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  • 1.
    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.

  • 2.
    Fröberg, Andreas
    et al.
    University of Gothenburg.
    Raustorp, Anders
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science. University of Gothenburg.
    Pagels, Peter
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science. Karolinska Institutet.
    Larsson, Christel
    University of Gothenburg.
    Boldemann, Cecilia
    Karolinska Institutet.
    Levels of Physical Activity during Physical Education lessons in Sweden2017In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, no 1, p. 135-141Article in journal (Refereed)
    Abstract [en]

    AIM:

    The aim of this study was to measure the percentage of sedentary light and moderate-to-vigorous physical activity (%MVPA) provided by physical education (PE) lessons for Swedish second, fifth and eighth grade students, aged eight, 11 and 14.

    METHODS:

    We observed 39 PE lessons and divided them into seven lesson categories: ball play, ball games, dance, fitness, playing games, orienteering and gymnastics. Physical activity (PA) during PE was estimated using accelerometers and the height and weight of the children were measured.

    RESULTS:

    We studied 149 children: 63 in the second grade, 66 in the fifth grade and 19 in the eighth grade. On average, 25% of the PE lessons were spent in MVPA and the mean %MVPA varied with the lesson content, with fitness, orienteering and playing games being the most intense. The highest %MVPA was in the fitness category, providing 33% (8-62%) for girls and 37% (7-72%) for boys. With the exception of the second grade, no significant gender differences in %MVPA were seen.

    CONCLUSION:

    The content of Swedish PE lessons affected the %MVPA in all age groups. In some content, individuals reached two-thirds of their daily PA recommendations, highlighting the potential that PE contributes to public health goals.

  • 3.
    Grandahl, Maria
    et al.
    Uppsala universitet.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Uppsala universitet.
    Stenhammar, Christina
    Uppsala universitet.
    Nevéus, Tryggve
    Uppsala universitet.
    Westerling, Ragnar
    Uppsala universitet.
    Tydén, Tanja
    Uppsala universitet.
    Not the right time: Why parents refuse to let their daughters have the human papillomavirus vaccination2014In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 103, no 4, p. 436-441Article in journal (Refereed)
    Abstract [en]

    Aim: To explore why parents refused to allow their ten to 12-year-old daughters to

    receive the human papillomavirus (HPV) vaccination from the Swedish schoolbased

    vaccination programme.

    Methods: Individual interviews with 25 parents who had been offered, but not

    consented to, their daughters receiving the HPV vaccination.

    Results: Five themes emerged through the interviews: 1) she is just a little girl, 2)

    inadequate information, 3) not compatible with our way of life, 4) scepticism about

    the vaccination and 5) who can you trust? The parents made their decisions with

    their child’s best interests in mind. This was not considered the right time and the

    vaccine was perceived as unnecessary and different from other vaccines. Mistrust in

    Government recommendations and a lack of evidence or information were other

    reasons to decline.

    Conclusion: The decision-making process was complex. These parents preferred

    to wait until their daughter was older and believed the information they received from

    the school health system was insufficient. The results indicate that a more flexible

    HPV vaccination schedule may improve vaccine uptake. This includes more

    transparent information about the virus and the vaccine and information about who

    to contact to get the daughter vaccinated at a later date.

  • 4.
    Kastbom, Åsa A.
    et al.
    Linköping Univ.
    Sydsjö, Gunilla
    Linköping Univ.
    Bladh, Marie
    Linköping Univ.
    Priebe, Gisela
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Lund Univ.
    Svedin, Carl-Göran
    Linköping Univ.
    Sexual debut before the age of 14 leads to poorer psychosocial health and risky behaviour in later life2015In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 1, p. 91-100Article in journal (Refereed)
    Abstract [en]

    Aim: This study investigated the relationship between sexual debut before 14 years of age and socio-demographics, sexual experience, health, experience of child abuse and behaviour at 18 years of age. Methods: A sample of 3432 Swedish high school seniors completed a survey about sexuality, health and abuse at the age of 18. Results: Early debut was positively correlated with risky behaviours, such as the number of partners, experience of oral and anal sex, health behaviours, such as smoking, drug and alcohol use, and antisocial behaviour, such as being violent, lying, stealing and running away from home. Girls with an early sexual debut had significantly more experience of sexual abuse. Boys with an early sexual debut were more likely to have a weak sense of coherence, low self-esteem and poor mental health, together with experience of sexual abuse, selling sex and physical abuse. A multiple logistic regression model showed that a number of antisocial acts and health behaviours remained significant, but early sexual debut did not increase the risk of psychiatric symptoms, low self-esteem or low sense of coherence at 18 years of age. Conclusion: Early sexual debut was associated with problematic behaviours during later adolescence, and this vulnerability requires attention from parents and healthcare providers.

  • 5.
    Pagels, Peter
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Education, Psychology and Sport Science.
    Boldemann, Cecilia
    Karolinska Institutet.
    Raustorp, Anders
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Education, Psychology and Sport Science.
    Comparison of pedometer and accelerometer measures on physical activity in preschool children 3-5 years of age2011In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 100, no 1, p. 116-120Article in journal (Refereed)
  • 6. Proczkowska Björklund, Marie
    et al.
    Runeson, Ingrid
    University of Kalmar, School of Human Sciences.
    Gustafsson, Per A
    Svedin, Carl Göran
    Communication and child behaviour associated with unwillingness to take premedication2008In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, no 9, p. 1238-1242Article in journal (Refereed)
  • 7.
    Protudjer, J. L. P.
    et al.
    Karolinska Inst.
    Jansson, Sven-Arne
    Karolinska Inst ; Umea Univ.
    Ostblom, E.
    Karolinska Inst ; Södersjukhuset Stockholm.
    Arnlind, M. Heibert
    SBU ;Karolinska Inst, Dept Learning Informat Management & Eth ; Karolinska Inst.
    Bengtsson, U.
    Sahlgrens Univ Hosp.
    Dahlen, S-E
    Karolinska Inst.
    Kallstrom-Bengtsson, I.
    Swedish Asthma & Allergy Fdn.
    Marklund, Birgitta
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Middelveld, R. J. M.
    Karolinska Inst ; Karolinska Inst.
    Rentzos, G.
    Sahlgrens Univ Hosp.
    Sundqvist, A. C.
    Södersjukhuset Stockholm.
    Akerstrom, J.
    Sahlgrens Univ Hosp.
    Ahlstedt, S.
    Karolinska Inst.
    Health-related quality of life in children with objectively diagnosed staple food allergy assessed with a disease-specific questionnaire2015In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 10, p. 1047-1054Article in journal (Refereed)
    Abstract [en]

    Aim: Among Swedish children of 0-12 years old, we investigated various food allergy-related exposures associated with health-related quality of life using a food allergy-specific questionnaire among children allergic to the staple foods cow's milk, hen's egg and/or wheat, and contextualised worse food allergy-associated health-related quality of life using a generic questionnaire versus controls. Methods: In total, 85 children with objectively diagnosed allergy to the staple foods were included as cases, and 94 children matched for age and sex were included as controls. We administered a food allergy-specific parent-completed questionnaire originally developed by EuroPrevall to cases only, and a generic health-related quality of life questionnaire (EuroQol Health Questionnaire, 5 Dimensions; EQ 5-D); to both cases and controls. Results: Hen's egg was the most common offending staple food, affecting 76% of cases. Approximately 7% of cases were allergic to all three staple foods. Parent-reported respiratory and cardiovascular symptoms were associated with worse health-related quality of life. Elements of disease severity [previous anaphylaxis (p < 0.001); epinephrine autoinjector prescription (p < 0.003)] were negatively associated with health-related quality of life. Cases had worse health-related quality of life measured by the EQ-5D compared to controls (p < 0.01). Conclusion: The use of a disease-specific questionnaire revealed that disease severity in children with objectively diagnosed allergy to the staple foods cow's milk, hen's egg and/or wheat is associated with worse health-related quality of life. The use of a generic questionnaire confirmed that cases have worse health-related quality of life than controls.

  • 8.
    Raustorp, Anders
    et al.
    University of Kalmar, School of Human Sciences.
    Ludvigsson, Johnny
    Secular trends of pedometer determined physical activity in swedish school children2007In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 96, no 12, p. 1824-1828Article in journal (Refereed)
  • 9.
    Raustorp, Anders
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science. Univ Gothenburg, Sweden.
    Pagels, Peter
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Fröberg, Andreas
    Univ Gothenburg, Sweden.
    Boldemann, Cecilia
    Karolinska Inst, Sweden.
    Physical activity decreased by a quarter in the 11-12 year old Swedish boys between 2000 and 2013 but was stable in girls. A smartphone effect?2015In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 8, p. 808-814Article in journal (Refereed)
    Abstract [en]

    ¨AimThis study explored physical activity, body mass index (BMI) and overweight and obesity from 2000 to 2013 using a convenience sample of second- and fifth-grade Swedish schoolchildren aged 8-9years and 11-12years, respectively. MethodsWe examined cross-sectional cohorts of 126 second-grade children in 2000, 84 in 2006 and 44 in 2013 and 105 fifth-grade children in 2000 and 38 in 2013. No fifth graders were available in 2006. Physical activity data were collected based on pedometer readings over four consecutive weekdays, and height and weight were measured. Identical instruments and procedures were used in all three years. ResultsThere was an increase in physical activity in second-grade girls from 2000 to 2006 (p<0.01), which then stabilised between 2006 and 2013, but second-grade boys and fifth-grade girls were stable throughout the study period. Fifth-grade boys decreased significantly (24%) from 16670 to 12704 steps per day (p<0.01) from 2000 to 2013. Mean BMI scores remained stable over time. ConclusionTime trends in physical activity differed between boys and girls. Second-grade boys and fifth-grade girls were stable throughout, whereas second-grade girls increased from 2000 to 2006 before stabilising. Fifth-grade boys showed a significant 24% reduction from 2000 to 2013. Changes in recess and leisure time habits, such as smartphone use, may have influenced the result.

  • 10.
    Raustorp, Anders
    et al.
    University of Kalmar, School of Human Sciences.
    Pangrazi, RP
    Ståhle, A
    Physical activity and BMI levels among school children in southeastern sweden2004In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 93, no 3, p. 400-404Article in journal (Refereed)
  • 11.
    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.

  • 12.
    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.

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