Browsing by Author "Agyapong, Nana Ama Frimpomaa"
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Item The association between dietary consumption, anthropometric measures and body composition of rural and urban Ghanaian adults: A comparative cross-sectional study(Springer Nature, 2020) Agyapong, Nana Ama Frimpomaa; Annan, Reginald Adjetey; Swart, Elizabeth CatherinaOverweight and obesity have become threats to public health in all regions across the globe including sub-Saharan Africa where prevalence used to be low. Policies to regulate the food environment and promote healthy food consumption look promising to reducing the prevalence of obesity but in Ghana there is not enough data to elicit a policy response. This study assessed the association between dietary consumption, anthropometric measures, body composition and physical activity among rural and urban Ghanaian adults.Item Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana(Cambridge University Press, 2024) Agyapong, Nana Ama Frimpomaa; Kroll, Florian; Swart, Elizabeth Catherina; Swart, Elizabeth CatherinaObjective: This study aims to determine differences in food consumption by the NOVA food categories in South Africa and Ghana and how they relate to poverty and food supply systems. Design: This study used a cross-sectional design to assess household food acquisition and lived poverty index. Setting: The study was conducted in Khayelitsha and Mount Frere, urban and rural communities in South Africa, respectively, and Ahodwo and Ejuratia, urban and rural communities in Ghana, respectively. Participant: An adult in charge of or knowledgeable about household food acquisition and consumption was selected to participate in the study. Results: A total of 1299 households participated in the study. Supermarkets were a prominent source of ultra-processed foods for households in South Africa, while informal outlets were an important source of ultra-processed foods in Ghana. Consumption of unprocessed foods was higher among South African households (58.2%) than Ghanaian households (41.8%). In South Africa, deprivation was associated with increased odds of infrequent consumption of both unprocessed foods (OR 3.431 p<0.001) and ultra-processed foods (OR 2.656 p<0.001) compared to non-deprivation. In Ghana, no significant associations were observed between household deprivation and consumption of the NOVA food classes. Conclusion: Different food supply systems and poverty are associated with household acquisition of the different NOVA food classes. Policies should be geared towards formal shops in South Africa and informal shops in Ghana to reduce the consumption of key obesogenic foods.Item Mapping Obesogenic food environments in South Africa and Ghana: Correlations and contradictions(MPDI, 2019) Krol, Florian; Swart, Elizabeth Catherina; Annan, Reginald Adjetey; Thow, Anne Marie; Neves, David; Apprey, Charles; Aduku, Linda Nana Esi; Agyapong, Nana Ama Frimpomaa; Moubarac, Jean-Claude; du Toit, Andries; Aidoo, Robert; Sanders, DavidIn sub-Saharan Africa, urbanisation and food systems change contribute to rapid dietary transitions promoting obesity. It is unclear to what extent these changes are mediated by neighbourhood food environments or other factors. This paper correlates neighbourhood food provision with household consumption and poverty in Khayelitsha, South Africa and Ahodwo, Ghana. Georeferenced survey data of food consumption and provision were classified by obesity risk and protection. Outlets were mapped, and density and distribution correlated with risk classes