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Assessing validity of a short food frequency questionnaire on present dietary intake of elderly Icelanders.

https://arctichealth.org/en/permalink/ahliterature126210
Source
Nutr J. 2012;11:12
Publication Type
Article
Date
2012
Author
Tinna Eysteinsdottir
Inga Thorsdottir
Ingibjorg Gunnarsdottir
Laufey Steingrimsdottir
Author Affiliation
Unit for Nutrition Research, University of Iceland and Landspitali National-University Hospital, Reykjavik, Iceland. tinnaey@landspitali.is
Source
Nutr J. 2012;11:12
Date
2012
Language
English
Publication Type
Article
Keywords
Aged
Animals
Cod Liver Oil
Coffee
Dairy Products
Diet - statistics & numerical data
Diet Records
Diet Surveys
Energy intake
Female
Food Habits
Fruit
Geriatric Assessment
Humans
Iceland
Interviews as Topic
Male
Meat
Nutrition Assessment
Questionnaires - standards
Sex Factors
Tea
Vegetables
Abstract
Few studies exist on the validity of food frequency questionnaires (FFQs) administered to elderly people. The aim of this study was to assess the validity of a short FFQ on present dietary intake, developed specially for the AGES-Reykjavik Study, which includes 5,764 elderly individuals. Assessing the validity of FFQs is essential before they are used in studies on diet-related disease risk and health outcomes.
128 healthy elderly participants (74 y ± 5.7; 58.6% female) answered the AGES-FFQ, and subsequently filled out a 3-day weighed food record. Validity of the AGES-FFQ was assessed by comparing its answers to the dietary data obtained from the weighed food records, using Spearman's rank correlation, Chi-Square/Kendall's tau, and a Jonckheere-Terpstra test for trend.
For men a correlation = 0.4 was found for potatoes, fresh fruits, oatmeal/muesli, cakes/cookies, candy, dairy products, milk, pure fruit juice, cod liver oil, coffee, tea and sugar in coffee/tea (r = 0.40-0.71). A lower, but acceptable, correlation was also found for raw vegetables (r = 0.33). The highest correlation for women was found for consumption of rye bread, oatmeal/muesli, raw vegetables, candy, dairy products, milk, pure fruit juice, cod liver oil, coffee and tea (r = 0.40-0.61). An acceptable correlation was also found for fish topping/salad, fresh fruit, blood/liver sausage, whole-wheat bread, and sugar in coffee/tea (r = 0.28-0.37). Questions on meat/fish meals, cooked vegetables and soft drinks did not show a significant correlation to the reference method. Pearson Chi-Square and Kendall's tau showed similar results, as did the Jonckheere-Terpstra trend test.
A majority of the questions in the AGES-FFQ had an acceptable correlation and may be used to rank individuals according to their level of intake of several important foods/food groups. The AGES-FFQ on present diet may therefore be used to study the relationship between consumption of several specific foods/food groups and various health-related endpoints gathered in the AGES-Reykjavik Study.
Notes
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PubMed ID
22413931 View in PubMed
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Diet and lifestyle factors associated with fish consumption in men and women: a study of whether gender differences can result in gender-specific confounding.

https://arctichealth.org/en/permalink/ahliterature118430
Source
Nutr J. 2012;11:101
Publication Type
Article
Date
2012
Author
Maria Wennberg
Andreas Tornevi
Ingegerd Johansson
Agneta Hörnell
Margareta Norberg
Ingvar A Bergdahl
Author Affiliation
Department of Public Health and Clinical Medicine, Occupational Medicine, Umeå University, Umeå 901 87, Sweden. maria.wennberg@envmed.umu.se
Source
Nutr J. 2012;11:101
Date
2012
Language
English
Publication Type
Article
Keywords
Adult
Alcohol Drinking
Animals
Chickens
Diet
Fatty Acids, Omega-3 - administration & dosage
Female
Fishes
Fruit
Health Behavior
Humans
Life Style
Male
Middle Aged
Sex Factors
Socioeconomic Factors
Sweden
Vegetables
Abstract
Fish consumption and intake of omega-3 fatty acids from fish are associated with a lower risk of cardiovascular disease. However, a prospective study from northern Sweden showed that high consumption of fish is associated with an increased risk of stroke in men, but not in women. The current study aimed to determine if fish consumption is differently related to lifestyle in men compared with women in northern Sweden.
Lifestyle information on 32,782 men and 34,866 women (aged 30-60 years) was collected between 1992 and 2006 within the Västerbotten Intervention Programme (a health intervention in northern Sweden). Spearman correlations coefficients (Rs) were calculated between self-reported consumption of fish and other food items. Lifestyle variables were compared between fish consumption categories.
Fish consumption was positively associated with other foods considered healthy (e.g., root vegetables, lettuce/cabbage/spinach/broccoli, chicken, and berries; Rs = 0.21-0.30), as well as with other healthy lifestyle factors (e.g., exercise and not smoking) and a higher educational level, in both men and women. The only gender difference found, concerned the association between fish consumption and alcohol consumption. Men who were high consumers of fish had a higher intake of all types of alcohol compared with low to moderate fish consumers. For women, this was true only for wine.
Except for alcohol, the association between fish consumption and healthy lifestyle did not differ between men and women in northern Sweden. It is important to adjust for other lifestyle variables and socioeconomic variables in studies concerning the effect of fish consumption on disease outcome.
Notes
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PubMed ID
23210480 View in PubMed
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Dietary intake, leisure time activities and obesity among adolescents in Western Sweden: a cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature277155
Source
Nutr J. 2016 Apr 21;15:41
Publication Type
Article
Date
Apr-21-2016
Author
Anna Winkvist
Bodil Hultén
Jeong-Lim Kim
Ingegerd Johansson
Kjell Torén
Jonas Brisman
Heléne Bertéus Forslund
Source
Nutr J. 2016 Apr 21;15:41
Date
Apr-21-2016
Language
English
Publication Type
Article
Keywords
Adolescent
Body mass index
Choice Behavior
Cross-Sectional Studies
Fast Foods
Female
Food Habits
Food Preferences
Fruit
Humans
Leisure Activities
Life Style
Male
Motor Activity
Obesity - epidemiology
Overweight - epidemiology
Prevalence
Public Health
Risk factors
Socioeconomic Factors
Surveys and Questionnaires
Sweden - epidemiology
Vegetables
Abstract
Overweight and obesity among adolescents are increasing worldwide. Risk factors include dietary intake characteristics and high levels of physical inactivity. In Sweden, few large comprehensive population-based surveys of dietary intake and lifestyle among adolescents have been carried out. Thus, the purpose of the current study was to describe dietary intake and food choices as well as leisure time activities in relation to overweight and obesity in a total sample of all schoolchildren aged 15 years in Western Sweden.
In 2008, a questionnaire was sent to all 21,651 adolescents born in 1992 in Västra Götaland Region, Sweden. Participation rate was 54.3 % (50.7 % girls/49.3 % boys). The questionnaire included a 73-item semi-quantitative food frequency questionnaire and questions on lifestyle. Results were evaluated against the Nordic Nutrition Recommendations and Swedish indicators of healthy diet and exercise habits. Associations with concurrent overweight and obesity were evaluated in multiple linear regression analysis.
Among girls, 49.5 % reached the goal of consuming fruit and vegetables at least daily, whereas for boys the figure was 34.4 %. Among both sexes, 15 % reached the goal of consuming fish at least twice weekly. Two-thirds of both sexes reached the goal of regular moderate or vigorous physical activity weekly. In total, 12.4 % were overweight and 2.4 % were obese. More girls than boys were underweight, whereas more boys than girls were overweight or obese (p
Notes
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PubMed ID
27103118 View in PubMed
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[Diet of six-year-old Icelandic children - National dietary survey 2011-2012].

https://arctichealth.org/en/permalink/ahliterature117006
Source
Laeknabladid. 2013 Jan;99(1):17-23
Publication Type
Article
Date
Jan-2013
Author
Ingibjorg Gunnarsdottir
Hafdis Helgadottir
Birna Thorisdottir
Inga Thorsdottir
Author Affiliation
University of Iceland, Iceland. ingigun@hi.is
Source
Laeknabladid. 2013 Jan;99(1):17-23
Date
Jan-2013
Language
Icelandic
Geographic Location
Iceland
Publication Type
Article
Keywords
Age Factors
Child
Child Behavior
Child Nutritional Physiological Phenomena
Dairy Products
Diet
Dietary Fats
Dietary Fiber
Dietary Sucrose
Energy intake
Food Habits
Fruit
Humans
Iceland
Minerals
Nutrition Assessment
Nutrition Policy
Nutrition Surveys
Nutritional Status
Seafood
Vegetables
Vitamins
Abstract
Knowledge of dietary habits makes the basis for public nutrition policy. The aim of this study was to assess dietary intake of Icelandic six-year-olds.
Subjects were randomly selected six-year-old children (n=162). Dietary intake was assessed by three-day-weighed food records. Food and nutrient intake was compared with the Icelandic food based dietary guidelines (FBDG) and recommended intake of vitamins and minerals.
Fruit and vegetable intake was on average 275±164 g/d, and less than 20% of the subjects consumed =400 g/day. Fish and cod liver oil intake was in line with the FBDG among approximately 25% of subjects. Most subjects (87%) consumed at least two portions of dairy products daily. Food with relatively low nutrient density (cakes, cookies, sugar sweetened drinks, sweets and ice-cream) provided up to 25% of total energy intake. The contribution of saturated fatty acids to total energy intake was 14.1%. Less than 20% of the children consumed dietary fibers in line with recommendations, and for saturated fat and salt only 5% consumed less than the recommended upper limits. Average intake of most vitamins and minerals, apart from vitamin-D, was higher than the recommended intake.
Although the vitamin and mineral density of the diet seems adequate, with the exception of vitamin-D, the contribution of low energy density food to total energy intake is high. Intake of vegetables, fruits, fish and cod liver oil is not in line with public recommendations. Strategies aiming at improving diet of young children are needed.
PubMed ID
23341402 View in PubMed
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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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Exploring dietary patterns, obesity and sources of bias: the Västerbotten Intervention Programme (VIP).

https://arctichealth.org/en/permalink/ahliterature121825
Source
Public Health Nutr. 2013 Apr;16(4):631-8
Publication Type
Article
Date
Apr-2013
Author
Maria Nyholm
Lauren Lissner
Agneta Hörnell
Ingegerd Johansson
Göran Hallmans
Lars Weinehall
Anna Winkvist
Author Affiliation
Department of Public Health and Community Medicine/Public Health Epidemiology, University of Gothenburg, BOX 454, SE-405 30 Göteborg, Sweden. maria.nyholm@vgregion.se
Source
Public Health Nutr. 2013 Apr;16(4):631-8
Date
Apr-2013
Language
English
Publication Type
Article
Keywords
Adult
Bias (epidemiology)
Body Composition
Body mass index
Cluster analysis
Diet
Energy intake
Female
Follow-Up Studies
Food Habits
Fruit
Humans
Incidence
Intervention Studies
Life Style
Longitudinal Studies
Middle Aged
Obesity - epidemiology - prevention & control
Questionnaires
Risk factors
Socioeconomic Factors
Sweden
Vegetables
Abstract
Dietary patterns capture the overall diet and thereby provide information on how nutrients are consumed in combinations, and have been suggested to be a better method than studying single nutrients. The present study explored the relationship between dietary patterns at baseline and incidence of obesity at 10-year follow-up in women.
A longitudinal study using baseline measurements from 1992-1996, including food intake, medication, heredity, socio-economic status, lifestyle and measured body composition, and follow-up data collected in 2002-2006 including measured body composition.
Data from the Västerbotten Intervention Programme (VIP) in Sweden.
A total of 6545 initially non-obese women aged 30-50 years.
Among women reporting plausible energy intakes, the 'Fruit and vegetables cluster' predicted the highest incidence of obesity (OR = 1·76, 95 % CI 1·11, 2·76; P = 0·015) compared with women in the other food pattern groups combined. When adjusting for metabolic factors and BMI at baseline, the risk for obesity in the 'Fruit and vegetables cluster' was attenuated to non-significance. In contrast, high intake of fruit per se was associated with a decreased risk of developing obesity (OR = 0·69, 95 % CI 0·51, 0·91; P = 0·010).
Dietary pattern groups identified by cluster analysis are likely to reflect characteristics in addition to diet, including lifestyle, previous and current health status and risk factors for future disease, whereas intake of fruit per se was a stable indicator and less affected by baseline characteristics. These results underscore the need for complementary methods in understanding diet-disease relationships.
PubMed ID
22874584 View in PubMed
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Intake of dietary fiber, especially from cereal foods, is associated with lower incidence of colon cancer in the HELGA cohort.

https://arctichealth.org/en/permalink/ahliterature131882
Source
Int J Cancer. 2012 Jul 15;131(2):469-78
Publication Type
Article
Date
Jul-15-2012
Author
Louise Hansen
Guri Skeie
Rikard Landberg
Eiliv Lund
Richard Palmqvist
Ingegerd Johansson
Lars O Dragsted
Rikke Egeberg
Nina F Johnsen
Jane Christensen
Kim Overvad
Anne Tjønneland
Anja Olsen
Author Affiliation
Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen, Denmark. louhan@cancer.dk
Source
Int J Cancer. 2012 Jul 15;131(2):469-78
Date
Jul-15-2012
Language
English
Publication Type
Article
Keywords
Adult
Cereals
Cohort Studies
Colonic Neoplasms - epidemiology - etiology - prevention & control
Dietary Fiber - administration & dosage
Eating
Female
Food Habits
Fruit
Humans
Incidence
Male
Middle Aged
Rectal Neoplasms - epidemiology
Risk factors
Scandinavia - epidemiology
Vegetables
Abstract
The role of dietary fiber on the risk of colon and rectal cancer has been investigated in numerous studies, but findings have been inconsistent. The purpose of this study was to examine associations between intake of dietary fiber and risk of incident colon (including distal and proximal colon) and rectal cancer in the prospective Scandinavian HELGA cohort and to determine if fiber source (vegetables, fruits, potatoes, cereals) impacted the association. We included 1,168 incident cases (691 colon, 477 rectal cancer), diagnosed during a median of 11.3 years, among 108,081 cohort members. Sex-specific incidence rate ratios (IRRs) of colon and rectal cancer were related to intake of total or specific fiber source using Cox proportional hazards models. For men, an inverse association was observed between intake of total fiber and the risk of colon cancer per an incremental increase of 10 g day(-1) , IRR (95% CI): 0.74 (0.64-0.86). Intake of cereal fiber per 2 g day(-1) was associated with an IRR of 0.94 (0.91-0.98), which was also seen for intake of cereal fiber from foods with high fiber content (= 5 g per 100 g product), where the IRR per 2 g day(-1) was 0.94 (0.90-0.98). In women, intake of cereal fiber per 2 g day(-1) was also associated with lower risk of colon cancer, 0.97 (0.93-1.00). No clear associations were seen for rectal cancer. Our data indicate a protective role of total and cereal fiber intake, particularly from cereal foods with high fiber content, in the prevention of colon cancer.
PubMed ID
21866547 View in PubMed
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The PRO GREENS intervention in Finnish schoolchildren - the degree of implementation affects both mediators and the intake of fruits and vegetables.

https://arctichealth.org/en/permalink/ahliterature258776
Source
Br J Nutr. 2014 Oct 14;112(7):1185-94
Publication Type
Article
Date
Oct-14-2014
Author
Reetta Lehto
Suvi Määttä
Elviira Lehto
Carola Ray
Saskia Te Velde
Nanna Lien
Inga Thorsdottir
Agneta Yngve
Eva Roos
Source
Br J Nutr. 2014 Oct 14;112(7):1185-94
Date
Oct-14-2014
Language
English
Publication Type
Article
Keywords
Child
Diet
Europe
Faculty
Female
Finland
Food Preferences
Fruit
Health Education - methods
Health Knowledge, Attitudes, Practice
Health Plan Implementation
Health promotion
Humans
Male
School Health Services - statistics & numerical data
Snacks
Students
Vegetables
Abstract
Little is known about the mediating effects of the determinants of fruit and vegetable (FV) intake in school-based interventions that promote FV intake, and few studies have examined the impact of the degree of implementation on the effects of an intervention. The present study examined whether the degree of implementation of an intervention had an effect on children's fruit or vegetable intake and determined possible mediators of this effect. The study is part of the European PRO GREENS intervention study which aimed to develop effective strategies to promote consumption of fruit and vegetables in schoolchildren across Europe. Data from 727 Finnish children aged 11 years were used. The baseline study was conducted in spring 2009 and the follow-up study 12 months later. The intervention was conducted during the school year 2009-2010. The effects were examined using multilevel mediation analyses. A high degree of implementation of the intervention had an effect on children's fruit intake. Knowledge of recommendations for FV intake and liking mediated the association between a high degree of implementation of the intervention and an increase in the frequency of fruit intake. Knowledge of recommendations for FV intake and bringing fruits to school as a snack mediated the association between a low degree of implementation of the intervention and an increase in the frequency of fruit intake. Overall, the model accounted for 34 % of the variance in the change in fruit intake frequency. Knowledge of recommendations acted as a mediator between the degree of implementation of the intervention and the change in vegetable intake frequency. In conclusion, the degree of implementation had an effect on fruit intake, and thus in future intervention studies the actual degree of implementation of interventions should be assessed when considering the effects of interventions.
PubMed ID
25106046 View in PubMed
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Sugar-sweetened beverage consumption and genetic predisposition to obesity in 2 Swedish cohorts.

https://arctichealth.org/en/permalink/ahliterature283252
Source
Am J Clin Nutr. 2016 Sep;104(3):809-15
Publication Type
Article
Date
Sep-2016
Author
Louise Brunkwall
Yan Chen
George Hindy
Gull Rukh
Ulrika Ericson
Inês Barroso
Ingegerd Johansson
Paul W Franks
Marju Orho-Melander
Frida Renström
Source
Am J Clin Nutr. 2016 Sep;104(3):809-15
Date
Sep-2016
Language
English
Publication Type
Article
Keywords
Beverages - adverse effects
Body mass index
Carbonated Beverages - adverse effects
Cohort Studies
Confounding Factors (Epidemiology)
Cross-Sectional Studies
Diet Records
Dietary Carbohydrates - administration & dosage - adverse effects
Female
Fruit and Vegetable Juices - adverse effects
Genetic Association Studies
Genetic Loci
Genetic Predisposition to Disease - ethnology
Humans
Male
Middle Aged
Nutrigenomics - methods
Nutrition Surveys
Obesity - epidemiology - ethnology - etiology - genetics
Overweight - epidemiology - ethnology - etiology - genetics
Polymorphism, Single Nucleotide
Prospective Studies
Self Report
Sweden - epidemiology
Abstract
The consumption of sugar-sweetened beverages (SSBs), which has increased substantially during the last decades, has been associated with obesity and weight gain.
Common genetic susceptibility to obesity has been shown to modify the association between SSB intake and obesity risk in 3 prospective cohorts from the United States. We aimed to replicate these findings in 2 large Swedish cohorts.
Data were available for 21,824 healthy participants from the Malmö Diet and Cancer study and 4902 healthy participants from the Gene-Lifestyle Interactions and Complex Traits Involved in Elevated Disease Risk Study. Self-reported SSB intake was categorized into 4 levels (seldom, low, medium, and high). Unweighted and weighted genetic risk scores (GRSs) were constructed based on 30 body mass index [(BMI) in kg/m(2)]-associated loci, and effect modification was assessed in linear regression equations by modeling the product and marginal effects of the GRS and SSB intake adjusted for age-, sex-, and cohort-specific covariates, with BMI as the outcome. In a secondary analysis, models were additionally adjusted for putative confounders (total energy intake, alcohol consumption, smoking status, and physical activity).
In an inverse variance-weighted fixed-effects meta-analysis, each SSB intake category increment was associated with a 0.18 higher BMI (SE = 0.02; P = 1.7 × 10(-20); n = 26,726). In the fully adjusted model, a nominal significant interaction between SSB intake category and the unweighted GRS was observed (P-interaction = 0.03). Comparing the participants within the top and bottom quartiles of the GRS to each increment in SSB intake was associated with 0.24 (SE = 0.04; P = 2.9 × 10(-8); n = 6766) and 0.15 (SE = 0.04; P = 1.3 × 10(-4); n = 6835) higher BMIs, respectively.
The interaction observed in the Swedish cohorts is similar in magnitude to the previous analysis in US cohorts and indicates that the relation of SSB intake and BMI is stronger in people genetically predisposed to obesity.
Notes
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