Dietary Quality and the Nutrition Transition in Sub-Saharan Africa

Diet Quality ◽  
2013 ◽  
pp. 263-279 ◽  
Author(s):  
Hélène Delisle ◽  
Victoire-Damienne Agueh ◽  
Roger Sodjinou ◽  
Gervais Deleuze Ntandou-Bouzitou ◽  
Charles Daboné
Keyword(s):  
Nutrition Transition ◽  
Sub Saharan Africa ◽  
Dietary Quality ◽  
Sub Saharan

scholarly journals Potential role of neglected and underutilized plant species in improving women’s empowerment and nutrition in areas of sub-Saharan Africa

2019 ◽  
Vol 77 (11) ◽  
pp. 817-828 ◽  
Author(s):  
Maria Vittoria Conti ◽  
Ausilia Campanaro ◽  
Paola Coccetti ◽  
Rachele De Giuseppe ◽  
Andrea Galimberti ◽  
...  
Keyword(s):  
Plant Species ◽  
Food Production ◽  
Potential Role ◽  
Nutrition Transition ◽  
Sub Saharan Africa ◽  
Diet Diversity ◽  
Nutrition Security ◽  
Local Agriculture ◽  
Sub Saharan

Abstract In the context of the nutrition transition, women in sub-Sahara Africa are a critical target group from a nutrition standpoint, and they experience significant discrimination in food production. Food-based, women-centered strategies are recommended to address nutrient gaps, and to educate and empower women. In this context, local natural resources, such as neglected and underutilized plant species (NUS), may contribute to adding nutritional value, enriching diet diversity, and ensuring nutrition security. The aim of the current narrative review is to investigate the nutritional status of the sub-Saharan African population and the potential role of local agriculture strategies in improving food production and diet diversity and in expanding income-generating activities for women. The nutritional properties of the most important regional NUS are also discussed.

scholarly journals Obesity and the nutrition transition in Sub‐Saharan Africa

2014 ◽  
Vol 1311 (1) ◽  
pp. 88-101 ◽  
Author(s):  
Nelia P. Steyn ◽  
Zandile J. Mchiza
Keyword(s):  
Nutrition Transition ◽  
Sub Saharan Africa ◽  
Sub Saharan

THE DUAL BURDEN OF NUTRITION TRANSITION AMONG WOMEN IN SUB-SAHARAN AFRICA: A CASE STUDY OF UNDERWEIGHT IN NIGERIA

2015 ◽  
Vol 48 (4) ◽  
pp. 486-501 ◽  
Author(s):  
Ngianga-Bakwin Kandala ◽  
Jacques B. O. Emina
Keyword(s):  
Risk Factors ◽  
Mixed Model ◽  
Nutrition Transition ◽  
Public Health Problem ◽  
Sub Saharan Africa ◽  
Major Public Health Problem ◽  
Individual Level ◽  
Under Nutrition ◽  
Nutrition Research ◽  
Sub Saharan

SummaryIn sub-Saharan Africa, nutrition research has primarily focused on under-nutrition, particularly among vulnerable children. However, there is increasing evidence of an emerging nutrition transition with extremely high rates of obesity, and malnutrition in women may be a problem that is insufficiently recognized and inadequately documented. This analysis was based on the 2008 Nigerian Demographic and Health Survey (NDHS), which included 27,967 women aged 15–49 years. Individual-level data were collected for socio-demographic characteristics and aggregated to the country’s 37 states. A Bayesian geo-additive mixed model was used to map the geographic distribution of under-nutrition at the state level, accounting for individual-level risk factors. The results reveal that 12.0% of the population were underweight, while 20.9% were either overweight or obese, based on BMI. The northern states of Sokoto and Yobe/Borno and the southern state of Delta had the highest prevalence of underweight, while states in the centre had the lowest underweight prevalence. Underweight women were more likely to be from poorer households compared with their counterparts from the richest wealth index, which were consistently associated with lower odds of being underweight (posterior odds ratio (POR) and 95% credible region (CR): 0.56 [0.46, 0.70]). On the other hand Muslim women (1.61 [1.10, 2.23]), those of traditional religion (2.12 [1.44, 3.00]), those from the Fulani ethnic group (2.90 [1.64, 5.55]) and those living in Yobe state were all consistently associated with higher odds of being underweight. This study demonstrates that underweight is a major public health problem in Nigeria affecting adult females in the northern states of Nigeria. Identifying risk factors and the need to account for sex, spatial and socio-cultural issues are crucial to develop and implement evidence-informed strategies and interventions for lifestyle health promotion.

scholarly journals Determinants of dietary and physical activity behaviours among women of reproductive age in urban sub-Saharan Africa: a systematic review

2020 ◽  
Vol 124 (8) ◽  
pp. 761-772 ◽  
Author(s):  
Peter Yiga ◽  
Jan Seghers ◽  
Patrick Ogwok ◽  
Christophe Matthys
Keyword(s):  
Physical Activity ◽  
Gender Stereotypes ◽  
Cultural Beliefs ◽  
Nutrition Transition ◽  
Strong Relationship ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Dietary Behaviour ◽  
Women Of Reproductive Age ◽  
Sub Saharan

AbstractUrban sub-Saharan Africa is in a nutrition transition shifting towards consumption of energy-dense nutrient-poor diets and decreasing physical activity. Determinants of nutrition transition in sub-Saharan Africa are presently not well understood. The objective of this review was to synthesise available data on determinants of dietary and physical activity behaviours among women of reproductive age in urban sub-Saharan Africa according to the socio-ecological framework. We searched MEDLINE, Embase, Scopus, Web of Science and bibliographies of included articles for qualitative, observational and randomised controlled studies published in English from January 2000 to September 2018. Studies conducted within general populations of women aged 18–49 years were included. Searches were according to a predefined protocol published on PROSPERO (ID = CRD42018108532). Two reviewers independently screened identified studies. From a total of 9853 unique references, twenty-three studies were retained and were mainly from South and West Africa. No rigorous designed quantitative study was identified. Hence, data synthesis was narrative. Notable determinants of dietary behaviour included: convenience, finances, social network, food skills and knowledge gaps, food deserts and culture. Cultural beliefs include strong relationship between high social status and weight gain, energy-dense confectionery, salt or fat-rich foods. Physical activity is influenced by the fast-changing transport environment and cultural beliefs which instigate unfavourable gender stereotypes. Studies with rigorous qualitative and quantitative designs are required to validate and develop the proposed frameworks further, especially within East Africa. Nevertheless, available insights suggest a need for comprehensive skill-based interventions focusing on socio-cultural misconceptions and financial limitations.

scholarly journals Nutrition Transition in Africa: Consequences and Opportunities

2019 ◽  
Vol 1 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Teresia Mbogori ◽  
Winnie Mucherah
Keyword(s):  
Nutrition Transition ◽  
Fats And Oils ◽  
Overweight And Obesity ◽  
Sub Saharan Africa ◽  
Policy Changes ◽  
Middle Income ◽  
Middle Income Countries ◽  
High Prevalence ◽  
Sub Saharan ◽  
Economic Developments

Nutrition transition, defined as a shift in dietary patterns and energy expenditure, is a major concern worldwide and especially in low and middle-income countries. Nutrition transition is linked to an increased prevalence of metabolic disorders and non-communicable diseases such as obesity, diabetes and cardiovascular diseases. In regions such as the sub-Saharan Africa, prevalence of overweight and obesity has steadily increased in the recent years despite the high prevalence of hunger and malnutrition. Factors that have contributed to nutrition transition include urbanization, socio-economic developments and technological advancements. Food consumption in some households has shifted to diets rich in fats and oils, calorie-based sweeteners, and animal-based products high in saturated fats (referred to as “western diets”), from traditional African diets based on legumes, whole grain products and traditional vegetables.  Opportunities to slow down the effects of nutrition transition in Africa may exist through education and policy changes that are culturally sensitive.  

RTS,S/AS01, a vaccine targeting pre-erythrocytic stages of Plasmodium falciparum

2017 ◽  
Vol 1 (6) ◽  
pp. 533-537
Author(s):  
Lorenz von Seidlein ◽  
Borimas Hanboonkunupakarn ◽  
Podjanee Jittmala ◽  
Sasithon Pukrittayakamee
Keyword(s):  
Protective Efficacy ◽  
Age Groups ◽  
Sub Saharan Africa ◽  
Phase Iii ◽  
European Medicines Agency ◽  
Older Children ◽  
Pivotal Phase ◽  
Malaria Epidemiology ◽  
Maximum Benefit ◽  
Sub Saharan

RTS,S/AS01 is the most advanced vaccine to prevent malaria. It is safe and moderately effective. A large pivotal phase III trial in over 15 000 young children in sub-Saharan Africa completed in 2014 showed that the vaccine could protect around one-third of children (aged 5–17 months) and one-fourth of infants (aged 6–12 weeks) from uncomplicated falciparum malaria. The European Medicines Agency approved licensing and programmatic roll-out of the RTSS vaccine in malaria endemic countries in sub-Saharan Africa. WHO is planning further studies in a large Malaria Vaccine Implementation Programme, in more than 400 000 young African children. With the changing malaria epidemiology in Africa resulting in older children at risk, alternative modes of employment are under evaluation, for example the use of RTS,S/AS01 in older children as part of seasonal malaria prophylaxis. Another strategy is combining mass drug administrations with mass vaccine campaigns for all age groups in regional malaria elimination campaigns. A phase II trial is ongoing to evaluate the safety and immunogenicity of the RTSS in combination with antimalarial drugs in Thailand. Such novel approaches aim to extract the maximum benefit from the well-documented, short-lasting protective efficacy of RTS,S/AS01.

Mortality and Society in Sub-Saharan Africa

1993 ◽  
Vol 47 (3) ◽  
pp. 555-556
Author(s):  
Lado Ruzicka
Keyword(s):  
Sub Saharan Africa ◽  
Sub Saharan

Adolescent Suicidality as Seen in Rural Northeastern Uganda

Crisis ◽  
2011 ◽  
Vol 32 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Eugene Kinyanda ◽  
Ruth Kizza ◽  
Jonathan Levin ◽  
Sheila Ndyanabangi ◽  
Catherine Abbo
Keyword(s):  
Low Socioeconomic Status ◽  
Sub Saharan Africa ◽  
Psychosocial Risk ◽  
Psychiatric Nurses ◽  
Health Concern ◽  
Cross Sectional ◽  
Childhood Experiences ◽  
Low Socioeconomic ◽  
Dsm Iv ◽  
Sub Saharan

Background: Suicidal behavior in adolescence is a public health concern and has serious consequences for adolescents and their families. There is, however, a paucity of data on this subject from sub-Saharan Africa, hence the need for this study. Aims: A cross-sectional multistage survey to investigate adolescent suicidality among other things was undertaken in rural northeastern Uganda. Methods: A structured protocol administered by trained psychiatric nurses collected information on sociodemographics, mental disorders (DSM-IV criteria), and psychological and psychosocial risk factors for children aged 3–19 years (N = 1492). For the purposes of this paper, an analysis of a subsample of adolescents (aged 10–19 years; n = 897) was undertaken. Results: Lifetime suicidality in this study was 6.1% (95% CI, 4.6%–7.9%). Conclusions: Factors significantly associated with suicidality included mental disorder, the ecological factor district of residence, factors suggestive of low socioeconomic status, and disadvantaged childhood experiences.

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