| 1. |
- Delisle Nyström, Christine, et al.
(författare)
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Physical activity and screen time in Swedish children and adolescents: The generation pep study 2018–2021
- 2023
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 112:3
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Tidskriftsartikel (refereegranskat)abstract
- Aim To analyse physical activity and screen time trends annually between 2018 and 2021 in large population-based samples of Swedish children and adolescents. Methods This is a repeated cross-sectional study using data collected over 4years (2018–2021) using simple probability sampling of Swedish children and adolescents aged 4–17years. The web-based questionnaire, including questions on physical activity and screen time, was filled out by a parent if the child was <12years of age and by the adolescents themselves if they were≥12years. Sociodemographic data was collected from the parents. Results No significant difference in physical activity was observed in 2020 and 2021 compared to 2019. However, older children/adolescents and girls have higher odds to be in a lower physical activity category (p-values<0.001). With regards to screen time, there was a significant increase in reported screen time from 2018 to 2021 for children and adolescents, with screen time peaking in 2020 (p-values<0.001). Conclusion This is the first study in Sweden evaluating trends in physical activity and screen time in large population-based samples spanning from pre-school to adolescence. Interventions to promote physical activity, especially in the older age groups and to reduce screen time in a Swedish context are warranted.
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| 2. |
- Henriksson, Pontus, et al.
(författare)
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Body mass index and gestational weight gain in migrant women by birth regions compared with Swedish-born women : A registry linkage study of 0.5 million pregnancies
- 2020
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 15:10
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Tidskriftsartikel (refereegranskat)abstract
- INTRODUCTION: Women migrating to high-income countries may have increased risks of adverse pregnancy outcomes as compared with native-born women. However, little is known whether migrant women are more likely to have unhealthy body mass index (BMI) or gestational weight gain (GWG), which is of importance considering the well-established links between unhealthy BMI and GWG with adverse pregnancy outcomes. Hence, the aim of the study was to examine the prevalence and estimate odds ratios (ORs) of underweight and obesity in the first trimester as well as inadequate and excessive GWG across birth regions in migrant (first-generation) and Swedish-born women in a population-based sample of pregnant women in Sweden.METHODS: This population-based study included 535 609 pregnancies from the Swedish Pregnancy Register between the years 2010-2018. This register has a coverage of approximately 90% and includes data on body weight, height, birth country and educational attainment. BMI in the first trimester of pregnancy was classified as underweight, normal weight, overweight and obesity whereas GWG was classified as inadequate, adequate and excessive according to the recommendations from the National Academy of Medicine, USA. BMI and GWG were examined according to 7 birth regions and the 100 individual birth countries. Adjusted ORs of underweight, obesity as well as inadequate or excessive GWG by birth regions were estimated using multinomial logistic regression.RESULTS: There were large disparities in unhealthy BMI and GWG across birth regions. For instance, women born in North Africa and Middle East and Sub-Saharan Africa had 1.40 (95% CI 1.35-1.44) and 2.13 (95% CI 2.03-2.23) higher odds of obesity compared with women born in Sweden. However, women born in Sub-Saharan Africa had also considerably higher odds of underweight (OR, 2.93 [95% CI 2.70-3.18]) and inadequate GWG (OR, 1.97 [95% CI 1.87-2.07]). The limitations of the study include the lack of a validated measure of acculturation and that the study only had data on first-generation migration.CONCLUSIONS: The large differences across the 7 regions and 100 countries highlights the importance of considering birth region and country-specific risks of unhealthy BMI and GWG in first-generation migrant women. Furthermore, inadequate GWG was common among pregnant first-generation migrant women, especially in women born in Sub-Saharan Africa, which demonstrates the need to promote adequate GWG, not only the avoidance of excessive GWG. Thus, our findings also indicate that additional support and interventions may be needed for first-generation migrant women from certain birth regions and countries in order to tackle the observed disparities in unhealthy BMI and GWG. Although further studies are needed, our results are useful for identifying groups of women at increased risk of unhealthy BMI and weight gain during pregnancy.
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| 3. |
- Henstrom, Maria, et al.
(författare)
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The Need for an Evidence-Based Program in Sweden to Support Parents to Create Healthy Lifestyle Behaviors from the Start of Life-Parental Perceptions
- 2020
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Ingår i: Nutrients. - : MDPI. - 2072-6643. ; 12:12
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden, there have been no interventions promoting the development of healthy lifestyle behaviors starting in infancy. Thus this paper aims to: (i) investigate Swedish parents experiences regarding feeding of solid foods, screen time, and physical activity in healthy infants; (ii) investigate parents needs and perceptions regarding information/support provided in primary child healthcare (CHC) and (iii) explore whether a parenting program focused on child diet and active play would be relevant and utilized. Semi-structured interviews were conducted with 20 parents. These were recorded, transcribed verbatim and analyzed using thematic analysis. Seven themes emerged: Feeling excited to enter a new phase; Parents responsibility of doing it "right" can be stressful; Motivated to learn during specific time windows; Information to trust; The importance of social support from peers; Experiences of support received from CHC; and the Infant, Feeding, Activity, and Nutrition Trial (INFANT) for a Swedish context. Parents were excited to enter new phases in their childs development. However, this came with worry they were doing things "right", leading parents to want more information/support. Overall, Swedish parents were very positive about the prospects of engaging in a primary CHC delivered program to support them to promote healthy lifestyle behaviors from birth and felt this could complement the care currently provided.
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| 4. |
- Rosell, Magdalena, et al.
(författare)
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Generation Pep Study: A population‐based survey on diet and physical activity in 12,000 Swedish children and adolescents
- 2021
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Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 110:9, s. 2597-2606
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Tidskriftsartikel (refereegranskat)abstract
- Aim This study presents dietary intake and physical activity in a large nationally representative sample of children and adolescents in Sweden. It also reports the study protocol for the Generation Pep Study that will be used for yearly repeated measurements. Methods A random sample of children and adolescents aged 4–17 years living in Sweden was invited to fill in a Web‐based questionnaire on dietary intake and physical activity. For participants aged <12 years, the parents were asked to fill in the questionnaire together with their child. Information on socio‐economic background was collected from the parents. Results A total number of 12,441 children and adolescents participated in the study (participation rate 43%). The results indicate that 13‐ to 17‐year‐olds have notably less healthy dietary intake and lower physical activity compared with younger age groups. In general, the dietary intake was most healthy among 4‐ to 6‐year‐olds. A socio‐economic gradient was seen for many of the studied variables. Conclusion Participants of a high socio‐economic status and younger age generally had healthier dietary intake and higher physical activity. The study provides novel national data as it includes a wide age of children and adolescents (4–17 years).
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| 5. |
- Sundin, Niina, et al.
(författare)
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The climate impact of excess food intake - An avoidable environmental burden
- 2021
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Ingår i: Resources, Conservation and Recycling. - : Elsevier B.V.. - 0921-3449 .- 1879-0658. ; 174
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Tidskriftsartikel (refereegranskat)abstract
- The environmental impacts of food systems and the health consequences of excess food intake are well-acknowledged global issues. However, the climate impact of excess food intake, or metabolic food waste, has received less attention. This study estimated the amount of metabolic food waste and its climate impact in Sweden. Excess food intake was estimated based on the adult overweight and obesity prevalence in Sweden, by applying two alternative calculation methods, one based on the energy content of excess body fat, and the other based on the excess energy intake due to excess body fat. These caloric values were translated to food consumption patterns according to three dietary scenarios and their climate impact estimated based on carbon footprint data. The results showed that the annual amount of metabolic food waste represented 480–710 kt of food in Sweden and, regardless of dietary scenario, exceeded the annual amount of avoidable household food waste. The estimated greenhouse gas emissions from the metabolic food waste amounted up to 1.2 Mt CO2e annually, accounting for approximately 2% of the total and 10% of the food-related climate impact in Sweden. This study confirms the magnitude of the hidden climate cost of excess food intake on a national level and emphasizes the importance of taking this aspect into consideration in actions to improve both planetary and human health. Although applied to the Swedish context, the methodology used in the present study could also be used to assess the environmental impact of excess food intake in other countries globally.
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