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SAGE Open"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"22443","DOI":"10.3402\/gha.v7.22443","article-title":"Demographic, epidemiological, and health transitions: are they relevant to population health patterns in Africa?","volume":"7","author":"B Kuate Defoh","year":"2014","journal-title":"Global Health Action"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.3945\/jn.115.226654","article-title":"Urbanicity gradients are associated with the household- and individual-level double burden of malnutrition in sub-Saharan Africa","volume":"146","author":"AD Jones","year":"2016","journal-title":"J Nutr"},{"key":"ref10","unstructured":"Hervish A, Clifton D. Status report on adolescents and young people in sub-Saharan Africa: Opportunities and challenges. Johannesburg, South Africa: United Nations Population Fund (UNFPA), 2012. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.prb.org\/pdf12\/status-report-youth-subsaharan-Africa.pdf\" xlink:type=\"simple\">http:\/\/www.prb.org\/pdf12\/status-report-youth-subsaharan-Africa.pdf<\/ext-link>. Accessed 2016 November 15."},{"issue":"6","key":"ref11","first-page":"390","article-title":"Why the communicable\/non-communicable disease dichotomy is problematic for public health control strategies: implications of multimorbidity for health systems in an era of health transition","volume":"7","author":"T Oni","year":"2015","journal-title":"International Health"},{"issue":"2","key":"ref12","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1111\/tmi.12024","article-title":"Measures of general and central obesity and risk of type 2 diabetes in a Ghanaian population","volume":"18","author":"LK Frank","year":"2013","journal-title":"Trop Med Int Health"},{"key":"ref13","unstructured":"agogopresbyhospital.org [internet]. Agogo: Presbyterian Hospital Services; c2014 [cited 2017 Feb 08] <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/www.agogopresbyhospital.org\" xlink:type=\"simple\">http:\/\/www.agogopresbyhospital.org<\/ext-link>"},{"key":"ref14","unstructured":"US Department of Health and Human Services. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Bethesda, USA: National Institutes of Health, 2005. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.nhlbi.nih.gov\/files\/docs\/resources\/heart\/hbp_ped.pdf\" xlink:type=\"simple\">https:\/\/www.nhlbi.nih.gov\/files\/docs\/resources\/heart\/hbp_ped.pdf<\/ext-link>. Accessed 2016 December 19."},{"issue":"Suppl 1","key":"ref15","doi-asserted-by":"crossref","first-page":"S199","DOI":"10.1016\/S0035-9203(02)90077-5","article-title":"Alternative polymerase chain reaction method to identify Plasmodium species in human blood samples: the semi-nested multiplex malaria PCR (SnM-PCR)","volume":"96","author":"JM Rubio","year":"2002","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"ref16","article-title":"Serum ferritin concentrations for the assessment of iron status and iron deficiency in populations","year":"2004"},{"issue":"6","key":"ref17","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1093\/humrep\/deg249","article-title":"Concentrations of carotenoids, retinol and alpha-tocopherol in plasma and follicular fluid of women undergoing IVF","volume":"18","author":"FJ Schweigert","year":"2003","journal-title":"Hum Reprod"},{"key":"ref18","article-title":"Global prevalence of vitamin A deficiency in populations at risk 1995\u20132005: WHO Global Database on Vitamin A Deficiency","year":"2009"},{"issue":"11","key":"ref19","doi-asserted-by":"crossref","first-page":"3160","DOI":"10.2337\/diacare.26.11.3160","article-title":"Follow-up report on the diagnosis of diabetes mellitus","volume":"26","author":"S Genuth","year":"2003","journal-title":"Diabetes Care"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1086\/504688","article-title":"Malaria, anemia, and malnutrition in african children\u2014defining intervention priorities","volume":"194","author":"S Ehrhardt","year":"2006","journal-title":"J Infect Dis"},{"issue":"1","key":"ref21","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1128\/IAI.69.1.123-128.2001","article-title":"Human resistance to Plasmodium falciparum increases during puberty and is predicted by dehydroepiandrosterone sulfate levels","volume":"69","author":"JD Kurtis","year":"2001","journal-title":"Infect Immun"},{"issue":"4","key":"ref22","doi-asserted-by":"crossref","first-page":"364","DOI":"10.3329\/jhpn.v29i4.8452","article-title":"Prevalence of and risk factors for stunting among school children and adolescents in Abeokuta, southwest Nigeria","volume":"29","author":"IO Senbanjo","year":"2011","journal-title":"J Health Popul Nutr"},{"issue":"4","key":"ref23","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s12529-009-9073-1","article-title":"Leisure time physical activity and sedentary behavior and substance use among in-school adolescents in eight African countries","volume":"17","author":"K Peltzer","year":"2010","journal-title":"Int J Behav Med"},{"issue":"2","key":"ref24","article-title":"Prevalence of vitamin A, zinc, iodine deficiency and anaemia among 2\u201310 year-old Ghanaian children","volume":"12","author":"G Egbi","year":"2012","journal-title":"Afric J Food Agric Nut Devel"},{"issue":"6","key":"ref25","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1017\/S0007114514001585","article-title":"School feeding contributes to micronutrient adequacy of Ghanaian schoolchildren","volume":"112","author":"AR Abizari","year":"2014","journal-title":"Br J Nutr"},{"issue":"3","key":"ref26","doi-asserted-by":"crossref","first-page":"e92846","DOI":"10.1371\/journal.pone.0092846","article-title":"Evidence of an overweight\/obesity transition among school-aged children and youth in sub-Saharan Africa: a systematic review","volume":"9","author":"SK Muthuri","year":"2014","journal-title":"PLoS One"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s40200-016-0261-7","article-title":"Prevalence of diabetes mellitus among children and adolescents in the district of Abidjan in Cote d&apos;Ivoire: a population-based study","volume":"15","author":"ML Agbre-Yace","year":"2015","journal-title":"J Diabetes Metab Disord"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"417859","DOI":"10.1155\/2015\/417859","article-title":"Fasting blood glucose profile among secondary school adolescents in Ado-Ekiti, Nigeria","volume":"2015","author":"IO Oluwayemi","year":"2015","journal-title":"J Nutr Metab"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1186\/s12889-015-1546-3","article-title":"The association of physical activity, body mass index and the blood pressure levels among urban poor youth in Accra, Ghana","volume":"15","author":"E Afrifa-Anane","year":"2015","journal-title":"BMC Public Health"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1186\/s12936-015-0870-5","article-title":"Association between anthropometry-based nutritional status and malaria: a systematic review of observational studies","volume":"14","author":"E Ferreira","year":"2015","journal-title":"Malar J"},{"issue":"1","key":"ref31","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1186\/s12936-016-1606-x","article-title":"Asymptomatic only at first sight: malaria infection among schoolchildren in highland Rwanda","volume":"15","author":"KC Sifft","year":"2016","journal-title":"Malar J"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1146\/annurev.nutr.21.1.167","article-title":"Vitamin A, infection and immune function","volume":"21","author":"CB Stephensen","year":"2001","journal-title":"Annu Rev Nutr"},{"issue":"9859","key":"ref33","doi-asserted-by":"crossref","first-page":"2224","DOI":"10.1016\/S0140-6736(12)61766-8","article-title":"A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990\u20132010: a systematic analysis for the Global Burden of Disease Study 2010","volume":"380","author":"SS Lim","year":"2012","journal-title":"Lancet"},{"issue":"5","key":"ref34","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1007\/s11524-010-9492-y","article-title":"Epidemiological transition and the double burden of disease in Accra, Ghana","volume":"87","author":"S Agyei-Mensah","year":"2010","journal-title":"J Urban Health"},{"issue":"3","key":"ref35","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/S1353-8292(99)00010-6","article-title":"Late stages of epidemiological transition: health status in the developed world","volume":"5","author":"M Smallman-Raynor","year":"1999","journal-title":"Health Place"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/1477-7525-4-44","article-title":"Interest in healthy living outweighs presumed cultural norms for obesity for Ghanaian women","volume":"4","author":"RB Duda","year":"2006","journal-title":"Health Qual Life 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Bull"},{"issue":"12","key":"ref40","doi-asserted-by":"crossref","first-page":"2210","DOI":"10.1017\/S1368980012000729","article-title":"The double burden of malnutrition and cardiometabolic risk widens the gender and socio-economic health gap: a study among adults in Burkina Faso (West Africa)","volume":"15","author":"AN Zeba","year":"2012","journal-title":"Public Health Nutr"},{"key":"ref41","unstructured":"World Health Organization. Global status report on noncommunicable diseases 2010: Description of the global burden of NCDs, their risk factors and determinants. Geneva, Belgium: World Health Organization, 2011. <ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/apps.who.int\/iris\/bitstream\/10665\/44579\/1\/9789240686458_eng.pdf\" xlink:type=\"simple\">http:\/\/apps.who.int\/iris\/bitstream\/10665\/44579\/1\/9789240686458_eng.pdf<\/ext-link>. Accessed 2016 October 02."},{"key":"ref42","article-title":"Ghana Demographic and Health Survey 2008","year":"2009"},{"issue":"1","key":"ref43","doi-asserted-by":"crossref","first-page":"207","DOI":"10.3945\/ajcn.114.101345","article-title":"Vitamin A: potential misclassification of vitamin A status among patients with type 2 diabetes and hypertension in urban Ghana","volume":"102","author":"I Danquah","year":"2015","journal-title":"Am J Clin Nutr"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/dx.plos.org\/10.1371\/journal.pone.0180436","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,10,20]],"date-time":"2018-10-20T10:03:29Z","timestamp":1540029809000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0180436"}},"subtitle":[],"editor":[{"given":"Sanjay B","family":"Jadhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2017,7,20]]},"references-count":43,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2017,7,20]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0180436","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,20]]}}}