Consumption Pattern of Antioxidant Rich Foods by Middle Aged Adults in Enugu North Local Government Area Enugu State, Nigeria.
ABSTRACT
This epidemiological study was to elicit information on the consumption pattern of antioxidant rich foods among middle-aged adults in Enugu North local government area, Enugu State, Nigeria. Four hundred adult men and women aged 40-60 years were used for the study.
Multiple- staged stratified random sampling technique was used for selection of the subjects used for the study. The respondents were randomly selected from 10 streets in the 5 urban zones making up the Enugu North local government area.
Structured questionnaire with personal interview was the instrument used for data collection.
Information were collected on the demographic characteristics, chronic diseases that affected the respondents, general knowledge of food nutrients, concepts of antioxidant, free radicals, sources and their health implications and on consumption pattern of antioxidant rich foods.
Also, data on the length of consumption pattern of antioxidant rich foods and those factors that could hinder adequate consumption of antioxidant rich foods were elicited. The statistical package for socials sciences SPSS version 12 was used for the data analysis.
Percentages, frequency, mean and standard deviation were employed for the data analysis. Analysis of data revealed that 74% of the respondents were females and 26% were males, 78.8% were married, 85% had higher education and 80% were civil servants.
Revealed also was that 75% of the respondents were affected by varied chronic diseases. Altogether, 790 chronic illnesses were discovered as some respondents had more than one disease at a time.
Females (76.7%) were with chronic illnesses while males had 23.3%. Subjects 40-50 years with chronic illnesses were 69.2%, while those 51-60 were 30.8%.
The chronic diseases and their distribution were grouped into ten and they included 17.0% diabetes, 28.6% arthritis, 32.7% eye related problems, 30.0% heart, 19.8% brain and 19.9% cancer related problems. Uncovered also were, 9.1% fibroid, 17.5% prostatitis, 21.3% peptic ulcer/gastritis and 2.9% adult asthma/hiccoughs.
Most of the respondents (85%) knew little or nothing about the nutrient contents of the various foods they consumed. The result also showed that the respondent’s concepts of antioxidants, free radicals, sources and health implications were below the mean value.
The subjects were found to have consumed inadequate amounts of antioxidant rich foods. Majority groups (79.1%, 56.9%, 76.1%, 59.9%, 81.4% and 72.5%) of the respondents had negative consumption practice to intakes of the antioxidant rich fruits, vegetables, grain/legumes, food additives, beverages, and snacks, respectively, for over 20 years.
On the other hand, minority groups (21.9%, 43.1%, 23.9%, 40.1%, 18.6%, and 27.5%) had positive practice to consumption of the antioxidant rich food groups, respectively, with exception of the antioxidant rich animal products that had a high percentage of 80.5% consumption practice.
Ten factors including ignorance, scarcity, cultural background, upbringing, foreign, fear of system intolerance, poor knowledge of preparation, poor colour acceptance, religious beliefs and time for preparation of such foods appeared to contribute to inadequate consumption of the essential nutrients.
It is therefore concluded that many factors including poverty, lack of knowledge or ignorance of the immense nutritional importance of antioxidant foods were responsible for their inadequate consumption.
Probably as a result of these, a high percentage of the respondents were affected by different chronic diseases.
TABLE OF CONTENTS
Title page i
Dedication ii
Acknowledgments iii
Table of Contents iv
List of Table v
Abstract vi
CHAPTER ONE INTRODUCTION
CHAPTER TWO: LITERATURE REVIEW
- Concept of bioxidants or free radicals – – – – – – 6
- Factors responsible for free radical/bioxidant formation – – – 7
- Harmful roles of free radicals – – – – – – 9
- Beneficial roles of free radicals/bioxidants – – – – – 11
- Mechanisms/ modes of free radicals or bioxidant reaction – – – 11
- Antioxidants- – – – – – – – – 14
- Concept of antioxidants and the health effects – – – – 14
- Mechanisms/modes of reaction of antioxidants – – – – – 17
- Factors that affect antioxidant content of foods- – – – – 19
- Effects of heat/cooking – – – – – – – – 21
- Samples of some changes in antioxidant level during cooking – – 21
- Effects of processing – – – – – – – – 21
- General antioxidant nutrients and functions – – – – – 22
- The four most well studied antioxidant nutrients – – – – 24
2.3.1.1 Vitamin C – – – 24
2.3.1.2 Vitamin E – 25
2.3.1.3 Caroteniods – – 27
2.3.1.4 Selenium – – – – 28
- General antioxidant rich foods – – – 29
- Antioxidant fruits – – – – – – 30
- Fruits in general – – – – – 30
- Citrus fruits – – – 31
- Antioxidant fruits – – – – – – 30
2.4.1.4 Berries- – 31
- Antioxidant vegetables – – – – 31
2.4.2.1 Tomatoes – – 31
2.4.2.2 Spinach – – – 32
- Bitter leaves- – – 32
- Cruciferous vegetables- – – – 33
2.4.2.5 Carrots – – 33
2.4.3 Grain/legumes – – – 33
2.4.3.1 Soy bean – – 33
- Coloured legumes/beans – – – 34
- Coloured whole grains/cereals – – – 34
- Animal products – – – – 35
2.4.4.1 Liver – – – 35
2.4.4.2 Fish – – 35
- Food additives – – – 35
2.4.5.1 Garlic/onion – – – 35
2.4.5.2 Ginger – – – 36
2.4.5.3 Pepper – – — 36
2.4.5.4 Red/ palm oil – 36
2.4.6 Beverages – – 37
2.4.6.1 Tea – – 37
2.4.6.2 Cocoa – – 38
2.4.6.3 Red wines – – 38
2.4.7 Snack – – – 38
- Factors that militated against adequate consumption of
antioxidant rich foods- – 39
- Financial inadequacy- – – – 39
2.5.2 Background – – – 40
- General preference – – – – 41
- Lack of knowledge – – – – – 41
2.6.0 Ranking antioxidant rich foods – – – 42
- Antioxidants and age related diseases – – – – 46
- Antioxidants and cancer related diseases – – – – – 46
- Antioxidants in prevention, treatment and cure of cancer
related diseases – – 47
- Antioxidant and cardiovascular diseases – – – – – 48
- Antioxidant in prevention, treatment and cure of heart diseases – – 49
- Antioxidant and cataract diseases – – – – – – 51
- Antioxidant in cataract prevention, treatment and cure – – – – 51
- Antioxidant and peptic ulcer/gastritis – – – – – – 53
- Antioxidant in prevention, treatment and cure of peptic ulcer/gastritis- – 54
- Antioxidant and arthritic diseases – – – – – – 55
- Antioxidant in prevention, treatment and cure of arthritis – – – 56
- Antioxidant and diabetes mellitus – – – – – – 57
- Antioxidant in prevention, treatment and cure of diabetes – – – 58
CHAPTER THREE -MATERIALS AND METHODS
- Sampling techniques – – – – – – – – 63
- Selection stages – – – – – – – – – 63
- Breakdown of the selection stages – – – – – – 64
- Method of data analysis – – – – – – – – 64
CHAPTER FOUR –RESULTS
- Personal data and socio economic characteristic of the subjects – – 65
- Number of subjects afflicted by chronic diseases and their distribution – 66
- Respondent’s general knowledge of food nutrients sources and functions – 67
- Respondent’s knowledge of antioxidants, free radicals, sources and
health implications. – – 69
- Consumption pattern of antioxidant rich foods – – – – – 70
- Consumption pattern of fruits – – – – – – – 70
- Consumption pattern of vegetables – – – – – – 71
- Consumption pattern of grains/legumes – – – – – 72
- Consumption pattern of animal products – – – – – 72
- Consumption pattern of food additives – – – – – – 73
- Consumption pattern of beverages – – – – – – 74
- Consumption pattern of snacks – – – – – – – 74
- Length of consumption pattern of antioxidant rich foods in years- – 75
- Length of consumption pattern of fruits – – – – – 75
- Length of consumption pattern of vegetables – – – – – 75
- Length of consumption pattern of grain/legumes – – – – 76
- Length of consumption pattern of animal products – – – – 76
- Length of consumption pattern of food additives – – – – 77
- Length of consumption pattern of beverages – – – – – 77
- Length of consumption pattern of snacks – – – – – 78
- Factors that militated against adequate consumption of antioxidant rich foods – 78
CHAPTER FIVE – DISCUSSION CONCLUSION AND RECOMMENDATIONS
- Background information on the respondents – – – – – 81
- Respondent’s general knowledge of food nutrients, sources and functions- 81
- Respondents knowledge of antioxidant, free radicals, sources and health implications 83
- Antitioxidant nutrients and functions – – 83
- Fruit, vegetable and anima sources of antioxidant rich food – – – 84
- Knowledge of antioxidants, free radicals, their sources and health implications 84
- Antioxidant nutrients in grain and legumes – – – – – 85
- Other food sources of antioxidant nutrients and functions – – – 85
- Consumption pattern of antioxidant rich foods – – – – – 86
- Fruit consumption – – – – – – – – 86
- Vegetable consumption – – – – – – – – 87
- Grain/legume consumption – – – – – – – 88
- Animal product consumption – – – – – – – 89
- Food additive consumption – – – – – – – 90
- Beverage consumption – – – – – – – – 91
- Antioxidant rich snack consumption – – – – – – 93
- Length of consumption pattern of antioxidant rich foods in years- – 93
- Length of consumption pattern of fruits – – – – – – 93
- Length of consumption pattern of vegetables – – – – – 94
- Length of consumption pattern of grain/legumes – – – – 94
- Length of consumption pattern of animal products- – – – 95
- Length of consumption pattern of food additives – – – – 95
- Length of consumption pattern of beverages – – – – – 96
- Length of consumption pattern of snacks – – – – – 96
- Hindrances to adequate consumption of antioxidant rich foods – – 97
- Financial inadequacy – – – – – – – – 97
5.6.2 Background – – 98
- General preference – – – – – – – – 101
- Lack of knowledge – – – – – – – – 102
Conclusion- – 104
Recommendation – – – 105
Suggestion for further studies 105
REFERENCES- – 107
APPENDIX.
INTRODUCTION
1.1 Background of the study
Antioxidants are disease fighting compounds that nature puts in foods to help body cells and tissues stay healthy (Warmer, 2002). Turner (2002) documented that antioxidants are phyto chemicals produced by plants to fight against viruses, fungi and bacteria.
They are essentially the chemical substances that mop up harmful free radicals (bioxidants) from body cells and tissues (Blomhoff, 2002). They are compounds that protect other body compounds from harmful effects of oxygen by themselves reacting with oxygen (Packer & Cadenas, 1995).
Ene-Obong (2001) asserted that antioxidants are substances that counteract the actions of free radicals in the body and assist to prevent extreme broad spectrum of diseases.
The collection of solar energy and its conversion into chemical energy in plants would not have been possible without a mechanism that effectively eliminates hazardous excess energy and prevents oxidative damage of the plant cells.
Plants are high in numerous antioxidant compounds such as polyphenols, carotenoids, tocopherols, tocotrienols, glutathione, ascorbic acid, as well as enzymes with antioxidant activity.
Animal cells have a much more limited de-novo antioxidant production (Blomhoff, 2005).
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