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Clustering of energy balance-related behaviours, sleep, and overweight among Finnish adolescents.

https://arctichealth.org/en/permalink/ahliterature293518
Source
Int J Public Health. 2017 Nov; 62(8):929-938
Publication Type
Journal Article
Date
Nov-2017
Author
Teija Nuutinen
Elviira Lehto
Carola Ray
Eva Roos
Jari Villberg
Jorma Tynjälä
Author Affiliation
Folkhälsan Research Center, Helsinki, Finland.
Source
Int J Public Health. 2017 Nov; 62(8):929-938
Date
Nov-2017
Language
English
Publication Type
Journal Article
Keywords
Adolescent
Adolescent Behavior
Cluster analysis
Computers - utilization
Diet - statistics & numerical data
Energy Metabolism
Exercise - psychology
Female
Finland - epidemiology
Humans
Male
Pediatric Obesity - epidemiology
Risk factors
Sedentary lifestyle
Sex Distribution
Sleep
Surveys and Questionnaires
Television - utilization
Time Factors
Video Games - statistics & numerical data
Abstract
To examine how clusters of energy balance-related behaviours (EBRBs), including sleep related factors, were associated with overweight among adolescents.
In Finland, 4262 adolescents, aged 13-15, participated in the cross-national Health Behaviour in School-aged Children study. The adolescents completed questionnaires assessing EBRBs [sleep duration, discrepancy and quality, physical activity (PA), screen time, junk food, fruit, and vegetable intake] and height and weight. Clusters were identified with ?-means cluster analysis and their associations with overweight with logistic regression analyses.
Common clusters for boys and girls were labelled "Healthy lifestyle" and "High screen time, unhealthy lifestyle". In addition, the cluster "Low/moderate screen time, unhealthy lifestyle" was identified among boys, and the cluster "Poor sleep, unhealthy lifestyle" among girls. Only girls in the cluster "High screen time, unhealthy lifestyle" were at increased risk for overweight.
Girls, whose EBRB was characterized by high screen time and low PA, but not with poor sleep, were at increased risk for overweight. Future studies should examine ways to promote PA among adolescent girls with high interest in screen-based activities.
Notes
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PubMed ID
28593331 View in PubMed
Less detail

Computer use, sleep duration and health symptoms: a cross-sectional study of 15-year olds in three countries.

https://arctichealth.org/en/permalink/ahliterature263026
Source
Int J Public Health. 2014 Aug;59(4):619-28
Publication Type
Article
Date
Aug-2014
Author
Teija Nuutinen
Eva Roos
Carola Ray
Jari Villberg
Raili Välimaa
Mette Rasmussen
Bjørn Holstein
Emmanuelle Godeau
Francois Beck
Damien Léger
Jorma Tynjälä
Source
Int J Public Health. 2014 Aug;59(4):619-28
Date
Aug-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Behavior
Affective Symptoms - epidemiology
Anxiety - epidemiology
Attitude to Computers
Behavior, Addictive - epidemiology
Causality
Child
Comorbidity
Cross-Sectional Studies
Denmark - epidemiology
Female
Finland - epidemiology
France - epidemiology
Headache - epidemiology
Health status
Humans
Internet
Male
Microcomputers - utilization
Sex Factors
Sleep Disorders - epidemiology
Abstract
This study investigated whether computer use is associated with health symptoms through sleep duration among 15-year olds in Finland, France and Denmark.
We used data from the WHO cross-national Health Behaviour in School-aged Children study collected in Finland, France and Denmark in 2010, including data on 5,402 adolescents (mean age 15.61 (SD 0.37), girls 53%). Symptoms assessed included feeling low, irritability/bad temper, nervousness, headache, stomachache, backache, and feeling dizzy. We used structural equation modeling to explore the mediating effect of sleep duration on the association between computer use and symptom load.
Adolescents slept approximately 8 h a night and computer use was approximately 2 h a day. Computer use was associated with shorter sleep duration and higher symptom load. Sleep duration partly mediated the association between computer use and symptom load, but the indirect effects of sleep duration were quite modest in all countries.
Sleep duration may be a potential underlying mechanism behind the association between computer use and health symptoms.
PubMed ID
24848704 View in PubMed
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Dietary patterns and their associations with home food availability among Finnish pre-school children: a cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature299379
Source
Public Health Nutr. 2018 05; 21(7):1232-1242
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
05-2018
Author
Henna Vepsäläinen
Liisa Korkalo
Vera Mikkilä
Reetta Lehto
Carola Ray
Kaija Nissinen
Essi Skaffari
Mikael Fogelholm
Leena Koivusilta
Eva Roos
Maijaliisa Erkkola
Author Affiliation
1Department of Food and Environmental Sciences,University of Helsinki, PO Box 66,FI-00014 University of Helsinki,Helsinki,Finland.
Source
Public Health Nutr. 2018 05; 21(7):1232-1242
Date
05-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Child
Child, Preschool
Cross-Sectional Studies
Diet - statistics & numerical data
Diet Surveys
Feeding Behavior - physiology
Finland - epidemiology
Food Supply - statistics & numerical data
Fruit
Humans
Vegetables
Abstract
To study the associations between home food availability and dietary patterns among pre-school children.
Cross-sectional study in which parents of the participating children filled in an FFQ and reported how often they had certain foods in their homes. We derived dietary pattern scores using principal component analysis, and composite scores describing the availability of fruits and vegetables as well as sugar-enriched foods in the home were created for each participant. We used multilevel models to investigate the associations between availability and dietary pattern scores.
The DAGIS study, Finland.
The participants were 864 Finnish 3-6-year-old children recruited from sixty-six pre-schools. The analyses included 711 children with sufficient data.
We identified three dietary patterns explaining 16·7 % of the variance. The patterns were named 'sweets-and-treats' (high loadings of e.g. sweet biscuits, chocolate, ice cream), 'health-conscious' (high loadings of e.g. nuts, natural yoghurt, berries) and 'vegetables-and-processed meats' (high loadings of e.g. vegetables, cold cuts, fruit). In multivariate models, the availability of fruits and vegetables was inversely associated with the sweets-and-treats pattern (ß=-0·05, P
PubMed ID
29331168 View in PubMed
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Do computer use, TV viewing, and the presence of the media in the bedroom predict school-aged children's sleep habits in a longitudinal study?

https://arctichealth.org/en/permalink/ahliterature256579
Source
BMC Public Health. 2013;13:684
Publication Type
Article
Date
2013
Author
Teija Nuutinen
Carola Ray
Eva Roos
Author Affiliation
Folkhälsan Research Center, Paasikivenkatu 4, 00250 Helsinki, Finland. teija.nuutinen@helsinki.fi
Source
BMC Public Health. 2013;13:684
Date
2013
Language
English
Publication Type
Article
Keywords
Chi-Square Distribution
Child
Computer Terminals - utilization
Family Characteristics
Female
Finland
Health Behavior
Health promotion
Humans
Linear Models
Longitudinal Studies
Male
Questionnaires
Sex Factors
Sleep
Social Media - utilization
Students - psychology
Television - utilization
Time Factors
Abstract
Electronic media use is becoming an increasingly important part of life for today's school-aged children. At the same time, concern of children's sleep habits has arisen, and cross-sectional studies have shown that electronic media use is associated with short sleep duration and sleep disturbances. The purpose of this longitudinal study was to investigate whether baseline electronic media use and media presence in a child's bedroom predicted sleep habits as well as changes in these sleep habits 18 months later among 10- to 11-year-old children in Finland.
The school-aged children (n=353, 51% girls) from 27 schools answered a questionnaire in 2006 and again 2008 in the Helsinki region of Finland. Electronic media use was measured by computer use and TV viewing. Media presence in a child's bedroom means the presence of a TV or a computer in a child's bedroom. Sleep habits were measured by bedtimes on school days and at the weekend days, sleep duration, discrepancy of bedtimes, and discrepancy of sleep duration between school days and weekends. Linear regression analyses were used to examine whether electronic media use and media presence predicted sleep habits with adjustments for grade, family structure, and baseline sleep. Gender differences were also examined.
The children used a computer for one hour per day and watched TV over one hour a day in 2006. They slept over nine hours on school days and over ten hours at the weekends in 2008. Computer use and television viewing predicted significantly shorter sleep duration (p
Notes
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PubMed ID
23886318 View in PubMed
Less detail

Do descriptive norms related to parents and friends predict fruit and vegetable intake similarly among 11-year-old girls and boys?

https://arctichealth.org/en/permalink/ahliterature271271
Source
Br J Nutr. 2016 Jan 14;115(1):168-75
Publication Type
Article
Date
Jan-14-2016
Author
Elviira Lehto
Carola Ray
Ari Haukkala
Agneta Yngve
Inga Thorsdottir
Eva Roos
Source
Br J Nutr. 2016 Jan 14;115(1):168-75
Date
Jan-14-2016
Language
English
Publication Type
Article
Keywords
Attitude
Child
Diet - standards
Eating
Energy intake
Female
Finland
Food Habits
Food Preferences
Friends
Fruit
Humans
Male
Parents
Sex Factors
Social Environment
Surveys and Questionnaires
Vegetables
Abstract
We examined whether there are sex differences in children's fruit and vegetable (FV) intake and in descriptive norms (i.e. perceived FV intake) related to parents and friends. We also studied whether friends' impact is as important as that of parents on children's FV intake. Data from the PRO GREENS project in Finland were obtained from 424 children at the age 11 years at baseline. At baseline, 2009 children filled in a questionnaire about descriptive norms conceptualised as perceived FV intake of their parents and friends. They also filled in a validated FFQ that assessed their FV intake both at baseline and in the follow-up in 2010. The associations were examined with multi-level regression analyses with multi-group comparisons. Girls reported higher perceived FV intake of friends and higher own fruit intake at baseline, compared with boys, and higher vegetable intake both at baseline and in the follow-up. Perceived FV intake of parents and friends was positively associated with both girls' and boys' FV intake in both study years. The impact of perceived fruit intake of the mother was stronger among boys. The change in children's FV intake was affected only by perceived FV intake of father and friends. No large sex differences in descriptive norms were found, but the impact of friends on children's FV intake can generally be considered as important as that of parents. Future interventions could benefit from taking into account friends' impact as role models on children's FV intake.
PubMed ID
26450715 View in PubMed
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Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial.

https://arctichealth.org/en/permalink/ahliterature268238
Source
BMC Public Health. 2015;15:402
Publication Type
Article
Date
2015
Author
Suvi Määttä
Reetta Lehto
Mari Nislin
Carola Ray
Maijaliisa Erkkola
Nina Sajaniemi
Eva Roos
Source
BMC Public Health. 2015;15:402
Date
2015
Language
English
Publication Type
Article
Keywords
Child
Child Behavior
Child, Preschool
Cross-Sectional Studies
Female
Finland
Health Promotion - methods
Humans
Male
Physical Education and Training - organization & administration
Randomized Controlled Trials as Topic
Research Design
School Health Services - organization & administration
Surveys and Questionnaires
Abstract
Effective interventions that target socioeconomic status (SES) differences to avoid the potential widening of inequalities in health are needed. Children at preschool age is a valuable intervention target since sedentary behaviors, physical activity (PA), dietary behaviors, and sleep habits, jointly called the energy balance-related behaviors (EBRBs), are established in early childhood and tend to persist later in life. The interventions are most effective, when they focus on evidence-based factors. One potential factor associated with EBRBs and SES is children's stress regulation, which receives special attention in this study. Based on the socioecological approach, the combinations of multiple levels (e.g. individual, environmental, societal) of analysis and diverse methodologies (e.g. surveys, observations, biological measurements) are used to assess the healthfulness of environments (e.g. social, physical, learning, policy) in preschool and family settings. The intervention aimed to diminish SES differences in EBRBs is then conducted in the preschool setting.
The DAGIS study is divided into two phases. The first phase comprises focus group interviews and a cross-sectional survey. Parents and preschool personnel in low SES neighborhoods participated in interviews about children's sedentary behaviors, dietary behaviors, and PA in 2014. In the cross-sectional survey beginning in autumn 2015, preschools will be recruited from a random sample of preschools in 3-5 municipalities in Southern Finland. A total of 800 children will wear an accelerometer for seven days. Children's hair and saliva samples will be taken. Parents and preschool personnel will complete questionnaires on EBRBs, social and physical environments and SES factors. The quality of preschool environment is also observed. In the second phase, an intervention targeting to narrowing SES differences in EBRBs is conducted. The effects of the intervention will be evaluated in randomised controlled trial. The implementation of the intervention will also be evaluated.
If effective, this unique preschool-based study will be able to narrow the SES differences in preschool children's EBRBs. This study is anticipated to identify the most important modifiable factors in preschool and family environmental settings associated with children's EBRBs, especially in children from low SES backgrounds.
ISRCTN57165350 (January, 8th, 2015).
Notes
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PubMed ID
25927298 View in PubMed
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Increased Health and Wellbeing in Preschools (DAGIS) Study-Differences in Children's Energy Balance-Related Behaviors (EBRBs) and in Long-Term Stress by Parental Educational Level.

https://arctichealth.org/en/permalink/ahliterature297859
Source
Int J Environ Res Public Health. 2018 10 21; 15(10):
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
10-21-2018
Author
Elviira Lehto
Carola Ray
Henna Vepsäläinen
Liisa Korkalo
Reetta Lehto
Riikka Kaukonen
Eira Suhonen
Mari Nislin
Kaija Nissinen
Essi Skaffari
Leena Koivusilta
Nina Sajaniemi
Maijaliisa Erkkola
Eva Roos
Author Affiliation
Folkhälsan Research Center, Topeliuksenkatu 20, 00250 Helsinki, Finland. elviira.lehto@helsinki.fi.
Source
Int J Environ Res Public Health. 2018 10 21; 15(10):
Date
10-21-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Child
Child Behavior
Child, Preschool
Cross-Sectional Studies
Diet
Educational Status
Exercise
Female
Finland - epidemiology
Health Status Disparities
Health Surveys
Humans
Male
Parents
Screen Time
Sedentary Behavior
Social Determinants of Health - statistics & numerical data
Stress, Psychological - epidemiology - etiology
Abstract
This paper describes the Increased Health and Wellbeing in Preschools (DAGIS) survey process and socioeconomic status (SES) differences in children's energy balance-related behaviors (EBRBs), meaning physical activity, sedentary and dietary behaviors, and long-term stress that serve as the basis for the intervention development. A cross-sectional survey was conducted during 2015?2016 in 66 Finnish preschools in eight municipalities involving 864 children (3?6 years old). Parents, preschool personnel, and principals assessed environmental factors at home and preschool with questionnaires. Measurement of children's EBRBs involved three-day food records, food frequency questionnaires (FFQ), seven-day accelerometer data, and seven-day sedentary behavior diaries. Children's long-term stress was measured by hair cortisol concentration. Parental educational level (PEL) served as an indicator of SES. Children with low PEL had more screen time, more frequent consumption of sugary beverages and lower consumption of vegetables, fruit, and berries (VFB) than those with high PEL. Children with middle PEL had a higher risk of consuming sugary everyday foods than children with high PEL. No PEL differences were found in children's physical activity, sedentary time, or long-term stress. The DAGIS intervention, aiming to diminish SES differences in preschool children's EBRBs, needs to have a special focus on screen time and consumption of sugary foods and beverages, and VFB.
PubMed ID
30347875 View in PubMed
Less detail

Influencing factors of children's fruit, vegetable and sugar-enriched food intake in a Finnish preschool setting - Preschool personnel's perceptions.

https://arctichealth.org/en/permalink/ahliterature287719
Source
Appetite. 2016 Aug 01;103:72-79
Publication Type
Article
Date
Aug-01-2016
Author
Carola Ray
Suvi Määttä
Reetta Lehto
Gun Roos
Eva Roos
Source
Appetite. 2016 Aug 01;103:72-79
Date
Aug-01-2016
Language
English
Publication Type
Article
Keywords
Child Behavior - ethnology
Child Nutritional Physiological Phenomena - ethnology
Child, Preschool
Dietary Sugars - adverse effects
Female
Finland
Focus Groups
Food Services - standards
Fruit
Health Knowledge, Attitudes, Practice - ethnology
Healthy Diet - ethnology
Humans
Local Government
Male
Patient Compliance - ethnology
Peer Influence
Professional Role
School Nursing - manpower
School Teachers
Schools, Nursery - manpower - standards
Socioeconomic Factors
Vegetables
Abstract
A large proportion of young children spend most of their weekdays at preschool in Western countries. In Finland, three meals are included in a full day at preschool. These meals have the potential to promote healthy eating. This study aimed to obtain the personnel's (preschool teachers, day-care nurses) views on the factors influencing children's fruit, vegetable, and sugar-enriched food intake at preschool.
Four focus groups, in all 14 preschool personnel. Two researchers independently analysed the data using a socio-ecological framework.
At the child level, age, peers, and the child's personality were recognized as factors influencing the fruit and vegetable (FV) and sugar-enriched food intake. At the preschool level, both the physical and social environments were discussed thoroughly, whereas at the societal level, policies of the EU, the state, and the municipality were mentioned as factors that influence what children eat in preschool. The personnel also discussed the interactions between factors both between levels and within levels.
In Finnish preschools, children's food intake is influenced on and within several levels of the socio-ecological model. The identification of the factors influencing food intake allows different methods of intervention at multiple levels to promote healthy eating behaviours in preschools.
PubMed ID
27020091 View in PubMed
Less detail

Like parent, like child? Dietary resemblance in families.

https://arctichealth.org/en/permalink/ahliterature296566
Source
Int J Behav Nutr Phys Act. 2018 07 03; 15(1):62
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
07-03-2018
Author
Henna Vepsäläinen
Jaakko Nevalainen
Mikael Fogelholm
Liisa Korkalo
Eva Roos
Carola Ray
Maijaliisa Erkkola
Author Affiliation
Department of Food and Nutrition, University of Helsinki, P.O. Box 66, FI-00014, Helsinki, Finland. henna.vepsalainen@helsinki.fi.
Source
Int J Behav Nutr Phys Act. 2018 07 03; 15(1):62
Date
07-03-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adult
Child
Child Behavior
Child, Preschool
Cross-Sectional Studies
Diet
Diet Surveys
Family Characteristics
Fathers
Feeding Behavior
Female
Finland
Health Behavior
Humans
Male
Meals
Mothers
Parenting
Parents
Abstract
Studies investigating dietary resemblance between parents and their children have gained mixed results, and the resemblance seems to vary across nutrients, foods, dietary-assessment tools used, and parent-child pairs. We investigated parent-child dietary resemblance using a novel approach in applying statistical analysis, which allowed the comparison of 'whole-diet' between parents and their children. Additionally, we sought to establish whether sociodemographic factors or family meals were associated with dietary resemblance and whether parent-child dietary resemblance was dependent on the parent providing food consumption data on behalf of the child (father or mother, "the respondent").
The DAGIS study investigated health behaviors among Finnish preschoolers using a cross-sectional design. One parent filled in a food frequency questionnaire (FFQ) measuring the child's food consumption outside preschool hours during the last week. In addition, we instructed both parents or legal guardians, should the child have two, to fill in a similar FFQ regarding their own food use. Parents also reported their educational level, the number of children living in the same household, and the number of family meals. As a measure of dietary resemblance between a parent and a child, we computed Spearman correlations ranging mostly from no resemblance (0) to complete resemblance (+?1) between parent-child pairs over the 'whole-diet' (excluding preschool hours). These resemblance measures were further investigated using linear mixed models.
We obtained 665 father-child and 798 mother-child resemblance measures. Mother-child resemblance was on average 0.57 and stronger than father-child resemblance (0.50, p?
PubMed ID
29970093 View in PubMed
Less detail

Longitudinal associations between family characteristics and measures of childhood obesity.

https://arctichealth.org/en/permalink/ahliterature132456
Source
Int J Public Health. 2012 Jun;57(3):495-503
Publication Type
Article
Date
Jun-2012
Author
Reetta Lehto
Carola Ray
Eva Roos
Author Affiliation
Folkhälsan Research Center, Paasikivenkatu 4, 00250, Helsinki, Finland. Reetta.lehto@folkhalsan.fi
Source
Int J Public Health. 2012 Jun;57(3):495-503
Date
Jun-2012
Language
English
Publication Type
Article
Keywords
Body mass index
Child
Cross-Sectional Studies
Family Characteristics
Female
Finland - epidemiology
Follow-Up Studies
Humans
Longitudinal Studies
Male
Obesity - diagnosis - epidemiology
Prospective Studies
Questionnaires
Abstract
The objective of this study was to investigate cross-sectional and longitudinal associations between different family characteristics and body mass index (BMI) and waist-to-height ratio (WHtR) in children.
This was a prospective follow-up study conducted in Helsinki region with data collected in 2006 and 2008. The sample consisted of 550 children aged 9-11 at baseline. Children were measured and weighed by research staff, and they completed a questionnaire about their family characteristics.
More meals together with the family, more parenting practices at meals, less time home without adult company after school, and child's perception of receiving care from mother in 2006 predicted a lower BMI in 2008 and partly a smaller increase in BMI from 2006 to 2008. Fewer associations were found to WHtR. Physical activity with either parent was not associated with BMI or WHtR.
Several family characteristics predicted child BMI and WHtR 2 years later. These results contribute new knowledge about parental influence on child weight and weight gain and should be taken into account when planning interventions on the matter.
PubMed ID
21814847 View in PubMed
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