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Donini, L. M., Barrada, J. R., Barthels, F., Dunn, T. M., Babeau, C., Brytek-Matera, A., . . . Lombardo, C. (2023). Correction: A consensus document on definition and diagnostic criteria for orthorexia nervosa. Eating and Weight Disorders, 28, Article ID 76.
Open this publication in new window or tab >>Correction: A consensus document on definition and diagnostic criteria for orthorexia nervosa
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2023 (English)In: Eating and Weight Disorders, ISSN 1124-4909, E-ISSN 1590-1262, Vol. 28, article id 76Article in journal (Other academic) Published
Abstract [en]

In this article Rebecca C. Reynolds was missing from the author list. The complete correct author group is given below. Lorenzo M. Donini, Juan Ramón Barrada, Friederike Barthels, Thomas M. Dunn, Camille Babeau, Anna Brytek-Matera, Hellas Cena, Silvia Cerolini, Hye-hyun Cho, Maria Coimbra, Massimo Cuzzolaro, Claudia Ferreira, Valeria Galfano, Maria G. Grammatikopoulou, Souheil Hallit, Linn Håman, Phillipa Hay, Masahito Jimbo, Clotilde Lasson, Eva-Carin Lindgren, Renee McGregor, Marianna Minnetti, Edoardo Mocini, Sahar Obeid, Crystal D. Oberle, Maria-Dolores Onieva-Zafra, Marie-Christine Opitz, María-Laura Parra-Fernández, Reinhard Pietrowsky, Natalija Plasonja, Eleonora Poggiogalle, Adrien Rigó, Rachel F. Rodgers, Maria Roncero, Carmina Saldaña, Cristina Segura-Garcia, Jessica Setnick, Ji-Yeon Shin, Grazia Spitoni, Jana Strahler, Nanette Stroebele-Benschop, Patrizia Todisco, Mariacarolina Vacca, Martina Valente, Màrta Varga, Andrea Zagaria, Hana Flynn Zickgraf, Rebecca C. Reynolds & Caterina Lombardo. The original article [1] has been corrected. © 2023, Springer Nature Switzerland AG.

Place, publisher, year, edition, pages
Milan: Springer, 2023
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:hh:diva-51766 (URN)10.1007/s40519-023-01599-4 (DOI)001070882400001 ()37715868 (PubMedID)2-s2.0-85171387390 (Scopus ID)
Note

Correction: Eating and Weight Disorders—Studies on Anorexia, Bulimia and Obesity (2022) 27:3695–3711 https://doi.org/10.1007/s40519-022-01512-5

Available from: 2023-11-15 Created: 2023-11-15 Last updated: 2023-11-15Bibliographically approved
Lindgren, E.-C., Källstrand Eriksson, J., Alftberg, Å., Johansson, P., Kristén, L., Håman, L., . . . Carlsson, I.-M. (2023). Empowerment-Based Physical Activity Intervention for People with Advanced Dry Age-Related Macular Degeneration: Mixed-Methods Protocol. International Journal of Environmental Research and Public Health, 20(1), Article ID 643.
Open this publication in new window or tab >>Empowerment-Based Physical Activity Intervention for People with Advanced Dry Age-Related Macular Degeneration: Mixed-Methods Protocol
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2023 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 1, article id 643Article in journal (Refereed) Published
Abstract [en]

Age-related macular degeneration (AMD) is the most common cause of incurable visual impairment and impacts daily life. These impacts include loss of social activities, decreased functional independence, and reduced physical activity. This protocol aims to describe a prospective, mixed-methodology for studying a population with AMD before, during, and after an empowerment-based physical activity intervention (EPI). A study framework was also developed for EPI. The intervention will include 20 older individuals (age 65+ years) with AMD recruited in Sweden. The intervention period is six months and comprises adapted physical activity and social activities in a group twice a week and individual health coaching on three occasions. The quantitative pre-test and three follow-ups include physical functional tests, an accelerometer that monitors physical activity continuously for one week, and questionnaires. Individual and focus-group interviews and ethnographic observations will explore the experience of living with AMD and what it means to participate in the EPI for individuals with AMD. The chosen methodology offers a structured way for researchers to explore the experiences and factors that may provide insights into the potential of creative supervised, adapted physical activity in groups, health coaching, and socialising that are significant to enable well-being among older individuals with AMD. © 2022 by the authors.

Place, publisher, year, edition, pages
Basel: MDPI, 2023
Keywords
adapted physical activity, age-related macular degeneration, empowerment, intervention, mixed methods
National Category
Occupational Therapy
Research subject
Health Innovation, M4HP
Identifiers
urn:nbn:se:hh:diva-49858 (URN)10.3390/ijerph20010643 (DOI)000908924400001 ()36612963 (PubMedID)2-s2.0-85145689643 (Scopus ID)
Available from: 2023-01-26 Created: 2023-01-26 Last updated: 2024-04-19Bibliographically approved
Donini, L. M., Barrada, J. R., Barthels, F., Dunn, T. M., Babeau, C., Brytek-Matera, A., . . . Lombardo, C. (2022). A consensus document on definition and diagnostic criteria for orthorexia nervosa. Eating and Weight Disorders, 27, 3695-3711
Open this publication in new window or tab >>A consensus document on definition and diagnostic criteria for orthorexia nervosa
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2022 (English)In: Eating and Weight Disorders, ISSN 1124-4909, E-ISSN 1590-1262, Vol. 27, p. 3695-3711Article in journal (Refereed) Published
Abstract [en]

Purpose: Since the term orthorexia nervosa (ON) was coined from the Greek (ὀρθός, right and ὄρεξις, appetite) in 1997 to describe an obsession with “correct” eating, it has been used worldwide without a consistent definition. Although multiple authors have proposed diagnostic criteria, and many theoretical papers have been published, no consensus definition of ON exists, empirical primary evidence is limited, and ON is not a standardized diagnosis. These gaps prevent research to identify risk and protective factors, pathophysiology, functional consequences, and evidence-based therapeutic treatments. The aims of the current study are to categorize the common observations and presentations of ON pathology among experts in the eating disorder field, propose tentative diagnostic criteria, and consider which DSM chapter and category would be most appropriate for ON should it be included.

Methods: 47 eating disorder researchers and multidisciplinary treatment specialists from 14 different countries across four continents completed a three-phase modified Delphi process, with 75% agreement determined as the threshold for a statement to be included in the final consensus document. In phase I, participants were asked via online survey to agree or disagree with 67 statements about ON in four categories: A–Definition, Clinical Aspects, Duration; B–Consequences; C–Onset; D–Exclusion Criteria, and comment on their rationale. Responses were used to modify the statements which were then provided to the same participants for phase II, a second round of feedback, again in online survey form. Responses to phase II were used to modify and improve the statements for phase III, in which statements that met the predetermined 75% of agreement threshold were provided for review and commentary by all participants.

Results: 27 statements met or exceeded the consensus threshold and were compiled into proposed diagnostic criteria for ON.

Conclusions: This is the first time a standardized definition of ON has been developed from a worldwide, multidisciplinary cohort of experts. It represents a summary of observations, clinical expertise, and research findings from a wide base of knowledge. It may be used as a base for diagnosis, treatment protocols, and further research to answer the open questions that remain, particularly the functional consequences of ON and how it might be prevented or identified and intervened upon in its early stages. Although the participants encompass many countries and disciplines, further research will be needed to determine if these diagnostic criteria are applicable to the experience of ON in geographic areas not represented in the current expert panel.

Level of evidence: Level V: opinions of expert committees.

© 2022, The Author(s).

Place, publisher, year, edition, pages
Milan: Springer, 2022
Keywords
Orthorexia nervosa (ON), Feeding and eating disorders (F&ED), Anorexia nervosa (AN), Obsessive– compulsive disorder (OCD), Avoidant restrictive food intake disorder (ARFID), Eating disorder
National Category
Medical and Health Sciences Clinical Medicine
Identifiers
urn:nbn:se:hh:diva-48698 (URN)10.1007/s40519-022-01512-5 (DOI)000889035800001 ()36436144 (PubMedID)2-s2.0-85142696418 (Scopus ID)
Available from: 2022-11-28 Created: 2022-11-28 Last updated: 2023-01-12Bibliographically approved
Håman, L., Katarina, H. & Lindgren, E.-C. (2022). Physical Education Teacher’s Professional Learning of Implementing a Health Promotion Intervention in the Practice of a Research Circle. In: Mukadder Mollaoğlu (Ed.), Health Promotion: (pp. 75-94). London: IntechOpen
Open this publication in new window or tab >>Physical Education Teacher’s Professional Learning of Implementing a Health Promotion Intervention in the Practice of a Research Circle
2022 (English)In: Health Promotion / [ed] Mukadder Mollaoğlu, London: IntechOpen , 2022, p. 75-94Chapter in book (Refereed)
Abstract [en]

Scholars recommend that health promotion researchers engage practitioners in the analysis and reporting phase and expand their ability to share their research beyond academia. The purpose of this study was to draw benefit from physical education (PE) teachers’ discussions and reflections of the implementation of a health promotion intervention in school during research circle meetings. The health promotion intervention ‘Pulse for Health and Learning’ (PuLH) focused on moderate-to-vigorous physical activity, incorporating a child-centred coaching approach. This study has an action research approach. The research circle consisted of PE teachers (N = 22, approximately 18 per meeting) from eight primary and middle schools (from grades 4 to 9) in eight municipalities in Sweden and three researchers. The theory of ‘practice architectures’ was employed to interpret, discuss, and clarify what enables and constrain PE teachers’ implementation of the health promotion intervention. During the analysis, three discourses were identified: technical-rational discourse, participating discourse, and steering and supporting discourse. The practice architectures both enabled and constrained the implementation of PuLH. The research circle meetings stimulated critically conscious acting and decision-making through collaboration between PE teachers and together with researchers which improved the implementation of PuLH and contributed to PE teachers’ professional development.

Place, publisher, year, edition, pages
London: IntechOpen, 2022
Keywords
action research approach, health promotion, implementation, intervention, moderate-to-vigorous physical activity, physical education, professional development, research circle, school
National Category
Pedagogy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health Innovation
Identifiers
urn:nbn:se:hh:diva-48708 (URN)10.5772/intechopen.102095 (DOI)978-1-80355-546-1 (ISBN)978-1-80355-547-8 (ISBN)
Projects
Pulse for Health and Learning
Note

Funding: The Center of research on Welfare, Health and Sport (CVHI), School of Health and Welfare, Halmstad University, and the Department of Research and Development within Education, Region Jönköping County, Sweden, and the participating municipalities in the Region Jönköping.

Available from: 2022-12-01 Created: 2022-12-01 Last updated: 2023-02-27Bibliographically approved
Håman, L., Yring, H., Prell, H. & Lindgren, E.-C. (2020). Personal trainers’ health advice in the fitness gym space from a gender perspective. International Journal of Qualitative Studies on Health and Well-being, 15(sup1), Article ID 1794364.
Open this publication in new window or tab >>Personal trainers’ health advice in the fitness gym space from a gender perspective
2020 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, no sup1, article id 1794364Article in journal (Refereed) Published
Abstract [en]

Purpose: This study aimed to describe and problematize the advice on exercise and diet that personal trainers (PTs) provide to their clients from a gender perspective. Method: The present study had an explorative design, and the interviews were analysed using an interpretative qualitative approach. Seven focus group discussions were conducted with 19 PTs (aged 23–47 years). Results: The findings indicated that the PTs had a gender-neutral health advice approach to both women and men, guiding them towards a relaxed attitude to exercise and diet, prioritizing and rationalizing their exercise and diet and eating a natural diet. PTs also had a gendered health advice approach as regards women who showed unhealthy exercise and eating behaviours; advising them to eat more and exercise less, to focus on performance rather than appearance and to avoid heavy weightlifting. Some PTs acted evasively and did not give advice to men. Conclusions: Both approaches include advice that reflect health as control and health as release. From a gender perspective, PTs health advice both challenged and reproduced the stereotypical male norm in the fitness gym space. However, PTs gendered health advice may create different opportunities for men and women to promote their health and well-being in the fitness gym. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Oxfordshire: Taylor & Francis, 2020
Keywords
Diet, exercise, fitness gym, gender, health advice, personal trainer
National Category
Sport and Fitness Sciences Pedagogy
Identifiers
urn:nbn:se:hh:diva-43344 (URN)10.1080/17482631.2020.1794364 (DOI)000588361500002 ()33103635 (PubMedID)2-s2.0-85094642578 (Scopus ID)
Funder
Swedish National Centre for Research in Sports
Note

Funding: The Center of research on Welfare, Health and Sport (CVHI) & The Swedish Research Council for Sport Science.

Available from: 2020-10-26 Created: 2020-10-26 Last updated: 2021-10-25Bibliographically approved
Håman, L., Lundin, I. & Lindgren, E.-C. (2019). ”Appearance, that’s the only thing that matters” Personal trainers’ negotiations of valued bodies in a gym context. In: : . Paper presented at Svensk Beteendevetenskaplig Idrottsforsknings konferens (SVEBI 2019) 21-22 november, 2019 , Stockholm, Sverige.
Open this publication in new window or tab >>”Appearance, that’s the only thing that matters” Personal trainers’ negotiations of valued bodies in a gym context
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Keywords
Body ideals, emphasized femininity, fitness gym, gender, hegemonic masculinity, personal trainer
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-41060 (URN)
Conference
Svensk Beteendevetenskaplig Idrottsforsknings konferens (SVEBI 2019) 21-22 november, 2019 , Stockholm, Sverige
Funder
Swedish National Centre for Research in Sports
Available from: 2019-12-01 Created: 2019-12-01 Last updated: 2019-12-06Bibliographically approved
Håman, L., Prell, H. & Lindgren, E.-C. (2019). Personal trainer´s health advice to clients in the fitness gym. In: : . Paper presented at AIESEP World Congress, AIESEP2019, New York, USA, June 19-22, 2019.
Open this publication in new window or tab >>Personal trainer´s health advice to clients in the fitness gym
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Fitness gyms have become popular places for physical activity. Several individuals exercise at gyms and an increasing number hire a personal trainer (PT). PTs have an important role in offering advice and exercise programs as well as detecting unhealthy behaviors among their clients. Norms regarding exercise habits in the gyms appear to be strongly gendered, which may influence PTs’ advice. The purpose of this presentation is to describe PTs’ health advice to clients. In total, 19 PTs, nine women and ten men, aged 23 – 47 years were recruited through purposive sampling. An explorative design was employed and seven focus group discussions were carried out. These were analyzed using a qualitative content analysis guided by a gender perspective. The findings suggest that PTs had a gendered health advice approach towards women regarding exercise and diet. The PTs gave reactive health advice especially to women showing unhealthy exercise and eating behaviors in order to correct these unhealthy behaviors. The specific advice involved a) eating more and exercising less, b) focusing on performance rather than appearance and c) avoiding heavy weight lifting. However, the PTs avoided to advise men showing similar unhealthy training and eating behaviors. The PTs also had a transgressive health advice approach. They advised both women and men to a) adopt a relaxed attitude to exercise and diet, b) to prioritize and rationalize their exercise and diet and c) to eat a natural diet. The gendered health advice approach might give women and men different opportunities to improve their physical fitness, health and well-being. Men with unhealthy behaviors might not be supported by the PTs, which adversely can affect men's health. We recommend that gym managers and PT-educators increase their awareness about the importance of providing equal opportunities for women and men to improve their physical fitness and health.

Keywords
diet, exercise, fitness gym, gender, health advice, personal trainer
National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-39468 (URN)
Conference
AIESEP World Congress, AIESEP2019, New York, USA, June 19-22, 2019
Funder
Swedish National Centre for Research in Sports, P2018-0064
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2019-09-25Bibliographically approved
Lindgren, E.-C., Haraldsson, K. & Håman, L. (2019). ‘Pulse for learning and health [PuLH]’ in primary school; pupil’s experiences. In: : . Paper presented at AIESEP World Congress, New York, USA, June 19-22, 2019.
Open this publication in new window or tab >>‘Pulse for learning and health [PuLH]’ in primary school; pupil’s experiences
2019 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

To improve academic performance and health in schoolchildren, the program Pulse for learning and health [PuLH] in Sweden has introduced moderate to vigorous physical activities [MVPA] three times a week (á 30 minutes). The teachers used a child-centered coaching approach, which has the child’s best interests in mind and focused on having fun. The objective of this contribution is to describe what Swedish pupils convey, using their own voices, about their experiences of participating in the school-based program PuLH. We have taken on children’s perspectives in order to be able to understand the children’s own culture. Eight schools in the Region of Jönköping, Sweden, have implemented PuLH. In total, 73 pupils (34 girls, 39 boys, grades 4-9) were recruited through purposive sampling. Thirteen focus group interviews (n=71) and individual interviews (n=2) were carried out. An explorative design was employed, in which data were categorized using qualitative content analysis. The analysis resulted in four major themes, which we classify as ‘promotes academic performance’, ‘promotes a learning school environment’, ‘promotes health and well-being’, and ‘individual and structural barriers’. The pupils stated that they increased their working capacity, the classroom environment became more calm and peaceful, they got more cohesion and new friends, their needs and interest were in focus, they felt more alert and got in a better mood, they increased their physical competence, their habits became healthier and illness decreased. However, some of the pupils revealed individual and structural barriers, which reduced pleasure and motivation to participate in MVPA due to; poor planning and that they felt time pressure, felt uncomfortable showing their bodies and digital challenges. We recommend that schools take pupils’ interests and needs into consideration when planning for and implementing MVPA activities and not use MVPA as a 'quick fix' i.e. to solve complex problems regarding pupil's learning.

National Category
Sport and Fitness Sciences
Identifiers
urn:nbn:se:hh:diva-39471 (URN)
Conference
AIESEP World Congress, New York, USA, June 19-22, 2019
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2019-08-16Bibliographically approved
Svedberg, P., Nygren, J. M., Källstrand Eriksson, J. & Håman, L. (2019). Utvärdering - Välmående ger Resultat.
Open this publication in new window or tab >>Utvärdering - Välmående ger Resultat
2019 (Swedish)Report (Other (popular science, discussion, etc.))
Publisher
p. 35
National Category
Other Health Sciences
Identifiers
urn:nbn:se:hh:diva-39470 (URN)
Available from: 2019-05-24 Created: 2019-05-24 Last updated: 2019-12-17Bibliographically approved
Lindgren, E.-C., Håman, L. & Haraldsson, K. (2019). Voices from Pupil Participation in the Health Promotion Intervention “Pulse for Learning and Health [PuLH]” in Primary and Middle School. International Journal of Environmental Research and Public Health, 16(22), Article ID 4543.
Open this publication in new window or tab >>Voices from Pupil Participation in the Health Promotion Intervention “Pulse for Learning and Health [PuLH]” in Primary and Middle School
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 22, article id 4543Article in journal (Refereed) Published
Abstract [en]

In order to improve the learning conditions and health of schoolchildren, the Pulse for Learning and Health [PuLH] program in Sweden has introduced additional mandatory moderate to vigorous physical activity [MVPA] that lasts for 30 min three times a week. The PE teachers used a child-centered coaching approach to support all pupils. The aim of this study was to explore pupils’ perception and experience of PuLH that has been implemented in primary and middle schools in Sweden. We have taken into account children’s rights perspectives and adopted an exploratory and interpretive approach. In total, 73 pupils (34 girls, 39 boys, grades 4–9) were recruited through purposive sampling. 13 focus group interviews (n = 71) and individual interviews (n = 2) were carried out. All interviews were analyzed using qualitative content analysis. The analysis resulted in three major themes: ‘promotes academic performance and a learning school environment’, ‘promotes health and well-being’, and ‘individual and structural barriers’. From children’s perspective, the results highlight the importance of teachers and principals taking into account the interests and needs of all pupils, to have a well-planned MVPA intervention and to deal with issues regarding body ideals. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
Basel: MDPI, 2019
Keywords
children’s perspective, coaching, health promotion, learning, MVPA, pupils, well-being
National Category
Social Work
Identifiers
urn:nbn:se:hh:diva-41095 (URN)10.3390/ijerph16224543 (DOI)000502057400240 ()31744178 (PubMedID)2-s2.0-85075212933& (Scopus ID)
Note

Funders: Department of Research and Development within Education, Region Jönköping County, Sweden & the following municipalities: Aneby, Eksjö, Gislaved, Habo, Mullsjö, Nässjö, Vaggeryd and Tranås & CVHI, School of Health and Welfare, Halmstad University.

Available from: 2019-12-03 Created: 2019-12-03 Last updated: 2020-01-31Bibliographically approved
Projects
HILF: Hur tog jag min plats? Unga immigrerade kvinnors framgångsrika väg in i det svenska samhället; Halmstad University; Publications
Zimmerman Nilsson, M.-H., Lydell, M. & Håman (née Eriksson), L. (2023). Health and Well-being Among Immigrated Women in Higher Education: An Integrative Literature Review. In: : . Paper presented at Nordic Health Promotion Research Conference. Pelters, P., Lindgren, E.-C., Kostenius, C., Lydell, M. & Hertting, K. (2021). Health-related integration interventions for migrants by civil society organizations: an integrative review. International Journal of Qualitative Studies on Health and Well-being, 16(1), Article ID 1927488.
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-9753-3000

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