Experiences of Ghanaian School-Aged Children Regarding Dietary Practices for Weight Management

Introduction:.Childhood obesity has become a growing public health concern globally, including in low- and middle-income countries such as Ghana. Objective: This study explored the experiences of Ghanaian school-aged children regarding dietary practices for weight management. Methods: Three focus group discussions involving 26 participants from three basic schools in Cape Coast, Ghana were included. Child assent was obtained prior to data collection. Qualitative data were analyzed thematically following Braun and Clarke’s reflective thematic analysis framework in MAXQDA Analytics Pro 2020. Results: Four major themes emerged: (i) health and dietary knowledge, (ii) dietary practices and preferences, (iii) influences on dietary choices, and (iv) safety and concerns. Participants exhibited a fair understanding of healthy and unhealthy foods, noting the importance of nutrients for growth and well-being. Their dietary behaviors were shaped by parents, teachers, peers, and the school food environment. Children raised concerns about the unavailability of fruits, high cost of healthy foods, and unhygienic conditions of some food vendors at their schools. Conclusions: Our study highlights the need for participatory efforts including students, parents, teachers, and policymakers to promote healthy eating and regular physical activity among school-age children. Encouraging sound nutritional habits early in life is crucial to preventing obesity and promoting lifelong health.