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  • 1.
    Becker, Wulf
    et al.
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Lennernäs, Maria
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Gustafsson, Inga-Britt
    Haraldsdottir, Johanna
    Nydahl, Margareta
    Vessby, Bengt
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Ytterfors, A
    Precoded or weighed food records for measuring dietary habits in a population of Swedish adults: I Food intake1996Conference paper (Other academic)
  • 2.
    Dahl Lassen, Anne
    et al.
    National Food Institute, Danish Technical University, Denmark.
    Thorsen, Anne Vibeke
    National Food Institute, Danish Technical University, Denmark.
    Haapala, Irja
    School of Applied Educational Sciences and Teacher Education, Savonlinna, Finland; School of Social and Political Sciences, the University of Melbourne, Victoria, Australia.
    Lennernäs Wiklund, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Nyberg, Maria
    Department of Food and Meal Science, Kristianstad University, Sweden.
    Beck, Anne Marie
    Institute of Nutrition and Midwifery, Metropolitan University College, Denmark.
    Fagt, Sisse
    National Food Institute, Danish Technical University, Denmark.
    Food at Work around the Clock – The Nordic Model: Report from a Nordic Workshop, November 4, 2016, Copenhagen, Denmark2017Report (Other academic)
    Abstract [en]

    This report brings together 12 invited presentations and outcomes of a workshop on food and meals for employees working irregular hours “around the clock”. The workshop, “Food at work around the clock – The Nordic Model”, was hosted by the National Food Institute at the Technical University of Denmark on November 4, 2016, in Lyngby, near Copenhagen, Denmark. This was a culmination of the collaboration started in 2015 between researchers from the hosts institute, Gävle University and Kristianstad University in Sweden, and the School of Applied Educational Sciences and Teacher Education in Finland. The workshop was funded by the Nordic Council of Ministers.

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  • 3.
    Eriksson, Nathalie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Damfotbollsspelares kostintag under 24 timmar retroperspektiv intervjustudie: En tvärsnittundersökning2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to examine the dietary intake of female amateur football players in the division 2, 3 and 5 in the middle part of Sweden. The study is a descriptive, cross-sectional study with a quantitative approach. Data collection consisted of 24 hour recall interviews and a questionnaire with background information about the participant. The participants consisted of 40 female football players from divisions 2, 3 and 5. The participants' average calorie intake was estimated using the program Dietist Net Pro 1979 kilocalories (kcal)/day, compared with the average recommended daily allowance (RDA), which was estimated at 2137 kcal. The low energy consumption contributed to the participants' inability to meet the RDA for iron, folate, vitamin D, calcium, magnesium and carbohydrates. There were 19 participants who ate more than the average amount of energy and 21 participants who ate below the average amount of calories. No statistically significant differences in energy or nutrient intake could be established between the participants in different divisions or age groups. Female football players in this study were found to eat too little energy (food) on the basis of their energy needs, which may potentially contribute to nutritional deficiencies, specifically in iron, folate, vitamin D, calcium, magnesium and carbohydrates. Deficiencies in these nutrients may lead to impaired performance in training and matches, impaired general health and recovery, and to a break-down of body tissues for energy.

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    Damfotbollsspelares kostintag under 24 timmar retroperspektiv intervjustudie
  • 4.
    Lassen, Anne Dahl
    et al.
    Division for Risk Assessment and Nutrition, Technical University of Denmark, Kemitorvet, Lyngby, Denmark.
    Fagt, Sisse
    Division for Risk Assessment and Nutrition, Technical University of Denmark, Kemitorvet, Lyngby, Denmark.
    Lennernäs, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Nyberg, Maria
    Department of Food and Meal Science, Kristianstad University, Kristianstad, Sweden.
    Haapalar, Irja
    School of Social and Political Sciences, The University of Melbourne, Melbourne, Victoria, Australia; School of Applied Educational Sciences and Teacher Education, Savonlinna, Finland.
    Thorsen, Anne V.
    Division for Risk Assessment and Nutrition, Technical University of Denmark, Kemitorvet, Lyngby, Denmark.
    Møbjerg, Anna C. M.
    Institute for Nursing and Nutrition, University College Copenhagen, Copenhagen N, Denmark.
    Beck, Anne M.
    Institute for Nursing and Nutrition, University College Copenhagen, Copenhagen N, Denmark; Clinical Nutrition Research Unit, Copenhagen University Hospital Herlev-Gentofte, Gentofte, Denmark.
    The impact of worksite interventions promoting healthier food and/or physical activity habits among employees working 'around the clock' hours: a systematic review2018In: Food & Nutrition Research, ISSN 1654-6628, E-ISSN 1654-661X, Vol. 62, article id 1115Article, review/survey (Refereed)
    Abstract [en]

    We conducted a systematic review of randomised studies on the impact of worksite interventions to promote healthier food and/or physical activity among people who work irregular hours 'around the clock', that is, outside of ordinary daytime working hours. The population-intervention-comparator-outcomes-study (PICOS) design format was used. Data sources were PubMed and CINAHL. An updated search was conducted on October 2017 using Google Scholar and the related articles function in PubMed on initially included studies to identify additional studies. Risk of bias was used to assess study quality. A total of seven studies (reports published in 14 papers) were included in the systematic review: Two interventions with a broader lifestyle approach, three focusing on physical exercise and two on providing healthier food or meal options. The studies had sample sizes from 30 to 1,000 and targeted a mixture of occupations, including both male- and female-dominated occupational groups. The interventions lasted from 2 to 12 months. Only one had an extended follow-up. In general, the studies showed small-to-moderate effect sizes on several measures, including dietary and/or physical activity measures, suggesting acceptable effectiveness for interventions involving community-level behaviour change. Our findings highlight a need to further develop and implement well-designed health promotion interventions with comparable outcome measures and effect size reports. A mixture of health promotion strategies is recommended for future practice in this target population, including individually tailored programmes, improving the food and physical activity environment and using broader lifestyle approaches including the use of participatory and empowerment strategies. While more research is needed in this field, the existing knowledge base on effective approaches awaits translation into practice.

  • 5.
    Lennernäs, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Att äta är en fråga om tajmning: klinisk översikt2010In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, no 36, p. 2084-2095Article in journal (Refereed)
    Abstract [sv]

    Dygnsrytm, hunger, törst, mättnad, temperatur, sexlust, blodsockermobilisering, substratutnyttjande och energiomsättning styrs från kärnor i hypotalamus.

    Dygnsrytmen styr beteende och fysiologiska processer till rätt tidpunkt för att hushålla med kroppens resurser. Vävnader och organ ska inte belastas kontinuerligt eller oväntat.

    Nattätande och dagsömn desynkroniserar dygnsrytmen.

    Åldersförändringar i hypotalamus orsakar aptitbortfall, tidsdesorientering, uttorkning och sömnstörningar hos äldre, som kan behöva äta frekvent och ha kortare nattfasta.

    Dygns- och måltidsrytmen bör utredas vid metabola störningar och fetma.

    Vid anorexi, bulimi, typ 2-diabetes, sängvätning och senil demens bör dygnsrytmens prestanda utredas – testa kronoterapi.

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  • 6.
    Lennernäs, Maria
    Swedish Dairy Association (Svensk Mjolk), Stockholm, Sweden; Department of Medical Sciences, Nutrition Unit, Faculty of Medicine, Uppsala University, Uppsala, Sweden.
    Dietary assessment and validity: To measure what is meant to measure1998In: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 42, no 2, p. 63-65Article in journal (Refereed)
    Abstract [en]

    Nutritional assessment is the interpretation of information obtained from dietary, biochemical, anthropometric and clinical studies. In individuals, qualitative or quantitative food consumption data may be collected by food frequency questionnaires or interviews (retrospective methods), by use of food records (prospective methods); weighed food record, estimated food record or menu record, or by observations. Nutrient values derived from food composition data or direct chemical analysis represent the maximum available to the body and not the amount actually absorbed and utilized. The design of the study is crucial and the methods for carrying it out are aimed at minimizing bias to improve internal and external validity. This paper will focus on factors of importance to improve the internal validity of dietary assessment studies; selection of method; data collection, assessment of nutrient intakes from food consumption data and evaluation of data.

  • 7.
    Lennernäs, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Dygnsrytm2008In: Elevhälsa, ISSN 1102-3112, no 2, p. 5-11Article in journal (Other academic)
  • 8.
    Lennernäs, Maria
    Uppsala universitet, Institutionen för medicinska vetenskaper.
    Dygnsrytmen och ljuset styr vårt ätande1995In: Mjölkspegeln : en informationsskrift om mjölk och mejeriprodukter : fakta, forskning, debatt, information, ISSN 0284-0901, Vol. 4, p. 12-Article in journal (Other academic)
  • 9.
    Lennernäs, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Ifrågasätt budskapet om det farliga mättade fettet2008In: Näringsvärt, ISSN 1653-8137, no 1, p. 21-Article in journal (Other academic)
  • 10.
    Lennernäs, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Inre miljö lika viktig som yttre2008In: Näringsvärt, ISSN 1653-8137, no 2, p. 29-Article in journal (Other academic)
  • 11.
    Lennernäs, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Med måltider och kärlek skall folkhälsan byggas2008In: Näringsvärt, ISSN 1653-8137, no 3Article in journal (Other academic)
  • 12.
    Lennernäs, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Metoder för aptitreglering2008In: Näringsvärt, ISSN 1653-8137, no 4, p. 29-Article in journal (Other academic)
  • 13.
    Lennernäs, Maria
    Uppsala universitet, Institutionen för hushållsvetenskap (IHV); Statens Livsmedelsverk.
    Nutrition i ett biosocial perspektiv: Recension av Food intake and energy expenditure1995In: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 39, no 1, p. 46-Article, book review (Other academic)
  • 14.
    Lennernäs, Maria
    Uppsala universitet, Institutionen för hushållsvetenskap (IHV).
    Ny dimension inom näringsforskningen: Samlad EU-forskning kring måltidsmönster1995In: Livsmedelsteknik : tidskrift för livsmedelsförädling och näringsfrågor, ISSN 0024-5399, Vol. 11, no 3Article in journal (Other academic)
  • 15.
    Lennernäs, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science. Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Störd dygnsrytm vilseleder aptiten och kroppen2008In: Elevhälsa, ISSN 1102-3112, no 2, p. 23-27Article in journal (Other academic)
  • 16.
    Lennernäs, Maria
    Högskolan Kristianstad, Sektionen för hälsa och samhälle.
    Sömn och fysisk aktivitet påverkar aptiten: Nordiska nutritionskonferensen2008In: Nordisk Nutrition, ISSN 1654-8337, no 3, p. 14-15Article in journal (Other (popular science, discussion, etc.))
  • 17.
    Lennernäs, Maria
    et al.
    National Institute of Public Health.
    Andersson, Ingalena
    Obesity Unit and Health Behaviour Research, Karolinska Institute, Huddinge, Sweden.
    Food-based classification of eating episodes (FBCE)1999In: Appetite, ISSN 0195-6663, E-ISSN 1095-8304, Vol. 32, no 1, p. 53-65Article in journal (Refereed)
    Abstract [en]

    The concept for categorization of eating episodes in dietary surveys was originally developed in studies of shift workers to compare 'meal patterns' between night and day work shifts. The concept has been further improved through experience from applications in dietary surveys in other populations. In this paper, results from categorization of eating episodes in shift workers, elderly women and men during life transition periods, elderly female leg ulcer patients and obese men and their lean controls are shown and discussed. The categorization concept is based on seven food categories with food items of similar nutrient characteristics within each category. Each eating event is categorized as any of four types of 'meals' or four types of 'snacks' due to its combination of food categories. Thus, categorization is based on visible properties (food types) but at the same time reflecting invisible properties (nutrients). Criteria is also established to sub-categorize the 'meal' types as being either 'prepared' or 'quick-prepared' from a behavioural perspective. Use of a defined and reliable concept for categorization is necessary to study eating episodes in dietary surveys, their determinants and also consequences on health and performance. Nocturnal eating during the circadian nadir might affect nutritional status. Since increasingly western populations appear to be moving from regular and planned meals to more episodic eating 'around the clock', such analyses are of increasing interest in a bio-social perspective.

  • 18.
    Nordström, Sara
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Berglund, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Patienters erfarenhet av kostvanor efter Gastric Bypass-operation: Litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Obesity and being overweight is a globally increasing problem and can cause other health related diseases, such as diabetes type II. Gastric bypass (GBP) is the most performed kind of bariatric surgery in treatment for obesity and overweight. There are not enough studies on, and knowledge about, patients’ postoperative food habits for the nurse to be able to provide with the help and aid the patients will need after the GBP-operation.

    Aim: To describe GBP-patients’ experiences of postoperative food habits and which methods of sampling that have been used in the studies on which we base our results.

    Method: A descriptive literature study including eleven scientific studies.

    Results: Many of the participating patients described that their food habits had changed after their GBP-operation. Foods that consisted mainly of carbohydrates were excluded and vegetables were the only type of food that had not been excluded. The GBP-patients described that they had developed a low tolerance mainly towards meat and milk based products. The daily number of meals had increased and the servings of food were smaller than before the surgery. This mainly depends on the decreased volume in the gastric pouch.

    Conclusion: Almost every participating GBP-patient’s food habit had changed. The daily energy intake was at its lowest during the first time after the operation, but the patients learned how and what to eat in the course of time which would gradually lead to an increased energy intake. Few GBP-patients described that they had undergone professional counseling regarding food and food habits. The nurse must be able to teach the patients about food habits and give adequate answers to questions regarding changes in food habits so that the patients may achieve good health after the GBP-operation.

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  • 19.
    Sidenvall, Birgitta
    et al.
    Department of Caring Sciences, Faculty of Health Sciences, University of Linköping; Uppsala University, College of Health and Caring Sciences, Department of Nursing, Uppsala, Sweden.
    Lennernäs, Maria A. C.
    Department of Home Economics, University of Uppsala, National Food Administration.
    Ek, Anna-Christina
    Linköping University, Campus Norrköping, Faculty of Health Sciences, Department of Caring Sciences, Faculty of Health Sciences, University of Linköping.
    Elderly patients' meal patterns: A retrospective study1996In: Journal of human nutrition and dietetics (Print), ISSN 0952-3871, E-ISSN 1365-277X, Vol. 9, no 4, p. 263-272Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to examine possible causes of malnutrition in geriatric patients on admission to hospital by evaluation and comparison of their meal pattern between periods of working, retirement and hospitalization, respectively. Forty-five consecutive patients aged 60 years or older participated. By use of modified dietary history interviews, a retrospective assessment of food intake was carried out. A qualitative system for meal classification was then applied. In the retirement period there was a strong reduction in daily eating frequency when compared to working and hospital periods. Thus, the daily intake and also distribution of energy and nutrients seem to be reduced during retirement, which might lead to nutritional deficiency.

  • 20.
    Wallin, Gisela van der Ster
    et al.
    Department of Nutrition, Uppsala University, Uppsala, Sweden.
    Norring, Claes E. A.
    Department of Nutrition, Uppsala University, Uppsala, Sweden.
    Lennernäs, Maria
    Department of Nutrition, Uppsala University, Uppsala, Sweden.
    Holmgren, Sven
    Department of Nutrition, Uppsala University, Uppsala, Sweden.
    Food selection in anorectics and bulimics: Food items, nutrient content and nutrient density1995In: Journal of the American College of Nutrition (Print), ISSN 0731-5724, E-ISSN 1541-1087, Vol. 14, no 3, p. 271-277Article in journal (Refereed)
    Abstract [en]

    The food selection and nutrient intake were investigated in women with anorexia nervosa, bulimia nervosa and controls. Methods Dietary data was obtained by 24-hour recall, and 7-day recording among eating disordered patients, and by 3-day registration among controls. Results: The intake of energy and nutrients differed from controls, as expected, while there were no differences between anorectics and bulimics in this respect, except for iron. There were only minor differences among the three groups studied with respect to nutrient density. Energy percentages of protein, fat, and carbohydrates, were similar in all groups, but a subdivision of the macronutrients into respective sources showed that bulimics had a lower relative and absolute intake of carbohydrates from bread and cereals than anorectics and controls. Conclusion: Eating disorder patients, despite their marginal food intake, still met the minimum requirement for most nutrients according to the Nordic Nutrient recommendations. Abbreviations: AN = anorexia nervosa, AN/BN = anorectic bulimics, BMI = body mass index, BN = bulimia nervosa, DSM-III-R = Diagnostic and Statistical Manual of Mental Disorders, ED = eating disorder, NNR = Nordic Nutrient Recommendation

  • 21.
    Wissing, Ulla E.
    et al.
    Linköping University, Campus Norrköping, Faculty of Health Sciences, Hälsouniversitetet, Norrköping.
    Unosson, Mitra
    Linköping University, Campus Norrköping, Faculty of Health Sciences, Department of Caring Sciences, Faculty of Health Sciences, University of Linköping.
    Lennernäs, Maria A.-C.
    National Food Administration, Nutrition Division, Uppsala, Sweden; Department of domestic sciences, Faculty of Social Sciences, University of Uppsala, Uppsala, Sweden.
    Ek, Anna-Christina
    Linköping University, Campus Norrköping, Faculty of Health Sciences, Department of Caring Sciences, Faculty of Health Sciences, University of Linköping.
    Nutritional intake and physical activity in leg ulcer patients1997In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 25, no 3, p. 571-578Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe the nutritional intake, meal patterns, physical activity and need for help in nine women living in their own homes and being treated for venous leg ulcers. Food habits were identified by use of interviews and food diaries completed by the women during a period of seven days. The intake of energy and nutrients from 304 eating events during seven days was calculated and meal patterns were evaluated using a qualitative system for meal classification. Physical activity and the degree of need were identified with the help of interviews. The intakes of energy and key nutrients for wound healing, such as protein, vitamin C and zinc, were not optimal according to the Swedish nutrition recommendations, although food habits were well organized. Most of the women had hardly any physical activities and the need of help and support varied, from daily visits to visits every second week.

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