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Article

Romsås in Motion Study (MoRo)

The Romsås in Motion study (MoRo) was an interventional study with three-years’ follow-up. Romsås is a low-income district in Oslo, Norway, with 6,700 inhabitants of multi-ethnic origin.

All individuals 30-67 years of age were invited by letter to the baseline health survey, and as controls an age-matched population-based sample from a similar population in a neighboring district (Furuset) was used.

The intervention district had the highest mortality rates of all the 25 administrative districts in Oslo, and was the most disadvantaged by measures of socioeconomic status, such as education.

The National Health Screening Service collected data from questionnaires, conducted a physical examination and collected blood samples according to protocols in mobile units in each district between March and May 2000, with follow-up surveys in 2003 (MoRo I and II).

The invitation contained brief information in the languages of the main immigrant groups, and the questionnaires were translated (English, Urdu, Turkish, Vietnamese, Tamil). The attendees signed an informed consent form and were offered counseling whilst completing the questionnaire.

A total of 2,950 persons (48% of the invited cohort) were examined at baseline, 22% of non-western origin. Based on demographic and socioeconomic variables, the attendees were fairly representative of the invited cohort. Attendees consenting to follow-up contact and future use of their data and still living in the Oslo area, were invited for the follow-up tests (N=2,644). The Regional Ethics Committee and the Norwegian Data Inspectorate approved the study protocol.

Publications from the MoRo study:

  • Graff-Iversen S, Anderssen SA, Holme IM, Jenum AK, Raastad T: An adapted version of the long International Physical Activity Questionnaire (IPAQ-L): construct validity in a low-income, multiethnic population study from Oslo, Norway. Int J Behav Nutr Phys Act. 2007; 4: 13.
  • Graff-Iversen S, Anderssen SA, Holme IM, Jenum AK, Raastad T: Two short questionnaires on leisure-time physical activity compared with serum lipids, anthropometric measurements and aerobic power in a suburban population from Oslo, Norway: Eur J Epidemiol. 2007 Dec 19; [Epub ahead of print].
  • Jenum A, Lorentzen C, Ommundsen Y: Targeting Physical Activity in a Low Socio-Economic Status Population: Observations from the Norwegian "Romsås in Motion" Study. Br J Sports Med. 2009; 43: 64-69.
  • Jenum AK, Anderssen SA, Birkeland KI, Holme I, Graff-Iversen S, Lorentzen C, Ommundsen Y, Raastad T, Odegaard AK, Bahr R: Promoting physical activity in a low-income multi-ethnic district: effects of a community intervention study to reduce risk factors for type 2 diabetes and cardiovascular disease: a community intervention increasing inactivity. Diabetes Care 2006, 29: 1605-12.
  • Jenum AK, Birkeland KI: Mosjon på Romsås (MoRo) – et helsefremmende intervensjonsprosjekt for å fremme fysisk aktivitet I et multi-etnisk lokalsamfunn i Oslo øst. Nor Epidemiol 2003; 13: 55-63.
  • Jenum AK, Diep LM, Holme I, Holmboe-Ottesen G, Birkeland KI:  Diabetes susceptibility in ethnic minority groups from Turkey, Vietnam, Sri Lanka and Pakistan compared to Norwegians - the association with adiposity is strongest for ethnic minority women (submitted). 
  • Jenum AK, Holme I, Graff-Iversen S, Birkeland KI: Ethnicity and gender are strong determinants of diabetes in an urban Western society: implications for prevention. Diabetologica 2005; 48: 435-9.
  • Jenum AK, Lorentzen C, Anderssen SA, Birkeland KI, Holme I, Lund-Larsen PG, Ommundsen Y, Raastad T, Thelle DS, Bahr R: Promoting physical activity in a multi-ethnic district – methods and baseline results of a pseudo-experimental intervention study. Eur J Cardiovasc Prevention Rehab 2003; 10: 387-96.
  • Jenum AK, Lorentzen C, Graff-Iversen S et al: Kan lokalbaserte strategier bidra til å redusere sosiale helseforskjeller? MoRo-prosjektet – bakgrunn, hovedresultater og erfaringer. Norsk Epidemiologi 2007; 17: 49-57.
  • Jenum AK,Graff-Iversen S, Selmer R, Søgaard AJ: Risikofaktorer for hjerte- og karsykdom og diabetes gjennom 30 år. Tidsskr Nor Lægeforen 2007; 127: 2532-6.
  • Lorentzen C, Ommundsen Y, Holme I: Psychosocial correlates of stages of change in physical activity in an adult community sample. Eur J Sport Sci 2007; 7: 93-106.
  • Lorentzen C, Ommundsen Y, Jenum AK, Holme I: The ”Romsås in Motion” community intervention: mediating effects of psychosocial factors on forward transition in the stages of change in physical activity. Health Education and Behavior. Epub 2007 Dec 07.
  • Lorentzen C, Ommundsen Y, Jenum AK, Holme I: The ”Romsås in Motion” community intervention: program exposure and psychosocial mediated relationships to change in stages of change in physical activity. Int J Behav Nutr Phys Act 2007; 4: 15.
  • Stene LC, Midthjell K, Jenum AK, Skeie S, Birkeland KI, Lund E, Joner G, Tell G, Schirmer H: Hvor mange har diabetes mellitus i Norge? Tidsskr Nor Lægeforen 2004; 124: 1511-4.

Reports from the MoRo project

  • Lorentzen C, Ommundsen Y, Jenum AK, Ødegaard AK: MoRo "Mosjon på Romsås" - en intervensjon for å fremme fysisk aktivitet i en multietnisk befolkning i Oslo øst. Erfaringer og resultater fra MoRo-prosjektet. Institusjonsrapport KS, 2005.
  • Lorentzen C, Ommundsen Y: på vegne av styringsgruppen. MoRo ”Mosjon på Romsås” – en intervensjon for å fremme fysisk aktivitet i en befolkning i Oslo øst. Erfaringer fra MoRo-prosjektet. 2004. Rapport til Stiftelsen Helse & Rehabilitering.

Abstracts

  • Berg IH, Jenum AK, Holme I, Bahr R: Effekt av livsstilsintervensjon med vekt på fysisk aktivitet på risikofaktorer for diabetes og hjerte- og karsykdom hos høyrisikoindivider (OP, published in Abstract book) Idrettsmedisinsk Høstkongress, Hamar. November 2.-5.th 2006.
  • Berg IH, Jenum AK, Holme I, Bahr R: Effekt av livsstilsintervensjon med vekt på fysisk aktivitet på risikofaktorer fro diabetes og hjerte- og karsykdom hos høyrisikoindivider (Posters published in Abstract book) The Norwegian Diabetes Research Conference. February 7.-9.th 2007.
  • Bergh IH, Jenum AK, Holme I, Bahr R: Effect of lifestyle intervention emphasizing physical activity on risk factors for diabetes and cardiovascular disease among high risk individuals.American College of Sports Medicine (ACSM), New Orleans, USA. Medicine and.Science in Sports and Exercise 2007; 39 (Supplement 5).
  • Birkeland KI, Jenum AK, Kumar BN, Holmboe-Ottesen G: Great variation in the prevalence of diabetes and of glycaemic control in ethnic minority groups in Norway. European Association for the Study of Diabetes (EASD) 2005, Athens. Diabetologia 2005; 48 (Suppl 1); 266 (P 730). September 10-15.th 2005.
  • Graff-Iversen S, Jenum AK: Fedme og bukfedme i helseundersøkelser av 30-, 40-, 60- og 75-åringer 2000-2003 (Posters published in Abstract book) The Norwegian Diabetes Research Conference. February 7.-9.th 2007.
  • Jenum AK, Anderssen SA, Birkeland KI, Holme I, Graff-Iversen S, Lorentzen C, Ommundsen Y, Raastad T, Ødegaard AK, Bahr R: Effects of a community-based intervention programme promoting physical activity on risk factors for diabetes and cardiovascular disease. Background, methods and results from the Romsås in Motion Study (Poster and Poster prize, published in Abstract book).
  • Jenum AK, Anderssen SA, Birkeland KI, Holme I, Graff-Iversen S, Lorentzen C, Ommundsen Y, Raastad T, Ødegaard AK, Bahr R: Effects of a community-based intervention programme promoting physical activity on risk factors for diabetes and cardiovascular disease. European Association for the Study of Diabetes (EASD) 2005, Athens. Diabetologia 2005; 48 (Suppl 1); 252 (P 692). September 10-15.th 2005.
  • Jenum AK, Anderssen SA, Birkeland KI, Holme I, Graff-Iversen S, Lorentzen C, Ommundsen Y, Raastad T, Ødegaard AK, Bahr R: A community intervention promoting physical activity reduced weight gain and beneficially affected cardiovascular risk factors in a low-income urban district. Invited speaker. Prevention of Diabetes and its complications – 4.th world congress, Chennai, India. (published in Abstract book) February 10.-12.th 2005.
  • Jenum AK, Bahr R, Lund Larsen P, Birkeland KI: Prevalence of obesity and diabetes in a multiethnic population in Oslo. Poster. European Association for the study of Diabetes (EASD), Budapest. Diabetologia 2002; 45 (2): A96-A97 P 288.  September 1.-5 th 2002.
  • Jenum AK, Bahr R, Lund-Larsen P, Birkeland KI: The “Romsås in Motion” Intervention Study - some baseline results: Prevalence of diabetes and obesity in a multi-ethnic population Poster NFRs stipendiatkonferanse Leangkollen.  (published in Abstract book) Nov 11.-12.th 2003.
  • Jenum AK, Birkeland KI: The “Romsås in Motion” study: A multi-disiplinary community intervention trial promoting physical activity to oppose the diabetes epidemic. Objectives, design and theoretical basis Oral presentation The Norwegian Conference on Diabetes Research: (published in Abstract book) October 13.th 2002.
  • Jenum AK, Birkeland KI: Undiagnosed diabetes in a multi- ethnic population in Norway. Prevalence and relation to cardiovascular risk factors and self-reported angina. (Poster). Diabetologia 2003; 46-2: P1537 August 24.-29.th 2003.
  • Jenum AK, Diep LM, Holmboe-Ottesen G, Birkeland KI: Diabetes susceptibility in five ethnic minority groups compared to Norwegians – the impact of adiposity measures and other risk factors. Diabetologia 2008; 51 (Suppl 1.) S 176.PosterEuropean Association for the Study of Diabetes (EASD), Rome. September 8-11.th 2008.
  • Jenum AK, Graff-Iversen S, Holme I, Birkeland K, Raastad T, Anderssen S, Ommundsen Y, Bahr R: A community intervention promoting physical activity reduced weight gain and beneficially affected cardiovascular risk factors in a low-income urban district. Oral presentation. World Heart Federation, Sixth international conference on preventive cardiology, Brazil. Prevention and Control 2005:1.1(P224). May 21.-25.th 2005.
  • Jenum AK, Graff-Iversen S, Holme I, Birkeland K, Raastad T, Andersen S, Lorentzen C, Ommundsen Y, Bahr R: The Romsås Study. A community intervention promoting physical activity can stem the progression of obesity in a multi-ethnic low-income urban district. (O19).The 12.th Norwegian Epidemiology Conference. Bergen. Nor Epidemiol 2004; 14: 28. November 11.-12. Th 2004.
  • Jenum AK, Graff-Iversen S, Holme I, Birkeland KI, Raastad T, Anderssen S, Ommundsen Y, Bahr R: A community intervention promoting physical activity reduced weight gain and beneficially affected cardiovascular risk factors in a low-income urban district April Oral presentation. European Diabetes Epidemiology Group conference, Hungary (published in Abstract book) 06.-09.th 2005.                      
  • Jenum AK, Graff-Iversen S, Holme I, Birkeland KI: Ethnicity and sex are strong predictors for diabetes in an urban western society – implication for prevention. (OP)The European Public Health Association, Oslo EUPHA-Conference. Oslo. Eur J Public Health 2004; 14 (Suppl. 1): 61.
  • Jenum AK, Graff-Iversen S, Holme I, Raastad T, Anderssen S, Lorentzen C, Ommundsen Y, Bahr R, Birkeland KI: The “Romsås in Motion” Study.  Background, Methods and Results from a Community-based Intervention. Invited speaker. Norges forskningsråd, Programområde Helse og samfunns oppsummeringskonferanse.December 9.th 2005.
  • Jenum AK, Graff-Iversen S, Holme I, Raastad T, Anderssen S, Lorentzen C, Ommundsen Y, Bahr R, Birkeland KI: Can a low-cost community based intervention promoting physical activity stem the obesity epidemic? (Last minute talk).
  • Jenum AK, Holme I, Graff-Iversen S, Birkeland K: Ethnicity and gender are strong predictors for diabetes in an urban western society - implications for prevention. Poster. European Diabetes Epidemiology Group conference, Salerno, Italia.  (published in Abstract book) April 24.-27.th 2004.
  • Jenum AK, Holme I, Graff-Iversen S, Birkeland K: Ethnicity and gender are strong predictors for diabetes in an urban western society - implications for prevention. Invited speaker 5.th Diabetes in Asia conference, Prevention of Diabetes, Karachi. Pakistan (published in Abstract book). April 16.-18.th 2004.
  • Jenum AK, Holme I, Graff-Iversen S, Birkeland KI: Ethnicity and gender are strong predictors for diabetes in an urban western society – implications for prevention (P).Oral presentation. Nordic Diabetes research Conference, Trondheim (published in Abstract book) September 30.-Oct. 1.st.
  • Jenum AK, Holme I, Graff-Iversen S, Birkeland KI: Ethnicity and gender are strong predictors for diabetes in an urban western society - implications for prevention.Poster. European Association for the Study of Diabetes (EASD), Munchen. Diabetologia 2004; (47);PS9 333, A126-7. October 5.-9.th2004.
  • Jenum AK, Holme I, Graff-Iversen S, Birkeland KI: Ethnicity and gender are strong predictors for diabetes in an urban western society - implications for prevention Oral presentation. The European Public Health Association, Migrant Health in Europe Conference, Rotterdam. Ethnicity and Health; 2004:4 (Suppl) S18. June 23.-25.th 2004.           
  • Jenum AK, Kumar B, Holmboe-Ottesen G, Birkeland K: Diabetesprevalens i fem etniske minoritetsgrupper i Oslo (Posters published in Abstract book) The Norwegian Diabetes Research Conference. February 7.-9.th 2007.
  • Jenum AK, Wiegels C, Bahr R, Lund Larsen P, Birkeland KI: Insulin sensitivity and physical fitness in å high risk population in Romsås, Oslo.  Oral presentation. The 4th Nordic meeting for the study of obesity. Oslo. (published in Abstract book). September 21.-22.th 2001.
  • Jenum AK, Wiegels C, Bahr R, Lund Larsen P, Birkeland KI: Prevalence of obesity and diabetes in a multiethnic population in Oslo. Oral presentation. The 4th Nordic meeting for the study of obesity. Oslo. (published in Abstract book). September 21.-22.th 2001.
  • Jenum AK, Wiegels C, Bahr R, Lund-Larsen P, Birkeland KI: Prevalence of obesity and diabetes in a multiethnic population Oral presentation The Norwegian Conference on Diabetes Research (published in Abstract book) October 13.th 2002.
  • Jenum AK:  Adapting Interventions for Black and Minority ethnic groups in Norway The “Romsås in Motion” Study. A theory-based community intervention to promote physical activity in a multiethnic low SES district in Oslo. Invited speaker. Ethnicity and Health Conference. London. June 4th. 2009.
  • Jenum AK: A community intervention promoting physical activity reduced weight gain and beneficially affected cardiovascular risk factors in a low income urban district. Results from The Romsås in Motion Study Invited speaker. European Association for the Study of Diabetes (EASD), Research in Primary care subgroup, Primary Care Diabetes (PCD), Athens (published in Abstract book). September 11th 2005.
  • Jenum AK: Effects of a community intervention study to reduce risk factors for type 2 diabetes and cardiovascular disease in a low-income multiethnic district. The “Romsås in Motion” Study. Invited speaker/Oral presentation (published in Abstract book). Forskningskonferanse NOVA/Sosial og helsedirektoratet, Folkehelseinstituttet, Høgskolen i Oslo: Helseulikheter og velferdsstat. October 10-11th 2006.
  • Jenum AK: Ethnic differences in Physical activity and diabetes within western societies – lessons learnt from the ”Romsås in Motion” Study.Invited speaker. International Society of Behavioral Nutrition and Physical Activity (ISBNPA), Conference, Oslo. Symposium: Eating behaviour and physical activity in a multicultural perspective – current situation, theory and intervention. (published in Abstract book) June 21.th 2007
  • Jenum AK: Fysisk aktivitet og metodeproblemer hos etniske minoriteter (Invited speaker). The Norwegian Diabetes Research Conference. February 7.-9.th 2007.
  • Jenum AK: Høy forekomst av diabetes og fedme i en multietnisk populasjon i Oslo øst Oral presentation. NidaroskonNidaroskongressen Norsk allmennmedisinsk forskningskongress. (published in Abstract book). October 25. Th 2001.
  • Jenum AK: MoRo-prosjektet i Oslo. Overvektbekjempelse som virker. Teori, resultater og implementering. Idrettsmedisinsk Høstkongress, Hamar. Invited speaker. November 2.-5.th. 2006.
  • Jenum AK: MoRo-prosjektet. Resultater av intervensjonen etter 3 år. (OP) Nordic Diabetes research Conference, Trondheim (published in Abstract book) September 30.-Oct. 1.st.
  • Jenum AK: The “Romsås in Motion” study – a health promotion initiative to reduce inequalities in Oslo (Norway). Oral presentation. The European Public Health Association, Rome. Eur. J of Public Health 2003; 13 (Suppl): 14. November 17-21.th 2003.
  • Jenum AK: The “Romsås in Motion” Study, Norway. A theory-based community intervention to promote physical activity in a multiethnic low SES district in Oslo. Examples of interventions that focus on physical activity for all and aim to reduce social inequalities. Invited speaker WHO - Move for Health Day 2008. Event on physical activity for all. Copenhagen. May 9.th 2008
  • Jenum AK: The challenge of intervention in different populations. Invited speaker. European Society of Cardiology, EuroPRevent 2009 Conference, Stockholm - Sweden May 7.th 2009.
  • Jenum AK: The Romsås in motion study. A multi-disiplinary community intervention trial promoting physical activity to oppose the diabetes epidemic. Objectives, design and theoretical basis. Conference on Diabetes Research, November 2002.
  • Jenum AK: Working with migrant communities.Differences in health between “ethnic minorities” and host population – what should be done? Invited speaker International Diabetes Federation (IDF), Cape Town, South Africa. Diabetic Medicine 2006;23 (Suppl):632, Abstr 1800). December 7.th 2006.
  • Kumar B, Jenum AK, Birkeland KI, Holmboe-Ottesen G: Ethnic differences in the prevalence and determinants of diabetes in Oslo, Norway. Poster. International Diabetes Federation (IDF), Paris Diabetologia 2003; 46-2: A37. (OP – 101) August 24. 29.th 2003.
  • Kumar BN, Jenum AK, Birkeland KI, Holmboe-Ottesen G: Ethnic differences in the metabolic syndrome among immigrants in Oslo. European Association for the Study of Diabetes (EASD) 2005, Athens. Diabetologia 2005; 48 (Suppl 1); 249 (P 684). September 10-15.th 2005.
  • Lorentzen C, Anderssen SA, Holme I, Raastad T, Jenum AK: Fysisk aktivitet og risikofaktorer for hjerte- og karsykdom hos kvinner. Konferanseforedrag. Norsk Idrettsmedisinsk Forenings Høstkongress 2001, Oslo, 1. – 4. november 2001.
  • Lorentzen C, Jenum AK, Ommundsen Y, Holden Bergh I: The ”Romsås in Motion” intervention study: Background, selected findings, lessons learned & implication for practice Annual Conference of the International Society of Behavioral Nutrition and Physical Activity, Lisbon, Portugal, 17.-20. June 2009.
  • Lorentzen C, Ommundsen Y, Holme: The Romsås in Motion Community Intervention: psychosocial mediating effects on forward transition in the stages of physical activity change. Konferanseforedrag på konferansen Cardiac rehabilitation, Motivation, and Health behaviour, Bergen,  29.-30. mai 2006.
  • Lorentzen C, Ommundsen Y, Jenum AK, Holme I: The "Romsås in motion" community intervention: Mediating effects of psychosocial factors on forward transition in the stages of change in physical activity. Konferanseposter, 6th Annual conference of the International Society of behavioral Nutrition and Physical activity, Oslo, 20.-23. juni 2007.
  • Lorentzen C, Ommundsen Y: Differentiating men and women by physical activity stage of change; the role of psychosocial variables. Konferanseforedrag, 18th Annual Conference of the European Health Psychology Society, Helsinki, Finland, 21.-24. juni 2004.
  • Lorentzen C, Ommundsen Y: Psychosocial correlates of stages of change in physical activity in an adult community sample. Konferanseforedrag, 2004 pre-Olympic congress Thessaloniki, Greece, 6.-11. August 2004.
  • Lorentzen C, Ommundsen Y: Psychosocial mediators of forward transition in the stages of physical activity change in an adult community population. 19th Annual Conference of the European Health Psychology Society, Galway, Irland,  31. August – 3. September 2005.
  • Lorentzen C. The “Romsås in Motion” community intervention: relation of specific intervention components to change in stages of change in physical activity and psychosocial mediators. Konferanseforedrag. International Congress on Physical Activity and Public Health, Amsterdam, Nederland, 13.-16. april 2008.
  • Ommundsen Y, Jenum AK: Strategi for livsstilsendring. Invited speaker. Idrettsmedisinsk Høstkongress, Hamar.November 2.-5.th 2006.
  • Strand Ølnes, N, Anderssen, S, Raastad, T, Jenum, AK, Holme: Sammenhengen mellom kardiorespiratorisk form og utvalgte risikofaktorer for hjerte- og karsykdom blant kvinner på Romsås. Norsk Idrettsmedisinsk Forenings høstkongress 2001, 01-04.11.2001, Oslo.

List of student projects and doctorate theses based on MoRo

  • Jenum AK: A Public Health Approach to the Prevention of Type 2 Diabetes and Cardiovascular Disease. Background, Methods and Results of the “Romsås in Motion” Community-based Intervention Study. Thesis, Dr. med, Faculty of Medicine, University of Oslo 2006.
  • Lorentzen, C: Psychosocial mediators of stages of change in physical activity: cross-sectional and prospective studies based on the “Romsås in Motion” community intervention. Thesis, PhD. Department of Coaching and Psychology, Norwegian School of Sport Sciences, 2007.
  • Christin Wiegels: Effekt av tilrettelagt fysisk aktivitet på metabolske variabler og VO2max blant høyrisikopersoner for type 2 diabetes og hjerte-karsykdommer. MPH 2004:6 Nordiska högskolan för folkhälsovetenskap, 2004.
  • Haug E: Kartlegging av fysisk aktivitet i befolkningssammenheng. En valideringsstudie av International Physical Activity Questionnaire (IPAQ)benyttet i "Helseundersøkelsen på Romsås" mot Vo2max og FA oppgitt i SHUS-skjema. Norges idrettshøgskole, 2002.
  • Haave K, Bjørnsen IB: Fra fysisk inaktiv til fysisk aktiv. Fordypningsoppgave i fysioterapi. Høgskolen i Oslo. Avdeling for helsefag. Fysioterapiutdanningen, 2006.
  • Ingunn Holten Berg: Effekt av livsstilsintervensjon med vekt på fysisk aktivitet på risikofaktorer for diabetes og hjerte-og karsykdom. En kvasieksperimentell studie i et utvalg med høyrisikoindivider fra en multietnisk befolkning i Romsås bydel i Oslo.Hovedfagsoppgave Noregs Idrettshøgskole 2006.
  • Johannessen, S: Stages of Change for Physical Activity: A study of Social cognitive correlates in an adult population. Norges idrettshøgskole, 2004.
  • Johansson L: Effekten av rehabilitering på forandring i stadiemodellen for fysisk aktivitet, motivation for trening og opplevd livskvalitet. Norges idrettshøgskole, 2005.
  • Lorentzen, C: Fysisk aktivitet og risikofaktorer for hjerte- og karsykdom hos kvinner, Norges idrettshøgskole, 2001.
  • Strand Ølnes N: Sammenhengen mellom kardiorespiratorisk form og utvalgte risikofaktorer for hjerte- og karsykdom blant kvinner på Romsås, Norges idrettshøgskole, 2002. 
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