Anna Winkvist
Biographic Data
| ID | 200875 |
|---|---|
| NAME | Anna Winkvist |
| GIVEN NAMES | Anna |
| FAMILY NAME | Winkvist |
| SIGNATURE | WINKVIST A |
| AFFILIATIONS | Umeå University |
| ORCID | 0000-0001-9122-7240 |
| VERIFIED | Yes |
| TOTAL WORKS | 37 |
| TOTAL CITATIONS | 274 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1992 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 9 |
Quantifying the environmental and food biodiversity impacts of ultra-processed foods
Objective: While associations of ultra-processed food (UPF) consumption with adverse health outcomes are accruing, its environmental and food biodiversity impacts remain underexplored. This study examines associations between UPF consumption and dietary greenhouse gas emissions (GHGe), land use and food biodiversity. Design: Prospective cohort study. Linear mixed models estimated associations between UPF intake (g/d and kcal/d) and GHGe (kg CO 2 …
There are healthy things inside’
Children's vegetable and fruit (V&F) consumption is generally lower than dietary recommendations. Thus, this study explored 15 Swedish children's thoughts, experiences and approaches to V&F consumption. Individual interviews were conducted with 10- to 12-year-old children (eight girls and seven boys) of diverse cultural backgrounds. The interviews were thematically analysed, and a final step adopted a phenomenographic approach. The results reveal…
Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study
Objective: To assess the associations between adherence to the Swedish dietary guidelines and all-cause mortality (i.e. assessing the index’ ability to predict health outcomes), as well as levels of dietary greenhouse gas emissions (GHGEs). Design: A longitudinal study 1990–2016 within the population-based cohort Västerbotten Intervention Programme. Dietary data were based on FFQs. Diet quality was assessed by the Swedish Healthy Eating Index for…
Late Pregnancy Vitamin D Deficiency is Associated with Doubled Odds of Birth Asphyxia and Emergency Caesarean Section
In this Swedish prospective population-based cohort study, vitamin D deficiency in late pregnancy was associated with doubled odds of birth asphyxia and with EMCS in deliveries not aided by epidural anaesthesia. Prevention of vitamin D deficiency among pregnant women may reduce the incidence of EMCS and birth asphyxia. The mechanism behind the findings require further investigation
Cost-effectiveness and quality of life of a diet intervention postpartum
Clinical trials, NCT01949558 , 2013-09-24
Timing of eating across ten European countries – results from the European Prospective Investigation into Cancer and Nutrition (Epic) calibration study
Objective To examine timing of eating across ten European countries. Design Cross-sectional analysis of the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study using standardized 24 h diet recalls collected during 1995–2000. Eleven predefined food consumption occasions were assessed during the recall interview. We present time of consumption of meals and snacks as well as the later:earlier energy intake ratio, wi…
Climate impact from diet in relation to background and sociodemographic characteristics in the Västerbotten Intervention Programme
Objective: The objective of this study was to examine climate impact from diet across background and sociodemographic characteristics in a population-based cohort in northern Sweden. Design: A cross-sectional study within the Västerbotten Intervention Programme. Dietary data from a 64-item food frequency questionnaire collected during 1996–2016 were used. Energy-adjusted greenhouse gas emissions (GHGE) for all participants, expressed as kg carbon…
Two‐year follow‐up of a postpartum weight loss intervention
We recently reported that a 12-week diet intervention among postpartum women produced a weight loss of 12% after 1 year, compared to 5% in controls. Here, we present 2-year results after 1 year of unsupervised follow-up. In total, 110 women with a self-reported body mass index of ≥27 kg/m 2 at 6-15-week postpartum were randomized to diet group (D-group) or control group (C-group). D-group received a 12-week diet intervention by a dietitian follow…
A treelet transform analysis to relate nutrient patterns to the risk of hormonal receptor-defined breast cancer in the European Prospective Investigation into Cancer and Nutrition (Epic)
Objective Pattern analysis has emerged as a tool to depict the role of multiple nutrients/foods in relation to health outcomes. The present study aimed at extracting nutrient patterns with respect to breast cancer (BC) aetiology. Design Nutrient patterns were derived with treelet transform (TT) and related to BC risk. TT was applied to twenty-three log-transformed nutrient densities from dietary questionnaires. Hazard ratios (HR) and 95 % confide…
Meal patterns across ten European countries – results from the European Prospective Investigation into Cancer and Nutrition (Epic) calibration study
Objective To characterize meal patterns across ten European countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study. Design Cross-sectional study utilizing dietary data collected through a standardized 24 h diet recall during 1995–2000. Eleven predefined intake occasions across a 24 h period were assessed during the interview. In the present descriptive report, meal patterns were analys…
Cost-utility analysis of a randomized controlled weight loss trial among lactating overweight/obese women
ClinicalTrials.gov Identifier: NCT01343238 Registered April 27, 2011.The regional ethics committee in Gothenburg, Sweden, approved the study on November 15, 2006
Adherence of pregnant women to Nordic dietary guidelines in relation to postpartum weight retention
Higher adherence to either the official Norwegian food guidelines or possibly also to Nordic Nutrition Recommendations during pregnancy appears to be associated with lower postpartum weight retention
Breast-feeding in relation to weight retention up to 36 months postpartum in the Norwegian Mother and Child Cohort Study
Objective We investigated the association between full breast-feeding up to 6 months as well as partial breast-feeding after 6 months and maternal weight retention at 6, 18 and 36 months after delivery in the Norwegian Mother and Child Cohort Study (MoBa), conducted by the Norwegian Institute of Public Health. Design Cohort study. Information on exposure and outcome was collected by questionnaire. Setting Norway. Subjects Women at 6 months ( n 49…
Transformative Lifestyle Change
The increase in overweight and obesity among women is a growing concern, and reproduction is associated with persistent weight gain. We have shown that dietary behavioural modification treatment, with or without exercise, results in weight loss and maintenance of weight loss. The aim of this study was to provide an explanatory model of how overweight and obese women achieve weight loss during, and after, participating in a post-partum diet and/or…
Exploring dietary patterns, obesity and sources of bias
Objective Dietary patterns capture the overall diet and thereby provide information on how nutrients are consumed in combinations, and have been suggested to be a better method than studying single nutrients. The present study explored the relationship between dietary patterns at baseline and incidence of obesity at 10-year follow-up in women. Design A longitudinal study using baseline measurements from 1992–1996, including food intake, medicatio…
Evaluation of plant sterol intake estimated with the Northern Sweden FFQ
Objective To evaluate plant sterol intake estimated with the eighty-four-item Northern Sweden FFQ against repeated 24 h dietary recalls (24-HDR) as the reference method. Design Randomly recruited participants from the Västerbotten Intervention Programme (VIP) responded to an FFQ (FFQ1). Over the subsequent 12 months, ten repeated 24-HDR were carried out. After this, a second FFQ (FFQ2) was completed. Setting Västerbotten county, northern Sweden. …
Trust and ambivalence in midwives' views towards women developing pelvic pain during pregnancy
The Swedish midwife plays a significant role in the antenatal care (ANC) system, and a majority of pregnant women are satisfied with their ANC. Pelvic pain during pregnancy (PP) is prevalent. The study investigated the views, perceptions and attitudes of midwives currently working in ANC regarding PP during pregnancy. The informants were ten midwives between the ages of 35 to 64 years, with a combined experience of 250 years of midwifery. In-dept…
Parental share in public and domestic spheres
Study objective: Examine the relation between aspects of gender equality and population health based on the premise that sex differences in health are mainly caused by the gender system. Setting/participants: All Swedish couples (98 240 people) who had their first child together in 1978. Design: The exposure of gender equality is shown by the parents’ division of income and occupational position (public sphere), and parental leave and temporary c…
If We Have to Die, We Just Die
In this study, the authors identify opportunities for and challenges in reducing the risks of tuberculosi (TB) and HIV/AIDS transmission in Thailand. They carried out more than six repeated in-depth interviews with each of 13 participants who have been newly diagnosed with TB, 7 of whom were HIV positive, and their caregivers, until the patient recovered from TB or died. They performed extensive observations during relevant private and public act…
The importance of eating rice
Rapid assessment procedures of malaria in low endemic countries
Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (Epic) project
Objective: To describe the diversity in dietary patterns existing across centres/regions participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). Design and setting: Single 24-hour dietary recall measurements were obtained by means of standardised face-to-face interviews using the EPIC-SOFT software. These have been used to present a graphic multi-dimensional comparison of the adjusted mean consumption of 22 food …
Underreporting of energy intake is less common among pregnant women in Indonesia
Objectives: To evaluate the ratio of reported energy intake to basal metabolic rate (EI/BMR) among pregnant Indonesian women, as well as identifying risk factors for being an underreporter. Design: Longitudinal study of dietary intake, using six repeated 24-hour diet recalls each trimester. Basal metabolic rate was estimated from body weight and physical activity from occupation. The lower 95% confidence interval for plausible EI/BMR was calculat…
Trust and Transparency in Human Encounters in Tuberculosis Control
The purpose of this study was to elucidate understanding of mechanisms of the tuberculosis sickness trajectory in Vietnam. In-depth interviews with 24 TB patients and 16 health care providers involved in TB care were concurrently conducted, coded, and analyzed according to the grounded theory method. A need for quality interaction based on transparency and trust among patient, family, society, and provider was observed. Providers lacked an awaren…
Appraising Studies in Health Using Rapid Assessment Procedures (RAP)
In recent years, rapid assessment procedures (RAP) have resulted in many descriptive health studies of potential utility to the wider social science community. However, as RAP departs from the in-d
Researching Domestic Violence Against Women
The results of three population‐based studies on violence against women in Nicaragua are compared in this article. Two of the studies were regional in scope (Leon and Managua) and focused specifically on women's experiences of violence, whereas the third study was a Demographic and Health Survey (DHS) conducted with a nationally representative sample of women. The lifetime prevalence estimates for women's undergoing physical violence from a partn…
Candies in hell
A new definition of maternal depletion syndrome
BACKGROUND. Although the term "maternal depletion syndrome" has been commonly used to explain poor maternal and infant health, whether such a syndrome actually exists remains unclear. This uncertainty may be due to the lack of a clear definition of the syndrome and the absence of theoretical frameworks that account for the many factors related to reproductive nutrition. METHODS. We propose a new definition of maternal depletion syndrome within a …
God should give daughters to rich families only
Wife abuse among women of childbearing age in Nicaragua
OBJECTIVES: This study measured the prevalence, frequency, and severity of physical wife abuse and its risk factors in León, Nicaragua. METHODS: A cross-sectional survey was conducted with a representative sample of 488 women 15 to 49 years of age. RESULTS: The lifetime prevalence of spousal violence was 52% among ever-married women (n = 360). Spousal violence was significantly positively associated with poverty, parity, urban residence, and hist…
The Nicaraguan network of women against violence
Public awareness in Nicaragua regarding domestic violence has undergone a profound transformation in the last few years. Once viewed as a private problem affecting few women, it is now considered a major social problem. This is largely due to the work of a broad-based movement spearheaded by the National Network of Women Against Violence, which includes over 150 women's groups and hundreds of individual women all over the country. This Network co…
Parental share in public and domestic spheres
Study objective: Examine the relation between aspects of gender equality and population health based on the premise that sex differences in health are mainly caused by the gender system. Setting/participants: All Swedish couples (98 240 people) who had their first child together in 1978. Design: The exposure of gender equality is shown by the parents’ division of income and occupational position (public sphere), and parental leave and temporary c…
The importance of eating rice
Different tuberculosis in men and women
Trust and Transparency in Human Encounters in Tuberculosis Control
The purpose of this study was to elucidate understanding of mechanisms of the tuberculosis sickness trajectory in Vietnam. In-depth interviews with 24 TB patients and 16 health care providers involved in TB care were concurrently conducted, coded, and analyzed according to the grounded theory method. A need for quality interaction based on transparency and trust among patient, family, society, and provider was observed. Providers lacked an awaren…
Images of health and health care options among low income women in Punjab, Pakistan
Rapid assessment procedures of malaria in low endemic countries
If We Have to Die, We Just Die
In this study, the authors identify opportunities for and challenges in reducing the risks of tuberculosi (TB) and HIV/AIDS transmission in Thailand. They carried out more than six repeated in-depth interviews with each of 13 participants who have been newly diagnosed with TB, 7 of whom were HIV positive, and their caregivers, until the patient recovered from TB or died. They performed extensive observations during relevant private and public act…
A new definition of maternal depletion syndrome
BACKGROUND. Although the term "maternal depletion syndrome" has been commonly used to explain poor maternal and infant health, whether such a syndrome actually exists remains unclear. This uncertainty may be due to the lack of a clear definition of the syndrome and the absence of theoretical frameworks that account for the many factors related to reproductive nutrition. METHODS. We propose a new definition of maternal depletion syndrome within a …
Winkvist and Colleagues Respond
In family medicine we seek to build upon the strengths offamilies, whether urban or rural, disadvantaged or wealthy. Our emphasis is on inclusion: all of us are members of families and communities, with our own weaknesses and contributions to make to the public health. Understanding healthy and unhealthy family systems may lead to more effective family interventions and improved health out- comes for the entire community
Images of health and health care options among low income women in Punjab, Pakistan
The Nicaraguan network of women against violence
Public awareness in Nicaragua regarding domestic violence has undergone a profound transformation in the last few years. Once viewed as a private problem affecting few women, it is now considered a major social problem. This is largely due to the work of a broad-based movement spearheaded by the National Network of Women Against Violence, which includes over 150 women's groups and hundreds of individual women all over the country. This Network co…
Domestic violence and emotional distress among Nicaraguan women
Domestic violence and emotional distress among Nicaraguan women
This study aimed to measure the prevalence of emotional distress among women in Leon Nicaragua and to identify risk factors for emotional distress with special reference to wife abuse. A survey was performed among a representative sample of women aged 15-49. Among ever-married women 20% were classified as experiencing emotional distress at the time of the interview and 52% reported physical partner abuse at some point in their lives. Women report…
Wife abuse among women of childbearing age in Nicaragua
OBJECTIVES: This study measured the prevalence, frequency, and severity of physical wife abuse and its risk factors in León, Nicaragua. METHODS: A cross-sectional survey was conducted with a representative sample of 488 women 15 to 49 years of age. RESULTS: The lifetime prevalence of spousal violence was 52% among ever-married women (n = 360). Spousal violence was significantly positively associated with poverty, parity, urban residence, and hist…
Different tuberculosis in men and women
Predicting under- and overnutrition among women of reproductive age
Objectives To evaluate changes over 1 year in weight and body mass index (BMI) among a population-based sample of non-pregnant women in Indonesia and to identify risk factors for developing under- and overnutrition. Design Cross-sectional studies in 1996 and 1997 in the same population. Setting Purworejo District, central Java, Indonesia. Subjects Non-pregnant women ( n = 4132) aged 15–49 years of age who participated in both 1996 and 1997. Based…
God should give daughters to rich families only
Candies in hell
Appraising Studies in Health Using Rapid Assessment Procedures (RAP)
In recent years, rapid assessment procedures (RAP) have resulted in many descriptive health studies of potential utility to the wider social science community. However, as RAP departs from the in-d
Researching Domestic Violence Against Women
The results of three population‐based studies on violence against women in Nicaragua are compared in this article. Two of the studies were regional in scope (Leon and Managua) and focused specifically on women's experiences of violence, whereas the third study was a Demographic and Health Survey (DHS) conducted with a nationally representative sample of women. The lifetime prevalence estimates for women's undergoing physical violence from a partn…
Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (Epic) project
Objective: To describe the diversity in dietary patterns existing across centres/regions participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). Design and setting: Single 24-hour dietary recall measurements were obtained by means of standardised face-to-face interviews using the EPIC-SOFT software. These have been used to present a graphic multi-dimensional comparison of the adjusted mean consumption of 22 food …
Underreporting of energy intake is less common among pregnant women in Indonesia
Objectives: To evaluate the ratio of reported energy intake to basal metabolic rate (EI/BMR) among pregnant Indonesian women, as well as identifying risk factors for being an underreporter. Design: Longitudinal study of dietary intake, using six repeated 24-hour diet recalls each trimester. Basal metabolic rate was estimated from body weight and physical activity from occupation. The lower 95% confidence interval for plausible EI/BMR was calculat…
Trust and Transparency in Human Encounters in Tuberculosis Control
The purpose of this study was to elucidate understanding of mechanisms of the tuberculosis sickness trajectory in Vietnam. In-depth interviews with 24 TB patients and 16 health care providers involved in TB care were concurrently conducted, coded, and analyzed according to the grounded theory method. A need for quality interaction based on transparency and trust among patient, family, society, and provider was observed. Providers lacked an awaren…
Rapid assessment procedures of malaria in low endemic countries
If We Have to Die, We Just Die
In this study, the authors identify opportunities for and challenges in reducing the risks of tuberculosi (TB) and HIV/AIDS transmission in Thailand. They carried out more than six repeated in-depth interviews with each of 13 participants who have been newly diagnosed with TB, 7 of whom were HIV positive, and their caregivers, until the patient recovered from TB or died. They performed extensive observations during relevant private and public act…
The importance of eating rice
Parental share in public and domestic spheres
Study objective: Examine the relation between aspects of gender equality and population health based on the premise that sex differences in health are mainly caused by the gender system. Setting/participants: All Swedish couples (98 240 people) who had their first child together in 1978. Design: The exposure of gender equality is shown by the parents’ division of income and occupational position (public sphere), and parental leave and temporary c…
Trust and ambivalence in midwives' views towards women developing pelvic pain during pregnancy
The Swedish midwife plays a significant role in the antenatal care (ANC) system, and a majority of pregnant women are satisfied with their ANC. Pelvic pain during pregnancy (PP) is prevalent. The study investigated the views, perceptions and attitudes of midwives currently working in ANC regarding PP during pregnancy. The informants were ten midwives between the ages of 35 to 64 years, with a combined experience of 250 years of midwifery. In-dept…
Transformative Lifestyle Change
The increase in overweight and obesity among women is a growing concern, and reproduction is associated with persistent weight gain. We have shown that dietary behavioural modification treatment, with or without exercise, results in weight loss and maintenance of weight loss. The aim of this study was to provide an explanatory model of how overweight and obese women achieve weight loss during, and after, participating in a post-partum diet and/or…
Exploring dietary patterns, obesity and sources of bias
Objective Dietary patterns capture the overall diet and thereby provide information on how nutrients are consumed in combinations, and have been suggested to be a better method than studying single nutrients. The present study explored the relationship between dietary patterns at baseline and incidence of obesity at 10-year follow-up in women. Design A longitudinal study using baseline measurements from 1992–1996, including food intake, medicatio…
Evaluation of plant sterol intake estimated with the Northern Sweden FFQ
Objective To evaluate plant sterol intake estimated with the eighty-four-item Northern Sweden FFQ against repeated 24 h dietary recalls (24-HDR) as the reference method. Design Randomly recruited participants from the Västerbotten Intervention Programme (VIP) responded to an FFQ (FFQ1). Over the subsequent 12 months, ten repeated 24-HDR were carried out. After this, a second FFQ (FFQ2) was completed. Setting Västerbotten county, northern Sweden. …
Cost-utility analysis of a randomized controlled weight loss trial among lactating overweight/obese women
ClinicalTrials.gov Identifier: NCT01343238 Registered April 27, 2011.The regional ethics committee in Gothenburg, Sweden, approved the study on November 15, 2006
Medicine (35 works) · Environmental health (19 works) · Demography (16 works) · Psychology (14 works) · Demography (13 works) · Gerontology (13 works) · Population (12 works) · Sociology (12 works) · Internal Medicine (11 works) · Nursing (8 works)