ArticleBMJ open2017
Dietary determinants of serum total cholesterol among middle-aged and older adults: a population-based cross-sectional study in Dar es Salaam, Tanzania.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Total cholesterol and the associated factors among adults aged 18-69 years in Uganda: analysis of the 2023 national population-based non-communicable disease survey data.BMC public health · 2026Article
- Article
- The prevalence of metabolic syndrome and associated factors among adults on antiretroviral therapy in Dar es Salaam, Tanzania.Research square · 2024Article
- Prediction of hypercholesterolemia using machine learning techniques.Journal of diabetes and metabolic disorders · 2023Article
- Article
- Associations of fruit & vegetable intake and physical activity with poor self-rated health among Chinese older adults.BMC geriatrics · 2022Article
- Cross-country comparison of dietary patterns and overweight and obesity among adult women in urban Sub-Saharan Africa.Public health nutrition · 2021Article
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Authors and funding
10 authors at 5 institutions in 4 countries.
Funding
Abstract
objectiveTo assess the dietary determinants of serum total cholesterol.
designCross-sectional population-based study.
settingPeri-urban region of Dar es Salaam, Tanzania.
participants347 adults aged 40 years and older from the Dar es Salaam Urban Cohort Hypertension Study.
main outcome measureSerum total cholesterol measured using a point-of-care device.
resultsMean serum total cholesterol level was 204 mg/dL (IQR 169-236 mg/dL) in women and 185 mg/dL (IQR 152-216 mg/dL) in men. After adjusting for demographic, socioeconomic, lifestyle and dietary factors, participants who reported using palm oil as the major cooking oil had serum total cholesterol higher by 15 mg/dL (95% CI 1 to 29 mg/dL) compared with those who reported using sunflower oil. Consumption of one or more servings of meat per day (p for trend=0.017) and less than five servings of fruits and vegetables per day (p for trend=0.024) were also associated with higher serum total cholesterol. A combination of using palm oil for cooking, eating more than one serving of meat per day and fewer than five servings of fruits and vegetables per day, was associated with 46 mg/dL (95% CI 16 to 76 mg/dL) higher serum total cholesterol.
conclusionsUsing palm oil for cooking was associated with higher serum total cholesterol levels in this peri-urban population in Dar es Salaam. Reduction of saturated fat content of edible oil may be considered as a population-based strategy for primary prevention of cardiovascular diseases.
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