Coconut oil and palm oil’s role in nutrition, health and national development: A review

Coconut and palm oils which were the major sources of dietary fats for centuries in most of West Africa have been branded as unhealthy highly saturated fats. Their consumption has been peddled to supposedly raise the level of blood cholesterol, thereby increasing the risk of coronary heart disease. This adverse view has led to a reduction in their consumption in West Africa and they have been substituted for imported vegetable oils. Recent information however, indicates some beneficial effects of these oils particularly their roles in nutrition, health and national development. There is the need for a better understanding of their effects on health, nutritional status and national development. This paper therefore attempts to review the roles which coconut and palm oils play in these respects in developing countries, as a means of advocating for a return to their use in local diets.Funding: None declaredKeywords: Palm oil, coconut oil, nutrition, health, national developmen

Quality evaluation of processed clay soil samples

Introduction: This study assessed the microbial quality of clay samples sold on two of the major Ghanaian markets. Methods: The study was a cross-sectional assessing the evaluation of processed clay and effects it has on the nutrition of the consumers in the political capital town of Ghana. The items for the examination was processed clay soil samples. Results: Staphylococcus spp and fecal coliforms including Klebsiella, Escherichia, and Shigella and Enterobacterspp were isolated from the clay samples. Samples from the Kaneshie market in Accra recorded the highest total viable counts 6.5 Log cfu/g and Staphylococcal count 5.8 Log cfu/g. For fecal coliforms, Madina market samples had the highest count 6.5 Log cfu/g and also recorded the highest levels of yeast and mould. For Koforidua, total viable count was highest in the samples from the Zongo market 6.3 Log cfu/g. Central market samples had the highest count of fecal coliforms 4.6 Log cfu/g and yeasts and moulds 6.5 Log cfu/g. "Small"market recorded the highest staphylococcal count 6.2 Log cfu/g. The water activity of the clay samples were low, and ranged between 0.65±0.01 and 0.66±0.00 for samples collected from Koforidua and Accra respectively. Conclusion: The clay samples were found to contain Klebsiella spp. Escherichia, Enterobacter, Shigella spp. staphylococcus spp., yeast and mould. These have health implications when consumed.Pan African Medical Journal 2016; 2

Risk factors for malnutrition among children 5-years and younger in the Akuapim-North District in the eastern region of Ghana

Malnutrition remains a significant public health problem in developing countries. The aim of this study was to identify risk factors for malnutrition among preschool children in the Akwapim-North District in the Eastern Region of Ghana. This was a cross-sectional study. Mothers who brought their children to the ＂Well Baby Check-up＂ clinics were invited to participate. Anthropometric measurements (weight and height/length) and blood hemoglobin were measured. Mothers also completed a questionnaire consisting of closed and open-ended questions. A total of 305 pre-school-age children were included in this study. Of this sample, 43.3% were males, and 56.7% were females. The prevalence of wasting, stunting, and underweight was 6.2, 11.4 and 7.3%, respectively. The majority of the children (80.7%) were anemic. Children who were exclusively breastfed for 6 months showed slightly lower prevalence of both anemia (75.5% vs. 89.0%) and stunting (8% vs. 13%) but not wasting (8.3% vs. 4.3% ) or underweight (8.3% vs. 5.2%) compared to their mixed feeding counterparts. Children under 12 months of age showed a higher prevalence of wasting (9.4%) compared to other age groups. Children from homes with electricity showed lower prevalence of stunting (9.7% vs. 17.6%, p = 0.050), and children from households with a radio showed lower prevalence of wasting (5.3% vs. 19.0%, p = 0.033). Nutrition education encouraging exclusive breastfeeding and adequate provision of animal protein to preschool children is important in semi-rural and farming communities in developing countries such as Ghana in order to combat the prevalence of childhood malnutrition (stunting, wasting, underweight and anemia)

Dietary intake and the dynamics of stress, hypertension and obesity in a periurban community in Accra

Objectives: This study intends to investigate the association between dietary intake, stress and prevalence of chronic diseases.Design and Setting: The study was a cross-sectional design conducted in two poor peri-urban communities in Accra. Participants and outcome measures: A total of 90 households each with a male and female between the ages of 18 and 45 years were sampled, and their socio-demographic status, anthropometric measurement and fasting blood sugar were assessed. Blood pressure was measured and chronic stress/ anxiety was determined using the trait and state inventory (T stai) questionnaire. Three days repeated 24-hour dietary recall was also done. Analysis of variance and linear regression analysis were used in data analysis.Results: About 28% of the subjects were hypertensive and 55.5% had high chronic stress. Hypertension was higher in males (32.2%) than females (24.4%) (p=.023) whiles stress was higher in females (60.9%) than males (50.0%) (p=.017). Hypertensive subjects recorded higher stress (51.02%) and hypertension was more prevalent in subjects with high stress (32.89%) especially in females (57.14%, p=.036). Hypertension increased with mean age whiles stress decreased with mean age. Hypertensive subjects recorded a significantly higher BMI and sodium intake whiles high stress individuals recorded a lower animal protein but a higher cereal protein intake (p<.05). Chronic stress was associated with intake of low animal protein and high cereal protein. Increased dietary diversity score was associated with decreased obesity prevalence (p<.05).Conclusion: Hypertension, chronic stress, and obesity were linked, and affected by dietary sodium, animal protein, and dietary diversity of subjects respectively.Keywords: Stress, hypertension, obesity, dietary intak

Nutrition and Lifestyle Modifications in the Prevention and Treatment of Non-Alcoholic Fatty Liver Disease

Non-alcoholic fatty liver disease (NAFLD) is a burgeoning health problem worldwide. NAFLD is an umbrella term for a range of liver conditions affecting people who drink little to no alcohol Different methods are employed in the diagnosis of NAFLD. Certain drugs, genetics, lifestyle factors have been implicated in the development of NAFLD. NAFLD symptoms are asymptomatic but indicated when there is unexplained persistent elevation of liver enzyme levels. Nutrition and lifestyle modifications are widely prescribed as helpful in the prevention and treatment of Non-Alcoholic Fatty Liver disease (NAFLD). Dietary and lifestyle modifications are apparent measures considering the disease association with obesity, diabetes, and cardiovascular disease which many reviews have linked to the condition. Reduction in body weight, involvement in both aerobic and anaerobic exercises, conscious intake in the types of fat and carbohydrates are helpful in the management of NAFLD. This chapter highlights the various theories and principles underlying nutrition and lifestyle modifications in the prevention and treatment of NAFLDs

Nutrient and contaminant exposure from smoked European anchovy (Engraulis encrasicolus): Implications for children's health in Ghana

Inadequate nutrient intakes are frequent among young children in low- and middle-income countries, causing prevalent micronutrient deficiencies. In Ghana, small smoked fish are the most frequently consumed animal source foods, and both whole fish and different tissues of fish are commonly used in complementary foods. However, the risks and benefits associated with consumption of different tissues of smoked fish has not been explored. Samples of smoked European anchovy (Engraulis encrasicolus) were collected from five regions in Ghana and divided into subsamples of different tissues: whole fish, heads and skin, and samples without heads and skin. The different tissues were subsequently analyzed for selected nutrients (vitamins, minerals, trace elements and fatty acids), heavy metals and polycyclic aromatic hydrocarbons. A scenario referencing young children in Ghana (aged 6-23 months) was developed to assess the risks and benefits associated with daily consumption of different tissues of smoked European anchovy. We found that all tissues had the potential to substantially contribute to the recommended nutrient intakes of vitamins, minerals and essential fatty acids important for young child development. Samples of whole fish and of heads and skin contained levels of cadmium which exceeded the tolerable weekly intake greatly in the current scenario. All tissues contained elevated concentrations of BaP and PAH4 which exceeded the margin of exposure in the scenario, entailing potential consumer risk. A thorough assessment of dietary intakes of smoked fish products and refined risk-benefit assessments are therefore imperative to secure safe utilization of smoked fish in Ghana.publishedVersio

Mothers/Caregivers Age and Family Structure Predicted Knowledge on Recommended Nutrition Practices for Children under 5 Years

Introduction: There are recommendations regarding infant and young child feeding and when followed children’s growth are optimum. These feeding practices are age definitive, starting from exclusive breastfeeding, to the transition of the child to complementary foods. Objective: The objective of this study was to assess factors that determine nutritional knowledge among mothers/caretaker regarding children under five years. Methods: A cross sectional study design employing quantitative methods was chosen for this study. The study population comprised 285 caregivers and their children aged of 6 and 59 months. Respondents were chosen randomly from four hard-to-reach communities and two peri-urban communities within three sub-municipalities, who lived in and accessed child welfare services during the study period. Face-to-face interviews were used to collect background and nutritional knowledge data from the respondents. Maternal/caretaker knowledge on recommended nutritional practice was split into two with scores were greater than 7 out of the 13 knowledge items was considered as good. STATA version 14 was used to analyze data and statistical significance determine at 95% confidence interval.Results: The average age of the children under 5 years and their mothers/caretakers were 32 months and 29 years respectively. About 73% had nuclear family structure. Results of Chi square and Fisher’s exact tests for association indicated that, mother’s/caretaker’s age (p<0.001), family structure (p=0.010) and access to media information (p<0.001) were significantly associated with mother’s good nutritional knowledge on recommended practices. Mothers/caretakers age (OR=0.17; 95%CI: (0.70-0.43); family structure (OR=0.30; 95% CI (0.11-0.78) and access to media (AOR=5.12; 95% (2.46-10.69) predicted mothers nutritional knowledge. Conclusions: Maternal/caretaker factors predicted nutritional knowledge when feeding a child in both peri-urban and rural areas. These factors should be considered when promoting child nutrition

Composition of nutrients, heavy metals, polycyclic aromatic hydrocarbons and microbiological quality in processed small indigenous fish species from Ghana: Implications for food security

The triple burden of malnutrition is an incessant issue in low- and middle-income countries, and fish has the potential to mitigate this burden. In Ghana fish is a central part of the diet, but data on nutrients and contaminants in processed indigenous fish species, that are often eaten whole, are missing. Samples of smoked, dried or salted Engraulis encrasicolus (European anchovy), Brachydeuterus auritus (bigeye grunt), Sardinella aurita (round sardinella), Selene dorsalis (African moonfish), Sierrathrissa leonensis (West African (WA) pygmy herring) and Tilapia spp. (tilapia) were collected from five different regions in Ghana. Samples were analyzed for nutrients (crude protein, fat, fatty acids, several vitamins, minerals, and trace elements), microbiological quality (microbial loads of total colony counts, E. coli, coliforms, and Salmonella), and contaminants (PAH4 and heavy metals). Except for tilapia, the processed small fish species had the potential to significantly contribute to the nutrient intakes of vitamins, minerals, and essential fatty acids. High levels of iron, mercury and lead were detected in certain fish samples, which calls for further research and identification of anthropogenic sources along the value chains. The total cell counts in all samples were acceptable; Salmonella was not detected in any sample and E. coli only in one sample. However, high numbers of coliform bacteria were found. PAH4 in smoked samples reached high concentrations up to 1,300 μg/kg, but in contrast salted tilapia samples had a range of PAH4 concentration of 1 μg/kg to 24 μg/kg. This endpoint oriented study provides data for the nutritional value of small processed fish as food in Ghana and also provides information about potential food safety hazards. Future research is needed to determine potential sources of contamination along the value chains in different regions, identify critical points, and develop applicable mitigation strategies to improve the quality and safety of processed small fish in Ghana.publishedVersio

A cross-sectional study on the nutritional status, dietary diversity, and small fish consumption patterns in coastal fishing communities of Ghana

Fish is readily available to fishing communities. Given the high nutritional value of fish, these communities are expected to have better nutritional status, compared to non-fishing communities. However, this assumption is not well studied across coastal fishing communities in Ghana. Hence, this cross-sectional study was conducted to investigate the nutritional status, dietary patterns, and fish consumption of children living in coastal fishing communities in Ghana. Nutritional status of 384 randomly selected children was assessed using the mid-upper arm circumference (MUAC) measurement. MUAC less than 12.5 cm was used as the cutoff to identify malnourished children. Food and fish consumption patterns were assessed using an adopted and pretested food frequency questionnaire. The findings showed a prevalence of 0.5% wasting among surveyed children. The mean dietary diversity score (DDS) of the study participants was 4.3 ± 1.2. The mean DDS of the children of fisher mothers was less than that of the children of the female caregivers who are involved in other occupations. However, no significant difference was observed in the DDS across the coastal regions. Seventy eight percent of the children who participated in the study consumed an adequately diversified diet, and more than 40 different small fish species were consumed across the four coastal regions. The average median weekly fish intake among the children in the study sample was 213 (64–468) g. Considering that one-third of the employed respondents were fisherfolk, coupled with the availability of a great diversity of small fish in the communities, the findings of our study suggest that there is great potential to incorporate small fish into strategic interventions aimed at improving nutrition, food security, and achieving economic sustainability in these communities.publishedVersio

The processing, preparation, and cooking practices of small fish among poor Ghanaian households: An exploratory qualitative study

Small fish are an important part of the diet in Ghana, but malnutrition rates remain high. The nutritional quality of fish consumed in Ghana may be affected by food processing and cooking practices, but the extent to which these processes are practiced among poor Ghanaian households along the coastal belt is unknown. This study explored how poor Ghanaian households process, prepare, and cook meals containing small fish. This exploratory qualitative study used Attride-Stirling thematic network analysis. Respondents were purposively sampled from fishing communities in the coastal regions of Ghana. One-on-one interviews were performed by trained field assistants, audio recorded and videotaped, and transcribed for further data analysis. The most common small fish species identified were anchovies and herrings. Anchovies were fried and eaten whole. Herrings were eaten either smoked or fresh; for fresh herring, the head, fins, and viscera were removed before boiling. Herrings were smoked with the head and viscera; however, both the head and viscera were removed before being added to boiling soup and were not consumed. Anchovies were fried for 10 min, and herrings were boiled for 15–30 min. Processing methods and further meal preparation depend on the small fish species. Nutrient composition and contribution of small fish depend on the processing method, preparation method, and what tissues are eaten. Thus, these results will be of importance for sampling schemes for food composition tables and for the calculation of nutrient intake from small fish.publishedVersio