Childhood obesity has emerged as a significant public health issue globally, with one-quarter of obese children living in Africa. Maternal factors have been linked with childhood obesity, yet there is limited research in Ghana.
Objective:
This scoping review examined maternal factors associated with childhood obesity in Ghana.
Methods:
This review was conducted using the framework by Arksey and O’Malley. The strategy involved searching electronic databases (PubMed, Web of Science, and Embase) and reference lists of relevant literature. Additional searches were performed using Google Scholar. Keywords, including maternal factors, childhood obesity, and Ghana, with their synonyms and related Medical Subject Headings (MeSH) terms, were combined using Boolean operators. Peer-reviewed articles investigating maternal factors in relation to obesity in children in Ghana were included.
Results:
The scoping review included 11 studies conducted between 2012 and 2022 with 8101 children between 4 and 17 years old. The prevalence of childhood obesity was between 2.3% and 21.2%. Higher socioeconomic status was consistently associated with a higher risk of childhood obesity. Several studies also found a positive association between maternal education and childhood obesity. Other maternal factors, including BMI and empowerment, have been less frequently studied.
Conclusion:
Contrary to results from the developed countries, Ghanaian children from higher socioeconomic backgrounds and with more educated mothers are more prone to obesity, highlighting the need to specifically target these families in obesity prevention and intervention strategies.
TateEBWoodWLiaoYDuntonGF.Do stressed mothers have heavier children? A meta-analysis on the relationship between maternal stress and child body mass index. Obes Rev. 2015;16(5):351-361. doi:10.1111/obr.12262
MogreVGaaPKAbukariRNS. Overweight, obesity and thinness and associated factors among school-aged children (5-14 years) in Tamale, Northern Ghana. Eur Sci J. 2013;9(20):160-175.
4.
LarteyAMarquisGSAryeeteyRNtiH.Lipid profile and dyslipidemia among school-age children in urban Ghana. BMC Public Health. 2018;18:320. doi:10.1186/s12889-018-5196-0
5.
GanleJKBoakyePPBaatiemaL.Childhood obesity in urban Ghana: evidence from a cross-sectional survey of in-school children aged 5-16 years. BMC Public Health. 2019;19(1):1561. doi:10.1186/s12889-019-7898-3
6.
AkowuahPKKobia-AcquahE.Childhood obesity and overweight in Ghana: a systematic review and meta-analysis. J Nutr Metab. 2020;2020:1907416. doi:10.1155/2020/1907416
DietzWH.Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 1998;101(suppl 2):518-525.
9.
ReillyJJKellyJ.Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes. 2011;35(7):891-898. doi:10.1038/ijo.2010.222
10.
StraussRS.Childhood obesity and self-esteem. Pediatrics. 2000;105(1):e15. doi:10.1542/peds.105.1.e15
11.
WardleJCookeL.The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab. 2005;19(3):421-440. doi:10.1016/j.beem.2005.04.006
12.
WijgaAHScholtensSBemelmansWJ, et alComorbidities of obesity in school children: a cross-sectional study in the PIAMA birth cohort. BMC Public Health. 2010;10:184. doi:10.1186/1471-2458-10-184
13.
Ofori-AsensoRAgyemanAALaarABoatengD.Overweight and obesity epidemic in Ghana—a systematic review and meta-analysis. BMC Public Health. 2016;16(1):1239. doi:10.1186/s12889-016-3901-4
14.
FranksPWHansonRLKnowlerWCSieversMLBennettPHLookerHC.Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med. 2010;362(6):485-493. doi:10.1056/NEJMoa0904130
15.
WangYCMcPhersonKMarshTGortmakerSLBrownM.Health and economic burden of the projected obesity trends in the USA and the UK. Lancet. 2011;378(9793):815-825. doi:10.1016/S0140-6736(11)60814-3
16.
TrogdonJGFinkelsteinEAFeaganCWCohenJW.State-and payer-specific estimates of annual medical expenditures attributable to obesity. Obesity. 2012;20(1):214-220. doi:10.1038/oby.2011.169
17.
WangYCPamplinJLongMWWardZJGortmakerSLAndreyevaT.Severe obesity in adults cost state Medicaid programs nearly $8 billion in 2013. Health Aff. 2015;34(11):1923-1931. doi:10.1377/hlthaff.2015.0633
18.
CawleyJBienerAMeyerhoeferC, et alJob absenteeism costs of obesity in the United States: national and state-level estimates. J Occup Environ Med. 2021;63(7):565-573. doi:10.1097/JOM.0000000000002198
RogersREagleTFSheetzA, et alThe relationship between childhood obesity, low socioeconomic status, and race/ethnicity: lessons from Massachusetts. Child Obes. 2015;11(6):691-695. doi:10.1089/chi.2015.0029
21.
WilliamsASGeBPetroskiGKruseRLMcElroyJAKoopmanRJ.Socioeconomic status and other factors associated with childhood obesity. J Am Board Fam Med. 2018;31(4):514-521. doi:10.3122/jabfm.2018.04.170261
22.
NovakovićRCavelaarsAGeelenA, et alSocio-economic determinants of micronutrient intake and status in Europe: a systematic review. Public Health Nutr. 2014;17(5):1031-1045. doi:10.1017/S1368980013001341.
23.
GiskesKAvendaňoMBrugJKunstA.A systematic review of studies on socioeconomic inequalities in dietary intakes associated with weight gain and overweight/obesity conducted among European adults. Obes Rev. 2010;11(6):413-429. doi:10.1111/j.1467-789X.2009.00658.x.
24.
BaiYNaumovaENMastersWA.Seasonality of diet costs reveals food system performance in East Africa. Sci Adv. 2020;6(49):eabc2162. doi:10.1126/sciadv.abc2162
25.
MayJ.Keystones affecting sub-Saharan Africa’s prospects for achieving food security through balanced diets. Food Res Int. 2018;104:4-13. doi:10.1016/j.foodres.2017.06.062
26.
AsareMDanquahSA.The relationship between physical activity, sedentary behaviour and mental health in Ghanaian adolescents. Child Adolesc Psychiatry Ment Health. 2015;9:11. doi:10.1186/s13034-015-0043-x
27.
WeiNSunD.Children’s education and parents’ dietary nutrient intake: an empirical study based on rural China. Humanit Soc Sci Commun. 2023;10:336. doi:10.1057/s41599-023-01793-w
28.
MackenbachJD.Healthy eating: a matter of prioritisation by households or policymakers?. Public Health Nutr. 2021;24(7):1851-1853. doi:10.1017/S1368980021000677
29.
BeckKLHoustonZLMcNaughtonSAKrugerR.Development and evaluation of a food frequency questionnaire to assess nutrient intakes of adult women in New Zealand. Nutr Diet. 2020;77(2):253-259. doi:10.1111/1747-0080.12472
30.
Téllez-RojoMMTrejo-ValdiviaBRobertsE, et alInfluence of post-partum BMI change on childhood obesity and energy intake. PLoS One. 2019;14(12):e0224830. doi:10.1371/journal.pone.0224830
31.
LeonardSARasmussenKMKingJCAbramsB.Trajectories of maternal weight from before pregnancy through postpartum and associations with childhood obesity. Am J Clin Nutr. 2017;106(5):1295-1301. doi:10.3945/ajcn.117.158683
32.
LiberaliRKupekEAssisMAA. Dietary patterns and childhood obesity risk: a systematic review. Child Obes. 2020;16(2):70-85. doi:10.1089/chi.2019.0059
33.
AmoahAG.Sociodemographic variations in obesity among Ghanaian adults. Public Health Nutr. 2003;6(8):751-757. doi:10.1079/phn2003506
34.
AdesinaAFPetersideOAnochieIAkaniNA.Weight status of adolescents in secondary schools in port Harcourt using body mass index (BMI). Ital J Pediatr. 2012;38:31. doi:10.1186/1824-7288-38-31
35.
GewaCA.Childhood overweight and obesity among Kenyan pre-school children: association with maternal and early child nutritional factors. Public Health Nutr. 2010;13(4):496-503. doi:10.1017/S136898000999187X
36.
MogesTGebremichaelBShiferawSYirguR.Is inadequate play area in schools associated with overweight among students in Addis Ababa, Ethiopia? A comparative cross-sectional study. Epidemiol Health. 2018;40:e2018017.
37.
DescarpentrieACalasLCornetM, et alLifestyle patterns in European preschoolers: associations with socio-demographic factors and body mass index. Pediatr Obes. 2023;18(12):e13079. doi:10.1111/ijpo.13079
38.
KristiansenHRoelantsMBjerknesRJuliussonPB.Norwegian children and adolescents in blended families are at risk of larger one-year BMI increments. Acta Paediatr. 2020;109(3):587-594. doi:10.1111/apa.15019
39.
DonkorHMGrundtJHJúlíussonPB, et alSocial and somatic determinants of underweight, overweight and obesity at 5 years of age: a Norwegian regional cohort study. BMJ Open. 2017;7(8):e014548. doi:10.1136/bmjopen-2016-014548
40.
Cauich-ViñasPAzcorraHRodríguezLBanikSDVarela-SilvaMIDickinsonF.Body mass index in mother and child dyads and its association with household size and parents’ education in 2 urban settings of Yucatan, Mexico. Food Nutr Bull. 2019;40(3):383-392. doi:10.1177/0379572119842990
41.
MoshaTFungoS.Prevalence of overweight and obesity among children aged 6-12 years in Dodoma and Kinondoni municipalities, Tanzania. Tanzan J Health Res. 2010;12(1):6-16. doi:10.4314/thrb.v12i1.56202
42.
TuriKNChristophMJGrigsby-ToussaintDS.Spatial distribution of underweight, overweight and obesity among women and children: results from the 2011 Uganda Demographic and Health Survey. Int J Environ Res Public Health. 2013;10(10):4967-4981. doi:10.3390/ijerph10104967
43.
ArkseyHO’MalleyL.Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. doi:10.1080/1364557032000119616
MohammedHVuvorF.Prevalence of childhood overweight/obesity in basic school in Accra. Ghana Med J. 2012;46(3):124-127.
46.
AboagyeRGKugbeyNAhinkorahBO, et alNutritional status of school children in the South Tongu District, Ghana. PLoS One. 2022;17(8):e0269718. doi:10.1371/journal.pone.0269718
47.
AgabaMAzupogoFBrouwerID.Maternal nutritional status, decision-making autonomy and the nutritional status of adolescent girls: a cross-sectional analysis in the Mion District of Ghana. J Nutr Sci. 2022;11:e97. doi:10.1017/jns.2022.95
48.
AmiduNOwireduWSaakaM, et alDeterminants of childhood obesity among basic school children aged 6-12 years in Tamale metropolis. J Med Biomed Sci. 2013;2(3):26-34. doi:10.4314/jmbs.v2i3.5
49.
OdikoE.Determinants of childhood obesity in urban Ghana: a basis for health promotion. Pan-Afr J Health Environ Sci. 2022;1(1):187. Accessed January 6, 2023. https://journals.aua.ke/ajhes/article/view/187
50.
AryeeteyRLarteyAMarquisGSNtiHColecraftEBrownP.Prevalence and predictors of overweight and obesity among school-aged children in urban Ghana. BMC Obes. 2017;4:38. doi:10.1186/s40608-017-0174-0
51.
AdomTDe VilliersAPuoaneTKengneAP.Prevalence and correlates of overweight and obesity among school children in an urban district in Ghana. BMC Obes. 2019;6:14. doi:10.1186/s40608-019-0234-8
52.
ObirikorangCAntoENgalaRGyamfiE.The prevalence of childhood obesity and lifestyle-associated risk factors using anthropometric measurements among primary schools in the Kumasi metropolis, Ghana. Innov J Med Health Sci. 2015;4:13-23.
53.
KumordzieSMOkronipaHArimondM, et alMaternal and child factors associated with child body fatness in a Ghanaian cohort. Public Health Nutr. 2020;23(2):309-318. doi:10.1017/S1368980019001745
54.
de OnisMOnyangoAWBorghiESiyamANishidaCSiekmannJ.Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-667. doi:10.2471/blt.07.043497
55.
FosciMLoffredaLChamberlainANaidooN. Assessing the needs of the research system in Ghana. Report for the SRIA programme. Report Commissioned by: The UK Department for International Development. 2019;25(2).
56.
ChoukemS-PTochieJNSibetcheuATNansseuJRHamilton-ShieldJP.Overweight/obesity and associated cardiovascular risk factors in sub-Saharan African children and adolescents: a scoping review. Int J Pediatr Endocrinol. 2020;2020:6. doi:10.1186/s13633-020-0076-7
57.
MadjdianDSAzupogoFOsendarpSJBrasHBrouwerID.Socio-cultural and economic determinants and consequences of adolescent undernutrition and micronutrient deficiencies in LLMICs: a systematic narrative review. Ann N Y Acad Sci. 2018;1416(1):117-139. doi:10.1111/nyas.13670
58.
PretoriusSSNeophytouNWatsonED. Anthropometric profiles of 8-11 year old children from a low-income setting in South Africa. BMC Public Health. 2019;19:314. doi:10.1186/s12889-019-6530-x
59.
Al AlwanİAl FattaniALongfordN. The effect of parental socioeconomic class on children’s body mass indices. J Clin Res Pediatr Endocrinol. 2013;5(2):110-115. doi:10.4274/Jcrpe.898
60.
PienaarAE.Prevalence of overweight and obesity among primary school children in a developing country: NW-CHILD longitudinal data of 6-9-yr-old children in South Africa. BMC Obes. 2015;2:2. doi:10.1186/s40608-014-0030-4
61.
LiuNLiHGuoZ, et alPrevalence and factors associated with overweight or obesity among 2- to 6-year-old children in Hunan, China: a cross-sectional study. Public Health Nutr. 2022;25(12):1-12. doi:10.1017/S136898002200012X
62.
TatahLBainLEKongnyuyEAssahFMbanyaJC.Shared correlates of maternal and childhood overweight in Cameroon: a cross-sectional analysis of demographic and health survey data. BMC Public Health. 2023;23(1):1265. doi:10.1186/s12889-023-16164-y
63.
AhrensWPigeotIPohlabelnH, et alPrevalence of overweight and obesity in European children below the age of 10. Int J Obes. 2014;38(suppl 2):S99-S107. doi:10.1038/ijo.2014.140
64.
PhulkerdSThapsuwanSThongcharoenchupongNGrayRSChamratrithirongA.Sociodemographic differences affecting insufficient fruit and vegetable intake: a population-based household survey of Thai people. J Health Res. 2020;34(5):419-429. doi:10.1108/JHR-07-2019-0150
65.
MillsSWhiteMBrownH, et alHealth and social determinants and outcomes of home cooking: a systematic review of observational studies. Appetite. 2017;111:116-134. doi:10.1016/j.appet.2016.12.022
66.
SliwaSAMustAPeréaFEconomosCD.Maternal employment, acculturation, and time spent in food-related behaviors among Hispanic mothers in the United States. Evidence from the American Time Use Survey. Appetite. 2015;87:10-19. doi:10.1016/j.appet.2014.10.015
67.
WangMCNaidooNFerzaccaSReddyGVan DamRM.The role of women in food provision and food choice decision-making in Singapore: a case study. Ecol Food Nutr. 2014;53(6):658-677. doi:10.1080/03670244.2014.911178
68.
AdetunjiAEAdeniranKAOlomuSC, et alSocio-demographic factors associated with overweight and obesity among primary school children in semi-urban areas of mid-western Nigeria. PLoS One. 2019;14(4):e0214570. doi:10.1371/journal.pone.0214570
69.
AlshaikhAAAlqahtaniASAlShehriFAA, et alExamining the impact of socioeconomic factors and lifestyle habits on obesity prevalence among male and female adolescent students in Asser, Saudi Arabia. Cureus. 2023;15(8):e43918. doi:10.7759/cureus.43918
70.
KhashayarPKasaeianAHeshmatR, et alChildhood overweight and obesity and associated factors in Iranian children and adolescents: a multilevel analysis; the CASPIAN-IV study. Front Pediatr. 2018;6:393. doi:10.3389/fped.2018.00393
71.
ManiosYAndroutsosOKatsarouC, et alPrevalence and sociodemographic correlates of overweight and obesity in a large Pan-European cohort of preschool children and their families: the ToyBox study. Nutrition. 2018;55-56:192-198. doi:10.1016/j.nut.2018.05.007
72.
JeannotEMahlerPEliaNCerrutiBChastonnayP.Sociodemographic and economic determinants of overweight and obesity for public-school children in Geneva State, Switzerland: a cross-sectional Study. Int J Prev Med. 2015;6:39. doi:10.4103/2008-7802.156836
73.
DanquahFIAnsu-MensahMBawontuoV, et alRisk factors and morbidities associated with childhood obesity in sub-Saharan Africa: a systematic scoping review. BMC Nutr. 2020;6(1):37. doi:10.1186/s40795-020-00364-5
74.
Al-SaadiAAl YahiaeeLAhmedE, et alObesity and lifestyle behaviours among in-school children in Oman. East Mediterr Health J. 2023;29(9):716-724. doi:10.26719/emhj.23.095
75.
BirbilisMMoschonisGMougiosVManiosY.Obesity in adolescence is associated with perinatal risk factors, parental BMI and sociodemographic characteristics. Eur J Clin Nutr. 2013;67(1):115-121. doi:10.1038/ejcn.2012.176
76.
Kurspahić-MujčićAMujčićA.Factors associated with overweight and obesity in preschool children. Med Glas. 2020;17(2):538-543. doi:10.17392/1175-20
77.
MoschonisGKalioraACKaratziK, et alPerinatal, sociodemographic and lifestyle correlates of increased total and visceral fat mass levels in schoolchildren in Greece: the Healthy Growth Study. Public Health Nutr. 2017;20(4):660-670. doi:10.1017/s1368980016002640
78.
ZereyesusYAAmanor-BoaduVRossKLShanoyanA.Does women’s empowerment in agriculture matter for children’s health status? Insights from Northern Ghana. Soc Indic Res. 2017;132(3):1265-1280. doi:10.1007/s11205-016-1328-z
79.
IckesSBWuMMandelMPRobertsAC.Associations between social support, psychological well-being, decision making, empowerment, infant and young child feeding, and nutritional status in Ugandan children ages 0 to 24 months. Matern Child Nutr. 2018;14(1):e12483. doi:10.1111/mcn.12483
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