Tonje Holte Stea

Association of lifestyle habits and academic achievement in Norwegian adolescents: a cross-sectional study.

BackgroundWhile healthy lifestyle habits are generally assumed to be important for high academic achievement, there has been little research on this topic among adolescents. The aim of this study was therefore to examine the associations between several lifestyle habits and academic achievement in adolescent girls and boys.MethodsThe study included 2,432 Norwegian adolescents, 15–17 years old. A self-report questionnaire was used to assess dietary-, physical activity-, smoking- and snuffing habits and academic achievement. Logistic regression models were adjusted for body mass index (BMI) and parental education.ResultsIn both girls and boys, high academic achievement was associated with a regular consumption of breakfast (AOR: 3.30 (2.45-4.45) and AOR: 1.76 (1.32-2.34), respectively) and lunch (AOR: 1.44 (1.08-1.93) and AOR: 1.43 (1.09-1.89), respectively), and in boys, with a regular consumption of dinner (AOR: 1.44 (1.16-1.79)) and a regular meal pattern in general (AOR: 1.50 (1.10 – 2.03)). In both girls and boys, high academic achievement was associated with a high intake of fruit and berries (AOR: 2.09 (1.51-2.88) and AOR: 1.47 (1.04-2.07), respectively), and in girls, with a high intake of vegetables (AOR: 1.82 (1.30-2.53)). In both girls and boys, high academic achievement was associated with a high leisure time physical activity level (AOR: 1.51 (1.10-2.08) and AOR: 1.39 (1.05-1.85), respectively) and use of active commuting (AOR: 1.51 (1.10-2.08) and AOR: 1.72 (1.26-2.35), respectively). In both girls and boys, high academic achievement was associated with a low intake of lemonade (AOR: 0.42 (0.27-0.64) and AOR: 0.67 (0.48-0.94), respectively), and in girls, with a low intake of sugar-sweetened soft drinks (AOR: 0.47 (0.35- 0.64)) and salty snacks (AOR: 0.63 (0.47-0.85)). Lastly, high academic achievement was inversely associated with smoking and snuffing in both girls (AOR: 0.18 (0.12-0.25) and AOR: 0.25 (0.17-0.37), respectively) and boys (AOR: 0.37 (0.25-0.54) and AOR: 0.51 (0.36-0.72), respectively).ConclusionsA regular meal pattern, an intake of healthy food items and being physically active were all associated with increased odds of high academic achievement, whereas the intake of unhealthy food and beverages, smoking cigarettes and snuffing were associated with decreased odds of high academic achievement in Norwegian adolescents.

Association between short time in bed, health-risk behaviors and poor academic achievement among Norwegian adolescents

OBJECTIVE To investigate the prevalence of short time in bed (<8h/day) and to examine the association between time in bed, overweight/obesity, health-risk behaviors and academic achievement in adolescents. METHODS This study included a sample of adolescents (n=2432) aged 15-17 years in the southern part of Norway (participation rate, 98.7%). A self-report questionnaire was used to assess time in bed, body mass index, dietary habits, physical activity habits, sedentary behavior, smoking and snuffing habits, and academic achievement. RESULTS A total of 32.3% of the students reported short time in bed (<8h/day) on an average school night. Several health-risk behaviors were associated with short sleep duration, including not being physically active for > or =60 min for > or =5 days/week (adjusted odds ratio, 1.33; 95% confidence interval, 1.05-1.68); using television/computer >2 h/day (1.63; 1.23-2.17); being a current smoker (2.46; 1.80-3.35) or snuffer (2.11; 1.57-2.85); having an irregular meal pattern (1.33; 1.05-1.68); intake of sweets/candy > or =4 times/week (0.51; 0.32-0.83); and poor academic achievement (1.62; 1.26-2.09). All odds ratios were adjusted for sex, age and parental education. CONCLUSIONS In Norwegian adolescents, short time in bed is associated with several health-risk behaviors and poor academic achievement.

Changes in beverage consumption in Norwegian children from 2001 to 2008

OBJECTIVE To analyse (i) differences in beverage pattern among Norwegian children in 2001 and 2008; (ii) beverage intake related to gender, parental education and family composition; and (iii) potential disparities in time trends among the different groups. DESIGN Within the Fruits and Vegetables Make the Marks (FVMM) project, 6th and 7th grade pupils filled in a questionnaire about frequency of beverage intake (times/week) in 2001 and 2008. SETTING Twenty-seven elementary schools in two Norwegian counties. SUBJECTS In 2001 a total of 1488 and in 2008 1339 pupils participated. RESULTS Between 2001 and 2008, a decreased consumption frequency of juice (from 3·6 to 3·4 times/week, P = 0·012), lemonade (from 4·8 to 2·5 times/week, P < 0·001) and regular soft drinks (from 2·7 to 1·6 times/week, P < 0·001), but an increased consumption frequency of diet soft drinks (from 1·2 to 1·6 times/week, P < 0·001), were observed. From 2001 to 2008, boys increased their frequency of juice consumption (from 3·1 to 3·3 times/week) whereas girls decreased their frequency of juice consumption (3·8 to 3·4 times/week; interaction time × gender P = 0·02). Children with higher educated parents increased their frequency of juice consumption (3·6 to 3·8 times/week) whereas those with lower educated parents decreased their frequency of juice consumption (3·3 to 3·0 times/week; interaction time × parental education P = 0·04). CONCLUSION A lower frequency of consumption of sugar-sweetened beverages was observed among pupils in 2008 than in 2001. This is in accordance with the Norwegian health authoritys goals and strategies for this time period, and is an important step to improve the dietary health of adolescents.

Vitamin C and E supplementation blunts increases in total lean body mass in elderly men after strength training

The aim of this study was to investigate the effects of vitamin C and E supplementation on changes in muscle mass (lean mass and muscle thickness) and strength during 12 weeks of strength training in elderly men. Thirty‐four elderly males (60–81 years) were randomized to either an antioxidant group (500 mg of vitamin C and 117.5 mg vitamin E before and after training) or a placebo group following the same strength training program (three sessions per week). Body composition was assessed with dual‐energy X‐ray absorptiometry and muscle thickness by ultrasound imaging. Muscle strength was measured as one‐repetition maximum (1RM). Total lean mass increased by 3.9% (95% confidence intervals: 3.0, 5.2) and 1.4% (0, 5.4) in the placebo and antioxidant groups, respectively, revealing larger gains in the placebo group (P = 0.04). Similarly, the thickness of m. rectus femoris increased more in the placebo group [16.2% (12.8, 24.1)] than in the antioxidant group [10.9% (9.8, 13.5); P = 0.01]. Increases of lean mass in trunk and arms, and muscle thickness of elbow flexors, did not differ significantly between groups. With no group differences, 1RM improved in the range of 15–21% (P < 0.001). In conclusion, high‐dosage vitamin C and E supplementation blunted certain muscular adaptations to strength training in elderly men.

Meal pattern among Norwegian primary-school children and longitudinal associations between meal skipping and weight status

OBJECTIVE To investigate meal pattern longitudinally and explore whether meal skipping was associated with overweight among Norwegian children and adolescents. DESIGN Longitudinal study. Childrens meal frequencies were reported by their parents using a retrospective FFQ. Weight and height were measured by public health nurses. Descriptive data comparing 4th and 7th grade were analysed by paired-sample t tests for continuous variables and χ 2 tests for categorical variables. Odds ratio estimates, including confidence intervals, with BMI category (normal/overweight) as the dependent variable, were determined through logistic regression analyses. SETTING Primary schools, Telemark County, Norway. SUBJECTS A cohort of 428 Norwegian boys and girls; 4th graders in 2007, 7th graders in 2010. RESULTS The number of children eating four main meals per day (regular meal frequency) decreased from 4th grade (47 %) to 7th grade (38 %; P = 0·001). Those who ate regular meals in 4th grade but not in 7th grade had higher odds (OR = 3·1; 95 % CI 1·1, 9·0) of being overweight in 7th grade after adjusting for gender, maternal education and physical activity, but the odds ratio was not statistically significant after adjusting for overweight in 4th grade (OR = 2·8; 95 % CI 0·7, 11·6). CONCLUSIONS The present study showed significant increases in overall meal skipping among children between 4th and 7th grade. The results indicate an association between overweight and meal skipping, but additional prospective and longitudinal analyses and intervention trials are warranted to confirm this relationship.

BMI, lipid profile, physical fitness and smoking habits of young male adults and the association with parental education

BACKGROUND Few studies have focused on the potential relationship between parental educational level and cardiovascular risk factors among young male adults. The aim of this study was to investigate cardiovascular disease risk factors among young men and whether body mass index (BMI), serum lipids, physical fitness and smoking habits were related to paternal and maternal education. METHODS In this cross-sectional study 750 18- to 26-year-old male recruits participated. RESULTS Linear regression analyses showed that the paternal education was inversely associated with BMI (P = 0.035) and the concentration of total cholesterol (P = 0.003) and low-density lipoprotein (LDL) (P = 0.014). Running performance was inversely related to cigarette smoking (P = 0.022) and the concentration of triacylglycerol (P = 0.001). BMI was positively related to the concentration of LDL (P = 0.002), total cholesterol/high-density lipoprotein (HDL) ratio (P < 0.001) and inversely related to the concentration of HDL (P < 0.001), running performance (P < 0.001) and muscular strength (P = 0.011). Recruits with low BMI, both high and low fitness, had a significantly better lipid profile than recruits with high BMI and low fitness (P <or= 0.016). A lower concentration of triacylglycerol (P <or= 0.001) and a higher concentration of HDL (P = 0.034) were further shown among recruits with high BMI/high fit compared to recruits with high BMI/low fit. CONCLUSIONS High paternal educational level was associated with a lower BMI and a better lipid profile among young adult men. Furthermore, men with low BMI, both high and low fit, had a better lipid profile than those with high BMI/low fit. Men with high BMI/high fit had a better lipid profile that those with high BMI/low fit.

Changes in meal pattern among Norwegian children from 2001 to 2008

OBJECTIVE The present study aimed to analyse changes in meal pattern among Norwegian children from 2001 to 2008 in general; to analyse associations between meal pattern and gender, parental educational level and number of parents in the household; and to analyse the association between intake of unhealthy snacks, meal pattern and the mentioned variables. DESIGN Within the Fruits and Vegetables Make the Marks (FVMM) project, two cross-sectional studies were conducted, one in 2001 and one in 2008, where participants from the same schools filled in a questionnaire on meals eaten the previous day. SUBJECTS Participants were 6th and 7th grade pupils, n 1488 in 2001 and n 1339 in 2008. SETTING Twenty-seven elementary schools in two Norwegian counties. RESULTS There were no significant changes in childrens meal pattern from 2001 to 2008. For both years more than 90 % of the participants reported that they had breakfast yesterday, while 95 % had lunch, 94 % had dinner and 82 % had supper. More girls than boys reported that they had lunch yesterday (96 % v. 94 %, P = 0·03). More children with higher v. lower educated parents reported that they had breakfast yesterday (93 % v. 88 %, P < 0·001). More children living with two parents v. one parent had breakfast (93 % v. 88 %, P = 0·001) and lunch yesterday (97 % v. 93 %, P < 0·001). CONCLUSIONS There were no changes in meal pattern from 2001 to 2008 among Norwegian children. Characteristics associated with skipping meals were living in a one-parent family and having lower educated parents.

Preferences and perceptions of personal vegetable consumption: a study among young men in the Norwegian National Guard.

A survey was developed to assess the intake, main sources and preferences related to vegetables among 578 male recruits (response rate 78%), in addition to perceptions of personal vegetable consumption. The recruits’ average vegetable intake (including potatoes) was 244 g/day. Six per cent of the recruits consumed the recommended 450 g/day or more of vegetables. However, 33% of all recruits stated that they consume enough vegetables. The most important sources of vegetables were potatoes and hot composite dishes for lunch and dinner. High (≥282 g/day) and low (≤182 g/day) consumers had distinctly different patterns of vegetable consumption. The hot dishes were a more important source among low than high vegetable consumers (P<0.01). Several recruits reported liking raw (76%) and cooked (58%) vegetables, and preferences were positively related to the vegetable intake (P<0.02) and (P<0.001). The results suggest some optimistic bias among the recruits regarding their personal vegetable consumption.

A nutrition intervention with a main focus on vegetables and bread consumption among young men in the Norwegian National Guard

Background Young men are difficult to reach with conventional nutrition information and they have a low intake of vegetables and whole grain cereals. Few intervention studies have focused on improving young mens consumption of vegetables and whole grains. Objective A 5-month intervention focusing on a combination of increased availability of healthy foods and nutritional information was developed to stimulate the intake of vegetables and semi-whole grain bread among a group of young men in the Norwegian military. Subjects A total of 376 recruits in the intervention group and 105 recruits in the control group participated in the entire study. Results The average daily increase in consumption of vegetables was 82 g (p<0.001), and semi-whole grain bread 47 g (p<0.001) between baseline and follow-up in the intervention group. No significant changes were observed in the control group. Differences between intervention and control group at follow-up were significant (p<0.001) for vegetables and semi-whole grain bread, when controlling for baseline values, and seasonal variation for vegetables. The recruits in the intervention group received higher scores on the questions concerning nutritional knowledge after the intervention, compared to baseline (p<0.001). There was a significantly higher increase in the intake of vegetables among the recruits who increased the number of correct answers to the knowledge questions (β-value: 0.14, p<0.05) than among the others. There was no significant change in scores of food satisfaction after the intervention. Conclusion The combination of increased availability of healthy food items and nutrition information was an effective way to increase the intake of vegetables and semi-whole grain bread, without a reduction in food satisfaction, among young men in the military.

An assessment of the test-retest reliability of the New Nordic Diet score.

Background There is a growing interest in the New Nordic Diet (NND) as a potentially health promoting, environmentally friendly, and palatable regional diet. Also, dietary scores are gaining ground as a complementary approach for examining relations between dietary patterns and various health outcomes. A score assessing adherence to the NND has earlier been published, yet not tested for reliability. Objective To assess the test–retest reliability of the NND score in a sample of parents of toddlers, residing in Southern Norway. Design A questionnaire survey was completed on two occasions, approximately 14 days apart, by 67 parents of toddlers [85% females, mean age 34 years (SD=5.3 years)]. The NND score was constructed from 24 items and comprised 10 subscales that summarize meal pattern and intake of typical Nordic foods. Each subscale was dichotomized by the median and assigned values of ‘0’ or ‘1’. Adding the subscales yielded a score ranging from 0 to 10, which was further trichotomized. Test–retest reliability of the final NND score and individual subscales was assessed by Pearsons correlation coefficient and Spearmans rank correlation coefficient, respectively. Additionally, cross tabulation and kappa measure of agreement (k) were used to assess the test–retest agreement of classification into the NND score, and the subscales. Results Test–retest correlations of the NND score and subscales were r=0.80 (Pearson) and r=0.54–0.84 (Spearman), respectively, all p<0.001. There were 69% (k=0.52) and 67–88% (k=0.32–0.76) test–retest correct classification of the trichotomized score and the dichotomized subscales, respectively. Conclusion The NND score and the 10 subscales appear to have acceptable test–retest reliability when tested in a sample of parents of toddlers.