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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 and risk of myocardial infarction in middle-aged Danes: the diet, cancer and health cohort study.

https://arctichealth.org/en/permalink/ahliterature290731
Source
Eur J Clin Nutr. 2017 05; 71(5):652-658
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Date
05-2017
Author
V B Gunge
I Andersen
C Kyrø
C P Hansen
C C Dahm
J Christensen
A Tjønneland
A Olsen
Author Affiliation
Unit of Diet, Genes and Environment, Danish Cancer Society Research Centre, Copenhagen, Denmark.
Source
Eur J Clin Nutr. 2017 05; 71(5):652-658
Date
05-2017
Language
English
Publication Type
Journal Article
Research Support, Non-U.S. Gov't
Keywords
Cohort Studies
Denmark
Diet, Mediterranean
European Continental Ancestry Group
Female
Follow-Up Studies
Health Behavior
Healthy Diet
Humans
Male
Middle Aged
Myocardial Infarction - epidemiology - prevention & control
Neoplasms - epidemiology - prevention & control
Patient compliance
Proportional Hazards Models
Prospective Studies
Risk factors
Abstract
For decades, the Mediterranean diet has been in focus regarding healthy eating as it has been associated with reduced risk of non-communicable diseases. Less interest has been given to health benefits of other regional diets. The aim of the present study was to assess whether adherence to a healthy Nordic food index was associated with lower risk of myocardial infarction (MI) among middle-aged Danes.
Data were obtained from the Danish Diet, Cancer and Health cohort study of 57?053 men and women aged 50-64 years recruited between 1993 and 1997. The healthy Nordic food index comprised healthy Nordic food items selected a priori (fish, cabbage, rye bread, oatmeal, apple and pears and root vegetables). Information on incident MI was ascertained through linkage with national registries. Hazard ratios (HR) with 95% confidence intervals (CI) were estimated from sex-specific Cox proportional hazard models.
In total, 1669 men and 653 women developed MI during follow-up (13.6 median years). In adjusted models, those with an index score of 5-6 points (highest scores) had significantly lower MI risk (men: HR=0.77, 95% CI=0.62, 0.97; women: HR=0.55, 95% CI=0.37, 0.82) relative to those scoring 0 points in the index (lowest score). A significantly lower MI risk was found per 1-point increment in the index in both men (HR=0.95, 95% CI=0.92, 0.99) and women (HR=0.93, 95% CI=0.88, 0.98).
A healthy Nordic diet is associated with lower MI risk among middle-aged Danes, suggesting that Nordic diets should be considered in recommendations for dietary changes in the promotion of coronary health.
PubMed ID
28247857 View in PubMed
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Aerobic fitness is associated with low cardiovascular disease risk: the impact of lifestyle on early risk factors for atherosclerosis in young healthy Swedish individuals - the Lifestyle, Biomarker, and Atherosclerosis study.

https://arctichealth.org/en/permalink/ahliterature284719
Source
Vasc Health Risk Manag. 2017;13:91-99
Publication Type
Article
Date
2017
Author
Maria Fernström
Ulrika Fernberg
Gabriella Eliason
Anita Hurtig-Wennlöf
Source
Vasc Health Risk Manag. 2017;13:91-99
Date
2017
Language
English
Publication Type
Article
Keywords
Age Factors
Biomarkers - blood
Cardiorespiratory fitness
Carotid Artery Diseases - blood - diagnostic imaging - epidemiology - prevention & control
Carotid Intima-Media Thickness
Cross-Sectional Studies
Dyslipidemias - blood - epidemiology - prevention & control
Exercise Test
Feeding Behavior
Hand Strength
Healthy Diet
Healthy Volunteers
Humans
Insulin Resistance
Muscle strength
Prevalence
Prognosis
Protective factors
Risk assessment
Risk factors
Risk Reduction Behavior
Surveys and Questionnaires
Sweden - epidemiology
Time Factors
Young Adult
Abstract
The progression of cardiovascular disease (CVD) and atherosclerosis is slow and develops over decades. In the cross-sectional Swedish Lifestyle, Biomarker, and Atherosclerosis study, 834 young, self-reported healthy adults aged 18.0-25.9 years have been studied to identify early risk factors for atherosclerosis.
The aims of this study were to 1) assess selected cardiometabolic biomarkers, carotid intima-media thickness (cIMT) as a marker of subclinical atherosclerosis, and lifestyle-related indicators (food habits, handgrip strength, and oxygen uptake, VO2 max); 2) analyze the associations between cIMT and lifestyle factors; and 3) identify subjects at risk of CVD using a risk score and to compare the characteristics of subjects with and without risk of CVD.
Blood samples were taken in a fasting state, and food habits were reported through a questionnaire. cIMT was measured by ultrasound, and VO2 max was measured by ergometer bike test. The risk score was calculated according to Wildman.
cIMT (mean ± standard deviation) was 0.50±0.06 mm, and VO2 max values were 37.8±8.5 and 42.9±9.9 mL/kg/min, in women and men, respectively. No correlation was found between aerobic fitness expressed as VO2 max (mL/kg/min) and cIMT. Using Wildman's definition, 12% of the subjects were classified as being at risk of CVD, and 15% had homeostasis model assessment of insulin resistance. A total of 35% of women and 25% of men had lower high-density lipoprotein cholesterol than recommended. Food habits did not differ between those at risk and those not at risk. However, aerobic fitness measured as VO2 max (mL/kg/min) differed; 47% of the subjects at risk had low aerobic fitness compared to 23% of the nonrisk subjects (P
Notes
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PubMed ID
28352184 View in PubMed
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An Active Lifestyle Reinforces the Effect of a Healthy Diet on Cognitive Function: A Population-Based Longitudinal Study.

https://arctichealth.org/en/permalink/ahliterature296831
Source
Nutrients. 2018 Sep 13; 10(9):
Publication Type
Journal Article
Date
Sep-13-2018
Author
Behnaz Shakersain
Debora Rizzuto
Hui-Xin Wang
Gerd Faxén-Irving
Federica Prinelli
Laura Fratiglioni
Weili Xu
Author Affiliation
Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet/Stockholm University, Widerströmskahuset, plan 10, Tomtebodavägen 18A, 171 65 Solna, Sweden. behnaz.shakersain@ki.se.
Source
Nutrients. 2018 Sep 13; 10(9):
Date
Sep-13-2018
Language
English
Publication Type
Journal Article
Keywords
Aged
Aged, 80 and over
Cognition
Cognitive Aging
Exercise
Female
Health Behavior
Health Knowledge, Attitudes, Practice
Healthy aging
Healthy Diet
Humans
Longitudinal Studies
Male
Middle Aged
Nutritive Value
Sweden
Time Factors
Abstract
The joint effect of diet and leisure activity on cognitive function remains unknown. We aimed to verify the hypothesis that an active lifestyle reinforces the effect of the Nordic Prudent Dietary Pattern (NPDP) on cognitive function. A total of 2223 dementia-free Swedish adults aged =60 with Mini-Mental State Examination (MMSE) scores =27 were followed for an average of 6 years. MMSE was tested during follow-ups. Diet was assessed by food frequency questionnaire. The NPDP index was calculated and tertiled (low, moderate, and high adherence). Participation in physical, mental and social activities was trichotomised (low, moderate, and intense). An active lifestyle was defined based on the participation in each activity. Data were analyzed using mixed-effects models. Moderate-to-high adherence to NPDP was associated with a reduced decline in the MMSE score (ß: 0.19, 95% Confidence Interval (CI): 0.14?0.24). This association became stronger when combined with moderate-to-intense physical (ß: 0.34, 95% CI: 0.2?0.45), mental (ß: 0.29, 95% CI: 0.21?0.37), or social (ß: 0.27, 95% CI: 0.19?0.34) activities. An active lifestyle strengthened the effect of NPDP on cognitive function by two times, and further lowered risk of MMSE decline by 30%. Thus, an active lifestyle reinforces the effect of a healthy diet on preserved cognitive function, and further decreases the risk of cognitive decline.
PubMed ID
30217035 View in PubMed
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Are Food Advertisements Promoting More Unhealthy Foods and Beverages over Time? Evidence from Three Swedish Food Magazines, 1995-2014.

https://arctichealth.org/en/permalink/ahliterature279943
Source
Ecol Food Nutr. 2017 Jan-Feb;56(1):45-61
Publication Type
Article
Author
Andreas Håkansson
Source
Ecol Food Nutr. 2017 Jan-Feb;56(1):45-61
Language
English
Publication Type
Article
Keywords
Advertising as Topic - trends
Alcoholic Beverages - adverse effects - economics
Beverages - adverse effects - economics
Bread - adverse effects - economics
Consumer Behavior - economics
Dairy Products - adverse effects - economics
Diet, Carbohydrate-Restricted - economics - ethnology
Food - adverse effects - economics
Food Preferences - ethnology
Fruit and Vegetable Juices - adverse effects - economics
Health Promotion - economics - trends
Health Transition
Healthy Diet - economics - trends
Humans
Nutritive Value
Periodicals as Topic - economics
Sweden
Abstract
Unhealthy food in advertising has been suggested as a mediator for the increase in diet-related illness. This study quantitatively investigates changes in food advertising between 1995 and 2014 in terms of food categories promoted, macronutrient content, and percentage of foods classified as heathy or unhealthy from a sample of 7,199 ads from three Swedish food magazines. With the exception of increased alcoholic beverage and decreased carbohydrate-rich-food promotion, no monotonic trends of increasingly unhealthy food advertisement are found. From these findings, it is argued that food magazine advertising is not a mediator of the adverse dietary trend.
PubMed ID
27880047 View in PubMed
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Associations between school meal-induced dietary changes and metabolic syndrome markers in 8-11-year-old Danish children.

https://arctichealth.org/en/permalink/ahliterature281572
Source
Eur J Nutr. 2016 Aug;55(5):1973-84
Publication Type
Article
Date
Aug-2016
Author
Camilla T Damsgaard
Christian Ritz
Stine-Mathilde Dalskov
Rikard Landberg
Ken D Stark
Anja Biltoft-Jensen
Inge Tetens
Arne Astrup
Kim F Michaelsen
Lotte Lauritzen
Source
Eur J Nutr. 2016 Aug;55(5):1973-84
Date
Aug-2016
Language
English
Publication Type
Article
Keywords
Animals
Biomarkers - blood
Blood Glucose - metabolism
Blood pressure
Child
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Cluster analysis
Cross-Over Studies
Denmark
Dietary Fiber - administration & dosage - analysis
Docosahexaenoic Acids - blood
Energy intake
Exercise
Female
Fishes
Food Services
Fruit
Healthy Diet
Humans
Insulin Resistance
Longitudinal Studies
Male
Meals
Metabolic Syndrome X - blood
Schools
Seafood
Treatment Outcome
Triglycerides - blood
Vegetables
Waist Circumference
Abstract
We recently showed that provision of Nordic school meals rich in fish, vegetables and potatoes and with reduced intakes of fat improved blood pressure, insulin resistance assessed by the homeostatic model (HOMA-IR), and plasma triacylglycerol despite increasing waist circumference in Danish 8-11-year-olds. This study explored whether intake or biomarkers of key dietary components in the schools meals were associated with these metabolic syndrome (MetS) markers during the 6-month intervention.
Data from 7-day dietary records and measurements of whole-blood docosahexaenoic acid (DHA, 22:6n-3), blood pressure, fasting blood MetS markers, waist circumference and android/total fat mass assessed by dual-energy X-ray absorptiometry collected at baseline, 3 and 6 months from 523 children were analyzed in linear mixed-effects models adjusted for puberty, growth and fasting.
After adjustment for multiple testing, whole-blood DHA was negatively associated with HOMA-IR (P 
PubMed ID
27084093 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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Attribute importance segmentation of Norwegian seafood consumers: The inclusion of salient packaging attributes.

https://arctichealth.org/en/permalink/ahliterature291603
Source
Appetite. 2017 Oct 01; 117:214-223
Publication Type
Comparative Study
Journal Article
Validation Studies
Date
Oct-01-2017
Author
Svein Ottar Olsen
Ho Huu Tuu
Klaus G Grunert
Author Affiliation
School of Business and Economics, UiT The Arctic University of Norway, N-9037 Tromsø, Norway. Electronic address: svein.o.olsen@uit.no.
Source
Appetite. 2017 Oct 01; 117:214-223
Date
Oct-01-2017
Language
English
Publication Type
Comparative Study
Journal Article
Validation Studies
Keywords
Adult
Cluster analysis
Consumer Behavior - economics
Cookbooks as Topic - economics
Cooking - economics
Cross-Sectional Studies
Female
Food Packaging - economics
Food Preferences - ethnology
Food Quality
Food, Preserved - adverse effects - economics
Healthy Diet - economics - ethnology - psychology
Humans
Internet
Male
Meals - ethnology
Models, Psychological
Norway
Nutrition Surveys
Nutritive Value
Patient Compliance - ethnology
Seafood - adverse effects - economics
Abstract
The main purpose of this study is to identify consumer segments based on the importance of product attributes when buying seafood for homemade meals on weekdays. There is a particular focus on the relative importance of the packaging attributes of fresh seafood. The results are based on a representative survey of 840 Norwegian consumers between 18 and 80 years of age. This study found that taste, freshness, nutritional value and naturalness are the most important attributes for the home consumption of seafood. Except for the high importance of information about expiration date, most other packaging attributes have only medium importance. Three consumer segments are identified based on the importance of 33 attributes associated with seafood: Perfectionists, Quality Conscious and Careless Consumers. The Quality Conscious consumers feel more self-confident in their evaluation of quality, and are less concerned with packaging, branding, convenience and emotional benefits compared to the Perfectionists. Careless Consumers are important as regular consumers of convenient and pre-packed seafood products and value recipe information on the packaging. The seafood industry may use the results provided in this study to strengthen their positioning of seafood across three different consumer segments.
PubMed ID
28669742 View in PubMed
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Baby-led Weaning: A Preliminary Investigation.

https://arctichealth.org/en/permalink/ahliterature281228
Source
Can J Diet Pract Res. 2016 06;77(2):72-7
Publication Type
Article
Date
06-2016
Author
Elisa D'Andrea
Kielyn Jenkins
Maria Mathews
Barbara Roebothan
Source
Can J Diet Pract Res. 2016 06;77(2):72-7
Date
06-2016
Language
English
Publication Type
Article
Keywords
Breast Feeding
Child, Preschool
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Health Personnel
Healthy Diet
Humans
Infant
Infant Behavior
Infant Food
Mothers
Newfoundland and Labrador
Nutrition Surveys
Social Media
Weaning
Abstract
To date, baby-led weaning (BLW) has not been examined in a Canadian population. This research investigated common BLW practices and compared associated knowledge and perceptions of practicing mothers and health care professionals (HCPs).
Sixty-five mothers practicing BLW and 33 HCPs were surveyed using 2 online questionnaires. Mothers were recruited through the Newfoundland and Labrador BLW Facebook page and HCPs via email at 2 regional health authorities.
Mothers described BLW in terms of food shape and consistency (whole, solid); however, in practice, some mothers offered puréed foods such as infant cereals. More HCPs than mothers indicated choking, inadequate energy, and iron intake as concerns. Mothers relied on the Facebook page over HCPs for BLW information and support. Although all practicing mothers would recommend BLW to others, less than half (48.5%) of HCPs would support it in their practice.
Mothers following BLW vary greatly in their experiences and adherence to BLW. They view the practice and its disadvantages very differently than HCPs. Although most HCPs were aware of BLW, few were familiar with specific practices. HCPs may benefit from a greater understanding of BLW to provide guidance to the growing number of mothers following this practice.
PubMed ID
26771760 View in PubMed
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Caregivers' perception of factors associated with a healthy diet among people with intellectual disability living in community residences: A Concept mapping method.

https://arctichealth.org/en/permalink/ahliterature281523
Source
Res Dev Disabil. 2016 Dec;59:202-210
Publication Type
Article
Date
Dec-2016
Author
Marte Pilskog Ruud
Ruth Kjærsti Raanaas
Mona Bjelland
Source
Res Dev Disabil. 2016 Dec;59:202-210
Date
Dec-2016
Language
English
Publication Type
Article
Keywords
Adult
Aged
Assisted Living Facilities
Attitude of Health Personnel
Caregivers
Female
Food Supply
Health promotion
Healthy Diet
Humans
Intellectual Disability - nursing
Male
Middle Aged
Norway
Personal Autonomy
Qualitative Research
Young Adult
Abstract
Many people with intellectual disabilities (ID) living in community-based residences have been found to have unhealthy diet and weight disturbances. In Norway, a majority of people with ID live in such residences.
The aim of the study was to examine factors affecting the caregivers' opportunity to promote a healthy diet among the residents.
A concept mapping methodology was adopted, including group-based brainstorming, idea synthesising, sorting, rating and analysis of the results. Informants were caregivers in four different community residences for people with mild to moderate ID in the southeast of Norway. A total of 13 informants were recruited (12 females and 1 male), and 10 informants completed two sessions.
Eight clusters were identified as affecting the caregivers' ability to promote a healthy diet: "Availability and accessibility", "Guidance and autonomy", "Competence among staff", "Planning and involvement", "Customization", "External conditions affecting staff", "Legislation, rules and structure" and "Everyday challenges", each including both barriers and facilitators.
Multiple factors affect the caregivers' ability to promote a healthy diet. Caregivers' opportunity to promote a healthy diet is complex. Availability and accessibility of healthy food is crucial, but a healthy diet also requires time and competence among the caregivers.
PubMed ID
27636155 View in PubMed
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54 records – page 1 of 6.