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  • 1
    Online Resource
    Online Resource
    Sosiaalilaaketieteellisen aikakauslehti ; 2022
    In:  Sosiaalilääketieteellinen Aikakauslehti Vol. 59, No. 2 ( 2022-05-20)
    In: Sosiaalilääketieteellinen Aikakauslehti, Sosiaalilaaketieteellisen aikakauslehti, Vol. 59, No. 2 ( 2022-05-20)
    Abstract: Terveyden edistämisen ravitsemukselliset tukipilarit on ravintoainetason suositusten lisäksi kiteytetty niin Suomessa kuin kansainvälisesti tiettyjen ravitsemuksellisesti tärkeiden ruokaaineiden käyttösuosituksiksi. Nämä ruokasuositukset ovat pääasiassa määrällisiä, mutta sisältävät myös laadullisia suosituksia ruoankäyttöön. Tämän tutkimuksen tavoitteena oli kuvata karttoina suositeltavien ruokavalintojen toteutumisen alueellisia eroja aikuisilla 2010-luvulla. Karttamallinnuksessa käytettiin väestötutkimusten (Terveys 2011, FINRISKI 2012, FinTerveys 2017) aineistoja, joissa ruoankulutus on mitattu validoitua frekvenssikyselyä käyttäen. Suositeltavia ruokavalintoja kuvattiin ruoankäyttöindeksillä, jossa pisteytettiin kasvisten, hedelmien ja marjojen, ruisleivän, kalan sekä punaisen lihan ja lihavalmisteiden käyttömäärät. Maitovalmisteiden käytön indikaattorina pisteytettiin energian saantiin suhteutettu kalsiumin saanti. Rasvan laatua kuvattiin tyydyttyneen rasvan osuutena energiasta. Lisäksi pisteytettiin suolan saanti. Tilastolliset analyysit perustuvat 10x10 km karttaruutuaineistoon ja Besag-York-Mollie -regressiomalliin. Jokaiselle karttaruudulle laskettiin ikävakioidut ruoka-aineryhmien ja ruoankäyttöindeksin ennustekeskiarvot. Suomalaisten ruoankäytössä havaittiin alueellisia eroja. Sekä ruoankäyttöindeksillä että seitsemällä ruoka-aineryhmällä arvioituna suositeltavat ruokavalinnat toteutuivat useimmin pääkaupunkiseudulla ja suurimmissa kaupungeissa, naisilla erityisesti Helsingin ja Kuopion ympäristöissä. Matalimpia ruoankäyttöindeksin kokonaispistemääriä löytyi Länsi- ja Pohjois-Suomesta. Tulokset ovat tarkimmat suurimmissa kaupungeissa, joissa havaintoaineisto on suurin. Tuloksemme osoittivat selviä eroja maakuntien sisällä useiden ruoka-aineryhmien osalta. Karttamallinnus kuvaa selkeästi suositeltavien ruokavalintojen alueellisia eroja, jotka eivät noudata hallinnollisia rajoja, ja joiden ymmärtämiseksi tarvitaan lisää sosiodemografisia taustatekijöitä. Mallinnuksen tarkkuus paranee, kun aineistot ovat suuria ja kattavat koko maan, mikä toivottavasti huomioidaan tulevissa väestötutkimuksissa.
    Type of Medium: Online Resource
    ISSN: 0355-5097
    Language: Unknown
    Publisher: Sosiaalilaaketieteellisen aikakauslehti
    Publication Date: 2022
    detail.hit.zdb_id: 3111158-0
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  • 2
    In: Nutrients, MDPI AG, Vol. 14, No. 7 ( 2022-03-23), p. 1347-
    Abstract: Information on dietary adequacy is needed to assess food and nutrition security in a modern society, especially in the transition towards climate-friendly food systems. In this study, differences in the nutritional adequacy of diets among Finnish adults were evaluated in population groups of different education, income and urbanisation levels. The study used data from the FinDiet 2017 Survey (n = 1655, 18–74 years). Modelled usual intakes of foods and nutrients were evaluated relative to food-based dietary guidelines issued by the National Nutrition Council of Finland (FNNC) and with respect to nutrient adequacy following the Nordic Nutrition Recommendations and FNNC. For about half of the nutrients studied, intakes were found to be adequate. Intakes of protein, fat, saturated fatty acids and salt were estimated to be high. By contrast, inadequate intakes were seen in folate and vitamins A, D, B1, B2 and C in almost all groups studied. Groups with a higher education and income, groups that lived in urban areas and, in particular, women adhered more closely to recommended food consumption and nutrient intakes than others. However, major challenges posed by the Finnish diet are common to all groups studied, and only certain dietary features evaluated in view of nutritional adequacy are associated with socioeconomic differences.
    Type of Medium: Online Resource
    ISSN: 2072-6643
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2518386-2
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  • 3
    In: Frontiers in Allergy, Frontiers Media SA, Vol. 4 ( 2023-3-14)
    Abstract: Contact with natural environments enriches the human microbiome, promotes immune balance and protects against allergies and inflammatory disorders. In Finland, the allergy & amp; asthma epidemic became slowly visible in mid 1960s. After the World War II, Karelia was split into Finnish and Soviet Union (now Russia) territories. This led to more marked environmental and lifestyle changes in the Finnish compared with Russian Karelia. The Karelia Allergy Study 2002–2022 showed that allergic conditions were much more common on the Finnish side. The Russians had richer gene-microbe network and interaction than the Finns, which associated with better balanced immune regulatory circuits and lower allergy prevalence. In the Finnish adolescents, a biodiverse natural environment around the homes associated with lower occurrence of allergies. Overall, the plausible explanation of the allergy disparity was the prominent change in environment and lifestyle in the Finnish Karelia from 1940s to 1980s. The nationwide Finnish Allergy Programme 2008–2018 implemented the biodiversity hypothesis into practice by endorsing immune tolerance, nature contacts, and allergy health with favorable results. A regional health and environment programme, Nature Step to Health 2022–2032 , has been initiated in the City of Lahti, EU Green Capital 2021. The programme integrates prevention of chronic diseases (asthma, diabetes, obesity, depression), nature loss, and climate crisis in the spirit of Planetary Health . Allergic diseases exemplify inappropriate immunological responses to natural environment. Successful management of the epidemics of allergy and other non-communicable diseases may pave the way to improve human and environmental health.
    Type of Medium: Online Resource
    ISSN: 2673-6101
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2023
    detail.hit.zdb_id: 3063831-8
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  • 4
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2020
    In:  Scientific Reports Vol. 10, No. 1 ( 2020-06-04)
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 10, No. 1 ( 2020-06-04)
    Abstract: Understanding on sociodemographic variation of the co-occurrence of cardiovascular disease risk factors is crucial for planning future prevention strategies. We aimed at examining (1) the co-occurrence of smoking, obesity, hypertension and elevated serum cholesterol by education and marital status, and (2) its trends in different sociodemographic groups in Finland. We used data from cross-sectional health examination surveys among the general population (25–64 years): for 1997–2012 the National FINRISK Study and for 2017 the FinHealth 2017 Survey (n = 25036). A risk factor accumulation score with categories (1) zero, (2) one, (3) two, and (4) three or four elevated risk factors was the outcome in multinomial logistic regression. The risk factor score was more favourable among women, among high education groups, and slightly among participants living with a spouse. Among men, the lowest risk factor score class became more prevalent especially in the intermediate education group, which approached the highest education group over time. Our results indicate an overall transition towards a more favourable risk factor distribution. However, risk factor accumulation among the least educated remained emphasizing the need to develop and implement more targeted prevention interventions and public health policies to decrease the risk factor burden particularly in this group.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2020
    detail.hit.zdb_id: 2615211-3
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  • 5
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2007
    In:  Public Health Nutrition Vol. 10, No. 5 ( 2007-05), p. 518-523
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 10, No. 5 ( 2007-05), p. 518-523
    Abstract: To examine educational differences among people who consume foods containing fat in Finland and the Baltic countries. Design Data were collected from cross-sectional postal Finbalt Health Monitor surveys that were carried out in 1998, 2000 and 2002. Setting Estonia, Finland, Latvia and Lithuania. Subjects For each survey, nationally representative random samples of adults aged 20–64 years were drawn from population registers (Estonia, n  = 3656; Finland, n  = 9354, Latvia, n  = 6015; Lithuania, n  = 5944). Results Differences were revealed between the countries in the consumption of foods that contain fat. Finnish people consumed butter on bread, high-fat milk, meat and meat products, and vegetable oil for cooking less frequently than people in the Baltic countries. Cheese was most popular in Finland. Educational differences in fat-related food habits were examined by applying logistic regression analysis. A positive association was found between level of education and consumption of vegetable oil used in food preparation. Drinking high-fat milk was associated with low education in all countries. People with higher education tended to consume cheese more often. Educational patterns in the consumption of butter on bread and in the consumption of meat and meat products differed between countries. Conclusions The consumption of foods containing fat was related to educational levels in all four countries. The diet of better-educated people was closer to recommendations for the consumption of saturated and unsaturated fats than the diet of people with lower level of education. The educational gradient was more consistent in Finland than in the Baltic countries. These existing educational differences in sources of fat consumed should be taken into account in the development of national cardiovascular disease prevention programmes.
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2007
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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  • 6
    In: Clinical & Experimental Allergy, Wiley, Vol. 50, No. 10 ( 2020-10), p. 1148-1158
    Abstract: After the Second World War, the population living in the Karelian region was strictly divided by the “iron curtain” between Finland and Russia. This resulted in different lifestyle, standard of living, and exposure to the environment. Allergic manifestations and sensitization to common allergens have been much more common on the Finnish compared to the Russian side. Objective The remarkable allergy disparity in the Finnish and Russian Karelia calls for immunological explanations. Methods Young people, aged 15‐20 years, in the Finnish (n = 69) and Russian (n = 75) Karelia were studied. The impact of genetic variation on the phenotype was studied by a genome‐wide association analysis. Differences in gene expression (transcriptome) were explored from the blood mononuclear cells (PBMC) and related to skin and nasal epithelium microbiota and sensitization. Results The genotype differences between the Finnish and Russian populations did not explain the allergy gap. The network of gene expression and skin and nasal microbiota was richer and more diverse in the Russian subjects. When the function of 261 differentially expressed genes was explored, innate immunity pathways were suppressed among Russians compared to Finns. Differences in the gene expression paralleled the microbiota disparity. High Acinetobacter abundance in Russians correlated with suppression of innate immune response. High‐total IgE was associated with enhanced anti‐viral response in the Finnish but not in the Russian subjects. Conclusions and clinical relevance Young populations living in the Finnish and Russian Karelia show marked differences in genome‐wide gene expression and host contrasting skin and nasal epithelium microbiota. The rich gene‐microbe network in Russians seems to result in a better‐balanced innate immunity and associates with low allergy prevalence.
    Type of Medium: Online Resource
    ISSN: 0954-7894 , 1365-2222
    URL: Issue
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2186232-1
    detail.hit.zdb_id: 2004469-0
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  • 7
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 12, No. 1 ( 2012-12)
    Type of Medium: Online Resource
    ISSN: 1471-2458
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2012
    detail.hit.zdb_id: 2041338-5
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  • 8
    In: Frontiers in Microbiology, Frontiers Media SA, Vol. 12 ( 2021-12-23)
    Abstract: Introduction: The airway microbiota has been linked to specific paediatric respiratory diseases, but studies are often small. It remains unclear whether particular bacteria are associated with a given disease, or if a more general, non-specific microbiota association with disease exists, as suggested for the gut. We investigated overarching patterns of bacterial association with acute and chronic paediatric respiratory disease in an individual participant data (IPD) meta-analysis of 16S rRNA gene sequences from published respiratory microbiota studies. Methods: We obtained raw microbiota data from public repositories or via communication with corresponding authors. Cross-sectional analyses of the paediatric ( & lt;18 years) microbiota in acute and chronic respiratory conditions, with & gt;10 case subjects were included. Sequence data were processed using a uniform bioinformatics pipeline, removing a potentially substantial source of variation. Microbiota differences across diagnoses were assessed using alpha- and beta-diversity approaches, machine learning, and biomarker analyses. Results: We ultimately included 20 studies containing individual data from 2624 children. Disease was associated with lower bacterial diversity in nasal and lower airway samples and higher relative abundances of specific nasal taxa including Streptococcus and Haemophilus . Machine learning success in assigning samples to diagnostic groupings varied with anatomical site, with positive predictive value and sensitivity ranging from 43 to 100 and 8 to 99%, respectively. Conclusion: IPD meta-analysis of the respiratory microbiota across multiple diseases allowed identification of a non-specific disease association which cannot be recognised by studying a single disease. Whilst imperfect, machine learning offers promise as a potential additional tool to aid clinical diagnosis.
    Type of Medium: Online Resource
    ISSN: 1664-302X
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2021
    detail.hit.zdb_id: 2587354-4
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  • 9
    In: BMC Geriatrics, Springer Science and Business Media LLC, Vol. 22, No. 1 ( 2022-12)
    Abstract: Projections of the development of mobility limitations of older adults are needed for evidence-based policy making. The aim of this study was to generate projections of mobility limitations among older people in the United States, England, and Finland. Methods We applied multiple imputation modelling with bootstrapping to generate projections of stair climbing and walking limitations until 2026. A physical activity intervention producing a beneficial effect on self-reported activities of daily living measures was identified in a comprehensive literature search and incorporated in the scenarios used in the projections. We utilised the harmonised longitudinal survey data from the Ageing Trajectories of Health – Longitudinal Opportunities and Synergies (ATHLOS) project ( N  = 24,982). Results Based on the scenarios from 2012 to 2026, the prevalence of walking limitations will decrease from 9.4 to 6.4%. A physical activity intervention would decrease the prevalence of stair climbing limitations compared with no intervention from 28.9 to 18.9% between 2012 and 2026. Conclusions A physical activity intervention implemented on older population seems to have a positive effect on maintaining mobility in the future. Our method provides an interesting option for generating projections by incorporating intervention-based scenarios.
    Type of Medium: Online Resource
    ISSN: 1471-2318
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2059865-8
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  • 10
    In: Public Health Nutrition, Cambridge University Press (CUP), Vol. 19, No. 9 ( 2016-06), p. 1707-1717
    Abstract: Finland is known for a sharp decrease in the intake of saturated fat and cardiovascular mortality. Since 2000, however, the consumption of butter-containing spreads – an important source of saturated fats – has increased. We examined social and health-related predictors of the increase among Finnish men and women. Design An 11-year population follow-up. Setting A representative random sample of adult Finns, invited to a health survey in 2000. Subjects Altogether 5414 persons aged 30–64 years at baseline in 2000 were re-invited in 2011. Of men 1529 (59 %) and of women 1853 (66 %) answered the questions on bread spreads at both time points. Respondents reported the use of bread spreads by choosing one of the following alternatives: no fat, soft margarine, butter–vegetable oil mixture and butter, which were later categorized into margarine/no spread and butter/butter–vegetable oil mixture (= butter). The predictors included gender, age, marital status, education, employment status, place of residence, health behaviours, BMI and health. Multinomial regression models were fitted. Results Of the 2582 baseline margarine/no spread users, 24.6% shifted to butter. Only a few of the baseline sociodemographic or health-related determinants predicted the change. Finnish women were more likely to change to butter than men. Living with a spouse predicted the change among men. Conclusions The change from margarine to butter between 2000 and 2011 seemed not to be a matter of compliance with official nutrition recommendations. Further longitudinal studies on social, behavioural and motivational predictors of dietary changes are needed.
    Type of Medium: Online Resource
    ISSN: 1368-9800 , 1475-2727
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2016
    detail.hit.zdb_id: 2016337-X
    SSG: 21
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