Nutrition Transition in Africa: Consequences and Opportunities

Mbogori, Teresia; Mucherah, Winnie

doi:10.14434/gjte.v1i1.26141

Cited by 9 publications

(6 citation statements)

References 27 publications

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“…In the USA, a longitudinal analysis of a national registry of in patients with primary diagnosis of DD between 1997 and 2018 revealed a 32% increase in hospitalization [49]. The Western world has an estimated prevalence that ranges from 45% to 60% in patients aged over 80 years while for Asian countries from the last decade of the twentieth century, this has increased from 12% to 25% [1][2][3]50]. Dietary transition in middle-and low-income countries with global adoption of Western diet is a recognized risk for DD in Africa [51].…”

Section: Discussionmentioning

confidence: 99%

Colonic Diverticulosis at Colonoscopy in Africa: A Systematic Review and Meta-Analysis of Pooled Estimates

Ray-Offor,

Egboh,

Ijah

et al. 2024

Dig Surg

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Background: There is need to ascertain any epidemiologic shift of diverticulosis among Africans with traditionally high fiber diet consumption patterns and rare diverticulosis prevalence. Methods: We systematically searched PubMed, Scopus, Cochrane Library, African Journal Online (AJOL) and Google Scholar. Eligibility criteria included full text observational and experimental human colonoscopy studies on asymptomatic and symptomatic African population from 1985-2022. Case reports, conference abstracts, dissertations, systematic reviews, and studies lacking colonoscopy findings were excluded. NIH quality assessment tool for observational cohort and cross-sectional studies was used to assess risk of bias. Meta-analysis was performed using the random-effect model. Heterogeneity was assessed using inconsistency (I2) statistics. Results: Thirty studies were included. Pooled prevalence rate of colonic diverticulosis was 9.1% (95%CI 7.1-11.2; I2=96.3%) with highest regional prevalence rate in West African studies at 11.3% (95%CI 7.6-14.9; I2=96.2%). Proportion of individuals with diverticulosis ≥50 years and male sex were 86.9 % (95%CI 80.5-92.1) and 65.2% (95%CI 55.0-74.8), respectively. Left colon had the highest diverticulosis frequency [37% (148/400)]. Bleeding/inflammation complications were sparingly detected [OR 0.2 (95%CI 0.03-0.75;p<0.0001)]. Conclusion: Colonic diverticulosis was most common in males aged >50. Left was colon predominantly affected. Regional variation in detection of diverticulosis was reported across Africa.

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Section: Discussionmentioning

confidence: 99%

Colonic Diverticulosis at Colonoscopy in Africa: A Systematic Review and Meta-Analysis of Pooled Estimates

Ray-Offor,

Egboh,

Ijah

et al. 2024

Dig Surg

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“…Interestingly, there has been a notable increase in cardiometabolic risk among the West African cohort of Black immigrants since the 1990s [7,34,46]. This paradigm shift from traditional African diets low in fat/sugars and high in ber, herbs, and spices has been attributed to westernized assimilation to diets high in fat, salt, and sugar and low in ber, especially in urban areas of West African countries [27,34]. This transition has been in uenced by urbanization, improvements in socioeconomic status, and technological innovations [27].…”

Section: Racial Heterogeneity and Nutritional Statusmentioning

confidence: 99%

Patterns of US Citizenship Status vs. Diet Quality among Adults of African Descent

Jeffery,

Duan,

Ardakani

et al. 2024

Preprint

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Introduction: With the substantial growth rate of the Black immigrant population in the US, the impact of colonization on the diets of African Americans and disproportionately high rates of chronic diseases in the Black Community, studies should place more emphasis on ethnicity when investigating nutrition-related risk factors. This study examined the relationship between variations in citizenship level and diet quality among adult subjects of African descent. Methods: We analyzed data from 1,198 African American adults in the NHANES 2015-2016. A 'citizenship level' scale was developed using principal component analysis, incorporating years lived in the US, country of birth, and citizenship status. Diet quality was assessed using HEI scores. Associations between citizenship level, gender, age, income, and categorized diet quality (poor, moderate, or good) were examined using a Monte Carlo simulation of Fisher's exact tests. Linear regression models were employed to examine the relationship between citizenship level and continuous HEI scores, adjusting for gender, age, and income, with stratified analyses conducted for each demographic subgroup. Results: Fisher's exact tests revealed that the level of US citizenship, gender, age, and income level were all significantly associated with the categorical level of diet quality (HEI). Regression analysis demonstrated that a lower level of US citizenship was significantly associated with higher HEI scores, indicative of better diet quality (p < 0.001), even after adjusting for gender, age, and income. This relationship persisted across most demographic subgroups but appeared stronger among males and those in the lowest income bracket. The relationship was also significant for younger adults but not for adults aged 65 and older. Conclusions: Studies suggest a need for more inclusive culturally tailored nutrition interventions. To minimize the impact of colonization and US assimilation on lifestyle practices and chronic diseases, future studies should consider interventions that utilize traditional dietary patterns of the African diaspora as a tool to improve the quality of life among people of African descent.

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“…10,11 Research shows that westernisation of the African diet and lifestyle has contributed to increased risk of developing metabolic and non-communicable conditions. 12 It was estimated by the World Health Organization (WHO) that almost 40% of the global population has dyslipidaemia, and 22% of that total lives in Africa. 13 Community-based surveys in South Africa have reported the prevalence to be up to 90% in some cases.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and lifestyle modifications for dyslipidaemia among patients on statins in Pretoria

September,

Ndimande,

Okonta

et al. 2024

Journal of the Colleges of Medicine of South Africa

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Background: Nearly half of all non-communicable diseases are caused by cardiovascular diseases, for which one of the most important risk factors is dyslipidaemia. This study assessed the knowledge and lifestyle modification practices regarding dyslipidaemia among patients taking statins at Phedisong 4 Community Health Centre in Pretoria, South Africa.Methods: This was a descriptive cross-sectional study using a structured administered and piloted questionnaire.Results: The mean age of the 268 participants was 60.1 years, with a minimum and maximum of 27 years and 89 years, respectively. High participation rates were seen among females (70.2%), those who were overweight (44.8%), adults with high school level education (48.1%), pensioners (54.1%), those with low incomes (83.2%), non-smokers (86.9%), and people with co-morbid conditions, including hypertension (92.2%) and diabetes mellitus (31.0%). Findings revealed that 66.3% of participants with dyslipidaemia adjusted their lifestyles, despite poor knowledge. There was a significant relationship between poor knowledge and poor practices in 55.6% of the participants (p 0.001).Conclusion: This study found that participants’ lack of information about dyslipidaemia did not affect their behaviour because more than half of them practiced lifestyle modifications, which can be related to the study sample’s over 90% concomitant hypertension diagnosis. Ongoing education on dyslipidemia should be addressed through a variety of venues, including health education at different health institutions.Contribution: It is necessary to maintain ongoing education of patients about dyslipidaemia, its treatment, and related lifestyle modifications through a variety of channels, including health education in different health facilities around Pretoria.

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Nutrition Transition in Africa: Consequences and Opportunities

Cited by 9 publications

References 27 publications

Colonic Diverticulosis at Colonoscopy in Africa: A Systematic Review and Meta-Analysis of Pooled Estimates

Colonic Diverticulosis at Colonoscopy in Africa: A Systematic Review and Meta-Analysis of Pooled Estimates

Patterns of US Citizenship Status vs. Diet Quality among Adults of African Descent

Knowledge and lifestyle modifications for dyslipidaemia among patients on statins in Pretoria

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