect this. Further research should investigate how to assess weight changes in growing children.

    CLINICAL TRIAL REGISTRATION: Clinicaltrials.gov, NCT01792531 .

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