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The pro children intervention: applying the intervention mapping protocol to develop a school-based fruit and vegetable promotion programme.

https://arctichealth.org/en/permalink/ahliterature29549
Source
Ann Nutr Metab. 2005 Jul-Aug;49(4):267-77
Publication Type
Article
Author
Carmen Pérez-Rodrigo
Marianne Wind
Christina Hildonen
Mona Bjelland
Javier Aranceta
Knut-Inge Klepp
Johannes Brug
Author Affiliation
Community Nutrition Unit, Department of Public Health, Bilbao, Spain. bisaludpublica@wanadoo.es
Source
Ann Nutr Metab. 2005 Jul-Aug;49(4):267-77
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Child Nutrition - education
Europe
Female
Food Supply
Fruit
Health planning
Health Promotion - organization & administration
Humans
Male
Needs Assessment
Research Support, Non-U.S. Gov't
School Health Services - organization & administration
Schools
Vegetables
Abstract
BACKGROUND/AIMS: The importance of careful theory-based intervention planning is recognized for fruit and vegetable promotion. This paper describes the application of the Intervention Mapping (IM) protocol to develop the Pro Children intervention to promote consumption of fruit and vegetable among 10- to 13-year-old schoolchildren. METHODS: Based on a needs assessment, promotion of intake of fruit and vegetable was split into performance objectives and related personal, social and environmental determinants. Crossing the performance objectives with related important and changeable determinants resulted in a matrix of learning and change objectives for which appropriate educational strategies were identified. Theoretically similar but culturally relevant interventions were designed, implemented and evaluated in Norway, the Netherlands and Spain during 2 school years. RESULTS: Programme activities included provision of fruits and vegetables in the schools, guided classroom activities, computer-tailored feedback and advice for children, and activities to be completed at home with the family. Additionally, optional intervention components for community reinforcement included incorporation of mass media, school health services or grocery stores. School project committees were supported. CONCLUSION: The Pro Children intervention was carefully developed based on the IM protocol that resulted in a comprehensive school-based fruit and vegetable promotion programme, but culturally sensible and locally relevant.
PubMed ID
16088090 View in PubMed
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Intakes and perceived home availability of sugar-sweetened beverages, fruit and vegetables as reported by mothers, fathers and adolescents in the HEIA (HEalth In Adolescents) study.

https://arctichealth.org/en/permalink/ahliterature133196
Source
Public Health Nutr. 2011 Dec;14(12):2156-65
Publication Type
Article
Date
Dec-2011
Author
Mona Bjelland
Nanna Lien
May Grydeland
Ingunn H Bergh
Sigmund A Anderssen
Yngvar Ommundsen
Knut-Inge Klepp
Lene F Andersen
Author Affiliation
Department of Nutrition, Faculty of Medicine, University of Oslo, PO Box 1046 Blindern, NO-0316 Oslo, Oslo, Norway. mona.bjelland@medisin.uio.no
Source
Public Health Nutr. 2011 Dec;14(12):2156-65
Date
Dec-2011
Language
English
Publication Type
Article
Keywords
Adult
Beverages
Child
Dietary Sucrose
European Continental Ancestry Group
Fathers - education
Female
Food Habits
Fruit
Humans
Male
Mothers - education
Norway
Prospective Studies
Questionnaires
Randomized Controlled Trials as Topic
Schools
Social Environment
Socioeconomic Factors
Sweetening Agents - administration & dosage
Vegetables
Abstract
To investigate the intakes of sugar-sweetened beverages (SSB), fruit and vegetables (FV) among adolescents and their parents and to explore differences in the perceived availability by gender and parental education.
Baseline data from the HEIA (HEalth In Adolescents) study.
Data on intake of SSB were collected assessing frequency and amounts, whereas consumption of FV was assessed on the basis of frequency. Further, perceived availability at home and at school (taken from home) was reported.
Participants were 1528 Norwegian adolescents aged 11 years, as well as 1200 mothers and 1057 fathers.
The adolescents' intake of SSB was low on weekdays but doubled during weekend days. This pattern was observed among parents as well. There were significant differences in intake between boys, girls, mothers and fathers, except for vegetables. Fathers reported the lowest frequency of FV intake. Compared with adolescents, mothers reported lower availability of SSB and higher availability of FV. Compared with their sons, fathers reported higher availability of vegetables and lower availability of sugar-sweetened fruit drinks at school. Significant differences in adolescents' intake of SSB and in the perceived availability of both SSB and FV by parental education were found.
The intake of SSB was higher during weekend days than during weekdays, whereas the frequency of FV intake was low. Differences in adolescents' perceived availability of both SSB and FV on the basis of parental education were found, whereas the differences in intake were significant only for SSB. Increasing parental awareness of availability and their potential as role models across parental gender and educational level could improve adolescents' dietary habits.
PubMed ID
21729482 View in PubMed
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Changes and tracking of fruit, vegetables and sugar-sweetened beverages intake from 18 months to 7 years in the Norwegian Mother and Child Cohort Study.

https://arctichealth.org/en/permalink/ahliterature265498
Source
BMC Public Health. 2013;13:793
Publication Type
Article
Date
2013
Author
Mona Bjelland
Anne Lise Brantsæter
Margaretha Haugen
Helle Margrete Meltzer
Wenche Nystad
Lene Frost Andersen
Source
BMC Public Health. 2013;13:793
Date
2013
Language
English
Publication Type
Article
Keywords
Adult
Beverages
Child
Child Health Services
Child, Preschool
Cohort Studies
Dietary Sucrose - administration & dosage
Educational Status
Female
Food Habits
Fruit
Health Behavior
Humans
Infant
Logistic Models
Male
Mother-Child Relations
Norway - epidemiology
Pediatric Obesity - prevention & control
Public Health
Questionnaires
Vegetables
Abstract
A few studies have investigated tracking of dietary patterns or nutrient intake in pre-school children, but no studies have been identified examining tracking of sugar-sweetened beverages (SSB), fruit and vegetable intakes in early childhood (1-7 year olds). The purpose of this study was to investigate changes and tracking of intakes of fruit, vegetables and SSB, and association between maternal education and dietary tracking, from 18 months to 7 years of age.
Longitudinal data from the nation-wide Norwegian Mother and Child Cohort Study, conducted by the Norwegian Institute of Public Health were used, including 9025 children participating at three time points (18 months, 36 months and 7 years). Frequencies of fruit, vegetables and SSB were assessed by questionnaire. Slightly different questions were used at each time point to collect information about intake. Maternal education was categorized into =?12 years, 13-16 years, =?17 years. Cross-tabulation, Spearman's rho and multinomial logistic regression were used for assessing change, tracking and differences by maternal education.
Analyses by gender indicated largest changes for intake of fruit and SSB from age 18 months to 7 years. Fair to moderate tracking coefficients (Spearman's rho = 0.23-0.46) for intake of fruit, vegetables and SSB were found and children assigned to low, medium and high frequency of consumption at 18 months continued to be in the same group at age 36 months and 7 years. Children of mothers with low education consumed fruit and vegetables less often and SSB more often compared to children of mothers with high education at 18 months of age. Children with higher educated mothers had lower odds for increasing fruit intake or decreasing SSB intake, compared to children with lower educated mothers showing a stable intake.
The tracking coefficients for intakes were fair to moderate and differences in intakes according to maternal education were found already at age 18 months. This suggests that promotion of healthy dietary behaviours at an early age is important to prevent unfavourable dietary behaviours later in childhood. Moreover, it seems important to target mothers in nutrition interventions for improving dietary habits among children.
Notes
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PubMed ID
24103398 View in PubMed
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Associations between sociocultural home environmental factors and vegetable consumption among Norwegian 3-5-year olds: BRA-study.

https://arctichealth.org/en/permalink/ahliterature291600
Source
Appetite. 2017 Oct 01; 117:310-320
Publication Type
Journal Article
Date
Oct-01-2017
Author
Anne Lene Kristiansen
Mona Bjelland
Anne Himberg-Sundet
Nanna Lien
Lene Frost Andersen
Author Affiliation
Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, PO Box 1046 Blindern, 0316 Oslo, Norway. Electronic address: a.l.kristiansen@medisin.uio.no.
Source
Appetite. 2017 Oct 01; 117:310-320
Date
Oct-01-2017
Language
English
Publication Type
Journal Article
Keywords
Child Nutritional Physiological Phenomena - ethnology
Child, Preschool
Cross-Sectional Studies
Educational Status
Family Characteristics - ethnology
Female
Fruit
Health Knowledge, Attitudes, Practice - ethnology
Healthy Diet - ethnology
Humans
Male
Norway
Nutrition Surveys
Parenting - ethnology
Parents
Patient Compliance - ethnology
Principal Component Analysis
Self Report
Socioeconomic Factors
Vegetables
Abstract
The home environment is the first environment to shape childhood dietary habits and food preferences, hence greater understanding of home environmental factors associated with vegetable consumption among young children is needed. The objective has been to examine questionnaire items developed to measure the sociocultural home environment of children focusing on vegetables and to assess the psychometric properties of the resulting factors. Further, to explore associations between the environmental factors and vegetable consumption among Norwegian 3-5 year olds. Parents (n 633) were invited to participate and filled in a questionnaire assessing the child's vegetable intake and factors potentially influencing this, along with a 24-h recall of their child's fruit and vegetable intake. Children's fruit and vegetable intakes at two meals in one day in the kindergarten were observed by researchers. Principal components analysis was used to examine items assessing the sociocultural home environment. Encouragement items resulted in factors labelled "reactive encouragement", "child involvement" and "reward". Modelling items resulted in the factors labelled "active role model" and "practical role model". Items assessing negative parental attitudes resulted in the factor labelled "negative parental attitudes" and items assessing family pressure/demand resulted in the factor labelled "family demand". The psychometric properties of the factors were for most satisfactory. Linear regression of the associations between vegetable intake and the factors showed, as expected, generally positive associations with "child involvement", "practical role model" and "family demand", and negative associations with "negative parental attitudes" and "reward". Unexpectedly, "reactive encouragement" was negatively associated with vegetable consumption. In conclusion, associations between sociocultural home environmental factors and children's vegetable consumption showed both expected and unexpected associations some of which differed by maternal education - pointing to a need for further comparable studies.
PubMed ID
28676449 View in PubMed
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Does tracking of dietary behaviours differ by parental education in children during the transition into adolescence?

https://arctichealth.org/en/permalink/ahliterature121842
Source
Public Health Nutr. 2013 Apr;16(4):673-82
Publication Type
Article
Date
Apr-2013
Author
Torunn H Totland
Mekdes K Gebremariam
Nanna Lien
Mona Bjelland
May Grydeland
Ingunn H Bergh
Knut-Inge Klepp
Lene F Andersen
Author Affiliation
Department of Nutrition, University of Oslo, PO Box 1046 Blindern, 0317 Oslo, Norway. t.h.totland@medisin.uio.no
Source
Public Health Nutr. 2013 Apr;16(4):673-82
Date
Apr-2013
Language
English
Publication Type
Article
Keywords
Adolescent
Carbonated Beverages - analysis
Child
Cohort Studies
Diet - statistics & numerical data
Diet Records
Diet Surveys
Dietary Sucrose - administration & dosage
European Continental Ancestry Group
Female
Follow-Up Studies
Food Habits
Fruit
Humans
Internet
Logistic Models
Longitudinal Studies
Male
Norway
Parents - education
Questionnaires
Socioeconomic Factors
Sweetening Agents - administration & dosage
Vegetables
Abstract
The present study investigates the changes and tracking of dietary behaviours in Norwegian 11-year-olds and examines the association between parental education and dietary tracking over a time period of 20 months.
Longitudinal data from the Norwegian HEalth In Adolescents (HEIA) cohort study followed up at three time points (2007-2009).
Intakes of fruits, vegetables and snacks were assessed by frequency and intakes of sugar-sweetened soft drinks and squash were assessed by frequency and amount. Tracking of dietary behaviours was assessed by adolescents' relative position in rank over time and Cohen's kappa was used to measure tracking coefficients. Multinomial logistic regression analyses were performed to assess the association between parental education and the tracking of dietary behaviours.
In total, 885 adolescents from the HEIA cohort study participated by answering Internet-based questionnaires at three time points.
The results indicated that boys and girls maintained their relative position in rank of dietary intake over time, when grouped by baseline consumption. Fair to moderate tracking coefficients of dietary variables were observed. An inverse association was found between parental education and stability of soft drink and squash consumption during the 20 months.
The observed tracking pattern indicates the importance of promoting healthy dietary behaviours at an even earlier age. Furthermore, interventions should focus particularly on adolescents from families with low parental education and their consumption of sugar-sweetened beverages.
PubMed ID
22874120 View in PubMed
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Associations between physical home environmental factors and vegetable consumption among Norwegian 3-5-year-olds: the BRA-study.

https://arctichealth.org/en/permalink/ahliterature290267
Source
Public Health Nutr. 2017 May; 20(7):1173-1183
Publication Type
Journal Article
Observational Study
Date
May-2017
Author
Anne Lene Kristiansen
Mona Bjelland
Anne Himberg-Sundet
Nanna Lien
Lene Frost Andersen
Author Affiliation
Department of Nutrition,Institute of Basic Medical Sciences,University of Oslo,PO Box 1046 Blindern,0316 Oslo,Norway.
Source
Public Health Nutr. 2017 May; 20(7):1173-1183
Date
May-2017
Language
English
Publication Type
Journal Article
Observational Study
Keywords
Adult
Child, Preschool
Choice Behavior
Cross-Sectional Studies
Diet
European Continental Ancestry Group
Female
Food Preferences
Fruit
Health Behavior
Health Knowledge, Attitudes, Practice
Humans
Male
Mental Recall
Middle Aged
Norway
Nutrition Assessment
Parent-Child Relations
Pilot Projects
Principal Component Analysis
Social Environment
Socioeconomic Factors
Surveys and Questionnaires
Vegetables
Young Adult
Abstract
First, to explore item pools developed to measure the physical home environment of pre-school children and assess the psychometric properties of these item pools; second, to explore associations between this environment and vegetable consumption among Norwegian 3-5-year-olds.
Data were collected in three steps: (i) a parental web-based questionnaire assessing the child's vegetable intake and factors potentially influencing the child's vegetable consumption; (ii) direct observation of the children's fruit, berry and vegetable intakes at two meals in one day in the kindergarten; and (iii) a parental web-based 24 h recall.
The target group for this study was pre-school children born in 2010 and 2011, attending public or private kindergartens in the counties of Vestfold and Buskerud, Norway.
A total of 633 children participated.
Principal component analysis on the thirteen-item pool assessing availability/accessibility resulted in two factors labelled 'availability at home' and 'accessibility at home', while the eight-item pool assessing barriers resulted in two factors labelled 'serving barriers' and 'purchase barriers'. The psychometric properties of these factors were satisfactory. Linear regression of the associations between vegetable intake and the factors showed generally positive associations with 'availability at home' and 'accessibility at home' and negative associations with 'serving barriers'.
This age group has so far been understudied and there is a need for comparable studies. Our findings highlight the importance of targeting the physical home environment of pre-school children in future interventions as there are important modifiable factors that both promote and hinder vegetable consumption in this environment.
PubMed ID
27995831 View in PubMed
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6 records – page 1 of 1.