Evidence for factors associated with diet and physical activity in african and caribbean countries

Global Diet and Activity Research Group and Network

Research output: Contribution to journalReview articlepeer-review

Abstract

Objective To identify and describe summarized evidence on factors associated with diet and physical activity in low-and middle-income countries in Africa and the Caribbean by performing a scoping review of reviews. Methods We searched the Medline®, LILACS, Scopus, Global Health and Web of Science databases for reviews of factors associated with diet or physical activity published between 1998 and 2019. At least 25% of studies in reviews had to come from African or Caribbean countries. Factors were categorized using Dahlgren and Whitehead’s social model of health. There was no quality appraisal. Findings We identified 25 reviews: 13 on diet, four on physical activity and eight on both. Eighteen articles were quantitative systematic reviews. In 12 reviews, 25–50% of studies were from Africa or the Caribbean. Only three included evidence from the Caribbean. Together, the 25 reviews included primary evidence published between 1926 and 2018. Little of the summarized evidence concerned associations between international health or political factors and diet or associations between any factor and physical activity across all categories of the social model of health. Conclusion The scoping review found a wide range of factors reported to be associated with diet and physical activity in Africa and the Caribbean, but summarized evidence that could help inform policies encouraging behaviours linked to healthy diets and physical activity in these regions were lacking. Further reviews are needed to inform policy where the evidence exists, and to establish whether additional primary research is needed.

Translated title of the contributionEvidence for factors associated with diet and physical activity in african and caribbean countries
Original languageSpanish
Pages (from-to)464-472
Number of pages9
JournalBulletin of the World Health Organization
Volume99
Issue number6
DOIs
Publication statusPublished - Jun 2021

Bibliographical note

Funding Information:
Funding: This research was funded by the National Institute for Health Research (NIHR; 16/137/64) using UK aid from the UK Government to support global health research.

Publisher Copyright:
© 2021, World Health Organization. All rights reserved.

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