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

Yiga, Peter; Seghers, Jan; Ogwok, Patrick; Matthys, Christophe

doi:10.1017/s0007114520001828

Cited by 24 publications

(46 citation statements)

References 66 publications

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“…One of the factors (negative perception towards overweight) was divergent from previous findings across urban SSA, while two determinants food safety concerns and social media are new additions in urban SSA. For physical activity, fourteen of the eighteen determinants were comparable with previous findings across urban SSA (21) . Five determinants like social media, limited space within homes, physical activity planning skills, physical activity preferences and increased availability of cheap services are new additions to evidence base within urban SSA.…”

Section: Discussionsupporting

confidence: 83%

“…The findings are peculiar to WRA as defined in the current study. The study identified twenty-one factors influencing dietary behaviour of which eighteen were in line with findings from other settings across urban SSA (21,39) . One of the factors (negative perception towards overweight) was divergent from previous findings across urban SSA, while two determinants food safety concerns and social media are new additions in urban SSA.…”

Section: Discussionsupporting

confidence: 68%

“…Topical systematic reviews have highlighted a need for rigorous qualitative studies to understand the determinants of dietary and physical activity behaviours in urban Uganda (21,39) . This study highlights potential determinants amenable to change through policy and programming.…”

Section: Implication For Health Promotion Policies and Programmingmentioning

confidence: 99%

“…Hence, understanding determinants of dietary and physical activity decisions in women is vital. Our topical systematic review on determinants of dietary and physical activity behaviours among women of reproductive age (WRA) in urban SSA found food knowledge gaps, time and financial barriers, culture (prestige linked to weight gain and consumption of animal protein) and family network to be important determinants of dietary behaviours (21) . Cultural beliefs instigating several misconceptions (mainly gender stereotypes) and fast changing transport environment chiefly mediated physical activity behaviours.…”

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confidence: 99%

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Determinants of dietary and physical activity behaviours among women of reproductive age in urban Uganda, a qualitative study

Yiga

Ogwok

Achieng

et al. 2020

Public Health Nutr.

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Objective: To explore determinants of dietary and physical activity behaviours among women of reproductive age. Design: Data were collected through focus group discussions (FGD). The FGD guide was based on a modified theoretical framework; theory of planned behaviour was incorporated with constructs of health belief model, precaution adoption process model, social cognitive and social support theory. Discussions were audio recorded, transcribed verbatim and analysed thematically. Setting: Kampala, Uganda. Participants: Women were categorised into young adults; 18–34 years and adults; 35–45 years Results: Separate FGD with independent participants were conducted for dietary and physical activity behaviours until data saturation was achieved. Six FGD were conducted per behaviour. Determinants of dietary behaviours at intra-individual level included gaps in food skills, knowledge and self-efficacy, food safety concerns, convenience, finances and physiological satisfaction. The social-cultural norms were relationship between vegetable consumption and low social status, consideration of fruits as a snack for children and not food and habitual orientation towards carbohydrate foods. At environment level, social networks and increased availability of energy-dense, nutrient poor, street and processed foods influence dietary behaviour. For physical activity, intra-individual determinants were knowledge gaps and self-efficacy, while socio-cultural norms included gender stereotypes. Home (limited space and sedentary entertainment like social media and TV) and physical environment (cheap motorised transportation) influence physical activity. Conclusion: The existing cultural beliefs promote dietary and physical activity behaviours which are divergent from healthy recommendations. Therefore, a comprehensive intervention is needed to address socio-cultural misconceptions, financial and time limitations in urban Uganda.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 68%

Section: Implication For Health Promotion Policies and Programmingmentioning

confidence: 99%

mentioning

confidence: 99%

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Determinants of dietary and physical activity behaviours among women of reproductive age in urban Uganda, a qualitative study

Yiga

Ogwok

Achieng

et al. 2020

Public Health Nutr.

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“…Therefore, although this study reports gender stereotypes in the young population, it argues that participation in physical activity and range of sports at an earlier age contributes to a more exible attitude later on toward gender/norms in physical activity [32]. In addition, a systematic review conducted in SSA reported that the traditional gender stereotypes of women not engaging in out-door activities in uenced the level of physical activity participation because physical activity was perceived as unfeminine [33]. Findings from this study emphasize the need for contextual gender-based interventions appropriate for PLWH as well as interventions addressing positively the existing stereotypes and roles to accommodate and promote physical activity to improve health.…”

Section: Discussionmentioning

confidence: 76%

Perceptions, Facilitators And Barriers of Physical Activity Among People Living With HIV: A Qualitative Study

Kitilya¹,

Sanga²,

PrayGod³

et al. 2021

Preprint

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BackgroundPeople Living with HIV (PLWH) have low levels of physical activity. Understanding of perceptions, facilitators and barriers of physical activity in this population is of importance for future perspectives in developing contextual based intervention to improve physical activity in PLWH. MethodThis study explored perceptions, facilitators and barriers of physical activity in PLWH using sixteen in-depth interviews and three focus group discussions conducted in Mwanza, Tanzania. The interviews and discussions were audio recorded, transcribed and translated into English. Transcripts were coded and analysed deductively using thematic content analysis. The themes were interpreted and presented using the social ecological model. ResultsForty-three PLWH age 23-61 years old participated in this study. The findings showed that, PLWH perceived physical activity was beneficial to their health and that their perceptions and practices were rooted within the existing gender stereotypes and roles in the community. In addition to that, house-chores and income generating activities were perceived as sufficient physical activity to achieve adequate levels of physical activity. As facilitators, social support and interactions from family and friends were appraised positively as motivating factors of physical activity in this population. Indeed, at individual to community/environmental levels, PLWH reported barriers of physical activity were lack of time, money, and availability of facilities, as well as lack of social groups participating in physical activity in the communities and inadequate information on physical activity from health care providers at ART clinics. HIV disease was not reported as a main barrier of physical activity but rather stipulated from family members as a reason not to support physical activity in PLWH. ConclusionThe findings demonstrated differing perceptions, facilitators and barriers of physical activity among PLWH. Interventions addressing physical activity awareness, gender stereotypes and roles relating to physical activity performances from individual to community level, building supportive environment and infrastructures are needed to elevate physical activity levels in PLWH particularly in low and -middle income countries.

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Reverse thinking: taking a healthy diet perspective towards food systems transformations

et al. 2021

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Food systems that deliver healthy diets without exceeding the planet’s resources are essential to achieve the worlds’ ambitious development goals. Healthy diets need to be safe, accessible, and affordable for all, including for disadvantaged and nutritionally vulnerable groups such as of smallholder producers, traders, and consumers in low- and middle-income countries. Globally, food systems are experiencing rapid and drastic changes and are failing to fulfil these multiple duties simultaneously. The international community therefore calls for rigorous food systems transformations and policy solutions to support the achievement of healthy diets for all. Most strategies, however, are essentially supply- and market-oriented. Incorporation of a healthy diet perspective in food system transformation is essential to enable food systems to deliver not only on supplying nutritious foods but also on ensuring that consumers have access can afford and desire healthy, sustainable, and culturally acceptable diets. This paper argues that this should be guided by information on diets, dietary trends, consumer motives, and food environment characteristics. Transformational approaches and policies should also take into account the stage of food system development requiring different strategies to ensure healthier diets for consumers. We review current knowledge on drivers of consumer choices at the individual and food environment level with special emphasis on low- and middle income countries, discuss the converging and conflicting objectives that exist among multiple food-system actors, and argue that failure to strengthen synergies and resolve trade-offs may lead to missed opportunities and benefits, or negative unintended consequences in food system outcomes. The paper proposes a menu of promising consumer- and food-environment- oriented policy options to include in the food systems transformation agenda in order to shift LMIC consumer demand towards healthier diets in low- and middle income countries.

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

Cited by 24 publications

References 66 publications

Determinants of dietary and physical activity behaviours among women of reproductive age in urban Uganda, a qualitative study

Determinants of dietary and physical activity behaviours among women of reproductive age in urban Uganda, a qualitative study

Perceptions, Facilitators And Barriers of Physical Activity Among People Living With HIV: A Qualitative Study

Reverse thinking: taking a healthy diet perspective towards food systems transformations

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