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Article
Publication date: 24 October 2018

Tracy Bonsu Osei, Charles Apprey, Felix Charles Mills-Robertson and Agartha N. Ohemeng

This study aims to assess the nutritional status of children with sickle cell diseases using anthropometric measurements, biochemical markers and dietary intakes.

Abstract

Purpose

This study aims to assess the nutritional status of children with sickle cell diseases using anthropometric measurements, biochemical markers and dietary intakes.

Design/methodology/approach

The study was conducted in 100 children of 3-12 years of age with sickle cell diseases (SCDs) at the Komfo Anokye Teaching Hospital in the Kumasi Metropolis of Ghana. Weight, height and age of participants were used to calculate body mass index-for-age. The mid-upper-arm-circumference-for-age, weight-for-age (percentiles) and height-for-age (percentiles) were compared with standards growth charts for children. Biochemical measures such as serum albumin and ferritin, as well as full blood count, were assessed. Dietary intake was assessed using 24-h dietary recall and food frequency questionnaire.

Findings

From the study, 73 and 37 per cent of the children with SCD recorded inadequate intake of iron and vitamin E, respectively, when compared to the recommended daily allowance. Out of the 100 participants, 37 per cent were underweight and 22 per cent were stunted. There was significant difference (p < 0.05) in underweight (weight-for-age) prevalence by gender. A multiple variate regression showed a significant association between zinc (r2 = 0.763, p < 0.05) and haemoglobin levels.

Originality/value

The evidence in this paper is relevant for treatment, health education and nutritional counselling of parents with children who have SCD.

Details

Nutrition & Food Science, vol. 49 no. 2
Type: Research Article
ISSN: 0034-6659

Keywords

Article
Publication date: 11 January 2022

Charles Apprey, Bernice Adu Baah-Nuako, Veronica Tawiah Annaful, Atinuke Olusola Adebanji and Victoria Dzogbefia

This study aims to assess dietary intake and prevalence of metabolic syndrome (MetS) among tanker truck drivers in the Kumasi metropolis, Ghana.

Abstract

Purpose

This study aims to assess dietary intake and prevalence of metabolic syndrome (MetS) among tanker truck drivers in the Kumasi metropolis, Ghana.

Design/methodology/approach

A cross-sectional study design enrolled 212 fuel tanker drivers. Sociodemographic, anthropometric, dietary and biochemical data were collected. MetS was assessed using the National Cholesterol Education Program Expert Panel on detection, evaluation and treatment of high blood cholesterol in adults Adult Treatment Panel III (NCEP ATP III) 2005 criteria. A three-day 24-h dietary recall was used to assess dietary intake. Binary logistic regression analysis was performed to determine the predicting factors of MetS among study participants.

Findings

The prevalence of MetS was 19.6% according to NCEP ATP III criteria. The prevalence of obesity, high BP, hyperglycaemia, dyslipidemia among participants were 7.5, 39.7, 37.7 and 57.3%, respectively. The energy intake for 176 (88.4%) of the participants was inadequate. The predicting factors of MetS were age (OR: 1.3, p = 0.04), glycated haemoglobin (OR: 9.6, p = 0.004), systolic blood pressure (OR: 1.2 95%, p = 0.01) and service years (OR: 0.8, p = 0.01).

Research limitations/implications

The current study focused on MetS among tanker truck drivers in Kumasi metropolis, which makes the current findings only limited to drivers of tanker truck within the municipality. Additionally, the 24-h dietary recall could be subjected to recall bias. However, the study is still of relevance as it becomes the first to target such a group within the municipality, taking into consideration the importance of these tanker truck drivers in driving the economy of Ghana.

Originality/value

This study highlights dietary intake and MetS among fuel tanker drivers previously underreported in the Ghanaian population. Findings of this study would inform further studies on lifestyle-related determinants of MetS among other cohort of drivers in other settings within the country.

Details

Nutrition & Food Science , vol. 52 no. 7
Type: Research Article
ISSN: 0034-6659

Keywords

Article
Publication date: 10 May 2022

Reginald Adjetey Annan, Charles Apprey, Asamoah-Boakye Odeafo, Twum-Dei Benedicta, Takeshi Sakurai and Satoru Okonogi

The association between nutrition and cognitive test performance among school children is limited in developing countries, including Ghana. This paper aims to investigate the…

Abstract

Purpose

The association between nutrition and cognitive test performance among school children is limited in developing countries, including Ghana. This paper aims to investigate the relationship between nutrient intake and cognitive competence in the context of abstract reasoning among school-aged children in the Tamale Metropolis.

Design/methodology/approach

The present cross-sectional study recruited 596 children aged 9–13 years from government-owned and private primary schools in Tamale Metropolis. Dietary intake was assessed by using three-day repeated 24-hour recall. Cognition was assessed by the Raven’s Coloured Progressive Matrices (RCPM) test, made up of 36 questions and used as a continuous variable, whereby higher scores indicated better cognition.

Findings

The majority of the children did not meet the recommended dietary allowances for protein (55.5%) and fibre (94.0%) and estimated adequate requirement for energy (86.6%), folate (72.8%), vitamin E (90.6%) and zinc (74.8%). More girls (55.1%) performed poorly in the cognition test than the boys (45.7%) (p = 0.029). Between-subject effects determined using univariate and multivariate analyses indicated age (p = 0.002), dietary folate (p = 0.016), vitamin C intake (p = 0.011), combined age and dietary folate (p = 0.049) and combined age and dietary vitamin C (p = 0.022) significantly affected cognition scores. Girls had lower odds (AOR = 0.7, p = 0.021, 95%CI = 0.5–0.9) of scoring above the 50th percentile in cognition test than boys.

Research limitations/implications

The current nutrient intakes of the children were inadequate. The children performed poorly in Raven’s cognition test of abstract reasoning, and this was associated with being a girl.

Originality/value

To the best of the authors’ knowledge, this study is the first to investigate nutrient intakes and RCPM test performance among children in Northern Ghana. Thus, the findings of the study provide relevant information needed by stakeholders to implement nutrition programs in basic schools, aimed at ensuring optimal nutrition achievement among school children for improved cognition.

Details

Nutrition & Food Science , vol. 53 no. 1
Type: Research Article
ISSN: 0034-6659

Keywords

Article
Publication date: 13 November 2017

Nana Ama Frimpomaa Agyapong, Reginald Adjetey Annan and Charles Apprey

Cardiovascular diseases threaten the global health system and their prevalence among the incarcerated population poses a huge economic burden to governments. The purpose of this…

Abstract

Purpose

Cardiovascular diseases threaten the global health system and their prevalence among the incarcerated population poses a huge economic burden to governments. The purpose of this paper is to investigate the prevalence of cardiovascular disease risk factors among prisoners.

Design/methodology/approach

A systematic review was done on published studies that looked at prevalence and risk factors of cardiovascular disease among either male or female prisoners or both. PubMed, PubMed Central, Google scholar, Cochrane and Medline databases were searched from a period of 6 June 2016 to 23 June 2016. Quality assessment was done for all papers based on their methodology.

Findings

Online search yielded a total of 58,587 papers of which 43 were appropriately titled, but 21 were rejected based on their abstracts. Five of the studies could not be included because full texts were not available; 17 studies that met inclusion criteria in terms of abstracts and methodology were included in the study. Majority of the studies assessed weight (64.7 per cent), height (64.7 per cent), body mass index (64.7 per cent) and blood pressure (17.6 per cent) of inmates. Two of the studies used secondary data and one collected qualitative information via focus group discussions. Overall, prevalence of obesity (23.3 per cent), smoking (53.4 per cent) and physical inactivity (57.5 per cent) reported were high among prisoners.

Practical implications

Most of the studies were conducted in developed countries and this implies that there is a paucity of data in developing countries where prevalence of cardiovascular diseases is high. There is the need for more studies to be conducted in this area among developing countries.

Originality/value

This paper informs stakeholders on factors that put inmates at risk of cardiovascular diseases and can initiate timely interventions to be implemented within prisons.

Details

Nutrition & Food Science, vol. 47 no. 6
Type: Research Article
ISSN: 0034-6659

Keywords

Article
Publication date: 13 October 2021

Lydia Boampong Owusu, Charles Apprey, Abigail Kusi-Amponsah Diji and Atinuke Adebanji

The purpose of the study was to assess the association between iron intake and the incidence of anaemia during pregnancy as well as estimate the prevalence and magnitude of…

Abstract

Purpose

The purpose of the study was to assess the association between iron intake and the incidence of anaemia during pregnancy as well as estimate the prevalence and magnitude of anaemia in pregnancy.

Design/methodology/approach

A retrospective case-control study was conducted on 383 postnatal women at four health-care facilities. Data on iron supplementation and haemoglobin (Hb) levels during pregnancy was collected from the respondents. Spearman, Pearson Chi-square tests of independence were used to measure associations between variables, a log-linear model was adopted to ascertain the association and level of interaction among variables. All p-values < 0.05 were considered statistically significant.

Findings

Results show 54.3% prevalence of anaemia at registration and 33.6% at 36 weeks of pregnancy, p < 0.001. Iron supplement intake during pregnancy was 96.3%. The log-linear analysis model retained the Parity × Marital Status interaction across the levels of anaemia (p < 0.001). Compared to married pregnant women, single pregnant women were almost equally likely to be anaemic (OR = 1.06).

Research limitations/implications

One of the limitations of retrospective studies is recall bias; however, this was likely to be minimal, as participants were approached within 8 days after delivery. Despite this, this study still holds promise as it reports a rather high prevalence of anaemia at 36 weeks even with the high intake of iron.

Originality/value

Anaemia in pregnancy is a major public health issue because of the consequential outcomes on maternal and child health. The study identified a high prevalence of anaemia at registration; which could be the basis for intensifying pre-natal iron supplementation before pregnancy.

Details

Nutrition & Food Science , vol. 52 no. 2
Type: Research Article
ISSN: 0034-6659

Keywords

Open Access
Article
Publication date: 29 October 2020

David Adjatey Nyakotey, Alberta Seyram Ananga and Charles Apprey

The purpose of this paper is to assess physical activity and nutrient intake and their association with obesity in apparently healthy middle-aged adults in Akuse, a rural…

1518

Abstract

Purpose

The purpose of this paper is to assess physical activity and nutrient intake and their association with obesity in apparently healthy middle-aged adults in Akuse, a rural community in the Eastern region of Ghana.

Design/methodology/approach

This cross-sectional study assessed demography and anthropometry, nutrient intakes using a 3-day repeated 24 h dietary recall and physical activity using the global physical activity questionnaire (GPAQ). Data were entered into Microsoft excel and analyzed with SPSS version 25.

Findings

There were 118 respondents (55 males, 46.6% and 63 females, 53.4%) in the study with mean age of 45.62 ± 6.88 years. About 90% of respondents were physically active based on WHO physical activity recommendation. Prevalence of overweight/obesity was higher among inactive participants compared to active participants and sitting/reclining hours was significantly (p-value = 0.042) associated positively with BMI after a bivariate correlation analysis, suggesting that physical activity plays a role in obesity. About one in five respondents were obese. Mean energy intake exceeded RDA for females. Sodium intake far exceeded RDA for both males and females, putting the population at potential risk of hypertension.

Practical implications

This study demonstrates the need for intensifying health education and other obesity prevention interventions to curb the rising obesity prevalence in rural communities.

Originality/value

The study revealed that overweight/ obesity in this rural community is higher than previously reported for rural Ghana.

Details

Journal of Health Research, vol. 36 no. 2
Type: Research Article
ISSN: 0857-4421

Keywords

Article
Publication date: 4 December 2019

Francis Kwotua Apungu, Charles Apprey, Emmanuel Kobla Atsu Amewu, Samuel Terkper Ahuno and Alexander Kwarteng

The purpose of the study is to assess the nutritional and health status of people living with HIV/AIDS (18-60 years) in selected health facilities in the eastern region of Ghana…

Abstract

Purpose

The purpose of the study is to assess the nutritional and health status of people living with HIV/AIDS (18-60 years) in selected health facilities in the eastern region of Ghana and to determine the influence nutrition support programmes (NSP) have on the nutritional and health status of people living with HIV/AIDS.

Design/methodology/approach

A retrospective study design was used. Purposive and convenience sampling was used to select four hospitals and 200 beneficiaries and non-beneficiaries of the NSP. A structured questionnaire was used to collect the sociodemographic, anthropometric, biochemical and clinical history of the participants. Dietary intake was assessed with food frequency and 24-h dietary intake questionnaires. Previous data from the medical record within three to six months before the research was collected and compared with current data.

Findings

The prevalence of underweight (using body mass index) was 17 per cent and overweight/obesity was 37 per cent. Most respondents had adequate consumption of phosphorus (70.5 per cent); inadequate intake of calcium (95 per cent), vitamin E (77.5 per cent) and vitamin A (94 per cent); and excess intakes of sodium (93 per cent), selenium (77 per cent), copper (83.5 per cent) and manganese (76 per cent). There was no significant difference in nutrient intake of beneficiaries and non-beneficiaries of the NSP, although there were significant differences in the frequency of consumption of fruits (p < 0.001), vegetables (p < 0.001), legumes (p = 0.002), animal foods (p < 0.001) and cereals, grains and starch (p < 0.001) between beneficiaries and non-beneficiaries of NSP. About 38 and 20 per cent of respondents, respectively, had low haemoglobin (Hb < 11 g/dL) and high viral load (1,000 cp/mL). Comparing the current and previous (three to six months before the study) health and nutritional status of beneficiaries and non-beneficiaries of NSP, among the beneficiaries of NSP, monocytes increased by 40.6 per cent (p = 0.028) and mean weight decreased by 2.4 per cent (p = 0.007), Hb decreased by 7.1 per cent (p = 0.27) and viral load decreased by 4.2 per cent (p = 0.49), whereas among the non-beneficiaries, mean weight decreased by 0.05 per cent (p = 0.95) and Hb increased by 9.6 per cent (p = 0.06) and monocytes increased (p = 0.28) and viral load increased by 98.2 per cent (p = 0.34).

Research limitations/implications

A significant proportion of people living with HIV/AIDS had a high prevalence of underweight and overweight/obesity, inadequate nutrients intake and high viral load. The NSP for people living with HIV/AIDS in the eastern region of Ghana did not significantly influence the nutritional and health status of these people.

Practical implications

Knowing the nutritional status will help health institutions plan activities towards improving the health and nutritional status of people living with HIV/AIDS. This research is aimed at not only contributing to the existing body of knowledge but also making recommendations of action towards improving NSPs of people living with HIV/AIDS.

Social implications

Improvement in nutritional and health status of people living with HIV/AIDS will help reduce morbidity and mortality and its related cost to families, communities and the nation.

Originality/value

This study is first to determine the influence of NSPs on nutritional and health status of people living with HIV/AIDS in the eastern region of Ghana.

Details

Nutrition & Food Science , vol. 50 no. 4
Type: Research Article
ISSN: 0034-6659

Keywords

Book part
Publication date: 28 February 2019

Sayo O. Fakayode, Jennifer Jennings Davis, Linus Yu, Paulette Ann Meikle, Ron Darbeau and Georgia Hale

Strengthening the nation’s technological workforce, competing and expanding its relevance in the global economy, and maintaining personal as well as homeland security will be…

Abstract

Strengthening the nation’s technological workforce, competing and expanding its relevance in the global economy, and maintaining personal as well as homeland security will be highly dependent on the quantity, quality, and diversity of the next generations of scientists, engineers, technologists, and mathematicians. Production of a diverse generation of human resources with relevant, competitive skills is critical. However, so too is the need to raise an enlightened citizenry with cross-cultural experience and cultural awareness competency, with a broad worldview and global perspectives. These requirements are critical to understanding the challenges and opportunities of scholarly activity in a pluralistic global environment and positioning ourselves to capitalize upon them. Scholars with cross-cultural experience and competency are empowered to adapt and work collaboratively, nationally and globally, with scholars of different races, geopolitical, socioeconomic, and cultural backgrounds. Development of effective strategies to transform science, technology, engineering, and mathematics (STEM) departments for inclusion and to broaden the participation in STEM across cultures, socioeconomic standing, race, and gender in higher education has been a dominant topic of pedagogical interest of national priority in the last several decades. However, success in these endeavors is achievable only through systemic change and a cultural shift to address the underlying root causes of socioeconomic disparity, gender, and racial disparities and a paucity of cultural awareness among all educational stakeholders. STEM departments can only be truly transformed for inclusion through the development of sensitive, creative, and student-engaging curricula and targeted recruitment and retention of underrepresented minorities in STEM. Formation of well-coordinated alliances spanning educational sectors, governmental and non-governmental organizations, and community engagement and outreach are also critical to promoting inclusive and broad participation in STEM education.

The first section of the chapter gives an introduction to various challenges, obstacles, and hindrances that prevent a successful transformation of K–12 science education as well as STEM departments in higher education for inclusion. The second section discusses historical perspectives of the University of Arkansas-Fort Smith (UAFS) – the institutional profile, missions, and visions of UAFS as a regional university. Policies and strategies for addressing the socioeconomic disparity, faculty gender, and racial disparities and cultural competency awareness at UAFS are also highlighted in this section. Other approaches including targeted efforts to recruit and retain underrepresented minority students, provision of financial assistance for students from low-income families, and a creative “Math-up” curriculum innovation to promote inclusive and broad participation in STEM at UAFS are highlighted in the latter section of the chapter. Formation of alliances between UAFS, local K–12 school districts, and governmental and non-governmental agencies to promote broad participation in STEM at UAFS are discussed. The last section of the chapter provides recommendations for adaptation and sustainability of strategies and efforts aimed at transforming national STEM departments for inclusion.

Article
Publication date: 4 September 2019

Marina Aferiba Tandoh, Felix Charles Mills-Robertson, Michael David Wilson and Alex Kojo Anderson

The purpose of this study was to elucidate the association between helminth infections, dietary parameters and cognitive performance, as well as the predictors of undernutrition…

Abstract

Purpose

The purpose of this study was to elucidate the association between helminth infections, dietary parameters and cognitive performance, as well as the predictors of undernutrition among school-age children (SAC) living in helminth-endemic fishing and farming communities in Ghana.

Design/methodology/approach

This was a cross sectional study involving 164 (9 to 12 years old) SAC from fishing (n = 84) and farming (n = 80) communities of the Kwahu Afram Plains South District of the Eastern Region of Ghana, using structured questionnaires and anthropometric and biochemical assessments.

Findings

Overall, 51.2% of the children were males, with no significant gender difference between the communities (p = 0.88). Average age of the children was 10.5 ± 1.25 years, with no significant difference between the farming and fishing communities (p = 0.90). About 53.1% of all children were anemic, with no significant differences between farming versus fishing communities (p = 0.87). Helminth-infected children were significantly anemic (p = 0.03). Mean serum zinc level of all children was 13.1 ± 4.57 µmol/L, with zinc deficiency being significantly higher in children in the farming community (p < 0.0001). About 7.5% of all the children were underweight, whilst 13.8% were stunted with a higher proportion of stunting occurring among older children (p = 0.001) and girls (p = 0.117). There was no significant difference in the Raven’s Colored Progressive Matrices cognitive test scores between the two communities (p = 0.79). Predictors of anemia were helminthiasis and pica behavior.

Originality/value

These findings are relevant and have the prospect of guiding the development of intervention programs in addressing the persistent problem of nutritional and cognitive deficits among SAC.

Details

Nutrition & Food Science , vol. 50 no. 3
Type: Research Article
ISSN: 0034-6659

Keywords

Article
Publication date: 15 December 2023

Amos Gavi, Emma Plugge and Marie Claire Van Hout

The dual epidemic of non-communicable diseases (NCDs) and human immuno-deficiency virus (HIV) in Sub-Saharan Africa has increased substantially in recent years, with…

Abstract

Purpose

The dual epidemic of non-communicable diseases (NCDs) and human immuno-deficiency virus (HIV) in Sub-Saharan Africa has increased substantially in recent years, with cardiovascular disease representing a significant contributor to the regional burden of disease. Very little is known about the cardiovascular health of people deprived of their liberty in the region. The purpose of this study was to collate extant literature on the topic.

Design/methodology/approach

A scoping review mapped and described what is known about cardiovascular disease in prison populations in Sub-Saharan Africa. A systematic search of empirical literature with no date limitation was conducted in English. Sixteen studies representing six Sub-Saharan African countries (Cameroon, Nigeria, Guinea, Burkina Faso, Ghana and Ethiopia) were charted, categorised and thematically analysed.

Findings

Seven key themes were identified: custodial deaths and autopsy; cardiorespiratory fitness and exercise; cardiovascular disease and elderly people in prison; cardiovascular disease and women in prison; dietary deficiencies; influence of sleep patterns on cardiovascular disease; and other associated risk factors. Most natural deaths at autopsy of custodial deaths were due to cardiovascular disease. Cardiorespiratory fitness was low in prisons, and poor sleep patterns and dietary deficiencies are likely contributors to the burden of cardiovascular disease in prisons. The needs of elderly and female prison populations are ill-considered.

Originality/value

To the best of the authors’ knowledge, this is the first known attempt to scope extant literature on cardiovascular disease in Sub-Saharan African prisons. A strategic focus on the cardiovascular health of people in prison is warranted. Routine monitoring and expansion of existing prison health-care services and integration of NCD services with infectious disease (HIV and tuberculosis) programmes in prisons are required.

Details

International Journal of Prison Health, vol. 20 no. 1
Type: Research Article
ISSN: 2977-0254

Keywords

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