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Sökning: "Old school" > Medicin och hälsovetenskap

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1.
  • Gunnarsson Mériaux, Benita, 1965, et al. (författare)
  • Identification and follow-up of obesity in ten-year-old school children.
  • 2008
  • Ingår i: International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity. - : Informa UK Limited. - 1747-7174. ; 3:2, s. 102-8
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: Growth surveillance of children in school health services is a routine in Sweden. We describe the effect at follow-up of an overt identification of obesity in school children. METHODS: Follow-up data were collected in two populations of ten-year-old children with obesity. Children in the study group belonged to a cohort born in 1990. Here the presence of obesity had been identified at the routine growth screening, and intervention activities against obesity had been actively offered. Controls belonged to a cohort born in 1989. RESULTS: Of the 176 children with obesity, 91 were in the study group (41 girls) and 85 (44 girls) in the control group. No differences were found between the groups in age, gender or body mass index at baseline. At follow-up, after one to two years, children in the study group had a modest but significantly more pronounced decrease in the relative body mass index, compared with controls. The mean difference between the populations in body mass index standard deviation score (z-score) after adjustment for baseline body mass index and follow-up time was -0.14 (95% confidence interval: -0.25 to -0.02; P=0.027). Socioeconomic status, gender, follow-up time and group were independent predictors for change in body mass index z-score. CONCLUSIONS: To identify children with obesity in a routine school health survey may be a crucial initial step in the management of childhood obesity.
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2.
  • Bogale, Tesfahun Yonas, et al. (författare)
  • Prevalence and associated factors for stunting among 6-12 years old school age children from rural community of Humbo district, Southern Ethiopia
  • 2018
  • Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 18
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Stunting is one of the most serious and challenging public health problems in Ethiopia, which constitute a significant obstacle to achieving better child health outcomes. This study aimed to assess the prevalence and factors associated with stunting among 6-12 years old children in Humbo district, Southern Ethiopia. Methods: This was a cross-sectional study conducted among 633 children 6-12 years old living in Humbo district, Southern Ethiopia, from March to April, 2015. A multistage cluster sampling technique was used to select participants from households in eight Villages in the study area. Height was measured using standard methods and height for age Z-score was computed to assess stunting. EPI info version 3.5.4 was used for data entry, whereas Anthroplus software and SPSS version 20.0 were used for computation of height for age Z-scores and statistical analyses respectively. Simple and multiple logistic regression analyses were used to examine factors associated with stunting in the study sample, using 95% confidence limits (statistical significance set at p < 0.050). Results: Prevalence of stunting was 57%, about, 3.5% were severely stunted, 27.3% moderately stunted and 26.4% mildly stunted, and the mean (SD) was -1.1 (+/- 1.2). About 7 (1.1%) boys and 15 (2.4%) girls were severely stunted. Age groups 10-12 years had significantly higher rate of stunting than others. Age (AOR = 1.7, 95% CI = 1.1-2.6), big family size (AOR = 4.6, 95% CI = 2.2-9.5) and field disposal of wastes (AOR = 2.7, 95% CI = 1.2-5.8) were factors significantly associated with stunting. Conclusion: This study exposed high rate of stunting among school age children. Stunting remains a noticeable attribute of rural school age children. Findings suggest the need to implement evidence-based school-aged rural children nutrition policy and strategies as well as need for intervention to improve domestic waste management system in the rural community.
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3.
  • Olsen, Malin, et al. (författare)
  • Children and adolescent's self-reported gaming habits – An exploratory, cross-sectional study of gaming among 9–15-year-old school children
  • 2024
  • Ingår i: Emerging Trends in Drugs, Addictions, and Health. ; 4
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Gaming is one of the most common leisure activities among children and adolescents: virtually every child in Sweden plays some form of internet games. However, concerns have been raised regarding the risk of developing psychiatric disorders such as internet gaming disorder. A significant amount of research has been focused on evaluating hours spent gaming and the negative effect the activity has on children's lives, but few studies have focused on children's self-evaluation of their gaming and their perception of good and bad gaming habits. Aims: The first aim of this exploratory study was to describe children's and adolescents’ self-evaluation of their gaming habits. Secondly, we investigated how children and adolescents perceive their parents’ involvement in gaming, and whether this has any effect on their own, self-reported gaming habits. Methods: Children and adolescents aged 9–15 (N = 541) attending public schools in Malmö, Sweden completed a digital survey. The data were collected between October 26 and December 3, 2021. Results: Two variables emerged as significant predictors of wanting help with reducing gaming: younger age and classification as an excessive gamer. Four variables emerged as significant predictors of wanting to game more: being a girl; being classified as an immediate gamer; having ever had arguments with their parents about gaming; and rating gaming as a highly valued activity. Conclusion: Our findings contribute to the understanding of what factors influence children's and adolescents’ desire to either increase their time spent gaming or their willingness to get help regarding gaming behaviors. Overall, our findings may be used to guide further, more in-depth research in this domain.
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5.
  • Bjerg, Anders, 1982, et al. (författare)
  • Family history of asthma and atopy: in-depth analyses of the impact on asthma and wheeze in 7- to 8-year-old children.
  • 2007
  • Ingår i: Pediatrics. - : American Academy of Pediatrics (AAP). - 1098-4275 .- 0031-4005. ; 120:4, s. 741-8
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVES: Development of asthma in children is influenced by interactions between genetic and environmental factors. It is unclear whether paternal or maternal histories of disease confer different risks. Previous population-based studies have not stratified analyses by child gender and sensitization status. Our aim was to study in detail the hereditary component of childhood asthma. METHODS: A population-based cohort of 3430 (97% of invited) 7- to 8-year-old school children participated in an expanded International Study of Asthma and Allergy in Childhood survey, and two thirds were skin-prick tested. Heredity was defined as a family history of (1) asthma and (2) atopy (allergic rhinitis or eczema). Multivariate analyses corrected for known risk factors for asthma. RESULTS: At ages 7 to 8, prevalence of asthma was 5.3% among the children and 9.0% among the parents. In children without parental asthma or parental atopy, the prevalence of asthma was 2.8%. Corrected for parental asthma, parental atopy was a weak but significant risk factor. There were minor differences in the impact of parental disease between sensitized and nonsensitized children and between boys and girls. CONCLUSIONS: As risk factors for childhood asthma, there were major differences between parental asthma and parental atopy. Sibling asthma was only a marker of parental disease. Interactions between parental disease and the child's allergic sensitization or gender were not statistically significant. Asthma in both parents conferred a multiplicative risk, whereas the effect of parental atopy was additive, however limited. Asthma and atopy, despite their causal relationship, are separate entities and could be inherited differently. This large, population-based, and well-characterized cohort study does not confirm parent-of-origin effects found in previous studies.
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6.
  • Hellström, Anna-Lena, 1946, et al. (författare)
  • Micturition habits and incontinence in 7-year-old Swedish school entrants.
  • 1990
  • Ingår i: European journal of pediatrics. - 0340-6199. ; 149:6, s. 434-7
  • Tidskriftsartikel (refereegranskat)abstract
    • The prevalence of incontinence in children has been extensively studied, but knowledge of other bladder symptoms is lacking in a healthy child population. The micturition habits of 3556 7-year-old school entrants were surveyed by a questionnaire supplemented by telephone interviews. One or more symptoms of a disturbed bladder function was reported in 26%, but most of these had moderate urgency as a sign of incomplete voluntary bladder control. Isolated bedwetting occurred in 2.8% of the girls and 7.0% of the boys, whereas nocturnal incontinence combined with daytime wetting was equally common in both sexes, 2.3% and 2.0% respectively. Diurnal incontinence was reported in 6.0% of the girls and 3.8% of the boys and was usually combined with other symptoms. The frequency of micturition in children without symptoms of bladder disturbance and with no previous urinary tract infection was 3-7 times per day.
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7.
  • Olofsson, Niclas, et al. (författare)
  • Assessing the Construct Validity and Reliability of School Health Records of the ‘Health Dialogue Questionnaire,’ in 7th Grade in Compulsory School
  • 2015
  • Ingår i: MOJ Public Health. - : MedCrave Group, LLC. - 2379-6383. ; 2:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The aim for this study was to assess the construct validity and reliability of the Health Dialogue Questionnaire (HDQ), 7th grade in compulsory school through comparison of the HDQ, with Paediatric Quality Of Life Inventory (PedsQLTM), Local monitoring of youth policy questionnaire (LUPP®) and Health behaviour in Swedish school-aged children (HBSC).Design and methods: A sample was created from HDQ (n= 2008), PedsQLTM (n=477), LUPP (n=2648), HBSC, (n=1500) andan exploratory factor analysis was performed in order to evaluate the construct validity of HDQ of the school children´s health in school settings.Results: The results supported the HDQ as a valid 24 items factorial model, for girls a five factorial model and for boys a four factorial model for school children aged 13 years old (grade 7). The girls' model explained 63 % of the variance, while the boys' model explained 58 % of the variance. A majority of the questions showed an agreeable concurrent and discriminant validity.Conclusions: The HDQ questionnaire is a valid instrument for measuring 13-year-old school children's self-reported-health.Keywords: Adolescents; Construct Validity; Factor Analysis; Health Dialogue Questionnaire; Health Promotion
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8.
  • Kaelin, Vera C., et al. (författare)
  • Are the school version of the assessment of motor and process skills measures valid for German-speaking children?
  • 2019
  • Ingår i: Scandinavian Journal of Occupational Therapy. - : Taylor & Francis Group. - 1103-8128 .- 1651-2014. ; 26:2, s. 149-155
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: There are no validated assessment tools for evaluating quality of schoolwork task performance of children living in German-speaking Europe (GSE).Objective: To determine whether the international age-normative means of the School Version of the Assessment of Motor and Process Skills (School AMPS) are valid for use in GSE.Methods: The participants were 159 typically-developing children, 3-12 years, from GSE. We examined the proportions of School AMPS measures falling within +/- 2 standard deviation (SD) of the international age-normative means, and evaluated for significant group differences (p<0.05) in mean School AMPS measures between the GSE sample and the international age-normative sample using one-sample Z tests. When significant mean differences were found, we evaluated if the differences were clinically meaningful.Results: At least 95% of the GSE School AMPS measures fell within +/- 2 SD of the international age-normative means for the School AMPS. The only significant mean differences were for 6(p < 0.01) and 8-year-olds (p = 0.02), and only the 6-year-old school process mean difference was clinically meaningful.Conclusions: Because the only identified clinically meaningful difference was associated with likely scoring error of one rater, the international age-normative means of the School AMPS appear to be valid for use with children in GSE.
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9.
  • Bråbäck, Lennart, et al. (författare)
  • Atopic sensitization and respiratory symptoms among Polish and Swedish school children
  • 1994
  • Ingår i: Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology. - 0954-7894. ; 24:9, s. 826-835
  • Tidskriftsartikel (refereegranskat)abstract
    • Allergic sensitization and symptoms from the airways in relation to air pollution were compared in 10-12-year-old school children (n = 1113) from urban Konin in central Poland and both urban and rural parts of Sundsvall in northern Sweden. The measurements included parental questionnaires, skin-prick tests and serial peak flow measurements during 2 weeks with simultaneous monitoring of outdoor air pollutants. The skin-prick test technique was validated by IgE antibody determinations. The levels of common industrial pollutants, SO2 and smoke particles were much higher in Konin than in urban Sundsvall and the levels of NO2 were similar. Various respiratory symptoms were more often reported among school children in Konin (except for wheezing and diagnosed asthma). Multiple logistic regression analyses yielded the following increased odds ratios for children in Konin as compared with the reference group (rural Sundsvall): chest tightness and breathlessness 3.48 (95% confidence interval 2.08-5.82), exercise-induced coughing attacks 3.69 (95% confidence interval 1.68-8.10), recurrent episodes of common cold 2.79 (95% confidence interval 1.53-5.09) and prolonged cough 4.89 (95% confidence interval 2.59-9.23). In contrast, as compared with rural Sundsvall, the adjusted odds ratio for a positive skin-prick test was decreased in Konin, but increased in urban Sundsvall, 0.58 (95% confidence interval 0.37-0.91) and 1.67 (95% confidence interval 1.15-2.42) respectively. The study confirms that living in urban, as compared with rural areas, is associated with an increased prevalence of respiratory symptoms and sensitization to allergens. These differences could be explained by air pollution. Respiratory symptoms were more common in a similar urban group of Polish children who were exposed to even higher levels of air pollution. These children, however, had a much lower prevalence of sensitization to allergens, as compared with the Swedish children. This indicates that differences in lifestyle and standard of living between western Europe and a former socialist country influences the prevalence of atopy.
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10.
  • Nordvall, S. L., et al. (författare)
  • Exhaled nitric oxide in a population-based study of asthma and allergy in schoolchildren
  • 2005
  • Ingår i: Allergy. ; 60:4
  • Tidskriftsartikel (refereegranskat)abstract
    • Exhaled nitric oxide (NO) reflects inflammation in the lower airways and is well adapted for use in children. The aims of this study were to investigate the distribution of the fraction of expired NO (FE(NO)) in school children and to compare FE(NO) and spirometry in relation to the International Study of Asthma and Allergies in Childhood questionnaire. The study was performed in 959 randomly selected 13-14-year-old school children in Uppsala, Sweden. Exhaled NO was measured at an inhalation rate of 0.1 l/s (FE(NO0.1)) and a spirometric test was performed and data from these measurements were related to questionnaire data. Exhaled NO was measured according to American Thoracic Society recommendations, except the use of a mouth wash and an exhalation flow rate of 0.1 l/s. The distribution of the mean FE(NO0.1) values was skewed, with a preponderance of very low levels and a widespread tail of values ranging up to 102 parts per billion (ppb). Boys exhibited significantly higher mean FE(NO0.1) values than girls, 5.2 (4.7-5.7) vs 4.4 (4.0-4.8) ppb (geometric mean and 95% CI), P < 0.01). Children who reported wheezing in the last year had higher FE(NO0.1) values than children that had not, 8.5 (7.1-10.2) vs 4.3 (4.0-4.6) ppb, P < 0.001). The same association was found to most symptoms indicating hay fever and eczema. In contrast to this, only weak or inconsistent associations were found between asthma and spirometric indices. Exhaled NO levels were found to be independently related to male gender, wheeze and rhinoconjuctivitis but not to current eczema. In conclusion, exhaled NO was closely associated with reported asthma and allergy symptoms whereas spirometric indices such as percent predicted forced expiratory volume in 1 s were not. As most asthma cases in a population are mild, the findings suggest that exhaled NO is a sensitive marker of asthma and allergy.
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