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Adherence to a Healthy Nordic Diet and Risk of Stroke: A Danish Cohort Study.

https://arctichealth.org/en/permalink/ahliterature282576
Source
Stroke. 2017 Feb;48(2):259-264
Publication Type
Article
Date
Feb-2017
Author
Camilla Plambeck Hansen
Kim Overvad
Cecilie Kyrø
Anja Olsen
Anne Tjønneland
Søren Paaske Johnsen
Marianne Uhre Jakobsen
Christina Catherine Dahm
Source
Stroke. 2017 Feb;48(2):259-264
Date
Feb-2017
Language
English
Publication Type
Article
Keywords
Animals
Cohort Studies
Denmark - epidemiology
Diet, Mediterranean
Female
Fishes
Fruit
Health Promotion - methods
Healthy Diet - methods
Humans
Male
Middle Aged
Registries
Risk factors
Scandinavian and Nordic Countries - epidemiology
Stroke - diet therapy - epidemiology - prevention & control
Vegetables
Whole Grains
Abstract
Specific dietary patterns, including the Mediterranean diet, have been associated with stroke prevention. Our aim was to investigate whether adherence to a healthy Nordic diet, including fish, apples and pears, cabbages, root vegetables, rye bread, and oatmeal, was associated with risk of stroke.
Incident cases of stroke among 55?338 men and women from the Danish Diet, Cancer and Health cohort were identified from the Danish National Patient Register and verified by review of records. Cases of ischemic stroke were further subclassified based on etiology according to the TOAST classification system (Trial of Org 10172 in Acute Stroke Treatment). Information on diet was collected at baseline (1993-1997) using a semiquantitative food-frequency questionnaire. Cox proportional hazards models were used to estimate hazards ratios of total stroke and subtypes of ischemic and hemorrhagic stroke.
During a median follow-up of 13.5 years, 2283 cases of incident stroke were verified, including 1879 ischemic strokes. Adherence to a healthy Nordic diet, as reflected by a higher Healthy Nordic Food Index score, was associated with a lower risk of stroke. The hazards ratio comparing an index score of 4 to 6 (high adherence) with an index score of 0 to 1 (low adherence) was 0.86 (95% confidence interval 0.76-0.98) for total stroke. Inverse associations were observed for ischemic stroke, including large-artery atherosclerosis. No trend was observed for hemorrhagic stroke; however, a statistically insignificant trend was observed for intracerebral hemorrhage.
Our findings suggest that a healthy Nordic diet may be recommended for the prevention of stroke.
PubMed ID
28049735 View in PubMed
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Adherence to a healthy Nordic food index is associated with a lower incidence of colorectal cancer in women: the Diet, Cancer and Health cohort study.

https://arctichealth.org/en/permalink/ahliterature121827
Source
Br J Nutr. 2013 Mar 14;109(5):920-7
Publication Type
Article
Date
Mar-14-2013
Author
Cecilie Kyrø
Guri Skeie
Steffen Loft
Kim Overvad
Jane Christensen
Anne Tjønneland
Anja Olsen
Author Affiliation
Danish Cancer Society Research Center, Strandboulevarden 49, 2100 Copenhagen Ø, Denmark.
Source
Br J Nutr. 2013 Mar 14;109(5):920-7
Date
Mar-14-2013
Language
English
Publication Type
Article
Keywords
Animals
Avena sativa
Brassica
Bread
Cohort Studies
Colonic Neoplasms - epidemiology - prevention & control
Diet
Female
Fishes
Fruit
Health promotion
Humans
Male
Malus
Middle Aged
Norway
Pyrus
Rectal Neoplasms - epidemiology - prevention & control
Secale cereale
Vegetables
Abstract
Colorectal cancer (CRC) is a multi-factorial disease in which diet is believed to play a role. Little is known about the health effects of specific regional diets. The Nordic diet is high in fat and sugar but also includes a range of traditional products with anticipated health-promoting effects. The aim of this cohort study was to determine whether a healthy Nordic food index consisting of fish, cabbage, rye bread, oatmeal, apples, pears and root vegetables was related to CRC incidence. Data were obtained from a prospective cohort study of 57,053 Danish men and women aged 50-64 years, of whom 1025 developed CRC (13 years' follow-up). Incidence rate ratios (IRR) with 95 % CI were calculated from Cox proportional hazard models. Women who strongly adhered to a healthy Nordic food index had a 35 % lower incidence of CRC than women with poor adherence (adjusted IRR, 0·65; 95 % CI 0·46, 0·94); a similar tendency was found for men. Women had a 9 % lower incidence of CRC per point adherence to the healthy Nordic food index, but no significant effect was found for men. A regional diet based on healthy Nordic food items was therefore associated with a lower incidence of CRC in women. The protective effect was of the same magnitude as previously found for the Mediterranean diet, suggesting that healthy regional diets should be promoted in order to ensure health; this will also preserve cultural heredity and the environment.
Notes
Erratum In: Br J Nutr. 2014 Feb;111(4):758-9
PubMed ID
22874538 View in PubMed
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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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Associations between adherence to the Danish Food-Based Dietary Guidelines and cardiometabolic risk factors in a Danish adult population: the DIPI study.

https://arctichealth.org/en/permalink/ahliterature299378
Source
Br J Nutr. 2018 03; 119(6):664-673
Publication Type
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Date
03-2018
Author
Johanne L Arentoft
Camilla Hoppe
Elisabeth W Andersen
Kim Overvad
Inge Tetens
Author Affiliation
1Division of Diet, Disease Prevention and Toxicology,National Food Institute,Technical University of Denmark,2800 Kgs. Lyngby,Denmark.
Source
Br J Nutr. 2018 03; 119(6):664-673
Date
03-2018
Language
English
Publication Type
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Keywords
Adult
Aged
Cardiovascular Diseases - epidemiology
Cross-Sectional Studies
Denmark
Diet
Dietary Sugars - administration & dosage
Exercise
Fatty Acids - administration & dosage
Female
Follow-Up Studies
Food Quality
Fruit
Health Behavior
Humans
Life Style
Male
Metabolic Syndrome - epidemiology
Middle Aged
Nutrition Assessment
Nutrition Policy
Patient compliance
Risk factors
Single-Blind Method
Surveys and Questionnaires
Vegetables
Waist Circumference
Whole Grains
Abstract
Diet is recognised as one modifiable lifestyle factor for ischaemic heart disease (IHD). We aimed at investigating the associations between adherence to the Danish Food-Based Dietary Guidelines (FBDG) indicated by a Dietary Quality Index (DQI) and selected cardiometabolic risk factors in a cross-sectional study with 219 Danish adult participants (59 %women; age 31-65years) with a minimum of one self-rated risk marker of IHD. Information regarding diet was obtained using web-based dietary assessment software and adherence to the Danish FBDG was expressed by a DQI calculated from 5 food and nutrient indicators (whole grain, fish, fruit and vegetables, energy from saturated fat and from added sugar). Background information, blood samples and anthropometrics were collected and blood pressure was measured. Linear regression analyses were used to evaluate the association between DQI and cardiometabolic risk factors. DQI was inversely associated with LDL:HDL ratio and TAG (-0·089 per unit; 95 % CI -0·177, -0·002 and -5 % per unit; 95 % CI -9, 0, respectively) and positively associated with HDL-cholesterol (0·047 mmol/l per unit; 95 % CI 0·007, 0·088). For men, DQI was inversely associated with BMI (-3 %per unit; 95 % CI -5, -1), trunk fat (-1 % per unit; 95 % CI -2, -1), high-sensitivity C-reactive protein (-30 % per unit; 95 % CI -41, -16 %), HbA1c (-0·09 % per unit; 95 % CI -0·14, -0·04), insulin (-13 % per unit; 95 % CI -19, -7) and homoeostatic model assessment-insulin resistance (-14 % per unit; 95 % CI -21, -7). In women, DQI was positively associated with systolic blood pressure (2·6 mmHg per unit; 95 % CI 0·6, 4·6). In conclusion, higher adherence to the current Danish FBDG was associated with a more beneficial cardiometabolic risk profile in a Danish adult population with a minimum of one self-rated risk factor for IHD.
PubMed ID
29352831 View in PubMed
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Changes in 10-12 year old's fruit and vegetable intake in Norway from 2001 to 2008 in relation to gender and socioeconomic status - a comparison of two cross-sectional groups.

https://arctichealth.org/en/permalink/ahliterature130787
Source
Int J Behav Nutr Phys Act. 2011;8:108
Publication Type
Article
Date
2011
Author
Marit Hilsen
Maartje M van Stralen
Knut-Inge Klepp
Elling Bere
Author Affiliation
Faculty of Health and Sport, University of Agder, Norway. marit.hilsen@medisin.uio.no
Source
Int J Behav Nutr Phys Act. 2011;8:108
Date
2011
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Cross-Sectional Studies
Diet - standards - trends
Diet Surveys
Educational Status
Energy intake
Female
Food Habits
Food Supply
Fruit
Humans
Male
Norway
Parents
Sex Factors
Social Class
Vegetables
Abstract
Norwegian children and adolescents eat less than half of the recommended 5 portions of fruit and vegetables (FV) per day. Gender and socioeconomic disparities in FV consumption shows that boys and children of lower socioeconomic status (SES) eat less FV than girls and high SES children. We also know that accessibility and preferences has been identified as two important determinants of FV intake. The objectives of this study were to compare FV intake among Norwegian 6th and 7th graders in 2001 and 2008, to explore potential mediated effects of accessibility and preferences on changes in FV over time, to explore whether these changes in FV intake was moderated by gender and/or SES and whether a moderated effect in FV intake was mediated by accessibility and preferences of FV.
The baseline survey of the Fruits and Vegetables Make the Marks project was conducted in 2001 at 38 randomly chosen schools in two Norwegian counties. A second survey was conducted at the same schools in 2008. A total of 27 schools participated in both surveys (2001 n = 1488, 2008 n = 1339). FV intake was measured by four food frequency questions (times/week) in a questionnaire which the pupils completed at school. SES was based on parents' reports of their own educational level in a separate questionnaire. The main analyses were multilevel linear regression analyses.
A significant year*parental educational level interaction was observed (p = 0.01). FV intake decreased among pupils of parents with lower educational level (13.9 vs. 12.6 times/week in 2001 and 2008, respectively), but increased among pupils of parents with higher education (14.8 vs. 15.0 times/week, respectively). This increasing SES disparity in FV intake was partly mediated by an increasing SES disparity in accessibility and preferences over time, wherein children with higher educated parents had a steeper increase in accessibility and preferences over time than children with lower educated parents. The year*sex interaction was not significant (p = 0.54).
This study shows an increase in SES disparities in 6th and 7th graders FV intake from 2001 to 2008, partly mediated by an increasing SES disparity in accessibility and preferences of FV.
Notes
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PubMed ID
21968008 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 meal pattern among Norwegian children from 2001 to 2008.

https://arctichealth.org/en/permalink/ahliterature137847
Source
Public Health Nutr. 2011 Sep;14(9):1549-54
Publication Type
Article
Date
Sep-2011
Author
Nina Øverby
Tonje H Stea
Frøydis N Vik
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. nina.c.overby@uia.no
Source
Public Health Nutr. 2011 Sep;14(9):1549-54
Date
Sep-2011
Language
English
Publication Type
Article
Keywords
Child
Cross-Sectional Studies
Data Collection
Diet
Eating
Energy intake
European Continental Ancestry Group
Female
Food Habits
Fruit
Humans
Linear Models
Male
Norway
Parents - education
Questionnaires
Single-Parent Family
Vegetables
Abstract
The present study aimed to analyse changes in meal pattern among Norwegian children from 2001 to 2008 in general; to analyse associations between meal pattern and gender, parental educational level and number of parents in the household; and to analyse the association between intake of unhealthy snacks, meal pattern and the mentioned variables.
Within the Fruits and Vegetables Make the Marks (FVMM) project, two cross-sectional studies were conducted, one in 2001 and one in 2008, where participants from the same schools filled in a questionnaire on meals eaten the previous day.
Participants were 6th and 7th grade pupils, n 1488 in 2001 and n 1339 in 2008.
Twenty-seven elementary schools in two Norwegian counties.
There were no significant changes in children's meal pattern from 2001 to 2008. For both years more than 90 % of the participants reported that they had breakfast yesterday, while 95 % had lunch, 94 % had dinner and 82 % had supper. More girls than boys reported that they had lunch yesterday (96 % v. 94 %, P = 0·03). More children with higher v. lower educated parents reported that they had breakfast yesterday (93 % v. 88 %, P
PubMed ID
21241534 View in PubMed
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Consumption of sugar-sweetened beverages and artificially sweetened beverages from childhood to adulthood in relation to socioeconomic status - 15 years follow-up in Norway.

https://arctichealth.org/en/permalink/ahliterature296670
Source
Int J Behav Nutr Phys Act. 2018 01 17; 15(1):8
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
01-17-2018
Author
Kathrine Bolt-Evensen
Frøydis N Vik
Tonje Holte Stea
Knut-Inge Klepp
Elling Bere
Author Affiliation
Department of Public Health, Sport and Nutrition, Faculty of Health and Sport Sciences, University of Agder, PO. Box 422, 4604, Kristiansand, Norway.
Source
Int J Behav Nutr Phys Act. 2018 01 17; 15(1):8
Date
01-17-2018
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Adolescent
Adult
Beverages - analysis
Child
Cohort Studies
Diet
Dietary Sugars - administration & dosage
Feeding Behavior
Female
Follow-Up Studies
Fruit
Humans
Male
Non-Nutritive Sweeteners - administration & dosage
Norway
Schools
Social Class
Socioeconomic Factors
Sugars - administration & dosage
Surveys and Questionnaires
Sweetening Agents - administration & dosage
Vegetables
Young Adult
Abstract
In Norway, social inequalities in health and health-related behaviors have been reported despite the well-developed welfare state. The objective of the present study was to analyze; (i) the development in frequency of consumption of sugar-sweetened beverages (SSB) and artificially sweetened beverages (ASB) from childhood to adulthood; (ii) socioeconomic inequalities in the consumption of SSB and ASB using different indicators of socioeconomic status (SES); (iii) time trends in potential disparities in SSB and ASB consumption among different socioeconomic groups to assess the development in socioeconomic inequality from childhood to adulthood.
This study uses data from the Fruits and Vegetables Make the Marks (FVMM) longitudinal cohort, including participants (n?=?437) from 20 random schools from two Norwegian counties. Data from the first survey in 2001 (mean age 11.8) and follow-up surveys in 2005 (mean age 15.5) and 2016 (mean age 26.5) were used. Consumption of SSB and ASB were measured using a food frequency questionnaire, which the participants completed at school in 2001 and 2005, and online in 2016. Various indicators of SES were included; in 2001, parental education and income were measured, in 2005, participants' educational intentions in adolescence were measured, and in 2016, participants' own education and income were measured. The main analyses conducted were linear mixed effects analysis of the repeated measures.
Between 2001 and 2016, a decrease in frequency of consumption of SSB (2.8 v 1.3 times/week; p?=?
PubMed ID
29343247 View in PubMed
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