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The purpose of nutrition information on a nutrition label is to communicate to consumers the nutritional content of prepackaged foods so that they would be able to identify healthy foods before purchase. Many systematic reviews in the area of consumer awareness, knowledge, understanding, and use of nutrition labels have focused on the United States, Canada, Asia, Europe, Australia, and New Zealand, and little attention has been given to African countries. To review the state of consumer awareness, knowledge, understanding, and use of nutrition labels within the African region, identify barriers to the use of nutrition labels, identify consumers who are more likely to use labels, and assess the factors that affect purchasing decisions. Searches were done in electronic databases (PubMed, Google Scholar, Semantic Scholar, Web of Science) and the reference lists of relevant research articles (back referencing). The review was limited to cross-sectional peer-reviewed research articles which were published in the English Language between January 2000 and June 2022. Twenty-six peer-reviewed papers from 10 African countries that met our inclusion criteria are included in this systematic review. The overall crude means of levels of awareness, knowledge, understanding, and use of nutrition labels were found to be 74.2%, 56.4%, 45.3%, and 69.1%, respectively. Consumer levels of knowledge and understanding of nutrition labels across the 10 African countries were low compared to the awareness and use of nutrition labels.
The purpose of nutrition information on a nutrition label is to communicate to consumers the nutritional content of prepackaged foods so that they would be able to identify healthy foods before purchase. Many systematic reviews in the area of consumer awareness, knowledge, understanding, and use of nutrition labels have focused on the United States, Canada, Asia, Europe, Australia, and New Zealand, and little attention has been given to African countries. To review the state of consumer awareness, knowledge, understanding, and use of nutrition labels within the African region, identify barriers to the use of nutrition labels, identify consumers who are more likely to use labels, and assess the factors that affect purchasing decisions. Searches were done in electronic databases (PubMed, Google Scholar, Semantic Scholar, Web of Science) and the reference lists of relevant research articles (back referencing). The review was limited to cross-sectional peer-reviewed research articles which were published in the English Language between January 2000 and June 2022. Twenty-six peer-reviewed papers from 10 African countries that met our inclusion criteria are included in this systematic review. The overall crude means of levels of awareness, knowledge, understanding, and use of nutrition labels were found to be 74.2%, 56.4%, 45.3%, and 69.1%, respectively. Consumer levels of knowledge and understanding of nutrition labels across the 10 African countries were low compared to the awareness and use of nutrition labels.
Different studies and systematic reviews have reported weight increase after tonsillectomy. However, the odds of a child being overweight or obese after tonsillectomy were no different than before surgery, according to a few studies. This systematic review aims to analyze the impact of adenotonsillectomy (TA) on weight gain and identify subgroups of children and adolescents at risk of experiencing weight gain. A systematic search included studies published in the last ten years. The PICO framework was used in the selection process, and evidence was assessed using the GRADE system. A total of 26 studies were included, and moderate–high level quality ones showed that children who underwent TA could present an increase in BMI z-score. However, this weight gain was significant in individuals younger than six years old and was considered catch-up growth in underweight subjects at baseline. In contrast, for normal-weight or overweight individuals, TA did not lead to overweight per se. At the same time, diet changes and overfeeding did not have a leading role in weight gain. In conclusion, TA may not be an independent risk factor for unfavorable weight gain in children; however, individuals who were underweight pre-operatively or younger than six years reported more weight gain after TA than expected.
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