Browsing by Author "Mwanri, Akwilina"

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    Adequacy of macro and micronutrients in infants and young children’s diets in Zanzibar, Tanzania
    (Makerere university medical school (Uganda)) Kinabo, Joyce; Mamiro, Peter; Mwanri, Akwilina; Bundala, Nyamizi; Kulwa, Kissa; Picado, Janeth; Ntwenya, Julius; Nombo, Aneth; Mzimbiri, Rehema; Ally, Fatma; Salmini, Asha; Juma, Abuu; Macha, Elizabeth; Cheung, Edith; Msuya, John
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    In-vitro bioavailability of selected minerals in dry and green shelled beans
    (African Journal of Agricultural Research) Mamiro, Peter; Mwanri, Akwilina; Mamiro, Delphina; Nyagaya, Martha; Ntwenya, Julius
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    Insulin Resistance Among Pregnant Women in Urban Areas of Arusha Region, Tanzania.
    (Mary Ann Liebert, Inc., publishers) Msollo, Safiness; Martin, Haikael; Mwanri, Akwilina; Petrucka, Pammla
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    Total body fat is associated with increased risk for pre-diabetes and hypertension among secondary school adolescents in Morogoro Region, Tanzania
    (Iomcworld, 2022) Makbel, Khadija; Mwanri, Akwilina; Ramaiya, Kaushik
    Aims: We aimed to determine the prevalence and determinants of type 2 diabetes mellitus and hypertension among adolescents in Morogoro region, Tanzania. Methods: This was a cross-sectional study, which involved 384 adolescent students. Standard procedures were used to measure weight, height, body fat percentage, blood pressure and random blood glucose levels. Hyperglycemia was diagnosed using American Diabetes Association criteria and hypertension diagnosed using American Heart Association Guidelines for childhood hypertension. Dietary assessment was done using a validated dietary diversity questionnaire. Physical activities were assessed using a self-administered 7-day recall physical activity questionnaire for adolescents. Statistical analyses was done using IBM SPSS version 21. The Chi-square and logistic regression analysis were used to determine determinants for diabetes and hypertension. Results: Prevalence of pre-diabetes was more than twice as much (7.3%) in the urban compared to the rural areas (3.1%). Determinants of pre-diabetes were overweight/obesity (OR 5.64; 95% CI 2.82–11.31), school type (OR 1.99; 95% CI 1.04–3.84) and elevated body fat (EBF) (OR 1.06; 95% CI 1.03 – 1.09). Likewise, prevalence of hypertension was much higher among urban adolescents (17.2%) compared to their peers (5.7%). Determinants of hypertension were location (OR 1.85; 95% CI 1.11 – 3.07), overweight/ obese (OR 5.89; 95% CI 3.19 – 10.89), elevated body fat (EBF) (OR 1.14; 95% CI 1.09 – 1.19) and low physical activities (OR 1.58; 95% CI (1.35 – 3.48). Conclusion: High prevalence of pre-diabetes and hypertension among adolescents is alarming. Total body fat and increased BMI are associated with increased risk for pre-diabetes and hypertension. Promotion of healthy lifestyle should start at a younger age to prevent development of diet related non-communicable diseases.
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    Understanding the drivers of diet change and food choice among Tanzanian pastoralists to inform policy and practice
    (Drivers of Food Choice, 2020) Girard, Amy Webb; Little, Peter; Yount, Kathryn; Dominguez-Salas, Paula; Kinabo, Joyce; Mwanri, Akwilina
    Overall, diet patterns have changed dramatically for traditionally pastoral communities in rural Tanzania, with younger and more sedentary communities experiencing the most significant changes. While social and environmental changes underlie the altered food choice behaviors, proximal factors such as cost and availability of foods dictated decisions at the point of purchase and appeared to accelerate pattern shifts. For example, cereals, refined grains and processed foods were the most affordable and accessible food items in the markets while traditional fruits and vegetables have declined substantially in availability over the past several decades. Participants expressed concern regarding these dietary shifts and implications for both social identity and long-term health, with expressed concerns around childhood malnutrition due to reduced milk supply, pregnancy/postpartum complications due to declining blood consumption, and increased chronic diseases related to increased consumption of cereals, fats and oils, and soft drinks. Participants exhibited a strong desire for enhanced land tenure policies to ensure access to quality grazing lands and water sources. A high value on children’s health was expressed by participants who emphasized a need for more inclusive nutrition and health education pertaining to balanced diets.