5 results on '"Brekke, Hilde K."'
Search Results
2. Fat intake and breast milk fatty acid composition in farming and nonfarming women and allergy development in the offspring
- Author
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Jonsson, Karin, Barman, Malin, Moberg, Sara, Sjöberg, Agneta, Brekke, Hilde K., Hesselmar, Bill, Johansen, Susanne, Wold, Agnes E., and Sandberg, Ann-Sofie
- Abstract
Background:Children growing up on small family farms are at much lower risk of developing allergy than other children. We hypothesized that low intake of margarine and polyunsaturated fats among farming families could contribute to this protection.Methods:Twenty-eight mother–infant pairs living on small dairy farms and 37 nonfarm rural resident pairs were recruited in the FARMFLORA birth cohort. Food items expected to affect dietary fat composition were recorded by food frequency questionnaires during pregnancy and by 24-h recalls followed by 24-h food diaries during lactation. Allergy was diagnosed by doctors, using strict predefined criteria. Maternal diet and breast milk fat composition were compared between farming and nonfarming mothers and related to children’s allergy at age 3 y.Results:Farming mothers consumed more butter, whole milk, saturated fat, and total fat than nonfarming mothers, who consumed more margarine, oils, and low-fat milk. Farming mothers’ breast milk contained higher proportions of saturated and lower proportions of polyunsaturated fat. Allergy was eight times more common in nonfarm children. Mothers of allergic children consumed more margarine and oils than mothers of nonallergic children.Conclusion:Low maternal consumption of margarine and vegetable oils might contribute to the allergy-preventive effect of growing up on small dairy farms.
- Published
- 2016
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3. Parity, weight change, and maternal risk of cardiovascular events.
- Author
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Klingberg, Sofia, Brekke, Hilde K., Winkvist, Anna, Engström, Gunnar, Hedblad, Bo, and Drake, Isabel
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CARDIOVASCULAR diseases risk factors ,MATERNAL age ,BODY mass index ,WEIGHT gain ,MYOCARDIAL infarction ,ADIPOSE tissues ,ANTHROPOMETRY ,BODY composition ,HUMAN body composition ,BREASTFEEDING ,CARDIOVASCULAR diseases ,DIET ,EXERCISE ,INFARCTION ,LONGITUDINAL method ,MISCARRIAGE ,TYPE 2 diabetes ,OBESITY ,SMOKING ,EDUCATIONAL attainment ,PROPORTIONAL hazards models ,PARITY (Obstetrics) ,REPRODUCTIVE history ,CONFOUNDING variables - Abstract
Background: High parity has been suggested to increase risk of maternal cardiovascular disease independent of body mass index measured after childbearing. Pregnancy is, however, associated with persistent weight gain and metabolic changes that, independent of parity, increase the risk of cardiovascular disease. It could therefore be questioned if high parity independently increases the risk of cardiovascular disease or if this association may be confounded, mediated, or modified by other parity-related factors.Objective: We sought to investigate the association between parity and risk of cardiovascular disease, and secondary outcomes in terms of myocardial infarction and cerebral infarction, with particular focus on potential mediation by anthropometric measures and effect modification by lactation.Study Design: We used data from 16,515 female participants (age 44.5-73.6 years) of the population-based Malmö Diet and Cancer Study with baseline examination from 1991 through 1996. The Malmö Diet and Cancer Study was followed up throughout 2010, with a median follow-up of 15.8 years. We used Cox proportional hazards model to examine the association between parity and cardiovascular disease.Results: Adjusted for age and other potential confounders, grand multiparous women (≥5 children) had an increased risk of cardiovascular disease (hazard ratio, 1.60; 95% confidence interval, 1.20-2.14), myocardial infarction (hazard ratio, 1.68; 95% confidence interval, 1.15-2.45), and cerebral infarction (hazard ratio, 1.74; 95% confidence interval, 1.18-2.58) compared to women with 2 children. Additional adjustment for baseline body mass index and weight change since age 20 years attenuated the risk, but the increased risk for cardiovascular disease (hazard ratio, 1.38; 95% confidence interval, 1.02-1.87) and myocardial infarction (hazard ratio, 1.53; 95% confidence interval, 1.04-2.26) in grand multiparous women remained significant. Models stratified by lactation time showed that risk was only raised in grand multiparous women who had a mean lactation time of <4 mo/child. In sensitivity analyses excluding women with a history of diabetes at baseline, risk estimates for grand multiparous women became nonsignificant in the full model.Conclusion: Part of the increased risk of cardiovascular disease and myocardial infarction in grand multiparous women seems to be mediated by weight gain and potentially by higher likelihood of type 2 diabetes mellitus. Lactation may modify the increased risk of grand multiparity in that longer duration might offset the cardiovascular disease risk. [ABSTRACT FROM AUTHOR]- Published
- 2017
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4. Diet in 1-year-old farm and control children and allergy development: results from the FARMFLORA birth cohort
- Author
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Jonsson, Karin, Green, My, Barman, Malin, Sjöberg, Agneta, Brekke, Hilde K., Wold, Agnes E., and Sandberg, Ann-Sofie
- Abstract
BackgroundA farming environment confers strong protection against allergy development. We have previously shown that farming mothers consume more full-fat dairy than control mothers, who instead consume more low-fat dairy, margarine, and oils; margarine and oil intake was associated with increased risk of allergy development in their children.ObjectivesThe aims of this study were to investigate the differences in diet between children in farming and control families at 1 year of age, to investigate the relation between the diets of the mothers and their children, and to relate the children's diet to allergy development.DesignThe diet of 1-year-old children from dairy farming families (n=28) and from control families in the same rural area (n=37) was assessed by 24-h dietary recalls, followed by 24-h food diaries. Allergy was diagnosed by pediatricians at 3 years of age using strict predefined criteria.ResultsFarm children had a higher intake of farm milk, whole cream, cholesterol, saturated fat, and fat in total and tended to eat more butter, while controls consumed more carbohydrates and poultry and tended to eat more margarine. Farm children also had higher intakes of homemade porridge/gruel, oily fish, and iodine. The intake of butter and whole milk in children and mothers correlated significantly in farm families but not in controls. A weak negative association was found between seafood intake and allergy development, while allergy was positively associated with the intake of pork as well as zinc in the control group; these intakes also correlated with each other.ConclusionsConsistent with mothers in farming families, the children consumed more full-fat dairy and saturated fat than did controls, but this could not be linked to the low risk of allergy in the farming group. Seafood intake might protect against allergy development, in accordance with earlier findings.
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- 2016
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5. Validation of four questions on food habits from the Swedish board of health and social welfare by 3-day food records in medical and nursing students
- Author
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Fredriksson, Ellinor, Brekke, Hilde K., and Ellegård, Lars
- Abstract
BackgroundThe Swedish board for health and social welfare (SoS) has presented four questions on dietary habits as indicators of adherence to dietary recommendations. However, these questions have not been evaluated.ObjectiveTo evaluate if four questions on dietary habits correlate with dietary intake assessed by food records.DesignA total of 279 medical and nursing students, 170 women and 109 men, completed four questions on usual consumption frequency of vegetables, fruits, fish, and sweets. Depending on scoring from 0 to 12 points, subjects were classified as having low (0–4 points), average (5–8 points), or high (9–12 points) adherence to dietary recommendations as proposed by SoS. Nutrient intake was calculated from 3-day food records. Mean dietary intake, expressed per 10 MJ of fibre, ascorbic acid, folate, vitamin D, sucrose, fish, and fruits and vegetables, was analysed for each group and differences assessed by ANOVA.ResultsEnergy intake was 11.8±3.0 MJ in male and 8.5±2.2 MJ in female students. Most students, 64%, were classified as average adherers to dietary recommendations, whereas only 6% were classified as low and 30% as high. Dietary intake of fibre, ascorbic acid, and folate was significantly higher in the high adherence group compared to both the other groups (p<0.01), but vitamin D significantly so only compared to the average group (p=0.002). Intake of fruits and vegetables was significantly different between all groups (p<0.003), with increasing amounts with increasing adherence. The low adherence group had higher intake of sucrose than the other groups (p<0.005). Median fish intake was nil in the low and average adherence groups, with significant difference between high and average adherence groups (p=0.001).ConclusionsFour questions on the consumption frequency of vegetables, fruits, fish, and sweets correlate well with the dietary intake of fibre, ascorbic acid, folate, vitamin D, fish, sucrose, and fruits and vegetables as assessed by 3-day food records in health-conscious medical and nursing students.
- Published
- 2014
- Full Text
- View/download PDF
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