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Hörnell, Agneta, ProfessorORCID iD iconorcid.org/0000-0002-5464-5686
Publications (10 of 78) Show all publications
Huseinovic, E., Hörnell, A., Johansson, I., Esberg, A., Lindahl, B. & Winkvist, A. (2019). Changes in food intake patterns during 2000–2007 and 2008–2016 in the population-based Northern Sweden Diet Database. Nutrition Journal, 18, Article ID 36.
Open this publication in new window or tab >>Changes in food intake patterns during 2000–2007 and 2008–2016 in the population-based Northern Sweden Diet Database
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2019 (English)In: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 18, article id 36Article in journal (Refereed) Published
Abstract [en]

Background: Food intake patterns provide a summary of dietary intake. Few studies have examined trends in food intake patterns over time in large, population-based studies. We examined food intake patterns and related sociodemographic and individual characteristics in the large Northern Sweden Diet Database during the two time windows 2000–2007 and 2008–2016.

Methods: In total, 100 507 participants (51% women) who had filled in a 64-item food frequency questionnaire and provided background and sociodemographic data between 2000 and 2016 were included. Food intake patterns were evaluated for women and men separately for the two time windows 2000–2007 and 2008–2016, respectively. Latent class analysis was used to identify distinct, latent clusters based on 40 food groups.

Results: Among both women and men, a greater proportion of participants were classified into food intake patterns characterized by high-fat spread and high-fat dairy during 2008–2016 compared to 2000–2007. In the earlier time window, these high-fat clusters were related to lower educational level and smoking. Simultaneously, the proportion of women and men classified into a cluster characterized by high intake of fruit, vegetables, and fibre decreased from the earlier to the later time window.

Conclusion: From a public health perspective, the increase in clusters with a high conditional mean for high-fat spread and high-fat dairy and decrease in clusters with a high conditional mean for fruit and vegetables, during the time period 2008–2016 compared to 2000–2007, is worrisome as it indicates a shift away from the recommended food habits. Subgroups of women and men with less healthy dietary patterns in the time window 2008–2016 with lower education, lower age, higher body mass index, lower levels of physical activity and more smoking were identified and future interventions may be targeted towards these groups.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Food intake patterns, Dietary patterns, FFQ, NSDD, Diet, Time trends
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:umu:diva-161908 (URN)10.1186/s12937-019-0464-0 (DOI)000475681700001 ()31299991 (PubMedID)2-s2.0-85068890784 (Scopus ID)
Available from: 2019-08-07 Created: 2019-08-07 Last updated: 2019-08-07Bibliographically approved
Sundqvist, J., Walter, U. & Hörnell, A. (2019). Eat, sleep, fly, repeat: meal patterns among Swedish business travellers. Journal of Gastronomy and Tourism
Open this publication in new window or tab >>Eat, sleep, fly, repeat: meal patterns among Swedish business travellers
2019 (English)In: Journal of Gastronomy and Tourism, ISSN 2169-2971Article in journal (Refereed) Accepted
Abstract [en]

Over half of the annual guests at Swedish hotels are supplied by the corporate sector. These guests are made up of individuals who travel for meetings, conferences, or presentations as a part of their job. Access to meals while travelling is essential and introduces added complexity to the business travellers’ everyday lives. These meals, and the pattern in which they are consumed, are part of the individual traveller’s personal and group identities. Therefore, the aim of this article is to study if business travellers deviate from their habitual meal patterns and if so - what changes they make. To further the understanding of this group’s meal patterns, a questionnaire was created and distributed. It was answered by 538 self-identified business travellers. These business travellers were made up of three groups – solo travellers, group travellers, and individuals who travelled both in groups as well as alone. Pearson’s chi-squared test was used to analyse differences in actions related to the meal pattern between groups. The analysis showed that changes in the meal pattern did occur in some instances. However, the majority of the business travellers adhered to their habitual meal pattern while adjusting their behaviour depending on the time of day. Managers of catering suppliers gaining insight into the meal habits of business travellers could help to ease an otherwise stressful situation by supplying meals, as a context, that fit with the business travellers’ habitual patterns and meal contexts.

Place, publisher, year, edition, pages
Cognizant Communication Corporation, 2019
Keywords
meal behaviour, meal practice, business tourism, hospitality management
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:umu:diva-165528 (URN)10.3727/216929719X15736343324841 (DOI)
Available from: 2019-11-26 Created: 2019-11-26 Last updated: 2019-11-26
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
Dapi, L. N., Tambe, A. B., Axberg, F., Lundström, L. & Hörnell, A. (2018). After giving birth to a baby, breastfeeding becomes your responsibility: infant feeding perceptions and practices among women in Yaoundé, Bamenda and Bandja, Cameroon, Africa. International Research Journal of Public and Environmental Health, 5(3), 38-45
Open this publication in new window or tab >>After giving birth to a baby, breastfeeding becomes your responsibility: infant feeding perceptions and practices among women in Yaoundé, Bamenda and Bandja, Cameroon, Africa
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2018 (English)In: International Research Journal of Public and Environmental Health, ISSN 2360-8803, Vol. 5, no 3, p. 38-45Article in journal (Refereed) Published
Abstract [en]

The Ministry of Public Health of Cameroon advises mothers to follow the World Health Organization’s recommendation of exclusive breastfeeding during the first six months of life and to continue breastfeeding along with appropriate complementary foods up to two years or beyond. Despite these recommendations, malnutrition due to inadequate feeding practices is still prevalent in Cameroon. Therefore, this study aims to explore infant feeding perceptions and identify factors influencing infant feeding practices in Cameroon. Forty-nine women aged 19 to 38 who had infants aged 6 days to 15 months were purposively selected from hospitals during the vaccination days and interviewed until saturation. The research tools included six qualitative group interviews, with each group comprising 6 to 10 women. The study was conducted in the rural area of Bandja and the urban areas of Yaoundé and Bamenda. Data were analysed using content analysis. In the study, breastfeeding was agreed upon as the best way to feed infants and was commonly practised for 1 to 2 years. Nevertheless, few infants were breastfed exclusively. Complementary foods were often nutritionally inadequate; many children were not given fruit, vegetables or foods of animal origin on a daily basis. Cultural beliefs, tradition, community norms and low educational and economic levels negatively influenced the implementation of appropriate infant feeding recommendations. The short duration of exclusive breastfeeding and the poor food diversity are the main problems. In response, it is necessary to strengthen the position of women, increase the period of maternal leave, introduce sustainable and practical education for both parents about breastfeeding, and provide good, local complementary foods.

Keywords
Exclusive breastfeeding, malnutrition, feeding perceptions, Cameroon
National Category
Other Social Sciences not elsewhere specified
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-154237 (URN)10.15739/irjpeh.18.007 (DOI)
Available from: 2018-12-13 Created: 2018-12-13 Last updated: 2018-12-17Bibliographically approved
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
Hörnell, A., Berg, C., Forsum, E., Larsson, C., Sonestedt, E., Akesson, A., . . . Wirfalt, E. (2017). Perspective: An Extension of the STROBE Statement for Observational Studies in Nutritional Epidemiology (STROBE-nut): Explanation and Elaboration. Advances in Nutrition, 8(5), 652-678
Open this publication in new window or tab >>Perspective: An Extension of the STROBE Statement for Observational Studies in Nutritional Epidemiology (STROBE-nut): Explanation and Elaboration
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2017 (English)In: Advances in Nutrition, ISSN 2161-8313, Vol. 8, no 5, p. 652-678Article in journal (Refereed) Published
Abstract [en]

Nutritional epidemiology is an inherently complex and multifaceted research area. Dietary intake is a complex exposure and is challenging to describe and assess, and links between diet, health, and disease are difficult to ascertain. Consequently, adequate reporting is necessary to facilitate comprehension, interpretation, and generalizability of results and conclusions. The STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) statement is an international and collaborative initiative aiming to enhance the quality of reporting of observational studies. We previously presented a checklist of 24 reporting recommendations for the field of nutritional epidemiology, called "the STROBE-nut." The STROBE-nut is an extension of the general STROBE statement, intended to complement the STROBE recommendations to improve and standardize the reporting in nutritional epidemiology. The aim of the present article is to explain the rationale for, and elaborate on, the STROBE-nut recommendations to enhance the clarity and to facilitate the understanding of the guidelines. Examples from the published literature are used as illustrations, and references are provided for further reading.

Place, publisher, year, edition, pages
AMER SOC NUTRITION-ASN, 2017
Keywords
dietary assessment, checklist, epidemiology, nutrition, reference standards, scientific reporting
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:umu:diva-140047 (URN)10.3945/an.117.015941 (DOI)000410751300002 ()28916567 (PubMedID)
Available from: 2017-10-09 Created: 2017-10-09 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
Eli, K., Hörnell, A., Malek, M. E. & Nowicka, P. (2017). Water, juice, or soda?: Mothers and grandmothers of preschoolers discuss the acceptability and accessibility of beverages. Appetite, 112, 133-142
Open this publication in new window or tab >>Water, juice, or soda?: Mothers and grandmothers of preschoolers discuss the acceptability and accessibility of beverages
2017 (English)In: Appetite, ISSN 0195-6663, E-ISSN 1095-8304, Vol. 112, p. 133-142Article in journal (Refereed) Published
Abstract [en]

Intake of sugary beverages is strongly associated with weight gain and obesity among children; however, differences between mothers' and grandmothers' attitudes and practices concerning young children's beverage consumption remain unclear. This is notable since about a quarter of families in the US and the UK rely on grandparents as the main providers of informal childcare. The aim of this study is to examine mothers' and maternal grandmothers' attitudes, knowledge, and practices regarding preschool aged children's beverage consumption. The analysis focuses on identifying intergenerational similarities and differences, given the potential impact that such differences might have on young children's beverage consumption habits. Twenty-two semi-structured interviews, representing eleven families, were analyzed using thematic analysis. The sample included all mother – maternal grandmother dyads from The Grandparents Study, which took place in Eugene, Oregon, USA. More than half of mothers and grandmothers met overweight/obesity criteria. Among the children (mean age 4.7 years; five girls and six boys), seven met overweight/obesity criteria. Most mothers and grandmothers were unemployed, and most reported an annual household income below 30,000 USD. The analysis identified three thematic categories: 1) mothers and grandmothers agree about the hierarchy of healthiness between and within beverages, though juice occupies an ambivalent position; 2) mothers and grandmothers cite role modeling and the home environment as important in regulating preschoolers' beverage intake; 3) mothers and grandmothers balance between restricting sugary beverages and using these beverages as treats. The results suggest that when mothers and grandmothers use soda, juice, and juice-drinks as treats, they do so within a wider dynamic of balancing practices, and within two intersecting domains: the hierarchy of beverages, including the still ambivalent status of juice as healthy or unhealthy, and the definition of 'special occasion'.

Keywords
Grandparents, Knowledge, Feeding practices, Sugar-sweetened beverages
National Category
Nutrition and Dietetics Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Food and Nutrition
Identifiers
urn:nbn:se:umu:diva-130983 (URN)10.1016/j.appet.2017.01.011 (DOI)000396963500016 ()28089924 (PubMedID)
Available from: 2017-02-02 Created: 2017-02-02 Last updated: 2018-06-09Bibliographically approved
Projects
Gender differences in how stroke and myocardial infarction are related to fish consumption, methylmercury, fish fatty acids, and selenium [2007-2024_Formas]; Umeå UniversitySenior research fellow, PhD Sanna Talvia, Turku Institute for Child and Youth Research, University of Turku, Finland visits Umeå University to promote Nordic school meal research [2015-01354_Forte]; Umeå University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5464-5686

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