Dietary patterns in Tanzania’s transitioning rural and urban areas

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Title: Dietary patterns in Tanzania’s transitioning rural and urban areas
Authors: Paulo, Linda Simon, Lenters, Virissa C., Chillo, Pilly, Wanjohi, Milka, Piedade, Gonçalo J., Mende, Daniel R., Harris, Vanessa, Kamuhabwa, Appolinary, Kwesigabo, Gideon, Asselbergs, Folkert W., Klipstein-Grobusch, K.
Contributors: Global Health team 1, Onderzoek Precision medicine, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovascular Health
Source: J Health Popul Nutr
Journal of Health, Population and Nutrition, Vol 44, Iss 1, Pp 1-15 (2025)
Publisher Information: Springer Science and Business Media LLC, 2025.
Publication Year: 2025
Subject Terms: Male, Adult, Rural Population, RC620-627, Urban Population, Urban Population/statistics & numerical data, Dietary pattern, Tanzania, Diet Surveys, Urban, Humans, Rural, Rural Population/statistics & numerical data, Nutritional diseases. Deficiency diseases, Aged, Diet/statistics & numerical data, Sub-Saharan Africa, Dietary Patterns, Research, Feeding Behavior, Middle Aged, Diet, Energy intake, Female, Macronutrients, Public aspects of medicine, RA1-1270, Energy Intake
Description: Like other Sub-Saharan Africa (SSA) countries, Tanzania is undergoing socio-economic changes that impact lifestyles and dietary choices. Traditionally, differences in dietary habits between rural and urban areas in Tanzania and other SSA countries were prominent. However, recent research indicates converging lifestyles and dietary choices associated with increased risk of cardiometabolic diseases. The objective of the current study was hence to investigate differences and similarities in dietary patterns, energy, and food groups intake in urban and rural Tanzania.Dietary habits were assessed by use of a Food Frequency Questionnaire (FFQ) for 442 respondents aged 44-65 years in urban (Ubungo -Dar es Salaam) and rural (Kilindi- Tanga) districts of Tanzania. Dietary patterns were determined using Principal Components Analysis (PCA). Bivariate analyses identified determinants of dietary patterns in urban and rural Tanzania.Two dietary patterns, a "mixed pattern" characterized by whole grains, potatoes, fruits, vegetables, meat, fried potatoes and tubers, alcohol, sugar-sweetened beverages (SSB), sugar and sweets, and added oils and a "plant-rich pattern" characterized by whole grains, fruits, pulses and peas, seasoning vegetables and salads, SSB, sugar and sweets, and added oils were identified. Urban residents contributed more to the mixed pattern, while rural residents had a higher contribution to the plant-rich pattern. Overall, dietary diversity was greater in urban than rural Tanzania. The estimated median daily energy intake was 2,902 kcal (IQR: 1449.2) with a lower energy intake in rural (2,817 kcal, IQR: 1,274) as compared to urban residents (3,052 kcal, IQR: 1558) (p = 0.021). The percent contribution to the median average daily energy intake for grains, fruits, and milk was higher in rural than urban participants. No differences were observed for meat, poultry and eggs.We identified two distinct dietary patterns: a "mixed pattern" prominent in urban and a "plant-rich pattern" more common in rural. Urban diets were more diverse with slightly higher energy intake. These findings underscore the effects of urbanization on diets and the need for targeted nutritional intervention for both rural and urban populations.
Document Type: Article
Other literature type
File Description: application/pdf
Language: English
ISSN: 2072-1315
DOI: 10.1186/s41043-025-00774-w
Access URL: https://pubmed.ncbi.nlm.nih.gov/40057768
https://doaj.org/article/5913b070c45d4cefa94a8dad2e1546c8
https://hdl.handle.net/1871.1/7643f338-0644-4941-b117-f8da4f237988
https://doi.org/10.1186/s41043-025-00774-w
https://research.vu.nl/en/publications/7643f338-0644-4941-b117-f8da4f237988
https://dspace.library.uu.nl/handle/1874/460777
https://pure.amsterdamumc.nl/en/publications/41db0bb8-f0b9-4281-a40b-ed63c904abcb
https://doi.org/10.1186/s41043-025-00774-w
Rights: CC BY NC ND
Accession Number: edsair.doi.dedup.....7fea731b03689477e4d2e247a6a7b8ef
Database: OpenAIRE
Description
Abstract:Like other Sub-Saharan Africa (SSA) countries, Tanzania is undergoing socio-economic changes that impact lifestyles and dietary choices. Traditionally, differences in dietary habits between rural and urban areas in Tanzania and other SSA countries were prominent. However, recent research indicates converging lifestyles and dietary choices associated with increased risk of cardiometabolic diseases. The objective of the current study was hence to investigate differences and similarities in dietary patterns, energy, and food groups intake in urban and rural Tanzania.Dietary habits were assessed by use of a Food Frequency Questionnaire (FFQ) for 442 respondents aged 44-65 years in urban (Ubungo -Dar es Salaam) and rural (Kilindi- Tanga) districts of Tanzania. Dietary patterns were determined using Principal Components Analysis (PCA). Bivariate analyses identified determinants of dietary patterns in urban and rural Tanzania.Two dietary patterns, a "mixed pattern" characterized by whole grains, potatoes, fruits, vegetables, meat, fried potatoes and tubers, alcohol, sugar-sweetened beverages (SSB), sugar and sweets, and added oils and a "plant-rich pattern" characterized by whole grains, fruits, pulses and peas, seasoning vegetables and salads, SSB, sugar and sweets, and added oils were identified. Urban residents contributed more to the mixed pattern, while rural residents had a higher contribution to the plant-rich pattern. Overall, dietary diversity was greater in urban than rural Tanzania. The estimated median daily energy intake was 2,902 kcal (IQR: 1449.2) with a lower energy intake in rural (2,817 kcal, IQR: 1,274) as compared to urban residents (3,052 kcal, IQR: 1558) (p = 0.021). The percent contribution to the median average daily energy intake for grains, fruits, and milk was higher in rural than urban participants. No differences were observed for meat, poultry and eggs.We identified two distinct dietary patterns: a "mixed pattern" prominent in urban and a "plant-rich pattern" more common in rural. Urban diets were more diverse with slightly higher energy intake. These findings underscore the effects of urbanization on diets and the need for targeted nutritional intervention for both rural and urban populations.
ISSN:20721315
DOI:10.1186/s41043-025-00774-w