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- Almquist-Tangen, Gerd, et al.
(author)
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Consuming milk cereal drinks at one year of age was associated with a twofold risk of being overweight at the age of five
- 2019
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In: Acta Paediatrica. - Chichester : Wiley-Blackwell Publishing Inc.. - 0803-5253 .- 1651-2227. ; 108:6, s. 1115-1121
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Journal article (peer-reviewed)abstract
- Aim: We previously reported that consuming milk cereal drinks at six months of age was associated with a high body mass index (BMI) at 12 and 18 months. This study examined the association between daily consumption at 12 months of age and BMI at the age of five.Methods: We followed up 1870/2666 (70%) children recruited at birth in 2007–2008 for the Swedish longitudinal population‐based Halland Health and Growth Study a mean of 5.09 ± 0.28 years. Feeding practices were obtained from parental questionnaires, and anthropometric data were collected by child health nurses.Results: At five years, 11.6% were overweight and 2.3% were obese. Milk cereal drinks were consumed by about 85% and 10% at one and five years of age, respectively. Consumption at 12 months was associated with almost double the risk of being overweight at five years of age (adjusted odds ratio 1.94, 95% confidence interval 1.08–3.50). Other risk factors were a family history of obesity, low paternal educational level and paternal smoking.Conclusion: Consuming milk cereal drinks daily at 12 months was associated with a twofold risk of being overweight at five years. These findings may affect the counselling guidelines used at child healthcare centres. Copyright © 2019 John Wiley & Sons, Inc. All rights reserved
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| 2. |
- Almquist-Tangen, Gerd, et al.
(author)
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Factors associated with discontinuation of breastfeeding before 1 month of age
- 2012
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In: Acta Paediatrica. - Chichester : Wiley-Blackwell Publishing Inc.. - 0803-5253 .- 1651-2227. ; 101:1, s. 55-60
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Journal article (peer-reviewed)abstract
- BACKGROUND: Breastfeeding is associated with many benefits for both mother and child. Initiation rates are high in Sweden. Recently a slight decline is seen.AIM: The aim of this study was to assess factors associated with discontinuation of breastfeeding during the first 4 weeks.METHOD: A population-based longitudinal birth cohort study recruiting from 2007 to 2008 in south-western Sweden. At the first visit to the child health centre, parents were asked to complete a questionnaire. Also, the infants' height, weight, head and waist circumference were collected. Response rate was 69.2%.RESULTS: Twenty-seven per cent of mothers had breastfeeding problems. In a multivariate analysis, there was a negative correlation between breastfeeding and use of pacifier (OR 3.72; CI 2.09-6.63), maternal smoking (OR 2.09; CI 1.08-4.05) and breastfeeding problems (OR 2.54; CI 1.73-3.71). Breastfeeding problems were correlated with poor sucking technique (OR 2.96; CI 2.14-4.07), support from maternity ward (OR 2.56; CI 2.05-3.19) and perceived poor weight gain (OR 1.37; CI 1.00-1.86).CONCLUSION: Many mothers reported breastfeeding problems that are associated with an early cessation. This is preventable with support, but the timing is crucial. To promote breastfeeding, the support from the child health centres must be tailored with the maternal perspective in mind.© 2011 Foundation Acta Pædiatrica
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| 3. |
- Almquist-Tangen, Gerd, et al.
(author)
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Influence of neighbourhood purchasing power on breastfeeding at four months of age : a Swedish population-based cohort study
- 2013
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In: BMC Public Health. - London : BioMed Central. - 1471-2458. ; 13:1
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Journal article (peer-reviewed)abstract
- BACKGROUND: Parental socioeconomic status (SES) is an important determinant in child health, influencing beneficial factors such as breastfeeding. A better understanding of the influence of neighbourhood-level SES measures, relating to spatial determinants, might lead to targeted actions to promote breastfeeding during infancy.METHODS: A cross-sectional study analysis the association between breastfeeding at four months of age and neighbourhood purchasing power, taking account of individual-level variables including maternal age, smoking and parental level of education. Data were obtained from a prospective population- based cohort study recruited from birth in 2007-2008 in the Halland region, southwestern Sweden. Questionnaire data on the individual-level variables and the outcome variable of breastfeeding at four months (yes/no) were used (n=2,407). Each mother was geo-coded with respect to her residential parish (there are 61 parishes in the region) and then stratified by parish-level household purchasing power. It emerged that four neighbourhood characteristics were reasonable to use, viz. <10%, 10-19%, 20-29% and ≥ 30% of the resident families with low purchasing power.RESULTS: The proportion of mothers not breastfeeding at four months of age showed a highly significant trend across the neighbourhood strata (p=0.00004): from 16.3% (< 10% with low purchasing power) to 29.4% (≥ 30% with low purchasing power), yielding an OR of 2.24 (95% confidence interval: 1.45-3.16). After adjusting for the individual-level variables, the corresponding OR=1.63 (1.07-2.56) was significant and the trend across the strata was still evident (p=0.05). A multi-level analysis estimated that, in the neighbourhoods with ≥ 30% of the families with low purchasing power, 20% more mothers than expected, taking account of the individual-level factors, reported no breastfeeding at four months of age (≥ 95% posterior probability of an elevated observed-to-expected ratio).CONCLUSION: The neighbourhood purchasing power provided a spatial determinant of low numbers of mothers breastfeeding at four months of age, which could be relevant to consider for targeted actions. The elevated observed-to-expected ratio in the neighbourhoods with the lowest purchasing power points toward a possible contextual influence. © 2013 Almquist-Tangen et al.; licensee BioMed Central Ltd.
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| 4. |
- Almquist-Tangen, Gerd, et al.
(author)
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Milk cereal drink increases BMI risk at 12 and 18 months, but formula does not
- 2013
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In: Acta Paediatrica. - Chichester : Wiley-Blackwell. - 0803-5253 .- 1651-2227. ; 102:12, s. 1174-1179
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Journal article (peer-reviewed)abstract
- AIM: Infant feeding affects growth, obesity and life-long health. This study examined the impact of dietary patterns on body mass index (BMI) at 12 and 18 months.METHODS: We followed a cohort of 2,666 children recruited in 2007-2008. Feeding practices were obtained from parental questionnaires and anthropometric data collected by child health nurses.RESULTS: At six months, 58.3% of the infant were breastfed, but only 1.6% exclusively. Many had begun eating solids (91.8%), porridge (87.7%) or milk cereal drink (46.6%). Bottle-feeding at four months was not a risk factor for a high BMI (>1 SD) at 12 or 18 months. Milk cereal drink at six months increased the risk of a high BMI at 12 and 18 months respectively (OR 1.58, 95% CI 1.12-2.22, and 1.52, 1.07-2.17). Milk cereal drink use was increased by low parental education and maternal obesity and reduced by troubled sleep and parental group participation.CONCLUSION: Formula at four months did not predict a high BMI at 12 or 18 months. Milk cereal drink use at six months was a risk factor for a high BMI at 12 and 18 months. The choice of milk cereal drink was influenced by parental factors, especially educational levels. ©2013 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd.
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| 7. |
- Lindholm, Annelie, 1975-, et al.
(author)
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Early life risk factors for an elevated waist-to-height ratio at 5 years of age
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Other publication (other academic/artistic)abstract
- Objective: To examine early life risk factors for an elevated waist-to-height ratio (WHtR) at 5 years of age. A second aim was to examine if the same risk factors also were associated with overweight or obesity at the same age.Methods: A population-based longitudinal birth cohort study of 1,540 children, from the southwestern part of Sweden, born between October 2007 and December 2008. The children were classified as having ≥ 1 or < 1 in WHtR standard deviation scores (SDS) at five years of age, according to Swedish reference values and as having overweight/obesity or normal weight/underweight according to the IOTF. Results: At five years of age, 15% of the children had WHtRSDS ³ 1 and 11% had overweight or obesity. In multivariable analyses, RWG during 0-6 months (OR: 1.90, 95% CI: 1.23, 2.95), maternal pre- pregnancy BMI (1.06, 1.01,1.11) and paternal BMI (1.11, 1.01-1.21) were associated with a WHtRSDS ³ 1 at five years. RWG during 0-6 months (2.53, 1.53, 4,20), during 6-12 months (2.82, 1.37, 5.79) and maternal pre-pregnancy BMI (1.12, 1.06,1.17) was associated with overweight or obesity at 5 years of age.Conclusions: Risk factors operating early in life are associated with an elevated WHtR and overweight or obesity at 5 years of age. Preventive interventions should especially address early RWG and parental overweight.
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| 8. |
- Lindholm, Annelie, 1975-, et al.
(author)
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Infant body mass index growth patterns predicted overweight at five years, waist-to-height ratio did not add to this predictivity
- 2019
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In: Acta Paediatrica. - Chichester : Wiley-Blackwell Publishing Inc.. - 0803-5253 .- 1651-2227. ; 108:5, s. 945-953
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Journal article (peer-reviewed)abstract
- Aim: The aim of the present study was to examine body mass index (BMI) and waist‐to‐height ratio (WHtR) growth patterns from birth until five years regarding their ability to predict overweight or obesity in children at five years of age.Methods: Population‐based longitudinal birth cohort study of 1540 children from the south‐west region of Sweden, recruited at the first visit to the child health care centres in 2007–2008. The children were followed for five years and classified into two weight groups according to the 2012 International Obesity Task Force criteria. BMI and WHtR standard deviation scores (SDS) were analysed with Student's t‐tests and multiple logistic regression models. ©2018 Foundation Acta Pædiatrica. Published by John Wiley & Sons LtdResults: BMI‐SDS and WHtR‐SDS growth patterns were from an early age different in children with overweight or obesity, compared to in children with normal weight or underweight. Overweight or obesity was significantly predicted by BMI‐SDS at 0–1 month (p < 0.001), ΔBMI‐SDS between 0–1 and 12 months (p < 0.001) and between 18 and 48 months (p < 0.001), but not by WHtR‐SDS, except for a negative association between 18 and 48 months in the boys (p = 0.040).Conclusion: Overweight or obesity at five years could be predicted by early BMI‐SDS growth patterns, and WHtR‐SDS did not add to the predictivity with regard to BMI‐SDS. ©2018 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd
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| 9. |
- Malmborg, Julia, PhD, 1988-, et al.
(author)
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Pain and its association with health-related quality of life, sleep, physical activity, and sedentary behavior in 10-year-old children from a Swedish birth cohort
- 2022
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In: Annals of the Rheumatic Diseases. - London : BMJ Publishing Group Ltd. - 0003-4967 .- 1468-2060. ; 81:Suppl. 1, s. 988-988
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Journal article (peer-reviewed)abstract
- Pain in children may be underreported and undertreated today, but due to methodological variations, pain prevalence is difficult to determine. Moreover, it is unclear to what extent pediatric pain is associated with health-related quality of life (HRQoL) and other lifestyle habits. There is a need for an increased understanding of pain in children.ObjectivesTo study pain prevalence and cross-sectional associations between pain, HRQoL, sleep, physical activity, and sedentary behavior in 10-year-old children from a Swedish birth cohort.MethodsThe Swedish birth cohort the “Halland Health and Growth Study” (H2GS) recruited 2860 children at birth (2007–2009). At 10 years of age the children answered questionnaires regarding pain (mannequin with 20 regions, frequency never–daily for each region) and HRQoL (Kidscreen-27, 27 questions, 5 domains scored worst–best). Parents estimated their child’s sleep (6–8, 9, or 10–12 hours/night), physical activity time, and sedentary time (hours/weekdays and hours/weekends respectively). Children were categorized into the groups of “infrequent pain” (never–monthly pain) or “frequent pain” (weekly–almost daily pain) from the highest reported pain frequency from at least one body region. Differences in pain prevalence between boys and girls were analyzed with chi2-test. Logistic regression analyses were performed to study associations between frequent pain (dependent variable) and HRQoL, sleep, physical activity, and sedentary behavior (independent variables). Each variable was adjusted for sex.Results733 children (351 boys and 382 girls) answered pain and HRQoL questions at 10 years of age. Frequent pain was reported by 37% (boys 35% vs. girls 39%, p=0.267). The number of frequent pain regions ranged from 1–13 in boys and 1–20 in girls. Higher HRQoL in the domains physical wellbeing (OR 0.965; 95%CI 0.948–0.983; p<0.001), psychological wellbeing (OR 0.971; 95%CI 0.955–0.987; p<0.001), autonomy and parents (OR 0.971; 95%CI 0.954–0.988; p=0.001), peers and social support (OR 0.977; 95%CI 0.961–0.994; p=0.007), and school environment (OR 0.972; 95%CI 0.956–0.989; p=0.002) was associated with less risk of belonging to the frequent pain group. More sedentary time in weekdays (OR 1.107; 95%CI 1.028–1.192; p=0.007) and weekends (OR 1.122; 95%CI 1.037–1.215; p=0.004) was associated with having frequent pain, but no associations were found between frequent pain and the amount of physical activity or sleep.ConclusionThe high prevalence of frequent pain in 10-year-old children must receive attention by the school and health-care services. The association between frequent pain and low HRQoL is troublesome. Improving HRQoL and reducing sedentary time is beneficial for children’s health, but further studies are needed to follow associations over time.Disclosure of InterestsNone declared
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