Tags

Type your tag names separated by a space and hit enter

Where does the black population of South Africa stand on the nutrition transition?
Public Health Nutr. 2002 Feb; 5(1A):157-62.PH

Abstract

OBJECTIVE

To review data on selected risk factors related to the emergence of noncommunicable diseases (NCDs) in the black population of South Africa.

METHODS

Data from existing literature on South African blacks were reviewed with an emphasis placed on changes in diet and the emergence of obesity and related NCDs.

DESIGN

Review and analysis of secondary data over time relating to diet, physical activity and obesity and relevant to nutrition-related NCDs.

SETTINGS

Urban, peri-urban and rural areas of South Africa. National prevalence data are also included.

SUBJECTS

Black adults over the age of 15 years were examined.

RESULTS

Shifts in dietary intake, to a less prudent pattern, are occurring with apparent increasing momentum, particularly among blacks, who constitute three-quarters of the population. Data have shown that among urban blacks, fat intakes have increased from 16.4% to 26.2% of total energy (a relative increase of 59.7%), while carbohydrate intakes have decreased from 69.3% to 61.7% of total energy (a relative decrease of 10.9%) in the past 50 years. Shifts towards the Western diet are apparent among rural African dwellers as well. The South African Demographic and Health Survey conducted in 1998 revealed that 31.8% of African women (over the age of 15 years) were obese (body mass index (BMI) > or = 30kg m(-2)) and that a further 26.7% were overweight (BMI > or = 25 to <30 kg m(-2)). The obesity prevalence among men of the same age was 6.0%, with 19.4% being overweight. The national prevalence of hypertension in blacks was 24.4%, using the cut-off point of 140/90 mmHg. There are limited data on the population's physical activity patterns. However, the effects of the HIV/AIDS epidemic will become increasingly important.

CONCLUSIONS

The increasing emergence of NCDs in black South Africans, compounded by the HIV/AIDS pandemic, presents a complex picture for health workers and policy makers. Increasing emphasis needs to be placed on healthy lifestyles.

Links

Publisher Full Text

Authors+Show Affiliations

Bourne LT
Health and Development Research Group, Medical Research Council, Tygerberg, South Africa. lesley.bourne@mrc.ac.za
Lambert EV
No affiliation info available
Steyn K
No affiliation info available

MeSH

AdolescentAdultAfrican AmericansAgedBlacksChronic DiseaseDiabetes Mellitus, Type 2Dietary CarbohydratesDietary FatsFemaleHIV InfectionsHealth TransitionHumansHypertensionLife StyleMaleMiddle AgedObesityPrevalenceRisk FactorsSouth Africa

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12027279

Citation

Bourne, Lesley T., et al. "Where Does the Black Population of South Africa Stand On the Nutrition Transition?" Public Health Nutrition, vol. 5, no. 1A, 2002, pp. 157-62.
Bourne LT, Lambert EV, Steyn K. Where does the black population of South Africa stand on the nutrition transition? Public Health Nutr. 2002;5(1A):157-62.
Bourne, L. T., Lambert, E. V., & Steyn, K. (2002). Where does the black population of South Africa stand on the nutrition transition? Public Health Nutrition, 5(1A), 157-62.
Bourne LT, Lambert EV, Steyn K. Where Does the Black Population of South Africa Stand On the Nutrition Transition. Public Health Nutr. 2002;5(1A):157-62. PubMed PMID: 12027279.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Where does the black population of South Africa stand on the nutrition transition? AU - Bourne,Lesley T, AU - Lambert,Estelle V, AU - Steyn,Krisela, PY - 2002/5/25/pubmed PY - 2002/12/17/medline PY - 2002/5/25/entrez SP - 157 EP - 62 JF - Public health nutrition JO - Public Health Nutr VL - 5 IS - 1A N2 - OBJECTIVE: To review data on selected risk factors related to the emergence of noncommunicable diseases (NCDs) in the black population of South Africa. METHODS: Data from existing literature on South African blacks were reviewed with an emphasis placed on changes in diet and the emergence of obesity and related NCDs. DESIGN: Review and analysis of secondary data over time relating to diet, physical activity and obesity and relevant to nutrition-related NCDs. SETTINGS: Urban, peri-urban and rural areas of South Africa. National prevalence data are also included. SUBJECTS: Black adults over the age of 15 years were examined. RESULTS: Shifts in dietary intake, to a less prudent pattern, are occurring with apparent increasing momentum, particularly among blacks, who constitute three-quarters of the population. Data have shown that among urban blacks, fat intakes have increased from 16.4% to 26.2% of total energy (a relative increase of 59.7%), while carbohydrate intakes have decreased from 69.3% to 61.7% of total energy (a relative decrease of 10.9%) in the past 50 years. Shifts towards the Western diet are apparent among rural African dwellers as well. The South African Demographic and Health Survey conducted in 1998 revealed that 31.8% of African women (over the age of 15 years) were obese (body mass index (BMI) > or = 30kg m(-2)) and that a further 26.7% were overweight (BMI > or = 25 to <30 kg m(-2)). The obesity prevalence among men of the same age was 6.0%, with 19.4% being overweight. The national prevalence of hypertension in blacks was 24.4%, using the cut-off point of 140/90 mmHg. There are limited data on the population's physical activity patterns. However, the effects of the HIV/AIDS epidemic will become increasingly important. CONCLUSIONS: The increasing emergence of NCDs in black South Africans, compounded by the HIV/AIDS pandemic, presents a complex picture for health workers and policy makers. Increasing emphasis needs to be placed on healthy lifestyles. SN - 1368-9800 UR - https://www.unboundmedicine.com/medline/citation/12027279/Where_does_the_black_population_of_South_Africa_stand_on_the_nutrition_transition L2 - https://www.cambridge.org/core/product/identifier/S1368980002000228/type/journal_article DB - PRIME DP - Unbound Medicine ER -