31. |
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32. |
- Mikkelsen, Andrea, et al.
(författare)
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Milk allergy school: nutritional therapy in group for parents of children with cow's milk allergy/intolerance in Primary Health Care
- 2005
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Ingår i: Pediatric Allergy and Immunology. - 0905-6157. ; 16, s. 86-90
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Tidskriftsartikel (refereegranskat)abstract
- Pediatric Primary Health Care Services, Göteborg, Sweden. The objective of this study was to create a method for group nutritional therapy for parents of children with cow's milk allergy/intolerance in a paediatric primary care setting to increase accessibility to nutritional therapy. A second objective was to evaluate a milk allergy school. Follow-up time after the group session was 3 yr. All parents to newly diagnosed children (n=98) with cow's milk allergy/intolerance in the Primary Health Care system in the city of Goteborg during an 11-month period were invited. The majority of the families chose to participate (n=84, 86%). The mean age of the children was 9 months (3 months to 5 yr). The number of participants obtaining nutritional treatment within a month after diagnosis has significantly increased. Seventy-four families (88%) could be re-contacted 3 yr after participation for a second evaluation. Seventy-eight per cent of the children no longer had cow's milk allergy/intolerance. Most participants expressed satisfaction with the information obtained in the meeting. The milk allergy school does not replace but complements individual counselling. The milk allergy school seems to meet the families' needs for information, has few administrative routines and is cost-efficient. This activity has become permanent, is being offered weekly and can be recommended. PMID: 15693918 [PubMed - indexed for MEDLINE]
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33. |
- Mikkelsen, Andrea, et al.
(författare)
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The Food hypersensitivity famiLy ImPact (FLIP) questionnaire - development and first results
- 2013
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Ingår i: Pediatric Allergy and Immunology. - : Wiley. - 0905-6157. ; 24:6, s. 574-581
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Tidskriftsartikel (refereegranskat)abstract
- Background: Elimination of the offending food(s) is the usual treatment when a child suffers from food hypersensitivity. This treatment can impair everyday life in families with affected children. Instruments to assess these impairments generated from families attending primary care and in comparison to families with children without food hypersensitivity are scarce. The aim of this study is to develop and test a method to assess food hypersensitivity's impact on everyday life on affected families. Methods: The Food hypersensitivity famiLy ImPact (FLIP) questionnaire was developed and validated on parents of children (0.5-7 years) with cow's milk protein hypersensitivity, exclusively or in combination with other food hypersensitivity, together with the Swedish Parental Stress Questionnaire (SPSQ) and in comparison to parents with children without food hypersensitivity. Results: The validation of FLIP on 94 families indicated excellent internal consistency (Cronbach a 0.9) and good reproducibility (ICC 0.71). The FLIP showed moderate correlation with the SPSQ (r = 0.48) and proved capable of discriminating families by disease burden. Affected families experienced higher stress on their daily lives (p = 0.02) and higher impact on nutrition concerns (p < 0.0001) compared to families with children without food hypersensitivity. Conclusions: The FLIP is a reliable, valid and sensitive instrument and could be valuable both clinically and in research. The results confirm recommendations of the need for continuous and updated dietary treatment and support for the families with young children with food hypersensitivity.
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34. |
- Mishra, A, et al.
(författare)
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Diminishing benefits of urban living for children and adolescents' growth and development
- 2023
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 615:7954, s. 874-883
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Tidskriftsartikel (refereegranskat)abstract
- Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.
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35. |
- Moraeus, Lotta, 1981, et al.
(författare)
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Age and time effects on children’s lifestyle and overweight in Sweden
- 2015
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Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 15
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Tidskriftsartikel (refereegranskat)abstract
- Background High physical activity, low sedentary behavior and low consumption of sugar-sweetened beverages can be markers of a healthy lifestyle. We aim to observe longitudinal changes and secular trends in these lifestyle variables as well as in the prevalence of overweight and obesity in 7-to-9-year-old schoolchildren related to gender and socioeconomic position. Methods Three cross-sectional surveys were carried out on schoolchildren in grades 1 and 2 (7-to-9-year-olds) in 2008 (n = 833), 2010 (n = 1085), and 2013 (n = 1135). Information on children’s level of physical activity, sedentary behavior, diet, and parent’s education level was collected through parental questionnaires. Children’s height and weight were also measured. Longitudinal measurements were carried out on a subsample (n = 678) which was included both in 2008 (7-to-9-year-olds) and 2010 (9-to-11-year-olds). BMI was used to classify children into overweight (including obese) and obese based on the International Obesity Task Force reference. Questionnaire reported maternal education level was used as a proxy for socioeconomic position (SEP). Results Longitudinally, consumption of sugar-sweetened beverages ≥4 days/week increased from 7% to 16% in children with low SEP. Overall, sedentary behavior >4 hours/day doubled from 14% to 31% (p < 0.001) and sport participation ≥3 days/week increased from 17% to 37% (p < 0.001). No longitudinal changes in overweight or obesity were detected. In the repeated cross-sectional observations sedentary behavior increased (p = 0.001) both in high and low SEP groups, and overweight increased from 13.8% to 20.9% in girls (p < 0.05). Overall, children with high SEP were less-often overweight (p < 0.001) and more physically active (p < 0.001) than children with low SEP. Conclusions Children’s lifestyles changed longitudinally in a relatively short period of two years. Secular trends were also observed, indicating that 7–9-year-olds could be susceptible to actions that promote a healthy lifestyle. Socioeconomic differences were consistent and even increasing when it came to sugar-sweetened beverage consumption. Decreasing the socioeconomic gap in weight status and related lifestyle variables should be prioritized. Primary school is an arena where most children could be reached and where their lifestyle could be influenced by health promoting activities.
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36. |
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39. |
- Moraeus, Lotta, 1981, et al.
(författare)
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Multi-level influences on childhood obesity in Sweden: societal factors, parental determinants and child's lifestyle
- 2012
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Ingår i: International Journal of Obesity. - London, United Kingdom : Springer Science and Business Media LLC. - 0307-0565 .- 1476-5497. ; 36:7, s. 969-976
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Swedish school children living in rural areas and in areas with low education are at excess risk of becoming overweight. This study examines influences of societal and individual characteristics (children and their parents) on prevalence of overweight and obesity, in a national sample of 7-9-year-old children. METHOD: Anthropometric and lifestyle data were collected in a nationally representative sample of 3636 Swedish children. Overweight and obesity (International Obesity Task Force (IOTF)) data were analyzed in relation to lifestyle factors, parental weight, education and breast-feeding. RESULTS: The prevalence of overweight was 15.6% including 2.6% obese. Urbanization level and parental characteristics (weight status and education) were related to risk of overweight. Overall less favorable lifestyle characteristics were observed in rural areas and for children of low/medium educated mothers. Boys had greater risk of obesity in semi-urban and rural areas but this was not true for girls. For children's overweight, the living area effect was attenuated in multivariate analysis, while there was an association with origin of parents, high parental weight and medium maternal education. For obesity, the living area effect remained in boys while having two non-Nordic parents predicted obesity in girls. Parental weight status was associated with obesity in both girls and boys. CONCLUSION: Individual and societal factors influence children's weight status, and parental weight status is a strong determinant. Including overweight and obese parents in future health promoting interventions could be a strategy to prevent children from becoming overweight, but identifying those parents may prove difficult. To ensure reaching children with the greatest needs, targeting high risk areas might be a more effective approach.
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