How dietary intake has been assessed in African countries? A systematic review

Crit Rev Food Sci Nutr. 2018 Apr 13;58(6):1002-1022. doi: 10.1080/10408398.2016.1236778. Epub 2017 Jun 28.

Abstract

Background: Dietary patterns are often considered as one of the main causes of non-communicable diseases worldwide. It is of utmost importance to study dietary habits in developing countries since this work is scarce.

Objective: To summarize the most recent research conducted in this field in African countries, namely the most used methodologies and tools.

Methods: A systematic review was conducted on MEDLINE®/PubMed, aiming to identify scientific publications focused on studies of dietary intake of different African populations, in a ten-year period. Papers not written in English/Portuguese/Spanish, studies developed among African people but not developed in African countries, studies aiming to assess a particular nutrient/specific food/food toxin and studies that assessed dietary intake among children were excluded.

Findings: Out of 99 included studies, the 24-hour recall and the food-frequency questionnaire were the most used dietary intake assessment tools, used to assess diet at an individual level. It was also observed that often country-unspecific food composition databases are used, and the methodologies employed are poorly validated and standardized.

Conclusions: There is an emergent need to improve the existing food databases by updating food data and to develop suitable country-specific databases for those that do not have their own food composition table.

Keywords: 24-hour recall; African countries; Dietary intake assessment tools; Food-frequency questionnaire; food composition databases.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Africa
  • Databases, Factual
  • Diet*
  • Humans
  • Mental Recall
  • Nutrition Assessment*
  • Surveys and Questionnaires