Anaemia in pregnant adolescent girls with malaria and practicing pica

Introduction: pregnancy during the adolescent period is challenging mainly because of the nutritional demands of both the adolescent and pregnancy period. The risk for anaemia increases especially in developing countries such as Ghana where malaria is endemic and the practice of pica is common. In this study, we sought to determine the prevalence of anaemia, pica practice and malaria infection among pregnant adolescent girls and assess the extent to which these factors are associated. Methods: two hundred and sixty five (265) pregnant adolescent girls were recruited from three hospitals in Accra. Haemoglobin levels, malaria infection and the practice of pica were assessed. Pearson’s Chi squared tests were used to determine associations and logistic regression analysis was used to determine the odds of being anaemic. Significance was set at p≤0.05. Results: anaemia prevalence was 76% with severity ranging from mild (47.8%) to severe (0.8%). About 27.5% were moderately anaemic. Pica was practiced in only 9.1% of the girls. Malaria infection was prevalent in 17.7% of the girls. The logistic regression analysis indicated that pregnant girls with malaria infection were 3.56 times more likely to be anaemic when compared to those without malaria. Also, those who practiced pica were 1.23 times more likely to be anaemic when compared to those who did not practice pica. Conclusion: anaemia is very prevalent in pregnant adolescent  girls and is a public health problem. Drastic measures should be taken to reduce the high prevalence.The Pan African Medical Journal 2016;2

Nutritional Status of Boarding and Non-Boarding Children in Selected Schools in the Accra Metropolis

Malnutrition is highly prevalent in developing countries. Children are at high nutritional risk of being malnourished because of their physiological demands at this age. However, the nutritional status of school age children is poorly documented in Ghana. The aim of this study was to assess and compare the nutritional status of boarding and non-boarding pupils aged 8 to 10 years in the Accra Metropolis, Ghana. A cross-sectional study was conducted among 124 children in three private schools which have boarding facilities (optional) in the Accra Metropolis, Ghana. Dietary intakes of children between the ages of 8 and 10 years were assessed using a two-day 24 hour recall.  Weight and height measurements were taken. WHO Anthroplus software was used to determine WAZ, HAZ and BAZ. Ghanaian food composition tables were used to calculate the nutritional components of foods eaten by subjects. T-tests were used to analyse differences between variables. The prevalence of stunting, underweight, overweight and obesity among the children were 0.8%, 0.8%, 12.1% and 11.3% respectively. The total energy and nutrient intake of calcium among children (both boarders and non-boarders) was inadequate. There was no significant difference in the nutritional status and mean nutrient intake between boarding and non-boarding children. Nutritional status between boarders and non boarders were found to be similar. Key words: School children, boarders, non-boarders, Ghanaian, nutritional statu

Quality of Life of Overweight and Obese Patients

Abstract: The prevalence of overweight and obesity has increased significantly in recent years. This is as a result of changes in dietary habits and lack of physical activity. Quality of life which measures the social, physical and psychological well-being of a person can be affected by a person's weight. The quality of life of an individual is important in directing medical treatment and motivating patients' behavior change and counseling adherence. The aim of the study was to assess the quality of life of overweight and obese patients. A cross-sectional study design was used. One hundred and seven obese and overweight patients with or without any other chronic diseases who reported to the diet therapy departments of two hospitals were recruited. The Short Form -36 which is a standard questionnaire for assessing quality of life was used to obtain information from the patients. Data was analysed using SPSS version 20.0. Data was summarized as means, standard deviations, frequencies, percentages and presented as tables and graphs. T-tests and correlations were used to draw relationships between variables. Results indicated that, 39% of the respondents had impaired physical quality of life as compared to 12% who were impaired mentally. Overall, 81% of the respondents had good quality of life. Majority of the respondents had role physical limitations. Comparing mental and physical health, greater percentage was impaired physically than mentally. Nevertheless, majority of the respondents had good quality of life

Exploring the relationship between the big five personality characteristics and dietary habits among students in a Ghanaian University

Abstract Background Adherence to good dietary practices has been linked to disease prevention and better quality of life yet, University students are known to have poor dietary intake and diet quality. For an effective behaviour modification in dietary habits, an understanding of the association between an individual’s personality traits and dietary habits are of much significance. The aim of this study was to determine the relationship between personality traits and dietary habits among University students in Ghana. Methods A cross-sectional design involving 400 students was employed. Information on socio-demographic characteristics and Body Mass Index were obtained. The big 5 Personality traits (extraversion, conscientiousness, agreeableness, openness and neuroticism) was assessed using a 50-item International Personality Item Pool (IPIP) by Goldberg. The three factor eating questionnaire (TFEQ) was used to obtain further information on dietary habits. Results The majority of the students had high scores for conscientiousness. Except for neuroticism, all the personality traits had a significant association with at least one of the dietary habits explored. Extraversion was positively associated with neophagia (p = 0.028) and food interest (p = 0.008), conscientiousness was associated with variety (p = 0.045) and sugar moderation (p = 0.006), agreeableness was associated with neophagia (p = 0.005), skipping of meals (p = 0.007) and variety (p = 0.005) and openness associated with food interest (p = 0.009). Conclusion Personality traits showed associations with certain dietary habits but further studies are required to identify persons who are at risk of diet related diseases to inform the development of appropriate interventions

Body composition is related to cognitive function among young adults in Ghana

Abstract Background A growing body of evidence suggests that obesity can affect cognitive function. However, it is unclear whether this effect is independent of obesity-related comorbidities. This study thus sought to determine the association between body composition and cognitive function of young adults in Ghana with less predisposition to obesity-related comorbidities. Methods A cross-sectional study design was employed, involving 381 participants recruited by simple random sampling. After consenting, participants completed questionnaires that assessed sociodemographic characteristics, along with assessments for anthropometric measures and cognitive function. Analyses for associations were conducted by either Pearson’s correlation test or chi-Square test of independence. Results Over half (60%) of participants were females and 69.6% were in the first year with a mean age of 20.18 ± 2.52 years. Based on Pearson’s correlation test, no significant association was found between Body Mass Index (BMI) and Waist to Hip Ratio (WHR), and Trail Making Test-A and B (TMT-A and TMT-B). Nonetheless, a chi-square test showed a significant association, between BMI and TMT-A (p = 0.01), and WHR and both TMT-A (p = 0.001) and TMT-B (p = 0.02). Weak direct correlations were found between body fat percentage and TMT-A (r = 0.120, p = 0.019) and TMT-B (r = 0.133, p = 0.009). Further, a weak inverse correlation was found between muscle mass and TMT-A (r = − 0.141, p = 0.006) and TMT-B (r = − 0.144, p = 0.005). Conclusion High body fat, low muscle mass and body fat distribution may have a significant association with cognitive functions and must be considered in obesity interventions. This study provided more insight on the association between BMI and cognitive function and would be helpful in designing new weight management interventions or modifying existing interventions to consider the influence of obesity on cognitive function