# Energy and Nutrient Intakes of Public Health Concern by Rural and Urban Ghanaian Mothers Assessed by Weighed Food Compared to Recommended Intakes

## TL;DR

This study compares the energy and nutrient intakes of rural and urban Ghanaian mothers using weighed food records to see how they align with recommended dietary guidelines.

## Contribution

The study uses weighed food records instead of self-reports to assess dietary intakes of Ghanaian mothers, revealing specific micronutrient inadequacies.

## Key findings

- Rural mothers had higher energy and nutrient intakes than urban mothers.
- Most mothers met recommended nutrient intakes, but many were deficient in folate.
- Urban mothers were more likely to have iron and zinc deficiencies compared to rural mothers.

## Abstract

Background/Objectives: Previous studies assessing dietary intake have used self-report methods, prone to misreporting. Using researcher-conducted weighed food records, we assessed rural and urban mothers’ energy and nutrient intakes of concern and compared them to recommended nutrient intakes (RNIs). Methods: This cross-sectional study was conducted in rural (Asaase Kokoo) and urban (University of Ghana Staff Village) communities. Dietary data were collected from fifty-four mothers (26 rural, 28 urban) on 2 weekdays and 1 weekend day, analyzed with software, and programmed with West African, FNDDS, Kenyan, Ugandan, and USDA food composition databases. Results: Mean (SD) ages (years) were 35.8 (11.6) and 44.4 (7.6), and mean energy intakes (kcal) were 2026 (461) and 1669 (385) for rural and urban mothers, respectively. Mean percentage contributions of macronutrients to energy intake were within recommended ranges for rural and urban mothers. All participants met or exceeded vitamin A RNI, irrespective of location. While all rural mothers met or exceeded iron RNI, some urban mothers (14.3%) did not. Few rural (7.7%) and urban mothers (10.7%) did not meet zinc RNI. About half of rural (46.2%) and urban mothers (53.6%) did not meet folate RNI. Most rural (96.1%) and urban mothers (92.8%) met or exceeded fiber RNI. Conclusions: Overall, rural mothers had higher energy and nutrient intakes than urban mothers. While most met RNIs, there were some micronutrient inadequacies, particularly folate, where almost half of rural and urban mothers consumed below RNI. Our findings indicate the need for tailored interventions to prevent nutrient deficiencies or excesses in Ghanaian mothers.