This page has only limited features, please log in for full access.

Dr. Christine Delisle Nyström
Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Sweden

Basic Info


Research Keywords & Expertise

0 Body Composition
0 Prevention
0 dietary assessment
0 Dietary intake
0 overweight and obesity

Fingerprints

Prevention
Body Composition
overweight and obesity
Dietary intake

Honors and Awards

The user has no records in this section


Career Timeline

The user has no records in this section.


Short Biography

The user biography is not available.
Following
Followers
Co Authors
The list of users this user is following is empty.
Following: 0 users

Feed

Journal article
Published: 12 August 2021 in Children
Reads 0
Downloads 0

Child healthcare (CHC) nurses have a key role in promoting and supporting healthy lifestyle behaviors from a young age. Thus, this study aims to investigate the perspectives of CHC nurses regarding discussing food introduction, physical activity/active play, and screen time with parents; explore facilitators and barriers influencing the discussion of healthy lifestyle behaviors with parents; and explore the perspectives of CHC nurses regarding a complementary program to promote healthy lifestyle behaviors from the start of life. A total of fifteen nurses participated in semi-structured interviews, which were recorded, transcribed verbatim, and analyzed using thematic analysis. There were four themes that were generated: parental needs; facilitators and barriers; parental groups; and future working methods. This study found that CHC nurses have seen an increase in the need for support among today’s parents. Time, the need to tailor information, and confidence to address sensitive topics were perceived as the largest barriers during daily work for the nurses. Furthermore, large variations in parental groups were found. Finally, the CHC nurses displayed a willingness and openness to change and develop current working methods using digital solutions. These solutions could possibly ease the workload and at the same time, support parents to create healthy lifestyle behaviors from the start of their child’s life.

ACS Style

Matilda Ersson; Maria Henström; Gerd Almquist-Tangen; Kylie D. Hesketh; Christine Delisle Nyström. How to Support Child Healthcare Nurses in Sweden to Promote Healthy Lifestyle Behaviors from the Start of Life. Children 2021, 8, 696 .

AMA Style

Matilda Ersson, Maria Henström, Gerd Almquist-Tangen, Kylie D. Hesketh, Christine Delisle Nyström. How to Support Child Healthcare Nurses in Sweden to Promote Healthy Lifestyle Behaviors from the Start of Life. Children. 2021; 8 (8):696.

Chicago/Turabian Style

Matilda Ersson; Maria Henström; Gerd Almquist-Tangen; Kylie D. Hesketh; Christine Delisle Nyström. 2021. "How to Support Child Healthcare Nurses in Sweden to Promote Healthy Lifestyle Behaviors from the Start of Life." Children 8, no. 8: 696.

Original article
Published: 01 June 2021 in European Journal of Pediatrics
Reads 0
Downloads 0

Very few early childhood interventions have observed sustained effects regarding television viewing and none have examined the mechanisms behind sustained intervention effects at long-term follow-ups. Thus, the aim of this study was to investigate potential mechanisms relating to the maintained intervention effect on television viewing at two long-term follow-ups in the Melbourne Infant Feeding Activity and Nutrition Trial (INFANT). INFANT was a cluster-randomised controlled trial. At the 2- and 3.5-year follow-ups, a total of 262 infant/mother pairs had complete information. Television viewing was assessed via a questionnaire at both follow-ups and six potential mediators were measured post-intervention (i.e. 15 months after baseline). Causal mediation analysis was conducted. At the 2- and 3.5-year follow-ups, the positive impacts of INFANT on maternal television viewing knowledge were maintained (B = 0.34 units; 95% confidence interval (CI95): 0.21, 0.48). An indirect effect of the intervention on reducing children’s television viewing time was observed at the 2- and 3.5-year follow-ups (B = −11.73 min/day; CI95: −22.26, −3.28 and B = −4.78 min/day; CI95: −9.48, −0.99, respectively) via improved maternal television viewing knowledge. Conclusion: The positive impacts of INFANT on maternal television viewing knowledge were maintained at both follow-ups, with better maternal knowledge associated with less television viewing time in their children. These results have implications for paediatricians and healthcare professionals as educating new parents early on regarding screen time may lead to the development of healthier screen time habits that are sustained through to the pre-school years. What is Known: • Lifestyle behaviours inclusive of screen time have been found to be established before the pre-school years and track. • Few trials have evaluated the long-term mechanisms related to maintained intervention effectiveness. What is New: • This study shows the positive impacts of a low-dose intervention on maternal television viewing knowledge at two long-term follow-ups. • Better maternal television viewing knowledge was associated with less television viewing time in their children.

ACS Style

Christine Delisle Nyström; Gavin Abbott; Adrian J. Cameron; Karen J. Campbell; Marie Löf; Jo Salmon; Kylie D. Hesketh. Maternal knowledge explains screen time differences 2 and 3.5 years post-intervention in INFANT. European Journal of Pediatrics 2021, 1 -8.

AMA Style

Christine Delisle Nyström, Gavin Abbott, Adrian J. Cameron, Karen J. Campbell, Marie Löf, Jo Salmon, Kylie D. Hesketh. Maternal knowledge explains screen time differences 2 and 3.5 years post-intervention in INFANT. European Journal of Pediatrics. 2021; ():1-8.

Chicago/Turabian Style

Christine Delisle Nyström; Gavin Abbott; Adrian J. Cameron; Karen J. Campbell; Marie Löf; Jo Salmon; Kylie D. Hesketh. 2021. "Maternal knowledge explains screen time differences 2 and 3.5 years post-intervention in INFANT." European Journal of Pediatrics , no. : 1-8.

Research paper
Published: 11 January 2021 in Public Health Nutrition
Reads 0
Downloads 0

Objective: This study aimed to assess whether the long-term effectiveness of the Melbourne Infant, Feeding, Activity and Nutrition Trial (INFANT) at 2 and 3·5 years post-intervention varied according to maternal education and age. Design: Two and 3·5 years post-intervention follow-up of the INFANT cluster-randomised controlled trial. Outcomes at both follow-ups included children’s BMI z-scores, physical activity (ActiGraph), television viewing (parental report) and dietary intake (3 × 24-h dietary recalls). Dichotomous moderator variables included maternal education (university v. no university) and age (< 32 v. ≥ 32 years). Setting: Population based. Participants: Families completing the 15-month programme (n 492) were invited to participate in the follow-ups when their child was 3·6 and 5 years old. Results: At the 2-year follow-up, the intervention effects on vegetable (positive) and sweet snack (negative) intake were greater in children with higher educated mothers, whereas water consumption (positive) was greater in children with lower educated mothers. At the 2-year follow-up, the intervention was more effective in increasing water consumption in children with younger mothers and decreasing sweet snack intake in children with older mothers (opposite result observed at the 3·5-year follow-up). At the 3·5-year follow-up, children with younger and older mothers increased and decreased their consumption of savoury snacks, respectively. Conclusions: Moderation by maternal education and age were observed for some outcomes; however, clear patterns were not evident at both follow-ups, with little consistency across outcomes. This indicates that INFANT was more-or-less equally effective in children irrespective of their mother’s education level or age, which is important in community-based interventions.

ACS Style

Christine Delisle Nyström; Adrian J Cameron; Karen J Campbell; Kylie D Hesketh. Variation in outcomes of the Melbourne Infant, Feeding, Activity and Nutrition Trial (INFANT) according to maternal education and age 2 and 3·5 years post-intervention. Public Health Nutrition 2021, 1 -9.

AMA Style

Christine Delisle Nyström, Adrian J Cameron, Karen J Campbell, Kylie D Hesketh. Variation in outcomes of the Melbourne Infant, Feeding, Activity and Nutrition Trial (INFANT) according to maternal education and age 2 and 3·5 years post-intervention. Public Health Nutrition. 2021; ():1-9.

Chicago/Turabian Style

Christine Delisle Nyström; Adrian J Cameron; Karen J Campbell; Kylie D Hesketh. 2021. "Variation in outcomes of the Melbourne Infant, Feeding, Activity and Nutrition Trial (INFANT) according to maternal education and age 2 and 3·5 years post-intervention." Public Health Nutrition , no. : 1-9.

Journal article
Published: 14 December 2020 in Nutrients
Reads 0
Downloads 0

In Sweden, there have been no interventions promoting the development of healthy lifestyle behaviors starting in infancy. Thus this paper aims to: (i) investigate Swedish parents’ experiences regarding feeding of solid foods, screen time, and physical activity in healthy infants; (ii) investigate parents’ needs and perceptions regarding information/support provided in primary child healthcare (CHC) and (iii) explore whether a parenting program focused on child diet and active play would be relevant and utilized. Semi-structured interviews were conducted with 20 parents. These were recorded, transcribed verbatim and analyzed using thematic analysis. Seven themes emerged: Feeling excited to enter a new phase; Parents’ responsibility of doing it “right” can be stressful; Motivated to learn during specific time windows; Information to trust; The importance of social support from peers; Experiences of support received from CHC; and the Infant, Feeding, Activity, and Nutrition Trial (INFANT) for a Swedish context. Parents were excited to enter new phases in their child’s development. However, this came with worry they were doing things “right”, leading parents to want more information/support. Overall, Swedish parents were very positive about the prospects of engaging in a primary CHC delivered program to support them to promote healthy lifestyle behaviors from birth and felt this could complement the care currently provided.

ACS Style

Maria Henström; Ulrika Müssener; Karen J. Campbell; Kylie D. Hesketh; Magdalena Rosell; Christine Delisle Nyström. The Need for an Evidence-Based Program in Sweden to Support Parents to Create Healthy Lifestyle Behaviors from the Start of Life—Parental Perceptions. Nutrients 2020, 12, 3823 .

AMA Style

Maria Henström, Ulrika Müssener, Karen J. Campbell, Kylie D. Hesketh, Magdalena Rosell, Christine Delisle Nyström. The Need for an Evidence-Based Program in Sweden to Support Parents to Create Healthy Lifestyle Behaviors from the Start of Life—Parental Perceptions. Nutrients. 2020; 12 (12):3823.

Chicago/Turabian Style

Maria Henström; Ulrika Müssener; Karen J. Campbell; Kylie D. Hesketh; Magdalena Rosell; Christine Delisle Nyström. 2020. "The Need for an Evidence-Based Program in Sweden to Support Parents to Create Healthy Lifestyle Behaviors from the Start of Life—Parental Perceptions." Nutrients 12, no. 12: 3823.

Journal article
Published: 16 November 2020 in International Journal of Environmental Research and Public Health
Reads 0
Downloads 0

The International Study of Movement Behaviors in the Early Years (SUNRISE) was initiated in response to the 2019 WHO guidelines for physical activity, sedentary behavior, and sleep in children aged 0–5 years. This Swedish pilot study aimed to: (i) assess the proportion of preschoolers meeting the guidelines, (ii) evaluate the feasibility of the methods for the SUNRISE study, and (iii) assess how movement behaviors have been affected in preschoolers during the COVID-19 pandemic. Physical activity and sleep (waist-worn ActiGraph); screen time and movement behaviors (parental questionnaire); motor skills (Ages and Stages Questionnaire); and executive functions (3 iPad games) were assessed in 100 Swedish preschoolers (n = 58 boys). There were 19.4% of preschoolers (n = 14) who met the WHO guidelines. The motor skill and executive function assessments were feasible; however, 20% refused to wear the ActiGraph overnight. Additionally, during the pandemic Swedish children’s physical activity, time spent outside on weekdays and weekend days, and screen time significantly increased (+53; +124; +68; +30min/day, respectively, all p-values ≤ 0.001). Methods for the SUNRISE study were feasible in a Swedish context; however, considerations to switch to a wrist-worn accelerometer should be made. Furthermore, children’s physical activity increased during the pandemic, which is likely due to how the rules/restrictions were implemented in Sweden.

ACS Style

Christine Delisle Nyström; Christina Alexandrou; Maria Henström; Ellinor Nilsson; Anthony D. Okely; Serina Wehbe El Masri; Marie Löf. International Study of Movement Behaviors in the Early Years (SUNRISE): Results from SUNRISE Sweden’s Pilot and COVID-19 Study. International Journal of Environmental Research and Public Health 2020, 17, 8491 .

AMA Style

Christine Delisle Nyström, Christina Alexandrou, Maria Henström, Ellinor Nilsson, Anthony D. Okely, Serina Wehbe El Masri, Marie Löf. International Study of Movement Behaviors in the Early Years (SUNRISE): Results from SUNRISE Sweden’s Pilot and COVID-19 Study. International Journal of Environmental Research and Public Health. 2020; 17 (22):8491.

Chicago/Turabian Style

Christine Delisle Nyström; Christina Alexandrou; Maria Henström; Ellinor Nilsson; Anthony D. Okely; Serina Wehbe El Masri; Marie Löf. 2020. "International Study of Movement Behaviors in the Early Years (SUNRISE): Results from SUNRISE Sweden’s Pilot and COVID-19 Study." International Journal of Environmental Research and Public Health 17, no. 22: 8491.

Journal article
Published: 08 June 2020 in JMIR mHealth and uHealth
Reads 0
Downloads 0

Background Active transportation (AT; ie, walking and cycling as a mode for transportation) has been associated with decreased morbidity and mortality; however, low-cost and scalable intervention programs are lacking. Objective The goal of the research was to determine the effectiveness of a 3-month behavior change program delivered via a mobile phone app to promote AT (TravelVu Plus) on time spent in moderate-to-vigorous physical activity (MVPA). Methods For this 2-arm parallel randomized controlled trial, we recruited a population-based sample of 254 adults from Stockholm County who were aged 20 to 65 years and had access to a smartphone. On completion of 1-week baseline measures, the 254 participants were randomized to either the control or intervention group (1:1 ratio). Both groups had access to the standard TravelVu app (Trivector AB) for monitoring their AT for 6 months. The intervention group also received a 3-month behavior change program to promote AT (TravelVu Plus app). Assessors of outcomes were blinded to group allocation. Outcomes were objectively measured MVPA at 3 (primary) and 6 months. Secondary outcomes were AT, attitudes toward AT, and health-related quality of life at 3 and 6 months. Results No effect on MVPA was observed after 3 months (P=.29); however, at 6 months the intervention group had a greater improvement in MVPA than the controls (6.05 minutes per day [95% CI 0.36 to 11.74; P=.04]). A Bayesian analyses showed that there was a 98% probability that the intervention had any effect at 6 months, and a 63% probability that this effect was >5 minute MVPA per day. Conclusions No effect on MVPA immediately after the intervention period (at 3 months) was observed; however, there was a delayed effect on MVPA (6 minutes per day) at 6 months, which corresponds to approximately 30% of the weekly MVPA recommendation. Our findings suggest that a behavior change program promoting AT delivered via an app may have a relevant effect on PA. Trial Registration ClinicalTrials.gov NCT03086837; https://clinicaltrials.gov/ct2/show/NCT03086837 International Registered Report Identifier (IRRID) RR2-10.1186/s12889-018-5658-4

ACS Style

Anna Ek; Christina Alexandrou; Emmie Söderström; Patrick Bergman; Christine Delisle Nyström; Artur Direito; Ulf Eriksson; Pontus Henriksson; Ralph Maddison; Ylva Trolle Lagerros; Marcus Bendtsen; Marie Löf. Effectiveness of a 3-Month Mobile Phone–Based Behavior Change Program on Active Transportation and Physical Activity in Adults: Randomized Controlled Trial. JMIR mHealth and uHealth 2020, 8, e18531 .

AMA Style

Anna Ek, Christina Alexandrou, Emmie Söderström, Patrick Bergman, Christine Delisle Nyström, Artur Direito, Ulf Eriksson, Pontus Henriksson, Ralph Maddison, Ylva Trolle Lagerros, Marcus Bendtsen, Marie Löf. Effectiveness of a 3-Month Mobile Phone–Based Behavior Change Program on Active Transportation and Physical Activity in Adults: Randomized Controlled Trial. JMIR mHealth and uHealth. 2020; 8 (6):e18531.

Chicago/Turabian Style

Anna Ek; Christina Alexandrou; Emmie Söderström; Patrick Bergman; Christine Delisle Nyström; Artur Direito; Ulf Eriksson; Pontus Henriksson; Ralph Maddison; Ylva Trolle Lagerros; Marcus Bendtsen; Marie Löf. 2020. "Effectiveness of a 3-Month Mobile Phone–Based Behavior Change Program on Active Transportation and Physical Activity in Adults: Randomized Controlled Trial." JMIR mHealth and uHealth 8, no. 6: e18531.

Preprint content
Published: 03 March 2020
Reads 0
Downloads 0

BACKGROUND Active transportation (AT; ie, walking and cycling as a mode for transportation) has been associated with decreased morbidity and mortality; however, low-cost and scalable intervention programs are lacking. OBJECTIVE The goal of the research was to determine the effectiveness of a 3-month behavior change program delivered via a mobile phone app to promote AT (TravelVu Plus) on time spent in moderate-to-vigorous physical activity (MVPA). METHODS For this 2-arm parallel randomized controlled trial, we recruited a population-based sample of 254 adults from Stockholm County who were aged 20 to 65 years and had access to a smartphone. On completion of 1-week baseline measures, the 254 participants were randomized to either the control or intervention group (1:1 ratio). Both groups had access to the standard TravelVu app (Trivector AB) for monitoring their AT for 6 months. The intervention group also received a 3-month behavior change program to promote AT (TravelVu Plus app). Assessors of outcomes were blinded to group allocation. Outcomes were objectively measured MVPA at 3 (primary) and 6 months. Secondary outcomes were AT, attitudes toward AT, and health-related quality of life at 3 and 6 months. RESULTS No effect on MVPA was observed after 3 months (P=.29); however, at 6 months the intervention group had a greater improvement in MVPA than the controls (6.05 minutes per day [95% CI 0.36 to 11.74; P=.04]). A Bayesian analyses showed that there was a 98% probability that the intervention had any effect at 6 months, and a 63% probability that this effect was >5 minute MVPA per day. CONCLUSIONS No effect on MVPA immediately after the intervention period (at 3 months) was observed; however, there was a delayed effect on MVPA (6 minutes per day) at 6 months, which corresponds to approximately 30% of the weekly MVPA recommendation. Our findings suggest that a behavior change program promoting AT delivered via an app may have a relevant effect on PA. CLINICALTRIAL ClinicalTrials.gov NCT03086837; https://clinicaltrials.gov/ct2/show/NCT03086837 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s12889-018-5658-4

ACS Style

Anna Ek; Christina Alexandrou; Emmie Söderström; Patrick Bergman; Christine Delisle Nyström; Artur Direito; Ulf Eriksson; Pontus Henriksson; Ralph Maddison; Ylva Trolle Lagerros; Marcus Bendtsen; Marie Löf. Effectiveness of a 3-Month Mobile Phone–Based Behavior Change Program on Active Transportation and Physical Activity in Adults: Randomized Controlled Trial (Preprint). 2020, 1 .

AMA Style

Anna Ek, Christina Alexandrou, Emmie Söderström, Patrick Bergman, Christine Delisle Nyström, Artur Direito, Ulf Eriksson, Pontus Henriksson, Ralph Maddison, Ylva Trolle Lagerros, Marcus Bendtsen, Marie Löf. Effectiveness of a 3-Month Mobile Phone–Based Behavior Change Program on Active Transportation and Physical Activity in Adults: Randomized Controlled Trial (Preprint). . 2020; ():1.

Chicago/Turabian Style

Anna Ek; Christina Alexandrou; Emmie Söderström; Patrick Bergman; Christine Delisle Nyström; Artur Direito; Ulf Eriksson; Pontus Henriksson; Ralph Maddison; Ylva Trolle Lagerros; Marcus Bendtsen; Marie Löf. 2020. "Effectiveness of a 3-Month Mobile Phone–Based Behavior Change Program on Active Transportation and Physical Activity in Adults: Randomized Controlled Trial (Preprint)." , no. : 1.

Journal article
Published: 15 October 2019 in Appetite
Reads 0
Downloads 0

This study aims to understand the challenges parents of preschoolers with obesity face. We assessed parents' experiences of a group treatment program focused on parenting skills; the treatment program was evaluated in a randomized controlled trial in Stockholm County. After completing the program's 10 weekly sessions, parents were invited to participate in a semi-structured interview. The interviews were audio recorded, transcribed and analyzed using thematic analysis. In total, 36 parents (67% mothers, mean age 39 years, 33% foreign background, 50% with university degree) were interviewed. Two main themes were developed: Emotional burden and Skills and strength from others. Emotional burden encompassed the parents' experiences of raising a child with obesity. Parents spoke about the difficulties of managing their child's appetite and of seeking help and treatment, as well as their feelings about the social stigma attached to obesity. Skills and strength from others encompassed the parents' experiences of participating in group treatment. Parents reported that they appreciated the practical behavior change techniques taught, especially those regarding food and how to make everyday life more predictable, and said the focus on parenting skills gave them the confidence to apply the techniques in everyday life. Parents also highlighted the strength of the group setting, saying it enabled them to discuss perceived challenges and learn from other parents. Our findings show that childhood obesity carries social and emotional implications for parents, and that an intervention that provides parents with skill-building and a discussion space can help in negotiating these implications. This suggests that childhood obesity intervention programs benefit from including a parent-based approach which offers training in parenting skills and support in managing socially and emotionally challenging situations.

ACS Style

Anna Ek; Karin Nordin; Christine Delisle Nyström; Pernilla Sandvik; Karin Eli; Paulina Nowicka. Responding positively to “children who like to eat”: Parents’ experiences of skills-based treatment for childhood obesity. Appetite 2019, 145, 104488 .

AMA Style

Anna Ek, Karin Nordin, Christine Delisle Nyström, Pernilla Sandvik, Karin Eli, Paulina Nowicka. Responding positively to “children who like to eat”: Parents’ experiences of skills-based treatment for childhood obesity. Appetite. 2019; 145 ():104488.

Chicago/Turabian Style

Anna Ek; Karin Nordin; Christine Delisle Nyström; Pernilla Sandvik; Karin Eli; Paulina Nowicka. 2019. "Responding positively to “children who like to eat”: Parents’ experiences of skills-based treatment for childhood obesity." Appetite 145, no. : 104488.

Journal article
Published: 09 August 2019 in BMC Public Health
Reads 0
Downloads 0

Active transportation (AT), independent mobility (IM), and outdoor time are promising ways to increase children’s physical activity. However, in order to create interventions to increase those forms of physical activity, it is important to understand the relationships between area-level socioeconomic status (SES) and type of urbanization with AT, IM, outdoor time, and physical activity, and this was the aim of the study. One thousand six hundred ninety-nine children in grades 4 to 6 (mean age: 10.2 ± 1.0 years) from three Canadian regions participated. AT, IM, and outdoor time were assessed using questionnaires and physical activity was measured using the SC-StepRX pedometer. Area-level SES was assessed using the median household income of the census tract in which the school was located and type of urbanization was determined for each school using standardized procedures. Generalized linear and general linear mixed models were used to examine the relationships. Area-level SES and the type of urbanization were generally not related to AT, IM, or physical activity for either gender. However, we observed that both boys and girls living in lower SES areas had decreased odds of spending > 2 h outdoors on weekend days compared to their peers from higher SES areas. Girls living in suburban or rural areas were more likely to spend > 2 h outdoors on weekdays compared to their urban counterparts. AT, IM, and physical activity are generally not associated with area-level SES or the type of urbanization in this sample of Canadian children. The finding regarding outdoor time showing that both boys and girls of lower SES areas had decreased odds of spending > 2 h outdoors on weekends compared to their peers from higher SES areas suggest that additional efforts should be implemented to offer outdoor play opportunities in lower SES areas.

ACS Style

Christine Delisle Nyström; Joel D. Barnes; Sébastien Blanchette; Guy Faulkner; Geneviève LeDuc; Negin A. Riazi; Mark S. Tremblay; François Trudeau; Richard Larouche. Relationships between area-level socioeconomic status and urbanization with active transportation, independent mobility, outdoor time, and physical activity among Canadian children. BMC Public Health 2019, 19, 1 -12.

AMA Style

Christine Delisle Nyström, Joel D. Barnes, Sébastien Blanchette, Guy Faulkner, Geneviève LeDuc, Negin A. Riazi, Mark S. Tremblay, François Trudeau, Richard Larouche. Relationships between area-level socioeconomic status and urbanization with active transportation, independent mobility, outdoor time, and physical activity among Canadian children. BMC Public Health. 2019; 19 (1):1-12.

Chicago/Turabian Style

Christine Delisle Nyström; Joel D. Barnes; Sébastien Blanchette; Guy Faulkner; Geneviève LeDuc; Negin A. Riazi; Mark S. Tremblay; François Trudeau; Richard Larouche. 2019. "Relationships between area-level socioeconomic status and urbanization with active transportation, independent mobility, outdoor time, and physical activity among Canadian children." BMC Public Health 19, no. 1: 1-12.

Study protocol
Published: 15 July 2019 in BMC Public Health
Reads 0
Downloads 0

Childhood overweight and obesity is a serious public health issue with an increase being observed in preschool-aged children. Treating childhood obesity is difficult and few countries use standardized treatments. Therefore, there is a need to find effective approaches that are feasible for both health care providers and families. Thus, the overall aim of this study is to assess the acceptance and effectiveness of a parent support program (the More and Less, ML) for the management of overweight and obesity followed by a mobile health (mHealth) program (the MINISTOP application) in a socially diverse population of families. A two-arm, parallel design randomized controlled trial in 300 2-to 6-year-old children with overweight and obesity from Romania, Spain and Sweden (n = 100 from each). Following baseline assessments children are randomized into the intervention or control group in a 1:1 ratio. The intervention, the ML program, consists of 10-weekly group sessions which focus on evidence-based parenting practices, followed by the previously validated MINISTOP application for 6-months to support healthy eating and physical activity behaviors. The primary outcome is change in body mass index (BMI) z-score after 9-months and secondary outcomes include: waist circumference, eating behavior (Child Eating Behavior Questionnaire), parenting behavior (Comprehensive Feeding Practices Questionnaire), physical activity (ActiGraph wGT3x-BT), dietary patterns (based on metabolic markers from urine and 24 h dietary recalls), epigenetic and gut hormones (fasting blood samples), and the overall acceptance of the overweight and obesity management in young children (semi-structured interviews). Outcomes are measured at baseline and after: 10-weeks (only BMI z-score, waist circumference), 9-months (all outcomes), 15- and 21-months (all outcomes except physical activity, dietary patterns, epigenetics and gut hormones) post-baseline. This study will evaluate a parent support program for weight management in young children in three European countries. To boost the effect of the ML program the families will be supported by an app for 6-months. If the program is found to be effective, it has the potential to be implemented into routine care to reduce overweight and obesity in young children and the app could prove to be a viable option for sustained effects of the care provided. ClinicalTrials.gov NCT03800823; 11 Jan 2019.

ACS Style

Anna Ek; Christine Delisle Nyström; Adela Chirita-Emandi; Josep A. Tur; Karin Nordin; Cristina Bouzas; Emma Argelich; J. Alfredo Martínez; Gary Frost; Isabel Garcia-Perez; Marc Saez; Corina Paul; Marie Löf; Paulina Nowicka. A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP project. BMC Public Health 2019, 19, 1 -13.

AMA Style

Anna Ek, Christine Delisle Nyström, Adela Chirita-Emandi, Josep A. Tur, Karin Nordin, Cristina Bouzas, Emma Argelich, J. Alfredo Martínez, Gary Frost, Isabel Garcia-Perez, Marc Saez, Corina Paul, Marie Löf, Paulina Nowicka. A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP project. BMC Public Health. 2019; 19 (1):1-13.

Chicago/Turabian Style

Anna Ek; Christine Delisle Nyström; Adela Chirita-Emandi; Josep A. Tur; Karin Nordin; Cristina Bouzas; Emma Argelich; J. Alfredo Martínez; Gary Frost; Isabel Garcia-Perez; Marc Saez; Corina Paul; Marie Löf; Paulina Nowicka. 2019. "A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP project." BMC Public Health 19, no. 1: 1-13.

Journal article
Published: 17 April 2019 in JMIR mHealth and uHealth
Reads 0
Downloads 0

Physical activity (PA) is already beneficial at the preschool age. In many countries, young children spend most of their days in the preschool setting, making it a common arena for PA interventions. Mobile health tools are becoming increasingly popular to promote PA in different populations; however, little is known about the interest for and how the preschool setting could incorporate such a tool. This study aimed to examine how teachers and parents perceive PA in preschool-aged children in general and their perceptions of how a mobile phone app could be used to promote PA in the preschool setting. Semistructured interviews were conducted with 15 teachers (93%, [14/15] women, mean age 43.5 years, 47%, [7/15] with a university degree and 10 parents [91%, 9/10] women, mean age 38.9 years, all with a university degree) recruited from 2 urban preschools in central Sweden. The interviews were recorded, fully transcribed, coded, and analyzed using thematic analysis by means of an inductive approach. The analysis revealed 4 themes: (1) children are physically active by nature, (2) the environment as a facilitator or a barrier, (3) prerequisites of the adult world, and (4) an app in the preschool setting-challenges and possibilities. Parents and teachers perceived preschoolers as being spontaneously physically active; however, high-intensity PA was perceived as low. The PA was specifically performed during the day in the preschool. Identified facilitators of PA were access to safe and engaging outdoor environments such as forests, spacious indoor areas, and adult involvement. Adult involvement was considered especially important for children preferring sedentary activities. Identified barriers for PA were restricted indoor and outdoor space, rules for indoor activities, and lack of adult involvement because of time constraints. The teachers perceived that they had limited skills and experiences using apps in general, although they also acknowledged the increasing role of technological tools in the curriculum. Thus, the teachers expressed an interest for an app designed as a support tool for them, especially for situations when PA was limited because of perceived barriers. They suggested the app to include accessible information regarding the health benefits of PA in children linked to a library of activities for different settings and seasons. Parents suggested interactive app features including problem-solving tasks and music and dance, but not video clips as they made children passive. Vigorous PA was perceived as low in preschool-aged children. Future tailoring of interventions in the preschool setting should work around barriers and support facilitators to PA, especially PA of high intensity. In such work, an app could serve as a source of inspiration for PA in different ages, settings, and seasons and thus reduce environmental and structural inequalities in the preschool setting.

ACS Style

Anna Ek; Johanna Sandborg; Christine Delisle Nyström; Anna-Karin Lindqvist; Stina Rutberg; Marie Löf. Physical Activity and Mobile Phone Apps in the Preschool Age: Perceptions of Teachers and Parents. JMIR mHealth and uHealth 2019, 7, e12512 .

AMA Style

Anna Ek, Johanna Sandborg, Christine Delisle Nyström, Anna-Karin Lindqvist, Stina Rutberg, Marie Löf. Physical Activity and Mobile Phone Apps in the Preschool Age: Perceptions of Teachers and Parents. JMIR mHealth and uHealth. 2019; 7 (4):e12512.

Chicago/Turabian Style

Anna Ek; Johanna Sandborg; Christine Delisle Nyström; Anna-Karin Lindqvist; Stina Rutberg; Marie Löf. 2019. "Physical Activity and Mobile Phone Apps in the Preschool Age: Perceptions of Teachers and Parents." JMIR mHealth and uHealth 7, no. 4: e12512.

Journal article
Published: 27 December 2018 in Medicina
Reads 0
Downloads 0

Background and objectives: There is a lack of studies investigating associations of physical activity level (PAL) and activity energy expenditure (AEE) using the doubly-labeled water (DLW) method with body composition and physical fitness in young children. Thus, we aimed to examine cross-sectional associations of PAL and AEE with body composition indices and physical fitness components in Swedish preschool children. Materials and methods: PAL was calculated as total energy expenditure measured using DLW divided by the predicted basal metabolic rate in 40 children aged 5.5 (standard deviation 0.2) years. AEE was calculated as total energy expenditure minus basal metabolic rate and the thermic effect of food, and divided by fat-free mass. Body composition was assessed using the 3-component model by combining measurements based on isotope dilution and air-displacement plethysmography. Physical fitness (muscular strength, motor fitness, and cardiorespiratory fitness) was evaluated using the PREFIT test battery. Multiple linear regression models were conducted. Results: PAL and AEE were negatively associated with body mass index, percent body fat, and fat mass index (PAL: standardized β −0.35, −0.41, and −0.45, all p < 0.036; AEE: standardized β −0.44, −0.44, and −0.47, all p < 0.006, respectively). Furthermore, PAL and AEE were positively associated with the standing long jump test (PAL: standardized β 0.37, p = 0.017; AEE: standardized β 0.38, p = 0.014). There were no statistically significant associations found regarding PAL or AEE with fat-free mass index or any other physical fitness test. Conclusions: Greater PAL and AEE at the age 5.5 were significantly associated with body fatness and improved lower-body muscular strength. Therefore, increasing physical activity, and thus energy expenditure, at young ages may be beneficial for preventing overweight/obesity. However, further studies with larger sample sizes are needed to confirm the results.

ACS Style

Marja H. Leppänen; Pontus Henriksson; Hanna Henriksson; Christine Delisle Nyström; Francisco Jesus Llorente-Cantarero; Marie Löf. Physical Activity Level Using Doubly-Labeled Water in Relation to Body Composition and Physical Fitness in Preschoolers. Medicina 2018, 55, 2 .

AMA Style

Marja H. Leppänen, Pontus Henriksson, Hanna Henriksson, Christine Delisle Nyström, Francisco Jesus Llorente-Cantarero, Marie Löf. Physical Activity Level Using Doubly-Labeled Water in Relation to Body Composition and Physical Fitness in Preschoolers. Medicina. 2018; 55 (1):2.

Chicago/Turabian Style

Marja H. Leppänen; Pontus Henriksson; Hanna Henriksson; Christine Delisle Nyström; Francisco Jesus Llorente-Cantarero; Marie Löf. 2018. "Physical Activity Level Using Doubly-Labeled Water in Relation to Body Composition and Physical Fitness in Preschoolers." Medicina 55, no. 1: 2.

Study protocol
Published: 16 July 2018 in BMC Public Health
Reads 0
Downloads 0

The global pandemic of physical inactivity represents a considerable public health challenge. Active transportation (i.e., walking or cycling for transport) can contribute to greater total physical activity levels. Mobile phone-based programs can promote behaviour change, but no study has evaluated whether such a program can promote active transportation in adults. This study protocol presents the design and methodology of The Smart City Active Mobile Phone Intervention (SCAMPI), a randomised controlled trial to promote active transportation via a smartphone application (app) with the aim to increase physical activity. A two-arm parallel randomised controlled trial will be conducted in Stockholm County, Sweden. Two hundred fifty adults aged 20–65 years will be randomised to either monitoring of active transport via the TRavelVU app (control), or to a 3-month evidence-based behaviour change program to promote active transport and monitoring of active travel via the TRavelVU Plus app (intervention). The primary outcome is moderate-to-vigorous intensity physical activity (MVPA in minutes/day) (ActiGraph wGT3x-BT) measured post intervention. Secondary outcomes include: time spent in active transportation measured via the TRavelVU app, perceptions about active transportation (the Transport and Physical Activity Questionnaire (TPAQ)) and health related quality of life (RAND-36). Assessments are conducted at baseline, after the completed intervention (after 3 months) and 6 months post randomisation. SCAMPI will determine the effectiveness of a smartphone app to promote active transportation and physical activity in an adult population. If effective, the app has potential to be a low-cost intervention that can be delivered at scale. ClinicalTrials.gov NCT03086837; 22 March, 2017.

ACS Style

Anna Ek; Christina Alexandrou; Christine Delisle Nyström; Artur Direito; Ulf Eriksson; Ulf Hammar; Pontus Henriksson; Ralph Maddison; Ylva Trolle Lagerros; Marie Löf. The Smart City Active Mobile Phone Intervention (SCAMPI) study to promote physical activity through active transportation in healthy adults: a study protocol for a randomised controlled trial. BMC Public Health 2018, 18, 1 -11.

AMA Style

Anna Ek, Christina Alexandrou, Christine Delisle Nyström, Artur Direito, Ulf Eriksson, Ulf Hammar, Pontus Henriksson, Ralph Maddison, Ylva Trolle Lagerros, Marie Löf. The Smart City Active Mobile Phone Intervention (SCAMPI) study to promote physical activity through active transportation in healthy adults: a study protocol for a randomised controlled trial. BMC Public Health. 2018; 18 (1):1-11.

Chicago/Turabian Style

Anna Ek; Christina Alexandrou; Christine Delisle Nyström; Artur Direito; Ulf Eriksson; Ulf Hammar; Pontus Henriksson; Ralph Maddison; Ylva Trolle Lagerros; Marie Löf. 2018. "The Smart City Active Mobile Phone Intervention (SCAMPI) study to promote physical activity through active transportation in healthy adults: a study protocol for a randomised controlled trial." BMC Public Health 18, no. 1: 1-11.

Randomized controlled trial
Published: 24 May 2018 in BMC Public Health
Reads 0
Downloads 0

To date, few mobile health (mHealth) interventions aimed at changing lifestyle behaviors have measured long term effectiveness. At the 6-month follow-up the MINISTOP trial found a statistically significant intervention effect for a composite score comprised of fat mass index (FMI) as well as dietary and physical activity variables; however, no intervention effect was observed for FMI. Therefore, the aim of this study was to investigate if the MINISTOP intervention 12-months after baseline measurements: (i) improved FMI and (ii) had a maintained effect on a composite score comprised of FMI and dietary and physical activity variables. A two-arm parallel randomized controlled trial was conducted in 315 healthy 4.5 year old children between January 2014 and October 2015. Parents' of the participating children either received the MINISTOP intervention or a basic pamphlet on dietary and physical activity behaviors (control group). After 6 months, participants did not have access to the intervention content and were measured again 6 months later (i.e. the 12-month follow-up). The Wilcoxon rank-sum test was then used to examine differences between the groups. At the 12-month follow-up, no statistically significant difference was observed between the intervention and control groups for FMI (p = 0.57) and no maintained effect for the change in composite score was observed (mean ± standard deviation for the intervention and control group: + 0.53 ± 1.49 units and + 0.35 ± 1.27 units respectively, p = 0.25 between groups). The intervention effect observed at the 6-month follow-up on the composite score was not maintained at the 12-month follow-up, with no effect on FMI being observed at either follow-up. Future studies using mHealth are needed to investigate how changes in obesity related markers in young children can be maintained over longer time periods. ClinicalTrials.gov ( NCT02021786 ; 20 Dec 2013).

ACS Style

Christine Delisle Nyström; Sven Sandin; Pontus Henriksson; Hanna Henriksson; Ralph Maddison; Marie Löf. A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial. BMC Public Health 2018, 18, 658 .

AMA Style

Christine Delisle Nyström, Sven Sandin, Pontus Henriksson, Hanna Henriksson, Ralph Maddison, Marie Löf. A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial. BMC Public Health. 2018; 18 (1):658.

Chicago/Turabian Style

Christine Delisle Nyström; Sven Sandin; Pontus Henriksson; Hanna Henriksson; Ralph Maddison; Marie Löf. 2018. "A 12-month follow-up of a mobile-based (mHealth) obesity prevention intervention in pre-school children: the MINISTOP randomized controlled trial." BMC Public Health 18, no. 1: 658.

Journal article
Published: 20 March 2018 in European Journal of Clinical Nutrition
Reads 0
Downloads 0

Due to the increase in childhood obesity, identifying children with excess body fat as early as possible is essential. Body mass index (BMI) is commonly used as a marker of body fat in children, adolescents, and adults, yet whether BMI is a valid marker of body fat in pre-school aged children remains to be confirmed. Therefore, we analyzed the associations of BMI with fat and fat-free mass in healthy 4-year-old Swedish children. The study comprised of 303 children (135 girls) participating in the MINISTOP obesity prevention trial. Fat and fat-free mass were measured using air displacement plethysmography and we computed fat mass index (FMI) and fat free mass index (FFMI) as fat and fat free mass (kg)/height2 (m). BMI was positively yet weakly associated with percent fat mass (boys: r2 = 0.120, P < 0.001 and girls: r2 = 0.224, P < 0.001). There was a strong association between BMI and the FMI (boys: r2 = 0.468, P < 0.001 and girls r2 = 0.598, P < 0.001) as well as between BMI and the FFMI (boys: r2 = 0.621, P < 0.001 and girls: r2 = 0.499, P < 0.001). Children classified as normal weight had a wide range of percent fat mass (12.3 to 35.3%) and FMI (1.75 to 5.78 kg/m2). BMI was strongly associated to both FMI and FFMI. Therefore, caution is needed when interpreting body fat status based on BMI values in pre-school children.

ACS Style

Christine Delisle Nyström; Pontus Henriksson; Anna Ek; Hanna Henriksson; Francisco B Ortega; Jonatan R Ruiz; Marie Löf. Is BMI a relevant marker of fat mass in 4 year old children? Results from the MINISTOP trial. European Journal of Clinical Nutrition 2018, 72, 1561 -1566.

AMA Style

Christine Delisle Nyström, Pontus Henriksson, Anna Ek, Hanna Henriksson, Francisco B Ortega, Jonatan R Ruiz, Marie Löf. Is BMI a relevant marker of fat mass in 4 year old children? Results from the MINISTOP trial. European Journal of Clinical Nutrition. 2018; 72 (11):1561-1566.

Chicago/Turabian Style

Christine Delisle Nyström; Pontus Henriksson; Anna Ek; Hanna Henriksson; Francisco B Ortega; Jonatan R Ruiz; Marie Löf. 2018. "Is BMI a relevant marker of fat mass in 4 year old children? Results from the MINISTOP trial." European Journal of Clinical Nutrition 72, no. 11: 1561-1566.

Journal article
Published: 22 September 2017 in Diabetes Care
Reads 0
Downloads 0

OBJECTIVE To investigate 1) differences in cardiometabolic risk and HOMA of insulin resistance (HOMA-IR) across BMI categories (underweight to morbid obesity), 2) whether fit children have lower cardiometabolic risk/HOMA-IR than unfit children in each BMI category, and 3) differences in cardiometabolic risk/HOMA-IR in normal-weight unfit children and obese fit children. RESEARCH DESIGN AND METHODS A pooled study including cross-sectional data from three projects (n = 1,247 children aged 8–11 years). Cardiometabolic risk was assessed using the sum of the sex- and age-specific z scores for triglycerides, HDL cholesterol, glucose, and the average of systolic and diastolic blood pressure and HOMA-IR. RESULTS A significant linear association was observed between the risk score and BMI categories (P trend ≤0.001), with every incremental rise in BMI category being associated with a 0.5 SD higher risk score (standardized β = 0.474, P < 0.001). A trend was found showing that as BMI categories rose, cardiorespiratory fitness (CRF) attenuated the risk score, with the biggest differences observed in the most obese children (−0.8 SD); however, this attenuation was significant only in mild obesity (−0.2 SD, P = 0.048). Normal-weight unfit children had a significantly lower risk score than obese fit children (P < 0.001); however, a significant reduction in the risk score was found in obese fit compared with unfit children (−0.4 SD, P = 0.027). Similar results were obtained for HOMA-IR. CONCLUSIONS As BMI categories rose so did cardiometabolic risk and HOMA-IR, which highlights the need for obesity prevention/treatment programs in childhood. Furthermore, CRF may play an important role in lowering the risk of cardiometabolic diseases in obese children.

ACS Style

Christine Delisle Nyström; Pontus Henriksson; Vicente Martínez-Vizcaíno; María Medrano; Cristina Cadenas-Sanchez; Natalia María Arias Palencia; Marie Löf; Jonatan R. Ruiz; Idoia Labayen; Mairena Sánchez López; Francisco B. Ortega. Does Cardiorespiratory Fitness Attenuate the Adverse Effects of Severe/Morbid Obesity on Cardiometabolic Risk and Insulin Resistance in Children? A Pooled Analysis. Diabetes Care 2017, 40, 1580 -1587.

AMA Style

Christine Delisle Nyström, Pontus Henriksson, Vicente Martínez-Vizcaíno, María Medrano, Cristina Cadenas-Sanchez, Natalia María Arias Palencia, Marie Löf, Jonatan R. Ruiz, Idoia Labayen, Mairena Sánchez López, Francisco B. Ortega. Does Cardiorespiratory Fitness Attenuate the Adverse Effects of Severe/Morbid Obesity on Cardiometabolic Risk and Insulin Resistance in Children? A Pooled Analysis. Diabetes Care. 2017; 40 (11):1580-1587.

Chicago/Turabian Style

Christine Delisle Nyström; Pontus Henriksson; Vicente Martínez-Vizcaíno; María Medrano; Cristina Cadenas-Sanchez; Natalia María Arias Palencia; Marie Löf; Jonatan R. Ruiz; Idoia Labayen; Mairena Sánchez López; Francisco B. Ortega. 2017. "Does Cardiorespiratory Fitness Attenuate the Adverse Effects of Severe/Morbid Obesity on Cardiometabolic Risk and Insulin Resistance in Children? A Pooled Analysis." Diabetes Care 40, no. 11: 1580-1587.

Validation study
Published: 13 January 2017 in Nutrients
Reads 0
Downloads 0

The development of easy-to-use and accurate methods to assess the intake of energy, foods and nutrients in pre-school children is needed. KidMeal-Q is an online food frequency questionnaire developed for the LifeGene prospective cohort study in Sweden. The aims of this study were to compare: (i) energy intake (EI) obtained using KidMeal-Q to total energy expenditure (TEE) measured via doubly labelled water and (ii) the intake of certain foods measured using KidMeal-Q to intakes acquired by means of 24 h dietary recalls in 38 children aged 5.5 years. The mean EI calculated using KidMeal-Q was statistically different (p < 0.001) from TEE (4670 ± 1430 kJ/24 h and 6070 ± 690 kJ/24 h, respectively). Significant correlations were observed for vegetables, fruit juice and candy between KidMeal-Q and 24 h dietary recalls. Only sweetened beverage consumption was significantly different in mean intake (p < 0.001), as measured by KidMeal-Q and 24 h dietary recalls. In conclusion, KidMeal-Q had a relatively short answering time and comparative validity to other food frequency questionnaires. However, its accuracy needs to be improved before it can be used in studies in pre-school children.

ACS Style

Christine Delisle Nyström; Hanna Henriksson; Christina Alexandrou; Anna Bergström; Stephanie Bonn; Katarina Bälter; Marie Löf. Validation of an Online Food Frequency Questionnaire against Doubly Labelled Water and 24 h Dietary Recalls in Pre-School Children. Nutrients 2017, 9, 66 .

AMA Style

Christine Delisle Nyström, Hanna Henriksson, Christina Alexandrou, Anna Bergström, Stephanie Bonn, Katarina Bälter, Marie Löf. Validation of an Online Food Frequency Questionnaire against Doubly Labelled Water and 24 h Dietary Recalls in Pre-School Children. Nutrients. 2017; 9 (1):66.

Chicago/Turabian Style

Christine Delisle Nyström; Hanna Henriksson; Christina Alexandrou; Anna Bergström; Stephanie Bonn; Katarina Bälter; Marie Löf. 2017. "Validation of an Online Food Frequency Questionnaire against Doubly Labelled Water and 24 h Dietary Recalls in Pre-School Children." Nutrients 9, no. 1: 66.

Randomized controlled trial
Published: 30 July 2016 in Nutrients
Reads 0
Downloads 0

Physical fitness is a powerful marker of health in youth. Studies in adolescents and adults suggest that higher fat mass is related to worse physical fitness. However, there is limited knowledge whether fat mass and fat-free mass are associated with physical fitness already in preschoolers. Baseline data from the MINISTOP (Mobile-based INtervention Intended to STop Obesity in Preschoolers) trial was utilized for this cross-sectional analysis. Body composition was assessed using air-displacement plethysmography. Fat mass index [fat mass (kg)/height2 (m)] and fat-free mass index [fat-free mass (kg)/height2 (m)] were used to provide height-adjusted measures of body composition. Physical fitness was measured using the PREFIT (FITness testing in PREschool children) battery, which assesses cardiorespiratory fitness, upper-body and lower-body muscular strength as well as motor fitness. In total, this study included 303 children (168 boys and 135 girls), who were on average 4.48 ± 0.15 years old. Higher fat mass index was associated with worse cardiorespiratory fitness (standardized β = −0.17, p = 0.002), lower-body muscular strength (β = −0.17, p = 0.003) and motor fitness (β = −0.21, p < 0.001) in regression analyses adjusted for age, sex and mutually adjusted for fat-mass index and fat-free mass index. Conversely, higher fat-free mass index was associated with better cardiorespiratory fitness (β = 0.18, p = 0.002), upper-body muscular strength (β = 0.39, p < 0.001), lower-body muscular strength (β = 0.22, p < 0.001) and motor fitness (β = 0.17, p = 0.004). Thus, fat mass and fat-free mass in preschoolers appear to have joint but opposite associations with physical fitness, an important marker for current and future health.

ACS Style

Pontus Henriksson; Cristina Cadenas-Sanchez; Marja H. Leppänen; Christine Delisle Nyström; Francisco B. Ortega; Jeremy Pomeroy; Jonatan R. Ruiz; Marie Löf. Associations of Fat Mass and Fat-Free Mass with Physical Fitness in 4-Year-Old Children: Results from the MINISTOP Trial. Nutrients 2016, 8, 473 .

AMA Style

Pontus Henriksson, Cristina Cadenas-Sanchez, Marja H. Leppänen, Christine Delisle Nyström, Francisco B. Ortega, Jeremy Pomeroy, Jonatan R. Ruiz, Marie Löf. Associations of Fat Mass and Fat-Free Mass with Physical Fitness in 4-Year-Old Children: Results from the MINISTOP Trial. Nutrients. 2016; 8 (8):473.

Chicago/Turabian Style

Pontus Henriksson; Cristina Cadenas-Sanchez; Marja H. Leppänen; Christine Delisle Nyström; Francisco B. Ortega; Jeremy Pomeroy; Jonatan R. Ruiz; Marie Löf. 2016. "Associations of Fat Mass and Fat-Free Mass with Physical Fitness in 4-Year-Old Children: Results from the MINISTOP Trial." Nutrients 8, no. 8: 473.

Journal article
Published: 16 June 2016 in Nutrients
Reads 0
Downloads 0

Quick, easy-to-use, and valid body composition measurement options for young children are needed. Therefore, we evaluated the ability of the bioelectrical impedance (BIA) device, Tanita SC-240, to measure fat mass (FM), fat free mass (FFM) and body fatness (BF%) in 40 healthy, Swedish 5.5 years old children against the three component model (3C model). Average BF%, FM, and FFM for BIA were: 19.4% ± 3.9%, 4.1 ± 1.9 kg, and 16.4 ± 2.4 kg and were all significantly different (p < 0.001) from corresponding values for the 3C model (25.1% ± 5.5%, 5.3 ± 2.5 kg, and 15.2 ± 2.0 kg). Bland and Altman plots had wide limits of agreement for all body composition variables. Significant correlations ranging from 0.81 to 0.96 (p < 0.001) were found for BF%, FM, and FFM between BIA and the 3C model. When dividing the children into tertiles for BF%, 60% of children were classified correctly by means of BIA. In conclusion, the Tanita SC-240 underestimated BF% in comparison to the 3C model and had wide limits of agreement. Further work is needed in order to find accurate and easy-to-use methods for assessing body composition in pre-school children.

ACS Style

Christine Delisle Nyström; Pontus Henriksson; Christina Alexandrou; Marie Löf. The Tanita SC-240 to Assess Body Composition in Pre-School Children: An Evaluation against the Three Component Model. Nutrients 2016, 8, 371 .

AMA Style

Christine Delisle Nyström, Pontus Henriksson, Christina Alexandrou, Marie Löf. The Tanita SC-240 to Assess Body Composition in Pre-School Children: An Evaluation against the Three Component Model. Nutrients. 2016; 8 (6):371.

Chicago/Turabian Style

Christine Delisle Nyström; Pontus Henriksson; Christina Alexandrou; Marie Löf. 2016. "The Tanita SC-240 to Assess Body Composition in Pre-School Children: An Evaluation against the Three Component Model." Nutrients 8, no. 6: 371.

Validation study
Published: 15 January 2016 in Nutrients
Reads 0
Downloads 0

Mobile phones are becoming important instruments for assessing diet and energy intake. We developed the Tool for Energy Balance in Children (TECH), which uses a mobile phone to assess energy and food intake in pre-school children. The aims of this study were: (a) to compare energy intake (EI) using TECH with total energy expenditure (TEE) measured via doubly labelled water (DLW); and (b) to compare intakes of fruits, vegetables, fruit juice, sweetened beverages, candy, ice cream, and bakery products using TECH with intakes acquired by 24 h dietary recalls. Participants were 39 healthy, Swedish children (5.5 ± 0.5 years) within the ongoing Mobile-based Intervention Intended to Stop Obesity in Preschoolers (MINISTOP) obesity prevention trial. Energy and food intakes were assessed during four days using TECH and 24 h telephone dietary recalls. Mean EI (TECH) was not statistically different from TEE (DLW) (5820 ± 820 kJ/24 h and 6040 ± 680kJ/24 h, respectively). No significant differences in the average food intakes using TECH and 24 h dietary recalls were found. All food intakes were correlated between TECH and the 24 h dietary recalls (ρ = 0.665–0.896, p < 0.001). In conclusion, TECH accurately estimated the average intakes of energy and selected foods and thus has the potential to be a useful tool for dietary studies in pre-school children, for example obesity prevention trials.

ACS Style

Christine Delisle Nyström; Elisabet Forsum; Hanna Henriksson; Ylva Trolle-Lagerros; Christel Larsson; Ralph Maddison; Toomas Timpka; Marie Löf. A Mobile Phone Based Method to Assess Energy and Food Intake in Young Children: A Validation Study against the Doubly Labelled Water Method and 24 h Dietary Recalls. Nutrients 2016, 8, 50 .

AMA Style

Christine Delisle Nyström, Elisabet Forsum, Hanna Henriksson, Ylva Trolle-Lagerros, Christel Larsson, Ralph Maddison, Toomas Timpka, Marie Löf. A Mobile Phone Based Method to Assess Energy and Food Intake in Young Children: A Validation Study against the Doubly Labelled Water Method and 24 h Dietary Recalls. Nutrients. 2016; 8 (1):50.

Chicago/Turabian Style

Christine Delisle Nyström; Elisabet Forsum; Hanna Henriksson; Ylva Trolle-Lagerros; Christel Larsson; Ralph Maddison; Toomas Timpka; Marie Löf. 2016. "A Mobile Phone Based Method to Assess Energy and Food Intake in Young Children: A Validation Study against the Doubly Labelled Water Method and 24 h Dietary Recalls." Nutrients 8, no. 1: 50.