Kjersti Karolin Danielsen

• Danielsen, Kjersti Karoline; Osmundsen, Elise Fauske & Sveaas, Silje Halvorsen (2023). Erfaringer med digitalisering av kurs ved frisklivsentralen - En intervjustudie. Fysioterapeuten. ISSN 0016-3384. Full text in Research Archive Show summary

  Hensikt: Å undersøke ansattes og deltakeres erfaringer med digitalisering av kurs ved frisklivsentralen. Materiale og metode: Studien er basert på to fokusgruppeintervju med til sammen ni ansatte og syv individuelle dybdeintervju med deltakere på en frisklivsentral. Datamaterialet ble analysert ved bruk av systematisk tekstkondensering. Funn: Det digitale rommet erfartes som «nytt og ukjent terreng» for både ansatte og deltakere. I tillegg opplevde de ansatte flere «juridiske begrensinger» i det digitale rom med hensyn til personvern og taushetsplikt. Både ansatte og deltakere snakket om at de «mistet mye» ved digitale kurs, slik som erfaringsutveksling, spørsmål, det sosiale og kroppsspråk. Videre erfarte begge grupper flere «digitale muligheter» slik som at det var effektivt, tidsbesparende og fleksibelt. De var derfor positive til at det kunne være et «nyttig supplement» videre. Konklusjon: Ansatte og deltakere var positive til mer bruk av digitale kurs og digitale verktøy som et supplement til fysiske kurs ved frisklivsentralen. Imidlertid uttrykte de skepsis til bruk av heldigitale kurs. Begge grupper beskrev at de mistet mye ved digitale kurs, spesielt det sosiale felleskapet og erfaringsutvekslingen. Flere muligheter ved digitalisering ble beskrevet, slik som at det var effektivt og tidsbesparende. De ansatte opplevde det tekniske som et hinder for digitaliseringen av tilbudet ved frisklivsentralen.

• Danielsen, Kjersti Karoline; Cabral, Danielle & Sveaas, Silje Halvorsen (2023). “Students Moving Together”, Tailored Exercise for Students Facing Mental Health Challenges—A Pilot Feasibility Study. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 20(17). doi: 10.3390/ijerph20176639. Full text in Research Archive Show summary

  An increasing number of university students are facing mental health challenges. The primary aim of this study was to determine the feasibility of 10 weeks of supervised tailored group exercise for 60 min twice a week delivered by the student health service for students facing mental health challenges. Secondary aims were to explore changes in mental health and physical fitness from pre- to post-test. Feasibility was assessed in terms of recruitment, drop-outs, attendance, and adverse events. The secondary outcomes included symptoms of depression and anxiety, wellbeing, satisfaction with life, cardiorespiratory fitness, and muscular endurance/strength. A total of 13 university students with self-reported mental health challenges, aged 20–39 years, were recruited during a four-week period. Ten (77%) of these completed the intervention and post-test as planned, and no adverse events occurred. There was a significant average reduction of 20% in symptoms of depression and anxiety (p = 0.008), and non-significant improvements of 21% in well-being and 16% in satisfaction with life were found. On average, cardiorespiratory fitness (p = 0.01) and muscular strength (push-ups test, p = 0.01, and sit-ups test, p = 0.02) increased. In conclusion, a 10-week tailored exercise intervention delivered by the student mental health service was found to be feasible, and beneficial for mental health and physical fitness in students facing mental health challenges.

• Danielsen, Kjersti Karoline; Øydna, May Helena; Strømmer, Sofia & Haugjord, Kenneth (2021). “It’s More Than Just Exercise”: Tailored Exercise at a Community-Based Activity Center as a Liminal Space along the Road to Mental Health Recovery and Citizenship. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 18(19). doi: 10.3390/ijerph181910516. Full text in Research Archive
• Danielsen, Kjersti Karoline; Sundgot-Borgen, Jorunn & Rugseth, Gro (2016). Severe Obesity and the Ambivalence of Attending Physical Activity: Exploring Lived Experiences. Qualitative Health Research. ISSN 1049-7323. 26(5), p. 685–696. doi: 10.1177/1049732315596152. Show summary

  Physical activity is considered fundamental in lifestyle interventions. We explore experiences of physical activity prior to, during, and following a 10- to 14-week inpatient lifestyle modification program, including high volume of physical activity, for the treatment of severe obesity. Eight participants from a prospective clinical trial were selected to participate in a complementary qualitative study. The participants’ experiences with physical activity during and following the treatment program represented different opposites: “pain and pleasure,” “desire and duty,” and “bubble and battle.” We summarized the findings into one overall theme: “the ambivalence of attending physical activity.” The ambivalence is experienced as a shift in how participants experience physical activity during the intervention period and as an ongoing, dynamic, and constantly shifting experience during such activity. To address and reflect upon such experiences with the participants, and acknowledge ambivalence as a legitimate part of being physically active, might be important within obesity treatment.

• Danielsen, Kjersti Karoline; Sundgot-Borgen, Jorunn & Rugseth, Gro (2015). Attending Physical Activity: Exploring Lived Experiences. Qualitative Health Research. ISSN 1049-7323. doi: 10.1177/1049732315596152. Show summary

  Physical activity is considered fundamental in lifestyle interventions. We explore experiences of physical activity prior to, during, and following a 10- to 14-week inpatient lifestyle modification program, including high volume of physical activity, for the treatment of severe obesity. Eight participants from a prospective clinical trial were selected to participate in a complementary qualitative study. The participants’ experiences with physical activity during and following the treatment program represented different opposites: “pain and pleasure,” “desire and duty,” and “bubble and battle.” We summarized the findings into one overall theme: “the ambivalence of attending physical activity.” The ambivalence is experienced as a shift in how participants experience physical activity during the intervention period and as an ongoing, dynamic, and constantly shifting experience during such activity. To address and reflect upon such experiences with the participants, and acknowledge ambivalence as a legitimate part of being physically active, might be important within obesity treatment.

• Danielsen, Kjersti Karoline; Sundgot-Borgen, Jorunn; Mæhlum, Sverre & Svendsen, Mette (2014). Beyond weight reduction: Improvements in quality of life after an intensive lifestyle intervention in subjects with severe obesity. Annals of Medicine. ISSN 0785-3890. 46(5), p. 273–282. doi: 10.3109/07853890.2013.874660. Show summary

  Introduction: We examined the effects of 10–14 weeks of inpatient intensive lifestyle intervention (ILI), including a minimum of 90 minutes of adapted physical activity 5 days/week, with regard to changes in quality of life and associations with weight loss in subjects with severe obesity. Methods: A total of 100 severely obese subjects (BMI 42.6 ± 5.3 kg/m2; 42.7 ± 10.6 years) were included. Quality of life was assessed by Binge Eating Scale, Hospital Anxiety, and Depression Scale, and SF- 36. The ILI group completed the questionnaires at inclusion, after 10–14 weeks and 12 months, and controls at inclusion and after 10–14 weeks. Results: Compared to controls, self-reported binge eating (–6.4, P < 0.0001), anxiety (–1.7, P = 0.005), and depression (–3.0, P < 0.0001) were reduced, and physical (8.0, P < 0.0001) and mental (7.6, P < 0.0001) health increased in the ILI group. After 12 months, reduction in self-reported binge eating (–7.2, P < 0.0001) and depression (–3.4, P < 0.0001) and increase in physical (8.9, P < 0.0001) and mental (3.6, P = 0.035) health were maintained. Decreased self-reported binge eating (β = 0.555, P = 0.010) and increased physical health (β = –0.554, P = 0.003) were associated with weight loss. Conclusion: ILI including a high volume of physical activity in subjects with severe obesity improved quality of life by favorable changes in self-reported binge eating, depression, and mental and physical health. Improvements in binge eating and physical health were associated with weight loss.

• Danielsen, Kjersti Karoline; Svendsen, Mette; Mæhlum, Sverre & Sundgot-Borgen, Jorunn (2013). Changes in Body Composition, Cardiovascular Disease Risk Factors, and Eating Behavior after an Intensive Lifestyle Intervention with High Volume of Physical Activity in Severely Obese Subjects: A Prospective Clinical Controlled Trial. Journal of Obesity. ISSN 2090-0708. doi: 10.1155/2013/325464. Show summary

  We examined the effects of a 10–14-weeks inpatient lifestyle modification program, including minimum 90 min of physical activity (PA) five days/week, on body composition, CVD risk factors, and eating behavior in 139 obese subjects (BMI  kg/m2). Completion rate was 71% in the intensive lifestyle intervention (ILI) group and 85% among waiting list controls. Compared to controls body weight ( (95% CI: , ) kg, ), fat mass ( (95% CI: , ) kg, ), fat free mass ( (95% CI: , ) kg, ) and visceral fat ((95% CI: , ) cm2, ) were reduced in the ILI-group after 10–14 weeks. Within the ILI-group weight loss was (95% CI: , ) kg, and (95% CI: , ) kg, , after six and 12 months, respectively. Systolic BP, glucose, triglycerides, and LDL-C were reduced, and HDL-C was increased (all ) after 10–14 weeks within the ILI group. The reduction in glucose and increase in HDL-C were sustained after 12 months (all ). After one year, weight loss was related to increased cognitive restraint and decreased uncontrolled eating (all ). Thus, ILI including high volume of PA resulted in weight loss with almost maintenance of fat-free mass, favorable changes in CVD risk factors, and eating behavior in subjects with severe obesity.

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• Danielsen, Kjersti Karoline (2023). Fysisk aktivitet for psykisk helse - en speed innføring.
• Danielsen, Kjersti Karoline (2023). "FYSISK AKTIVITET FOR PSYKISK HELSE" - EN SPEED INNFØRING.
• Danielsen, Kjersti Karoline (2022). Fysisk aktivitet er minst like effektivt som medisiner og samtaleterapi .
• Danielsen, Kjersti Karoline (2022). Fysisk aktivitet i psykisk helsearbeid.
• Danielsen, Kjersti Karoline (2022). Fysisk aktivitet og psykisk helse - en speedinnføring.
• Danielsen, Kjersti Karoline (2022). Fysisk aktivitet for psykisk helse - en speedinnføring.
• Danielsen, Kjersti Karoline (2022). Fysisk aktivitet i psykisk helsearbeid - en speedinnføring.
• Danielsen, Kjersti Karoline (2022). Fysisk aktivitet i psykisk helsearbeid - en speedinnføring.
• Danielsen, Kjersti Karoline & Moe, Torill (2022). Trening nytter ved depresjon. dagensmedisin.no.
• Danielsen, Kjersti Karoline & Moe, Torill (2022). Trening fungerer minst like bra som piller mot depresjon. Psykologisk.no.
• Danielsen, Kjersti Karoline & Moe, Torill (2022). Fysisk aktivitet er minst like effektivt som medisiner og samtaleterapi. Fædrelandsvennen. ISSN 0805-3790.
• Danielsen, Kjersti Karoline (2021). Fysisk aktivitet i psykisk helsearbeid - en speed innføring.
• Danielsen, Kjersti Karoline (2021). Inneliggende Intensiv livsstilsintervensjon for personer med sykelig overvekt - og erfaringer med fysisk aktivitet .
• Danielsen, Kjersti Karoline (2021). Inneliggende Intensiv livsstilsintervensjon for personer med sykelig overvekt - og erfaringer med fysisk aktivitet .
• Danielsen, Kjersti Karoline; Svendsen, Mette; Mæhlum, Synøve & Sundgot-Borgen, Jorunn (2013). People With Severe Obesity Can Exercise Enough to Lose Fat. Medicine & Science in Sports & Exercise. ISSN 0195-9131. 45(5), p. 388–389.
• Sylta, Øystein; Danielsen, Kjersti Karoline & Seiler, Stephen (2013). Ranger High Energy Low Leisure Week: Body Composition Changes and Recovery. Medicine & Science in Sports & Exercise. ISSN 0195-9131. 45(5), p. 578–578.
• Danielsen, Kjersti Karoline; Svendsen, M; Mæhlum, Sverre & Sundgot-Borgen, Jorunn (2012). Menn og kvinner med sykelig overvekt kan trene vekk fett. Norsk idrettsmedisin. ISSN 0806-9328. 27(4), p. 18–18.
• Danielsen, Kjersti Karoline; Svendsen, M; Mæhlum, Sverre & Sundgot-Borgen, Jorunn (2012). Menn og kvinner med sykelig overvekt kan trene vekk fett.
• Mæhlum, Sverre; Danielsen, Kjersti Karoline; Heggebø, Lena Klasson & Schiøll, Janne (2012). The Hjelp24 NIMI Ringerike obesity clinic: an inpatient programme to address morbid obesity in adults. British Journal of Sports Medicine. ISSN 0306-3674. 46(2), p. 91–94. doi: 10.1136/bjsm.2010.071894.
• Sundgot-Borgen, Jorunn; Danielsen, Kjersti Karoline & Torstveit, Monica Klungland (2012). Female Former Elite Athletes Suffering From Eating Disorders During Their Career. A 15-20 Year Follow-up. Medicine & Science in Sports & Exercise. ISSN 0195-9131. 44, p. 703–703.
• Danielsen, Kjersti Karoline & Sundgot-Borgen, Jorunn (2006). Forstyrret spiseattferd og psykososial helse blandt tidligere kvinnelige eliteidrettsutøvere. Norsk idrettsmedisin. ISSN 0806-9328.
• Danielsen, Kjersti Karoline & Sundgot-Borgen, Jorunn (2006). Forstyrret spsieatferd og psykososial helse blandt tidligere kvinnelige eliteidrettsutøvere.
• Danielsen, Kjersti Karoline (2021). Fysisk aktivitet i psykisk helsearbeid. En oppsummering av kunnskap. Senter for Omsorgsforskning Gjøvik. ISSN 978-82-8340-115-8.
• Øydna, May Helena; Larsen, Inger Beate & Danielsen, Kjersti Karoline (2020). Deltakelse i tilrettelagt trening for mennesker med psykiske helseutfordringer : Mer enn bare trening - En kvalitativ studie. Universitetet i Agder.
• Danielsen, Kjersti Karoline; Nilsen, Elin Rogn & Fredwall, Terje Emil (2017). Pasientforløp for eldre med kronisk sykdom: En oppsummering av kunnskap . Senter for omsorgsforskning. ISSN 978-82-8340-073-1.
• Danielsen, Kjersti Karoline (2015). Inpatient intensive lifestyle intervention for the treatment of severe obesity: beyond the weight reduction, and experiences with physical activity. Norwegian School of Sport Sciences. ISSN 978-82-502-0515-4. Show summary

  The recent increase in the prevalence of severe obesity has led to an urgent need for non-surgical treatment options and increased focus and priority on lifestyle interventions specifically targeted toward this obesity population. Previous studies have shown that intensive lifestyle interventions may cause clinically meaningful weight loss the first year post treatment for patients with severe obesity. However, few studies have “gone beyond the weight reduction” and investigated changes in body composition, eating behavior, psychological factors and health related quality of life (HRQL) following an inpatient treatment program with high volume of physical activity. There is also a lack of qualitative research exploring the participant’s experiences with physical activity during and following these lifestyle modification programs. The aims of this thesis were therefore to describe and evaluate an already existing inpatient program for the treatment of severe obesity, in relation to changes in body composition, eating behavior, psychological factors and HRQL, as well as to explore the participant’s experiences with physical activity prior to, during and following the treatment program.

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