| 1. |
- Naseer, M., et al.
(författare)
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Prevalence and association of undernutrition with quality of life among Swedish people aged 60 years and above : Results of the SNAC-B study
- 2015
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Ingår i: The Journal of Nutrition, Health & Aging. - : Springer. - 1279-7707 .- 1760-4788. ; 19:10, s. 970-979
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: This study aimed to assess the prevalence of undernutrition among elderly and to investigate the association of risk of undernutrition with health-related quality of life and life satisfaction controlling for age, gender, marital status, economic status, housing arrangement, education level, functional ability, and diseases. Design: A cross-sectional study design was used for this study. The baseline data (2001–2003) of “The Swedish National Study of Aging and Care-Blekinge (SNAC-B)†was used. Setting: This population-based study focused on both home-living and special-housing residents. Participants: The participants (n=1402) were randomly selected and included both males and females 60–96 years of age residing in a municipality of south-east Sweden. Measurements: The risk of undernutrition was estimated by the occurrence of at least one anthropometric measure (body mass index, mid-arm circumference, and calf circumference) below cut-off, in addition to the presence of at least one subjective measure (declined food intake, weight loss, and eating difficulty). The dependent variables, health-related quality of life and life satisfaction, were measured by the validated short form health survey (SF-12) and Liang’s life satisfactions index A (LSIA), respectively. Results: According to the criterion, 8.5% of the participants were at risk of undernutrition, and subjects at nutritional risk were significantly older, female, unmarried/widowed/divorced, residing in special housing, and functionally impaired. The risk of undernutrition was significantly associated with poor health-related quality of life, both in the physical (OR 2.31, 95% CI 1.18–4.52) and mental (OR 2.34, 95% CI 1.22–4.47) dimensions. However, no significant association was observed between nutritional status and life satisfaction (OR 1.30, 95% CI 0.70–2.40). Conclusion: The risk of undernutrition significantly increases the risk of poor physical and mental health-related quality of life but has negligible impact on life satisfaction. This study also highlights the importance of functional ability both for the prevention of undernutrition and promotion of quality of life. However, more studies are needed to validate the tool used here for undernutrition risk assessment before it can be used in clinical or population settings. © 2015 Serdi and Springer-Verlag France
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| 2. |
- Carlsson, Liesel, 1980-, et al.
(författare)
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Critical Dietetics and Sustainable Food Systems
- 2019
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Ingår i: Critical Dietetics and Critical Nutrition Studies. - : Springer. - 9783030031138 ; , s. 97-115
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Bokkapitel (refereegranskat)abstract
- In this chapter, we invite readers to consider a food system that is based on values where individual health, the health of the society (social system) and ecosystem health are of equal importance. With this as a lens, there is a clear need to move beyond the biosciences to consider transdisciplinary approaches as important for nutrition and dietetics in today and tomorrow’s reality. This chapter begins by briefly highlighting historical engagement of the nutrition and dietetics community with food system sustainability, before moving to define foundational concepts of sustainability in food systems and diets, from a systems perspective. It then provides some examples of how some of today’s pressing nutritional challenges are sustainability challenges and examples of the interface between today’s dietetics and food system sustainability. This chapter ends with a discussion on the role of nutrition and dietetic practitioners in food system sustainability and the needs and challenges for dietetic education to support that role.
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| 3. |
- Carlsson, Liesel, 1980-, et al.
(författare)
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How Can Dietitians Leverage Change for Sustainable Food Systems in Canada
- 2019
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Ingår i: Canadian journal of dietetic practice and research. - : DIETITIANS CANADA. - 2292-9592 .- 1486-3847. ; 80:4, s. 164-171
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: In this paper, we begin to set out language defining sustainablefood systems (SFS) in Canada, through the voices of dietitians, andidentify leverage points where dietitians can affect change.Methods: Dietitians of Canada members were invited to a Delphi Inquiryprocess; questions explored a vision of SFS in Canada, barriers to thatvision, and actions. Results were independently analysed by 2 membersof the research team who used the Framework for Strategic SustainableDevelopment to structure the data.Results: Fifty-eight members participated. The resultant vision describesa future food system in 15 thematic areas of the social and ecologicalsystems. Barriers are described according to how they undermine sustainability.High-leverage actions areas included: (i) facilitating knowledgedevelopment within the profession and public, (ii) influencing organizationalpolicy to support SFS, and (iii) and influencing public policy.Approaches to such action included: (i) facilitating cross-sectoral collaborationand (ii) applying reflexive approaches.Conclusions: This research suggests a multidimensional understandingof food systems sustainability among dietitians. The vision provides somelanguage to describe what dietitians mean by SFS and can be used as acompass point to orient action. Action areas and approaches have thepotential to drive systemic change while avoiding unintendedconsequences.
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| 4. |
- Carlsson, Liesel, 1980-
(författare)
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Inviting Community into the Development of Globally Sustainable Food Systems
- 2019
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Food systems and human diets contribute to unsustainable socioecological conditions, which in turn negatively affect human health. These driver-impact relationships span multiple scales, prompting international governance bodies, nations, and communities alike to grapple with solutions for a better food future. Collaborative action across scales and sectors is necessary; however, how communities can align contributions with efforts at broader scales is unclear.The aim of this research is to develop theoretical and procedural supports for community engagement in globally sustainable food systems (SFS), and to provide concrete results relevant to one case community.The community of nutrition and dietetics professionals was chosen as the case community given its history of engagement with SFS, its integration throughout food system sectors, and because dietary shifts have significant potential to contribute to SFS. Furthermore, the researcher’s position as a member of this community supported the case study work.The research uses transdisciplinary methods guided by the Framework for Strategic Sustainable Development (FSSD) and Community Development theory. The FSSD provides a concrete definition of sustainability and includes methodological supports for co-creation of sustainability transitions. Community Development theory supports participatory approaches and welcomes different knowledge cultures in such co-creation. The Delphi Inquiry method was used to facilitate data collection and community engagement. For measurement-specific elements of the research, causal loop diagrams (CLD) informed by the Cultural Adaptation Template (CAT) theory were used, and Critical Dietetics was used as a framework for dietetics-specific analysis.High level insights include that: (i) participatory and multidimensional approaches are important to facilitate community engagement in SFS development; (ii) objective parametres for defining sustainability are critical to guide concerted action and can provide an innovation space that invites creative and diverse solutions within; (iii) systems thinking and related tools help simplify the complexity of food systems without disregarding broader context, and support assessment in the absence of all data. Specifically in relation to the case community explored, insights include that, (i) integrating an SFS lens into existing roles and activities is important, because dietitians already work across sectors and scales, making them well positioned to contribute in diverse ways; (ii) a shared language based on transdisciplinary understandings of SFS is required; (iii) engaging in activities that facilitate SFS knowledge development within the profession, prior to integrating it into roles and activities, is an important first step; (iv) collaborative and reflexive approaches to continued knowledge development and practice are important, such that in the end sustainability becomes integrated into a cultural way of thinking about food. Based on these insights, this dissertation outlines a procedure for collaborative community work for globally SFS. The procedure is adaptable to various community settings. The dissertation also provides specific guidance for how dietitians could utilise their strategic positions throughout food systems to contribute to SFS development.
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| 5. |
- Carlsson, Liesel, et al.
(författare)
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School Gardens : Cultivating Food Security in Nova Scotia Public Schools?
- 2016
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Ingår i: Canadian journal of dietetic practice and research. - Toronto : DIETITIANS CANADA. - 2292-9592 .- 1486-3847. ; 77:3, s. 119-124
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: A small but growing body of peer-reviewed research suggests that school gardens can play a role in building community food security (CFS); however, to date little research exploring the role of school gardens in supporting CFS is available. This paper begins to address this gap in the literature. Methods: A qualitative, exploratory, single-case study design was used. The focus of this case study was the school food garden at an elementary school in the River Valley, Nova Scotia, school community. Results: Results provide useful information about potential CFS effects of school gardens in addition to the environmental effects on school gardens important to their effectiveness as CFS tools. Findings suggest children gained food-related knowledge, skills, and values that support long-term CFS. A local social and political landscape at the community, provincial, and school board level were key to strengthening this garden's contributions to CFS. Conclusions: We support Dietitians of Canada's nomination of school gardens as an indicator of CFS with theoretical and practical evidence, underscore the importance of a supportive environment, and need for further research in this area. Health professionals and community organizations provide critical support, helping to weave gardens into a greater movement towards building CFS.
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