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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    S(up)port your future! : A salutogenic perspective on youth development through sport
    Super, Sabina - \ 2017
    Wageningen University. Promotor(en): M.A. Koelen, co-promotor(en): K.T. Verkooijen. - Wageningen : Wageningen University - ISBN 9789463436489 - 284
    sport - youth - quality of life - disadvantaged youth - health promotion - community health - coaching - child development - sport - jeugd - kwaliteit van het leven - minder bevoorrechte jongeren - gezondheidsbevordering - gezondheid op regionaal niveau - coachen - kinderontwikkeling


    Sport is often recognised as an avenue for the positive development of young people. In line with this, policymakers and health professionals in the Netherlands, and elsewhere in the world, encourage socially vulnerable youth to participate in sport. Socially vulnerable youth are characterised as having an accumulated amount of negative experiences with the societal institutions in their lives, leading to distorted relationships with those institutions and, eventually, to feelings of isolation and low self-esteem. As socially vulnerable youth participate less in sport than their non-vulnerable peers, encouraging them to participate may support these youths in leading a healthy and productive life. However, to date, our understanding of the role of sport in positive youth development has been primarily based on research conducted in non-vulnerable populations and very little research has been conducted among socially vulnerable youth. The research that has been conducted for this thesis has been inspired by the salutogenic model of health, allowing us to examine the underlying mechanisms and processes of sports participation in alleviating social vulnerability.


    The overall aim of this thesis is to unravel the value of sports participation for socially vulnerable youth. Four research objectives were formulated:

    To provide insights into the mechanisms underlying people’s capacity to cope with stressors (sense of coherence) to underpin health promotion activities that aim to strengthen this coping capacity.

    To provide insights into the relation between sports participation and youth development for socially vulnerable youth;

    To examine if and how community sports coaches can create optimal conditions for the personal development of socially vulnerable youth;

    To explore how socially vulnerable youth experience their participation in sport and the value they derive from sports participation in a socially vulnerable childhood.


    This study has adopted a mixed-methods research design. More specifically, this study has used literature review (objective 1 and 2), questionnaire research (objective 2), semi-structured interviews (objective 3), and narrative interviews and life-course interviews (objective 4).


    The findings provide insights into the mechanisms underlying sense of coherence which reflects people’s capacity to deal with stressors in a health promoting way ( i.e., research objective 1). Sense of coherence consists of three components: the extent to which people experience the world as consistent and structured (comprehensibility); the extent to which people feel that there are resources available to meet the demands of everyday life (manageability); and the extent to which people feel that dealing with the stressors of everyday life is worthy of investment and engagement (meaningfulness). Based on a literature review of the salutogenic model of health, two opportunities for strengthening this sense of coherence in health promotion activities were identified: the behavioural mechanism and the perceptual mechanism. Both empowerment and reflection processes are important for the development of sense of coherence and can strengthen the healthy development of individuals.

    The findings provide insights into the relation between sports participation and youth development for socially vulnerable youth (i.e., research objective 2). In the systematic review, it was demonstrated that relatively few studies have been conducted regarding the life skill development of socially vulnerable youth in sports programs and that the evidence that is available is inconclusive regarding the benefits of sports. In the quantitative study, a positive relation was found between sports participation and several youth developmental outcomes (i.e., pro-social behaviour, subjective health, well-being, school performance and sense of coherence) but not with problem behaviour and the self-regulation skills. However, no conclusions can be drawn about a causal relationship between sports participation and youth development based on these data.

    The findings also demonstrated the crucial role of the sports coach in reaching optimal social conditions for life skill development and transferability (i.e., research objective 3). The community sports coaches mainly adopted an implicit approach to life skill transferability, meaning that they did not employ explicit strategies to stimulate the transfer of life skills from the sports setting to other societal domains. Nonetheless, the sports coaches believed that socially vulnerable youth could develop life skills in the sports setting that could also be used in school, the family or in the community. Coaching actions were directed at creating meaningful, comprehensible, and manageable sports experiences for socially vulnerable youth.

    Finally, the findings shed a light on how socially vulnerable youth experience their participation in sport and the role that sports participation could play in a socially vulnerable childhood (i.e., research objective 4). The youths’ positive and negative sports experiences rested on an intricate balance of the extent to which they experienced visibility of their skills, the extent to which they felt confident while playing their sport, and the extent to which they felt sport was a nice challenge that they liked to take on. The roles that sports participation could play in a socially vulnerable childhood are diverse: sport as a safe place, sport as a learning experience, sport as an instrument to reach goals, and sport as a purpose in life. As the challenges that socially vulnerable youth face in the sports setting can resemble some of the struggles they find in everyday life, their negative sports experiences could also potentially increase feelings of vulnerability.


    Sports participation can support socially vulnerable youth in their personal development, but we also have to remain critical towards to use of sport as a means to reach positive youth development. The results from this thesis provide a deeper understanding of the conditions under which sport can contribute to positive youth development and offers recommendations for professionals in the field.

    The Care Sport Connector in the Netherlands
    Leenaars, Karlijn - \ 2017
    Wageningen University. Promotor(en): M.A. Koelen, co-promotor(en): M.A.E. Wagemakers; G.R.M. Molleman. - Wageningen : Wageningen University - ISBN 9789463436106 - 261
    sport - sport policy - health care workers - physical activity - public health services - health promotion - primary health care - netherlands - case studies - physical education - sport - sportbeleid - gezondheidswerkers - lichamelijke activiteit - voorzieningen ten behoeve van de volksgezondheid - gezondheidsbevordering - eerstelijnsgezondheidszorg - nederland - gevalsanalyse - lichamelijke opvoeding

    To stimulate physical activity (PA) and guide primary care patients towards local PA facilities, Care Sport Connectors (CSC) (in Dutch Buurtsportcoach), to whom a broker role has been ascribed, were introduced in 2012. This function is new, and to our knowledge no study has yet explored a broker role and its impact on improving intersectoral collaboration between both sectors. The aim of this thesis was to explore CSCs’ role and impact in connecting the primary care and the PA sector.
    This thesis employed a multiple case study design in which 15 CSCs from nine municipalities spread over the Netherlands were followed in their work from 2014 to the end of 2016. Different data collection methods were used (literature review, interviews, focus groups, document analysis, and questionnaires), and perspectives of different stakeholders (policymakers, professionals, CSCs) on different levels (policy and community) were taken into account (Chapter 2).

    The connection between the primary care and the PA sector: a chain approach
    The connection between both sectors can be characterised as a chain in which CSCs guide the target group towards PA facilities after referral by primary care professionals or their own recruitment. In this connection CSCs fulfilled three roles - broker, referral, and organiser – which did not change over time (Chapter 4 and 5).

    Barriers at system and sector level hinder the established connection

    Barriers related to the primary care (lack of time, money and knowledge) and the PA sector (lack of suitable PA activities and adequate instructors) are currently hindering the connection between both sectors (Chapter 4 and 6). Barriers related to the collaboration between both sectors, like cultural differences and different interests as identified in our literature review (Chapter 3) were not identified.

    The importance of an integral approach for CSCs and the connection between both sectors
    An integral approach to structural embed CSCs (Chapter 7) seemed to influence CSCs’ work and subsequently their impact. CSCs working in municipalities who structurally embedded CSCs only at the PA sector, connected both sectors mostly by jointly organising activities. CSCs working in municipalities who adopted an integral approach connected both sectors by a variety of activities targeting different audiences, and primary care professionals fulfilled mostly a role in the referral of their patients. The structural imbedding of the CSC according an integral approach seems the most promising in reaching the desired outcomes (Chapter 8).

    CSC’ role is promising for establishing a connection between the primary care and the PA sector. However, to make a success of the connection changes are needed at system and sector level. Further research should focus on CSCs’ impact on stimulating PA among primary care patients, and the development of CSC’ role and the connection between both sectors over time.

    Endocannabinoids derived from n-3 PUFAs - Formation, release and possible roles in inflammation and obesity
    Wang, Ya - \ 2017
    Wageningen University. Promotor(en): R.F. Witkamp, co-promotor(en): J. Meijerink; J.-P. Vincken. - Wageningen : Wageningen University - ISBN 9789463432016 - 195
    polyunsaturated fats - health promotion - obesity - inflammation - cannabinoids - neurology - energy restricted diets - meervoudig onverzadigde vetten - gezondheidsbevordering - obesitas - ontsteking - cannabinoïden - neurologie - energiearme diëten

    The fatty acid composition of our daily diet is considered a major determinant of long-term health risk and the development of disease. Several lines of evidence point toward a state of chronic ‘low-grade’ inflammation as an overarching process that is modulated by fatty acids and their different metabolites. Diets rich in omega-3 polyunsaturated fatty acids (PUFAs), among which docosahexaenoic acid (22:6n-3; DHA) have been found to be associated with a reduction of inflammatory activity. However, the mechanisms underlying these immune-modulatory effects of n-3 PUFAs are only partly known. Earlier data from our group and from other labs have provided evidence for an as yet largely unexplored mechanism involving the formation of DHA-derived fatty acid amides. Fatty acid amides (FAAs) are a group of lipids formed from fatty acids and biogenic amines, which are widely occurring in nature. An increasing number of FAAs, including conjugates of fatty acids with neurotransmitters and mono-amines, have been detected as endogenous molecules in different cells and tissues. However, their bioactivities have remained largely unknown so far.

    In the first experimental part (chapter 2 and 3) of this thesis, we explored the immune-modulatory profiles of two relatively unknown DHA-derived FAAs conjugates with dopamine and serotonin, respectively. In chapter 2, we enzymatically synthesised the dopamine conjugate of DHA, N-docosahexaenoyl dopamine (DHDA), and demonstrated that DHDA significantly suppressed the production of several mediators involved in (neuro-)inflammation. We showed that these immune-modulatory effects involved the enzyme cyclooxygenase-2 (COX-2), as its gene-expression and (or) production of its metabolite PGE2 were down-regulated by DHDA in both activated macrophages as well as microglia. Additionally, the immune-modulatory activities of DHDA were compared with those of N-arachidonoyl dopamine (NADA) and similar potencies were found in the cell types tested. In chapter 3, we investigated the effects of docosahexaenoyl serotonin (DHA-5-HT), the serotonin conjugate of DHA on inflammatory processes in human PBMCs. By comparing the immune-modulatory potencies of 6 serotonin-conjugates with palmitic acid (PA-5-HT), stearic acid (SA-5-HT), oleic acid (OA-5-HT), arachidonic acid (AA-5-HT), eicosapentaenoic acid (EPA-5-HT) and docosahexaenoic acid (DHA-5-HT), DHA-5-HT turned out to exert the strongest inhibitory effects on the production of IL-17 from ConA-stimulated human PBMCs. Furthermore, DHA-5-HT concentration-dependently inhibited the production of IL-17 and CCL-20, two important Th17 mediators involved in the pathogenesis of IBD. Also, we demonstrated the in vivo presence of N-acyl serotonins in human intestine. Taken together, we revealed the immune-modulatory effects of two n-3 PUFA-derived fatty acid amides with thus far largely unknown functions and showed that these compounds were far more potent than its parent compound DHA. These findings were shown not only for innate inflammatory processes in stimulated mouse macrophages, but were also found to be present in human PBMCs and likely involved the adaptive CD4+ Th17 response.

    In order to study the effects of dietary omega-3 fatty acids on endocannabinoid tone in relation to obesity and metabolic health, a parallel-designed, randomized human study was conducted in the second part of the thesis. In this 12 weeks intervention hundred men and women with abdominal obesity were assigned to either a Western type energy restricted (ER) diet, a Targeted ER diet or a control group. The two ER diet groups were both subjected to energy restriction but their diets differed in nutrient composition. The traditional, more Western-style diet (Western ER diet) included both saturated as well as unsaturated fats, whereas the Targeted ER diet was amongst others enriched with monounsaturated fatty acids (MUFAs) and polyunsaturated fatty acids (PUFAs). This intervention resulted in significant weight loss and significant improvements of metabolic parameters in both energy restriction (ER) dietary intervention groups. In chapter 4, we revealed that the two weight loss regimes (ER-diets) with different fatty acid composition did not significantly affect fasting peripheral levels of AEA and 2-AG in both plasma and abdominal adipose tissues. By contrast, plasma DHEA was found to be significantly decreased in the Western ER group compared with the Targeted ER group. Additionally, circulating EC-related compounds DHEA, DHAGly, PEA and SEA were significantly decreased in the Western ER diet group after intervention. Furthermore, decreased levels of DHEA were positively associated with body weight reduction. In chapter 5, by performing a high calorie mixed meal test (MMT) before and after the intervention, we found that postprandial AEA and 2-AG levels were significantly reduced in the targeted ER group upon the intervention. By contrast, the DHA-derived compounds DHEA and DHAGly showed a significant increase in the Targeted ER group after 12 weeks of intervention. Additionally, all measured endocannabinoids and related compounds, with the exception of 2-AG, showed a similar characteristic time curve in response to the MMT, with EC levels reaching their highest concentration as early as 5 minutes after food intake (T=10min in experiment).

    In conclusion, we showed here that two largely unknown amidated DHA conjugates are more potent mediators of inflammatory processes than their parent compound DHA. These findings support our previously proposed idea that DHA-derived FAAs play a role in the underlying mechanism of the beneficial health effects of DHA. We further uncovered that a combination of ER and n-3 PUFAs in the diet alters the postprandial endocannabinoid tone. Given the fact that the endocannabinoid system (ECS) plays an important role in both the central and peripheral regulation of food intake and energy homeostasis, these findings provide new insights in the potentially mechanisms involved in an over-activated endocannabinoid system during obesity.

    How to measure health improvement? : assessment of subtle shifts in metabolic phenotype
    Fazelzadeh, Parastoo - \ 2017
    Wageningen University. Promotor(en): A.H. Kersten; J.P.M. van Duynhoven, co-promotor(en): M.V. Boekschoten. - Wageningen : Wageningen University - ISBN 9789463430739 - 187
    health promotion - improvement - measurement - metabolic profiling - elderly - obesity - microarrays - rna - peripheral blood mononuclear cells - gezondheidsbevordering - verbetering - meting - metabolische profilering - ouderen - obesitas - microarrays - rna - perifere mononucleaire bloedcellen

    Human health is impacted by a complex network of interactions between biological pathways, mechanisms, processes, and organs, which need to be able to adapt to a continuously changing environment to maintain health. This adaptive ability is called ‘phenotypic flexibility’. It is thought that health is compromised and diseases develop when these adaptive processes fail. As the product of interactions between several factors such as genetic makeup, diet, lifestyle, environment and the gut microbiome, the ‘metabolic phenotype’ provides a readout of the metabolic state of an individual. Understanding these relationships will be one of a major challenges in nutrition and health research in the next decades. To address this challenge, the development of high-throughput omics tools combined with the application of elaborate statistical analyses will help characterize the complex relationship of (bio) chemicals in human systems and their interaction with other variables including environment and lifestyle to produce the measured phenotype. An important aim of this thesis was to identify phenotype shifts by looking at effect of prolonged resistance-type exercise training on skeletal muscle tissue in older subjects and the possible shift toward the features of younger subjects as a reference for a healthier phenotype. A second aim was to identify phenotype shifts by looking at the response to a challenge in obese subjects and the possible shift toward lean subjects as a reference for a healthier phenotype.

    Chapter 2 and 3 of this thesis show how the significant remaining plasticity of ageing skeletal muscle can adapt to resistance-type exercise training. The data indicate that frail and healthy older subjects have two distinct phenotypes according to the skeletal muscle tissue metabolite profiles and that exercise training shifts aged muscle towards a younger phenotype. We showed that the effect of exercise on amino acid derived acylcarnitines (AAAC’s) in older subjects points towards decreased branched chain amino acid catabolism, likely due to compromised activation of the branched chain α-keto acid hydrogenase (BCKDH) complex. Furthermore, we found that the protocadherin gamma gene cluster might be involved in aged-muscle denervation and re-innervation. Finally, plasma was found to be a poor indicator of muscle metabolism, emphasizing the need for direct assessment of metabolites in muscle tissue.

    Chapter 4 of this thesis examines whether a mixed meal challenge response provides a readout for a shift in phenotype upon weight loss in obese male subjects. We concluded that weight loss moderately affects the mixed meal challenge response of both plasma metabolome and transcriptome of peripheral blood mononuclear cells in obese subjects. Measurements at the fasted and postprandial state also provide us with a different type of information.

    In Chapter 5 it is demonstrated that the global testing of pathways could provide a concise summary of the multiple univariate testing approach used in Chapter 4. In Chapter 6 it is discussed how the findings of this thesis increase our understanding of how to measure phenotypic flexibility as a proxy of health. In this thesis it is shown that the correlations between tissue and plasma metabolites are rather weak, emphasising the need to perform organ-specific studies. Availability of less invasive/painful sampling techniques and the use of small amounts of tissue would enable larger scale human studies on adipose tissue and skeletal muscle to more accurately define phenotypical shifts due to diet or lifestyle interventions. With respect to the assessment of phenotypical flexibility by omics approaches, significant complications can be expected in trying to relate plasma metabolism to PBMC gene expression. Organ-focussed approaches that integrate multiple omics levels using system biology approaches are considered to be a lot more promising.

    Wat moet je doen en laten als je gezonder wilt
    Witkamp, R.F. - \ 2015
    Universiteit van Nederland
    diëten - voeding en gezondheid - voedselwetenschappen - fysiologie - voedselproducten - gezondheidsvoedsel - gezondheidsbevordering - voedingsonderzoek - diets - nutrition and health - food sciences - physiology - food products - health foods - health promotion - nutrition research
    Slik jij de praatjes van afslankguru's als zoete koek? Ken jij alle diëten uit je hoofd? Renger Witkamp, hoogleraar Voeding en Farmacologie (Wageningen UR) bekijkt al deze hypes met een nuchtere en wetenschappelijke blik. Na dit praatje kun je alles wat je voorgeschoteld krijgt in de media over je gezondheid beter in perspectief plaatsen.
    Aantafel! helpt tegen kinderobesitas
    Ramaker, R. ; Hoek, E. van - \ 2015
    Resource: nieuwssite voor studenten en medewerkers van Wageningen UR (2015). - ISSN 1389-7756
    overgewicht - obesitas - kinderen - gezondheid van kinderen - voeding en gezondheid - programmaeffectiviteit - gezondheidsbevordering - gezondheidsprogramma's - overweight - obesity - children - child health - nutrition and health - program effectiveness - health promotion - health programs
    Steeds vaker komt overgewicht voor bij kinderen. Doelgroepen bereiken is grote uitdaging.
    Hoe gevarieerder de darmflora, des te beter
    Olie, A. ; Blaak, E.E. ; Vos, W.M. de - \ 2015
    Suiker in Perspectief 2015 (2015)juli. - p. 14 - 17.
    microbiota van het spijsverteringskanaal - darmen - voeding en gezondheid - gezondheidsbevordering - voedselconsumptie - gastrointestinal microbiota - intestines - nutrition and health - health promotion - food consumption
    'We zijn nog niet zo ver dat we nu al kunnen zeggen wat iemand met een bepaald microbiootprofiel van de darmen het beste kan eten, maar dit zal in de toekomst wel mogelijk zijn', zegt prof. dr. Willem de Vos. Hij doet samen met prof. dr. Ellen Blaak onderzoek om duidelijkheid te krijgen over de ideale samenstelling van microbiota zodat iemand gezond en slank wordt.
    Geen extra chips na zoutarm eten
    Janssen, A.M. - \ 2015
    WageningenWorld (2015)2. - ISSN 2210-7908 - p. 6 - 6.
    voedingsmiddelen - zoutgehalte - smaak - voedingsonderzoek bij de mens - reductie - gezondheidsgevaren - gezondheidsbevordering - behoeftenbevrediging - foods - salinity - taste - human nutrition research - reduction - health hazards - health promotion - need gratification
    Minder zout in etenswaren zorgt ervoor dat mensen daadwerkelijk minder zout eten; ze zoeken geen zoutcompensatie op andere momenten van de dag.
    Ben Witteman - Surgery is top sport for the patient - TEDxEde 2014
    Witteman, B.J.M. - \ 2015
    patiëntenzorg - chirurgie - voeding en gezondheid - gezondheidsbevordering - patient care - surgery - nutrition and health - health promotion
    Professor Doctor Ben Witteman is gastrointestinal liver physician at Gelderse Vallei Hospital and associate professor Nutrition and gut health in integrated care at Wageningen University. He knows how food influences our health.
    Prof. Ben Witteman over Patiënt meer baas in eigen buik
    Witteman, B.J.M. - \ 2015
    Wageningen UR
    voeding en gezondheid - lichaamsbeweging - lichamelijke activiteit - patiënten - gezondheidsbevordering - nutrition and health - exercise - physical activity - patients - health promotion
    Interview Ben Witteman ter gelegenheid van zijn inauguaratie op 21 mei 2015. Meer aandacht voor voeding en bewegen bij patiënten met chronische aandoeningen en rond operaties. Daar pleit maag-lever-darmarts prof. Ben Witteman voor.
    Vechten tegen verleiding
    Rademaker, R. ; Vet, E.W.M.L. de - \ 2015
    Resource: nieuwssite voor studenten en medewerkers van Wageningen UR 9 (2015)17. - ISSN 1389-7756 - p. 10 - 10.
    voeding en gezondheid - voedselconsumptie - obesitas - overgewicht - gezondheidsbevordering - snacks - nutrition and health - food consumption - obesity - overweight - health promotion - snacks
    Onze omgeving maakt dik. Porties worden groter, eten is overal en beweging wordt ontmoedigd. Emely de Vet, universitair hoofddocent bij Strategische communicatie, zoekt daarom naar strategieën om de lokroep van brownies en zakken chips te weerstaan.
    Langer fit met beter eten
    Smit, A. ; Groot, C.P.G.M. de; Kremer, S. ; Ziylan, C. ; Peppelenbos, H.W. - \ 2015
    WageningenWorld (2015)1. - ISSN 2210-7908 - p. 10 - 15.
    ouderen - ouderenvoeding - voeding en gezondheid - ondervoeding - voedingstoestand - eiwitrijke voedingsmiddelen - voedselverrijking - voedselconsumptie - gezondheidsbevordering - elderly - elderly nutrition - nutrition and health - undernutrition - nutritional state - protein foods - food enrichment - food consumption - health promotion
    Ouderen die zelfstandig thuis wonen, lopen het risico ondervoed te raken. Wageningen UR onderzoekt hoe dat is te voorkomen met producten en maaltijden die verrijkt zijn met extra eiwit. Maar hoe breng je die op de markt? De meeste ouderen voelen zich niet oud en zijn zich totaal niet bewust van hun voedingsstatus.
    Interview Professor Joost van Neerven over onderzoek naar vermindering van allergieën door gerichte voeding en aanvullende micronutriënten
    Neerven, R.J.J. van - \ 2014
    Wageningen : Wageningen UR
    voeding en gezondheid - voedselonderzoek - immuunsysteem - ziektepreventie - infectieziekten - allergieën - gezondheidsbevordering - nutrition and health - food research - immune system - disease prevention - infectious diseases - allergies - health promotion
    Met gerichte voeding en aanvullende micronutriënten kan de weerstand tegen infecties in de luchtwegen, tegen allergieën, en tegen ontstekingen worden vergroot. Dat is van groot belang voor kinderen onder de 5 jaar en voor 65-plussers, die het vaakst door deze aandoeningen worden geplaagd. De weerstand in weefsels die bedekt zijn met een slijmvlies in het gebied van de mond, keel, en neus is nog nauwelijks onderzocht. Toch kan dit onderzoek veel opleveren, vindt prof. Joost van Neerven.
    Rapportcijfer voor je eetgewoontes
    Lee, L. van - \ 2014
    Resource: weekblad voor Wageningen UR 9 (2014)7. - ISSN 1874-3625 - p. 10 - 10.
    voeding en gezondheid - eetpatronen - voedselconsumptie - gezondheidsbevordering - nutrition and health - eating patterns - food consumption - health promotion
    Wageningse voedingsonderzoekers hebben een snelle vragenlijst ontwikkeld die met één rapportcijfer aangeeft hoe gezond iemand eet.
    Laagopgeleide wil samen gezonder worden
    Bukman, A.J. - \ 2014
    Resource: weekblad voor Wageningen UR 9 (2014)6. - ISSN 1874-3625 - p. 8 - 8.
    gezondheidsbevordering - levensstijl - sociaal-economische positie - voeding en gezondheid - health promotion - lifestyle - socioeconomic status - nutrition and health
    Samen werken aan je gezondheid werkt beter. Mensen met een lage sociaaleconomische status werken het liefst in groepsverband aan een gezondere levensstijl.
    Voeding en kanker info : Wetenschappelijk antwoord van experts op vragen van patiënten
    Kampman, E. ; Beijer, S. ; Veen, M. van - \ 2014
    Wageningen UR/IKNL/Alpe d'HuZes/LWDO
    voeding en gezondheid - neoplasma - ziektepreventie - gezondheidsbevordering - behandeling - nutrition and health - neoplasms - disease prevention - health promotion - treatment
    Op deze website worden vragen beantwoord over voeding en de preventie van kanker, voeding rondom de behandeling van kanker en voeding ná de behandeling van kanker. Deze antwoorden zijn geformuleerd op basis van de beschikbare wetenschappelijke literatuur.
    Dossier Gezondheid. 35 manieren om gezonder te leven (interview met Lisette de Groot)
    Pek, A. ; Groot, C.P.G.M. de - \ 2013
    Psychologie Magazine 32 (2013)november. - ISSN 0167-6598 - p. 35 - 50.
    gezondheidsbevordering - voeding en gezondheid - lichaamsbeweging - voedingswaarde - dieetadvisering - health promotion - nutrition and health - exercise - nutritive value - diet counseling
    Lekker lang gezond blijven, dat willen we allemaal wel. Psychologie Magazine zocht uit welke leefregels meteen effect hebben, en ook hoe je die makkelijk inbouwt in je leven. De allerbeste adviezen van 14 prominente Nederlandse gezondheidsexperts.
    Vitaal naar de eindstreep
    Tieland, C.A.B. ; Rest, O. van de; Groot, C.P.G.M. de - \ 2013
    WageningenWorld 2013 (2013)4. - ISSN 2210-7908 - p. 26 - 29.
    voeding en gezondheid - ouderen - verouderen - vitaminetekorten - vetzuren - eiwit - gezondheidsbevordering - nutrition and health - elderly - aging - vitamin deficiencies - fatty acids - protein - health promotion
    Hoe worden we gezond oud? Trainen en extra eiwitten werken, blijkt uit onderzoek van de afdeling Humane voeding. Over het effect van vitamines en omega-3 vetzuren is het laatste woord nog niet gezegd.
    Immuunmodulatie door voeding "Van black box naar toolbox"
    Wolthuis, A. ; Wichers, H.J. - \ 2013
    Immuun 2 (2013)2. - p. 30 - 31.
    voeding en gezondheid - immuunsysteem - immuniteit - gezondheidsbevordering - modulatie - immunomodulatoren - bèta-glucaan - voedingsvezels - nutrition and health - immune system - immunity - health promotion - modulation - immunomodulators - beta-glucan - dietary fibres
    Prof. dr. Harry Wichers van Wageningen University & Research Centre doet onderzoek naar hoe voeding ons immuunsysteem een oppepper kan geven. "We kijken standaard naar medicijnen wanneer het er om gaat onze gezondheid te verbeteren. De mogelijkheden en het belang van voeding worden onderschat."
    Voeding voor wie lang fit wil blijven
    Groot, C.P.G.M. de - \ 2012
    In: Voeding voor vitale 50-plussers Wageningen : Food Valley - ISBN 9789081609371 - p. 9 - 9.
    ouderenvoeding - voeding en gezondheid - ouderen - productontwikkeling - gezondheidsbevordering - voedingsstoffenbehoeften - elderly nutrition - nutrition and health - elderly - product development - health promotion - nutrient requirements
    Goede voeding kan helpen ouderdomskwalen te voorkomen, ook voor wie al 50-plus is. En tot die categorie behoren steeds meer mensen, in Nederland en daarbuiten. Ook gaat met de jaren de behoefte aan sommige voedingsstoffen omhoog. Volop kansen voor productontwikkeling dus.
    Helpt 'nudgen' bij een gezonde en duurzame keuze? : zes nudges en de keuze voor duurzaam of gezond voedsel
    Trijp, J.C.M. van - \ 2012
    Den Haag : Schuttelaar & Partners - 18
    voeding en gezondheid - duurzaamheid (sustainability) - gezondheidsbevordering - voedselconsumptie - consumentengedrag - nutrition and health - sustainability - health promotion - food consumption - consumer behaviour
    Hoe werken 'bewezen' nudges voor duurzaam en gezond voedsel? En in hoeverre zijn deze nudges ethisch verantwoord? Dat zijn de kernvragen in dit onderzoek. De belangrijkste conclusie van dit onderzoek is dat nudges kunnen bijdragen aan een duurzamere en gezondere productkeuze van de consument. Tegelijkertijd laat dit onderzoek ook zien dat niet elke vorm van nudgen altijd acceptabel is. Deze brochure laat op praktische en eenvoudige wijze zien welke nudges in het onderzoek getest zijn en in welke mate effect is gemeten.
    Project van SLIM naar SLIMMER
    Feskens, E.J.M. ; Duijzer, G. ; Blaak, E.E. ; Boer, A. de; Haveman-Nies, A. ; Oord-Jansen, S.J. van - \ 2012
    Voeding Nu 4/5 (2012). - ISSN 1389-7608 - p. 20 - 20.
    gezondheidsbevordering - diabetes type 2 - suikerziekte - levensstijl - voeding en gezondheid - ziektepreventie - health promotion - type 2 diabetes - diabetes - lifestyle - nutrition and health - disease prevention
    In 1998 is in Maastricht een onderzoek gestart naar de mogelijkheid om het optreden van type 2 diabetes te voorkomen door middel van een gecombineerd leefstijlprogramma (SLIM). Dit programma was gebaseerd op de Finse Diabetes Prevention Study, en omvatte de richtlijnen Goede Voeding van destijds, en een beweegadvies annex sportprogramma. De interventie duurde maximaal 6 jaar. Onlangs zijn alle deelnemers opnieuw opgeroepen. Ook is het programma omgezet in draaiboeken voor de praktijk die op dit moment worden getest in de gemeente Apeldoorn. Dt project heet SLIMMER.
    Kijk naar de context : de alledaagse sociale omgeving als startpunt voor patiëntgebonden leefstijladvisering
    Bouwman, L.I. ; Koelen, M.A. ; Binsbergen, J.J. van; Dapper, T. - \ 2012
    Voeding Nu 14 (2012)6/7. - ISSN 1389-7608 - p. 18 - 20.
    gezondheidsbevordering - levensstijl - voeding en gezondheid - gedrag - patiënten - sociaal milieu - health promotion - lifestyle - nutrition and health - behaviour - patients - social environment
    Het verband tussen leefstijl en gezondheid is evident. De voordelen van een gezonde leefstijl zijn bekend, maar hoe begeleid je patiënten optimaal op hun pad richting die gezonde leefstijl? Deze intrigerende vraag, die speelt op zowel het gebied van beleid, wetenschap als in de huisartsenpraktijk, stond centraal tijdens een afscheidssymposium op 10 mei 2012 in Nijmegen.
    Een gedeelde passie voor gezonder leven. Evaluatieonderzoek naar netwerken rondom de beweegkuur en gecombineerde leefstijl interventies
    Hartog-van den Esker, F.G. den; Wagemakers, A. ; Vaandrager, L. ; Koelen, M. - \ 2012
    Wageningen : Wageningen University - 69
    gezondheidsbevordering - gezondheidsbeleid - levensstijl - lichamelijke activiteit - lichaamsbeweging - voeding en gezondheid - overgewicht - netwerken - health promotion - health policy - lifestyle - physical activity - exercise - nutrition and health - overweight - networks
    NISB (Nederlands Instituut voor Sport en Bewegen), projectleider van de BeweegKuur, is in 2010 gestart met het project 'Netwerken bouwen in de BeweegKuur'. In dit project gaat het om het opbouwen van regionale en lokale netwerken voor de afstemming tussen preventie, curatie en sport en voor de borging in gezondheidsbeleid. NISB heeft de Leerstoelgroep Gezondheid en Maatschappij van Wageningen University gevraagd onderzoek te doen naar de netwerkvorming rondom de BeweegKuur. Het doel van het onderzoek is inzicht te krijgen in de factoren van belang voor duurzame netwerken, de resultaten die de netwerken boeken en de wijze waarop netwerken gefaciliteerd kunnen worden. Een tweede doel is het leveren van direct bruikbare kennis voor de netwerken.
    Er is geen enkel werkzaam principe dat altijd werkt. Een eerste verkenning van het begrip werkzame principes
    Wartna, J. ; Vaandrager, L. ; Wagemakers, A. ; Koelen, M. - \ 2012
    Wageningen : Wageningen University - 31
    gezondheidsbevordering - levensstijl - interventie - gezondheidsbescherming - health promotion - lifestyle - intervention - health protection
    Sinds 2008 onderhoudt RIVM Centrum Gezond Leven (CGL) het met een interventie database (I-database). In deze I-database zijn leefstijlinterventies opgenomen die geclassificeerd zijn als ‘theoretische goed onderbouwd’, als ‘waarschijnlijk effectief’ of als ‘bewezen effectief’. In de databank Effectieve Jeugdinterventies staan jeugdinterventies die op dezelfde manier geclassificeerd zijn evenals op de web portal het Nederlands Centrum Jeugdgezondheid. Professionals kunnen een interventie indienen en ter beoordeling voorleggen aan de Erkenningscommissie Interventies. Werkzame principes zijn gekoppeld aan de doelen van een interventie en gaan over principes die het effect van een interventie tot stand brengen. Het is echter nog onduidelijk wat er precies bedoeld wordt met 'werkzame principes' en wat dit vervolgens betekent voor het erkenningstraject. De leerstoelgroep Gezondheid en Maatschappij is daarom gevraagd een beperkt literatuuronderzoek te doen en een aantal interviews uit te voeren met personen uit de praktijk van gezondheidsbevordering en de jeugdgezondheidszorg (december 2011- februari 2012). Doel van dit onderzoek is om meer helderheid te krijgen over het begrip werkzame principes zodat er een besluit kan worden genomen of het expliciteren van werkzame principes waardevol is voor het erkenningstraject.
    Evaluatie netwerken Amsterdam. Onderzoek naar netwerken rondom gecombineerde leefstijlinterventies in Amsterdam
    Hartog-van den Esker, F.G. den; Wagemakers, A. - \ 2012
    Wageningen : Wageningen Universiteit - 35
    gezondheidsbevordering - levensstijl - netwerken - gezondheidsbescherming - health promotion - lifestyle - networks - health protection
    Op verzoek van 1ste Lijn Amsterdam heeft Wageningen Universiteit (WUR) een evaluatieonderzoek gedaan naar de netwerken rondom gecombineerde leefstijlinterventies in Amsterdam. Het doel van het evaluatieonderzoek van de netwerken in Amsterdam was om inzicht te krijgen in de succes- en verbeterpunten van de netwerken, de doelen en beoogde resultaten van de netwerken, de resultaten die de netwerken boeken en factoren van belang voor het opbouwen van duurzame netwerken ofwel blijvende netwerkverbindingen.
    Zout, bloeddruk en hart- en vaatziekten
    Geleijnse, J.M. - \ 2011
    In: Hart- en vaatziekten in Nederland 2011 / Vaartjes, I., van Dis, I., Visseren, F.L.J., Bots, M.L., Den Haag : Hartstichting - ISBN 9789075131703 - p. 73 - 90.
    zout - reductie - hart- en vaatziekten - bloeddruk - hypertensie - natriumchloride - zoutgehalte - ziektepreventie - gezondheidsbevordering - salt - reduction - cardiovascular diseases - blood pressure - hypertension - sodium chloride - salinity - disease prevention - health promotion
    Dit hoofdstuk richt zich op het belang van zoutreductie in de Nederlandse bevolking, waarbij achtereenvolgens het verband met bloeddruk en hart- en vaatziekten, de dagelijkse zoutinname en bronnen van zout, de potentiële gezondheidswinst door zoutreductie en lopende initiatieven op het gebied van zoutreductie in de bevolking besproken worden.
    Evidence-based curative health promotion : a systems biology-orientated treatment of seasonal allergic rhinitis with Citrus/Cydonia comp.
    Baars, E.W. - \ 2011
    Wageningen University. Promotor(en): Huub Savelkoul. - [S.l.] : S.n. - ISBN 9789461730947 - 245
    gezondheidsbevordering - zelfzorg - allergische rhinitis - stapsgewijze regressie - citrus - cydonia - antroposofie - health promotion - self care - allergic rhinitis - stepwise regression - citrus - cydonia - anthroposophy
    The prognosis of higher life expectancies of both men and women in the Netherlands, often related to chronic diseases and high healthcare costs, the changed role of patients into competent patients, and the increasing interest of patients in complementary medicine worldwide provides the scientific rationale to put more emphasis in healthcare on developing valid, effective, cost-effective and safe strategies that support and enable patients to actively contribute to their own health and disease status in order to promote their health in a preventive and/ or curative manner.
    Although much effort has been invested worldwide, a lot of scientific and practical work still has to be done to develop the health promotion approach into one that is evidenced-based and professional like the fighting disease approach. This thesis focuses on some of the conceptual, methodological and empirical issues of developing professional preventive and curative health promotion as a contribution to the further innovation of medicine and healthcare.
    Chapter 2 analyzed historic and current health concepts and developed and preliminarily validated the new concept of ‘health by self-regulation’ by means of analyzing its internal consistency, its accordance with other scientific concepts (e.g. the concepts of epigenetics, systems biology, and emergence) and its accordance with empirical facts. Finally, it demonstrated two examples of integration of the fighting disease and the health promotion approach and discussed the theoretical and practical implications of this new concept.
    In Chapter 3, the fundamental scientific discussion of holism versus reductionism was summarized. This chapter demonstrated that there are several arguments against the current reductionist point of view. This provides a scientific opening for a more holistic or systems biology-oriented concept of health and a more holistic or systems biology-oriented methodological approach.
    Chapter 4 described a new system’s biology-oriented methodological approach in developing immunological biomarkers for monitoring treatment effect in seasonal allergic rhinitis (hay fever) research. Using permuted stepwise regression, pattern variables that reflect immune system functioning on the systems level were computed and tested. Computation was based on a dataset (from a randomized controlled trial comparing two routes of administration) of allergen-specifically induced expression levels of cytokines (IL-1β, IL-5, IL-10, IL-12, IL-13, IL-17, IFN-γ and TNF-α) and symptom severity scores from 22 seasonal allergic rhinitis (SAR) patients measured before and after six weeks of treatment with medicinal products containing Citrus and Cydonia. Further computation and biomarker validation with larger datasets, including data from healthy persons and SAR patients, is indicated.
    In Chapter 5, the experiences of 39 Dutch general practitioners with anthroposophic SAR treatment were examined. The results of this survey provide the first practice-based evidence of positive treatment results of Citrus/Cydonia comp. for SAR.
    Chapter 6 examined, in two in vitro studies, the immunological pathways of the effects of Citrus/Cydonia comp. from a healthy and an allergic donor, respectively. Peripheral blood mononuclear cells (PBMCs) were isolated out of peripheral blood and analyzed in vitro after polyclonal stimulation of T-cells. The differentiation capacity and the influence regarding Th1 (IFN-γ) and Th2 (IL-5) cells were examined. Citrus/Cydonia comp. has a selective effect on the differentiation of Th-cells by producing relatively more IL-10 than IL-12. It also seems to have an effect on the induction of regulatory (IL-10 producing) T-cell subsets. It is in vitro capable of partly neutralizing the changes, characteristic to allergic rhinitis, regarding the maturation, differentiation, and activity of the immune system. Thus, it was concluded that Citrus/Cydonia comp. can potentially restore the disturbed immune state of rhinitis patients, which essentially could be sufficient to make allergic symptoms disappear permanently.
    Chapter 7 examined the effects of the combined product, Citrus e fructibus/Cydonia e fructibus (Citrus/Cydonia), and separate products of Citrus and Cydonia on the immuno-pathological pathways involved in seasonal allergic rhinitis (SAR). Peripheral blood mononuclear cells (PBMCs) from five healthy and five grass pollen-allergic donors were isolated and analyzed in vitro after polyclonal and allergen-specific stimulation of T-cells in the presence of the three extracts. The analyses demonstrated acceptable cell survival with no signs of toxicity. Citrus mainly had a selective effect on reducing allergen-specific chronic inflammatory (TNF-a) and Th2 (IL-5) pathway activity; whereas both Cydonia and Citrus/Cydonia mainly affected the induction of the allergen-specific Th1 (IFN-g) pathway. Citrus and Cydonia demonstrated differential working mechanisms in the treatment of SAR, and the combination product did not demonstrate larger effects than the separate preparations. Hence, it was concluded that further effectiveness and efficacy studies comparing the effects of the products on SAR in vivo are required.
    Chapter 8 studied a small group of 13 patients with a mean history of hay fever with grass pollen allergy of 9 years’ duration, who in previous years used conventional hay fever medication because of the severity of their symptoms during the pollen season. Gencydo injections were administered to 12 patients before the onset of and during the grass pollen season, and in one patient during the grass pollen season only. Nasal and non-nasal hay fever symptom severity, use of rescue medication (antihistamines or corticosteroids), and the subjective experiences of patients were used as outcome measures. It was concluded that there are clear indications that Gencydo treatment is effective in a large subgroup of the research population.
    Chapter 9 compared the efficacy and safety of two routes of administration (subcutaneous injections (SI) versus nasal spray (NS)) in a national, randomized, comparative clinical trial with two parallel groups.  A total of 23 patients fulfilled the study requirements. After a one- or two-week wash-out period, twenty-three patients were randomized to a six-week treatment period. The outcomes assessed were immunological and symptom severity changes and safety. Immunologic outcome assessments were blinded to group assignment.It was concluded that both routes of administration are safe and demonstrate immunological and clinical effects, with larger inflammatory and innate immunological effects of the NS route and larger allergen-specific clinical effects in the SI group.
    Chapter 10 reported a study that was aiming to update the safety status of anthroposophic and homeopathic solutions for injection through a systematic evaluation of the reported adverse drug reactions (ADRs). ADRs were extracted from the pharmacovigilance databases of eight German anthroposophic and homeopathic manufacturers covering the period of 2000-2009. These eight manufacturers represent, in total, more than 94 percent of the sales of anthroposophic and homeopathic solutions for injection in Germany. Analyzed ADRs included reports in humans only, reports from post-marketing surveillance, literature cases and clinical/safety trials, and spontaneous reports from healthcare professionals and patients. The results suggest an excellent safety profile of solutions for injection as therapeutically applied in anthroposophic medicine and homeopathy, where the overall incidence of ADRs are very rare.
    Chapter 11 presented the major findings of this thesis, studying the concept of health, the methodology to monitor (changes in) health states, the effects and safety of Citrus/ Cydonia comp. on seasonal allergic rhinitis as an example of curative health promotion, and the cost-effectiveness of integrative medicine in the Netherlands. The theoretical and practical implications of the results of this thesis were discussed and reflected on the scientific fundament of anthroposophic medicine. Future perspectives were also described for the implementation of new research lines, the further development of professional preventive and curative health promotion as a contribution to the further innovation of medicine and healthcare, and the investment in CAM/IM/AM research.

    In the Appendix, a cost-effectiveness study is presented in which the possible contribution of integrative medicine to the reduction of healthcare costs was studied. This study compared the performance of general practitioners who have completed certified additional training in CAM after obtaining their conventional medical degree (GP-CAMs) with general practitioners who have not (GPs). Patients whose GP has completed additional CAM training have 0–30 percent lower healthcare costs and mortality rates, depending on age group and the type of CAM. The lower costs result from fewer hospital stays and fewer prescription drugs. Since the differences are obtained while controlling for confounders, including neighborhood-specific fixed effects at a highly detailed level, the lower costs and longer lives are unlikely to be related to differences in socioeconomic status. Possible explanations include selection (e.g. people with low interest in medical interventions might be more likely to choose CAM) and better practices (e.g. less overtreatment, more focus on preventive and curative health promotion) by GPs with knowledge of complementary medicine. More controlled studies (replication studies, research based on more comprehensive data, cost-effectiveness studies on CAM for specific diagnostic categories) are required. These findings highlight the fact that the health-promoting methods that are considered CAM today could be effective and might have significant cost-saving potential.

    With the example of Citrus/Cydonia comp. in SAR treatment, this thesis demonstrates the safety, moderate efficacy and specific immunological working mechanism of this medicine, underscoring that CAM could be effective and might have a significant cost-saving potential, and collectively, the validity of the concept of preventive and curative health promotion.  
    'Voedingsindustrie denkt nog onvoldoende na over gezondheid'
    Kok, F.J. - \ 2011
    Kennis Online 8 (2011)okt. - p. 3 - 5.
    voeding en gezondheid - voedselindustrie - gezondheidsbevordering - overgewicht - gezondheidsvoedsel - voedselconsumptie - consumenten - lichamelijke activiteit - nutrition and health - food industry - health promotion - overweight - health foods - food consumption - consumers - physical activity
    We eten te zout, te zoet, te vet en vooral ook te veel. Al jaren horen we dat we gezond moeten eten en voldoende bewegen, maar toch wordt Nederland alsmaar dikker. Om echt een slag te maken, zouden voedingsmiddelenbedrijven meer hun best mogen doen hun producten gezonder te maken. 'Anders krijgen ze straks ongewild nog de schuld van de obesitasepidemie.'
    Preventieve aanpak diabetes getest
    Duijzer, G. - \ 2011
    Kennis Online 8 (2011)okt. - p. 7 - 7.
    ziektepreventie - gezondheidsbevordering - diabetes type 2 - diabetes mellitus - voeding en gezondheid - disease prevention - health promotion - type 2 diabetes - diabetes mellitus - nutrition and health
    Bijna de helft van de gevallen van diabetes type 2 is in theorie te voorkomen. Mits mensen gezonder gaan eten en meer gaan bewegen. Wageningen University onderzoekt samen met de GGD Gelre-IJssel een preventieve aanpak van ouderdomssuiker in de reguliere zorg van huisarts, fysiotherapeut en diëtist.
    Gezonde voeding belangrijk voor ex-patiënt
    Kampman, E. - \ 2011
    Kennis Online 8 (2011)okt. - p. 8 - 8.
    gezondheidsvoedsel - voeding en gezondheid - neoplasma's - gezondheidsbevordering - behandeling - health foods - nutrition and health - neoplasms - health promotion - treatment
    Dat er een relatie is tussen voeding en het ontstaan van kanker weten al veel mensen. Veel minder bekend is nog dat voeding ook tijdens en na behandeling van de ziekte invloed heeft op het herstel en de kwaliteit van leven. Ellen Kampman, hoogleraar aan Wageningen University en met financiering van de stichting Alpe d’HuZes ook aan de VU in Amsterdam, onderzoekt het.
    Towards salutogenichealth promotion : organizing healthy ageing programs at the local level
    Lezwijn, J. - \ 2011
    Wageningen University. Promotor(en): Cees van Woerkum, co-promotor(en): Lenneke Vaandrager; Annemarie Wagemakers. - [S.l.] : S.n. - ISBN 9789085859864 - 200
    gezondheidsbevordering - voorzieningen tbv de gezondheid op regionaal niveau - gezondheidsprogramma's - ouderen - verouderen - health promotion - community health services - health programs - elderly - aging
    Als gevolg van landelijke wetgeving, zoals de Wet Publieke Gezondheid (WPG) en de Wet Maatschappelijke Ondersteuning (WMO), hebben gemeenten meer verantwoordelijkheden gekregen ten aanzien van hun oudere populatie. Het onderzoek beschreven in het proefschrift ‘Towards salutogenic health promotion. Organizing healthy ageing programs at the local level’ moet bijdragen aan het opdoen van kennis over hoe lokale programma’s ten behoeve van gezond ouder worden te ontwikkelen, te implementeren en te evalueren. Drie punten bleken belangrijk bij het ontwikkelen, implementeren en evalueren van gezondheidsprogramma’s voor gezond ouder worden. De perceptie van ouderen zelf: De ideeën die ouderen zelf hebben ten aanzien van gezond ouder worden zijn belangrijk. Een salutogene benadering biedt handvaten om de perceptie van ouderen ten aanzien van nieuwe gezondheidsprogramma’s te onderzoeken. Samenwerken voor gezond ouder worden. Samenwerken draagt bij aan het opbouwen van kennis nodig om gezondheidsprogramma’s te ontwikkelen. Samenwerking is echter niet vanzelfsprekend. Daarom zou samenwerking een expliciet onderdeel moeten zijn van gezondheidsprogramma’s. Combineren van bewijs. Door samenwerking met verschillende partijen is het mogelijk om verschillende vormen van bewijs te combineren. Een voorbeeld hiervan is het programma ‘Voor Elkaar in de Buurt’.
    Van vonkjes naar vuurtjes. Pilot evaluatie netwerkvorming rondom de BeweegKuur
    Wagemakers, A. ; Hartog-van den Esker, F.G. den; Vaandrager, L. - \ 2011
    Wageningen : Leerstoelgroep Gezondheid en Maatschappij. Wageningen Universiteit. - 68
    gezondheidsbevordering - gezondheidsbescherming - lichamelijke activiteit - lichaamsbeweging - netwerken - levensstijl - voeding en gezondheid - health promotion - health protection - physical activity - exercise - networks - lifestyle - nutrition and health
    NISB heeft de leerstoelgroep Gezondheid en Maatschappij van de Wageningen Universiteit gevraagd onderzoek te doen naar de netwerkvorming rondom de BeweegKuur. Het doel van het onderzoek is het evalueren van de lokale en regionale netwerkvorming rondom de BeweegKuur. Hiertoe is onderzocht hoe de netwerkvorming vorm is gegeven, wat de successen en knelpunten zijn en welke werkwijzen geschikt zijn voor het evalueren van de netwerkvorming. Dit verslag beschrijft het pilot onderzoek.
    Twenty years of capacity building. Evolution of Salutogenic Training: The ETC 'Healthy Learning' Process
    Pavlekovic, G. ; Pluemer, K.D. ; Vaandrager, L. - \ 2011
    Zagreb, Croatia : European Training Consortium in Public Health and Health Promotion (ETC-PHHP) and Andrija Štampar School of Public Health, School of Medicine, University of Zagreb - ISBN 9789536255474 - 172
    gezondheidsbevordering - gezondheidseducatie - volksgezondheid - opleiding - capaciteitsopbouw - europa - geschiedenis - health promotion - health education - public health - training - capacity building - europe - history
    Healthy aging in complex environments : exploring the benefits of systems thinking for health promotion practice
    Naaldenberg, J. - \ 2011
    Wageningen University. Promotor(en): Maria Koelen; Cees Leeuwis, co-promotor(en): Lenneke Vaandrager. - S.l. : s.n. - ISBN 9789085859123 - 208
    verouderen - welzijn - gezondheidsbevordering - methodologie - efficiëntie - aging - well-being - health promotion - methodology - efficiency

    Many different stakeholders and contextual factors influence the success or failure of health promotion activities. Conventional approaches and evaluation designs underlying health
    promotion interventions, often explicitly take contextual variables out of consideration by
    controlling them. In doing so, relevant information about why a project was successful or
    failed to reach success remains invisible and ‘black boxed’. Next to this, in health promotion
    practice, control over contextual variables often is not possible.
    Given the complexity of health promotion practice, research approaches often do not fit the realities of practice. As a result, health promotion activities are not always experienced as meaningful by all stakeholders involved. This thesis aims to appreciate the complex environment in which health promotion takes place by applying a systems
    thinking perspective to healthy aging in order to contribute to more robust strategies and
    interventions to support the aging population.
    Systems thinking aims to include a diversity of viewpoints on an issue. Therefore, to be
    able to answer the research questions, multiple methods were required. A combination of
    literature review, semi-structured and open interviews, interactive workshops, case study
    and survey research was used. Different sources for data collection included the aging
    population, local and national stakeholders, and AGORA project members.
    Part I of this thesis concludes that a systems thinking approach strengthens health promotion by 1) including diverse stakeholder perspectives, 2) explicitly addressing contextual factors, and 3) co-creating solutions with all involved.
    Following this conclusion, Part II addressed the application of systems thinking at the local level by investigating different stakeholders perspectives on healthy aging. Results show how there is a discrepancy between the way aging individuals experience healthy aging as an integral part of everyday life and the way services and interventions are presented with a focus on isolated health themes. Local healthy aging strategies can benefit by taking into account an assets based approach that better matches aging persons’ perspectives. Next to this, collaboration between local stakeholders can be facilitated when shared issues are made visible and contextual preconditions are taken into account. Since the operationalization of systems thinking in health promotion can benefit from learning experiences with application in practice, findings from Part II were discussed in interactive presentations and workshop formats within participating municipalities. This resulted in the co-creation of a model to facilitate collaboration and the co-creation
    of an intervention through application of this model. The salutogenic concept Sense of
    Coherence was identified as a promising concept to operationalize systems approaches
    in health promotion practice. It was therefore expected that quantitative measurement of
    SOC could provide useful information for both the development and evaluation of health
    promotion. The OLQ-13 scale to measure Sense of Coherence was therefore investigated for its psychometric properties. Results indicate difficulties with the use of this scale in aging
    populations. Deleting two items from the original 13 items, improved the functioning of OLQ.
    The importance of the fact that health issues and possible intervention strategies are perceived differently by involved actors was argued within this thesis. Research is one amongst many stakeholders and a systems thinking approach implies linking all kinds of
    actors in order to enable co-creation of projects. Consequently, the definition of health
    risks, health determinants, and possible intervention effects have to be verified in both
    scientific research and everyday practice.
    Strategies to improve health are context sensitive, and consequently, certain strategies may not work in some settings whereas they function perfectly well in others. Measurement of successes of interventions should therefore use multi-method evaluations combining
    the use of quantitative and qualitative approaches to gain insight in the ‘black box’ of why
    an intervention failed or was successful. If not, alternatives are overlooked and at the same
    time successes may go unnoticed.

    Ik eet gezond maar ik ben geen freak. Resultaten van consumentenonderzoek
    Bouwman, L.I. ; Molder, H.F.M. te; Koelen, M.A. ; Woerkum, C.M.J. van - \ 2010
    Voeding Nu 12 (2010)4. - ISSN 1389-7608 - p. 18 - 21.
    eetpatronen - consumentengedrag - consumentenonderzoeken - gezondheidsbevordering - dieetrichtlijnen - voedingsgedrag - voedselconsumptie - voeding en gezondheid - eating patterns - consumer behaviour - consumer surveys - health promotion - dietary guidelines - feeding behaviour - food consumption - nutrition and health
    De huidige voedingsrichtlijn voor gezond eten gaat uit van een focus op biomedische gezondheid. Nu zou het voor consumenten ook een vanzelfsprekende zaak (moeten) zijn dat voedingskeuze direct te linken is aan fysieke gezondheid. Andere, sociale, culturele en economische aspecten spelen echter ook een rol in de keuze voor bepaald voedsel. Hoe kan voedingscommunicatie worden ingezet om daadwerkelijk een gedragsverandering teweeg te brengen bij consumenten, inpasbaar in hun alledaagse leven?
    Actie-onderzoek vertelt over de successen. Wetenschappers, professionals en burgers werken samen. [Action research reports the successes. Scientists, practitioners and residents collaborate
    Geerts, A. ; Wagemakers, A. - \ 2010
    VoedingsMagazine 23 (2010)6. - ISSN 0922-8012 - p. 8 - 10.
    gezondheidsbevordering - buurtactie - sociale participatie - voeding en gezondheid - actieonderzoek - health promotion - community action - social participation - nutrition and health - action research
    In actie-onderzoek worden de resultaten teruggekoppeld naar de mensen om wie het gaat. 'Als er activiteiten zijn waarover men tevreden is, dan moet je dat vertellen. Het is belangrijk om de succesen te melden', zegt dr. ir. Annemarie Wegemakers. 'mensen zelf laten meedenken en meewerken is essentieel en leidt tot activiteiten en voorzieningen waar mensen werkelijk wat mee kunnen'.
    Samenwerkingsproject van RIVM, TNO en Wageningen Universiteit / Gezondheidseffecten van groenten en fruit
    Hendriks, H. ; Verhagen, H. ; Büchner, F. ; Duijnhoven, F.J.B. van; Witkamp, R.F. ; Peppelenbos, H. ; Woltering, E.J. - \ 2010
    Voeding Nu 12 (2010)3. - ISSN 1389-7608 - p. 26 - 28.
    voedselconsumptie - voedingsonderzoek bij de mens - groenten - fruit - gezondheidsbevordering - obesitas - samenwerking - onderzoeksinstituten - kennis - voeding en gezondheid - food consumption - human nutrition research - vegetables - fruit - health promotion - obesity - cooperation - research institutes - knowledge - nutrition and health
    In 2007 publiceerden Wageningen-UR, TNO en RIVM samen met ZonMW het rapport 'Wat gaan we eten?' Een van de aanbevelingen was om tot meer samenhang en afstemming in het onderzoek te komen. Sindsdien stemmen de drie kennisinstituten hun activiteiten voor de ministeries van VWS en LNV op elkaar af. Het parapluproject dat sindsdien is opgestart 'Gezondheidseffecten van groenten en fruit', heeft tot doel de kennisbehoefte van overheid, maatschappelijke praktijkgerichte organisaties en wetenschap in kaart te brengen. In dit geval met betrekking tot obesitas, een belangrijk probleem waarmee de maatschappij zich geconfronteerd ziet
    Samenwerking rondom de implementatie van een landelijke actie : De scholenactie ‘Ga voor gezond!’
    Wagemakers, A. ; Blok, M. ; Bon, S. ; Jansen, J. - \ 2010
    Tijdschrift voor Gezondheidswetenschappen 88 (2010)7. - ISSN 1388-7491 - p. 358 - 361.
    gezondheidsbevordering - basisonderwijs - gezondheidsbescherming - basisscholen - voeding en gezondheid - health promotion - elementary education - health protection - elementary schools - nutrition and health
    De nationale scholenactie 'Ga voor gezond!' van het Gezondheidsinstituut NIGZ heeft tot doel om scholen op een laagdrempelige manier met thema's op het gebied van gezondheid en veiligheid in aanraking te laten komen. Dit artikel beschrijft Ga voor gezond!, de resultaten van het onderzoek en de factoren die van belang zijn bij de samenwerking en kennisuitwisseling rondom een landelijke actie.
    Consument op automatische piloot laat zich moeilijk verleiden
    Riet, J.P. van 't - \ 2010
    Kennis Online 7 (2010)okt. - p. 3 - 5.
    gezondheidsbevordering - consumentengedrag - levensstijl - voedselconsumptie - voeding en gezondheid - health promotion - consumer behaviour - lifestyle - food consumption - nutrition and health
    Mensen verleiden om gezond te leven is lastiger dan je denkt. Je maakt niet de hele dag rationele keuzes. En met eten alom aanwezig, val je al snel voor instant genot. Wat helpt zijn gezonde alternatieven en meer ruimte om te bewegen. Mensen leren om zichzelf te beheersen is misschien wel minstens zo effectief.
    FOVEA - Food Valley Eating Advisor
    Gorselink, M. - \ 2010
    Wageningen UR - Food & Biobased Research
    gezondheidsbevordering - voedselconsumptie - consumptiepatronen - voeding en gezondheid - health promotion - food consumption - consumption patterns - nutrition and health
    The governments of the countries in the Western World are currently spending large amounts of money in campaigns promoting a healthier lifestyle. In spite of all this money, the effectiveness of these campaigns is rather low, and it is postulated that the effectiveness of the message will be larger when it is personalized. The incentive for the start of the FOVEA is to develop a system for personalized feedback to stimulate a healthier behavior.
    Ik Kies Bewust; Effecten van het logo op het koopgedrag
    Kornelis, M. ; Meeusen, M.J.G. - \ 2010
    Den Haag : LEI Wageningen UR (Rapport / LEI : Onderzoeksveld Consument & gedrag ) - ISBN 9789086154159 - 49
    etiketteren van voedingsmiddelen - reclamecampagne van voedsel - consumentenvoorkeuren - consumentengedrag - effecten - gezondheidsbevordering - keuzegedrag - voeding en gezondheid - nutrition labeling - food merchandising - consumer preferences - consumer behaviour - effects - health promotion - choice behaviour - nutrition and health
    Dit rapport beschrijft de effecten van het Ik Kies Bewust-logo in de markt. Daarbij wordt gekeken of en in welke mate de vraag naar de producten met het Ik Kies Bewust-logo groter wordt en welke effecten dit heeft op de vraag naar andere producten in diezelfde of andere productcategorieën.
    Community health promotion : facilitating and evaluating coordinated action to create supportive environments
    Wagemakers, A. - \ 2010
    Wageningen University. Promotor(en): Cees Leeuwis, co-promotor(en): Maria Koelen; Lenneke Vaandrager. - [S.l. : S.n. - ISBN 9789085856306 - 192
    gezondheidsbevordering - gemeenschappen - efficiëntie - health promotion - communities - efficiency
    Community programs to promote health have been launched all over the world and fit
    well with Dutch policy that emphasizes the participation of all citizens in all facets of
    society. However, researchers, practitioners, and policy makers report uncertainty about how to implement and evaluate health promotion programs. In particular, the social environment of health is still overlooked and underexposed due to a lack of consensus on concepts relating to the social environment of health, a lack of information on interventions that bring about social change, and a lack of feasible methods and tools. Consequently, the effectiveness of health promotion may not be evaluated under all relevant headings.

    The aim of the studies reported in this thesis was to gain the required knowledge to
    contribute to the development of methods, tools, and theory to facilitate and evaluate
    community health promotion. Case studies have been selected that are guided
    by action research or in which action research was part of the research activities.
    Methods, tools, and theory have been developed, piloted, and evaluated simultaneously and iteratively in the Eindhoven program Working on Healthy Neighborhoods and the Healthy Lifestyles program in Amsterdam. Based on these case studies and the experiences in other Dutch community health programs, factors that are important in community health promotion were identified and a framework to facilitate and evaluate the social environment of health was developed. Based on the factors and the framework a Checklist for Coordinated Action was developed and assessed for usability in six different partnerships: a national program, an academic collaborative and four local partnerships.

    In the Eindhoven program the participatory action research facilitated the restart
    and continuation of the program, the achievement of intersectoral collaboration,
    the initiation of community participation, and other accompanying research. In the
    Amsterdam program, participatory approaches facilitated the participation of 15%
    of the target population at the desired level in the different phases of the program.
    The factors important in community health promotion are representation of relevant
    societal sectors, discussing aims, objectives, roles and responsibilities, communication infrastructure, visibility and management. These factors helped to develop a framework and guidelines which offer operational variables of participation and collaboration and thereby provide common ground for researchers and practitioners. The developed Checklist for Coordinated Action facilitates and evaluates partnerships that differ in context and level, phase of the program and topics addressed.

    The thesis has revealed that action research methods and tools are valuable because they fit community health promotion, they generate actionable knowledge for relevant stakeholders, and they are essential and complementary in capturing and
    assessing the full effects of a community health promotion intervention. Scientific
    quality is assured by the use of different verification techniques and scientific criteria.
    Participation is of cardinal value as it contributes to health and serves multiple purposes in health promotion programs. Systematic learning processes can make participation manageable, and research activities are a proper way to facilitate those learning processes. Nonetheless, the potential of participation has not yet been harnessed. Participation thrives in principle-based programs: programs that are characterized by the co-generation of knowledge by involved stakeholders in a flexible and tailored way. To further develop and harvest the full benefit of participation and principle-based programs, researchers are challenged to broaden their research paradigm, practitioners are challenged to foster and coordinate principle-based programs, participation and learning processes and policymakers are challenged to stimulate and support science and practice. By participating and collaborating supportive social environments for health can be created.
    Cafestol: a multi-faced compound kinetics and metabolic effects of cafestol in mice
    Cruchten, S.T.J. van - \ 2010
    Wageningen University. Promotor(en): Renger Witkamp; Michael Muller, co-promotor(en): Guido Hooiveld. - [S.l. : S.n. - ISBN 9789085855545 - 196
    diterpenen - koffie - doseringseffecten - gezondheidsbevordering - gezondheidsgevaren - toxiciteit - cafestol - voeding en gezondheid - biotransformatie - toxicokinetiek - diterpenes - coffee - dosage effects - health promotion - health hazards - toxicity - cafestol - nutrition and health - biotransformation - toxicokinetics
    Cafestol and kahweol are two diterpenes present in unfiltered coffees such as Scandinavian-style boiled coffee, French press coffee and espresso. The health effects of cafestol and kahweol can be positive but also potentially harmful. On the one hand cafestol shows chemo-preventive properties, which might contribute to a reduction of the risk for certain cancers, especially colorectal cancer. On the other hand cafestol is known as the most potent cholesterol-raising compound present in the human diet and also causes a temporally rise in plasma ASAT and ALAT enzymes. This apparently ‘two-faced’ behavior of cafestol was the starting point of this thesis. It was demonstrated that in mice cafestol is extensively metabolized by the liver. Metabolism was found to be associated with Nrf2 activation, causing an induction of biotransformation enzymes and cellular antioxidant defense. This mechanism might explain the proposed anti-carcinogenic effects of cafestol. Furthermore, distribution studies indicated that in mice cafestol accumulates almost exclusively in liver and intestine, and suggested that cafestol undergoes enterohepatic cycling. Further studies showed that cafestol prevents the development of diet-induced obesity, its metabolic complications, and the development of hepatic steatosis in mice. Modulation of the dietary fat content was also used to study the hepatic and intestinal response to cafestol at a transcriptomic level. We showed that dietary fat content is an important determinant of the effects of cafestol. This has been evaluated for several processes already known to be influenced by cafestol, such as bile acid metabolism and Nrf2-mediated biotransformation. Furthermore it was shown that cafestol activated Nrf2-mediated biotransformation both in liver and small intestine.
    It is concluded that cafestol behaves as a hormetic compound. It elicits a combination of mechanisms which together determine the balance between positive and negative health outcomes. Although for some mechanisms, i.e. the induction of biotransformation enzymes and acute liver toxicity, a connection seems plausible, several questions remain regarding their interrelations. This thesis has generated new mechanistic insights in the multi-faced behavior of cafestol. More studies, including in humans, are needed to study its dose-effect relations and interactions with dietary compounds. For the time being it is advisable to keep cafestol under scrutiny.

    Leven om te eten : Surinaamse en Antilliaanse vrouwen over eten, bewegen en overgewicht
    Wijk-Jansen, E.E.C. van; Jager, L.C. ; Kroon, S.M.A. van der - \ 2010
    Den Haag : LEI Wageningen UR (Rapport / LEI : Onderzoeksveld Consumenten & gedrag ) - ISBN 9789086154067 - 68
    voedingsgewoonten - overgewicht - beweging - etnische groepen - suriname - nederlandse antillen - vrouwen - gezondheidsbevordering - voeding en gezondheid - feeding habits - overweight - movement - ethnic groups - suriname - netherlands antilles - women - health promotion - nutrition and health
    In dit onderzoek is op basis van literatuurstudie en kwalitatief onderzoek meer inzicht verkregen in verklaringen voor het meer vóórkomen van overgewicht en obesitas bij vrouwen met een Surinaamse en Antilliaanse afkomst. Op basis van deze inzichten wordt een aantal aanbevelingen afgeleid voor overheidscommunicatie over overgewicht en obesitas richting vrouwen met deze afkomst.
    Gezond gewicht voor kleine mensen : informatie over gezond gewicht, gezonde voeding en beweging voor kleine mensen
    Appelhof, P. ; Rienks, J. ; Win, S. de - \ 2009
    BVKM Utrecht
    groeistoornissen - gezondheidsbevordering - lichaamsgewicht - dieetadvisering - voedselconsumptie - voeding en gezondheid - growth disorders - health promotion - body weight - diet counseling - food consumption - nutrition and health
    In dit onderzoek is gekeken op welke wijze mensen die door een groeistoornis klein blijven geholpen kunnen worden een gezond gewicht te bereiken en te behouden. Deze brochure bevat informatie over gewicht, productkeuzes, vetten, tussendoortjes, voedingsvezels, uit eten gaan en beweging voor kleine mensen
    Maak kennis met elkaars werkwijze en vakgebied : Vraag het de Expert: Senioren’ bijeenkomsten
    Groot, C.P.G.M. de - \ 2009
    VoedingsMagazine 22 (2009)5. - ISSN 0922-8012 - p. 21 - 23.
    ouderen - gezondheid - diëtisten - gezondheidsbevordering - voeding en gezondheid - elderly - health - dietitians - health promotion - nutrition and health
    About 4.2 million people over 55 years of age ('senior citizens') are currently living in the Netherlands, and anticipations are that their number will increase to 6 million by the year 2035. Like for other age groups, behavioural change yields health benefits for older people. Smoking cessation, a healthier diet and more physical exercise have positive health effects. Even if people do not pick up such behavioural change until after the age of 65, that change can still be effective. For example, men who quit smoking when they are 65 years old, live 1.4-2.0 years longer, and women even 2.7-3.7 years. For all people healthy ageing is a precondition for a happy life. Healthy ageing also implies living independently a life of good quality and taking part in society. The chance of realizing that is greater when senior citizens are coached by primary care professionals
    Interventies in het aanbod van voedsel : aangrijpingspunten voor overheidsbeleid om het aanbod van gezonde voedselproducten structureel te verbeteren
    Zondervan, C. ; Aramyan, L.H. ; Bakker, H.C.M. de; Feskens, E.J.M. ; Gilissen, L.J.W.J. ; Jansman, A.J.M. ; Knol, J.J. ; Koops, A.J. ; Meer, I.M. van der; Nap, J.P.H. ; Mul, A. de; Sluis, A.A. van der; Temme, E.H.M. ; Uijl, W. ; Wijk, R.A. de - \ 2009
    Wageningen : Agrotechnology & Food Sciences Group (Rapport / Agrotechnology and Food Innovations nr. 1039)
    voedselconsumptie - eetpatronen - consumentengedrag - gezondheidsbevordering - voedingsbeleid - gedragsveranderingen - overheidsbeleid - voeding en gezondheid - food consumption - eating patterns - consumer behaviour - health promotion - nutrition policy - behavioural changes - government policy - nutrition and health
    In opdracht van de ministeries van LNV en VWS geeft dit rapport een aantal aanbod- en productgeoriënteerde interventies die door overheden toegepast kunnen worden om Nederlandse consumenten te verleiden tot gezonder eet- en leefgedrag. Achterliggend doel is om met kwalitatief beter voedsel en een beter consumptiepatroon een bijdrage te leveren aan de algemene gezondheidstoestand
    'Bedroevende eetgewoonten jongeren zorgen over dertig jaar voor kanker'
    Kampman, E. - \ 2009
    Kennis Online 6 (2009)dec. - p. 12 - 12.
    neoplasma's - voedselconsumptie - eetpatronen - gezondheidsbevordering - voedingsgewoonten - ziektepreventie - voeding en gezondheid - neoplasms - food consumption - eating patterns - health promotion - feeding habits - disease prevention - nutrition and health
    Veertig procent van alle gevallen van kanker die artsen jaarlijks vaststellen, is het gevolg van een slechte voeding en overgewicht. Voedingswetenschappers weten ondertussen vrij precies welke veranderingen in het dieet die gevallen zouden voorkomen, maar krijgen dat niet voor het voetlicht. “De sociale wetenschappen zijn nu aan zet”, zegt Ellen Kampman, die is gespecialiseerd in de relatie tussen voeding en kanker
    Stofniveau biologische varkensstal onveilig hoog
    Winkel, A. ; Aarnink, A.J.A. - \ 2009
    V-focus 2009 (2009)12. - ISSN 1574-1575 - p. 35 - 36.
    varkenshouderij - varkens - varkensstallen - strooisel - stofbestrijding - stof - biologische landbouw - gezondheidsbevordering - arbeidsomstandigheden - dierenwelzijn - fijn stof - pig farming - pigs - pig housing - litter (plant) - dust control - dust - organic farming - health promotion - working conditions - animal welfare - particulate matter
    Biologische varkenshouders werken vaak langdurig in de stal vanwege de grote zorg voor de dieren. Daarnaast is strooisel een vereiste in de biologische varkenshouderij. Dit leidt ertoe dat biologische varkenshouders aan hoge stofconcentraties worden blootgesteld. Wageningen UR Livestock Research onderzocht samen met biologische varkenshouders hoe hoog de stofbelasting is en hoe zij zich tegen het stof kunnen beschermen
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