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Monfils Gustafsson, Wiktor
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Publications (3 of 3) Show all publications
Sydsjö, G., Monfils-Gustavsson, W., DeKeyser, N., Claesson, I.-M., Sydsjö, A. & Josefsson, A. (2013). Effects of a weight-gain restriction programme for obese pregnant women on sickness absence and pregnancy benefits. Scandinavian Journal of Primary Health Care, 31(2), 106-110
Open this publication in new window or tab >>Effects of a weight-gain restriction programme for obese pregnant women on sickness absence and pregnancy benefits
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2013 (English)In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 31, no 2, p. 106-110Article in journal (Refereed) Published
Abstract [en]

Objective. To evaluate the effect of a weight-gain restriction programme for obese pregnant women on sickness absence days and pregnancy benefit days during pregnancy and postpartum.

Design. A prospective, controlled intervention study. The Swedish Social Security Agency's records were utilized to compile sickness absence and pregnancy benefit information.

Setting. Antenatal care clinics in the south-east of Sweden.

Subjects. One hundred fifty-five obese pregnant women who participated in a weight restriction program with weekly structured motivational and behavioural talks combined with aqua-aerobics during pregnancy. A total of 193 obese pregnant women with no intervention served as controls.

Main outcome measures. Sickness absence benefits and pregnancy benefits expressed as a percentage.

Results. On average women in the intervention group had 76.68 total full days of sickness absence benefit compared with 53.09days in the control group. Total full days of pregnancy benefits were 39.66% days and 41.41% for the intervention and control groups respectively. For the women who were on sick leave there were no differences between the groups in the amount of days taken.

Conclusions. Given the complexity of factors that have an influence on sickness absence leave, it is possible that programmes that do not address the influence of social aspects and attitudes towards sickness absence have limited effect.

Place, publisher, year, edition, pages
Informa Healthcare, 2013
Keywords
General practice, obesity, pregnancy, pregnancy benefit, sickness absence, Sweden, weight restriction
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-93956 (URN)10.3109/02813432.2012.754091 (DOI)000318643200009 ()23301596 (PubMedID)
Note

Funding Agencies|Health Research Council of Southeast Sweden (FORSS)||

Available from: 2013-06-13 Created: 2013-06-13 Last updated: 2019-06-28Bibliographically approved
DeKeyser, N., Josefsson, A., Monfils-Gustavsson, W., Claesson, I.-M., Carlsson, P., Sydsjö, A. & Sydsjö, G. (2011). Total cost comparison of standard antenatal care with a weight gain restriction programme for obese pregnant women. Public Health, 125(5), 311-317
Open this publication in new window or tab >>Total cost comparison of standard antenatal care with a weight gain restriction programme for obese pregnant women
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2011 (English)In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 125, no 5, p. 311-317Article in journal (Refereed) Published
Abstract [en]

Objective: To perform a cost comparison of a weight gain restriction programme for obese pregnant women with standard antenatal care, and to identify if there were differences in healthcare costs within the intervention group related to degree of gestational weight gain or degree of obesity at programme entry. Study design: A comparison of mean healthcare costs for participants of an intervention study at antenatal care clinics with controls in south-east Sweden. Methods: In total, 155 women in an intervention group attempted to restrict their gestational weight gain to less than7 kg. The control group comprised 193 women. Mean costs during pregnancy, delivery and the neonatal period were compared with the costs of standard care. Costs were converted from Swedish Kronor to Euros ((sic)). Results: Healthcare costs during pregnancy were lower in the intervention group. There was no significant difference in total healthcare costs (i.e. sum of costs during pregnancy, delivery and the neonatal period) between the intervention group and the control group. Within the intervention group, the subgroup that gained 4.5-9.5 kg had the lowest costs. The total cost, including intervention costs, was (sic)1283 more per woman/ infant in the intervention group compared with the control group (P = 0.025). The degree of obesity at programme entry had no bearing on the outcome. Conclusions: The weight gain restriction programme for obese pregnant women was effective in restricting gestational weight gain to less than7 kg, but had a higher total cost compared with standard antenatal care.

Place, publisher, year, edition, pages
Elsevier Science B.V., Amsterdam, 2011
Keywords
Pregnancy; Weight restriction; Intervention; Cost-effectiveness
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-69914 (URN)10.1016/j.puhe.2011.02.004 (DOI)000291674300012 ()
Note
Original Publication: Nicholas DeKeyser, Ann Josefsson, Wiktor Monfils-Gustavsson, Ing-Marie Claesson, Per Carlsson, Adam Sydsjö and Gunilla Sydsjö, Total cost comparison of standard antenatal care with a weight gain restriction programme for obese pregnant women, 2011, Public Health, (125), 5, 311-317. http://dx.doi.org/10.1016/j.puhe.2011.02.004 Copyright: WB Saunders http://www.elsevier.com/Available from: 2011-08-09 Created: 2011-08-08 Last updated: 2019-06-28
Monfils Gustafsson, W., Josefsson, A., Ekholm, K. & Sydsjö, G. (2009). Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population-based birth cohort. Acta Psychiatrica Scandinavica, 119(1), 54-61
Open this publication in new window or tab >>Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population-based birth cohort
2009 (English)In: Acta Psychiatrica Scandinavica, ISSN 0001-690X, E-ISSN 1600-0447, Vol. 119, no 1, p. 54-61Article in journal (Refereed) Published
Abstract [en]

Objective: Preterm birth and restricted foetal growth are related to symptoms of psychiatric disorder. Our aim was therefore to investigate possible relations between being born preterm and/or small for gestational age (SGA) and later psychiatric hospitalization.

Method: A population-based registry study of psychiatric hospitalization of in total 155 994 boys and 148 281 girls born in Sweden in 1973-1975.

Results: The risk of hospitalization for all mental disorders was increased for preterm SGA boys (OR 2.19, 95% CI 1.49-3.21); at-term SGA boys (OR 1.55, 95% CI 1.34-1.79); at-term SGA girls (OR 1.31, 95% CI 1.15-1.50). At-term SGA boys and girls suffered increased risk of anxiety and adjustment disorders (OR 1.70, 95% CI 1.18-2.45 and OR 1.49, 95% CI 1.14-1.94). Preterm SGA boys were at risk of personality disorders (OR 3.30, 95% CI 1.16-9.41) and psychotic disorders (OR 4.36, 95% CI 1.85-10.30).

Conclusion: The results show a relationship between being born SGA and later psychiatric hospitalization, where preterm birth and male gender seem to increase the risk.

Keywords
birth characteristics, hospitalization, mental illness
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-16634 (URN)10.1111/j.1600-0447.2008.01267.x (DOI)
Note
The definitive version is available at www.blackwell-synergy.com: W Monfils Gustafsson, Ann Josefsson, Katarina Ekholm and Gunilla Sydsjö , Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population-based birth cohort, 2009, ACTA PSYCHIATRICA SCANDINAVICA, (119), 1, 54-61. http://dx.doi.org/10.1111/j.1600-0447.2008.01267.x Copyright: Blackwell Publishing Ltd http://www.blackwellpublishing.com/ Available from: 2009-02-18 Created: 2009-02-06 Last updated: 2019-06-28Bibliographically approved
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