Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Effect on BMI of a multi-component treatment with E-modules for 3–8-year-old obese children
Hoek, Esther Van; Feskens, Edith J.M. ; Bouwman, Laura I. ; Verburgt, Wilma H. ; Jager, Wilco De; Schipper, Henk S. ; Vrijkotte, Tanja G.M. ; Janse, Arieke J. - \ 2019
Child and Adolescent Obesity 2 (2019)1. - ISSN 2574-254X - p. 79 - 95.
Introduction: Childhood obesity has serious health risks including the development of metabolic syndrome, cardiovascular disease and mortality later in life. The critical growth period from 3 to 7 years provides a window of opportunity for interventions. The goal of this study is to evaluate a one year, multidisciplinary, low-intensity treatment program for young obese children, complemented with web-based modules, called “AanTafel!”, on body composition, cardiometabolic risk profile, quality of life (HRQoL), eating behavior and physical activity.
Methods: In the pre-post-test design all measures were taken at baseline, 4 months, at the end of treatment and 3 years after baseline.
Results: Thirteen boys and 27 girls with median BMI z-score of, respectively, 4.2 and 3.3 aged 3 to 8 started “AanTafel!”. Eighty percent (n = 32) completed treatment. BMI z-score decreased with 0.45 (end of treatment) and sustained after 3 years. At the start, 16.7% of the children had all four components of metabolic syndrome which decreased to 0%. HDL cholesterol significantly increased. Concentrations of the markers IL18, e-selectin, and sICAM significantly decreased indicating a reduction of inflammation.
Conclusion: “AanTafel!” is effective in improving health of obese young children. The reduction of overweight is clinically relevant and sustained after 3 years
Prenatal infant feeding intentions and actual feeding practices during the first six months postpartum in rural Rwanda: a qualitative, longitudinal cohort study
Ahishakiye, J. ; Bouwman, L.I. ; Vaandrager, L. ; Koelen, M.A. ; Brouwer, I.D. - \ 2019
- 1 p.
Food stories : Unraveling the mechanisms underlying healthful eating
Swan, Emily ; Bouwman, Laura ; Aarts, Noelle ; Rosen, Leah ; Hiddink, Gerrit Jan ; Koelen, Maria - \ 2018
Appetite 120 (2018). - ISSN 0195-6663 - p. 456 - 463.

The biomedical model of health (BMH) studies the causes and origins of disease. When applied to nutrition research, eating is studied as a behavior that supports physical health. However, the lack of attention the BMH pays to social and historical circumstances in which health behaviors are constructed has been widely addressed in literature. When people are studied without considering contextual influences, the relevance to everyday life is limited. As a result, how individuals actively deal with their context to manage healthful eating is poorly understood. This research applies a complementary model, salutogenic model of health (SMH), and uses life course research methodology to study a group of healthy eaters. The purpose of this research is to unravel how healthful eating develops in everyday life. Healthy eaters (n = 17) were identified and recruited from the NQplus research panel at Wageningen University, the Netherlands. Life course experiences were examined through narrative inquiry. Participants recalled and visually explored life experiences with food and health using timelines. Results indicate that healthful eating results from exposure to individual- and context-bounded factors during childhood and adulthood and involves specific mental and social capacities relevant to coping including amongst others, critical self-awareness; flexibility, craftiness, and fortitude. Through life-course learning moments, participants were able to develop proactive coping strategies which strengthened their sense of agency and helped them in overcoming stressors and challenges. Findings show that nutrition strategies should not only focus on strengthening food-specific factors like cooking skills and nutrition knowledge, but other factors like stress management, empowerment, and participation. Such factors support the development of adaptive skills and behaviors, enable individuals to deal with the demands of everyday life, and are building blocks for health promotion.

Individual, social-environmental, and physical-environmental factors that underlie sense of coherence in Dutch adults
Swan, E. ; Bouwman, L. ; Hiddink, G.J. ; Aarts, N. ; Koelen, M. - \ 2018
Global Health Promotion 25 (2018)1. - ISSN 1757-9759 - p. 33 - 42.
Antonovsky’s salutogenesis is a theoretical perspective on health development that explores physical, mental, and social factors that contribute to a ‘healthy life orientation’ and also a theoretical approach to behavior change. Previous studies applying salutogenesis show that a high sense of coherence (SOC), a composite measure from salutogenesis indicating one’s capacity to cope with stress, is associated with a healthy life orientation and lifestyle behaviors, including healthy eating patterns. However, limited evidence exists on the factors that underlie SOC, which could be used to strengthen this capacity as a means to enable healthier eating. Dutch adults (N = 781) participated in a cross-sectional study examining the relationship between SOC and a set of individual, social-environmental, and physical-environmental factors. The main findings indicate that high SOC was associated with a diverse set of factors including lower doctor-oriented health locus of control; higher satisfaction with weight; higher perceived levels of neighborhood collective efficacy; higher situational self-efficacy for healthy eating; lower social discouragement for healthy eating; and higher neighborhood affordability, accessibility and availability of healthy foods. These findings can inform the design of nutrition interventions that target these factors that strengthen SOC and provide the building blocks for a healthier life orientation.
Stressors and coping strategies of infant and young child feeding practices in Rwanda: Perceptions of mothers , fathers, grandmothers and Community Health Workers
Ahishakiye, J. ; Bouwman, L.I. ; Brouwer, I.D. ; Matsiko, E. ; Koelen, M.A. - \ 2017
In: IUNS 21st International Congress of Nutrition. - Basel, Switzerland : Karger (Annals of Nutrition & Metabolism supplement 2) - ISBN 9783318061925 - p. 400 - 401.
Back to Basics: applying a salutogenic approach to understand the origins of healthful eating
Bouwman, L.I. ; Swan, E.C. ; Koelen, M.A. - \ 2017
- 1 p.
Emerging Ideas Relevant to the Salutogenic Model of Health
Mittelmark, M. ; Bull, T. ; Bouwman, L.I. - \ 2017
In: The Handbook of Salutogenesis / Mittelmark, Maurice B., Sagy, Shifra, Eriksson, Monica, Bauer, Georg F., Pelikan, Jürgen M., Lindström, Bengt, Espnes, Geir Arild, Springer - ISBN 9783319045993 - p. 45 - 56.
This chapter focuses on some emerging ideas that are stimulated by, or relevant to, the salutogenic model of health. This is also the subject, in part at least, of other chapters in this book. Therefore, the developments discussed here are meant to supplement the other contributions. The salutogenic model of health is a useful foundation for thinking about and describing departures from traditional risk factor thinking. This is evident in assets models in health promotion and the Health Development Model, which is unique in its attractive amalgamation of pathogenesis and salutogenesis. Fortigenesis makes room for health-as-well-being. The Margin of Resources Model has relevance for development of the salutogenic model of health, even if the two are not explicitly linked. Closer to the health promotion area is the Self-tuning Model of Self-care, developed by health promotion scholars, and actually used to guide intervention. The use of the Positive Deviance approach to intervention has significant potential to direct action research to exploit the links between resistance resources, the sense of coherence, and health.
Development of a Dutch intervention for obese young children
Hoek, E. van; Bouwman, L.I. ; Koelen, M.A. ; Lutt, M.A.J. ; Feskens, E.J.M. ; Janse, A.J. - \ 2017
Health Promotion International 32 (2017)4. - ISSN 0957-4824 - p. 624 - 635.
The objective of this article is to provide insight in the five-step development process of the best evidence, best practice intervention for obese young children ‘AanTafel!’. A set of requirements for intervention development was developed to guide the data inquiry: the use of theory, influencing factors, tailoring, multi-disciplinarity, duration/frequency and evaluation and monitoring. Step I retrieved evidence from clinical guidelines, followed by a systematic review with meta-analysis (Step II) and an extended literature review (Step III). Evidence was consistent with regard to parent-focus, targeting family level, including diet, physical activity and behaviour change techniques and tailoring to age. However, no evidence or inconsistent evidence emerged from the theory-basis, group-versus-individual sessions, face-to-face contact versus Internet-mediated contact, which disciplines to involve and how to involve them, as well as intervention duration and intensity. Hence, practice-based insights from parental interviews (Step IV) and involved therapists were added and subsequently integrated to the intervention ‘AanTafel!’ (Step V). ‘AanTafel!’ is a multi-component, multi-disciplinary, family-based, parent-focused, age-specific intervention, which is tailored to individual children and families with a duration of 1 year, and using a combination of individual and group sessions as well as a Web-based learning module. Changes in scientific working principles with regard to data collection, reporting and translation to guidelines are required. Practice and science may benefit from close collaboration in designing, implementing and evaluating interventions.
College tour 'Gezond eten, wat is nu wijsheid?' (Discussion session HERO, Breda)
Bouwman, L.I. - \ 2016
De oerman: : Ben je wat je eet of eet je wat je bent?
Bouwman, L.I. - \ 2016
Audiocollectief Vogel
Dit is de tweede aflevering van de vierdelige podcast-serie Ben je wat je eet, of eet je wat je bent? van Audiocollectief Vogel. Deze vier verhalen gaan over de relatie tussen eten en identiteit. In een tijd dat we steeds meer weten over eten, heeft het misschien wel meer invloed op ons dan we denken. Vandaag: de oerman. Hij eet enkel en alleen wat hij kan jagen en verzamelen. Al vindt dat avontuurlijke leven nu vooral plaats in de supermarkt en in de sportschool.

Deze podcast kwam tot stand met dank aan Laura Bouwman en Dylan en werd gemaakt voor Mindshakes naar een idee van Rosa Scholtens en Jan Pieter van Kesteren als Audiocollectief Vogel.
De Bourgondiër: : Ben je wat je eet of eet je wat je bent?
Bouwman, L.I. - \ 2016
Audiocollectief Vogel
'Ik vind een dag al zonde als ik slecht heb gegeten.' Monique van Loon begon 5 jaar geleden, een website voor lekkerbekken. Zij is het levende bewijs dat de Bourgondiër nog leeft, en ze trekt dapper ten strijde als voorvechter van suiker, boter, tarwe en alle andere zwarte-piet-producten van onze huidige tijd. Geniet!

Dit is de derde aflevering van de vierdelige podcast-serie 'Ben je wat je eet, of eet je wat je bent?' van Audiocollectief Vogel. Deze vier verhalen gaan over de relatie tussen eten en identiteit. In een tijd dat we steeds meer weten over eten, heeft het misschien wel meer invloed op ons dan we denken.

Deze podcast kwam tot stand met dank aan Monique van Loon en Laura Bouwman en werd gemaakt voor Mindshakes naar een idee van Rosa Scholtens en Jan Pieter van Kesteren als Audiocollectief Vogel.
Is pindakaas hartig of zoet?
Bouwman, Laura - \ 2016

Bijdrage column 'Wat eten we?'

'Children need to relate to their food'
Bouwman, Laura - \ 2016

Youth Food Movement is campaigning this month for compulsory nutritional education in the Netherlands. Children need to learn where food comes from, what a healthy diet is, and how to cook, says the campaigning group. Good idea, says Laura Bouwman, a researcher at the Health and Society chair group.

Youth Food Movement is campaigning this month for compulsory nutritional education in the Netherlands. Children need to learn where food comes from, what a healthy diet is, and how to cook, says the campaigning group. Good idea, says Laura Bouwman, a researcher at the Health and Society chair group.

‘It is important to give children the chance to relate to their food – at home and at school. Seeing, feeling, smelling and tasting food is crucial to then. You could get schoolchildren to grow some food, for instance. If you see how a carrot grows, you’ll be more inclined to eat it. You can get them experimenting with cooking, which makes them start tasting fruit and vegetables. And you can teach them about food in a playful way through puzzles and quizzes. That makes children more willing to try new foods too. They need to be actively involved with it.’

So no lessons about health and overweight?

‘No. At the moment there is too much focus on overeating and wrong dietary choices – in other words, on what is not good. That standard education - scaring children off things - doesn’t work very well because children and adolescents are not very receptive to risk communication. It would be better to tell them what is good, but only once they have experienced it for themselves. You have to challenge children, get them questioning things. That is really necessary because you hear more and more children saying ‘I don’t like vegetables.’ Vegetables haven’t changed but parents and the parties providing them have.

Should schools have a food policy?

‘Schools do have a very clear policy against smoking and alcohol but they don’t usually have a position on healthy food. That kind of policy could help, making a healthy food choice the easiest choice. But even then pupils will go off to the snack bar in the lunch hour and get a hamburger. So you need to challenge your pupils to develop their own point of view on food.’

Welke levenservaringen zijn de basis van gezond eten, de salutogene benadering
Bouwman, Laura - \ 2016
Presentation Conference I am a Foodie, Amsterdam
Climate change, childcare and positive deviance in the north of Ghana
Bouwman, Laura - \ 2016
Intrapersonal, socio-environmental and physical-environmental factors which predict healthy eating practices in Dutch adults
Swan, E.C. ; Bouwman, L.I. ; Hiddink, G.J. ; Aarts, M.N.C. ; Koelen, M.A. - \ 2015
Annals of Nutrition & Metabolism 67 (2015)suppl. 1. - ISSN 0250-6807 - p. 61 - 62.
Introduction Despite global efforts to make healthy choices, the easiest choices, people’s eating practices are still challenged daily. We can identify multiple challenges in our modern ‘obesogenic’ environment. For instance, the sheer overabundance of food, as well as marketing techniques and pricing strategies which favor the overconsumption and accessibility of sugary and fatty foods. Much of the past research on food choice has focused on studying individuals that do not manage these challenges and as a result make unhealthy food choices. However, very little research has focused on the small number of individuals that DO make healthy food choices despite these challenges. What factors enable them to cope with these risks successfully and as a result make healthy food choices? This study aimed to study these enabling factors which support healthy eating in Dutch adults. Materials and Methods This research applied Antonovsky’s salutogenic framework for health development.This is a positive-oriented framework which studies factors which enable coping, health-promoting behaviors and good health. We used the framework to develop a survey instrument to study intrapersonal, social-environmental, and physical-environmental factors which predict healthy eating practices in a cross-sectional study of Dutch adults. Participants (n=703) aged 18 years and older completed the study’s survey in January 2013. Bivariate and multivariate logistic regression analysis was performed to test the association of survey factors on the outcome variable high dietary score. Results In the multivariate logistic regression model, six factors were significantly (p < .05) related to high dietary score: being female; living with partner; sense of coherence (a construct from the salutogenic framework, relates to one’s capability to deal with stress), flexible restraint of eating, and self-efficacy for healthy eating. Key Findings Findings support previous studies which found associations between healthier eating practices and sense of coherence. Within the multivariate model, intrapersonal factors were more significant predictors of a high dietary score whereas socio-environmental and physical –environmental factors were not significant. Previously identified predictors of food choices including income; education level; employment; and nutrition knowledge were not significant factors in our overall model. Future research should further study these intrapersonal factors identified in our study to better understand their origins and mechanisms in relation to healthy eating practices.
De tien geboden van goed eten
Bouwman, Laura - \ 2015
Duurzaam werken, wonen, leven
Bouwman, Laura - \ 2015
FoodCamp, Wageningen University
Bouwman, Laura - \ 2015
De oorsprong van gezond eten; leren van levensverhalen 16.00-16.30 uur | Laura Bouwman Kun jij gezond eten wanneer je in een lastige situatie zit, bijvoorbeeld bij tijdsdruk, stress of ziekte? Onderzoek naar gezonde eters leert ons dat een reflectief vermogen en flexibiliteit belangrijk zijn bij het maken van gezonde keuzes. Maar op welke manier kan dit worden gestimuleerd? Ga hierover in gesprek met Laura Bouwman, onderzoeker op het gebied van voeding en gezondheid.
Een Salutogene visie op gezond eten
Bouwman, Laura - \ 2015
Familiedag Studievereniging Mercurius, Wageningen
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