| 1. |
- Almquist-Tangen, Gerd, et al.
(författare)
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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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Ingår i: Acta Paediatrica. - Chichester : Wiley-Blackwell Publishing Inc.. - 0803-5253 .- 1651-2227. ; 108:6, s. 1115-1121
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Tidskriftsartikel (refereegranskat)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.
(författare)
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Factors associated with discontinuation of breastfeeding before 1 month of age
- 2012
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Ingår i: Acta Paediatrica. - Chichester : Wiley-Blackwell Publishing Inc.. - 0803-5253 .- 1651-2227. ; 101:1, s. 55-60
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Tidskriftsartikel (refereegranskat)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
(författare)
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Health, nutrition and growth in infancy - a child health care perspective
- 2014
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Abstract Early childhood is recognised as a key period for the new family in which to promote health. There is evidence that infant feeding is one of the most influential factors affecting growth, development and life-long health. The aim of this thesis was to study infant food and feeding, as well as the impact of different feeding practices in infancy on early growth in childhood and, to explore parental views and considerations relating to child health. The Halland Health and Growth Study (H2GS) is a prospective, longitudinal, population-based, birth cohort study of 2666 infants in Halland, in south-western Sweden, between 1 October 2007 and 31 December 2008. A purposive sample of 16 parents was interviewed, after which the interviews were transcribed verbatim and analysed with content analysis. In the content analysis, six descriptive categories were identified: body and soul; parental behaviour; good enough parenting; interaction; growth; food and feeding issues. The parents perceived food and feeding issues as one of the most worrying aspects and a significant indicator of the concept of child health. With the parental desire to have a happy, contented child there is a risk of developing long-term, unhealthy feeding habits if and when the child is given something to eat in order to attain this state of mind. Almost a third (26.9%) reported breastfeeding problems, which is associated with early breastfeeding cessation. There was a significant correlation between breastfeeding problems and poor sucking technique and perceived poor weight gain. There was no association between breastfeeding or formula feeding at four months and a high BMI at 12 or 18 months. At six months, a positive correlation was found between gruel feeding and a high BMI at 12 and 18 months respectively. Many mothers breastfeed at six months (58.3%), but very few (1.6%) adhered to the recommendations of exclusive breastfeeding at six months. It was more common among parents with low education to choose milk cereal drink. The proportion of mothers not breastfeeding at four months was significantly associated with low neighbourhood purchasing power. After adjusting for maternal age, smoking and parental level of education, the corresponding odds ratio (1.63 (95% CI 1.07-2.56)) was significant and the trend across the strata was still evident. A multi-level analysis estimated that, in neighbourhoods where > 30% of the families had low purchasing power, 20% more mothers than expected, reported no breastfeeding at four months. Almost a third of the mothers reported breastfeeding problems, which can be prevented, but the timing is crucial. Further evidence that privileged mothers with high purchasing power are less likely to stop breastfeeding before four months was found. The neighbourhood purchasing power provided a spatial determinant of the number of mother’s breastfeeding at four months, which could be relevant when allocating resources for preventive measures. At six months very few mothers, 1.6% adhered to the recommendation on exclusive breastfeeding. None of the feeding habits during the first four months had any effect on a high BMI at 12 or 18 months of age. Milk cereal drink use at six months was a risk factor for a high BMI at 12 and 18 months. It was more common among parents with low education to choose milk cereal drink. The parents perceived food and feeding issues as important indicators of child health. These findings, suggest that a lack of responsiveness to parental beliefs and concerns may jeopardise the credibility of healthy infant diet messages.
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| 4. |
- Almquist-Tangen, Gerd, et al.
(författare)
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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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Ingår i: BMC Public Health. - London : BioMed Central. - 1471-2458. ; 13:1
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Tidskriftsartikel (refereegranskat)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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| 5. |
- Almquist-Tangen, Gerd, et al.
(författare)
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Milk cereal drink increases BMI risk at 12 and 18 months, but formula does not
- 2013
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Ingår i: Acta Paediatrica. - Chichester : Wiley-Blackwell. - 0803-5253 .- 1651-2227. ; 102:12, s. 1174-1179
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Tidskriftsartikel (refereegranskat)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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| 6. |
- Almquist-Tangen, Gerd, et al.
(författare)
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Minskat antal hembesök inom barnhälsovården : Sjuksköterskornas attityder avgörande för hur verksamheten utvecklas
- 2010
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 107:47, s. 2968-2971
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Tidskriftsartikel (refereegranskat)abstract
- Home visitations to newly become parents have a long tradition in Sweden. The aim is to give the parents an opportunity to talk about their new situation, to give information on child care and nurse- examine the infant. In recent years, the proportion of families receiving home visits has decreased.The purpose of this study was to explore the attitudes of the child health care nurses to home visitations, the frequency in which they were made and to study the organizational conditions for making these visits.The study consisted of a survey of the frequency in which visits were performed and a questionnaire to all CHC nurses in Sweden exploring their attitudes to home visitations.The questionnaire was sent to 2355 nurses and 1834 responded (78.3%). According to the nurses there were three main reasons for not doing home visitations: the parents declined, lack of time and large districts. There were no differences either in terms of various organizational arrangements or the individual nurse’s work-experience. Remarkably the reasons for not doing home visitation do not correlate with the statements made by them indicating how important they declared these visits to be. Indications are that nurse’s attitudes to home visits as a primary child health care practice is a critical factor that should be studied further. Likewise further exploration is needed on parental attitudes to home visitation. Above all, the nurses need more support and training in such matters, which each respective county child health unit should take more responsibility for.
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| 7. |
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| 8. |
- Almquist-Tangen, Gerd, et al.
(författare)
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What makes parents act and react? Parental views and considerations relating to "child health' during infancy
- 2017
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Ingår i: Journal of Child Health Care. - London : SAGE Publications. - 1367-4935 .- 1741-2889. ; 21:4, s. 415-423
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Tidskriftsartikel (refereegranskat)abstract
- Lifestyle factors and behaviours are adopted very early in life and tend to persist throughout life. Considering that the parents are the primary gatekeepers for their child's health, there is a need to gain more knowledge and deeper understanding about what causes parents to act and react in order for early preventive efforts to have any effect. The aim was to explore the parental views and considerations concerning child health' among parents with infants 8-10 months old. The sample was strategic and 16 parents (aged 23-41) were recruited from three child health centres in Sweden. Open-ended interviews were conducted and a qualitative, manifest content analysis approach was utilized. The parents described the subject child health' as a large, multifaceted concept. Three categories emerged during data analysis: developing a sixth sense, being affected by perceptions and believing health and ill health as a continuum. The parents perceived food and feeding issues as one of the most worrying aspects and a significant indicator of child health'. In order to meet the parents on their turf, the healthy health message' conveyed needs to take the parental perspective into consideration rather than attempting to educate the parents from predetermined assumption, belief and values.
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| 9. |
- Berggren, Sara, 1987, et al.
(författare)
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Effects of the COVID-19 pandemic on the physical activity and screen time habits of children aged 11-13 years in Sweden
- 2023
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Ingår i: Frontiers in Public Health. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Physical activity (PA), exercise, sedentary behavior and screen time are lifestyle factors that have been shown to significantly impact child health in different ways. These lifestyle factors were affected to different degrees by global restrictions during the COVID-19 pandemic. We investigated PA and screen time in a cohort of Swedish children in both 2019 and 2021, before and during the pandemic.Method: Adolescents born in 2008 in Halland, Sweden, and included in a previous longitudinal birth cohort study were invited to take part in follow-up questionnaires about PA, screen time and COVID-19. A total of 1041 children aged 11 (in 2019) and 13 years (in 2021) replied and 777 of them answered on both occasions.Results: Most children (42.1%) reported that their leisure time PA was unchanged from 2019 to 2021. Compared to unchanged PA 33.9% exercised more often (p = 0.011) and 23.9% exercised less (p < 0.001), both differences statistically significant. Roughly, 43.2% of boys and 34.9% of girls in 2021 exercised so that they became breathless or broke a sweat at least 4 times a week not counting physical education in school, corresponding figures for 2019 were 38.2% for boys and 35.2% for girls. The majority of children were able to continue attending leisure time sports clubs during the pandemic, but participation decreased from 88.3% to 76.3% from 11 to 13 years of age. Most reported that sports club routines changed during the pandemic, but only 40.9% reported fewer practice opportunities. Attending a sports club gave greater protection against loss of PA during the pandemic than not belonging to one (41.0% vs. 23.2%, p < 0.001). The majority (71.1%) of children spent more time on screens in 2021 than 2019, with a mean increase of 9.4 h (95% CI 8.6 to 10.2 h) from 20.7 to 30.1 hours per week (p < 0.001) during the study.Conclusions: Swedish children largely maintained their levels of PA during the pandemic at 13 years of age and these were possibly safeguarded by the comparably mild pandemic restrictions in Sweden in 2021. However, they did increase their screen time between 11 and 13 years of age.
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| 10. |
- Berggren, Sara, et al.
(författare)
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Parents with overweight children age two and five years of age did not perceive them as weighing too much.
- 2018
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Ingår i: Acta paediatrica. - : Wiley. - 1651-2227 .- 0803-5253. ; 107:6, s. 1060-1064
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Tidskriftsartikel (refereegranskat)abstract
- This study examined whether the parents of children who were overweight at two and five years of age perceived their children as being too heavy and related the findings to sociodemographic factors.The data collection included parental questionnaires and anthropometric data from a longitudinal birth cohort of 2,666 children born in the southwest region of Sweden in 2007-2008.We found that 14.9% and 11.8% of the children were considered overweight or obese at the age of two and five, but 96.4% and 87.1% of their parents perceived their weight to be just about right at these ages. The difference was statistically significant (p<0.001). Parents who were overweight themselves and had a low educational level were associated with a higher probability of misperception: at two years of age the odds ratio was 2.75 (95% confidence interval 1.80-4.21) and at the age of five it was 1.92 (1.24-2.97).Most parents did not perceive that their overweight children weighed too much, but their judgement improved as the child got older. Parents who were overweight or had a low educational level were more likely to misperceive their child's weight. Health professionals need to be aware of this gap in perception. This article is protected by copyright. All rights reserved.
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