Evidence map›Paper›PMID 41820890›Full record

ArticleBMC public health2026

Patterns and clusters of diet in relation to metabolic syndrome among adults in Ubungo (urban) and Kilindi (rural) districts, Tanzania: a cross-sectional study.

Linda S Paulo, Gonçalo J Piedade, Simeon Mayala, Vanessa Harris, Virissa C Lenters, Daniel R Mende, Appolinary Kamuhabwa, Gideon Kwesigabo, Folkert W Asselbergs, Pilly Chillo and 1 more

Abstract read
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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Linda S PauloDepartment of Epidemiology and Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. l.s.paulo@umcutrecht.nl.
Gonçalo J PiedadeAmsterdam UMC, location University of Amsterdam, Department of Global Health, Amsterdam Institute for Global Health and Development, Meibergdreef 9, Amsterdam, The Netherlands.
Simeon MayalaDepartment of Biomedical Engineering, School of Biomedical Sciences, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania.
Vanessa HarrisAmsterdam UMC, location University of Amsterdam, Department of Global Health, Amsterdam Institute for Global Health and Development, Meibergdreef 9, Amsterdam, The Netherlands.
Virissa C LentersEnvironment and Health, Amsterdam Institute for Life and Environment, Vrije Universiteit Amsterdam, 1081 HV, Amsterdam, The Netherlands.
Daniel R MendeAmsterdam UMC, location University of Amsterdam, Department of Global Health, Amsterdam Institute for Global Health and Development, Meibergdreef 9, Amsterdam, The Netherlands.
Appolinary KamuhabwaCardiovascular Centre of Excellence, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, United Republic of Tanzania.
Gideon KwesigaboCardiovascular Centre of Excellence, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, United Republic of Tanzania.
Folkert W AsselbergsDepartment of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Pilly ChilloCardiovascular Centre of Excellence, Muhimbili University of Health and Allied Sciences, Dar Es Salaam, United Republic of Tanzania.
K Klipstein-GrobuschDepartment of Epidemiology and Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of Metabolic Syndrome (MetS) is rising worldwide, with particularly high rates in regions undergoing rapid urbanization and dietary change, such as Sub-Saharan Africa (SSA). However, few studies have examined the relationship between dietary patterns, dietary clusters, and MetS in these transitioning communities.

objectivesTo examine the associations between dietary patterns, dietary clusters, and MetS in urban and rural Tanzania.

methodsA cross-sectional study was conducted among 379 adults in urban (Ubungo, Dar es Salaam) and rural (Kilindi, Tanga) districts. Data on demographics, medical history, and lifestyle factors were collected using validated tools. Anthropometric, blood pressure, and biochemical measurements followed the WHO STEPS survey protocols. Dietary habits were assessed using a food frequency questionnaire; dietary patterns were derived by principal component analysis (PCA) and dietary clusters by hierarchical clustering on the principal components (HCPC). Logistic regression models were used to assess associations between diet, lifestyle factors, and MetS/MetS components.

resultsPrincipal components analysis identified eight dietary patterns, including mixed, plant-rich, and processed diets. Hierarchical clustering on principal components classified participants into three dietary clusters: rural non-diverse, mixed unhealthy, and urban mixed diets. The prevalence of MetS was 47% (95% CI: 39—54) in urban areas and 38% (95%CI: 32 – 46) in rural areas (p = 0.11). High adherence (quartile 4) to the mixed diet—pattern 1 was associated with MetS. While dietary clusters were not significantly associated with MetS overall, the mixed unhealthy diet (cluster 2) was associated with two MetS components—central obesity and dyslipidemia.

conclusionThe prevalence of MetS is high in both urban and rural Tanzania, with no statistically significant difference between the two settings. Specific mixed unhealthy dietary patterns and clusters were associated with MetS, dyslipidemia and central obesity. Public health measures to address unhealthy dietary patterns and the burden of MetS are needed in both rural and urban Tanzania.

Indexed as

DietFeeding BehaviorMetabolic SyndromeRural PopulationUrban PopulationAdultCluster AnalysisCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceTanzaniaDietary clustersDietary patternsMetabolic syndromeRuralUrban

Identifiers

PMID41820890
PMCPMC13093954

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.