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  • 1.
    Abarghache, Nadia
    et al.
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Johansson, Ellen
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Kan en läshund bidra till att positivt påverka barns läsförmåga?: En metainspirerad innehållsannanlys2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att få en djupare förståelse om på vilket sätt läshunden kan bidra till att förbättra barns läsförmåga. Studien använder sig av en metainspirerad innehållsanalys. Metaanalys användes för att samla in information till studien samt att kunna dra slutsatser om tidigare forskning. Innehållsanalys användes för att skapa teman och kodning, med hjälp av innehållsanalys kan man skapa en djupare mening med textens innehåll. Artiklarna från resultatdelen samlades in från vetenskapliga databaser där alla artiklar är peer-reviewe.

     

    Studien undersöker på vilket sätt kan en läshund bidra till att positivt påverka barns läsförmåga? Är det hunden i sig som påverkar barnets läsförmåga eller är det miljön? Resultat visar på att läshunden påverkar barn positivt både psykiskt, fysiskt och socialt. Resultatet visar även på att det är läshunden som påverkar barnen positivt och inte miljön de vistas i under lästiden. Slutsatsen man kan dra av denna studie är att läshunden visar på en positiv påverkan på barn och har givit oss förståelse om på vilket sätt läshunden påverkar barnen.

  • 2.
    Andersson, Sandra
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Electronics, Mathematics and Natural Sciences.
    Fysisk aktivitets betydelse för hälsan: Hur arbetar pedagoger inom årskurs 1-3 med detta?2018Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Examensarbetet fokuserar på fysisk aktivitet och hälsa inom årskurs 1–3. Syftet är att belysa på vilka sätt pedagoger arbetar för att öka elevers förståelse kring fysisk aktivitets betydelse för hälsan och vilken påverkan detta har på eleverna. Urvalsgruppen är verksamma pedagoger. Undersökningen är en kvalitativ forskningsansats med semistrukturerade intervjuer som har kompletterats med ”critical incidents” observationer. Resultatet visar att pedagogerna ofta upprepar fysisk aktivitets betydelse för hälsan för att öka elevernas förståelse kring detta, genom samtal och fysiska aktivitets upplevelser. Kunskap om människokroppen anses även behövas. Slutsatser är att kroppsuppfattning - kunskap om människokroppen, förmåga att använda sin kropp och fysiska aktiviteter - är viktigt för barns förståelse om dess betydelse för hälsan. Studiens resultat ger idéer till pedagoger inom skolan om olika arbetssätt kring fysisk aktivitet för att skapa förståelse, främja hälsosamma vanor och bättre förutsättningar för lärande. Resultatet antyder att elevers totala skolprestationer förbättras av fysisk aktivitet.

  • 3.
    Asp, Monica
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Arbete i glädje och sorg: En kvalitativ studie om arbetsglädje för personal på ett äldreboende2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Behovet av personal inom vård- och omsorg beräknas öka. Personal som arbetar i denna sektor står bakom de flesta av anmälningarna av arbetsskada. Det är betydelsefullt att arbeta förebyggande med arbetsmiljö både för att främja anställdas hälsa och utveckla verksamheter. Personal inom äldreomsorg utför ett viktigt arbete för de äldre som är i behov av vård. Syftet i denna uppsats är att genom kvalitativa intervjuer beskriva vårdpersonalens upplevelse av arbetsklimatet och ha Aaron Antonovskys teori om känsla av sammanhang - KASAM som teoretisk modell för att se vad som kan göras för att verka för ett gott arbetsklimat.

    Resultatet visar att den uppskattning personalen får av de boende gör att arbetet upplevs som meningsfullt. Det finns resursbrist i form av personalbrist men även ekonomiska enligt personalens utsagor vilket påverkar hanterbarheten. Personalen upplever att det finns få möjligheter att få utbildning i arbetet och att vidareutbildning i yrket inte lönar sig.

  • 4.
    Becker, Wulf
    et al.
    National Food Administration, Uppsala.
    Lennernäs, Maria
    Department of Medical Sciences, Nutrition, Uppsala University.
    Gustafsson, Inga Britt
    Department of Culinary Art.
    Haraldsdóttir, Johanna
    Research Department of Human Nutrition, Royal Veterinary/Agricultural University, Copenhagen.
    Nydahl, Margaretha C.
    Department of Domestic Sciences, Uppsala University.
    Vessby, Bengt O. H.
    Unit for Clinical Nutrition Research, Department of Public Health Sciences, Uppsala University.
    Ytterfors, Arne
    Unit for Clinical Nutrition Research, Department of Public Health Sciences, Uppsala University.
    Precoded food records compared with weighed food records for measuring dietary habits in a population of Swedish adults1998In: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 42, no 4, p. 145-149Article in journal (Refereed)
    Abstract [en]

    In a cross-over design, 82 women and men recorded their food intake by a precoded 7-day record book (PR) including both standard portions in household measures and photographs, and a weighed 7-day record (WR), respectively. Single 24-h urine samples, for determination of nitrogen excretion, were collected for 39 subjects during the WR period. Comparing the PR to the WR method, the mean intake of some foods, as cheese, was higher, and bread and vegetables lower. For energy and nutrients, the fat energy percent (E%) was higher, and protein E%, dietary fibre, iron, thiamin, folate, carotene and α-tocopherol were all lower. Protein intake registered by the PR method was 20% lower compared to 24-h urine samples, and 11% lower for the WR method. The results indicate that some of the standard portion sizes, used by the PR method, contributed to the observed differences in food and nutrient intakes. The subjects found it easier and less time-consuming to record their food intake with the PR than with the WR method. The time spent on processing data was reduced by 50% when using the PR method. The results of the study will be used for improvements in the design of the PR for use in large-scale dietary surveys for monitoring dietary habits.

  • 5.
    Bergsten, Eva
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Jahncke, Helena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Schemalagt arbete - Hälsofrämjande återhämtningsmönster i schemalagda arbeten: Delområde Färjerederiet2017Report (Other academic)
  • 6.
    Bergsten, Eva
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Jahncke, Helena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Schemalagt arbete - Hälsofrämjande återhämtningsmönster i schemalagda arbeten: Delområde Förarprov2017Report (Other academic)
  • 7.
    Bergsten, Eva
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Jahncke, Helena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Schemalagt arbete - Hälsofrämjande återhämtningsmönster i schemalagda arbeten: Delområde Trafikledning2017Report (Other academic)
  • 8.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Uppfattningar kring hälsofrämjande ledarskap: En mixad studie om jämförelsen mellan första linjens chefers och medarbetares uppfattning av hälsofrämjande ledarskapsaspekter och dess relation till medarbetarnas välbefinnande2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Aim: Based on the concept of health promotion leadership, the purpose is to examine how the first-line managers perceive their own leadership in comparison to employees' perceptions of the leadership, and whether this relates to employee well-being at work.

    Methods: This study is a recess of the project GodA and it’s based on a cross-sectional design with both quantitative and qualitative methods. To make a comparison between managers and employees perception of leadership, a selection of survey questions from GodA was used. The manager’s valuation of the health promotive leadership aspects were examined through semi-structured interviews.

    Main results: The results shows that there was a wide perception of health promotive leadership among managers. Although it can be interpreted that the managers work from the health promoting leadership aspects, there was a gap between the manager and employee perception of leadership. In half of the groups there was a significant difference. There was also a positive significant correlation between gap and employee well-being, then a larger gap resulted in a lower estimated well-being.

    Summary: Previous research shows that managers often overrate their leadership and a gap can affect employee well-being. It is therefore important to further investigate what the differences between the manager and the employees can depend on and how the gap can be reduced. It is also important to create a clear definition of a health promotive leadership in order to develop health promotion strategies at work.

  • 9.
    Björklund, Ove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Åbo Akademi University, Vaasa, Finland.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Åbo Akademi University, Vaasa, Finland.
    Nyström, Lisbet
    Åbo Akademi University, Vaasa, Finland.
    Young Finnish Unemployed Men's Experiences of Having Participated in a Specific Active Labor Market Program2017In: American Journal of Men's Health, ISSN 1557-9883, E-ISSN 1557-9891, Vol. 11, no 5, p. 1426-1435Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was to describe young Finnish unemployed men's experiences of having participated in a specific active labor market program, intended to fight unemployment and offered at a resource center. Fifteen young unemployed Finnish men in the age range 18 to 27 years were interviewed face-to-face. Purposive sampling was used to increase the variation among informants. The interview texts were analyzed using both manifest and latent qualitative content analysis. The present results reported that the young men felt that they, thanks to the program at the resource center, had acquired daily routines and could ultimately believe in the future. The young men described how they now had a structure, economic support, and that they could return to their daily life. The informants also described how they could see new possibilities and believe in oneself. There is a lack of empirical studies assessing the possible impact of active labor market programs on the unemployed based on participants' own experiences. Further research is needed to describe and elucidate in more detail the effects of targeted support measures and the needs of unemployed men of different ages and living in different contexts.

  • 10.
    Bornedal, Kristina
    University of Gävle, Faculty of Education and Business Studies, Department of Culture Studies, Religious Studies and Educational Sciences.
    Individers uppfattningar av motivation till en viktnedgång samt det sociala stödets inverkan: en fenomenografisk studie2011Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I dagens samhälle är hälften av alla män överviktiga, drygt en tredjedel av alla kvinnor och vart femte barn är överviktiga eller feta (Svenska livsmedelsverket, 2010). Med detta i åtanke väcktes tanken angående hur överviktiga individer motiveras i en process av viktnedgång. Syftet med studien var att undersöka uppfattningar av motivation hos överviktiga individer som genomgår en viktminskningsprocess. Vidare var även syftet att undersöka hur dessa individer påverkas av att genomgå en viktminskningsprocess i grupp. Detta är en fenomenografisk studie där intervjuer har genomförts med tre individer som är i en pågående viktminskningsprocess hos ett viktminskningsföretag. Efter en bearbetning av det empiriska materialet kunde tre beskrivningskategorier utläsas, att komma igång, att nå framsteg samt att blicka framåt. Resultatet visade på många skillnader, men också likheter i individernas uppfattningar av motivation. Slutsatsen blev att respondenterna fann motivation i form av ett stort stöd hos gruppen på viktminskningsföretag, vilket var viktigt för dem i deras viktminskningsprocess, samt att en snabb start i början av processen ökar motivationen för den resterande resan

  • 11. Brattberg, Charlotta
    et al.
    Lennernäs, Maria
    National Institute of Public Health.
    Socialtjänstens roll i det förebyggande folkhälsoarbetet1997Report (Other academic)
  • 12.
    Byström, Marianne
    et al.
    Department of Work and the Physical Environment, National Institute for Working Life.
    Landström, Ulf
    Statshälsan/Prevab, Department of Work and the Physical Environment, National Institute for Working Life.
    Lennernäs, Maria
    Swedish Dairy Association.
    Kännedom, attityd och levnadsmönster bland högskolestuderande angående kost, motion och trötthet2003Report (Other academic)
  • 13.
    Byström, Marianne
    et al.
    Department of Work and the Physical Environment, National Institute for Working Life.
    Neely, Gregory
    Umeå university, National Institute for Working Life.
    Landström, Ulf
    Statshälsan/Prevab, National Institute for Working Life, Umeå.
    Lennernäs, Maria
    Swedish Dairy Association.
    Måltidens inverkan på vakenhet och prestation2002Report (Other academic)
  • 14.
    Cuibe, Catarina
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Socialsekreterares upplevelse av hur sociala relationer till arbetskollegor påverkar hälsan.: En intervjuundersökning2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to examine how social workers experience and describe the social relations with work colleagues and how relationships with coworkers affects selfperceived health. The methodology used was qualitative interviews with five social workers. The result shows that the sense of vulnerability is reduced when there is a supporting workgroup. Working relationships with colleagues are perceived to contribute to a feeling that one is not alone with all the difficult decisions, all heavy meetings, the high workload, and so on. Reduced sense of disclosure affects well being by leading to more energy, less stress and anxiety,  job satisfaction increases, and so on. Conclusions drawn from the study is that the good social relationships with colleagues are essential in the work of social workers to health and to be able to do a good job. This study, together with previous research shows that it is important to work on relationships with colleagues in the workplace and develop the quality of social support.

  • 15.
    Dahlbo, Jonatan
    University of Gävle, Faculty of Education and Business Studies, Department of Culture Studies, Religious Studies and Educational Sciences.
    Intervjuer om hinder och motiv med fjorton tidigare gymtränande fysiskt inaktiva individer2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 16.
    Dawson, Marie-France
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Den goda arbetsmiljön: En kvalitativ intervjustudie med förskolepersonal2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Mycket av den tidigare arbetsmiljöforskningen har fokuserat på faktorer som bidrar till ohälsa inom förskolan och mindre ansträngningar har inriktas på att försöka erhålla kunskaper om vad som bidrar till hälsa. Den här studien kommer därför att fokusera på den salutogena arbetsmiljön inom förskolan.  Syfte: Var att undersöka förskolepersonals uppfattningar om och erfarenheter av begreppet god arbetsmiljö i förskolan. Metod: Fyra förskolelärare och fem barnskötare från en fristående förskola och två kommunala förskolor i Stockholms län deltog. Semistrukturerande intervjuer användes som datainsamlingsmetod. Intervjuerna analyserades med hjälp av fenomenografisk metod och fem beskrivningskategorier samt fjorton underteman skapades. Etiska överväganden beaktades under hela studien.  Resultat: Studiens fem beskrivningskategorier var ett bra ledarskap, god ergonomi, goda miljöer på förskolan, positivt arbetsklimat och hinna vara en bra pedagog. Slutsats: Förskolan har en möjlighet att skapa god arbetsmiljö gällande faktorer som förskolepersonalen själva kan påverka personligen eller inom arbetslaget som till exempel delaktighet och trivsel inom arbetslaget. Det som hindrade förskolan till att skapa god arbetsmiljö var faktorer där enbart chefer, ledningen och politiker kan påverka som icke närvarande chefer och tidsbrist.

  • 17.
    Drangeus, Jessica
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Electronics, Mathematics and Natural Sciences.
    Trädgårdsterapi och trädgårdsrelaterade aktiviteter inom kriminalvård: Perspektiv på utformning, erfarenheter och effekter2014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studiens syfte var att undersöka hur olika trädgårdsrelaterade program inom kriminalvård kan vara utformade och hur dessa program påverkar de intagna. Studien är designad som en litteraturstudie kompletterad med intervjuer och erfarenhetsberättelser från intagna och personal på fängelser. I resultatet framkom att trädgårdsterapi och trädgårdsrelaterade aktiviteter inom kriminalvård kan vara utformade i rehabiliterande syfte, som yrkes- eller utbildningsinriktade program, arbete eller som alternativ till annan sysselsättning. Erfarenheter från personal och intagna samt forskning visar i denna studie att trädgårdsterapi och trädgårdsrelaterade aktiviteter inom kriminalvård kan gynna de intagna. Hälsoeffekter som framkom var bland annat bättre samarbetsförmåga, ökad socialisering och minskad stress. Forskningen inom detta område är dock ännu i sin linda och kompletterande studier behövs för att kunna fastställa evidens inom området.

  • 18.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Flexibelt arbete: Utveckling och validering av ett kvantitativt frågeformulär2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the present study was to develop and validate a Swedish questionnaire assessing conditions of actual work flexibility and its determinants. Data was collected by qualitative Think aloud- interviews with three persons, and through discussions with a reference group. The results from the interviews and discussions showed that corrections were needed for some of the concepts, questions, design and number of items. Next, a cross-sectional study was performed by sending the adjusted questionnaire to three companies in Sweden (N = 266), which was answered by 92 employees. The results supported the adjustments and the questionnaires’ content validity and face validity (> 95 % of the employees agreed). Three Principal component analyses showed comprehensible factors for the three main areas of questions: determinants of actual flexibility, technology use, and work-non-work balance, indicating structural validity of the questionnaire. Furthermore, hypothesis testing showed as expected that the most index variables of actual work flexibility could significantly separate the groups with varying extents of regulated work, indicating construct validity. To conclude, this Master thesis has revealed several question domains valid for inclusion in future surveys regarding actual work flexibility and associations with health and wellbeing at work.

  • 19.
    Engberg, Sandra
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Public health science.
    Stärka barnens integritet: En kvalitativ studie om hur förskolan arbetar med att stärka barnens integritet och förebygga sexuella kränkningar mot barn2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    2440 cases of sexual child abuse was reported in 2015 in Sweden that is about one out of five children. Research shows that prevention strategies that focus on strengthening children’s integrity have proven effective for helping children recognize abusive behaviors as well as gain confidence to disclose.

       The aim of this study is to investigate and describe the preschools role in strengthening children’s integrity to prevent child abuse, and describe how the work is done. The study has a qualitative approach with mix of semi-structured and unstructured interviews, called a qualitative interview form. This study used a purposive selection, four informants with management position within preschool were interviewed. The interviews were recorded and then transcribed, which will serve as a database for analysis.  For this study a content analysis was chosen.

       The results showed that the preschool work aims to strengthen children’s integrity, but that the pre-schools do not use any specific strategies to strengthen children’s integrity with the aim of preventing child abuse.

    The conclusion showed that the preschool does not work consciously to prevent sexual child abuse, instead they are focusing in strengthening children’s integrity and values.

  • 20.
    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.

  • 21. Erlandsson, Maja
    et al.
    Lennernäs, Maria
    Department of Medical Sciences, Nutrition, Uppsala University.
    Månsson, Helena Lindmark
    Mjölk & mejeriprodukter: viktiga näringskällor2005In: Vaar Foeda, ISSN 0042-2657, Vol. 57, no 1, p. 30-35Article in journal (Other (popular science, discussion, etc.))
  • 22.
    Gillberg, M.
    et al.
    Public health Sciences, Karolinska Institute, Stockholm, Sweden.
    Pernler, H.
    Public health Sciences, Karolinska Institute, Stockholm, Sweden.
    Nordlund, G.
    Department of Education, University of Umeå , Umeå, Sweden.
    Norberg, H.
    Department of Education, University of Umeå , Umeå, Sweden.
    Lennernäs, Maria
    Swedish Dairy Association, Stockholm, Sweden.
    Longitudinal changes in the sleep habits of Swedish adolescents2006In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 15, no Suppl. 1, p. 83-Article in journal (Refereed)
    Abstract [en]

    Introduction: Sleep habits change during adolescence both for biological and psychological/social reasons. Longitudinal studies on suchhabits are, however, scarce. The aim of the present study was toinvestigate the longitudinal changes of subjective sleep habits in Swedish adolescents.

    Method: The present study was part of a larger investigation mainlyon food habits that originally included all (about 2500) 14 year oldfrom three representative middle-sized Swedish towns. The adolescents filled in questionnaires at 14, 15 and 18 years of age. The 638 adolescents that answered all the questions on their sleephabits at each of the three occasions were included in the present study.

    Results and discussion: The adolescents developed later weekday bed- and rise times with increasing age (bedtimes from 22:35 h to23:20 h; risetimes from 06:50 h to 07:05 h). Consequently, time inbed on weekday nights decreased (from 8:15 h to 7:45 h). On weekends the adolescents went to bed later (around 2 h) and stayed in bed longer (around 1:20 h) than during the weekdays. Weekend time in bed decreased with increasing age. Differences between genders indicated that the changes observed were more obvious among boys. A dropout analysis implied that those adolescents that only participated at one occasion (at the age of 14) or at two occasions (at 14 and 15 years of age), respectively, went to bed later, woke up later and had shorter sleep compared to those who participated at all three occasions. Hence, the results might not be completely representative.

    Conclusions: A delay of bedtimes and of shortening of sleep duration as a function of age was observed. Weekend changes showed a delay of bedtimes and a (presumably) compensatory increase in sleep duration. Boys seemed 'worse off'.

  • 23.
    Graaf, Cees De
    et al.
    Department of Human Nutrition, Wageningen Agricultural University.
    Gaag, Monique A. Van Der
    Department of Human Nutrition, Wageningen Agricultural University.
    Kafatos, Anthony George
    School of Health Sciences, University of Crete.
    Lennernäs, Maria
    Uppsala, Sweden.
    Kearney, John M.
    Institute of European Food Studies, Trinity College, Dublin.
    Stages of dietary change among nationally-representative samples of adults in the European Union1997In: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 51, no Suppl. 2, p. S47-S56Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the distribution across the different stages of change for each of the 15 participating European countries, and the effect of socio-demographic variables such as sex and education on this distribution. Also to assess the relationships between stages of change and influences of food choice, and other variables. Design: A cross-sectional study in which quota-controlled, nationally-representative samples of approximately 1000 adults from each country completed a face-to-face interview-assisted questionnaire. Setting: The survey was conducted between October 1995 and February 1996 in the 15 member states of the European Union. Subjects: 14,331 subjects (aged 15 y upwards) completed the questionnaire. Data were weighted by population size for each country and by sex, age and regional distribution within each member state. Subjects were divided into five different categories according to their attitudes towards 'changing their eating habits in order to eat healthier': (1) Precontemplation; do not consider any changes, (2) Contemplation; consider changes, (3) Decision; make plans to change, (4) Action; carry out the changes, and (5) Maintenance; maintained changes for more than six months. Results: 52% of the subjects were in the precontemplation stage, whereas 31% of the subjects were in the maintenance stage. Two, one, and seven percent of subjects were in the contemplation, decision and action stage, respectively. In the Mediterranean countries, and in Germany, there were more people (55-64%) in the precontemplation stage, whereas in the Scandinavian countries there were less people in precontemplation stage (20-38%). The opposite was true for the maintenance stage, whereas women and people with a higher education level tended to be more in the maintenance stage. With respect to influences on food choice, subjects in precontemplation stage found that taste was more important, whereas people in maintenance stage found that health was more important. Conclusions: The stages of change model makes a useful distinction between people with different attitudes towards nutrition and health. Nutrition education can benefit from this distinction.

  • 24.
    Gullsby, Anders
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Motivation och livsstilsförändring: En kvalitativ intervjustudie om tre kvinnors motivation till att vara fysiskt aktiva som barn och som vuxna.2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health-related diseases and medical costs in society are growing. Much of this could be prevented with healthier lifestyles. At the same time, it appears that children in schools have less motivation for physical activity than before. This study wants to examine whether the internal, external and autonomous motivation factors with some adults to make lifestyle changes are the same that motivated them to be physically active as young. The aim is also to study what motivates these adults continue to be physically active. Three semi-structured qualitative studies were carried out on a training and exercise facilities in central Sweden. The target group was three middle-aged women who were physical active as young but have had a break and then gone through a lifestyle change and start getting physical active again. The results of the study shows that all participants were motivated by positive internal and external motivation that young and that autonomous motivation like joy is the most important part for both when they were younger, and as an adult. Positive motivation and an open-minded environment prompted them to continue training after the lifestyle change.

  • 25.
    Hallebjörk, Cecilia
    University of Gävle, Faculty of Education and Business Studies, Department of Educational sciences.
    Vad i Hälsoprofilbedömning motiverar människor att göra en livsstilsförändring?: En kvalitativ intervjustudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund Stor del av människors hälsa och flertalet sjukdomar beror på människors ohälsosamma levnadsvanor. Metoden hälsoprofilbedömning (HPB) har visat ge stora positiva hälsoeffekter. Med mätningar, konditionstest på cykel och motiverande samtal läggs fokus på nuläge och förändring för att motivera deltagare till livsstilsförändring.

    Syfte Syftet med studien är att undersöka vad personer som gjort en HPB upplever som motiverande till förändring av livsstil.

    Metod Kvalitativ metod med semistrukturerade intervjuer. Fyra kvinnor som hade genomfört HPB högst en månad innan intervjuerna genomfördes. Intervjuerna analyserades med innehållsanalys.

    Resultat Det visade sig att både inre och yttre faktorer påverkade motivation till förändring hos informanterna. Efter att ha gjort HPB kunde informanterna se möjligheterna till förändring utifrån sina egna förutsättningar, att det krävs mindre ansträngning än de trott för att få positiva effekter på hälsan, samt att de nu kunde se hur livsstilen påverkar hälsan.

    Slutsats Mätningarna och konditionstestet är en motiverande faktor där informanterna får bekräftat vad resultatet är, medan MI är en viktig del för att deltagarna ska veta hur de själva ska gå tillväga för att genomföra en förändring utifrån sina egna förutsättningar. HPB som helhet är en bra metod för livsstilsförändring.

  • 26.
    Heiden, Marina
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Trunk and upper arm postures in paper mill work2018In: Article in journal (Refereed)
  • 27.
    Hellbom, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Ledarskap i offentlig sektor: Organisationsfaktorer, ledarskapsmodeller, förutsättningar och medarbetarens hälsa2015Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine leadership in the public sector based on leadership models, organizational factors, conditions and health of employees. The study was divided into sub-study one and two. In sub-study one the design was an observational study using cross sectional design in which 67 first line managers in the public sector answered a survey about conditions and leadership models. Sub-study two was an observational study using case-control design focusing on a health promoting leadership intervention in the municipal sector. Two semi-structured interviews and 41 surveys were collected. The first-line managers in each group were interviewed and their employees had to answer a questionnaire.  The results showed that there is a difference between first line managers’ conditions in the public sector. Further, the result showed that there is a significant difference in how intervention group and control group estimate demand, control and structure-oriented leadership. But it is difficult to say if the differences only depend on the intervention or other factors. 

  • 28.
    Helmer, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Socialsekreterares värdering av olika arbetsmiljöfaktorers betydelse för en god arbetsmiljö2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Lately, alarming reports have appeared regarding the work environment and work situation of social workers. Research focusing on the promotion of health and well-being in the workplace among other professionals show that factors such as social relationships, ability to influence their work situation and leadership are important. A quantitative study was conducted focusing on the work climate for social workers employed by some of the district administrations in the City of Malmö. A questionnaire with questions and statements on various factors in the work environment was sent to 34 social workers. They were asked how important these factors were for their well-being, as well as to what extent they felt that these factors were present at work. A total of 17 social workers filled out the questionnaire. The study results showed that communication and leadership were the two themes that had the greatest impact on the well-being at work for the social workers. The results also showed a discrepancy regarding the relationship between how the importance of the statements in the questionnaire was considered, and the degree to which they were present at work. However, the results could not demonstrate any difference between how younger and older social workers assessed the importance of the work environment factors' importance for their well-being at work. Further studies with different approaches of how communication and leadership affects social workers well-being at work could help identifying appropriate actions for improved working conditions for social workers.

  • 29.
    Holm, Maria
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Electronics, Mathematics and Natural Sciences.
    Elevernas upplevelse av hälsa, stress och avslappningsövningar i en skola som aktivt arbetar med avslappning2017Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att undersöka hur elever upplever stress, hälsa och avslappningsövningar, i en skola där lärarna aktivt arbetar med hälsofrågor och avslappningsmetoder med eleverna. Undersökningen utgår från en kvalitativ forskningsansats med semistrukturerade intervjuer. Totalt nio elever intervjuades, tre elever från tre olika klasser. Vidare intervjuades de tre klasslärarna om hur de arbetar med hälsorelaterade frågor och strategier, för att förebygga stress hos elever. Lärarna beskrev tre olika avslappningsmetoder som används med eleverna. Två av metoderna utförs oftast och massage, som är en av dessa, är mest omtyckt bland eleverna. Både lärarna och några elever upplevde att avslappningsmetoderna sänker  ljudnivån på timmarna samt ger ett vänligare klimat i klassen. Eleverna upplever att de lär sig om hälsa och dess betydelse. Resultatet visade att eleverna själva tycker att de inte är stressade och att de har en god hälsa, sover bra samt äter bra mat i skolan. Slutsatsen är att eleverna som går på en skola som aktivt arbetar med hälsofrågor och avslappningsmetoder inte upplever sig stressade. Resultaten i denna studie kan ge idéer till andra verksamma lärare hur man kan arbeta för att förebygga uppkomsten av stress.

  • 30.
    Holmbäck, Ulf C.
    et al.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University.
    Forslund, Anders H.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Forslund, Jeanette M.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Hambræus, Leif M.
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institute.
    Lennernäs, Maria
    Institutet för psykosocial medicin (IPM), Avdelningen för stressforskning, Karolinska institutet.
    Löwden, Arne
    Stockholm University, Stress Research Institute.
    Stridsberg, Mats
    Department of Medical Science and Clinical Chemistry, Uppsala University Hospital.
    Åkerfeldt, Torbjörn
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Åkerstedt, Torbjörn
    National Institute for Psychosocial Factors and Health, Karolinska Institutet, Avdelningen för stressforskning, Karolinska institutet.
    Changes in blood lipid profile and endocrine response as a result of an isocaloric high carbohydrate or high-fat diet in consideration of circadian rhythm2001In: The FASEB Journal, ISSN 0892-6638, E-ISSN 1530-6860, Vol. 15, no 4, p. A640-Article in journal (Refereed)
  • 31.
    Holmbäck, Ulf C.
    et al.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University.
    Forslund, Anders H.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital, Clinical Chemistry Laboratory, Department of Medical Sciences, Uppsala University Hospital.
    Forslund, Jeanette M.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital, Swedish Dairy Association, Karolinska Institute.
    Hambræus, Leif M.
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institute, IPM - National Institute of Psychosocial Medicine, Karolinska Institutet.
    Lennernäs, Maria
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Löwden, Arne
    Stockholm University, Stress Research Institute, Swedish Dairy Association, Karolinska Institute.
    Stridsberg, Mats
    Department of Medical Science and Clinical Chemistry, Uppsala University Hospital, IPM - National Institute of Psychosocial Medicine, Karolinska Institutet.
    Åkerstedt, Torbjörn
    National Institute for Psychosocial Factors and Health, Karolinska Institutet, Avdelningen för stressforskning, Karolinska institutet, IPM - National Institute of Psychosocial Medicine, Karolinska Institutet.
    Metabolic responses to nocturnal eating in men are affected by sources of dietary energy2002In: Journal of Nutrition, ISSN 0022-3166, E-ISSN 1541-6100, Vol. 132, no 7, p. 1892-1899Article in journal (Refereed)
    Abstract [en]

    Because night work is becoming more prevalent, we studied whether feeding at different times of a 24-h period would elicit different metabolic responses and whether dietary macronutrient composition would affect these responses. Seven men (26-43 y, 19.9-26.6 kg/m2) consumed two isocaloric diets, in a crossover design. The diets were a high carbohydrate (HC) diet [65 energy % (E%) carbohydrates, 20E% fat] and a high fat (HF) diet (40E% carbohydrates, 45E% fat). After a 6-d diet-adjustment period, the men were kept awake for 24 h and the food (continuation of respective diet) was provided as six isocaloric meals (i.e., every 4 h). Energy and substrate turnover, heart rate, mean arterial pressure (MAP), blood glucose, triacylglycerol (TAG), nonesterified fatty acid (NEFA) and glycerol were measured throughout the 24-h period. Significantly higher energy expenditure and NEFA concentration, and lower blood glucose and TAG concentrations were observed when the men consumed the HF diet than when they consumed the HC diet. Significant circadian patterns were seen in body and skin temperature (nadir, 0400-0500 h). When the men consumed the HF diet, significant circadian patterns were seen in fat oxidation (nadir, 0800-1200 h; plateau, 1200-0800 h), heat release (nadir, 0800-1200 h; plateau, 1600-0800 h), heart rate (nadir, 0000 h), blood glucose (nadir, 0800-1200 h; peak, 0000-0400 h), NEFA (nadir, 0800-1200 h; peak, 1200-2000 h) and TAG (nadir, 0800-1200 h; peak, 0400-0800 h) concentrations. Energy expenditure, carbohydrate oxidation, MAP and glycerol concentration did not display circadian patterns. Unequal variances eradicated most circadian effects in the HC-diet data. The increased TAG concentration in response to feeding at 0400 h might be involved in the higher TAG concentrations seen in shift workers. Distinct macronutrient/circadian-dependent postprandial responses were seen in most studied variables.

  • 32.
    Holmbäck, Ulf C.
    et al.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University.
    Forslund, Anders H.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Forslund, Jeanette M.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Hambræus, Leif M.
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institute.
    Lennernäs, Maria
    Institutet för psykosocial medicin (IPM), Avdelningen för stressforskning, Karolinska institutet.
    Åkerfeldt, Torbjörn
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Löwden, Arne
    Stockholm University, Stress Research Institute.
    Åkerstedt, Torbjörn
    National Institute for Psychosocial Factors and Health, Karolinska Institutet, Avdelningen för stressforskning, Karolinska institutet.
    Changes in energy expenditure and substrate utilization as a result of a nigh carbohydrate or high fat diet in consideration of diurnal rhythm2000In: The FASEB Journal, ISSN 0892-6638, E-ISSN 1530-6860, Vol. 14, no 4, p. A790-Article in journal (Refereed)
  • 33.
    Holmbäck, Ulf C.
    et al.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Forslund, Anders H.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Löwden, Arne
    Stockholm University, Stress Research Institute, Institutet för psykosocial medicin (IPM), Avdelningen för stressforskning, Karolinska institutet.
    Forslund, Jeanette M.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Åkerstedt, Torbjörn
    National Institute for Psychosocial Factors and Health, Karolinska Institutet, Avdelningen för stressforskning, Karolinska institutet, Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institute.
    Lennernäs, Maria
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Hambræus, Leif M.
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institute.
    Stridsberg, Mats
    Department of Medical Science and Clinical Chemistry, Uppsala University Hospital.
    Endocrine responses to nocturnal eating: Possible implications for night work2003In: European Journal of Nutrition, ISSN 1436-6207, E-ISSN 1436-6215, Vol. 42, no 2, p. 75-83Article in journal (Refereed)
    Abstract [en]

    Background: Night work is becoming more common and shift workers display several metabolic disturbances. Aim: To study the endocrine responses in relation to time of day during a 24-h period and how dietary macronutrient composition affects these responses. Design: Seven males (26-43 y and 19.9-26.6 kg · m-2) were studied in a crossover design. Isocaloric diets described as highcarbohydrates (HC; 65 energy percent (E%) carbohydrates and 20E% fat) or high-fat (HF; 40E% carbohydrates and 45E% fat) were given. After a 6-day diet adjustment period, the subjects were kept awake for 24 h in a metabolic unit and were served an isocaloric meal (continuation of respective diet) every 4-h. Blood samples were taken throughout the 24-h period. Results: Insulin and leptin responses to meal intake differed with respect to time of day (p ≤ 0.05). Time of day affected glucagon, thyroid stimulating hormone (TSH), free thyroxin (fT4), total triiodothyronine (tT3), cortisol, chromogranin A (CgA) and pancreatic polypeptide (PP) concentrations (p ≤ 0.05). Meal intake decreased cortisol concentration after meals at 0800, 1200 and 0400 but not at 1600, 2000 and 0000 h. The PP's postprandial increase was greater during 0800-1600 h compared to 2000-0800 h. With the HC meals, lower glucagon and CgA concentrations (p ≤ 0.05), and a tendency for lower tT3 concentrations (p = 0.053) were observed compared to the HF meals. Conclusion: Insulin, PP, TSH, fT4, cortisol and leptin responses to meal intake differed with respect to time of day. The decreased evening/nocturnal responses of cortisol and PP to meal intake indicate that nocturnal eating and night work might have health implications.

  • 34.
    Holmbäck, Ulf C.
    et al.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Löwden, Arne
    Stockholm University, Stress Research Institute, Institutet för psykosocial medicin (IPM), Avdelningen för stressforskning, Karolinska institutet.
    Åkerfeldt, Torbjörn
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Hambræus, Leif M.
    Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institute.
    Lennernäs, Maria
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Forslund, Jeanette M.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    Åkerstedt, Torbjörn
    National Institute for Psychosocial Factors and Health, Karolinska Institutet, Avdelningen för stressforskning, Karolinska institutet, Department of Biosciences, Unit for Preventive Nutrition, Karolinska Institute.
    Stridsberg, Mats
    Department of Medical Science and Clinical Chemistry, Uppsala University Hospital.
    Forslund, Anders H.
    Department of Medical Sciences, Nutrition, Uppsala University Hospital.
    The human body may buffer small differences in meal size and timing during a 24-h wake period provided energy balance is maintained2003In: Journal of Nutrition, ISSN 0022-3166, E-ISSN 1541-6100, Vol. 133, no 9, p. 2748-2755Article in journal (Refereed)
    Abstract [en]

    Because ∼20% of the work force in the industrialized world have irregular working hours, it is pertinent to study the consequences of eating at irregular, especially nighttime hours. We studied the postprandial responses during nocturnal fasting vs. e+ating throughout a 24-h wake period. Seven healthy males were studied twice in a crossover design. After a 6-d diet adjustment period [high fat diet, 45 energy percent (en%) fat, 40 en% carbohydrates)] with sleep from 2300 to 0700 h, the men were kept awake for 24 h at the metabolic ward and given either 6 isoenergetic meals, i.e., every 4 h (N-eat) or 4 isoenergetic meals from 0800 to 2000 h followed by a nocturnal fast (N-fast), with the same 24-h energy intake. Energy expenditure, substrate utilization, activity, heat release, body temperature and blood variables were measured over 24 h. Energy expenditure and blood glucose, triacylglycerol, insulin and glucagon concentrations were lower and nonesterified fatty acids concentrations were higher during the nocturnal fast than during nocturnal eating (P < 0.05); however, no 24-h differences between the protocols were apparent. Nocturnal fasting slightly altered the secretory patterns of the thyroid hormones and cortisol (P < 0.05). We found no clear indication that it would be more favorable to ingest few larger daytime meals than smaller meals throughout the 24-h period. The body seems to be able to buffer small differences in meal size and timing provided energy balance is maintained

  • 35.
    Holmström, Ida
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Känsla av sammanhang i förhållande till ålder, egenupplevd sjukdomsbild och hälsotillstånd hos en grupp individer med reumatiska sjukdomar2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 36.
    Hydén, Anders
    University of Gävle, Department of Caring Sciences and Sociology.
    Lära sig hantera smärta och förändra sjukskrivningsmönstret2002Report (Other academic)
  • 37.
    Hydén, Anders
    University of Gävle, Department of Caring Sciences and Sociology.
    Projekt Resursrehab: En utvärdering av ett Dagmar - och Finsamfinansierat rehabiliteringsprojekt vid Söderhamns rehabiliteringsenhet, primärvården Hälsingland2001Report (Other academic)
  • 38.
    Jahncke, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Flexibelt arbete - Hälsofrämjande interventioner för en hållbar digitalisering: Delområde Centrala funktioner2017Report (Other academic)
  • 39.
    Jahncke, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Flexibelt arbete - Hälsofrämjande interventioner för en hållbar digitalisering: Delområde Investering2017Report (Other academic)
  • 40.
    Jahncke, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Flexibelt arbete - Hälsofrämjande interventioner för en hållbar digitalisering: Delområde IT2017Report (Other academic)
  • 41.
    Jahncke, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Flexibelt arbete - Hälsofrämjande interventioner för en hållbar digitalisering: Delområde Planering2017Report (Other academic)
  • 42.
    Jahncke, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Flexibelt arbete - Hälsofrämjande interventioner för en hållbar digitalisering: Delområde Resultatenheterna Färjerederiet, Trafikverksskolan, Fordonsresurser och Förarprov2017Report (Other academic)
  • 43.
    Jahncke, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Flexibelt arbete - Hälsofrämjande interventioner för en hållbar digitalisering: Delområde Stora projekt2017Report (Other academic)
  • 44.
    Jahncke, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Flexibelt arbete - Hälsofrämjande interventioner för en hållbar digitalisering: Delområde Trafikledning2017Report (Other academic)
  • 45.
    Jahncke, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Edvinsson, Johanna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bjärntoft, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bergsten, Eva
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Hallman, David
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Kjellberg, Anders
    University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Larsson, Johan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Zetterberg, Camilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Flexibelt arbete - Hälsofrämjande interventioner för en hållbar digitalisering: Delområde Underhåll2017Report (Other academic)
  • 46.
    Jansson, Helena
    et al.
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    Hammarberg, Marie
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    En studie om kvinnlig omsorgspersonals upplevelse av chefens stöd vid långtidssjukskrivning.2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 47.
    Jeppsson Levin, Jennifer
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
    Restaurangpersonals upplevelse av sexuella trakasserier i arbetsgruppen: En semistrukturerad intervjustudie2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The restaurant industry is often described as a hard and tough working environment. The restaurant industry is the industry that are most subjected to sexual harassment witch can affect the occupational health both physically and psychologically. The aim of this study was to explore the experience of sexual harassment among staff in the restaurant industry. To get a view and understanding of earlier research a systematic literature review was conducted. To get an understanding of restaurant staffs experience of sexual harassment a qualitative interview study with a phenomenology approach was performed. The main results showed that the informants experienced sexual harassment as a process of acclimatization. It starts with a sexual jargon that is customary and the informant describes a fear of reporting. The jargon and fear becomes a part of everyday life and informants describes that they don’t define it to be sexual harassment anymore. The informants describe it as the borders have moved or become blurred when it comes to sexual harassment witch can defines like a normalization of sexual harassment.

  • 48.
    Kaltenbrunner, Monica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bengtsson, Lars
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Industrial Development, IT and Land Management, Industrial economics. University of Gävle, Center for Logistics and Innovative Production.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet, Uppsala, Sverige; Nursing Department, Medicine and Health College, Lishui University, China.
    Lean i primärvården - en bild av hur Lean tillämpas2018In: FALF KONFERENS 2018 Arbetet – problem eller potential för en hållbar livsmiljö?, Gävle: Gävle University Press , 2018, p. 112-112Conference paper (Other academic)
    Abstract [sv]

    Bakgrund

    Lean har sitt ursprung i bilindustrin och har spridits till andra sektorer såsom hälso-och sjukvård. Implementering av Lean syftar vanligtvis till att öka vårdkvaliten. Vid utvärderingar av Lean saknas ofta en beskrivning av vilka principer av Lean som implementeras och i vilken utsträckning. Föreliggande studie utgår från Likers beskrivning av Lean. Liker beskriver Lean i fyra övergripande grupper kallad 4P modellen; philosophy, processes, people and partners, och problem-solving (filosofi, processer, anställda och partners, och problemlösning), som består av ett antal principer. Att implementera alla principer och involvera alla medarbetare är ovanlig, vilket Liker menar är avgörande om organisationen ska nå de mål de satt med att införa Lean.

    Syfte

    Syftet med studien var att illustrera hur Lean praktiseras inom primärvården. 

    Metod

    Studien utgår från ett större forskningsprojekt där både privata och landstingsägda primärvårdsenheter deltog. All personal vid enheterna fick 2016 besvara en enkät om Lean-principer, svarsfrekvens 35% (298 medarbetare vid 45 enheter). Höga Lean skattningar indikerade hög mognad av Lean vilket innebar att medarbetarna var kunniga rörande den efterfrågade Lean-principen; låg mognad av Lean innebar att man helt saknade principen på sin arbetsplats eller hade implementerat den i liten utsträckning av ett fåtal medarbetare. Baserat på enkätsvaren valdes fyra enheter ut för observationer, två med hög mognad av Lean och två med låg mognad. Observationerna inkluderade intervjuer och fältanteckningar som illustrerade hur 4P-modellen praktiserades på enheterna. Hälso- och sjukvårdspersonal med olika professioner deltog (n=28).

    Resultat

    Rörande filosofi ansåg medarbetarna vid alla fyra enheter att den närmaste chefen, återkommande men i varierande utsträckning, kommunicerade gemensamma mål. Patienternas behov styrde planeringen av vården. Processer kunde innefatta att medarbetarna baserade sin planering av vården på statistik. För vissa patientgrupper eller symtom fanns generella ordinationer, d.v.s. utan kontakt med läkare, t.ex. på vilka prover som skulle tas. Rörande anställda och partners var det vanligt att arbeta i team både inom och utanför sin enhet. Men det framkom även att medarbetarna inte arbetade tillsammans fast de borde det. Problemlösning förekom men ofta ostrukturerat med brister på uppföljning. En enhet hade påbörjat utvecklande av problemlösning genom dagliga möten och strullistor att dokumentera problemen på.

    Konklusion

    Tillämpning av Lean varierar i stor utsträckning mellan vårdcentralerna. Ett par enheter hade implementerat Lean i större utsträckning och dessa enheter var mer strukturerade rörande t.ex. problemlösning och teamarbete.

     

  • 49.
    Kaltenbrunner, Monica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. University of Gävle, Centre for Musculoskeletal Research.
    Bengtsson, Lars
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Industrial Development, IT and Land Management, Industrial economics. University of Gävle, Center for Logistics and Innovative Production.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Lean maturity and quality in primary care2018In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247Article in journal (Refereed)
    Abstract [en]

    Purpose - The purpose of this paper is to 1) describe Lean maturity in primary care using a questionnaire based on Liker’s description of Lean, complemented with observations, and 2) determine the extent to which Lean maturity is associated with quality of care measured as staff-rated satisfaction with care and adherence to national guidelines. High Lean maturity indicates adoption of all Lean principles throughout the organization and by all staff.

    Design/methodology/approach - Data were collected using a survey based on Liker’s four principles, divided into 16 items (n = 298 staff in 45 units). Complementary observations (n = 28 staff) were carried out at four units.

    Findings - Lean maturity varied both between and within units. The highest Lean maturity was found for ‘adhering to routines’ and the lowest for ‘having a change agent at the unit’. Lean maturity was positively associated with satisfaction with care and with adherence to national guidelines to improve healthcare quality. 

    Practical implications - Quality of primary care may benefit from increasing Lean maturity. When implementing Lean, managers could benefit from measuring and adopting Lean maturity repeatedly, addressing all Liker’s principles and using the results as guidance for further development.

    Originality/value - This is one of the first studies to evaluate Lean maturity in primary care, addressing all Liker’s principles from the perspective of quality of care. The results suggest that repeated actions based on evaluations of Lean maturity may help to improve quality of care.

  • 50.
    Knutsson, Anders
    et al.
    Department of Public Health and Clinical Medicine, Occupational Medicine, Umeå University, Umeå, Sweden .
    Karlsson, Berndt H.
    Department of Public Health and Clinical Medicine, Occupational Medicine, Umeå University, Umeå, Sweden .
    Örnkloo, Katarina
    Department of Oncology, Umeå University, Umeå, Sweden .
    Landström, Ulf
    National Institute for Working Life, Umeå, Sweden.
    Lennernäs, Maria
    Department of Medicine, Nutrition, Uppsala University, Uppsala, Sweden.
    Eriksson, Kåre
    Department of Public Health and Clinical Medicine, Occupational Medicine, Umeå University, Umeå, Sweden .
    Postprandial responses of glucose, insulin and triglycerides: Influence of the timing of meal intake during night work2002In: Nutrition and Health, ISSN 0260-1060, Vol. 16, p. 133-141Article in journal (Refereed)
    Abstract [en]

    The objective was to study the postprandial responses of glucose, insulin and triglycerides to meal intake at different clock times during night work. Eleven night shift working nurses participated. Identical test meals were ingested at 19:30, 23:30 and 03:30, and contained 440 kcal/ 1860 kJ of energy (33 E% fat, 51 E% carbohydrate, 16 E% protein). The food intake was standardized three days before the first test meal. Blood samples were drawn just before the test meals were ingested and thereafter at 30, 60, 90, 120, 180 and 240 minutes. The postprandial responses were estimated as the total area under the curve (AUC) and significance testing was done using repeated measures ANOVA. The highest insulin level was found after meal intake at 23:30, and the lowest after meal intake 03:30. The glucose response showed the same pattern. The insulin response to food intake in night working nurses is more pronounced in the night compared with morning and evening. The results would have implications for metabolic and cardiovascular disorders in night workers.

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