Research Article | | Peer-Reviewed

Health Behaviors and Diet Quality Among Adults in Southern Togo: A Cross-sectional Study

Received: 24 September 2026     Accepted: 8 October 2026     Published: 29 October 2026
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Abstract

Objective: To assess the association between selected health behaviors, particularly physical activity, alcohol consumption, and smoking, and dietary quality among adults living in southern Togo. Methods: A cross-sectional study was conducted from September 12 to November 30, 2025, among 1,181 adults, including 990 urban and 191 rural residents. Data were collected using a digital questionnaire administered via the KoboToolbox platform. Diet quality was assessed using a composite score based on the consumption of ten food groups. The score ranged from 3 to 9, with a mean of 7.54 ± 1.12 and a median of 8. Participants were classified as having high diet quality (score ≥ 8) or low diet quality (score < 8). Associations between health behaviors and diet quality were examined using bivariate analyses, Pearson correlations, and multiple linear regression adjusted for key sociodemographic characteristics. Results: A weak but positive association was observed between alcohol consumption and diet quality (r = 0.119; 95% CI: 0.063-0.175; p < 0.001). This association remained significant after adjustment in the multivariate model (β = 0.314; p < 0.001). In contrast, no statistically significant association was found between physical activity and diet quality (r = −0.033; p = 0.256), or between tobacco use and diet quality (r = −0.005; p = 0.853). Conclusion: Among the adults studied in southern Togo, alcohol consumption was weakly associated with better diet quality, whereas physical activity and tobacco use were not significantly associated with the diet quality score. These findings suggest that the health behaviors considered are not necessarily interdependent in this population, and that diet quality may be influenced by other sociodemographic, economic, and cultural determinants. However, the cross-sectional design does not allow for causal inference.

Published in American Journal of BioScience (Volume 14, Issue 5)
DOI 10.11648/j.ajbio.20261405.14
Page(s) 131-139
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Diet Quality, Health Behaviors, Physical Activity, Alcohol Consumption, Tobacco Use, Adults, Togo

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Cite This Article
  • APA Style

    Novignon, D., Tiatou, S., Koffi, D., Kodjovi, S., Komlan, M. L., et al. (2026). Health Behaviors and Diet Quality Among Adults in Southern Togo: A Cross-sectional Study. American Journal of BioScience, 14(5), 131-139. https://doi.org/10.11648/j.ajbio.20261405.14

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    ACS Style

    Novignon, D.; Tiatou, S.; Koffi, D.; Kodjovi, S.; Komlan, M. L., et al. Health Behaviors and Diet Quality Among Adults in Southern Togo: A Cross-sectional Study. Am. J. BioScience 2026, 14(5), 131-139. doi: 10.11648/j.ajbio.20261405.14

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    AMA Style

    Novignon D, Tiatou S, Koffi D, Kodjovi S, Komlan ML, et al. Health Behaviors and Diet Quality Among Adults in Southern Togo: A Cross-sectional Study. Am J BioScience. 2026;14(5):131-139. doi: 10.11648/j.ajbio.20261405.14

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  • @article{10.11648/j.ajbio.20261405.14,
      author = {Dandonougbo Novignon and Souho Tiatou and Dandonougbo Koffi and Sossou Kodjovi and Mensah Labité Komlan and Dandonougbo Tossavi and Tabago Dissirama and Aglago Elom Kouassivi and Melila Mamatchi},
      title = {Health Behaviors and Diet Quality Among Adults in Southern Togo: A Cross-sectional Study},
      journal = {American Journal of BioScience},
      volume = {14},
      number = {5},
      pages = {131-139},
      doi = {10.11648/j.ajbio.20261405.14},
      url = {https://doi.org/10.11648/j.ajbio.20261405.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbio.20261405.14},
      abstract = {Objective: To assess the association between selected health behaviors, particularly physical activity, alcohol consumption, and smoking, and dietary quality among adults living in southern Togo. Methods: A cross-sectional study was conducted from September 12 to November 30, 2025, among 1,181 adults, including 990 urban and 191 rural residents. Data were collected using a digital questionnaire administered via the KoboToolbox platform. Diet quality was assessed using a composite score based on the consumption of ten food groups. The score ranged from 3 to 9, with a mean of 7.54 ± 1.12 and a median of 8. Participants were classified as having high diet quality (score ≥ 8) or low diet quality (score  Results: A weak but positive association was observed between alcohol consumption and diet quality (r = 0.119; 95% CI: 0.063-0.175; p  Conclusion: Among the adults studied in southern Togo, alcohol consumption was weakly associated with better diet quality, whereas physical activity and tobacco use were not significantly associated with the diet quality score. These findings suggest that the health behaviors considered are not necessarily interdependent in this population, and that diet quality may be influenced by other sociodemographic, economic, and cultural determinants. However, the cross-sectional design does not allow for causal inference.},
     year = {2026}
    }
    

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  • TY  - JOUR
    T1  - Health Behaviors and Diet Quality Among Adults in Southern Togo: A Cross-sectional Study
    AU  - Dandonougbo Novignon
    AU  - Souho Tiatou
    AU  - Dandonougbo Koffi
    AU  - Sossou Kodjovi
    AU  - Mensah Labité Komlan
    AU  - Dandonougbo Tossavi
    AU  - Tabago Dissirama
    AU  - Aglago Elom Kouassivi
    AU  - Melila Mamatchi
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    DO  - 10.11648/j.ajbio.20261405.14
    T2  - American Journal of BioScience
    JF  - American Journal of BioScience
    JO  - American Journal of BioScience
    SP  - 131
    EP  - 139
    PB  - Science Publishing Group
    SN  - 2330-0167
    UR  - https://doi.org/10.11648/j.ajbio.20261405.14
    AB  - Objective: To assess the association between selected health behaviors, particularly physical activity, alcohol consumption, and smoking, and dietary quality among adults living in southern Togo. Methods: A cross-sectional study was conducted from September 12 to November 30, 2025, among 1,181 adults, including 990 urban and 191 rural residents. Data were collected using a digital questionnaire administered via the KoboToolbox platform. Diet quality was assessed using a composite score based on the consumption of ten food groups. The score ranged from 3 to 9, with a mean of 7.54 ± 1.12 and a median of 8. Participants were classified as having high diet quality (score ≥ 8) or low diet quality (score  Results: A weak but positive association was observed between alcohol consumption and diet quality (r = 0.119; 95% CI: 0.063-0.175; p  Conclusion: Among the adults studied in southern Togo, alcohol consumption was weakly associated with better diet quality, whereas physical activity and tobacco use were not significantly associated with the diet quality score. These findings suggest that the health behaviors considered are not necessarily interdependent in this population, and that diet quality may be influenced by other sociodemographic, economic, and cultural determinants. However, the cross-sectional design does not allow for causal inference.
    VL  - 14
    IS  - 5
    ER  - 

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