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Adherence to the New Nordic Diet during pregnancy and subsequent maternal weight development: a study conducted in the Norwegian Mother and Child Cohort Study (MoBa).

https://arctichealth.org/en/permalink/ahliterature299175
Source
Br J Nutr. 2018 06; 119(11):1286-1294
Publication Type
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Date
06-2018
Author
Marianne Skreden
Elisabet R Hillesund
Andrew K Wills
Anne Lise Brantsæter
Elling Bere
Nina C Øverby
Author Affiliation
1Department of Public Health, Sport and Nutrition,University of Agder,PO Box 422,4604 Kristiansand,Norway.
Source
Br J Nutr. 2018 06; 119(11):1286-1294
Date
06-2018
Language
English
Publication Type
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Keywords
Adult
Child
Diet
Diet Surveys
Female
Humans
Male
Mothers
Norway - epidemiology
Overweight
Pregnancy
Prenatal Nutritional Physiological Phenomena
Risk factors
Weight Gain
Abstract
The rising prevalence of overweight and obesity is a worldwide public health challenge. Pregnancy and beyond is a potentially important window for future weight gain in women. We investigated associations between maternal adherence to the New Nordic diet (NND) during pregnancy and maternal BMI trajectories from delivery to 8 years post delivery. Data are from the Norwegian Mother and Child Cohort. Pregnant women from all of Norway were recruited between 1999 and 2008, and 55 056 are included in the present analysis. A previously constructed diet score, NND, was used to assess adherence to the diet. The score favours intake of Nordic fruits, root vegetables, cabbages, potatoes, oatmeal porridge, whole grains, wild fish, game, berries, milk and water. Linear spline multi-level models were used to estimate the association. We found that women with higher adherence to the NND pattern during pregnancy had on average lower post-partum BMI trajectories and slightly less weight gain up to 8 years post delivery compared with the lower NND adherers. These associations remained after adjustment for physical activity, education, maternal age, smoking and parity (mean diff at delivery (high v. low adherers): -0·3 kg/m2; 95 % CI -0·4, -0·2; mean diff at 8 years: -0·5 kg/m2; 95 % CI -0·6, -0·4), and were not explained by differences in energy intake or by exclusive breast-feeding duration. Similar patterns of associations were seen with trajectories of overweight/obesity as the outcome. In conclusion, our findings suggest that the NND may have beneficial properties to long-term weight regulation among women post-partum.
PubMed ID
29770760 View in PubMed
Less detail

Associations of adherence to the New Nordic Diet with risk of preeclampsia and preterm delivery in the Norwegian Mother and Child Cohort Study (MoBa).

https://arctichealth.org/en/permalink/ahliterature259601
Source
Eur J Epidemiol. 2014 Oct;29(10):753-65
Publication Type
Article
Date
Oct-2014
Author
Elisabet Rudjord Hillesund
Nina C Øverby
Stephanie M Engel
Kari Klungsøyr
Quaker E Harmon
Margaretha Haugen
Elling Bere
Source
Eur J Epidemiol. 2014 Oct;29(10):753-65
Date
Oct-2014
Language
English
Publication Type
Article
Keywords
Adult
Diet
Diet Surveys
Female
Food Habits
Humans
Infant, Newborn
Logistic Models
Mothers
Multivariate Analysis
Norway - epidemiology
Odds Ratio
Patient Compliance - statistics & numerical data
Pre-Eclampsia - epidemiology - prevention & control
Pregnancy
Premature Birth - epidemiology - prevention & control
Prospective Studies
Questionnaires
Risk factors
Young Adult
Abstract
Preeclampsia and preterm delivery are serious complications of pregnancy and leading causes of perinatal mortality and morbidity worldwide. Dietary factors might be associated with these adverse outcomes. We investigated whether adherence to the New Nordic Diet (NND) was associated with preeclampsia and preterm delivery risks in the Norwegian Mother and Child Cohort Study (MoBa). Participants were recruited from all over Norway during the period 1999-2008. A previously constructed diet score assessing meal frequency, and the consumption of Nordic fruits, root vegetables, cabbages, potatoes, oatmeal porridge, whole grains, wild fish, game, berries, milk and water, was used to assess NND adherence. Associations between NND adherence and the outcomes were estimated in adjusted multivariate logistic regression models. Odds ratios (ORs) and 95 % confidence intervals (CIs) were calculated. A total of 72,072 women was included in the study. High versus low NND adherence was associated with lower risk of total preeclampsia (OR 0.86; 95 % CI 0.78-0.95) and early preeclampsia (OR 0.71; 95 % CI 0.52-0.96). High compared with low NND adherence was associated with a lower risk of spontaneous preterm delivery among nulliparous women (OR 0.77; 95 % CI 0.66-0.89), whereas multiparous women with high NND adherence had a marginally significant higher risk of preterm delivery (OR 1.24; 95 % CI 1.00-1.53). High NND adherence was associated with a lower relative risk of preeclampsia and of spontaneous preterm delivery among nulliparous women; however, among multiparous women there was a higher relative risk of preterm delivery.
PubMed ID
25193741 View in PubMed
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Change in active transportation and weight gain in pregnancy.

https://arctichealth.org/en/permalink/ahliterature275380
Source
Int J Behav Nutr Phys Act. 2016;13:10
Publication Type
Article
Date
2016
Author
Marianne Skreden
Nina C Øverby
Linda R Sagedal
Ingvild Vistad
Monica K Torstveit
Hilde Lohne-Seiler
Elling Bere
Source
Int J Behav Nutr Phys Act. 2016;13:10
Date
2016
Language
English
Publication Type
Article
Keywords
Adult
Bicycling
Body mass index
Body Weight
Female
Humans
Norway
Obesity - prevention & control
Pregnancy
Pregnancy Complications - prevention & control
Prospective Studies
Transportation
Walking
Weight Gain
Young Adult
Abstract
Pregnancy is characterised by large weight gain over a short period, and often a notable change in mode of transportation. This makes pregnancy suitable for examining the plausible, but in the scientific literature still unclear, association between active transportation and weight gain. We hypothesize that women continuing an active mode of transportation to work or school from pre- to early pregnancy will have a lower gestational weight gain (GWG) than those who change to a less active mode of transportation.
We analysed prospective data from the Norwegian Fit for Delivery (NFFD) trial. Between September 2009 and February 2013 606 women were consecutively enrolled in median gestational week 16 (range; 8-20). Of 219 women who used an active mode of transportation (biking, walking, public transportation) pre-pregnancy, 66 (30%) converted to a less active mode in early pregnancy ("active-less active" group), and 153 (70%) continued with active transportation ("active-active" group). Pre-pregnancy weight was self-reported. Weight at gestational (GA) weeks 16, 30, 36, and at term delivery was objectively measured. Weight gain was compared between the two groups. Linear mixed effects analysis of the repeated weight measures was performed including the group*time interaction.
A significant overall group effect was observed for the four time points together ("active-active" group: 77.3 kg vs. "active-less active" group: 78.8 kg, p?=?0.008). The interaction term group*time was significant indicating different weight gain throughout pregnancy for the two groups; the mean differences between the groups were 0.7 kg at week 16, 1.4 kg at week 30, 2.1 kg at week 36, and 2.2 kg at term delivery, respectively.
The findings indicate that active transportation is one possible approach to prevent excessive weight gain in pregnancy.
Notes
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PubMed ID
26818593 View in PubMed
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Changes in beverage consumption from pre-pregnancy to early pregnancy in the Norwegian Fit for Delivery study.

https://arctichealth.org/en/permalink/ahliterature270544
Source
Public Health Nutr. 2015 May;18(7):1187-96
Publication Type
Article
Date
May-2015
Author
Marianne Skreden
Elling Bere
Linda R Sagedal
Ingvild Vistad
Nina C Øverby
Source
Public Health Nutr. 2015 May;18(7):1187-96
Date
May-2015
Language
English
Publication Type
Article
Keywords
Adult
Alcoholic Beverages - adverse effects
Animals
Beverages - adverse effects
Coffee - adverse effects
Cohort Studies
Cross-Sectional Studies
Diet - adverse effects
Educational Status
Female
Fruit and Vegetable Juices
Humans
Maternal Nutritional Physiological Phenomena
Milk
Non-Nutritive Sweeteners - administration & dosage - adverse effects
Norway
Nutrition Policy
Nutrition Surveys
Patient compliance
Pregnancy
Pregnancy Trimester, First
Young Adult
Abstract
To describe changes in consumption of different types of beverages from pre-pregnancy to early pregnancy, and to examine associations with maternal age, educational level and BMI.
Cross-sectional design. Participants answered an FFQ at inclusion into a randomized controlled trial, the Fit for Delivery (FFD) trial, in median gestational week 15 (range: 9-20), reporting current consumption and in retrospect how often they drank the different beverages pre-pregnancy.
Eight local antenatal clinics in southern Norway from September 2009 to February 2013.
Five hundred and seventy-five healthy pregnant nulliparous women.
Pre-pregnancy, 27 % reported drinking alcohol at least once weekly, compared with none in early pregnancy (P
PubMed ID
25221910 View in PubMed
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Changes in beverage consumption in Norwegian children from 2001 to 2008.

https://arctichealth.org/en/permalink/ahliterature132271
Source
Public Health Nutr. 2012 Mar;15(3):379-85
Publication Type
Article
Date
Mar-2012
Author
Tonje H Stea
Nina C Øverby
Knut-Inge Klepp
Elling Bere
Author Affiliation
Department of Public Health, Sport and Nutrition, Faculty of Health and Sport, University of Agder, PO Box 422, 4604 Kristiansand, Norway. tonje.h.stea@uia.no
Source
Public Health Nutr. 2012 Mar;15(3):379-85
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Beverages - utilization
Carbonated Beverages
Child
Child Behavior
Diet - trends
Diet Surveys
Dietary Sucrose - administration & dosage
Female
Food Preferences
Fruit
Health Behavior
Humans
Male
Norway
Questionnaires
Sex Factors
Sweetening Agents
Abstract
To analyse (i) differences in beverage pattern among Norwegian children in 2001 and 2008; (ii) beverage intake related to gender, parental education and family composition; and (iii) potential disparities in time trends among the different groups.
Within the Fruits and Vegetables Make the Marks (FVMM) project, 6th and 7th grade pupils filled in a questionnaire about frequency of beverage intake (times/week) in 2001 and 2008.
Twenty-seven elementary schools in two Norwegian counties.
In 2001 a total of 1488 and in 2008 1339 pupils participated.
Between 2001 and 2008, a decreased consumption frequency of juice (from 3·6 to 3·4 times/week, P = 0·012), lemonade (from 4·8 to 2·5 times/week, P
PubMed ID
21835086 View in PubMed
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Changes in fruit and vegetable consumption habits from pre-pregnancy to early pregnancy among Norwegian women.

https://arctichealth.org/en/permalink/ahliterature289259
Source
BMC Pregnancy Childbirth. 2017 04 04; 17(1):107
Publication Type
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Date
04-04-2017
Author
Marianne Skreden
Elling Bere
Linda R Sagedal
Ingvild Vistad
Nina C Øverby
Author Affiliation
Department of Public Health, Sports and Nutrition, University of Agder, PO Box 422, 4604, Kristiansand, Norway. marianne.skreden@uia.no.
Source
BMC Pregnancy Childbirth. 2017 04 04; 17(1):107
Date
04-04-2017
Language
English
Publication Type
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Keywords
Adult
Cross-Sectional Studies
Diet - methods
Feeding Behavior - physiology
Female
Follow-Up Studies
Fruit
Fruit and Vegetable Juices
Habits
Humans
Incidence
Maternal Nutritional Physiological Phenomena - physiology
Norway - epidemiology
Nutrition Surveys
Patient Education as Topic
Pregnancy
Pregnancy Complications - epidemiology - prevention & control
Pregnancy outcome
Retrospective Studies
Risk factors
Single-Blind Method
Surveys and Questionnaires
Vegetables
Women's health
Young Adult
Abstract
A healthy diet is important for pregnancy outcome and the current and future health of woman and child. The aims of the study were to explore the changes from pre-pregnancy to early pregnancy in consumption of fruits and vegetables (FV), and to describe associations with maternal educational level, body mass index (BMI) and age.
Healthy nulliparous women were included in the Norwegian Fit for Delivery (NFFD) trial from September 2009 to February 2013, recruited from eight antenatal clinics in southern Norway. At inclusion, in median gestational week 15 (range 9-20), 575 participants answered a food frequency questionnaire (FFQ) where they reported consumption of FV, both current intake and recollection of pre-pregnancy intake. Data were analysed using a linear mixed model.
The percentage of women consuming FV daily or more frequently in the following categories increased from pre-pregnancy to early pregnancy: vegetables on sandwiches (13 vs. 17%, p?
Notes
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PubMed ID
28376732 View in PubMed
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Changes in screen time activity in Norwegian children from 2001 to 2008: two cross sectional studies.

https://arctichealth.org/en/permalink/ahliterature116818
Source
BMC Public Health. 2013;13:80
Publication Type
Article
Date
2013
Author
Nina C Øverby
Knut-Inge Klepp
Elling Bere
Author Affiliation
Department of Public Health, Sport and Nutrition, Faculty of Health and Sport, University of Agder, Kristiansand, 4604, Norway. nina.c.overby@uia.no
Source
BMC Public Health. 2013;13:80
Date
2013
Language
English
Publication Type
Article
Keywords
Child
Child Behavior
Computers - utilization
Cross-Sectional Studies
Educational Status
Female
Humans
Leisure Activities - psychology
Male
Norway
Parents
Questionnaires
Sex Factors
Television - utilization
Time Factors
Abstract
There has been an increase in screen-based communication, leading to concerns about the negative health effects of screen-based activities in children and adolescents. The present study aimed to (1) analyze changes in screen time activity in Norwegian children from 2001 to 2008, and (2) to analyze associations between the changes in screen time activity over time and sex, grade level and parental educational level.
Within the project Fruits and Vegetables Make the Marks (FVMM), 1488 6th and 7th grade pupils from 27 Norwegian elementary schools completed a questionnaire including a question about time spent on television viewing and personal computer use in 2001 and 1339 pupils from the same schools completed the same questionnaire in 2008. Data were analyzed by multilevel linear mixed models.
The proportions of 6th and 7th grade pupils at the 27 schools that reported screen time activity outside school of 2 hours/day or more decreased from 55% to 45% (p
Notes
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PubMed ID
23356930 View in PubMed
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Child consumption of fruit and vegetables: the roles of child cognitions and parental feeding practices.

https://arctichealth.org/en/permalink/ahliterature130460
Source
Public Health Nutr. 2012 Jun;15(6):1047-55
Publication Type
Article
Date
Jun-2012
Author
Elisabeth L Melbye
Nina C Øverby
Torvald Øgaard
Author Affiliation
Norwegian School of Hotel Management, University of Stavanger, 4036 Stavanger, Norway. elisabeth.l.melbye@uis.no
Source
Public Health Nutr. 2012 Jun;15(6):1047-55
Date
Jun-2012
Language
English
Publication Type
Article
Keywords
Attitude
Child
Cross-Sectional Studies
Diet - psychology - standards
Food Habits
Fruit
Humans
Intention
Norway
Parent-Child Relations
Parenting
Parents
Questionnaires
Self Efficacy
Social Environment
Vegetables
Abstract
To examine the roles of child cognitions and parental feeding practices in explaining child intentions and behaviour regarding fruit and vegetable consumption.
Cross-sectional surveys among pre-adolescent children and their parents.
The child questionnaire included measures of fruit and vegetable consumption and cognitions regarding fruit and vegetable consumption as postulated by the Attitude-Social Influence-Self-Efficacy (ASE) model. The parent questionnaire included measures of parental feeding practices derived from the Comprehensive Feeding Practices Questionnaire (CFPQ).
In total, 963 parents and 796 students in grades 5 and 6 from eighteen schools in the south-western part of Norway participated.
A large portion of child intention to eat fruit and child fruit consumption was explained by child cognitions (29 % and 25 %, respectively). This also applied to child intention to eat vegetables and child vegetable consumption (42 % and 27 %, respectively). Parent-reported feeding practices added another 3 % to the variance explained for child intention to eat fruit and 4 % to the variance explained for child vegetable consumption.
The results from the present study supported the application of the ASE model for explaining the variance in child intentions to eat fruit and vegetables and in child consumption of fruit and vegetables. Furthermore, our findings indicated that some parental feeding practices do have an influence on child intentions and behaviour regarding fruit and vegetable consumption. However, the role of parental feeding practices, and the pathways between feeding practices and child eating intentions and behaviour, needs to be further investigated.
PubMed ID
22000074 View in PubMed
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Development of a New Nordic Diet score and its association with gestational weight gain and fetal growth - a study performed in the Norwegian Mother and Child Cohort Study (MoBa).

https://arctichealth.org/en/permalink/ahliterature263466
Source
Public Health Nutr. 2014 Sep;17(9):1909-18
Publication Type
Article
Date
Sep-2014
Author
Elisabet R Hillesund
Elling Bere
Margaretha Haugen
Nina C Øverby
Source
Public Health Nutr. 2014 Sep;17(9):1909-18
Date
Sep-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Cohort Studies
Diet - adverse effects
Female
Fetal Development
Fetal Growth Retardation - epidemiology - prevention & control
Follow-Up Studies
Health promotion
Humans
Infant, Newborn
Male
Maternal Nutritional Physiological Phenomena
Models, Biological
Norway - epidemiology
Nutrition Policy
Overweight - epidemiology - prevention & control
Patient compliance
Pregnancy
Pregnancy Complications - epidemiology - prevention & control
Prospective Studies
Risk
Weight Gain
Young Adult
Abstract
To construct a diet score for assessing degree of adherence to a healthy and environmentally friendly New Nordic Diet (NND) and to investigate its association with adequacy of gestational weight gain and fetal growth in a large prospective birth cohort.
Main exposure was NND adherence, categorized as low, medium or high adherence. Main outcomes were adequacy of gestational weight gain, described as inadequate, optimal or excessive according to the 2009 Institute of Medicine guidelines, and fetal growth, categorized as being small, appropriate or large for gestational age. Associations of NND adherence with gestational weight gain and fetal growth were estimated with multinomial logistic regression in crude and adjusted models.
Norway.
Women (n 66 597) from the Norwegian Mother and Child Cohort Study (MoBa).
Higher NND adherence implied higher energy and nutrient intakes, higher nutrient density and a healthier macronutrient distribution. Normal-weight women with high as compared with low NND adherence had lower adjusted odds of excessive gestational weight gain (OR=0·93; 95 % CI 0·87, 0·99; P=0·024). High as compared with low NND adherence was associated with reduced odds of the infant being born small for gestational age (OR=0·92; 95 % CI 0·86, 0·99; P=0·025) and with higher odds of the baby being born large for gestational age (OR=1·07; 95 % CI 1·00, 1·15; P=0·048).
The NND score captures diet quality. Adherence to a regional diet including a large representation of fruits and vegetables, whole grains, potatoes, fish, game, milk and drinking water during pregnancy may facilitate optimal gestational weight gain in normal-weight women and improve fetal growth in general.
PubMed ID
24685309 View in PubMed
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The effect of a prenatal lifestyle intervention on glucose metabolism: results of the Norwegian Fit for Delivery randomized controlled trial.

https://arctichealth.org/en/permalink/ahliterature290694
Source
BMC Pregnancy Childbirth. 2017 Jun 02; 17(1):167
Publication Type
Journal Article
Randomized Controlled Trial
Date
Jun-02-2017
Author
Linda R Sagedal
Ingvild Vistad
Nina C Øverby
Elling Bere
Monica K Torstveit
Hilde Lohne-Seiler
Elisabet R Hillesund
Are Pripp
Tore Henriksen
Author Affiliation
Department of Obstetrics and Gynecology/Department of Research, Sørlandet Hospital, Postbox 416, 4604, Kristiansand, Norway. linda.sagedal@sshf.no.
Source
BMC Pregnancy Childbirth. 2017 Jun 02; 17(1):167
Date
Jun-02-2017
Language
English
Publication Type
Journal Article
Randomized Controlled Trial
Keywords
Adult
Body mass index
Diabetes, Gestational - prevention & control
Female
Health Promotion - methods
Humans
Insulin Resistance
Norway
Obesity - metabolism - prevention & control
Pregnancy
Pregnancy Complications - metabolism - prevention & control
Prenatal Care - methods
Young Adult
Abstract
The effectiveness of prenatal lifestyle intervention to prevent gestational diabetes and improve maternal glucose metabolism remains to be established. The Norwegian Fit for Delivery (NFFD) randomized, controlled trial studied the effect of a combined lifestyle intervention provided to a general population, and found significantly lower gestational weight gain among intervention participants but no improvement in obstetrical outcomes or the proportion of large infants. The aim of the present study is to examine the effect of the NFFD intervention on glucose metabolism, including an assessment of the subgroups of normal-weight and overweight/obese participants.
Healthy, non-diabetic women expecting their first child, with pre-pregnancy body mass index (BMI) =19 kg/m2, age = 18 years and a singleton pregnancy of =20 gestational-weeks were enrolled from healthcare clinics in southern Norway. Gestational weight gain was the primary endpoint. Participants (n = 606) were individually randomized to intervention (two dietary consultations and access to twice-weekly exercise groups) or control group (routine prenatal care). The effect of intervention on glucose metabolism was a secondary endpoint, measuring glucose (fasting and 2-h following 75-g glucose load), insulin, homeostatic assessment of insulin resistance (HOMA-IR) and leptin levels at gestational-week 30.
Blood samples from 557 (91.9%) women were analyzed. For the total group, intervention resulted in reduced insulin (adj. Mean diff -0.91 mU/l, p = 0.045) and leptin levels (adj. Mean diff -207 pmol/l, p = 0.021) compared to routine care, while glucose levels were unchanged. However, the effect of intervention on both fasting and 2-h glucose was modified by pre-pregnancy BMI (interaction p = 0.030 and p = 0.039, respectively). For overweight/obese women (n = 158), intervention was associated with increased risk of at least one glucose measurement exceeding International Association of Pregnancy and Diabetes Study Group thresholds (33.7% vs. 13.9%, adj. OR 3.89, p = 0.004).
The Norwegian Fit for Delivery intervention lowered neither glucose levels nor GDM incidence, despite reductions in insulin and leptin. Prenatal combined lifestyle interventions designed for a general population may be unsuited to reduce GDM risk, particularly among overweight/obese women, who may require earlier and more targeted interventions.
ClinicalTrials.gov ID NCT01001689 , registered July 2, 2009, confirmed completed October 26, 2009 (retrospectively registered).
Notes
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PubMed ID
28577545 View in PubMed
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