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  • 1.
    Benderix, Ylva
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Barn med neuropsykiatriska funktionsnedsättningar som ADHD, autismspektrumtillstånd och Tourettes syndrom2015In: Pediatrisk omvårdnad / [ed] Inger Hallström & Tor Lindberg, Stockholm: Liber, 2015, 2, p. 338-344Chapter in book (Other academic)
  • 2.
    Ekstedt, Mirjam
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet.
    Darkeh, Mojgan Haji Seyed Ebrahim
    Karolinska Institutet.
    Xiu, Lijuan
    Forssén, Michaela
    Johansson, Elin
    Karolinska Institutet.
    Ek, Anna
    Karolinska Institutet.
    Svensson, Viktoria
    Karolinska Institutet.
    Ekbom, Kerstin
    Karolinska Institutet.
    Marcus, Claude
    Karolinska Institutet.
    Sleep differences in one-year-old children were related to obesity risks based on their parents' weight according to baseline longitudinal study data2017In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, no 2, p. 304-311Article in journal (Refereed)
    Abstract [en]

    AIM: Parental obesity is the predominant risk factor for child obesity. We compared sleep in one-year-old children with different obesity risks, based on parental weight, and explored associations with weight, parental sleep and family factors.

    METHODS: Baseline data from 167 families participating in a longitudinal obesity prevention programme was used. Sleep patterns were compared between groups with high and low obesity risks, based on parental weight, and associations between child sleep and weight status, family obesity risk and parental sleep were explored. Sleep was assessed using child sleep diaries and standard parental questionnaires.

    RESULTS: Later bedtime, longer sleep onset latency and lower sleep efficiency were observed among children in the high-risk group. Child sleep onset latency was associated with the family obesity risk (β = 0.25, p = 0.001), child bedtime with both maternal (β = 0.33, p < 0.01) and paternal bedtime (β = 0.22, p < 0.05) and child sleep efficiency with maternal sleep quality (β = 0.20, p < 0.01). The child's bedtime was weakly associated with their body mass index (β = 0.17, p < 0.05).

    CONCLUSION: Sleep differed between one-year-old children with high or low obesity risks, based on their parents' body mass index, and was associated with the family obesity risk and parental sleep. The child's bedtime was weakly associated with their weight status.

  • 3.
    Israelsson-Skogsberg, Åsa
    et al.
    University of Borås, Sweden.
    Persson, Carina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Markström, Agneta
    Uppsala University, Sweden;Karolinska Institutet, Sweden.
    Hedén, Lena
    University of Borås, Sweden.
    Children with home mechanical ventilation: parents' health-related quality of life, family functioning and sleep2020In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227Article in journal (Refereed)
    Abstract [en]

    Aim

    Children requiring home mechanical ventilation (HMV) have grown in number and complexity. Parents of children with HMV are often responsible for the advanced homecare. This study explored the health‐related quality of life (HRQoL), family functioning and sleep in parents of children with HMV. A secondary aim was to explore the impact on HRQoL, family functioning and sleep of selected potential determinants.

    Methods

    Questionnaires were completed by 45 mothers and 40 fathers, to 55 children receiving HMV. Parents were identified via respiratory clinics in the Swedish national quality register for oxygen and home respiratory treatment and invited to participate between December 2016 and December 2018.

    Results

    There were no differences between mothers and fathers overall HRQoL or family functioning reports, although differences within the physical (P < .043) and cognitive (P < .009) functioning dimensions were found. One of four parents reported moderate or severe insomnia. The variability in HRQoL and family functioning was predicted by HMV mode and sleep quality to an extent of 45% and 21%, respectively.

    Conclusion

    Sleep quality and the child's HMV mode predicted parental HRQoL and family functioning. The results underscore the importance of evaluating parents' sleep and of being aware that invasive ventilation influences parental HRQoL and family functioning.

  • 4. Jacobsson, Lars
    et al.
    Ahlström, Margareta
    Stockholm university.
    Benderix, Ylva
    Linnaeus University, Faculty of Social Sciences, Department of pedagogy.
    Bergman, Bo
    Billstedt, Eva
    Davidsson, Thomas
    Ehlers, Stephan
    Grann, Martin
    Halldner-Henriksson, Linda
    Jonsson, Ulf
    Löfmark, Rurik
    Mejare, Ingegerd
    Nordin, Viviann
    Nordlund, Anders
    Starke, Mikaela
    Söderpalm, Bo
    Söderström, Margareta
    von Knorring, Anne-Liis
    Östlund, Pernilla
    Autismspektrumtillstånd: Diagnostik och insatser, vårdens organisation och patientens delaktighet. En systematisk litterturöversikt2013Report (Refereed)
  • 5.
    Johansson, Sophie
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Henriksson, Emelie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    "MITT BARN HAR CANCER": En bloggbaserad litteraturstudie om föräldrars upplevelser av att leva med ett cancersjukt barn2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige insjuknar ungefär ett barn om dagen i cancer. När ett barn drabbas av cancer påverkas hela familjen. Föräldrarna upplever en rädsla över bieffekter, behandling samt att förlora sitt barn och diskuterar oftast inte sina upplevelser med vårdpersonalen vilket leder till ökad oro och onödigt lidande. Föräldrarna har ofta en stor roll i barnets möjlighet att finna välbefinnande och det är därför viktigt att tillvarata deras erfarenheter och upplevelser. Syfte: Syftet med studien var att belysa föräldrars upplevelse av att leva med ett cancersjukt barn. Metod: Studien grundades på en kvalitativ metod utifrån fem bloggar. En kvalitativ manifest innehållsanalys utifrån Lundman och Hällgren Graneheims (2012) användes för att finna det centrala i materialet. Resultat: Föräldrars upplevelser av att leva med ett cancersjukt barn innebar en stor emotionell påverkan där oro och rädsla var de främsta fynden. Genom att tillämpa copingstrategier samt leva i nuet kunde föräldrarna bättre hantera vardagen. Sjukhusmiljön frambringade både positiva och negativa känslor hos föräldrarna och en känsla av utsatthet i samband med vårdmiljön framkom. Slutsats: Föräldrars upplevelser bör uppmärksammas och de behöver stöd från vårdpersonalen. Bättre samordning och kommunikation samt en kontaktperson kan vara lämpliga åtgärder för att främja föräldrarnas välbefinnande.

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  • 6.
    Jonsson, Linda S.
    et al.
    Linköping Univ.
    Bladh, Marie
    Linköping Univ.
    Priebe, Gisela
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Svedin, Carl Goran
    Linköping Univ.
    Online sexual behaviours among Swedish youth: associations to background factors, behaviours and abuse2015In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 24, no 10, p. 1245-1260Article in journal (Refereed)
    Abstract [en]

    Sexual activity online may result in positive experiences for young people, or lead them to engage in risky behaviours possibly resulting in sexual assault or abuse. The aim of our study was to investigate associations between online sexual behaviours among Swedish youth and background factors as well as aspects of well-being. The behaviours investigated were: having sex online with a contact met online, having sex with an online contact offline, posting sexual pictures online, and selling sex online. We used data from a representative sample of 3,432 Swedish youth who were asked about their lifetime experiences as well as their experiences within the previous year. We hypothesized that more advanced online sexual behaviours were associated with more problematic background factors, worse psychosocial well-being and riskier behaviours in general. Bivariate relationships were evaluated followed by a multiple logistic regression model. Our data suggested that most Swedish youth do not perform any of the assessed online sexual behaviours. Young people who reported online sexual behaviour showed a more problematic background, rated their health as poorer, had a more sexualized life and had experienced more sexual or physical abuse. Professionals who work with young people need to help them better evaluate potential risks online and offer support when needed. Youths who sell sex online are especially at risk and need extra attention, as they might be in greater need of protection and therapeutic support.

  • 7.
    Ortscheid, Angelica
    et al.
    University of Kalmar, School of Human Sciences.
    Sällberg, Julia
    University of Kalmar, School of Human Sciences.
    Ambulanssjuksköterskans metoder för smärtbedömning av barn2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Barns sätt att uttrycka sig varierar mycket från vuxnas beteende och dessa faktorer tillsammans gör det svårt att vårda barn med smärta. I prehospital vård möts man av barn med smärta och situationen kan göra det svårt att smärtbedöma barnet. Vid behandling av smärta är smärtskattningsinstrument ett redskap för att få ett konkret värde på smärtans intensitet. Det finns olika instrument anpassade för olika åldrar. Syftet var att beskriva olika metoder för smärtbedömning av barn vilket gjordes genom en systematisk litteraturstudie. Sökningar efter artiklar genomfördes i databaser. Artiklarna kvalitetsgranskades utifrån granskningsmallar och 19 artiklar inkluderades. Artiklarnas resultat sammanfattades och smärtskattnings-

    instrumenten delades in i tre grupper: fysiologiska-, beteendeskalor/fysiologiska-beteendeskalor samt observationsskalor och självskattningsskalor. Det visade sig att det finns många olika skalor och bedömningsformulär för självskattning och bedömning av vårdare för barns smärta i olika åldrar. En del metoder lämpar sig bättre i en ålderskategori och typ av smärta medan andra passar sig för en annan smärttyp och åldersgrupp. Vår slutsats blev att FLACC, CHEOPS och MBPS skulle vara lämpliga för smärtskattning av barn i ambulans. Vidare anser vi att forskning kring smärtskalor på barn i prehospitala vård är angeläget att göra då många av de skalor som analyserats är provade mest på inneliggande barn med smärta. Det är få skalor som är testade på akut sjuka eller skadade barn just i den prehospitala vården.

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  • 8.
    Svensson, V.
    et al.
    Karolinska Institutet.
    Ek, A.
    Karolinska Institutet.
    Forssén, M.
    Karolinska Institutet.
    Ekbom, K.
    Karolinska Institutet.
    Cao, Y.
    Karolinska Institutet.
    Ebrahim, M.
    Karolinska Institutet.
    Johansson, E.
    Karolinska Institutet.
    Nero, H.
    Karolinska Institutet.
    Hagströmer, M.
    Karolinska Institutet.
    Ekstedt, Mirjam
    KTH Royal Institute of Technology.
    Nowicka, P.
    Karolinska Institutet.
    Marcus, C.
    Karolinska Institutet.
    Infant growth is associated with parental education but not with parental adiposity: Early Stockholm Obesity Prevention Project2014In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 103, no 4, p. 418-425Article in journal (Refereed)
    Abstract [en]

    AimTo explore the simultaneous impact of parental adiposity and education level on infant growth from birth to 12months, adjusting for known early-life risk factors for subsequent childhood obesity. MethodsBaseline data for 197 one-year-old children and their parents, participating in a longitudinal obesity intervention, were used. Obesity risk groups, high/low, were defined based on parental body mass index (n=144/53) and parental education (n=57/139). Observational data on infant growth between 0 and 12months were collected. The children's relative weight (body mass index standard deviation score) at 3, 6 and 12months and rapid weight gain 0-6months were analysed in regression models, with obesity risk as primary exposure variables, adjusting for gestational weight gain, birth weight, short exclusive breastfeeding and maternal smoking. ResultsRelative weight at 3, 6 and 12months was associated with low parental education but not with parental adiposity. No significant associations were observed with rapid weight gain. None of the early-life factors could explain the association with parental education. ConclusionLow parental education level is independently associated with infant growth, whereas parental obesity does not contribute to a higher weight or to rapid weight gain during the first year.

  • 9.
    Söderström, Margareta
    et al.
    University of Copenhagen, Denmark.
    Boldemann, Cecilia
    Karolinska Institutet.
    Sahlin, Ullrika
    Linnaeus University, Faculty of Health and Life Sciences, Department of Biology and Environmental Science.
    Mårtensson, Fredrika
    Swedish University of Agricultural Sciences.
    Raustorp, Anders
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Blennow, Margareta
    Karolinska Institute.
    The quality of the outdoor environment influences childrens health- a cross sectional study of preschools2013In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, no 1, p. 83-91Article in journal (Refereed)
    Abstract [en]

    Aim To test how the quality of the outdoor environment of child day care centres (DCCs) influences children's health. Methods The environment was assessed using the Outdoor Play Environmental Categories (OPEC) tool, time spent outdoors and physical activity as measured by pedometer. 172/253 (68%) of children aged 3.05.9 from nine DCCs participated in Southern Sweden. Health data collected were body mass index, waist circumference, saliva cortisol, length of night sleep during study, and symptoms and well-being which were scored (1-week diary 121 parent responders). Also, parent-rated well-being and health of their child were scored (questionnaire, 132 parent responders). MANOVA, ANOVA and principal component analyses were performed to identify impacts of the outdoor environment on health. Results High-quality outdoor environment at DCCs is associated with several health aspects in children such as leaner body, longer night sleep, better well-being and higher mid-morning saliva cortisol levels. Conclusion The quality of the outdoor environment at DCCs influenced the health and well-being of preschool children and should be given more attention among health care professionals and community planners.

  • 10.
    Xiu, Lijuan
    et al.
    Karolinska Institutet, Sweden.
    Ekstedt, Mirjam
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet, Sweden.
    Hagströmer, Maria
    Karolinska Institutet, Sweden;Sophiahemmet University, Sweden;Karolinska University Hospital, Sweden.
    Bruni, Oliviero
    Sapienza University, Italy.
    Bergqvist-Norén, Linnea
    Karolinska Institutet, Sweden.
    Marcus, Claude
    Karolinska Institutet, Sweden.
    Sleep and adiposity in children from 2 to 6 years of age2020In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 145, no 3, p. 1-11, article id e20191420Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To compare sleep in young children at different obesity risks, which were based on parental weight, as well as to explore the longitudinal associations of sleep characteristics with adiposity.

    METHODS: In total, 107 children from an obesity prevention project were included, of which 43 had normal-weight parents (low obesity risk) and 64 had overweight and/or obese parents (high obesity risk). Sleep was measured yearly from ages 2 to 6 years by using actigraphy. Five sleep characteristics, that of late sleep, long sleep latency, short sleep duration, low sleep efficiency, and irregular sleep onset, were defined and scored across ages, with a higher score indicating more frequent exposure. The outcome variables, also measured yearly, were BMI z score and waist circumference.

    RESULTS: There was no difference in sleep patterns among children at different risks. Higher short sleep duration score was associated with a greater increase in BMI z score (0.12; 95% confidence interval [CI] 0.01 to 0.25) across ages. Independently of sleep duration, higher late sleep score was associated with greater increases in BMI z score (0.16; 95% CI 0.05 to 0.27) and waist circumference (0.60 cm; 95% CI 0.23 to 0.98). Moreover, compared with children at low risk and without habitual late sleep, children at high risk and with habitual late sleep had greater increases in BMI z score (0.93; 95% CI 0.40 to 1.45) and waist circumference (3.45 cm; 95% CI 1.78 to 5.12).

    CONCLUSIONS: More frequent exposures to late sleep were associated with greater increases in adiposity measures from ages 2 to 6 years, particularly in children with obese parents.

  • 11.
    Xiu, Lijuan
    et al.
    Karolinska Institutet, Sweden.
    Hagströmer, Maria
    Karolinska Institutet, Sweden.
    Bergqvist-Norén, Linnea
    Karolinska Institutet, Sweden.
    Johansson, Elin
    Karolinska Institutet, Sweden.
    Ekbom, Kerstin
    Karolinska Institutet, Sweden.
    Svensson, Viktoria
    Karolinska Institutet, Sweden.
    Marcus, Claude
    Karolinska Institutet, Sweden.
    Ekstedt, Mirjam
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet, Sweden.
    Development of sleep patterns in children with obese and normal-weight parents2019In: Journal of Paediatrics and Child Health, ISSN 1034-4810, E-ISSN 1440-1754, Vol. 55, no 7, p. 809-818Article in journal (Refereed)
    Abstract [en]

    Aim

    To study the sleep development and sleep characteristics in children at different obesity risks, based on parental weight, and also to explore their weekday–weekend sleep variations and associated family factors.

    Methods

    A total of 145 children participating in a longitudinal obesity prevention project were included, of which 37 had normal‐weight parents (low obesity risk), and 108 had overweight/obese parents (high obesity risk). Sleep diaries at ages 1 and 2 years were used to study sleep development in children at different obesity risks. Objectively assessed sleep using an accelerometer at 2 years of age was used to analyse weekday–weekend sleep variations.

    Results

    There was no difference in sleep development from age 1 to age 2 among children at different obesity risks, but more children in the high‐risk group had prolonged sleep onset latency and low sleep efficiency. At 2 years of age, children in the high‐risk group had more weekday–weekend variation in sleep offset (mean difference 18 min, 95% confidence interval (CI) 4–33 min), midpoint of sleep (mean difference 14 min, 95% CI 3–25 min) and nap onset (mean difference 42 min, 95% CI 10–74 min) than children in the low‐risk group, after adjusting for other family factors. However, no difference could be detected between groups in weekday–weekend variation in sleep duration.

    Conclusions

    Unfavourable sleep characteristics, as well as more variation in sleep schedules, have been observed in children at high obesity risk. While the differences were relatively small, they may reflect the unfavourable sleep hygiene in families at high obesity risk.

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