Dietary behaviours in the context of nutrition transition: a systematic review and meta-analyses in two African countries.

Public Health Nutrition
Emily K RoushamMichelle Holdsworth

Abstract

To synthesise evidence of urban dietary behaviours (macronutrients, types of foods, dietary diversity and dietary practices) in two African countries in relation to postulated changes in the context of nutrition transition. Systematic review and meta-analyses, including six online databases and grey literature, 1971-2018 (Protocol CRD42017067718). Urban Ghana and Kenya. Population-based studies of healthy adolescents and adults. The forty-seven included studies encompassed 20 726 individuals plus 6526 households. Macronutrients were within WHO-recommended ranges: mean energy intake was 1867 kcal/d (95 % CI 1764, 1969) and the proportions of macronutrients were carbohydrate 61·2 % (58·4, 64·0), fat 25·3 % (22·8, 28·0) and protein 13·7 % (12·3, 15·1). The proportion of population consuming fruit and vegetables was 51·6 %; unhealthy foods, 29·4 %; and sugar-sweetened beverages (SSBs), 39·9 %. Two-thirds (68·8 %) consumed animal-source proteins. Dietary diversity scores were within the mid-range. Meal patterns were structured (typically three meals per day), with evidence lacking on snacking or eating out. Population-level diets fell within WHO macronutrient recommendations, were relatively diverse with structured meal patterns, bu...Continue Reading

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Citations

Jul 25, 2021·International Journal of Environmental Research and Public Health·Vasilii ErokhinYuhang Zong

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