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Hoff G.,Telemark Hospital | Hoff G.,University of Oslo
World Journal of Gastroenterology | Year: 2013

Less than 5% of colorectal adenomas will become malignant, but we do not have sufficient knowledge about their natural course to target removal of these 5% only. Thus, 95% of polypectomies are a waste of time exposing patients to a small risk of complications. Recently, a new type of polyps, sessile serrated polyps, has attracted attention. Previously considered innocuous, they are now found to have molecular similarities to cancer and some guidelines recommend to have them removed. These lesions are often flat, covered by mucous, not easily seen and situated in the proximal colon where the bowel wall is thinner. Thus, polypectomy carries a higher risk of perforation than predominantly left-sided, stalked adenomas and we do not know what is gained in terms of cancer prevention. Screening is a neat balance between harms and benefit for presumptively healthy participants not interested in risk exposure to obtain confirmation of being healthy. The situation is quite different for patient worried about symptom. Thus, the standards set for evidence-based practice may be higher for screening than for routine clinics a mechanism which may benefit patients in the long run. © 2013 Baishideng Publishing Group Co., Limited. All rights reserved. Source

Jelsness-Jorgensen L.-P.,University of Oslo | Moum B.,University of Oslo | Bernklev T.,Telemark Hospital
Gastroenterology Research and Practice | Year: 2011

Disease-related worries are frequently reported in inflammatory bowel disease (IBD), but longitudinal assessments of these worries are scarce. In the present study, patients completed the rating form of IBD patient concerns (RFIPC) at three occasions during one year. One-way analysis of variance (ANO VA), t-tests, bivariate correlation, and linear regression analyses were used to analyse data. The validity and reliability of the Norwegian RFIPC was tested. A total of 140 patients were included (V1), ulcerative colitis (UC) n = 92, Crohn's disease (CD) n = 48, mean age 46.9 and 40.0-year old, respectively. The highest rated worries included having an ostomy bag, loss of bowel control, and reduced energy levels. Symptoms were positively associated with more worries. A pattern of IBD-related worries was consistent over a period of one year. Worries about undergoing surgery or having an ostomy bag seemed to persist even when symptoms improved. The Norwegian RFIPC is valid and reliable. © 2011 Lars-Petter Jelsness-Jørgensen et al. Source

Oellingrath I.M.,Telemark University College | Svendsen M.V.,Telemark Hospital | Brantsaeter A.L.,Norwegian Institute of Public Health
European Journal of Clinical Nutrition | Year: 2010

Background/Objectives:Increasing prevalence of overweight in children is a growing health problem. The aim of this study was to describe the eating patterns of 9- to 10-year-old schoolchildren, and to investigate the relationship between overweight and eating patterns.Subjects/Methods:We recruited 1045 children for a cross-sectional study in Telemark County, Norway. The children's food, snacking and meal frequencies were reported by their parents using a retrospective food frequency questionnaire. Height and weight were measured by health professionals, and body mass index categories were calculated using international standard cutoff points (International Obesity Task Force values). Complete data were obtained for 924 children. Four distinct eating patterns were identified using principal component analysis. We used multiple logistic regression and calculated odds ratios (ORs) with 95% confidence intervals (CIs) for being overweight, and adjusted for parental characteristics and physical activity levels of the children (aORs).Results:Parental characteristics and physical activity were associated with both obesity and eating patterns. Children adhering to a junk/convenient eating pattern had a significantly lower likelihood of being overweight (aOR: 0.6; 95% CI: 0.4, 0.9), whereas children adhering to a varied Norwegian or a dieting eating pattern had a significantly higher likelihood of being overweight (respective values: aOR: 2.1; 95% CI: 1.3, 3.2; aOR: 2.2; 95% CI: 1.4, 3.4). No association with overweight was seen for a snacking pattern.Conclusions:The main finding was that, although family characteristics influenced both the prevalence of overweight and overall dietary behaviour, independent associations were evident between eating patterns and overweight, indicating parental modification of the diets of overweight children. © 2010 Macmillan Publishers Limited All rights reserved. Source

Oellingrath I.M.,Telemark University College | Hersleth M.,Norwegian Institute of Food | Svendsen M.V.,Telemark Hospital
Public Health Nutrition | Year: 2013

Objective To determine (i) the importance of parents' motives for everyday family food choices; and (ii) the relationship between parental food choice motives and eating patterns of 12-to 13-year-old children. Design Cross-sectional study. A modified version of the Food Choice Questionnaire was used to determine parental motives for food choices. The children's food and drink intake was reported by their parents using a retrospective FFQ. Eating patterns were derived using principal component analysis. The association between food choice motives and eating patterns was examined using multiple linear regression analysis. Setting Primary schools, Telemark County, Norway. Subjects In total, 1095 children aged 12-13 years and their parents. Results The parental motive 'sensory appeal' was the most important for food choice, followed by 'health', 'convenience', 'natural content' and 'weight control'. The food choice motives were associated with the eating patterns of the children, independent of background variables. The motive 'health' was most strongly associated with a 'varied Norwegian' eating pattern, representing a diverse diet and regular meals, while the motive 'convenience' appeared to be the most important barrier to this eating pattern. 'Weight control' was not associated with the 'varied Norwegian' eating pattern. Conclusions To encourage parents to make healthy food choices for their children, health promotion activities should focus on the health benefits of a diverse diet and regular meals, rather than weight control. Recommended food products should be made more convenient and easily available for families with children. © 2012 The Authors. Source

Hoff G.,Telemark Hospital
Nature Reviews Gastroenterology and Hepatology | Year: 2014

In an update on recommendations for colorectal cancer screening, an Asia-Pacific consensus group has set a good standard for presenting level of agreement to recommendation levels. However, this update also exposes how consensus groups might concentrate on the less controversial issues-leaving the tricky questions in the dark. © 2014 Macmillan Publishers Limited. Source

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