SynthesisPublic health nutrition2020
Dietary behaviours in the context of nutrition transition: a systematic review and meta-analyses in two African countries.
Synthesis in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Improving nutritional status among urban poor children in sub-Saharan Africa: An evidence-informed Delphi-based consultation.Maternal & child nutrition · 2021Pooled it
- Consumer Preferences, Perceived Benefits, and Determinants of Fruit and Vegetable Consumption in Urban Kumasi, Ghana.Food science & nutrition · 2026Article
- Wearable Camera-Based Dietary Assessment of Mother-Father Dyads in Urban and Rural Households in Ghana.Current developments in nutrition · 2026Article
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- Prevalence and Socio-demographic determinants of overweight and obesity among females of reproductive age in ghana: an analysis of the 2022 Ghana demographic and health survey.BMC public health · 2025Article
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- Assessing Market Food Diversity of Three Food Environments of Nairobi, Kenya, Using Spatial and Descriptive Analyses.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Evaluation of an intervention limiting food industry influence on public food policy processes in Ghana.Health promotion international · 2025Article
- Exploring Dietary Salt Knowledge, Attitude, and Practices among People of African Descent in the United Kingdom: A Qualitative Study.Healthcare (Basel, Switzerland) · 2024Article
- A systematic review and meta-analysis of the association between neglected tropical diseases and malnutrition: more research needed on diseases other than intestinal parasites, leishmaniasis and leprosy.Access microbiology · 2024Article
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- Article
- Individual-level drivers of dietary behaviour in adolescents and women through the reproductive life course in urban Ghana: A Photovoice study.Maternal & child nutrition · 2022Article
- From Ampesie to French fries: systematising the characteristics, drivers and impacts of diet change in rapidly urbanising Accra.Sustainability science · 2022Article
- Dietary Diversity and Dietary Patterns in School-Aged Children in Western Kenya: A Latent Class Analysis.International journal of environmental research and public health · 2022Article
- Perspective: Food Environment Research Priorities for Africa-Lessons from the Africa Food Environment Research Network.Advances in nutrition (Bethesda, Md.) · 2022Article
- Consumer demand for novel fruit and vegetable products with extended shelf lives in East Africa: a multinational multi-product analysis.Public health nutrition · 2022Article
- Factors Influencing Adolescents' Dietary Behaviors in the School and Home Environment in Addis Ababa, Ethiopia.Frontiers in public health · 2022Article
- Policy Action Within Urban African Food Systems to Promote Healthy Food Consumption: A Realist Synthesis in Ghana and Kenya.International journal of health policy and management · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
objectiveTo 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.
designSystematic review and meta-analyses, including six online databases and grey literature, 1971-2018 (Protocol CRD42017067718).
settingUrban Ghana and Kenya.
participantsPopulation-based studies of healthy adolescents and adults.
resultsThe 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.
conclusionsPopulation-level diets fell within WHO macronutrient recommendations, were relatively diverse with structured meal patterns, but some indications of nutrition transition were apparent. The proportion of population consuming fruit and vegetables was low compared to healthy-eating recommendations, and consumption of SSBs was widespread. A paucity of evidence from 1971 to 2010 precluded a longitudinal analysis of nutrition transition. Evidence from these two countries indicates which aspects of dietary behaviours may be contributing to increasing overweight/obesity, namely a low proportion of population consuming fruit and vegetables and widespread consumption of SSBs. These are potential targets for promoting healthier diets.
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