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1.
  • Altin, Carolina, et al. (författare)
  • Upgrading Preschool Environment in a Swedish Municipality : Evaluation of an Implementation Process
  • 2015
  • Ingår i: Health Promotion Practice. - : Sage Publications. - 1524-8399 .- 1552-6372. ; 16:4, s. 583-591
  • Tidskriftsartikel (refereegranskat)abstract
    • Redesigning outdoor preschool environment may favorably affect multiple factors relevant to health and reach many children. Cross-sectional studies in various landscapes at different latitudes have explored the characteristics of preschool outdoor environment considering the play potential triggering combined physical activity and sun-protective behavior due to space, vegetation, and topography. Criteria were pinpointed to upgrade preschool outdoor environment for multiple health outcomes to be applied in local government in charge of public preschools. Purposeful land use policies and administrative management of outdoor land use may serve to monitor the quality of preschool outdoor environments (upgrading and planning). This study evaluates the process of implementing routines for upgrading outdoor preschool environments in a medium-sized municipality, Sweden, 2008-2011, using qualitative and quantitative analysis. Recorded written material (logs and protocols) related to the project was processed using thematic analysis. Quantitative data (m2 flat/multileveled, overgrown/naked surface, and fraction of free visible sky) were analyzed to assess the impact of implementation (surface, topography, greenery integrated in play). The preschool outdoor environments were upgraded accordingly. The quality of implementation was assessed using the theory of policy streams approach. Though long-term impact remains to be confirmed the process seems to have changed work routines in the interior management for purposeful upgrading of preschool outdoor environments. The aptitude and applicability of inexpensive methods for assessing, selecting, and upgrading preschool land at various latitudes, climates, and outdoor play policies (including gender aspects and staff policies) should be further discussed, as well as the compilation of data for monitoring and evaluation.
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  • Andersson, Malte, 1941, et al. (författare)
  • ”Minskande befolkning är inte problemet”
  • 2020
  • Ingår i: Dagens Nyheter. ; :1 augusti, DN-debatt
  • Tidskriftsartikel (populärvet., debatt m.m.)abstract
    • Nätverket Population Matters Sweden: En uppmärksammad studie i The Lancet pekar mot en lägre befolkningsökning i världen än tidigare prognoser. Men en miljard människor till är fortfarande långt över vad jorden klarar. Befolkningstrenden måste snarare vända neråt, och det kräver åtgärder för att stärka kvinnors rättigheter världen över.
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  • Boldemann, Cecilia, et al. (författare)
  • Impact of preschool environment upon children's physical activity and sun exposure.
  • 2006
  • Ingår i: Preventive medicine. - : Elsevier BV. - 0091-7435. ; 42:4, s. 301-8
  • Tidskriftsartikel (refereegranskat)abstract
    • The physical qualities of outdoor environments are important to trigger healthy behavior in children. We studied the impact of outdoor environments upon spontaneous physical activity and exposure to ultraviolet (UV) radiation in 4- to 6-year-old children at 11 preschools in Stockholm county.
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  • Fröberg, Andreas, 1985, et al. (författare)
  • Accelerometer-measured physical activity among adolescents in a multicultural area characterized by low socioeconomic status
  • 2018
  • Ingår i: International Journal of Adolescent Medicine and Health. - : Walter de Gruyter GmbH. - 0334-0139 .- 2191-0278. ; 30:3
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: The aim of this cross-sectional study was to describe and analyze accelerometer-measured sedentary time and physical activity (PA) among adolescents in a multicultural area characterized by low socioeconomic status (SES). METHOD: Seventh-graders (n=114 (girls n=66), mean age: 12.8±0.5 y) were recruited from three schools in a multicultural area of the city of Gothenburg, Sweden. Sedentary time and PA were measured with ActiGraph™ accelerometers. RESULT: Of total wear-time, 70 (±6)% was sedentary, with girls being more sedentary than boys. Girls had less light PA (LPA) and moderate-to-vigorous PA (MVPA) than boys. Similar patterns were shown during in-school and out-of-school hours. During wear-time, 53% had a mean of ≥60 min of MVPA per day, but only 6% of the girls and 24% of the boys were sufficiently physically active every day. Girls had more sedentary bouts of ≥10 min and fewer MVPA bouts of ≥5 min per day than boys. Those who participated in organized sports spent a mean of 15 more minutes of MVPA per day compared to those who did not. No association was observed between body mass index (BMI) and sedentary time and PA. CONCLUSION: Only a few adolescents from a Swedish multicultural area characterized by low SES met the PA recommendations every day, and girls were more sedentary and less physically active than boys. Adolescents involved in organized sports had more of MVPA per day than their non-involved peers. Sedentary time and PA were not related to BMI.
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  • Fröberg, Andreas, 1985, et al. (författare)
  • Combinations of Epoch Durations and Cut-Points to Estimate Sedentary Time and Physical Activity Among Adolescents
  • 2017
  • Ingår i: Measurement in Physical Education and Exercise Science. - : Taylor & Francis. - 1091-367X .- 1532-7841. ; 21:3, s. 154-160
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of the current study was to investigate how combinations of different epoch durations and cut-points affect the estimations of sedentary time and physical activity in adolescents. Accelerometer data from 101 adolescents were derived and 30 combinations were used to estimate sedentary time, light, moderate, vigorous, and combined moderate-to-vigorous physical activity. Data were analyzed with repeated measurement analyses of variance. Large differences of sedentary time and times of different physical activity intensities were observed between 1 s and longer epoch durations using virtually all cut-points. Generally, sedentary time, moderate physical activity, vigorous physical activity, and combined moderate-to-vigorous physical activity progressively decreased, whereas light physical activity increased with longer epoch durations. The extreme differences between cut-points were large and increased with longer epoch durations for sedentary time and for all physical activity intensities except for vigorous physical activity per epoch duration. Caution is required when cross-comparing studies using different epoch durations and cut-points. To accurately register adolescents’ spontaneous intermittent physical activity behavior, short epoch durations are recommended.
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  • Fröberg, Andreas, 1985, et al. (författare)
  • Levels of Physical Activity during Physical Education lessons in Sweden
  • 2017
  • Ingår i: Acta Paediatrica. - : Wiley-Blackwell. - 0803-5253 .- 1651-2227. ; 106:1, s. 135-141
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM:The aim of this study was to measure the percentage of sedentary light and moderate-to-vigorous physical activity (%MVPA) provided by physical education (PE) lessons for Swedish second, fifth and eighth grade students, aged eight, 11 and 14.METHODS:We observed 39 PE lessons and divided them into seven lesson categories: ball play, ball games, dance, fitness, playing games, orienteering and gymnastics. Physical activity (PA) during PE was estimated using accelerometers and the height and weight of the children were measured.RESULTS:We studied 149 children: 63 in the second grade, 66 in the fifth grade and 19 in the eighth grade. On average, 25% of the PE lessons were spent in MVPA and the mean %MVPA varied with the lesson content, with fitness, orienteering and playing games being the most intense. The highest %MVPA was in the fitness category, providing 33% (8-62%) for girls and 37% (7-72%) for boys. With the exception of the second grade, no significant gender differences in %MVPA were seen.CONCLUSION:The content of Swedish PE lessons affected the %MVPA in all age groups. In some content, individuals reached two-thirds of their daily PA recommendations, highlighting the potential that PE contributes to public health goals.
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  • Fröberg, Andreas, 1985, et al. (författare)
  • Volume and pattern and seasonal variation of school-day sedentary time: A cross-sectional study in Swedish 2nd and 5th graders
  • 2014
  • Ingår i: The International Society of Behavioral Nutrition and Physical Activity (ISBNPA).
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • ABSTRACT PURPOSE: Some evidence suggests an association between sedentary behavior and increased cardio-metabolic disease risk. The purposes of this study are to describe volume and pattern of school-day sedentary time, and compare school-day sedentary time across seasons in terms of volume and pattern in Swedish 2nd and 5th graders. METHODS: Volume and pattern of sedentary time (<100 counts per minute) were objectively measured with accelerometer (Actigraph GT1X) in 75 (boys n=40) 2nd and 88 (boys n=43) 5th graders in three different schools in September 2012 and March and May 2013 (Kidscape II project). The pupils were encouraged to wear the accelerometer at the right hip by means of an elastic band for the whole school-day except during water-based activities. Pupils with three or more school days per week of accelerometer-data will be considered for further analysis. Daily mean and median of volume (total minutes spent sedentary) and number of bouts (prolonged sequences of sedentary time lasting ≥20 consecutive minutes) and breaks of sedentary time are calculated for September, March and May respectively. The one-way repeated measures analysis of variance (rANOVA) will be used when comparing seasonal variations of volume of sedentary time and number of bouts and breaks of sedentary time. RESULTS: We hypothesize that volume and pattern of sedentary time differ between age, gender and seasons. Preliminary results will be presented during the conference. CONCLUSION: This study will provide insight in volume and pattern and seasonal variations of school-day sedentary time in Swedish 2nd and 5th graders.
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  • Hammarsten, Maria, et al. (författare)
  • Låt inte pedagogiken stanna innanför tröskeln
  • 2020
  • Ingår i: Värnamo Nyheter. ; 2020-05-27
  • Tidskriftsartikel (populärvet., debatt m.m.)abstract
    • Ingress: I tidigare skoldebatt har det ofta handlat om läraren i klassrummet, men numera behövs också läraren i uterummet. Det är dags för ett utomhusbaserat lyft, skriver akademiker vid Jönköping University, Linköpings universitet och Karolinska institutet.
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  • Pagels, Peter, et al. (författare)
  • A repeated measurement study investigating the impact of school outdoor environment upon physical activity across ages and seasons in Swedish second, fifth and eighth graders
  • 2014
  • Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 14
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: School children are confined to and exposed to outdoor environment that happens to be at their disposal during compulsory school time. The health-promoting potential of outdoor environment, and the use of it, is therefore important. We have studied the impact of school outdoor environment in terms of playground features, space, topography and vegetation upon the patterns of moderate to vigorous physical activity (MVPA) across ages and seasons in Swedish pupils at compulsory school. Methods: Four schools in the Middle and Southern parts of Sweden, with outdoor environments differing in playground features, space, topography and vegetation were analyzed during one school year. A sample of 196 children was drawn from eligible pupils in grades 2, 5 and 8, aged 7-14 years. PA was monitored with time-stamped Actigraph accelerometers GT3X+, measuring different intensity levels during outdoor time. Maps were used to mark places where the children stayed and what they did during outdoor time. Results: Mean MVPA during outdoor stay was 39 minutes for the entire school year, time in MVPA correlated positively with outdoor time, as did MVPA with used outdoor play area (p < 0.001). Outdoor MVPA declined with age, boys accumulated more MVPA than girls at all ages (p < 0.001). Ball play areas increased MVPA in 5th graders in September and May (p < 0.001). Overall, ball play areas increased 5th graders' relative MVPA, and helped maintaining it with increasing age in boys but not in girls, whereas woodland stimulated and contributed to maintaining girls' MVPA with increasing age. Outdoor temperature significantly impacted (p < 0.01) MVPA throughout all seasons. Conclusion: We conclude that school outdoor environment design and outdoor play time impact physical activity on a daily basis and may contribute to increasing girls' physical activity and moderate the sharp decline in physical activity by age. The school outdoor environment may thus be a potential health promoter during school time.
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  • Pagels, Peter, et al. (författare)
  • Suberythemal Sun Exposures at Swedish Schools Depend on Sky Views of the Outdoor Environments - Possible Implications for Pupils' Health
  • 2016
  • Ingår i: Photochemistry and Photobiology. - : Wiley. - 0031-8655 .- 1751-1097. ; 92:1, s. 201-207
  • Tidskriftsartikel (refereegranskat)abstract
    • More scheduled outdoor stay is increasingly advocated for school children. This study measured 2(nd), 5(th) and 8(th) graders' erythemal UV-exposure in September, March and May at four Swedish schools. We related those exposures, as fractions of total available ambient radiation, to the schools outdoor environments differing in amount of shade, vegetation, and peripheral city-scape quantified as percentage of free sky view calculated from fish-eye photographs. Exposures correlated with the sky views (with exceptions in May) and were suberythemal. The exposures were also below the threshold limit of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) for hazard evaluation of UVR but were potentially enough for adequate vitamin D formation according to a cited model calculation - as illustrated in the results and discussed. The school environments, typical in southern and middle Sweden, offer enough shade to protect children from overexposure during seasons with potentially harmful solar UV radiation. Pupils' outdoor stay may be extended during September and March. In May extended outdoor stay of the youngest pupils requires a more UVR-protective environment.
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22.
  • Raustorp, Anders, et al. (författare)
  • Accelerometer measured level of physical activity indoors and outdoors during preschool time in Sweden and the United States
  • 2012
  • Ingår i: Journal of Physical Activity and Health. - : Human Kinetics. - 1543-3080 .- 1543-5474. ; 9:6, s. 801-808
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: It is important to understand the correlates of physical activity (PA) to influence policy and create environments that promote PA among preschool children. We compared preschoolers' PA in Swedish and in US settings and objectively examined differences boys' and girls' indoor and outdoor PA regarding different intensity levels and sedentary behavior. Methods: Accelerometer determined PA in 50 children with mean age 52 months, (range 40-67) was recorded during preschool time for 5 consecutive weekdays at 4 sites. The children wore an Actigraph GTIM Monitor. Results: Raleigh preschool children, opposite to Malmo preschoolers spent significantly more time indoors than outdoors (P < .001). Significantly more moderate-to-vigorous intensity physical activity (MVPA) was observed outdoors (P < .001) in both settings. Malmo children accumulated significantly more counts/min indoors (P < .001). The percent of MVPA during outdoor time did not differ between children at Raleigh and Malmo. Conclusion: Physical activity counts/minutes was significantly higher outdoors vs. indoors in both Malmo and Raleigh. Malmo preschoolers spent 47% of attendance time outdoors compared with 18% for Raleigh preschoolers which could have influenced the difference in preschool activity between the 2 countries. Time spent in MVPA at preschool was very limited and predominantly adopted outdoors.
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  • Raustorp, Anders, et al. (författare)
  • Physical activity decreased by a quarter in the 11-12 year old Swedish boys between 2000 and 2013 but was stable in girls. A smartphone effect?
  • 2015
  • Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 104:8, s. 808-814
  • Tidskriftsartikel (refereegranskat)abstract
    • ¨AimThis study explored physical activity, body mass index (BMI) and overweight and obesity from 2000 to 2013 using a convenience sample of second- and fifth-grade Swedish schoolchildren aged 8-9years and 11-12years, respectively. MethodsWe examined cross-sectional cohorts of 126 second-grade children in 2000, 84 in 2006 and 44 in 2013 and 105 fifth-grade children in 2000 and 38 in 2013. No fifth graders were available in 2006. Physical activity data were collected based on pedometer readings over four consecutive weekdays, and height and weight were measured. Identical instruments and procedures were used in all three years. ResultsThere was an increase in physical activity in second-grade girls from 2000 to 2006 (p<0.01), which then stabilised between 2006 and 2013, but second-grade boys and fifth-grade girls were stable throughout the study period. Fifth-grade boys decreased significantly (24%) from 16670 to 12704 steps per day (p<0.01) from 2000 to 2013. Mean BMI scores remained stable over time. ConclusionTime trends in physical activity differed between boys and girls. Second-grade boys and fifth-grade girls were stable throughout, whereas second-grade girls increased from 2000 to 2006 before stabilising. Fifth-grade boys showed a significant 24% reduction from 2000 to 2013. Changes in recess and leisure time habits, such as smartphone use, may have influenced the result.
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  • Raustorp, Anders, et al. (författare)
  • Translating cycling into steps. The share of cycling in 10-year olds daily physical activity
  • 2013
  • Ingår i: International Journal of Adolescent Medicine and Health. - : Walter de Gruyter GmbH. - 0334-0139 .- 2191-0278. ; 25:2, s. 171-176
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Active travel has a potential to increase children’s physical activity (PA). Pedometers offer a valid option to measure PA, but do not capture cycling activity. Children’s self-reported cycling distances can be analyzed by the Geografic Information System (GIS).Aim: To combine pedometry and GIS mapping to identify the relative amount of cycling in children’s PA.Study group: Of all children in 4th grade (n=187) in Staffanstorp Sweden, 144 had valid pedometer data. Fifty-six children were non-cyclists while 88 children (32 boys, 47 girls, 9 gender unknown) reported at least one cycle journey.Methods: Cycle trips were entered into GIS and calculated to total cycling distance. Average length of the single distances cycled per day was 676 m (SD=534 m). A previously reported cycling speed (13.5 km/h) was used to calculate time spent cycling. Consequently distance=676 m, speed=13.5 km/h=13,500 m/3600 s=3.75 m/s and time=676m/3.75m/s=180.26 s=3 min. Expenditure of 4 and 5 metabolic equivalents (METs) has in children been reported equivalent to 122 and 127 steps/min, respectively. We estimated 4.7 METs (13.5 km/h) as 126 steps for every min of cycling (127–122=5×0.7=125.5).Results: The daily mean cycle distance was 676 m, on average 379 additional steps/day for cycling children (min. 21, max. 1385, SD=299) with no gender difference. Additional “steps” obtained by cycling corresponded to on average 3% of their PA.Conclusion: The relative contribution of cycling in 10-year-old children’s PA level is quite small and stable between children across different levels of activity levels, regardless of gender.
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28.
  • Raustorp, Anders, 1958, et al. (författare)
  • Translation of children’s cycling into steps: the share of cycling in 10-year-olds’ physical activity
  • 2013
  • Ingår i: International Journal of Adolescent Medicine and Health. - : Walter de Gruyter GmbH. - 2191-0278 .- 0334-0139. ; 25:2, s. 171-176
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Active travel has a potential to increase children ' s physical activity (PA). Pedometers offer a valid option to measure PA, but do not capture cycling activity. Children ' s self-reported cycling distances can be analyzed by the Geografic Information System (GIS). Aim: To combine pedometry and GIS mapping to identify the relative amount of cycling in children ' s PA. Study group: Of all children in 4th grade (n = 187) in Staffanstorp Sweden, 144 had valid pedometer data. Fifty-six children were non-cyclists while 88 children (32 boys, 47 girls, 9 gender unknown) reported at least one cycle journey. Methods: Cycle trips were entered into GIS and calculated to total cycling distance. Average length of the single distances cycled per day was 676 m (SD = 534 m). A previously reported cycling speed (13.5 km/h) was used to calculate time spent cycling. Consequently distance = 676 m, speed = 13.5 km/h = 13,500 m/3600 s = 3.75 m/s and time = 676m/3.75m/s = 180.26 s = 3 min. Expenditure of 4 and 5 metabolic equivalents (METs) has in children been reported equivalent to 122 and 127 steps/min, respectively. We estimated 4.7 METs (13.5 km/h) as 126 steps for every min of cycling (127 - 122 = 5 ×?0.7 = 125.5). Results: The daily mean cycle distance was 676 m, on average 379 additional steps/day for cycling children (min. 21, max. 1385, SD = 299) with no gender difference. Additional " steps " obtained by cycling corresponded to on average 3 % of their PA. Conclusion: The relative contribution of cycling in 10-yearold children ' s PA level is quite small and stable between children across different levels of activity levels, regardless of gender. © 2013 Walter de Gruyter GmbH.
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  • Söderström, Margareta, et al. (författare)
  • The quality of the outdoor environment influences children's health. -A cross-sectional study of preschools.
  • 2013
  • Ingår i: Acta paediatrica. - : Wiley. - 1651-2227 .- 0803-5253. ; 102:1, s. 83-91
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: To test how the quality of the outdoor environment of child day care centers (DCCs) influences children's health. METHODS: The environment was assessed using the Outdoor Play Environmental Categories (OPEC) tool; time spent outdoors, and physical activity as measured by pedometer. 172/253 (68%) of children aged 3.0-5.9 from nine DCCs participated in Southern Sweden. Health data collected were body mass index, waist circumference, saliva cortisol, length of night sleep during study, and symptoms and wellbeing which were scored (one-week diary- 121 parent responders). Also, parent-rated wellbeing and health of their child were scored (questionnaire, 132 parent responders). MANOVA, ANOVA and principal component analyses were performed to identify impacts of the outdoor environment on health. RESULTS: High quality outdoor environment at DCCs is associated with several health aspects in children such as leaner body, longer night sleep, better wellbeing and higher mid-morning saliva cortisol levels. CONCLUSION: The quality of the outdoor environment at DCCs influenced the health and wellbeing of preschool children and should be given more attention among health care professionals and community planners. © 2012 The Author(s)/Acta Paediatrica © 2012 Foundation Acta Paediatrica.
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30.
  • Wester, Ulf, et al. (författare)
  • Solar Ultraviolet Radiation Exposure Proxy-estimated by Sky View Fish-eye Photography-Potentials and Limitations from an Exploratory Correlation Study
  • 2019
  • Ingår i: Photochemistry and Photobiology. - : Wiley-Blackwell. - 0031-8655 .- 1751-1097. ; 95:2, s. 656-661
  • Tidskriftsartikel (refereegranskat)abstract
    • Potentials and limitations of sky view fish-eye photography and calculation of the percentage of free sky (sky view factor, SVF) as a proxy to estimate solar ultraviolet radiation (UVR) exposure in shade settings are investigated using controlled situations. SVF and measured solar UVR exposure correlated at high mid-latitude (56.65 degrees N) near autumnal equinox in September. The correlation was enhanced by splitting the sky view images into a south- and a north-half and weighting the south-half higher to account for the direct sun. Sky view images from eight different settings with SVF-values 98.3% - 14.9% were compared to exposure measurements by polysulphone film dosimeter badges in the horizontal zenith-, vertical-south-, east-, west- and north-directions and their combinations. The sky view images were un-split and un-weighted or split and the semi-skies given south/north weights (3.0/1.0) or a higher weight ratio (3.5/0.5). Of all tested combinations split sky view SVFs weighted 3.0/1.0 and compared to horizontal (zenith-oriented) dosimeters yielded the highest correlation (R-2 = 0.96). The weight ratio (3.5/0.5) yielded the 2(nd) highest correlation (R-2 = 0.90) both compared to measured horizontal exposure and compared to the horizontal exposure averaged with the vertical-south-oriented exposure. SVF from sky view fish-eye photography may estimate solar UVR exposure in shade settings.
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