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2. Study protocol: fit for delivery - can a lifestyle intervention in pregnancy result in measurable health benefits for mothers and newborns? A randomized controlled trial

Author

Sagedal Linda Reme, Øverby Nina C, Lohne-Seiler Hilde, Bere Elling, Torstveit Monica K, Henriksen Tore, and Vistad Ingvild

Subjects
Pregnancy, Gestational weight gain, Nutrition, Exercise, Large for gestational age, Gestational diabetes, Weight retention, Randomized controlled trial, Public aspects of medicine, RA1-1270
Abstract

Abstract Background The global obesity epidemic has led to increased attention on pregnancy, a period when women are at risk of gaining excessive weight. Excessive gestational weight gain is associated with numerous complications, for both mother and child. Though the problem is widespread, few studies have examined the effect of a lifestyle intervention in pregnancy designed to limit maternal weight gain. The Fit for Delivery study will explore the effectiveness of nutritional counseling coupled with exercise classes compared with standard prenatal care. The aims of the study are to examine the effect of the intervention on maternal weight gain, newborn birth weight, glucose regulation, complications of pregnancy and delivery, and maternal weight retention up to 12 months postpartum. Methods/design Fit for Delivery is a randomized controlled trial that will include 600 women expecting their first child. To be eligible, women must be 18 years of age or older, of less than 20 weeks gestational age, with a singleton pregnancy, and have a Body Mass Index (BMI) ≥ 19 kg/m2. The women will be randomly allocated to either an intervention group or a control group. The control group will receive standard prenatal care. The intervention group will, in addition, receive nutritional counseling by phone, access to twice-weekly exercise sessions, and information on healthy eating and physical activity provided in pamphlets, evening meetings and an interactive website. Both groups will be monitored by weighing (including bioimpedance measurements of percent body fat), blood tests, self-report questionnaires and hospital record review. Discussion Weight gained in pregnancy affects the health of both the mother and her unborn child, and simple models for efficient intervention are in high demand. The Fit for Delivery intervention provides concrete advice on limiting energy intake and practical training in increasing physical activity. This lifestyle intervention is simple, reproducible, and inexpensive. The design of the study reflects the realities of clinical practice, where patients are free to choose whether or not they respond to health initiatives. If we find measurable health benefits associated with the intervention, it may be an easily adopted supplement to routine prenatal care, in the prevention of obesity. Trial registration ClinicalTrial.gov, NCT01001689

Published
2013
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4. Changes in screen time activity in Norwegian children from 2001 to 2008: two cross sectional studies

Author

Øverby Nina C, Klepp Knut-Inge, and Bere Elling

Subjects
Screen time, Children, Norway, Public aspects of medicine, RA1-1270
Abstract

Abstract Background There has been an increase in screen-based communication, leading to concerns about the negative health effects of screen-based activities in children and adolescents. The present study aimed to (1) analyze changes in screen time activity in Norwegian children from 2001 to 2008, and (2) to analyze associations between the changes in screen time activity over time and sex, grade level and parental educational level. Methods Within the project Fruits and Vegetables Make the Marks (FVMM), 1488 6th and 7th grade pupils from 27 Norwegian elementary schools completed a questionnaire including a question about time spent on television viewing and personal computer use in 2001 and 1339 pupils from the same schools completed the same questionnaire in 2008. Data were analyzed by multilevel linear mixed models. Results The proportions of 6th and 7th grade pupils at the 27 schools that reported screen time activity outside school of 2 hours/day or more decreased from 55% to 45% (pth graders (51% to 37%) and in children with highly educated parents (54% to 39%). Conclusion The present study shows that there has been a marked reduction in screen time activity outside school in this group of Norwegian 10–12 year olds from 2001 to 2008.

Published
2013
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5. Micro-level economic factors and incentives in Children’s energy balance related behaviours - findings from the ENERGY European cross-section questionnaire survey

Author

Jensen Jørgen, Bere Elling, De Bourdeaudhuij Ilse, Jan Natasa, Maes Lea, Manios Yannis, Martens Marloes K, Molnar Denes, Moreno Luis A, Singh Amika S, te Velde Saskia, and Brug Johannes

Subjects
Children, Obesogenic environment, Economic incentives, Sports activity, Soft drinks, Price responsiveness, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270
Abstract

Abstract Background To date, most research on obesogenic environments facing school children has focused on physical and socio-cultural environments. The role of economic factors has been investigated to a much lesser extent. Our objective was to explore the association of micro-level economic factors and incentives with sports activities and intake of soft drinks and fruit juice in 10-12 year-old school children across Europe, and to explore price sensitivity in children’s soft drink consumption and correlates of this price sensitivity. Methods Data for the study originate from a cross-sectional survey undertaken in seven European countries (Belgium, Greece, Hungary, Netherlands, Norway, Slovenia and Spain) in 2010 among 10-12 year-old school children and their parents. In total, 7234 child questionnaires and 6002 parent questionnaires were completed. The child questionnaire included questions addressing self-reported weekly intake of soft drinks and fruit juices and time spent on sports activities, perception of parental support for sports activities, use of pocket money for soft drinks and perceived price responsiveness. Parent questionnaires included questions addressing the role of budget and price considerations in decisions regarding children’s sports activities, soft drink consumption, home practices and rules and socio-demographic background variables. Data were analysed using multiple linear regression and discrete-choice (ordered probit) modelling. Results Economic factors were found to be associated with children’s sports participation and sugary drink consumption, explaining 27% of the variation in time for sports activities, and 27% and 12% of the variation in the children’s soft drink and juice consumption, respectively. Parents’ financial support was found to be an important correlate (Beta =0.419) of children’s sports activities. Children’s pocket money was a strong correlate (Beta =21.034) of soft drink consumption. The majority of the responding children reported to expect that significantly higher prices of soft drinks would lead them to buy less soft drinks with their own pocket money, but a majority of parents did not expect higher soft drink prices to reduce their children’s soft drink consumption. Conclusions We conclude that economic factors, especially parents’ financial support and amount of pocket money, appear to be of importance for children’s sports participation and soft drink consumption, respectively.

Published
2012
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6. The effect of the UP4FUN pilot intervention on objectively measured sedentary time and physical activity in 10–12 year old children in Belgium: the ENERGY-project

Author

Verloigne Maïte, Bere Elling, Van Lippevelde Wendy, Maes Lea, Lien Nanna, Vik Froydis N, Brug Johannes, Cardon Greet, and De Bourdeaudhuij Ilse

Subjects
Sedentary behaviour, Intervention, Randomized controlled trial, Children, Physical activity, Accelerometer, Public aspects of medicine, RA1-1270
Abstract

Abstract Bakckground The first aim was to examine the effect of the UP4FUN pilot intervention on children’s total sedentary time. The second aim was to investigate if the intervention had an effect on children’s physical activity (PA) level. Finally, we aimed to investigate demographic differences (i.e. age, gender, ethnicity, living status and having siblings) between children in the intervention group who improved in sedentary time and PA at post-test and children in the intervention group who worsened in sedentary time and PA at post-test. Methods The six weeks UP4FUN intervention was tested in a randomized controlled trial with pre-test post-test design with five intervention and five control schools in Belgium and included children of the 5th and 6th grade. The children wore accelerometers for seven days at pre- and post-test. Analyses included children with valid accelerometer data for at least two weekdays with minimum 10h-wearing time and one weekend day with 8h-wearing time. Result Final analyses included 372 children (60% girls, mean age = 10.9 ± 0.7 years). There were no significant differences in the change in sedentary time or light PA between intervention and control schools for the total sample or for the subgroup analyses by gender. However, children (specifically girls) in the intervention group had a higher decrease in moderate-to-vigorous PA than children in the control group. In the intervention group, children who lived with both parents and children with one or more siblings were less likely to reduce sedentary time after exposure to the intervention. Older children, girls and children who lived with both parents were less likely to increase light PA after the intervention. Conclusion The UP4FUN intervention did not result in an effect on children’s sedentary time. Based on the high amounts of accelerometer-derived sedentary time in this age group, more efforts are needed to develop strategies to reduce children’s sedentary time.

Published
2012
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7. 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

Author

van Stralen Maartje M, Hilsen Marit, Klepp Knut-Inge, and Bere Elling

Subjects
Fruit and vegetable intake, time trends, gender, socioeconomic status, children, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270
Abstract

Abstract Background 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. Methods 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. Results 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). Conclusions 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.

Published
2011
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8. EuropeaN Energy balance Research to prevent excessive weight Gain among Youth (ENERGY) project: Design and methodology of the ENERGY cross-sectional survey

Author

Moreno Luis, Jensen Jorgen, Maes Lea, Bere Elling, Chinapaw¹ Mai JM, Grammatikaki Evangelia, van der Sluis Maria, Manios Yannis, Martens Marloes K, De Bourdeaudhuij Ilse, Singh Amika S, te Velde Saskia J, van Stralen Maartje M, Jan Nataša, Molnár Dénes, Moore Helen, and Brug Johannes

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background Obesity treatment is by large ineffective long term, and more emphasis on the prevention of excessive weight gain in childhood and adolescence is warranted. To inform energy balance related behaviour (EBRB) change interventions, insight in the potential personal, family and school environmental correlates of these behaviours is needed. Studies on such multilevel correlates of EBRB among schoolchildren in Europe are lacking. The ENERGY survey aims to (1) provide up-to-date prevalence rates of measured overweight, obesity, self-reported engagement in EBRBs, and objective accelerometer-based assessment of physical activity and sedentary behaviour and blood-sample biomarkers of metabolic function in countries in different regions of Europe, (2) to identify personal, family and school environmental correlates of these EBRBs. This paper describes the design, methodology and protocol of the survey. Method/Design A school-based cross-sectional survey was carried out in 2010 in seven different European countries; Belgium, Greece, Hungary, the Netherlands, Norway, Slovenia, and Spain. The survey included measurements of anthropometrics, child, parent and school-staff questionnaires, and school observations to measure and assess outcomes (i.e. height, weight, and waist circumference), EBRBs and potential personal, family and school environmental correlates of these behaviours including the social-cultural, physical, political, and economic environmental factors. In addition, a selection of countries conducted accelerometer measurements to objectively assess physical activity and sedentary behaviour, and collected blood samples to assess several biomarkers of metabolic function. Discussion The ENERGY survey is a comprehensive cross-sectional study measuring anthropometrics and biomarkers as well as assessing a range of EBRBs and their potential correlates at the personal, family and school level, among 10-12 year old children in seven European countries. This study will result in a unique dataset, enabling cross country comparisons in overweight, obesity, risk behaviours for these conditions as well as the correlates of engagement in these risk behaviours.

Published
2011
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9. Evidence-based development of school-based and family-involved prevention of overweight across Europe: The ENERGY-project's design and conceptual framework

Author

Klepp Knut, Lien Nanna, Manios Yannis, Jensen Jorgen, Maes Lea, Moore Helen, de Bourdeaudhuij Ilse, Bere Elling, Chinapaw Mai JM, te Velde Saskia J, Brug Johannes, Lobstein Tim, Martens Marloes, Salmon Jo, and Singh Amika S

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background There is an urgent need for more carefully developed public health measures in order to curb the obesity epidemic among youth. The overall aim of the "EuropeaN Energy balance Research to prevent excessive weight Gain among Youth" (ENERGY)-project is the development and formative evaluation of a theory-informed and evidence-based multi-component school-based and family-involved intervention program ready to be implemented and evaluated for effectiveness across Europe. This program aims at promoting the adoption or continuation of health behaviors that contribute to a healthy energy balance among school-aged children. Earlier studies have indicated that school and family environments are key determinants of energy-balance behaviors in schoolchildren. Schools are an important setting for health promotion in this age group, but school-based interventions mostly fail to target and involve the family environment. Methods Led by a multidisciplinary team of researchers from eleven European countries and supported by a team of Australian experts, the ENERGY-project is informed by the Environmental Research Framework for Weight gain Prevention, and comprises a comprehensive epidemiological analysis including 1) systematic reviews of the literature, 2) secondary analyses of existing data, 3) focus group research, and 4) a cross European school-based survey. Results and discussion The theoretical framework and the epidemiological analysis will subsequently inform stepwise intervention development targeting the most relevant energy balance-related behaviors and their personal, family-environmental and school-environmental determinants applying the Intervention Mapping protocol. The intervention scheme will undergo formative and pilot evaluation in five countries. The results of ENERGY will be disseminated among key stakeholders including researchers, policy makers and the general population. Conclusions The ENERGY-project is an international, multidisciplinary effort to develop and test an evidence-based and theory-informed intervention program for obesity prevention among school-aged children.

Published
2010
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10. Test-retest reliability of a new self reported comprehensive questionnaire measuring frequencies of different modes of adolescents commuting to school and their parents commuting to work - the ATN questionnaire

Author

Bjørkelund Line A and Bere Elling

Subjects
Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Studies assessing active commuting to school usually use simple questionnaires, and often is mode of commuting reported with a single questionnaire item only. The purpose of the present study is to report the test-retest reliability of a newly developed comprehensive questionnaire on active commuting to school and work among 6th grade school children and their parents in Norway. Methods A total of 106 pupils and 77 parents completed a questionnaire two times, 14 days apart. The questionnaire consisted of frequency items on how often the participants walk, cycle, go by car and go by public transportation to school (pupils) or work (parents). The questionnaire was divided into seasons and to/from school or work in order to cover seasonal and topographic variations. The average number of trips for each mode of commuting was calculated. Then the sample was categorised into mode of commuting: walkers, cyclists, car commuters or public transport commuters. Results The average numbers of trips did not differ for any of the commuting modes comparing test to retest data for any of the seasons. Test-retest correlation coefficients were high for all modes of commuting (Spearman correlation coefficient were 0.85-0.92 for pupils and 0.82-0.95 for parents). Most participants categorised into mode of commuting were categorized into the same mode at both time points (97% and 95% for pupils and parents respectively). Conclusion This newly developed questionnaire appears to be a reliable tool for measuring active commuting to school and work.

Published
2009
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11. Free school fruit – sustained effect three years later

Author

Skare Øivind, Veierød Marit B, Bere Elling, and Klepp Knut-Inge

Subjects
Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Norwegian children consume less fruit and vegetables (FV) than recommended. In order to increase the intake, a School Fruit subscription programme is now offered to all Norwegian elementary and junior high schools. This programme has limited effect due to low participation by schools and pupils. However, recent evaluations of the programme offered for free have reported good effects in increasing FV intake. The purpose of the present study is to evaluate the long term effects of the Norwegian School Fruit programme, provided at no-cost to the pupils, three years after it was provided for free. Methods A total of 1950 (85%) 6th and 7th grade pupils from 38 Norwegian elementary schools participated in the project. Nine schools were selected as intervention schools and participated for free in the Norwegian School Fruit programme for a school year (October 2001 until June 2002). A baseline questionnaire survey was conducted in September 2001, and follow-up surveys were conducted in May 2002 and May 2005. FV intake was assessed by a written 24-h recall (reporting FV intake at school and FV intake all day), and by four food frequency questions (reporting usual FV intake). Data were analysed by a linear mixed model for repeated measures. Results The pupils in the free fruit group increased their FV intake compared to pupils in the control group as a result of the intervention. Some of the effect was sustained three years later. The estimated long-term effects for FV all day were 0.38 and 0.44 portion/day for boys and girls, respectively. Conclusion The results show long-term effects of a free school fruit programme.

Published
2007
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12. Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part I: quantitative studies

Author

Brug Johannes, Lytle Leslie, Klepp Knut-Inge, Krølner Rikke, Rasmussen Mette, Bere Elling, and Due Pernille

Subjects
Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270
Abstract

Abstract Background In order to more effectively promote fruit and vegetable intake among children and adolescents, insight into determinants of intake is necessary. We conducted a review of the literature for potential determinants of fruit and vegetable intake in children and adolescents. Methods Papers were identified from Medline and PsycINFO by using all combinations of the search terms: "fruit(s) or vegetable(s)" and "children or adolescents". Quantitative research examining determinants of fruit and/or vegetable intake among children and adolescents aged 6–18 years were included. The selection and review process was conducted according to a four-step protocol resulting in information on country, population, design, methodology, theoretical basis, instrument used for measuring intake, statistical analysis, included independent variables, and effect sizes. Results Ninety-eight papers were included. A large number of potential determinants have been studied among children and adolescents. However, for many presumed determinants convincing evidence is lacking, mostly because of paucity of studies. The determinants best supported by evidence are: age, gender, socio-economic position, preferences, parental intake, and home availability/accessibility. Girls and younger children tend to have a higher or more frequent intake than boys and older children. Socio-economic position, preferences, parental intake, and home availability/accessibility are all consistently positively associated with intake. Conclusion The determinants most consistently supported by evidence are gender, age, socio-economic position, preferences, parental intake and home availability/accessibility. There is a need for internationally comparative, longitudinal, theory-based and multi-level studies taking both personal and environmental factors into account. This paper is published as part of the special Pro Children series in the International Journal of Behavioral Nutrition and Physical Activity. Please see [http://www.ijbnp.org/content/3/1/26] for the relevant editorial.

Published
2006
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13. Changes in accessibility and preferences predict children's future fruit and vegetable intake

Author

Bere Elling and Klepp Knut-Inge

Subjects
Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Most children eat fewer fruits and vegetables than recommended. To be able to design effective interventions, understanding the aetiology of the behaviour is important. Accessibility and preferences have shown to be strong correlates of fruit and vegetable intake in several cross-sectional studies. The aim of this study was to identify predictors of future fruit and vegetable intake and to explore longitudinal patterns of interactions between accessibility and preferences. Methods Data presented are based on baseline (September 2001) and follow-up (May/June 2002) surveys of 20 control schools in the Norwegian intervention study Fruits and Vegetables Make the Marks. A total of 816 pupils (77%) completed both baseline and follow-up questionnaires. The average age of the sample at baseline was 11.8 years. The research instrument assessing potential predictor variables was guided by Social Cognitive Theory, and included Accessibility at home, Accessibility at school, Modelling, Intention, Preferences, Self-Efficacy and Awareness of the 5-a-day recommendations. Multiple regression analyses were performed. Results All independent variables (measured at baseline) were significantly correlated to future fruit and vegetable intake (measured at follow-up). When reported fruit and vegetable intake at baseline (past intake) was included in this model, the effect of the other independent variables diminished. Together with past intake, the observed change in the independent variables from baseline to follow-up explained 43% of the variance in the reported intake at follow-up. Past intake remained the strongest predictor, but changes in accessibility at home and at school, as well as changes in preferences for fruits and vegetables, also explained significant amounts of the variance in fruit and vegetable intake at follow-up. In addition, baseline accessibility was found to moderate the relationship between change in preferences and change in intake. Conclusion Change in accessibility and preferences appear to be important predictors of future fruit and vegetable intake among school children. Interventions should focus on strategies to modify these factors.

Published
2005
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21. A nationwide school fruit and vegetable policy and childhood and adolescent overweight: A quasi-natural experimental study

Author

Øvrebø, Bente, Stea, Tonje H., Bergh, Ingunn H., Bere, Elling, Surén, Pål, Magnus, Per, Juliusson, Petur B., and Wills, Andrew K.

Subjects
Obesity in adolescence -- Complications and side effects, Health promotion -- Methods, School lunches -- Nutritional aspects, School lunchrooms, cafeterias, etc. -- Nutritional aspects, Biological sciences
Abstract

Background School free fruit and vegetable (FFV) policies are used to promote healthy dietary habits and tackle obesity; however, our understanding of their effects on weight outcomes is limited. We assess the effect of a nationwide FFV policy on childhood and adolescent weight status and explore heterogeneity by sex and socioeconomic position. Methods and findings This study used a quasi-natural experimental design. Between 2007 and 2014, Norwegian combined schools (grades 1-10, age 6 to 16 years) were obligated to provide FFVs while elementary schools (grades 1-7) were not. We used 4 nationwide studies (n = 11,215 children) from the Norwegian Growth Cohort with longitudinal or cross-sectional anthropometric data up to age 8.5 and 13 years to capture variation in FFV exposure. Outcomes were body mass index standard deviation score (BMI.sub.SDS ), overweight and obesity (OW/OB), waist circumference (WC), and weight to height ratio (WtHR) at age 8.5 years, and BMI.sub.SDS and OW/OB at age 13 years. Analyses included longitudinal models of the pre- and post-exposure trajectories to estimate the policy effect. The participation rate in each cohort was >80%, and in most analyses Conclusions In this study we observed little evidence that the Norwegian nationwide FFV policy had any notable beneficial effect or unintended consequence on weight status among Norwegian children and adolescents., Author(s): Bente Øvrebø 1,2,3,*, Tonje H. Stea 4,5, Ingunn H. Bergh 2, Elling Bere 1,2,3, Pål Surén 6, Per Magnus 7, Petur B. Juliusson 8,9,10, Andrew K. Wills 11,12 Introduction [...]

Published
2022
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25. Does an obesogenic family environment moderate the association between sports participation and body composition in children? The ENERGY project

Author

Stavnsbo, Mette, Stenling, Andreas, Berntsen, Sveinung, Chinapaw, Mai J. M., Hansen, Bjørge H., Manios, Yannis, Molnár, Dénes, Torstveit, Monica K., Verloigne, Maïté, Vicente-Rodríguez, Germàn, Westergren, Thomas, Bere, Elling, Stavnsbo, Mette, Stenling, Andreas, Berntsen, Sveinung, Chinapaw, Mai J. M., Hansen, Bjørge H., Manios, Yannis, Molnár, Dénes, Torstveit, Monica K., Verloigne, Maïté, Vicente-Rodríguez, Germàn, Westergren, Thomas, and Bere, Elling

Abstract

Background: Previous research on the association between sports participation and body composition has shown mixed findings. The family home is considered one of the most influential environments on childhood obesity. Thus, the association between sports participation and body composition in children may be influenced by an obesogenic home environment. Objectives: To investigate if an obesogenic family environment moderates the association between sports participation and body composition in children. Methods: A total of 3999 children (54% girls; 11.6 ± 0.7 years) and their parent(s) were included from the ENERGY project. A composite obesogenic family environment risk score was created from 10 questionnaire items. Height, weight (to calculate body mass index), and waist circumference were obtained by trained researchers and used as indicators of body composition. Results: The composite risk score significantly moderated the association between sports participation and both waist circumference and body mass index. In children from families with moderate and high obesogenic risk, organized sports participation was significantly associated with smaller waist circumference (moderate risk: −0.29, 95% CI −0.45 to −0.14; high risk: −0.46, 95% CI −0.66 to −0.25) and lower body mass index (moderate risk: −0.10, 95% CI −0.16 to −0.04; high risk: −0.14, 95% CI −0.22 to −0.06), but not in children with a low obesogenic family risk score. Conclusions: Enrolling children in sports activities from an early age can be important for healthy weight maintenance, especially among children from obesogenic family environments.

Published
2023
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31. Diminishing benefits of urban living for children and adolescents’ growth and development

Author

NCD Risk Factor Collaboration (NCD-RisC), [missing], Mishra, Anu, Zhou, Bin, Rodriguez-Martinez, Andrea, Bixby, Honor, Singleton, Rosie K., Carrillo-Larco, Rodrigo M., Sheffer, Kate E., Paciorek, Christopher J., Bennett, James E., Lhoste, Victor, Iurilli, Maria L. C., Di Cesare, Mariachiara, Bentham, James, Phelps, Nowell H., Sophiea, Marisa K., Stevens, Gretchen A., Danaei, Goodarz, Cowan, Melanie J., Savin, Stefan, Riley, Leanne M., Gregg, Edward W., Aekplakorn, Wichai, Ahmad, Noor Ani, Baker, Jennifer L., Chirita-Emandi, Adela, Farzadfar, Farshad, Fink, Günther, Heinen, Mirjam, Ikeda, Nayu, Kengne, Andre P., Khang, Young-Ho, Laatikainen, Tiina, Laxmaiah, Avula, Ma, Jun, Monroy-Valle, Michele, Mridha, Malay K., Padez, Cristina P., Reynolds, Andrew, Sorić, Maroje, Starc, Gregor, Wirth, James P., Abarca-Gómez, Leandra, Abdeen, Ziad A., Abdrakhmanova, Shynar, Ghaffar, Suhaila Abdul, Abdul Rahim, Hanan F., Abdurrahmonova, Zulfiya, Abu-Rmeileh, Niveen M., Garba, Jamila Abubakar, Acosta-Cazares, Benjamin, Adam, Ishag, Adamczyk, Marzena, Adams, Robert J., Adu-Afarwuah, Seth, Afsana, Kaosar, Afzal, Shoaib, Agbor, Valirie N., Agdeppa, Imelda A., Aghazadeh-Attari, Javad, Aguenaou, Hassan, Aguilar-Salinas, Carlos A., Agyemang, Charles, Ahmad, Mohamad Hasnan, Ahmadi, Ali, Ahmadi, Naser, Ahmadi, Nastaran, Ahmed, Imran, Ahmed, Soheir H., Ahrens, Wolfgang, Aitmurzaeva, Gulmira, Ajlouni, Kamel, Al-Hazzaa, Hazzaa M., Al-Lahou, Badreya, Al-Raddadi, Rajaa, Al Hourani, Huda M., Al Qaoud, Nawal M., Alarouj, Monira, AlBuhairan, Fadia, AlDhukair, Shahla, Aldwairji, Maryam A., Alexius, Sylvia, Ali, Mohamed M., Alkandari, Abdullah, Alkerwi, Ala’a, Alkhatib, Buthaina M., Allin, Kristine, Alvarez-Pedrerol, Mar, Aly, Eman, Amarapurkar, Deepak N., Etxezarreta, Pilar Amiano, Amoah, John, Amougou, Norbert, Amouyel, Philippe, Andersen, Lars Bo, Anderssen, Sigmund A., Androutsos, Odysseas, Ängquist, Lars, Anjana, Ranjit Mohan, Ansari-Moghaddam, Alireza, Anufrieva, Elena, Aounallah-Skhiri, Hajer, Araújo, Joana, Ariansen, Inger, Aris, Tahir, Arku, Raphael E., Arlappa, Nimmathota, Aryal, Krishna K., Aseffa, Nega, Aspelund, Thor, Assah, Felix K., Assembekov, Batyrbek, Assunção, Maria Cecília F., Aung, May Soe, Auvinen, Juha, Avdičová, Mária, Avi, Shina, Azevedo, Ana, Azimi-Nezhad, Mohsen, Azizi, Fereidoun, Azmin, Mehrdad, Babu, Bontha V., Jørgensen, Maja Bæksgaard, Baharudin, Azli, Bahijri, Suhad, Bakacs, Marta, Balakrishna, Nagalla, Balanova, Yulia, Bamoshmoosh, Mohamed, Banach, Maciej, Banegas, José R., Baran, Joanna, Baran, Rafał, Barbagallo, Carlo M., Filho, Valter Barbosa, Barceló, Alberto, Baretić, Maja, Barkat, Amina, Barnoya, Joaquin, Barrera, Lena, Barreto, Marta, Barros, Aluisio J. D., Barros, Mauro Virgílio Gomes, Bartosiewicz, Anna, Basit, Abdul, Bastos, Joao Luiz D., Bata, Iqbal, Batieha, Anwar M., Batista, Aline P., Batista, Rosangela L., Battakova, Zhamilya, Baur, Louise A., Bayauli, Pascal M., Beaglehole, Robert, Bel-Serrat, Silvia, Belavendra, Antonisamy, Ben Romdhane, Habiba, Benedics, Judith, Benet, Mikhail, Rolandi, Gilda Estela Benitez, Bere, Elling, Bergh, Ingunn Holden, Berhane, Yemane, Berkinbayev, Salim, Bernabe-Ortiz, Antonio, Bernotiene, Gailute, Carrasola, Ximena Berrios, Bettiol, Heloísa, Beutel, Manfred E., Beybey, Augustin F., Bezerra, Jorge, Bhagyalaxmi, Aroor, Bharadwaj, Sumit, Bhargava, Santosh K., Bi, Hongsheng, Bi, Yufang, Bia, Daniel, Biasch, Katia, Lele, Elysée Claude Bika, Bikbov, Mukharram M., Bista, Bihungum, Bjelica, Dusko J., Bjerregaard, Anne A., Bjerregaard, Peter, Bjertness, Espen, Bjertness, Marius B., Björkelund, Cecilia, Bloch, Katia V., Blokstra, Anneke, Magnazu, Moran Blychfeld, Bo, Simona, Bobak, Martin, Boddy, Lynne M., Boehm, Bernhard O., Boer, Jolanda M. A., Boggia, Jose G., Bogova, Elena, Boissonnet, Carlos P., Bojesen, Stig E., Bonaccio, Marialaura, Bongard, Vanina, Bonilla-Vargas, Alice, Bopp, Matthias, Borghs, Herman, Bovet, Pascal, Boymatova, Khadichamo, Braeckevelt, Lien, Braeckman, Lutgart, Bragt, Marjolijn C. E., Brajkovich, Imperia, Branca, Francesco, Breckenkamp, Juergen, Breda, João, Brenner, Hermann, Brewster, Lizzy M., Brian, Garry R., Briceño, Yajaira, Brinduse, Lacramioara, Brito, Miguel, Brophy, Sinead, Brug, Johannes, Bruno, Graziella, Bugge, Anna, Buntinx, Frank, Buoncristiano, Marta, Burazeri, Genc, Burns, Con, de León, Antonio Cabrera, Cacciottolo, Joseph, Cai, Hui, Caixeta, Roberta B., Cama, Tilema, Cameron, Christine, Camolas, José, Can, Günay, Cândido, Ana Paula C., Cañete, Felicia, Capanzana, Mario V., Čapková, Naděžda, Capuano, Eduardo, Capuano, Rocco, Capuano, Vincenzo, Cardol, Marloes, Cardoso, Viviane C., Carlsson, Axel C., Carmuega, Esteban, Carvalho, Joana, Casajús, José A., Casanueva, Felipe F., Casas, Maribel, Celikcan, Ertugrul, Censi, Laura, Cervantes‐Loaiza, Marvin, Cesar, Juraci A., Chamukuttan, Snehalatha, Chan, Angelique, Chan, Queenie, Chaturvedi, Himanshu K., Chaturvedi, Nish, Rahim, Norsyamlina Che Abdul, Chee, Miao Li, Chen, Chien-Jen, Chen, Fangfang, Chen, Huashuai, Chen, Shuohua, Chen, Zhengming, Cheng, Ching-Yu, Cheng, Yiling J., Cheraghian, Bahman, Chetrit, Angela, Chikova-Iscener, Ekaterina, Chinapaw, Mai J. M., Chinnock, Anne, Chiolero, Arnaud, Chiou, Shu-Ti, Chirlaque, María-Dolores, Cho, Belong, Christensen, Kaare, Christofaro, Diego G., Chudek, Jerzy, Cifkova, Renata, Cilia, Michelle, Cinteza, Eliza, Cirillo, Massimo, Claessens, Frank, Clarke, Janine, Clays, Els, Cohen, Emmanuel, Compañ-Gabucio, Laura-María, Concin, Hans, Confortin, Susana C., Cooper, Cyrus, Coppinger, Tara C., Corpeleijn, Eva, Cortés, Lilia Yadira, Costanzo, Simona, Cottel, Dominique, Cowell, Chris, Craig, Cora L., Crampin, Amelia C., Cross, Amanda J., Crujeiras, Ana B., Cruz, Juan J., Csányi, Tamás, Csilla, Semánová, Cucu, Alexandra M., Cui, Liufu, Cureau, Felipe V., Cuschieri, Sarah, Czenczek-Lewandowska, Ewelina, D’Arrigo, Graziella, d’Orsi, Eleonora, Dacica, Liliana, Dallongeville, Jean, Damasceno, Albertino, Damsgaard, Camilla T., Dankner, Rachel, Dantoft, Thomas M., Dasgupta, Parasmani, Dastgiri, Saeed, Dauchet, Luc, Davletov, Kairat, de Assis, Maria Alice Altenburg, De Backer, Gui, De Bacquer, Dirk, De Curtis, Amalia, de Fragas Hinnig, Patrícia, de Gaetano, Giovanni, De Henauw, Stefaan, De Miguel-Etayo, Pilar, de Oliveira, Paula Duarte, De Ridder, David, De Ridder, Karin, de Rooij, Susanne R., De Smedt, Delphine, Deepa, Mohan, Deev, Alexander D., DeGennaro, Vincent, Delisle, Hélène, Delpeuch, Francis, Demarest, Stefaan, Dennison, Elaine, Dereń, Katarzyna, Deschamps, Valérie, Dhimal, Meghnath, Di Castelnuovo, Augusto, Dias-da-Costa, Juvenal Soares, Díaz-Sánchez, María Elena, Diaz, Alejandro, Fernández, Pedro Díaz, Ripollés, María Pilar Díez, Dika, Zivka, Djalalinia, Shirin, Djordjic, Visnja, Do, Ha T. P., Dobson, Annette J., Dominguez, Liria, Donati, Maria Benedetta, Donfrancesco, Chiara, Dong, Guanghui, Dong, Yanhui, Donoso, Silvana P., Döring, Angela, Dorobantu, Maria, Dorosty, Ahmad Reza, Doua, Kouamelan, Dragano, Nico, Drygas, Wojciech, Duan, Jia Li, Duante, Charmaine A., Duboz, Priscilla, Duleva, Vesselka L., Dulskiene, Virginija, Dumith, Samuel C., Dushpanova, Anar, Dyussupova, Azhar, Dzerve, Vilnis, Dziankowska-Zaborszczyk, Elzbieta, Echeverría, Guadalupe, Eddie, Ricky, Eftekhar, Ebrahim, Egbagbe, Eruke E., Eggertsen, Robert, Eghtesad, Sareh, Eiben, Gabriele, Ekelund, Ulf, El-Khateeb, Mohammad, El Ammari, Laila, El Ati, Jalila, Eldemire-Shearer, Denise, Eliasen, Marie, Elliott, Paul, Endevelt, Ronit, Engle-Stone, Reina, Erasmus, Rajiv T., Erbel, Raimund, Erem, Cihangir, Ergor, Gul, Eriksen, Louise, Eriksson, Johan G., Escobedo-de la Peña, Jorge, Eslami, Saeid, Esmaeili, Ali, Evans, Alun, Faeh, David, Fakhradiyev, Ildar, Fakhretdinova, Albina A., Fall, Caroline H., Faramarzi, Elnaz, Farjam, Mojtaba, Sant’Angelo, Victoria Farrugia, Fattahi, Mohammad Reza, Fawwad, Asher, Fawzi, Wafaie W., Feigl, Edit, Felix-Redondo, Francisco J., Ferguson, Trevor S., Fernandes, Romulo A., Fernández-Bergés, Daniel, Ferrante, Daniel, Ferrao, Thomas, Ferrari, Gerson, Ferrari, Marika, Ferrario, Marco M., Ferreccio, Catterina, Ferreira, Haroldo S., Ferrer, Eldridge, Ferrieres, Jean, Figueiró, Thamara Hubler, Fijalkowska, Anna, Fisberg, Mauro, Fischer, Krista, Foo, Leng Huat, Forsner, Maria, Fouad, Heba M., Francis, Damian K., do Carmo Franco, Maria, Fras, Zlatko, Frontera, Guillermo, Fuchs, Flavio D., Fuchs, Sandra C., Fujiati, Isti I., Fujita, Yuki, Fumihiko, Matsuda, Furdela, Viktoriya, Furusawa, Takuro, Gaciong, Zbigniew, Gafencu, Mihai, Cuesta, Manuel Galán, Galbarczyk, Andrzej, Galenkamp, Henrike, Galeone, Daniela, Galfo, Myriam, Galvano, Fabio, Gao, Jingli, Gao, Pei, Garcia-de-la-Hera, Manoli, Mérida, María José García, Solano, Marta García, Gareta, Dickman, Garnett, Sarah P., Gaspoz, Jean-Michel, Gasull, Magda, Gaya, Adroaldo Cesar Araujo, Gaya, Anelise Reis, Gazzinelli, Andrea, Gehring, Ulrike, Geiger, Harald, Geleijnse, Johanna M., George, Ronnie, Ghaderi, Ebrahim, Ghanbari, Ali, Ghasemi, Erfan, Gheorghe-Fronea, Oana-Florentina, Gialluisi, Alessandro, Giampaoli, Simona, Gianfagna, Francesco, Gieger, Christian, Gill, Tiffany K., Giovannelli, Jonathan, Gironella, Glen, Giwercman, Aleksander, Gkiouras, Konstantinos, Glushkova, Natalya, Gluškova, Natalja, Godara, Ramesh, Godos, Justyna, Gogen, Sibel, Goldberg, Marcel, Goltzman, David, Gómez, Georgina, Gómez, Jesús Humberto Gómez, Gomez, Luis F., Gómez, Santiago F., Gomula, Aleksandra, da Silva, Bruna Gonçalves Cordeiro, Gonçalves, Helen, Gonçalves, Mauer, González-Alvarez, Ana D., Gonzalez-Chica, David A., González-Gil, Esther M., Gonzalez-Gross, Marcela, González-Leon, Margot, González-Rivas, Juan P., González-Villalpando, Clicerio, González-Villalpando, María-Elena, Gonzalez, Angel R., Gottrand, Frederic, Graça, Antonio Pedro, Graff-Iversen, Sidsel, Grafnetter, Dušan, Grajda, Aneta, Grammatikopoulou, Maria G., Gregor, Ronald D., Gregório, Maria João, Grøholt, Else Karin, Grøntved, Anders, Grosso, Giuseppe, Gruden, Gabriella, Gu, Dongfeng, Guajardo, Viviana, Gualdi-Russo, Emanuela, Guallar-Castillón, Pilar, Gualtieri, Andrea, Gudmundsson, Elias F., Gudnason, Vilmundur, Guerrero, Ramiro, Guessous, Idris, Guimaraes, Andre L., Gulliford, Martin C., Gunnlaugsdottir, Johanna, Gunter, Marc J., Guo, Xiu-Hua, Guo, Yin, Gupta, Prakash C., Gupta, Rajeev, Gureje, Oye, González, Enrique Gutiérrez, Gutierrez, Laura, Gutzwiller, Felix, Gwee, Xinyi, Ha, Seongjun, Hadaegh, Farzad, Hadjigeorgiou, Charalambos A., Haghshenas, Rosa, Hakimi, Hamid, Halkjær, Jytte, Hambleton, Ian R., Hamzeh, Behrooz, Hanekom, Willem A., Hange, Dominique, Hanif, Abu A. M., Hantunen, Sari, Hao, Jie, Hardman, Carla Menêses, Kumar, Rachakulla Hari, Lassen, Tina Harmer, Harooni, Javad, Hashemi-Shahri, Seyed Mohammad, Hassapidou, Maria, Hata, Jun, Haugsgjerd, Teresa, Hayes, Alison J., He, Jiang, He, Yuan, He, Yuna, Heidinger-Felső, Regina, Heier, Margit, Hejgaard, Tatjana, Hendriks, Marleen Elisabeth, dos Santos Henrique, Rafael, Henriques, Ana, Cadena, Leticia Hernandez, Herrala, Sauli, Herrera-Cuenca, Marianella, Herrera, Victor M., Herter-Aeberli, Isabelle, Herzig, Karl-Heinz, Heshmat, Ramin, Hill, Allan G., Ho, Sai Yin, Ho, Suzanne C., Hobbs, Michael, Höfelmann, Doroteia A., Holdsworth, Michelle, Homayounfar, Reza, Homs, Clara, Hopman, Wilma M., Horimoto, Andrea R. V. R., Hormiga, Claudia M., Horta, Bernardo L., Houti, Leila, Howitt, Christina, Htay, Thein Thein, Htet, Aung Soe, Htike, Maung Maung Than, Hu, Yonghua, Huerta, José María, Huhtaniemi, Ilpo Tapani, Huiart, Laetitia, Petrescu, Constanta Huidumac, Huisman, Martijn, Husseini, Abdullatif, Huu, Chinh Nguyen, Huybrechts, Inge, Hwalla, Nahla, Hyska, Jolanda, Iacoviello, Licia, Iakupova, Ellina M., Ibarluzea, Jesús M., Ibrahim, Mohsen M., Wong, Norazizah Ibrahim, Ikram, M. Arfan, Iñiguez, Carmen, Iotova, Violeta, Irazola, Vilma E., Ishida, Takafumi, Isiguzo, Godsent C., Islam, Muhammad, Islam, Sheikh Mohammed Shariful, Islek, Duygu, Ivanova-Pandourska, Ivaila Y., Iwasaki, Masanori, Jääskeläinen, Tuija, Jackson, Rod T., Jacobs, Jeremy M., Jadoul, Michel, Jafar, Tazeen, Jallow, Bakary, James, Kenneth, Jamil, Kazi M., Jamrozik, Konrad, Jansson, Anna, Janszky, Imre, Janus, Edward, Jarani, Juel, Jarvelin, Marjo-Riitta, Jasienska, Grazyna, Jelaković, Ana, Jelaković, Bojan, Jennings, Garry, Jiang, Chao Qiang, Jimenez, Ramon O., Jöckel, Karl-Heinz, Joffres, Michel, Jokelainen, Jari J., Jonas, Jost B., Jonnagaddala, Jitendra, Jørgensen, Torben, Joshi, Pradeep, Josipović, Josipa, Joukar, Farahnaz, Jóźwiak, Jacek J., Judge, Debra S., Juolevi, Anne, Jurak, Gregor, Simina, Iulia Jurca, Juresa, Vesna, Kaaks, Rudolf, Kaducu, Felix O., Kafatos, Anthony, Kaj, Mónika, Kajantie, Eero O., Kakutia, Natia, Kállayová, Daniela, Kalmatayeva, Zhanna, Kalter-Leibovici, Ofra, Kameli, Yves, Kampmann, Freja B., Kanala, Kodanda R., Kannan, Srinivasan, Kapantais, Efthymios, Karaglani, Eva, Karakosta, Argyro, Kårhus, Line L., Karki, Khem B., Katchunga, Philippe B., Katibeh, Marzieh, Katz, Joanne, Katzmarzyk, Peter T., Kauhanen, Jussi, Kaur, Prabhdeep, Kavousi, Maryam, Kazakbaeva, Gyulli M., Kaze, François F., Ke, Calvin, Keil, Ulrich, Boker, Lital Keinan, Keinänen-Kiukaanniemi, Sirkka, Kelishadi, Roya, Kelleher, Cecily, Kemper, Han C. G., Keramati, Maryam, Kerimkulova, Alina, Kersting, Mathilde, Key, Timothy, Khader, Yousef Saleh, Khaledifar, Arsalan, Khalili, Davood, Khaw, Kay-Tee, Kheiri, Bahareh, Kheradmand, Motahareh, Khosravi, Alireza, Khouw, Ilse M. S. L., Kiechl-Kohlendorfer, Ursula, Kiechl, Sophia J., Kiechl, Stefan, Killewo, Japhet, Kim, Hyeon Chang, Kim, Jeongseon, Kindblom, Jenny M., Kingston, Andrew, Klakk, Heidi, Klimek, Magdalena, Klimont, Jeannette, Klumbiene, Jurate, Knoflach, Michael, Koirala, Bhawesh, Kolle, Elin, Kolsteren, Patrick, König, Jürgen, Korpelainen, Raija, Korrovits, Paul, Korzycka, Magdalena, Kos, Jelena, Koskinen, Seppo, Kouda, Katsuyasu, Kovács, Éva, Kovacs, Viktoria Anna, Kovalskys, Irina, Kowlessur, Sudhir, Koziel, Slawomir, Kratenova, Jana, Kratzer, Wolfgang, Kriaucioniene, Vilma, Kriemler, Susi, Kristensen, Peter Lund, Krizan, Helena, Kroker-Lobos, Maria F., Krokstad, Steinar, Kromhout, Daan, Kruger, Herculina S., Kruger, Ruan, Kryst, Łukasz, Kubinova, Ruzena, Kuciene, Renata, Kujala, Urho M., Kujundzic, Enisa, Kulaga, Zbigniew, Kulimbet, Mukhtar, Kumar, R. Krishna, Kunešová, Marie, Kurjata, Pawel, Kusuma, Yadlapalli S., Kutsenko, Vladimir, Kuulasmaa, Kari, Kyobutungi, Catherine, La, Quang Ngoc, Laamiri, Fatima Zahra, Lachat, Carl, Lackner, Karl J., Laid, Youcef, Lall, Lachmie, Lam, Tai Hing, Jimenez, Maritza Landaeta, Landais, Edwige, Lanska, Vera, Lappas, Georg, Larijani, Bagher, Larissa, Simo Pone, Latt, Tint Swe, Laurenzi, Martino, Lauria, Laura, Lazo-Porras, Maria, Le Coroller, Gwenaëlle, Le Nguyen Bao, Khanh, Le Port, Agnès, Le, Tuyen D., Lee, Jeannette, Lee, Jeonghee, Lee, Paul H., Lehmann, Nils, Lehtimäki, Terho, Lemogoum, Daniel, Leskošek, Branimir, Leszczak, Justyna, Leth-Møller, Katja B., Leung, Gabriel M., Levitt, Naomi S., Li, Yanping, Liivak, Merike, Lilly, Christa L., Lim, Charlie, Lim, Wei-Yen, Lima-Costa, M. Fernanda, Lin, Hsien-Ho, Lin, Xu, Lin, Yi-Ting, Lind, Lars, Lingam, Vijaya, Linkohr, Birgit, Linneberg, Allan, Lissner, Lauren, Litwin, Mieczyslaw, Liu, Jing, Liu, Lijuan, Lo, Wei-Cheng, Loit, Helle-Mai, Long, Khuong Quynh, Abril, Guadalupe Longo, Lopes, Luis, Lopes, Marcus V. V., Lopes, Oscar, Lopez-Garcia, Esther, Lopez, Tania, Lotufo, Paulo A., Lozano, José Eugenio, Lukrafka, Janice L., Luksiene, Dalia, Lundqvist, Annamari, Lunet, Nuno, Lunogelo, Charles, Lustigová, Michala, Łuszczki, Edyta, M’Buyamba-Kabangu, Jean-René, Ma, Guansheng, Ma, Xu, Machado-Coelho, George L. L., Machado-Rodrigues, Aristides M., Macia, Enguerran, Macieira, Luisa M., Madar, Ahmed A., Madsen, Anja L., Maestre, Gladys E., Maggi, Stefania, Magliano, Dianna J., Magnacca, Sara, Magriplis, Emmanuella, Mahasampath, Gowri, Maire, Bernard, Majer, Marjeta, Makdisse, Marcia, Mäki, Päivi, Malekzadeh, Fatemeh, Malekzadeh, Reza, Malhotra, Rahul, Rao, Kodavanti Mallikharjuna, Malyutina, Sofia K., Maniego, Lynell V., Manios, Yannis, Manix, Masimango Imani, Mann, Jim I., Mansour-Ghanaei, Fariborz, Manyanga, Taru, Manzato, Enzo, Marcil, Anie, Margozzini, Paula, Mariño, Joany, Markaki, Anastasia, Markey, Oonagh, Ioannidou, Eliza Markidou, Marques-Vidal, Pedro, Marques, Larissa Pruner, Marrugat, Jaume, Martin-Prevel, Yves, Martin, Rosemarie, Martorell, Reynaldo, Martos, Eva, Maruszczak, Katharina, Marventano, Stefano, Masala, Giovanna, Mascarenhas, Luis P., Masoodi, Shariq R., Mathiesen, Ellisiv B., Mathur, Prashant, Matijasevich, Alicia, Matłosz, Piotr, Matsha, Tandi E., Matsudo, Victor, Mavrogianni, Christina, Mazur, Artur, Mbanya, Jean Claude N., McFarlane, Shelly R., McGarvey, Stephen T., McKee, Martin, McLachlan, Stela, McLean, Rachael M., McLean, Scott B., McNairy, Margaret L., McNulty, Breige A., Benchekor, Sounnia Mediene, Medzioniene, Jurate, Mehdipour, Parinaz, Mehlig, Kirsten, Mehrparvar, Amir Houshang, Meirhaeghe, Aline, Meisfjord, Jørgen, Meisinger, Christa, Melgarejo, Jesus D., Melkumova, Marina, Mello, João, Méndez, Fabián, Mendivil, Carlos O., Menezes, Ana Maria B., Menon, Geetha R., Mensink, Gert B. M., Menzano, Maria Teresa, Meshram, Indrapal I., Meto, Diane T., Mi, Jie, Michaelsen, Kim F., Michels, Nathalie, Mikkel, Kairit, Miłkowska, Karolina, Miller, Jody C., Milushkina, Olga, Minderico, Cláudia S., Mini, G. K., Miquel, Juan Francisco, Miranda, J. Jaime, Mirjalili, Mohammad Reza, Mirkopoulou, Daphne, Mirrakhimov, Erkin, Mišigoj-Duraković, Marjeta, Mistretta, Antonio, Mocanu, Veronica, Modesti, Pietro A., Moghaddam, Sahar Saeedi, Mohajer, Bahram, Mohamed, Mostafa K., Mohamed, Shukri F., Mohammad, Kazem, Mohammadi, Mohammad Reza, Mohammadi, Zahra, Mohammadifard, Noushin, Mohammadpourhodki, Reza, Mohan, Viswanathan, Mohanna, Salim, Yusoff, Muhammad Fadhli Mohd, Mohebbi, Iraj, Mohebi, Farnam, Moitry, Marie, Møllehave, Line T., Møller, Niels C., Molnár, Dénes, Momenan, Amirabbas, Mondo, Charles K., Montenegro Mendoza, Roger A., Monterrubio-Flores, Eric, Monyeki, Kotsedi Daniel K., Moon, Jin Soo, Moosazadeh, Mahmood, Mopa, Hermine T., Moradpour, Farhad, Moreira, Leila B., Morejon, Alain, Moreno, Luis A., Morey, Francis, Morgan, Karen, Morin, Suzanne N., Mortensen, Erik Lykke, Moschonis, George, Moslem, Alireza, Mossakowska, Malgorzata, Mostafa, Aya, Mostafavi, Seyed-Ali, Mota-Pinto, Anabela, Mota, Jorge, Motlagh, Mohammad Esmaeel, Motta, Jorge, Moura-dos-Santos, Marcos André, Movsesyan, Yeva, Msyamboza, Kelias P., Mu, Thet Thet, Muc, Magdalena, Muca, Florian, Mugoša, Boban, Muiesan, Maria L., Müller-Nurasyid, Martina, Münzel, Thomas, Mursu, Jaakko, Murtagh, Elaine M., Musa, Kamarul Imran, Milanović, Sanja Musić, Musil, Vera, Musinguzi, Geofrey, Muyer, Muel Telo M. C., Nabipour, Iraj, Naderimagham, Shohreh, Nagel, Gabriele, Najafi, Farid, Nakamura, Harunobu, Nalecz, Hanna, Námešná, Jana, Nang, Ei Ei K., Nangia, Vinay B., Nankap, Martin, Narake, Sameer, Nardone, Paola, Naseri, Take, Nauck, Matthias, Neal, William A., Nejatizadeh, Azim, Nekkantti, Chandini, Nelis, Keiu, Nenko, Ilona, Neovius, Martin, Nervi, Flavio, Ng, Tze Pin, Nguyen, Chung T., Nguyen, Nguyen D., Nguyen, Quang Ngoc, Ni, Michael Y., Nicolescu, Rodica, Nie, Peng, Nieto-Martínez, Ramfis E., Nikitin, Yury P., Ning, Guang, Ninomiya, Toshiharu, Nishi, Nobuo, Nishtar, Sania, Noale, Marianna, Noboa, Oscar A., Nogueira, Helena, Nordendahl, Maria, Nordestgaard, Børge G., Noto, Davide, Nowak-Szczepanska, Natalia, Nsour, Mohannad Al, Nuhoğlu, Irfan, Nunes, Baltazar, Nurk, Eha, Nuwaha, Fred, Nyirenda, Moffat, O’Neill, Terence W., O’Reilly, Dermot, Obreja, Galina, Ochimana, Caleb, Ochoa-Avilés, Angélica M., Oda, Eiji, Odili, Augustine N., Oh, Kyungwon, Ohara, Kumiko, Ohlsson, Claes, Ohtsuka, Ryutaro, Olafsson, Örn, Olinto, Maria Teresa A., Oliveira, Isabel O., Omar, Mohd Azahadi, Omar, Saeed M., Onat, Altan, Ong, Sok King, Onland-Moret, N. Charlotte, Ono, Lariane M., Ordunez, Pedro, Ornelas, Rui, Ortiz, Ana P., Ortiz, Pedro J., Osler, Merete, Osmond, Clive, Ostojic, Sergej M., Ostovar, Afshin, Otero, Johanna A., Overvad, Kim, Owusu-Dabo, Ellis, Paccaud, Fred Michel, Pagkalos, Ioannis, Pahomova, Elena, de Paiva, Karina Mary, Pająk, Andrzej, Palloni, Alberto, Palmieri, Luigi, Pan, Wen-Harn, Panda-Jonas, Songhomitra, Pandey, Arvind, Panza, Francesco, Paoli, Mariela, Papadopoulou, Sousana K., Papandreou, Dimitrios, Pareja, Rossina G., Park, Soon-Woo, Park, Suyeon, Parnell, Winsome R., Parsaeian, Mahboubeh, Pascanu, Ionela M., Pasquet, Patrick, Patel, Nikhil D., Pattussi, Marcos, Pavlyshyn, Halyna, Pechlaner, Raimund, Pećin, Ivan, Pednekar, Mangesh S., Pedro, João M., Peer, Nasheeta, Peixoto, Sergio Viana, Peltonen, Markku, Pereira, Alexandre C., Peres, Marco A., Pérez, Cynthia M., Peterkova, Valentina, Peters, Annette, Petersmann, Astrid, Petkeviciene, Janina, Petrauskiene, Ausra, Kovtun, Olga Petrovna, Pettenuzzo, Emanuela, Peykari, Niloofar, Pfeiffer, Norbert, Phall, Modou Cheyassin, Pham, Son Thai, Pichardo, Rafael N., Pierannunzio, Daniela, Pigeot, Iris, Pikhart, Hynek, Pilav, Aida, Pilotto, Lorenza, Pistelli, Francesco, Pitakaka, Freda, Piwonska, Aleksandra, Pizarro, Andreia N., Plans-Rubió, Pedro, Platonova, Alina G., Poh, Bee Koon, Pohlabeln, Hermann, Polka, Nadija S., Pop, Raluca M., Popovic, Stevo R., Porta, Miquel, Posch, Georg, Poudyal, Anil, Poulimeneas, Dimitrios, Pouraram, Hamed, Pourfarzi, Farhad, Pourshams, Akram, Poustchi, Hossein, Pradeepa, Rajendra, Price, Alison J., Price, Jacqueline F., Prista, Antonio, Providencia, Rui, Puder, Jardena J., Pudule, Iveta, Puiu, Maria, Punab, Margus, Qadir, Muhammed S., Qasrawi, Radwan F., Qorbani, Mostafa, Quintana, Hedley K., Quiroga-Padilla, Pedro J., Bao, Tran Quoc, Rach, Stefan, Radic, Ivana, Radisauskas, Ricardas, Rahimikazerooni, Salar, Rahman, Mahfuzar, Rahman, Mahmudur, Raitakari, Olli, Raj, Manu, Rajabov, Tamerlan, Rakhmatulloev, Sherali, Rakovac, Ivo, Rao, Sudha Ramachandra, Ramachandran, Ambady, Ramadan, Otim P. C., Ramires, Virgílio V., Ramke, Jacqueline, Ramos, Elisabete, Ramos, Rafel, Rampal, Lekhraj, Rampal, Sanjay, Rangelova, Lalka S., Rarra, Vayia, Rascon-Pacheco, Ramon A., Rech, Cassiano Ricardo, Redon, Josep, Reganit, Paul Ferdinand M., Regecová, Valéria, Renner, Jane D. P., Repasy, Judit A., Reuter, Cézane P., Revilla, Luis, Rezaianzadeh, Abbas, Rho, Yeunsook, Ribas-Barba, Lourdes, Ribeiro, Robespierre, Riboli, Elio, Richter, Adrian, Rigo, Fernando, Rigotti, Attilio, Rinaldo, Natascia, Rinke de Wit, Tobias F., Rito, Ana I., Ritti-Dias, Raphael M., Rivera, Juan A., Roa, Reina G., Robinson, Louise, Robitaille, Cynthia, Roccaldo, Romana, Rodrigues, Daniela, Rodríguez-Artalejo, Fernando, del Cristo Rodriguez-Perez, María, Rodríguez-Villamizar, Laura A., Rodríguez, Andrea Y., Roggenbuck, Ulla, Rohloff, Peter, Rohner, Fabian, Rojas-Martinez, Rosalba, Rojroongwasinkul, Nipa, Romaguera, Dora, Romeo, Elisabetta L., Rosario, Rafaela V., Rosengren, Annika, Rouse, Ian, Rouzier, Vanessa, Roy, Joel G. R., Ruano, Maira H., Rubinstein, Adolfo, Rühli, Frank J., Ruidavets, Jean-Bernard, Ruiz-Betancourt, Blanca Sandra, Ruiz-Castell, Maria, Moreno, Emma Ruiz, Rusakova, Iuliia A., Jonsson, Kenisha Russell, Russo, Paola, Rust, Petra, Rutkowski, Marcin, Saamel, Marge, Sabanayagam, Charumathi, Sabbaghi, Hamideh, Sacchini, Elena, Sachdev, Harshpal S., Sadjadi, Alireza, Safarpour, Ali Reza, Safi, Sare, Safiri, Saeid, Saghi, Mohammad Hossien, Saidi, Olfa, Saki, Nader, Šalaj, Sanja, Salanave, Benoit, Martinez, Eduardo Salazar, Saleva, Calogero, Salmerón, Diego, Salomaa, Veikko, Salonen, Jukka T., Salvetti, Massimo, Samoutian, Margarita, Sánchez-Abanto, Jose, Rodríguez, Inés Sánchez, Sandjaja, [missing], Sans, Susana, Marina, Loreto Santa, Santacruz, Ethel, Santos, Diana A., Santos, Ina S., Santos, Lèlita C., Santos, Maria Paula, Santos, Osvaldo, Santos, Rute, Santos, Tamara R., Saramies, Jouko L., Sardinha, Luis B., Sarrafzadegan, Nizal, Sathish, Thirunavukkarasu, Saum, Kai-Uwe, Savva, Savvas, Savy, Mathilde, Sawada, Norie, Sbaraini, Mariana, Scazufca, Marcia, Schaan, Beatriz D., Rosario, Angelika Schaffrath, Schargrodsky, Herman, Schienkiewitz, Anja, Schindler, Karin, Schipf, Sabine, Schmidt, Carsten O., Schmidt, Ida Maria, Schneider, Andrea, Schnohr, Peter, Schöttker, Ben, Schramm, Sara, Schramm, Stine, Schröder, Helmut, Schultsz, Constance, Schulze, Matthias B., Schutte, Aletta E., Sebert, Sylvain, Sedaghattalab, Moslem, Selamat, Rusidah, Sember, Vedrana, Sen, Abhijit, Senbanjo, Idowu O., Sepanlou, Sadaf G., Sequera, Guillermo, Serra-Majem, Luis, Servais, Jennifer, Ševčíková, Ľudmila, Shalnova, Svetlana, Shamah-Levy, Teresa, Shamshirgaran, Seyed Morteza, Shanthirani, Coimbatore Subramaniam, Sharafkhah, Maryam, Sharma, Sanjib K., Shaw, Jonathan E., Shayanrad, Amaneh, Shayesteh, Ali Akbar, Shengelia, Lela, Shi, Zumin, Shibuya, Kenji, Shimizu-Furusawa, Hana, Shimony, Tal, Shiri, Rahman, Shrestha, Namuna, Si-Ramlee, Khairil, Siani, Alfonso, Siantar, Rosalynn, Sibai, Abla M., Sidossis, Labros S., Silitrari, Natalia, Silva, Antonio M., de Moura Silva, Caroline Ramos, Silva, Diego Augusto Santos, Silva, Kelly S., Sim, Xueling, Simon, Mary, Simons, Judith, Simons, Leon A., Sjöberg, Agneta, Sjöström, Michael, Skoblina, Natalia A., Skodje, Gry, Slazhnyova, Tatyana, Slowikowska-Hilczer, Jolanta, Slusarczyk, Przemysław, Smeeth, Liam, So, Hung-Kwan, Soares, Fernanda Cunha, Sobek, Grzegorz, Sobngwi, Eugène, Sodemann, Morten, Söderberg, Stefan, Soekatri, Moesijanti Y. E., Soemantri, Agustinus, Sofat, Reecha, Solfrizzi, Vincenzo, Somi, Mohammad Hossein, Sonestedt, Emily, Song, Yi, Soofi, Sajid, Sørensen, Thorkild I. A., Sørgjerd, Elin P., Jérome, Charles Sossa, Soto-Rojas, Victoria E., Soumaré, Aïcha, Sousa-Poza, Alfonso, Sovic, Slavica, Sparboe-Nilsen, Bente, Sparrenberger, Karen, Spencer, Phoebe R., Spinelli, Angela, Spiroski, Igor, Staessen, Jan A., Stamm, Hanspeter, Staub, Kaspar, Stavreski, Bill, Steene-Johannessen, Jostein, Stehle, Peter, Stein, Aryeh D., Stergiou, George S., Stessman, Jochanan, Stevanović, Ranko, Stieber, Jutta, Stöckl, Doris, Stokwiszewski, Jakub, Stoyanova, Ekaterina, Stratton, Gareth, Stronks, Karien, Strufaldi, Maria Wany, Sturua, Lela, Suárez-Medina, Ramón, Suka, Machi, Sun, Chien-An, Sun, Liang, Sundström, Johan, Sung, Yn-Tz, Sunyer, Jordi, Suriyawongpaisal, Paibul, Sweis, Nabil William G., Swinburn, Boyd A., Sy, Rody G., Sylva, René Charles, Szklo, Moyses, Szponar, Lucjan, Tabone, Lorraine, Tai, E. Shyong, Tambalis, Konstantinos D., Tammesoo, Mari-Liis, Tamosiunas, Abdonas, Tan, Eng Joo, Tang, Xun, Tanrygulyyeva, Maya, Tanser, Frank, Tao, Yong, Tarawneh, Mohammed Rasoul, Tarp, Jakob, Tarqui-Mamani, Carolina B., Braunerová, Radka Taxová, Taylor, Anne, Taylor, Julie, Tchibindat, Félicité, Te Velde, Saskia, Tebar, William R., Tell, Grethe S., Tello, Tania, Tham, Yih Chung, Thankappan, K. R., Theobald, Holger, Theodoridis, Xenophon, Thomas, Nihal, Thorand, Barbara, Thuesen, Betina H., Tichá, Ľubica, Timmermans, Erik J., Tjandrarini, Dwi H., Tjonneland, Anne, Tolonen, Hanna K., Tolstrup, Janne S., Topbas, Murat, Topór-Mądry, Roman, Torheim, Liv Elin, Tormo, María José, Tornaritis, Michael J., Torrent, Maties, Torres-Collado, Laura, Toselli, Stefania, Touloumi, Giota, Traissac, Pierre, Tran, Thi Tuyet-Hanh, Tremblay, Mark S., Triantafyllou, Areti, Trichopoulos, Dimitrios, Trichopoulou, Antonia, Trinh, Oanh T. H., Trivedi, Atul, Tsao, Yu-Hsiang, Tshepo, Lechaba, Tsigga, Maria, Tsintavis, Panagiotis, Tsugane, Shoichiro, Tuitele, John, Tuliakova, Azaliia M., Tulloch-Reid, Marshall K., Tullu, Fikru, Tuomainen, Tomi-Pekka, Tuomilehto, Jaakko, Turley, Maria L., Twig, Gilad, Tynelius, Per, Tzala, Evangelia, Tzotzas, Themistoklis, Tzourio, Christophe, Ueda, Peter, Ugel, Eunice, Ukoli, Flora A. M., Ulmer, Hanno, Unal, Belgin, Usupova, Zhamyila, Uusitalo, Hannu M. T., Uysal, Nalan, Vaitkeviciute, Justina, Valdivia, Gonzalo, Vale, Susana, Valvi, Damaskini, van Dam, Rob M., van den Born, Bert-Jan, Van der Heyden, Johan, van der Schouw, Yvonne T., Van Herck, Koen, Van Lippevelde, Wendy, Van Minh, Hoang, Van Schoor, Natasja M., van Valkengoed, Irene G. M., Vanderschueren, Dirk, Vanuzzo, Diego, Varbo, Anette, Varela-Moreiras, Gregorio, Vargas, Luz Nayibe, Varona-Pérez, Patricia, Vasan, Senthil K., Vasques, Daniel G., Vega, Tomas, Veidebaum, Toomas, Velasquez-Melendez, Gustavo, Velika, Biruta, Verloigne, Maïté, Veronesi, Giovanni, Verschuren, W. M. Monique, Victora, Cesar G., Viegi, Giovanni, Viet, Lucie, Vik, Frøydis N., Vilar, Monica, Villalpando, Salvador, Vioque, Jesus, Virtanen, Jyrki K., Visvikis-Siest, Sophie, Viswanathan, Bharathi, Vladulescu, Mihaela, Vlasoff, Tiina, Vocanec, Dorja, Vollenweider, Peter, Völzke, Henry, Voutilainen, Ari, Vrijheid, Martine, Vrijkotte, Tanja G. M., Wade, Alisha N., Waldhör, Thomas, Walton, Janette, Wambiya, Elvis O. A., Bebakar, Wan Mohamad Wan, Mohamud, Wan Nazaimoon Wan, de Souza Wanderley Júnior, Rildo, Wang, Ming-Dong, Wang, Ningli, Wang, Qian, Wang, Xiangjun, Wang, Ya Xing, Wang, Ying-Wei, Wannamethee, S. Goya, Wareham, Nicholas, Weber, Adelheid, Webster-Kerr, Karen, Wedderkopp, Niels, Weghuber, Daniel, Wei, Wenbin, Weres, Aneta, Werner, Bo, Westbury, Leo D., Whincup, Peter H., Wickramasinghe, Kremlin, Widhalm, Kurt, Widyahening, Indah S., Więcek, Andrzej, Wild, Philipp S., Wilks, Rainford J., Willeit, Johann, Willeit, Peter, Williams, Julianne, Wilsgaard, Tom, Wojciech, Rusek, Wojtyniak, Bogdan, Wolf, Kathrin, Wong-McClure, Roy A., Wong, Andrew, Wong, Emily B., Wong, Jyh Eiin, Wong, Tien Yin, Woo, Jean, Woodward, Mark, Wu, Frederick C., Wu, Hon-Yen, Wu, Jianfeng, Wu, Li Juan, Wu, Shouling, Wyszyńska, Justyna, Xu, Haiquan, Xu, Liang, Yaacob, Nor Azwany, Yamborisut, Uruwan, Yan, Weili, Yang, Ling, Yang, Xiaoguang, Yang, Yang, Yardim, Nazan, Yasuharu, Tabara, García, Martha Yépez, Yiallouros, Panayiotis K., Yngve, Agneta, Yoosefi, Moein, Yoshihara, Akihiro, You, Qi Sheng, You, San-Lin, Younger-Coleman, Novie O., Yu, Yu-Ling, Yu, Yunjiang, Yusof, Safiah Md, Yusoff, Ahmad Faudzi, Zaccagni, Luciana, Zafiropulos, Vassilis, Zainuddin, Ahmad A., Zakavi, Seyed Rasoul, Zamani, Farhad, Zambon, Sabina, Zampelas, Antonis, Zamrazilová, Hana, Zapata, Maria Elisa, Zargar, Abdul Hamid, Zaw, Ko Ko, Zayed, Ayman A., Zdrojewski, Tomasz, Żegleń, Magdalena, Zejglicova, Kristyna, Vrkic, Tajana Zeljkovic, Zeng, Yi, Zhang, Luxia, Zhang, Zhen-Yu, Zhao, Dong, Zhao, Ming-Hui, Zhao, Wenhua, Zhecheva, Yanitsa V., Zhen, Shiqi, Zheng, Wei, Zheng, Yingfeng, Zholdin, Bekbolat, Zhou, Maigeng, Zhu, Dan, Zins, Marie, Zitt, Emanuel, Zocalo, Yanina, Zoghlami, Nada, Cisneros, Julio Zuñiga, Zuziak, Monika, Bhutta, Zulfiqar A., Black, Robert E., and Ezzati, Majid

Subjects
Developing world, Public health, Multidisciplinary, Science General, Paediatric research, Nutrition
Abstract

Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was

Published
2023

32. Effekten av et gratis skolemåltid- en kunnskapsoppsummering

Author

Hovdenak, Ingrid Marie, Bere, Elling Tufte, Selstø, Annlaug, and Helleve, Arnfinn

Subjects
Kosthold, Oversiktsverk som emne, Schools, Academic Success, Adolescent, Nutritional Requirements, Måltider, Næringsbehov, Gratis skolemåltid, Review Literature as Topic, Barn, Academic Performance, Free school meals, Skoler, Child, Meals, Ungdommer, Akademisk framgang
Abstract

Innledning Gratis skolemat blir sett på som et tiltak som kan påvirke både helse og skolerelaterte utfallsmål. Hensikten med denne rapporten er å oppsummere hva forskningen sier om effekten av et gratis skolemåltid. Sentrale utfall er deltakelse ved skolemåltidet, vektstatus, kosthold, akademiske resultater, fravær samt sosial ulikhet. I tillegg til disse utfallsmålene vil vi beskrive skolemåltidet opp mot bærekraft. Metode Vi tok utgangspunkt i en nylig publisert oversiktsartikkel (Cohen, 2021), som oppsummerte effekten av gratis skolemåltid i høyinntektsland. Videre gjennomføre vi tre litteratursøk etter 1) systematiske litteraturstudier publisert de siste 10 årene, 2) nyere empiriske studier publisert i 2021 og 2022 (altså en oppdatering av Cohen), og 3) empiriske studier publisert i Norden (uten tidsavgrensning). Videre inkluderte vi relevante studier fra litteraturlisten til inkluderte studier. For å gi en rikere beskrivelse av hva den potensielle effekten av et skolemåltid kan være, eller andre relevante betraktninger rundt et skolemåltid, beskriver vi også grå litteratur som tidligere utredninger og evalueringer fra Norge. Dette ble gjort usystematisk, og må ses på som et tillegg til oppdraget, og ikke som en del av hovedoppdraget. Resultat En systematisk oversiktsartikkel, åtte empiriske studier publisert i 2021 og 2022 og 13 studier fra Norden, samt tre studier fra litteraturlister til de inkluderte studiene, var relevant og oppfylte inklusjonskriteriene. Videre beskriver vi i tillegg tre tidligere utredninger, en rapport og tre evalueringer. Oversiktsartikkelen viste at majoriteten av inkluderte studier rapporterte at gratis skolemåltid, særlig lunsj, var assosiert med økt deltakelse ved skolemåltider, bedre kosthold og forbedret matsikkerhet, og måltidet førte enten til ingen endring i vekt, eller mindre overvekt, blant elever. For frokost var resultatene sprikende. Generelt var resultatene fra den nordiske litteraturen sprikende og flere av studiene hadde lav kvalitet. Majoriteten av studiene fra Norden viste at et gratis skolemåltid (frokost eller lunsj) hadde en positiv effekt på noen kostutfall. Videre tyder resultatene på at et gratis skolemåltid kan bidra til å redusere sosiale forskjeller i kostholdet. Totalt tre nordiske studier undersøkte sammenhengen mellom gratis skolemåltid og vekt, hvorav en studie viste økt vekt og en annen viste økt midjemål, og en viste ingen endring som følge av et gratis skolemåltid. To nordiske studier undersøkte effekten av et gratis skolemåltid på akademiske prestasjoner, hvor ingen av disse viste tydelig positiv effekt. Ingen av de nordiske studiene fant en sammenheng mellom gratis skolemåltid og fravær (to studier), trivsel (to studier) eller skolemiljø (to studier). I henhold til bærekraft, var det bare en studie fra Danmark som undersøkte effekten av matsvinn. Resultatene viste at et varmt skolemåltid førte til mer matsvinn sammenlignet med medbragt matpakke. To studier som så på langtidseffekten av gratis skolemåltid, implementert i Norden på 1920-1940-tallet, viste at skolemåltidet førte til lengre skolegang og økt inntekt. Diskusjon En rekke studier undersøker effekten av et gratis skolemåltid, men denne har begrenset relevans for norske forhold. Det er generelt mangel på relevant forskning som undersøker effekten av et gratis skolemåltid. Resultatene av studiene som er overførbare til en norsk setting er sprikende. Konklusjon Den internasjonale forskningslitteraturen viser positive effekter av å tilby et gratis skolemåltid på flere utfallsmål, men resultatene er i mindre grad overførbare til en norsk kontekst. Det er mangel på robuste studier av effektene av å tilby et gratis skolemåltid i kontekster som den norske.

Published
2023

33. E-cycling and health benefits: A systematic literature review with meta-analyses

Author

Riiser, Amund, Bere, Elling Tufte, Andersen, Lars Bo, and Nordengen, Solveig

Subjects
Physiology, Tourism, Leisure and Hospitality Management, Anthropology, Public Health, Environmental and Occupational Health, Orthopedics and Sports Medicine, Physical Therapy, Sports Therapy and Rehabilitation, VDP::Medisinske Fag: 700::Idrettsmedisinske fag: 850
Abstract

The objective of the present study is to review and meta-analyze the effect of E-cycling on health outcomes. We included longitudinal experimental and cohort studies investigating the effect of E-cycling on health outcomes. The studies were identified from the seven electronic databases: Web of Science, Scopus, Medline, Embase, PsycINFO, Cinahl and SportDiscus and risk of bias was assessed with the revised Cochrane Collaboration Risk of Bias Tool (RoB2). We performed meta-analysis with random effects models on outcomes presented in more than one study. Our study includes one randomized controlled trial, five quasi experimental trials and two longitudinal cohort studies. The trials included 214 subjects of whom 77 were included in control groups, and the cohort studies included 10,222 respondents at baseline. Maximal oxygen consumption and maximal power output were assessed in four and tree trials including 78 and 57 subjects, respectively. E-cycling increased maximal oxygen consumption and maximal power output with 0.48 SMD (95%CI 0.16–0.80) and 0.62 SMD (95%CI 0.24–0.99). One trial reported a decrease in 2-h post plasma glucoses from 5.53 ± 1.18 to 5.03 ± 0.91 mmol L−1 and one cohort study reported that obese respondents performed 0.21 times more trips on E-bike than respondents with normal weight. All the included studies had a high risk of bias due to flaws in randomization. However, the outcomes investigated in most studies showed that E-cycling can improve health.

Published
2022
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39. Gratis skolemat i ungdomsskolen – nasjonal kartlegging av skolematordninger og utprøving av enkel modell med et varmt måltid

Author

Kolve, Cathrine Solheim, Helleve, Arnfinn, and Bere, Elling Tufte

Subjects
Schools, Skolematordning, Norway, Matutdeling, Gratis skolemat, Food Assistance, Skoler, Norge, Meals
Abstract

Innledning Gratis skolemat (det vil si et måltid uten elev- eller foreldrebetaling) blir av mange sett på som et tiltak som kan løse flere utfordringer i samfunnet relatert til kosthold, trivsel og læring, sosiale forskjeller og miljø. Selv om det i Norge er en tradisjon for å ta med mat hjemmefra er det flere elever som ikke har gode spisevaner på skoledager. Utfordringene med et gratis skolemåltid til alle skoleelever er blant annet betydelige kostnader knyttet til investeringer og drift. FHI ønsket å prøve ut om det er praktisk mulig å tilberede og tilby et varmt måltid ved ungdomsskoler ved bruk av eksisterende fasiliteter, samt å kartlegge omfanget av skolematordninger ved norske ungdomsskoler. I samarbeid med Geitmyra matkultursenter for barn og Unge Kokker ble det utviklet et konsept med enkel varmmat som kan lages i én gryte. Dette konseptet ble testet ut på fem ungdomsskoler, hvor elevene fikk tilbud om å spise et gratis varmt måltid over ti skoledager. Menyen bestod av havregrøt, fiskegryte, gulrotsuppe, grønnsakssuppe og chili-sin-carne. Geitmyra matkultursenter for barn og Unge Kokker bistod også skolene med planlegging og gjennomføring, og kokker var til stede de fem første av de ti utprøvningsdagene. Prosjektet hadde følgende problemstillinger: Delprosjekt 1 i) Hvilke skolematsordninger finnes i dag ved norske ungdomsskoler? Delprosjekt 2 ii) Er det mulig for ungdomsskoler å tilby et varmt skolemåltid innenfor dagens infrastruktur? iii) Hva syntes elever om å få servert et varmt skolemåltid, og i hvilken grad kan et slikt skolemåltid påvirke elevenes kosthold? Metode Kartleggingen over ulike skolematordninger ved landets ungdomsskoler ble gjennomført som en nettbasert spørreskjemaundersøkelse til alle skoler med ungdomstrinn (bruttoutvalg=985 skoler). Konseptet ble prøvd ut ved fem skoler (tre i Oslo og to i Trøndelag) for å sikre variasjon i skolenes beliggenhet, elevantall og elevsammensetning. Skolene testet ut konseptet med enkle varmretter i totalt ti dager. For å undersøke elevenes vaner og holdninger ble det gjennomført spørreskjemaundersøkelser blant 1043 elever før og under utprøvingen. Ved hver skole ble det også gjennomført to fokusgruppeintervju, et intervju med elever og et intervju med en gruppe lærere/rektor. I tillegg ble det gjort observasjoner ved alle skolene for å gi et innblikk i selve gjennomføringen. Resultater Nasjonal kartlegging (delprosjekt 1) Totalt besvarte 817 ungdomsskoler den nasjonale kartleggingen, noe som gav en svarprosent på 83%. Resultatene viste at 16% (n=133) av ungdomsskoler hadde en ordning med organisert skolemat. Blant skolene som hadde en skolematordning hadde 61% av disse en gratisordning. Totalt var det 6% av skolene som hadde et tilbud om et gratis måltid til alle elevene hver skoledag. De fleste serverte lunsj (54%), og det vanligste lunsjtilbudet var å servere kald mat (77%), men over halvparten (56%) hadde også tilbud om varmmat. Utprøving av varmmatmodell (delprosjekt 2) Prosjektet med utprøving av en varmmatmodell viste at det var mulig for ungdomsskolene å tilberede og servere et varmt måltid til elevene. Forutsetninger for å få det til var god planlegging, lokal tilpasning og en ansvarlig person som koordinerte prosjektet ved hver skole. Erfaringene fra prosjektet tilsier at tilbud om et varmt skolemåltid må ha en ansatt som er ansvarlig for opplegget og som har den nødvendige kunnskapen for å kunne lage mat til mange. I dette prosjektet var det en trygghet for de ansatte på skolene at det var til stede kokk fra Geitmyra matkultursenter for barn eller Unge kokker de første fem dagene. Elevene selv var positive til å få gratis mat, men det var en utfordring å få alle til å smake og spise opp maten. Blant de som besvarte spørreskjemaet (n=670) var det 33% av elevene som sa de likte maten dårligere enn det de vanligvis spiser til skolelunsj (nistepakke for de fleste). Det var flere som ikke smakte på rettene som ble servert. For eksempel var det 25% som ikke smakte på fiskegryten. Blant elevene som smakte på rettene, var det havregrynsgrøten og chilisin-carne elevene likte best, men det var ikke mer enn 54 og 51% som rapporterte at de likte disse rettene godt. Andelen som likte de forskjellige rettene, varierte stort mellom skolene. I fokusgruppene ga elevene uttrykk for at de ønsket mer variasjon og tilpassede retter. Sammenlignet med undersøkelsen før utprøvingen viste undersøkelsen som ble gjennomført mens konseptet ble testet ut forholdsvis små endringer i hva som ble spist på skolen. Det var en liten økning i andelen som spiste frokost og grønnsaker på skolen, og en liten reduksjon i andelen som spiste snacks og frukt på skolen. Diskusjon Den nasjonale kartleggingen viste at det er relativt få ungdomsskoler som hadde en ordning med gratis skolemat i Norge. Selv om resultatene fra pilotundersøkelsen viste at det er mulig å lage og servere et enkelt varmt måltid til elever på ungdomsskolen med dagens infrastruktur og personell, er det lite realistisk å etablere ordninger med skolemat uten dedikerte personalressurser med kompetanse og ekstra ressurser. Elevene som deltok i denne utprøvingen var i utgangspunktet positive til å få servert et gratis måltid hver dag, og flere likte rettene godt. Samtidig falt ikke rettene i smak hos alle. Mange elever lot også være å smake på maten som ble servert. For flere elever var det ukjente retter og smaker som ble servert. Det er en stor utfordring om mange ikke spiser maten. Det å lage sunne, matretter som skal tilfredsstille alle, og samtidig være innenfor et begrenset budsjett, er nok vanskelig. Resultatene fra studien viste at det ikke er sikkert at en skolematordning i ungdomsskolen nødvendigvis vil forbedre kostholdet blant ungdom i Norge i dag. Blant de elevene som smakte på rettene var det likevel en liten forbedring i hva de spiste. Elevene og skolepersonale hadde positive erfaringer med å innta måltidet sammen. Dette kan tyde på at deltakelsen i felles måltider kan ha en funksjon for det sosiale miljøet ved skolene. Konklusjon Omtrent hver sjette ungdomsskole hadde i 2020 en form for skolematordning, mens det bare ved 6% av skolene var et tilbud om gratis skolemat hver dag. Pilotundersøkelsen viste at det er mulig for ungdomsskoler å servere et varmt måltid til elever innenfor skolens infrastruktur, men at en permanent ordning vil kreve andre ressurser og personale med riktig kompetanse. Elevene selv gav uttrykk for at de ønsket seg gratis skolemat, men rettene som ble servert falt ikke helt i smak. Både elever og skolens personell opplevde selve måltidsituasjonen som positiv for det sosiale miljøet.

Published
2022

42. The impact of weather conditions on everyday cycling with different bike types in parents of young children participating in the CARTOBIKE randomized controlled trial

Author

Bjørnarå, Helga Birgit, Berntsen, Sveinung, te Velde, Saskia J., Fyhri, Aslak, Isaksen, Ketil, Deforche, Benedicte, Andersen, Lars Bo, Stenling, Andreas, Bere, Elling, Bjørnarå, Helga Birgit, Berntsen, Sveinung, te Velde, Saskia J., Fyhri, Aslak, Isaksen, Ketil, Deforche, Benedicte, Andersen, Lars Bo, Stenling, Andreas, and Bere, Elling

Abstract

Knowledge about how weather conditions affect travel behavior in different user groups and contexts is relevant for planners and policymakers to facilitate sustainable transportation systems. We aimed to assess the influence of day-to-day weather on cycling for transportation among parents of young children with access to different bike types (e-bike vs non e-bike) in a natural study setting over nine months. We hypothesized less impact of weather variability on cycling when using an e-bike compared with a non e-bike. A randomized, controlled trial was conducted in Southern Norway. The intervention group (n = 18) was in random order equipped with an e-bike with trailer for child transportation (n = 6), a cargo (longtail) bike (n = 6) and a traditional bike with trailer (n = 6), each for three months. These 18 participants reported cycling on 832 out of 3276 person-days (25%). We used dynamic structural equation modeling for intensive longitudinal data to examine the relations between daily weather conditions, bike type (e-bike vs traditional bike), and cycling (dichotomized daily at yes or no). Air temperature (positively) and wind speed (negatively) were both credible predictors of cycling, whereas the other predictors (precipitation in the morning (yes or no) and presence of snow (yes or no) were not. We added interaction terms between bike type and weather conditions, but none of the interaction terms had a credible effect on cycling. Thus, the relations between weather conditions and cycling were not moderated by bike type among parents of young children.

Published
2021
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43. Validity of items assessing self-reported number of breaks in sitting time among children and adolescents

Author

Van Oeckel, Veerle, Deforche, Benedicte, Ridgers, Nicola D, Bere, Elling, Verloigne, Maïté, Van Oeckel, Veerle, Deforche, Benedicte, Ridgers, Nicola D, Bere, Elling, and Verloigne, Maïté

Abstract

Background: Sedentary behaviour guidelines recommend that individuals should regularly break up sitting time. Accurately monitoring such breaks is needed to inform guidelines concerning how regularly to break up sitting time and to evaluate intervention effects. We investigated the concurrent validity of three “UP4FUN child questionnaire” items assessing the number of breaks in sitting time among children and adolescents. Methods: Fifty-seven children and adolescents self-reported number of breaks from sitting taken at school, while watching TV, and during other screen time activities. Participants also wore an activPAL monitor (PAL Technologies, Glasgow, UK) to objectively assess the number of sitting time breaks (frequency/hour) during the school period and the school-free period (which was divided in the periods “after school” and “during the evening”). Concurrent validity was assessed using Spearman rank correlations. Results: Self-reported number of breaks/hour at school showed good concurrent validity (ρ = 0.676). Results were moderate to good for self-reported number of breaks/hour while watching TV (ρ range for different periods: 0.482 to 0.536) and moderate for self-reported number of breaks/hour in total screen time (ρ range for different periods: 0.377 to 0.468). Poor concurrent validity was found for self-reported number of breaks/hour during other screen time activities (ρ range for different periods: 0.157 to 0.274). Conclusions: Only the questionnaire items about number of breaks at school and while watching TV appear to be acceptable for further use in research focussing on breaks in prolonged sitting among children and adolescents.

Published
2020

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