Consumption frequency of ultra‐processed foods and beverages among 6‐ to 36‐month‐olds in Kampala, Uganda

Abstract The nutrition transition in sub‐Saharan Africa has led to increased consumption of ultra‐processed foods in infancy, especially sweet foods. This has heightened the risk for nutrition‐related non‐communicable diseases, including dental caries and overweight/obesity, and promotes poor food c...

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Main Authors: Catherine L. Mwesigwa, Sudeshni Naidoo
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Maternal and Child Nutrition
Subjects:
Online Access:https://doi.org/10.1111/mcn.13724
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author Catherine L. Mwesigwa
Sudeshni Naidoo
author_facet Catherine L. Mwesigwa
Sudeshni Naidoo
author_sort Catherine L. Mwesigwa
collection DOAJ
description Abstract The nutrition transition in sub‐Saharan Africa has led to increased consumption of ultra‐processed foods in infancy, especially sweet foods. This has heightened the risk for nutrition‐related non‐communicable diseases, including dental caries and overweight/obesity, and promotes poor food choices later in life. The present study used a cross‐sectional design to investigate the consumption frequency of ultra‐processed foods and beverages among urban 6‐ to 36‐month‐olds attending four selected health facilities in Kampala using a standardised questionnaire and 24‐h diet recall record. The primary outcome was the consumption of at least one ultra‐processed food or beverage (UPFB) the previous day, and frequency of UPFB consumption of the week before was the secondary outcome. Four hundred and ten caregiver–child pairs were randomly recruited, 94% of caregivers being mothers with a mean age of 30.7 (±5.3) years. Fifty‐nine per cent of mothers and 73% of fathers had attained a college education. The median age of children was 18 months and 51% were female. Most children (57%) consumed at least one UPFB the previous day. In the week before, 69% had consumed UPFB frequently (4–7 days) which was significantly positively associated with maternal education (odds ratio [OR] = 2.85, 95% confidence interval [CI]: 1.02–7.96, p = 0.045) and child's age ([OR = 2.87, 95% CI: 1.62–5.08, p < 0.001], [OR = 3.68, 95% CI: 1.88–7.20, p < 0.001]). In conclusion, the dietary habits of the surveyed Ugandan population were unhealthy, characterised by the frequent consumption of UPFB with added sugar. There is an urgent need to re‐enforce existing Ugandan food regulation guidelines and policies and to build strong nutritional education programmes to enhance health‐promoting environments in early childhood.
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spelling doaj-art-e6f7299934134021a27d852f08705bce2024-12-17T09:57:23ZengWileyMaternal and Child Nutrition1740-86951740-87092025-01-01211n/an/a10.1111/mcn.13724Consumption frequency of ultra‐processed foods and beverages among 6‐ to 36‐month‐olds in Kampala, UgandaCatherine L. Mwesigwa0Sudeshni Naidoo1School of Dentistry, College of Health Sciences Makerere University Kampala UgandaDepartment of Community Dentistry, Faculty of Dentistry University of the Western Cape Cape Town South AfricaAbstract The nutrition transition in sub‐Saharan Africa has led to increased consumption of ultra‐processed foods in infancy, especially sweet foods. This has heightened the risk for nutrition‐related non‐communicable diseases, including dental caries and overweight/obesity, and promotes poor food choices later in life. The present study used a cross‐sectional design to investigate the consumption frequency of ultra‐processed foods and beverages among urban 6‐ to 36‐month‐olds attending four selected health facilities in Kampala using a standardised questionnaire and 24‐h diet recall record. The primary outcome was the consumption of at least one ultra‐processed food or beverage (UPFB) the previous day, and frequency of UPFB consumption of the week before was the secondary outcome. Four hundred and ten caregiver–child pairs were randomly recruited, 94% of caregivers being mothers with a mean age of 30.7 (±5.3) years. Fifty‐nine per cent of mothers and 73% of fathers had attained a college education. The median age of children was 18 months and 51% were female. Most children (57%) consumed at least one UPFB the previous day. In the week before, 69% had consumed UPFB frequently (4–7 days) which was significantly positively associated with maternal education (odds ratio [OR] = 2.85, 95% confidence interval [CI]: 1.02–7.96, p = 0.045) and child's age ([OR = 2.87, 95% CI: 1.62–5.08, p < 0.001], [OR = 3.68, 95% CI: 1.88–7.20, p < 0.001]). In conclusion, the dietary habits of the surveyed Ugandan population were unhealthy, characterised by the frequent consumption of UPFB with added sugar. There is an urgent need to re‐enforce existing Ugandan food regulation guidelines and policies and to build strong nutritional education programmes to enhance health‐promoting environments in early childhood.https://doi.org/10.1111/mcn.13724added sugarcommercial complementary foodscomplementary feedingnutrition transitionsnackssugar‐sweetened beverages
spellingShingle Catherine L. Mwesigwa
Sudeshni Naidoo
Consumption frequency of ultra‐processed foods and beverages among 6‐ to 36‐month‐olds in Kampala, Uganda
Maternal and Child Nutrition
added sugar
commercial complementary foods
complementary feeding
nutrition transition
snacks
sugar‐sweetened beverages
title Consumption frequency of ultra‐processed foods and beverages among 6‐ to 36‐month‐olds in Kampala, Uganda
title_full Consumption frequency of ultra‐processed foods and beverages among 6‐ to 36‐month‐olds in Kampala, Uganda
title_fullStr Consumption frequency of ultra‐processed foods and beverages among 6‐ to 36‐month‐olds in Kampala, Uganda
title_full_unstemmed Consumption frequency of ultra‐processed foods and beverages among 6‐ to 36‐month‐olds in Kampala, Uganda
title_short Consumption frequency of ultra‐processed foods and beverages among 6‐ to 36‐month‐olds in Kampala, Uganda
title_sort consumption frequency of ultra processed foods and beverages among 6 to 36 month olds in kampala uganda
topic added sugar
commercial complementary foods
complementary feeding
nutrition transition
snacks
sugar‐sweetened beverages
url https://doi.org/10.1111/mcn.13724
work_keys_str_mv AT catherinelmwesigwa consumptionfrequencyofultraprocessedfoodsandbeveragesamong6to36montholdsinkampalauganda
AT sudeshninaidoo consumptionfrequencyofultraprocessedfoodsandbeveragesamong6to36montholdsinkampalauganda