@article{fdi:010079337,
  title = {{D}ietary behaviours in the context of nutrition transition : a systematic review and meta-analyses in two {A}frican countries},
  author = {{R}ousham, {E}. {K}. and {P}radeilles, {R}. and {A}kparibo, {R}. and {A}ryeetey, {R}. and {B}ash, {K}. and {B}ooth, {A}. and {M}uthuri, {S}. {K}. and {O}sei-{K}wasi, {H}. and {M}arr, {C}. {M}. and {N}orris, {T}. and {H}oldsworth, {M}ichelle},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}o synthesise evidence of urban dietary behaviours (macronutrients, types of foods, dietary diversity and dietary practices) in two {A}frican countries in relation to postulated changes in the context of nutrition transition. {D}esign: {S}ystematic review and meta-analyses, including six online databases and grey literature, 1971-2018 ({P}rotocol {CRD}42017067718). {S}etting: {U}rban {G}hana and {K}enya. {P}articipants: {P}opulation-based studies of healthy adolescents and adults. {R}esults: {T}he forty-seven included studies encompassed 20 726 individuals plus 6526 households. {M}acronutrients were within {WHO}-recommended ranges: mean energy intake was 1867 kcal/d (95 % {CI} 1764, 1969) and the proportions of macronutrients were carbohydrate 61 center dot 2 % (58 center dot 4, 64 center dot 0), fat 25 center dot 3 % (22 center dot 8, 28 center dot 0) and protein 13 center dot 7 % (12 center dot 3, 15 center dot 1). {T}he proportion of population consuming fruit and vegetables was 51 center dot 6 %; unhealthy foods, 29 center dot 4 %; and sugar-sweetened beverages ({SSB}s), 39 center dot 9 %. {T}wo-thirds (68 center dot 8 %) consumed animal-source proteins. {D}ietary diversity scores were within the mid-range. {M}eal patterns were structured (typically three meals per day), with evidence lacking on snacking or eating out. {C}onclusions: {P}opulation-level diets fell within {WHO} macronutrient recommendations, were relatively diverse with structured meal patterns, but some indications of nutrition transition were apparent. {T}he proportion of population consuming fruit and vegetables was low compared to healthy-eating recommendations, and consumption of {SSB}s was widespread. {A} paucity of evidence from 1971 to 2010 precluded a longitudinal analysis of nutrition transition. {E}vidence 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 {SSB}s. {T}hese are potential targets for promoting healthier diets.},
  keywords = {{D}ietary behaviours ; {M}acronutrients ; {F}ood consumption ; {D}ietary diversity ; {D}ietary practices ; {G}hana ; {K}enya ; {GHANA} ; {KENYA}},
  booktitle = {},
  journal = {{P}ublic {H}ealth {N}utrition},
  volume = {23},
  numero = {11},
  pages = {1948--1964},
  ISSN = {1368-9800},
  year = {2020},
  DOI = {10.1017/s1368980019004014},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079337},
}