Stef Kremer
Dados Biográficos
| ID | 1562995 |
|---|---|
| NOME | Stef Kremer |
| PRENOMES | Stef |
| SOBRENOME | Kremer |
| ASSINATURA | KREMER S |
| AFILIAÇÕES | Maastricht University |
| ORCID | 0000-0002-7406-2779 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 102 |
| TOTAL DE CITAÇÕES | 244 |
| TOTAL COMO AUTOR | 102 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2003 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 10 |
Implementation of health promotion practices among early childhood education and care staff in the Netherlands
The Early Childhood Education and Care (ECEC) setting plays a pivotal role in fostering lifelong healthy behaviours and habits, as these are largely formed through early childhood experiences. This study examined ECEC staff's health promotion practices and the determinants of the implementation of health topics at ECEC locations. Health-related topics addressed included nutrition, physical activity and media education. A mixed method approach wit…
Balancing Fidelity and Adaptation
BACKGROUND: Implementation of school-based health promotion programs requires contextual fit. To strengthen the nutrition education program "Krachtvoer" (ENG: "Power Food") and learn general lessons about contextual fit, this study examined how the program, the context, and program-context interactions affected teachers' balancing between implementation fidelity and adaptation. METHODS: As part of a co-creation process with continuous micro-proce…
A participatory needs assessment to map the system dynamics of overweight related behaviours of 10-14-year-old adolescents living in an underserved neighbourhood in Amsterdam, the Netherlands
Our novel approach combining PAR with systems thinking gained valuable insights into the system dynamics of EBRBs from the adolescent perspective. These insights can inform future interventions targeting systems change regarding EBRBs
Sleep health and its correlates among male and female military recruits in Jordan
Jordanian military recruits on average had short sleep duration and poor sleep quality. Results showed that better sleep hygiene practices (especially among women) and more sleep knowledge (particularly among men) were associated with better sleep quality. Interventions that use cognitive and behavioral change methods to promote sleep hygiene and improve sleep knowledge are recommended to improve sleep quality among military recruits
A qualitative study into the perceptions and needs of fathers with a migration background on parenting regarding energy balance-related behaviors
A deeper understanding of the needs, perceptions, and experiences of migrant populations concerning parenting regarding the promotion of healthy energy balance-related behaviors among their children can lead to better-tailored health promotion programs that prioritize cultural and linguistic inclusivity
What's in a name? Examining the confusion of meat-like terminology on meat imitating plant-based products
Meat alternatives are becoming increasingly popular amongst consumers. The names on these products, specifically the use of meat-like designations on non-animal products, remains a major point of contention. The aim of this study was to investigate whether meat-like vs. non-meat-like names are potentially confusing or even misleading. In this study, a categorisation task was used where participants classified products as animal-based or plant-bas…
How Dutch orthopedic healthcare professionals perceive antibiotic resistance
Healthcare professionals must act to curb antibiotic resistance (ABR), one of today's greatest threats to global health. This study applied the mental model approach to understanding perceptions of ABR among different Dutch orthopedic healthcare professionals. The expert model (step 1) was based on evidence-based ABR information and expert interviews ( n = 3). This model prompted the step 2 questionnaire to inquire about perceived causes, consequ…
Applying systems thinking in youth-centred participatory action research for health promotion in an underserved neighbourhood
Purpose: Childhood overweight is considered a complex problem influenced by a range of factors, including energy balance-related behaviours (EBRBs) and interacting drivers of these behaviours. There is growing support that applying a systems approach is required to tackle complex problems resulting in actions that attempt to change the system's dynamics. Additionally, a participatory approach is advocated to include the lived experience of the po…
Keep it CooL! Results of a two-year CooL-intervention
Dutch Trial Register NTRNL6061 (13-01-2017). Registered at Overview of Medical Research in the Netherlands (OMON), via https://www.onderzoekmetmensen.nl
Outcomes of the combined lifestyle intervention CooL during Covid-19
As the CLI is considered usual health care that does not fall within the scope of the Dutch Medical Research Involving Human Subjects Act, this study was exempt from trial registration
Understanding the system dynamics of obesity-related behaviours in 10- to 14-year-old adolescents in Amsterdam from a multi-actor perspective
Introduction and Methods: To develop an understanding of the dynamics driving obesity-related behaviours in adolescents, we conducted systems-based analysis on a causal loop diagram (CLD) created from a multi-actor perspective, including academic researchers, adolescents and local stakeholders. Results: The CLD contained 121 factors and 31 feedback loops. We identified six subsystems with their goals: (1) interaction between adolescents and the f…
Effects of SuperFIT, an overweight-prevention intervention approach, on pre-schoolers’ dietary intake
SuperFIT aims to improve the dietary and physical activity behaviour of children (2–4 years) in the Dutch childcare and home setting. Healthy parenting practices, policies, and availability of materials, fruits, and vegetables were promoted over the course of a year. This pilot study, with a quasi-experimental design, examined the effectiveness of children’s intake of fruits, vegetables, water, and sweet beverages. Families attending intervention…
Exploring the implementation dynamics of the Health Promoting School approach in Europe
Purpose Adapting the Health Promotion School (HPS) approach to context specifics is acknowledged as being essential for implementation and achieving optimal effectiveness. This study aims to explore implementation variations on seven HPS spectra (such as top-down to bottom-up involvement of stakeholders) on which implementation of the HPS approach can vary, and the factors that relate to navigation on these spectra. Design/methodology/approach In…
Sleep Duration and Metabolic Syndrome among Early Adolescents—A Cross-Sectional Study in Khartoum State, Sudan
Numerous studies have reported that sleep disorders are linked to poor health outcomes. However, studies on these associations in children and adolescents in an African context are limited. The aim of the present study was to analyze the relationship between sleep duration and the presence of metabolic syndrome among early adolescents in Sudan. Methods: A cross-sectional study was conducted on participants aged 10-15 years in Khartoum State, Suda…
Effects of major urban redesign on sedentary behavior, physical activity, active transport and health-related quality of life in adults
This research was retrospectively registered at the Netherlands Trial Register (NL8108)
That's what I like! Fostering enjoyment in primary physical education
Enjoyment in primary physical education (PE) is a key factor in increasing children's physical activity engagement in PE and leisure time. While existing PE research has largely focused on a motivational PE climate and meaningful experiences in PE, research on children's perceptions of enjoyable teaching practices (TPs) in PE is limited. Therefore, this study aimed to explore primary school children's perspectives on TPs that foster PE enjoyment.…
Fake meat or meat with benefits? How Dutch consumers perceive health and nutritional value of plant-based meat alternatives
Animal agriculture has a large impact on the environment. Hence, there is an increasing demand for meat alternatives - more sustainably produced plant-based products that replace meat as meal component. Demands for meat alternatives also seem to be fuelled by consumers' belief that meat alternatives are healthier than meat products. In an online questionnaire study, we examined whether consumers indeed perceived meat alternatives to be healthier,…
Process and effect evaluation of the app-based parenting program Samen Happie! on infant zBMI
Background: Although energy balance-related parenting practices are regarded critical components in the prevention of childhood obesity, most programs targeting parenting practices with respect to a wide range of energy balance-related behaviors were not aimed at high-risk families with a lower socioeconomic position (SEP). Objective: app-based program aimed to stimulate healthy child weight development especially among families with a lower SEP,…
As Steady as a Rock! Gaining Insight in Recruitment and Retention Among Primary School Children With Behavioural Problems in Sport Mix Club
The number of children dealing with behavioural problems is increasing. A major challenge in many health-supportive programmes is the recruitment and retention of these children. In the current study, Sport Mix Club (SMC), an approach to enhance socioemotional disorders of 4- to 12-year-old children through sport classes in municipality Vaals, the Netherlands, is used as an illustration. Where many studies faced difficulties getting and keeping c…
Supporting schools during the implementation of the health-promoting school approach
Introduction: The health-promoting school (HPS) approach was developed by the World Health Organization to create health promotion changes in the whole school system. Implementing the approach can be challenging for schools because schools are dynamic organizations with each a unique context. Many countries worldwide have a health promotion system in place in which healthy school (HS) advisors support schools in the process of implementing the HP…
The broker role in societal activation of long-term welfare recipients
Socioeconomic status and health are strongly related to the ability of a person to participate in society. Acting upon activation and employment possibilities is difficult for several groups. One group described as especially hard to activate is long-term welfare recipients. In the current study, the role of an activation broker was studied as a supplementary practice to regular support practices. A qualitative research design using an analysis o…
Prevalence of Metabolic Syndrome among Early Adolescents in Khartoum State, Sudan
Boys had a significantly higher prevalence of metabolic syndrome than girls. Early adolescents from Sudan who are obese had more risk factors for MetS than those who are normal weight or overweight. It is important to address the causes of increased risk for MetS early in life to prevent the development of the disease in adult life
Visualizing changes in physical activity behavioral patterns after redesigning urban infrastructure
The aim of this study was to explore effects of a major urban reconstruction on physical activity (PA) behavior by comparing PA intensity hotspots before and after the tunneling of a highway with a new infrastructure prioritized for walking and cycling. In total, 126 individuals participated before and after the tunneling. GPS loggers and accelerometers were used to assess location and PA levels. A geographic information system (GIS) was used to …
Combining Accelerometry and GPS to Assess Neighborhood-Based Physical Activity
This study explored associations between perceived neighborhood walkability and neighborhood-based physical activity (NB-PA) and assessed possible moderation effects of the amount of time spent in the home neighborhood and individual characteristics (i.e., educational level and health-related problems). In 2016 to 2017, 509 Dutch adults, living in the South Limburg area, were included. Context-specific PA levels were measured using the Actigraph …
Determinants of Weight-Related Behaviors in Male Saudi University Students
Obesity is a serious public health concern in the Gulf States. Students are exposed to many unhealthy weight-related behaviors due to college life. However, research that gives insight into regional and culture-specific aspects and determinants of weight-related behaviors in students is lacking. The purpose of this study was to explore the potential determinants of weight change, eating behaviors, physical activity, sedentary behaviors, and sleep…
Parenting style and adolescent fruit consumption
How parental dietary behavior and food parenting practices affect children's dietary behavior. Interacting sources of influence
Food parenting practices and child dietary behavior. Prospective relations and the moderating role of general parenting
Peer influence on snacking behavior in adolescence
Relationship between parental feeding styles and eating behaviours of Dutch children aged 6–7
Diet-related restrictive parenting practices. Impact on dietary intake of 2-year-old children and interactions with child characteristics
Bits and pieces. Food texture influences food acceptance in young children
Adolescent screen-viewing behaviour is associated with consumption of sugar-sweetened beverages
Clarifying concepts of food parenting practices. A Delphi study with an application to snacking behavior
Associations between general parenting, restrictive snacking rules, and adolescent's snack intake. The roles of fathers and mothers and interparental congruence
The impact of greenery on physical activity and mental health of adolescent and adult residents of deprived neighborhoods
Parental and child fruit consumption in the context of general parenting, parental education and ethnic background
How to bridge the intention-behavior gap in food parenting
The impact of intervening in green space in Dutch deprived neighbourhoods on physical activity and general health
BACKGROUND: Many problems concentrate in deprived neighbourhoods, among which is poor health. One possible way to address these health problems is to invest in the green space in deprived neighbourhoods. The number of evaluations of the public health impact of actual changes in neighbourhood green space is still limited. This study investigated the impact of real-life changes in the quality or quantity of green space in severely deprived neighbou…
That's what I like! Fostering enjoyment in primary physical education
Enjoyment in primary physical education (PE) is a key factor in increasing children's physical activity engagement in PE and leisure time. While existing PE research has largely focused on a motivational PE climate and meaningful experiences in PE, research on children's perceptions of enjoyable teaching practices (TPs) in PE is limited. Therefore, this study aimed to explore primary school children's perspectives on TPs that foster PE enjoyment.…
Fake meat or meat with benefits? How Dutch consumers perceive health and nutritional value of plant-based meat alternatives
Animal agriculture has a large impact on the environment. Hence, there is an increasing demand for meat alternatives - more sustainably produced plant-based products that replace meat as meal component. Demands for meat alternatives also seem to be fuelled by consumers' belief that meat alternatives are healthier than meat products. In an online questionnaire study, we examined whether consumers indeed perceived meat alternatives to be healthier,…
Parenting style and adolescent fruit consumption
Environmental influences on energy balance-related behaviors
A controlled trial of a school-based environmental intervention to improve physical activity in Dutch children
Interventions to promote physical activity are important in preventing children from becoming overweight. Many projects have been developed but only a few showed (moderate) effects. JUMP-in is a systematically developed primary-school-based intervention that focuses on the use of theory, environmental changes, parental influences and cooperation with multi-level parties in intervention development. The effects of JUMP-in were evaluated with a qua…
Study protocol of a cluster randomised controlled trial investigating the effectiveness of a tailored energy balance programme for recent retirees
This intervention programme is unique in its focus on retirees and energy balance. It aims at increasing awareness and takes into account personal preferences of the users by offering several options for behaviour change. Moreover, the intervention programme is evaluated at short-term and long-term and includes consecutive outcome measures (determinants, behaviour and body composition)
Design of the Dutch Obesity Intervention in Teenagers (NRG-DOiT)
The development of the DOiT-intervention resulted in a comprehensive school-based weight gain prevention program, tailored to the needs of Dutch adolescents from low socio-economic background
Adolescent screen-viewing behaviour is associated with consumption of sugar-sweetened beverages
The Children's Eating Behaviour Questionnaire
Diet-related restrictive parenting practices. Impact on dietary intake of 2-year-old children and interactions with child characteristics
Effect of an individually tailored one-year energy balance programme on body weight, body composition and lifestyle in recent retirees
Background The increased prevalence of overweight and obesity warrants preventive actions, particularly among people in transitional stages associated with lifestyle changes, such as occupational retirement. The purpose is to investigate the effect of a one year low-intensity computer-tailored energy balance programme among recent retirees on waist circumference, body weight and body composition, blood pressure, physical activity and dietary inta…
Peer influence on snacking behavior in adolescence
Relationship between parental feeding styles and eating behaviours of Dutch children aged 6–7
General parenting, childhood overweight and obesity-inducing behaviors
Despite emerging efforts to investigate the influence parents have on their children's weight status and related dietary and activity behaviors, reviews regarding the role of general parenting are lacking. We performed a systematic review regarding the relationship between general parenting and these weight-related outcomes to guide observational research. In total, 36 studies were included. Discrepancies across studies were found, which may be e…
Association between parenting practices and children's dietary intake, activity behavior and development of body mass index
Sitting Time and Body Mass Index in Diabetics and Pre-Diabetics Willing to Participate in a Lifestyle Intervention
This cross-sectional study examined the relationship between Body Mass Index (BMI), total sitting time and total physical activity time in a generally overweight or obese population of type 2 diabetics or pre-diabetics willing to participate in a lifestyle intervention [n = 221, 55.1% male, mean age (SD) 62.0 (9.9), mean BMI (SD) 31.4 (5.0)]. In addition, we aimed to identify demographic and psychosocial associates of the motivation to become mor…
Optimizing diffusion of an online computer tailored lifestyle program
Dutch Trial Register NTR1786 and Medical Ethics Committee of Maastricht University and the University Hospital Maastricht (NL2723506809/MEC0903016)
Testing a Dutch web-based tailored lifestyle programme among adults
Dutch Trial Register NTR2168
Effectiveness and cost-effectiveness of 'BeweegKuur', a combined lifestyle intervention in the Netherlands
ISRCTN: ISRCTN46574304
Are the stages of change relevant for the development and implementation of a web-based tailored alcohol intervention? A cross-sectional study
Stage-matched interventions may be useful to encourage people to reduce their alcohol intake. Different factors seem to be important for people in different motivational stages. Longitudinal studies are needed to determine whether these factors also predict stage transition. The intervention could be optimized by tailoring the feedback messages more precisely to the needs of people in different motivational stages, for example by applying the dif…
Lifestyle Triple P
Current Controlled Trials NTR 2555 MEC AZM/UM: NL 31988.068.10 / MEC 10-3-052
Energy balance-related behavioural patterns in 5-year-old children and the longitudinal association with weight status development in early childhood
Objective The current study examined clustering of dietary intake and activity behaviours (i.e. physical activity (PA) and sedentary behaviour) in 5-year-old children, as well as the longitudinal association with BMI and overweight development. Design Principal component analysis (PCA) was used to identify behavioural patterns. Backward regression analyses were used to examine the association of behavioural patterns with parent and child backgrou…
Parental and child fruit consumption in the context of general parenting, parental education and ethnic background
Emotional and instrumental feeding practices of Dutch mothers regarding foods eaten between main meals
Our results show that mothers in our sample mainly used unhealthy products in the context of instrumental and emotional feeding practices. Research into the association between these practices and children's dietary intake is warranted, since the use of unhealthy products in the context of these practices may not necessarily lead to an increased consumption of these products. Findings regarding the frequency of use of these practices among specif…
Parental perception of child’s weight status and subsequent BMIz change
Children of parents who accurately perceived their child's weight status had a higher BMI over time, probably making it easier for parents to correctly perceive their child's overweight. Parental awareness of the child's overweight as such may not be sufficient for subsequent weight management by the parents, implying that parents who recognize their child's overweight may not be able or willing to adequately manage the overweight
Associations of parental feeding styles with child snacking behaviour and weight in the context of general parenting
Objective To examine cross-sectional and longitudinal (one-year follow-up) associations of parental feeding styles with child snacking behaviour and weight in the context of general parenting, taking into account the multidimensionality of the controlling feeding style. Design Linear regression analyses were performed. Parents completed a questionnaire to measure five feeding style dimensions (Instrumental Feeding, Emotional Feeding, Encouragemen…
Clarifying concepts of food parenting practices. A Delphi study with an application to snacking behavior
Medicine (94 obras) · Psychology (71 obras) · Obesity, Physical Activity, Diet (66 obras) · Environmental health (43 obras) · Developmental psychology (36 obras) · Gerontology (34 obras) · Nursing (33 obras) · Public health (33 obras) · Obesity (31 obras) · Biostatistics (26 obras)