Papers by Michelle Holdsworth
The Lancet, 2020
Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019... more Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories a pooled analysis of 2181 population-based studies with 65 million participants
Annals of Nutrition and Metabolism, 2009
Being engaged in income generation activities (IGA) that intake of ASF through increased availabi... more Being engaged in income generation activities (IGA) that intake of ASF through increased availability of ASF in the home and increased income to purchase ASF. This study compared the ASF diversity of children whose caregivers engaged in ASF-related IGA and those whose caregivers engaged in IGA unrelated to ASF.Data on caregiver's socio-demographic status ecological zone of Ghana. The ASF diversity of children higher than those in low wealth households (P<0.0001). Children's ASF dietary diversity was not predicted by type of caregiver's IGA. Living in the forest transitional zone and a child positive predictors of children's dietary ASF, whilst Living in the Interior savannah grassland and total under of children children's dietary ASF diversity score (P<0.0001). Household wealth rather than ASF availability in the home through an IGA may be a more important determinant of ASF in children's diets in the study communities.
Health policy and planning, Jan 14, 2014
Setting research priorities for improving nutrition in Africa is currently ad hoc and there is a ... more Setting research priorities for improving nutrition in Africa is currently ad hoc and there is a need to shift the status quo in the light of slow progress in reducing malnutrition. This study explored African stakeholders' views on research priorities in the context of environmental and socio-demographic changes that will impact on nutritional status in Africa in the coming years. Using Multi-Criteria Mapping, quantitative and qualitative data were gathered from 91 stakeholders representing 6 stakeholder groups (health professionals, food Industry, government, civil society, academics and research funders) in Benin, Mozambique, South Africa, Tanzania, Togo and Uganda. Stakeholders appraised six research options (ecological nutrition, nutritional epidemiology, community nutrition interventions, behavioural nutrition, clinical nutrition and molecular nutrition) for how well they could address malnutrition in Africa. Impact (28.3%), research efficacy (23.6%) and social acceptabili...
Tienda online donde Comprar Oxford Handbook of Nutrition and Dietetics al precio 49,40 € de Miche... more Tienda online donde Comprar Oxford Handbook of Nutrition and Dietetics al precio 49,40 € de Michelle Holdsworth | Angela Madden, tienda de Libros de Medicina, Libros de Epidemiologia, Salud Publica y Estadistica - Salud Publica
Méthodes d'investigation de l'alimentation et des mangeurs
Introduction: The school is a vital part in the development of children's dietary practices a... more Introduction: The school is a vital part in the development of children's dietary practices as children consume a substantial proportion of their daily intake at school. The school environment offers an ideal location for health education and intervention against physical inactivity and poor nutritional intake. Methods: A mapping tool was developed to map the school environment on four levels: physical, economic, political, and socio-cultural that can potentially affect healthy eating and physical activity. The mapping was piloted and completed by interviewing twelve teachers (responsible for student affairs and the school curriculum), followed by observation at twelve randomly selected schools (six urban, six rural) in Terengganu, Eastern Peninsular Malaysia. Results: For physical environment, 55.0% of the criteria were met and while all schools taught nutrition and physical activity, this was not backed up with actual facilities for practising physical activity or food prepara...
Background: Ecological models are currently the most used approaches to classify and conceptualis... more Background: Ecological models are currently the most used approaches to classify and conceptualise determinants of sedentary behaviour, but these approaches are limited in their ability to capture the complexity of and interplay between determinants. The aim of the project described here was to develop a transdisciplinary dynamic framework, grounded in a system-based approach, for research on determinants of sedentary behaviour across the life span and intervention and policy planning and evaluation. Methods: A comprehensive concept mapping approach was used to develop the Systems Of Sedentary behaviours (SOS) framework, involving four main phases: (1) preparation, (2) generation of statements, (3) structuring (sorting and ranking), and (4) analysis and interpretation. The first two phases were undertaken between December 2013 and February 2015 by the DEDIPAC KH team (DEterminants of DIet and Physical Activity Knowledge Hub). The last two phases were completed during a two-day conse...
1. Objectives • To compare the motivations of consumers in Central England and Southern France, w... more 1. Objectives • To compare the motivations of consumers in Central England and Southern France, who make local, sustainable food choices. •To investigate the socio-demographic profile of fruit and vegetable box scheme users in England and France. 1. Objectives • To compare the motivations of consumers in Central England and Southern France, who make local, sustainable food choices. •To investigate the socio-demographic profile of fruit and vegetable box scheme users in England and France.
Public Health Nutrition
Objective: To synthesise evidence on body size preferences for females living in Africa and the f... more Objective: To synthesise evidence on body size preferences for females living in Africa and the factors influencing these. Design: Mixed-methods systematic review including searches on Medline, CINHAL, ASSIA, Web of Science and PsycINFO (PROSPERO CRD42015020509). A sequential-explanatory approach was used to integrate quantitative and qualitative findings. Setting: Urban and rural Africa. Participants: Studies of both sexes providing data on body size preferences for adolescent girls and women aged ≥10 years. Results: Seventy-three articles from twenty-one countries were included: fifty quantitative, fifteen qualitative and eight mixed methods. Most studies reported a preference for normal or overweight body sizes. Some studies of adolescent girls/young women indicated a preference for underweight. Factors influencing preferences for large(r) body sizes included: socio-demographic (e.g. education, rural residency), health-related (e.g. current BMI, pubertal status), psycho-social (e...
International Journal of Health Policy and Management
Background: Obesity and nutrition-related non-communicable diseases (NR-NCDs) are increasing thro... more Background: Obesity and nutrition-related non-communicable diseases (NR-NCDs) are increasing throughout Africa, driven by urbanisation and changing food environments. Policy action has been limited - and influenced by high income countries. Socio-economic/political environments of African food systems must be considered in order to understand what policy might work to prevent NR-NCDs, for whom, and under what circumstances. Methods: A realist synthesis of five policy areas to support healthier food consumption in urban Africa: regulating trade/foreign investment; regulating health/nutrition claims/labels; setting composition standards for processed foods; restricting unhealthy food marketing; and school food policy. We drew upon Ghana and Kenya to contextualise the evidence base. Programme theories were generated by stakeholders in Ghana/Kenya. A two-stage search interrogated MEDLINE, Web of Science and Scopus. Programme theories were tested and refined to produce a synthesised mode...
Frontiers in Nutrition
Background: This study describes the rationale, adaptation, and final protocol of a project devel... more Background: This study describes the rationale, adaptation, and final protocol of a project developed to address the increase in obesity and nutrition-related non-communicable diseases (NR-NCDs) in Ghana. Code-named the Measurement, Evaluation, Accountability, and Leadership Support for NCDs (MEALS4NCDs) project, it aims to measure and support public sector actions that create healthy food marketing, retail, and provisioning environments for Ghanaian children using adapted methods from the International Network for Food and Obesity/NCDs Research Monitoring and Action Support (INFORMAS).Methods: The protocol for this observational study draws substantially from the INFORMAS' Food Promotion and Food Provision Modules. However, to appraise the readiness of local communities to implement interventions with strong potential to improve food environments of Ghanaian children, the MEALS4NCDs protocol has innovatively integrated a local community participatory approach based on the commu...
Nutrition Journal
Background Healthy and sustainable dietary practices offer a possible solution to competing tensi... more Background Healthy and sustainable dietary practices offer a possible solution to competing tensions between health and environmental sustainability, particularly as global food systems transition. To encourage such dietary practices, it is imperative to understand existing dietary practices and factors influencing these dietary practices. The aim of this study was to identify multi-level factors in lived rural and urban Ugandan food environments that influence existing dietary practices among women of reproductive age (WRA). Methods A mixed methods study was conducted. Multiple correspondence analysis followed by hierarchical cluster analysis were performed on dietary data collected among a sample (n = 73) of Ugandan WRA in Kampala (urban) and Wakiso (rural) districts to elicit dietary clusters. Dietary clusters, which were labelled as dietary typologies based on environmental impact and nutrition transition considerations, were reflective of dietary practices. Following this, a sm...
eLife
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesit... more From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory ...
eLife, 2021
Heterogeneous contributions of change in population distribution of body mass index to change in ... more Heterogeneous contributions of change in population distribution of body mass index to change in obesity and underweight NCD Risk Factor Collaboration (NCD-RisC)*
Nutrition Journal, 2020
Background: Healthy and sustainable dietary practices offer a possible solution to competing tens... more Background: Healthy and sustainable dietary practices offer a possible solution to competing tensions between health and environmental sustainability, particularly as global food systems transition. To encourage such dietary practices, it is imperative to understand existing dietary practices and factors influencing these dietary practices. The aim of this study was to identify multi-level factors in lived rural and urban Ugandan food environments that influence existing dietary practices among women of reproductive age (WRA).
Public Health Nutrition
Objective: To synthesise evidence of urban dietary behaviours (macronutrients, types of foods, di... more Objective: To synthesise evidence of urban dietary behaviours (macronutrients, types of foods, dietary diversity and dietary practices) in two African countries in relation to postulated changes in the context of nutrition transition. Design: Systematic review and meta-analyses, including six online databases and grey literature, 1971–2018 (Protocol CRD42017067718). Setting: Urban Ghana and Kenya. Participants: Population-based studies of healthy adolescents and adults. Results: The forty-seven included studies encompassed 20 726 individuals plus 6526 households. Macronutrients were within WHO-recommended ranges: mean energy intake was 1867 kcal/d (95 % CI 1764, 1969) and the proportions of macronutrients were carbohydrate 61·2 % (58·4, 64·0), fat 25·3 % (22·8, 28·0) and protein 13·7 % (12·3, 15·1). The proportion of population consuming fruit and vegetables was 51·6 %; unhealthy foods, 29·4 %; and sugar-sweetened beverages (SSBs), 39·9 %. Two-thirds (68·8 %) consumed animal-source ...
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Papers by Michelle Holdsworth