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Nutrients
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Nutrients
Article
License: CC BY
Data sources: UnpayWall
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Nutrients
Article . 2018
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Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries

Authors: Magali Leyvraz; Carmelle Mizéhoun-Adissoda; Dismand Houinato; Naby Moussa Baldé; Albertino Damasceno; Bharathi Viswanathan; Mary Amyunzu-Nyamongo; +3 Authors

Food Consumption, Knowledge, Attitudes, and Practices Related to Salt in Urban Areas in Five Sub-Saharan African Countries

Abstract

High salt intake is a major risk factor of hypertension and cardiovascular disease. Improving knowledge, attitudes, and practices (KAP) related to salt intake in the general population is a key component of salt reduction strategies. The objective of this study was to describe and compare the KAP of adults related to salt in urban areas of five countries in sub-Saharan Africa. The survey included 588 participants aged 25 to 65 years who were selected using convenience samples in the urban areas of Benin, Guinea, Kenya, Mozambique, and Seychelles. Socio-demographic and food consumption were assessed using a structured closed-ended questionnaire administered by survey officers. Height, weight, and blood pressure were measured. Food consumption varied largely between countries. Processed foods high in salt, such as processed meat, cheese, pizzas, and savory snacks were consumed rather infrequently in all the countries, but salt-rich foods, such as soups or bread and salty condiments, were consumed frequently in all countries. The majority of the participants knew that high salt intake can cause health problems (85%) and thought that it is important to limit salt intake (91%). However, slightly over half (56%) of the respondents regularly tried to limit their salt intake while only 8% of the respondents thought that they consumed too much salt. Salt and salty condiments were added most of the time during cooking (92% and 64%, respectively) but rarely at the table (11%). These findings support the need for education campaigns to reduce salt added during cooking and for strategies to reduce salt content in selected manufactured foods in the region.

Keywords

Male, knowledge, Health Knowledge, Attitudes, Practice, practices, Recommended Dietary Allowances, MESH: Eating, MESH: Hypertension, MESH: Health Knowledge, Eating, MESH: Risk Factors, Risk Factors, salt, Benin, MESH: Recommended Dietary Allowances, Adult; Africa South of the Sahara/epidemiology; African Continental Ancestry Group/psychology; Aged; Cooking; Cross-Sectional Studies; Diet Surveys; Eating/ethnology; Eating/psychology; Fast Foods/adverse effects; Feeding Behavior/ethnology; Female; Health Knowledge, Attitudes, Practice/ethnology; Humans; Hypertension/diagnosis; Hypertension/ethnology; Hypertension/prevention & control; Male; Middle Aged; Nutritive Value; Protective Factors; Recommended Dietary Allowances; Risk Factors; Risk Reduction Behavior; Sodium Chloride, Dietary/administration & dosage; Sodium Chloride, Dietary/adverse effects; Urban Population; Africa; Benin; Guinea; Kenya; Mozambique; Seychelles; attitudes; diet; hypertension; knowledge; practices; salt; sodium, Cooking, sodium, Mozambique, MESH: Aged, Practice, MESH: Middle Aged, attitudes, MESH: Diet Surveys, Middle Aged, 641, MESH: Urban Population, MESH: Risk Reduction Behavior, Hypertension, MESH: Feeding Behavior, Female, Nutritive Value, Adult, MESH: Sodium Chloride, hypertension, Dietary, Black People, 610 Medicine & health, 613, Seychelles, Diet Surveys, Article, MESH: Cross-Sectional Studies, 360 Social problems & social services, Humans, MESH: Africa South of the Sahara, MESH: Nutritive Value, MESH: Protective Factors, Africa South of the Sahara, Aged, MESH: Humans, MESH: Adult, MESH: Cooking, Feeding Behavior, Protective Factors, Kenya, MESH: Male, Cross-Sectional Studies, MESH: Fast Foods, Africa, Fast Foods, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Guinea, MESH: African Continental Ancestry Group, diet, MESH: Female

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    popularity
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    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
38
Top 10%
Top 10%
Top 10%
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gold