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Olsson, Cecilia
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Publications (10 of 42) Show all publications
Berggren, L., Olsson, C., Talvia, S., Hörnell, A., Rönnlund, M. & Waling, M. (2019). The lived experiences of school lunch: an empathy-based study with children in Sweden. Children's Geographies
Open this publication in new window or tab >>The lived experiences of school lunch: an empathy-based study with children in Sweden
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2019 (English)In: Children's Geographies, ISSN 1473-3285, E-ISSN 1473-3277Article in journal (Refereed) Epub ahead of print
Abstract [en]

School lunch is in general regulated through policies and agendas constituted by the perspectives of adults. In this article, we focus on children’s lived experiences of school lunch with a special emphasis on emotions and how they relate to social and physical dimensions. This study draws on empathy-based stories written by 10–11 year olds (n = 171) from schools in Sweden. We identified three themes: Interaction and exposure, Routines and restrictions and Food and eating. The children’s lived experiences of school lunch and the emotions attached to them are closely associated and intertwined with the socio-spatial dimension of school lunch. A pleasant meal experience seems to require harmonization between the physical and social space whilst negative experiences contain tensions between them, something that actors working with school lunch and school lunch environments should take in consideration when resourcing, planning and scheduling school lunch, and also when designing new school restaurants.

Place, publisher, year, edition, pages
Routledge, 2019
Keywords
School lunch, lived experiences, empathy-based stories, emotions, children's spaces, Henri Lefebvre
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:umu:diva-161898 (URN)10.1080/14733285.2019.1642447 (DOI)000476147700001 ()2-s2.0-85069037183 (Scopus ID)
Available from: 2019-08-08 Created: 2019-08-08 Last updated: 2019-08-08
Juniusdottir, R., Hörnell, A., Gunnarsdottir, I., Lagstrom, H., Waling, M., Olsson, C., . . . Olafsdottir, A. S. (2018). Composition of school meals in Sweden, Finland and Iceland: Official guidelines and comparison with practice and availability. Journal of School Health, 88(10), 744-753
Open this publication in new window or tab >>Composition of school meals in Sweden, Finland and Iceland: Official guidelines and comparison with practice and availability
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2018 (English)In: Journal of School Health, ISSN 0022-4391, E-ISSN 1746-1561, Vol. 88, no 10, p. 744-753Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Nutritious and attractive school meals can improve health equality and public health. Current official guidelines and recommendations on food and nutrient composition of school meals in 3 Nordic countries; Sweden, Finland, and Iceland, are described and compared with actual practice, ie, availability of foods and nutrients in served reference meals in 3 selected areas in each country.

METHODS: A country comparison was made between official guidelines, and actual practice was studied in participating schools. Reference portions of school meals (N = 170) provided in 24 compulsory schools were photographed and weighed. Food and nutrient availability were compared with official guidelines in each country.

RESULTS: Emphasis of recommendations on whole‐grain bread in Sweden, whole grains in Finland, and fish in Iceland were reflected in food availability. The energy content of the meals provided was lower than guidelines and there was a large variation in energy content between days.

CONCLUSIONS: The guidelines regarding food availability were quite well followed, but the large variation in energy and nutrient content of provided school meals between days indicates a need for standardization.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018
Keywords
children, school meals, school canteens, energy and nutrients, recommendations and guidelines
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:umu:diva-149103 (URN)10.1111/josh.12683 (DOI)000444228200005 ()30203478 (PubMedID)
Available from: 2018-06-15 Created: 2018-06-15 Last updated: 2018-10-04Bibliographically approved
Kautto, E., Olsson, C., Ivarsson, A., Lyon, P., Hörnell, A. & Alex, L. (2017). Living with celiac disease: norms of femininity and the complications of everyday life. International Journal of Celiac Disease, 5(3), 115-124
Open this publication in new window or tab >>Living with celiac disease: norms of femininity and the complications of everyday life
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2017 (English)In: International Journal of Celiac Disease, ISSN 2334-3427, Vol. 5, no 3, p. 115-124Article in journal (Refereed) Published
Abstract [en]

Women with celiac disease are often described as being exposed to negative emotions and experiences related to the treatment of celiac disease, the gluten-free diet. To explore the daily consequences of diagnosis and their daily experiences of living with celiac disease, interviews were conducted with seven Swedish young women who had been diagnosed with celiac disease by screening in early adolescence. The semi-structured interview transcripts were content analysed using a gender perspective. The analysis showed that these young women`s daily experiences were coloured by the conjunction of their dietary treatment, their social relationships, and social norms. This means that recurrent food situations often clash with the normative constructions of femininity and social norms of eating with an adverse effect on dietary compliance.

Place, publisher, year, edition, pages
Science and Education Publishing, 2017
Keywords
adherence/compliance, gluten-free diet, gender, young adults
National Category
Gastroenterology and Hepatology Gender Studies
Identifiers
urn:nbn:se:umu:diva-138488 (URN)10.12691/ijcd-5-3-4 (DOI)
Available from: 2017-08-24 Created: 2017-08-24 Last updated: 2018-11-13Bibliographically approved
Berggren, L., Talvia, S., Fossgard, E., Björk Arnfjörð, U., Hörnell, A., Ólafsdóttir, A. S., . . . Olsson, C. (2017). Nordic children's conceptualizations of healthy eating in relation to school lunch. Health Education, 117(2), 130-147
Open this publication in new window or tab >>Nordic children's conceptualizations of healthy eating in relation to school lunch
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2017 (English)In: Health Education, ISSN 0965-4283, E-ISSN 1758-714X, Vol. 117, no 2, p. 130-147Article in journal (Refereed) Published
Abstract [en]

Purpose: Pupils' perspective should be better taken into account when developing nutrition education at school. The purpose of this paper is to explore Nordic children's perspectives on the healthiness of meals in the context of school lunches.

Design/methodology/approach: In total, 78 focus group discussions were conducted with 10-11-year-old girls and boys (n=457) from schools in Finland, Iceland, Norway and Sweden, which were participating in the Nordic school meal project ProMeal during the school year 2013-2014. A flexible discussion guide and stimulus material in the form of 14 photographs displaying different school lunch contexts were used. The discussions were analyzed using thematic analysis.

Findings: These Nordic children seem to share the adult-set aim of healthy eating in the school context as a socio-cultural norm. Although healthy eating was constructed as a rational, normative and acceptable way to eat at school, unhealthy eating was emphasized as negotiably acceptable when eaten occasionally and under certain circumstances (e.g. at special occasions). Unhealthy eating also comprised emotionally laden descriptions such as enjoyment and disgust.

Practical implications: Children's conceptualizations of healthy eating are connected to nutritional, socio-cultural, emotional and normative dimensions, which should be reflected also when developing nutrition education in school.

Originality/value: The need for research exploring children's experiences of, and understandings about, school lunch motivated this unique multicenter study with a large number of participating children. In the focus groups a child-oriented, photo-elicitation method was used.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2017
Keywords
Focus groups, Health education, Schools, Education, Children, Food
National Category
Other Social Sciences not elsewhere specified
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-130988 (URN)10.1108/HE-05-2016-0022 (DOI)000395665600001 ()
Projects
ProMeal
Funder
Nordic Council of Ministers, 54761Forte, Swedish Research Council for Health, Working Life and WelfareMagnus Bergvall Foundation
Available from: 2017-02-02 Created: 2017-02-02 Last updated: 2018-06-09Bibliographically approved
Waling, M. & Olsson, C. (2017). School lunch as a break or an educational activity: a quantitative study of Swedish teacher perspectives. Health Education, 117(6), 540-550
Open this publication in new window or tab >>School lunch as a break or an educational activity: a quantitative study of Swedish teacher perspectives
2017 (English)In: Health Education, ISSN 0965-4283, E-ISSN 1758-714X, Vol. 117, no 6, p. 540-550Article in journal (Refereed) Published
Abstract [en]

Purpose – The purpose of this paper is twofold: first, to explore to what extent teachers eat together withpupils during school lunches and their attitudes toward using these lunches to reach the educational goalsstated in the Swedish compulsory school curriculum; and second, to study to what degree teachers seethemselves and school meal personnel as role models during school lunches.Design/methodology/approach – A questionnaire was completed by 3,629 teachers in Swedish schools.Findings – In total, 90 percent of the teachers ate lunch together with the pupils one or more days per week.The majority reported that meals were fully (54 percent), or partially (40 percent) subsidized when they wereeating with pupils. In total, 72 percent thought that school lunches should be considered part of the school’seducational activities while 28 percent thought that it should be a time to get a break from educationalactivities. Most teachers thought that school lunches could be useful for learning about the issues of foodwaste and healthy eating while there were more diverse views on using lunches for learningabout fundamental values. A majority of the teachers considered themselves to be role models in theschool meal situation.Practical implications – The authors suggest that the educational component of the schoolmeal per se shouldbe regulated in the Educational Act together with guidelines from the Swedish National Agency for Education.Originality/value – This study is unique since it covers a previously little studied area; teachers’ attitudestoward using the school lunch situation for educational purposes.

Keywords
education, food, schools, teachers
National Category
Social Sciences
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-135179 (URN)10.1108/HE-01-2017-0001 (DOI)000411501100002 ()
Available from: 2017-05-21 Created: 2017-05-21 Last updated: 2018-06-09Bibliographically approved
Jonsson, B., Waling, M., Olafsdottir, A. S., Lagström, H., Wergedahl, H., Olsson, C., . . . Hörnell, A. (2017). The effect of schooling on basic cognition in selected Nordic Countries. Europe's Journal of Psychology, 13(4), 645-666
Open this publication in new window or tab >>The effect of schooling on basic cognition in selected Nordic Countries
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2017 (English)In: Europe's Journal of Psychology, ISSN 1841-0413, E-ISSN 1841-0413, Vol. 13, no 4, p. 645-666Article in journal (Refereed) Published
Abstract [en]

The present study investigated schooling effects on cognition. Cognitive data were collected as part of a research project (ProMeal) that investigated school meals and measured the intake of school lunch in relation to children’s health, cognitive function, and classroom learning in four Nordic countries, among children between 10–11 years of age. It was found that Finnish pupils attending 4th grade were not, on any measure, outperformed by Norwegian and Icelandic pupils attending 5th and Swedish pupils attending 4th grade on a task measuring working memory capacity, processing speed, inhibition, and in a subsample on response- and attention control. Moreover, boys were found to perform superior to girls on tasks measuring processing speed. However, girls were found to perform better on tasks related to attention and self-control. The results are discussed in relation to the reciprocal association between cognition and schooling and whether these results reflect quality differences between schools in the four Nordic countries; most notably in comparison to Finland.

Keywords
schooling effects, cognitive functioning, working memory, processing speed, attention, response control, inhibition
National Category
Psychology (excluding Applied Psychology) Learning Nutrition and Dietetics
Research subject
Psychology; Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-142549 (URN)10.5964/ejop.v13i4.1339 (DOI)
Projects
ProMeal (Prospects for promoting health and performance by school meals in Nordic countries)
Funder
Nordic Council of Ministers, 54761
Available from: 2017-12-04 Created: 2017-12-04 Last updated: 2018-06-09Bibliographically approved
Olafsdottir, A. S., Hörnell, A., Hedelin, M., Waling, M., Gunnarsdottir, I. & Olsson, C. (2016). Development and Validation of a Photographic Method to Use for Dietary Assessment in School Settings. PLoS ONE, 11(10), Article ID e0163970.
Open this publication in new window or tab >>Development and Validation of a Photographic Method to Use for Dietary Assessment in School Settings
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2016 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, no 10, article id e0163970Article in journal (Refereed) Published
Abstract [en]

Objective To develop and validate a photographic method aimed at making assessment of dietary intake in school canteens non-obstrusive, practical and feasible. Methods The study was conducted in two elementary schools representing two different school canteen systems; main dish being served by canteen staff (Iceland), and complete self-serving (Sweden). Food items in serving and leftovers were weighed and photographed. Trained researchers estimated weights of food items by viewing the photographs and comparing them with pictures of half and full reference portions with known weights. Plates of servings and leftovers from 48 children during five school days (n = 448 plates) and a total of 5967 food items were estimated. The researchers' estimates were then compared with the true weight of the foods and the energy content calculated. Results Weighed and estimated amounts correlated across meals both in grams and as total energy (0.853-0.977, p<0.001). The agreement between estimated energy content in school meals was close to the true measurement from weighed records; on average 4-19 kcal below true values. Organisation of meal service impacted the efficacy of the method as seen in the difference between countries; with Iceland (served by canteen staff) having higher rate of acceptable estimates than Sweden (self-serving), being 95% vs 73% for total amount (g) in serving. Iceland more often had serving size between or above the half and full reference plates compared with Sweden. Conclusions The photographic method provides acceptable estimates of food and energy intake in school canteens. However, greater accuracy can be expected when foods are served by canteen staff compared with self-serving.

National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:umu:diva-127715 (URN)10.1371/journal.pone.0163970 (DOI)000385697600055 ()27711120 (PubMedID)
Available from: 2016-12-14 Created: 2016-11-18 Last updated: 2018-06-09Bibliographically approved
Olsson, C., Mellberg, S. & Waling, M. (2016). Food and meals at residential care homes for unaccompanied children in Sweden: a pilot study. In: : . Paper presented at 11th Nordic Nutrition Conference, 20-22 june, 2016, Gothenburg.
Open this publication in new window or tab >>Food and meals at residential care homes for unaccompanied children in Sweden: a pilot study
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Nutrition and Dietetics
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-135097 (URN)
Conference
11th Nordic Nutrition Conference, 20-22 june, 2016, Gothenburg
Available from: 2017-05-18 Created: 2017-05-18 Last updated: 2018-06-09Bibliographically approved
Namatovu, F., Olsson, C., Lindkvist, M., Myléus, A., Högberg, U., Ivarsson, A. & Sandström, O. (2016). Maternal and perinatal conditions and the risk of developing celiac disease during childhood.. BMC Pediatrics, 16, Article ID 77.
Open this publication in new window or tab >>Maternal and perinatal conditions and the risk of developing celiac disease during childhood.
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2016 (English)In: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 16, article id 77Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Celiac disease (CD) is increasing worldwide, which might be due to the changing environmental and lifestyle exposures. We aimed to explore how conditions related to maternity, delivery and the neonatal period influence CD onset during childhood.

METHODS: Using Sweden's national registers we had access to information on 1 912 204 children born between 1991 and 2009, 6 596 of whom developed CD before 15 years of age. Logistic regression analyses were performed to determine how CD is associated with maternity, delivery and the neonatal period.

RESULTS: Regardless of sex, a reduction in CD risk was observed in children born to mothers aged ≥35 years (odds ratio [OR] 0.8; 95 % confidence interval [CI] 0.7-0.9) and with high maternal income (OR 0.9; 95 % CI 0.8-0.9). Being a second-born child, however, was positively associated with CD. Among boys, elective caesarean delivery increased the risk of CD (OR 1.2; 95 % CI 1.0-1.4), while maternal overweight (OR 0.9; 95 % CI 0.8-0.9), premature rupture of the membrane (OR 0.4; 95 % CI 0.2-0.8) and low birth weight showed a negative association. Girls had an increased CD risk compared to boys and in girls the risk was increased by repeated maternal urinary tract infections (OR 1.1; 95 % CI 1.0-1.2).

CONCLUSIONS: Elective caesarean delivery and repeated maternal urinary tract infections during pregnancy are associated with increased risk of CD onset during childhood, suggesting the role of dysbiosis during early life. High maternal age and high income reduced the risk of CD, which might be due to infant-feeding practices and life style.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-122411 (URN)10.1186/s12887-016-0613-y (DOI)000377535900001 ()27267234 (PubMedID)
Available from: 2016-06-17 Created: 2016-06-17 Last updated: 2019-06-05Bibliographically approved
Berggren, L., Talvia, S., Fossgard, E., Björk Arnfjörð, U., Hörnell, A., Ólafsdóttir, A., . . . Olsson, C. (2016). Perspectives about health outcomes related to food among Nordic children. In: : . Paper presented at NNC2016 - 11th Nordic nutrition conference, June 20-22, 2016, Gothenburg.
Open this publication in new window or tab >>Perspectives about health outcomes related to food among Nordic children
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2016 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Perspectives about health outcomes related to food among Nordic children

Linda Berggren* 1, Sanna Talvia2, Eldbjørg Fossgard3, Unnur Björk Arnfjörð4, Agneta Hörnell 1, Anna Ólafsdóttir 4,Ingibjörg Gunnarsdóttir 5, Hege Wergedahl 3, Hanna Lagström 6, Maria Waling1, Cecilia Olsson1

1Umeå University, Department of food and nutrition, Umeå, Sweden, 2Child and Youth Research institute, Turku, Finland,3Faculty of Education, Bergen University College, Bergren, Norway, 4School of Education, University of Iceland, 5TheNational University Hospital of Iceland , Unit for Nutrition Research, Reykjavik, Iceland, 6University of Turku, TurkuInstitute of Child and Youth Research, Turku, Finland

Preferred presentation type: Only Poster

Background and aims: Dietary intake in school has previously been studied but little is known about Nordic children’sperspectives on food healthiness in the school lunch context. This study aims to explore 10-year-old Nordic children’sperspectives on outcomes of healthy eating in the school lunch context.

Methods: Seventy-two focus groups were conducted in Sweden, Finland, Norway and Iceland with a total of 423participants. A flexible topic guide and 14 preselected photos displaying different school lunch contexts were used asstimuli material. Interviews were transcribed and analyzed using thematic analysis.

Results: Children reasoned that school lunch are and should be healthy since the food eaten at school has short andlong term outcomes related to cognitive and physical health. It was commonly expressed that food eaten in school affectsschool work and functioning in learning activities. It was also stated that food eaten in school can have negative andpositive effects on your mood, e.g. eating unhealthy food or an insufficient amount of food, puts you in a bad mood whichcan affect the rest of the school day. The discussions mainly relied on negative short term effects such as feeling ill andreduced stamina. Some food and food groups such as vegetables, milk and fish, were mentioned in a more positivesense highlighting the positive short- and long term outcomes on health. When describing the long-term outcomes ofeating, children mentioned that healthy eating helps to build muscles, grow and prevent diseases, such as cancer anddiabetes. Sugar and fat was frequently mentioned as being the cause of overweight and some other diseases.

Conclusion: In general, Nordic children have an adequate understanding of established relations between food andhealth. Yet, we know that many pupils do not eat according to recommendations. This highlights the importance of takingthe complexity of food choice into consideration in nutritional education.

Disclosure of Interest: None to declare

National Category
Nutrition and Dietetics
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-135664 (URN)
Conference
NNC2016 - 11th Nordic nutrition conference, June 20-22, 2016, Gothenburg
Available from: 2017-06-02 Created: 2017-06-02 Last updated: 2018-06-09Bibliographically approved
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