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Obesity in South Africa

Challenges for government and health professionals

Bibliographic Data

ID15096945
AuthorsHerculina S Kruger (0000-0002-5365-1777, North-West University, corresponding author), Thandi Puoane (0000-0001-8871-9260, University of the Western Cape), Marjanne Senekal (0000-0002-9427-2319, Stellenbosch University), M-Theresa van der Merwe (Johannesburg Hospital)
Year2005
Volume8
Issue5
Pages491-500
Publication date2005-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1079/phn2005785
PMID16153330
OpenAlexW2131676529
LanguageEN
Citations received36
References cited51

Objectives To review data on the prevalence, causes and health consequences of obesity in South Africa and propose interventions to prevent and treat obesity and related outcomes. Methods Data from existing literature were reviewed with an emphasis on changing eating and activity patterns, cultural factors, perceptions and beliefs, urbanisation and globalisation. Results of studies on the health consequences of obesity in South Africans are also reviewed. Results Shifts in dietary intakes and activity patterns to higher fat intakes and lower physical activity are contributing to a higher prevalence of obesity. Few overweight black women view themselves as overweight, and some associate thinness with HIV/AIDS. Glucose and lipid toxicity, associated with insulin resistance, play roles in the pathogenesis of the co-morbid diseases of obesity. Elevated free fatty acids in the black population predispose obese black patients to type 2 diabetes. Conclusion and recommendations Obesity prevention and treatment should be based on education, behaviour change, political support, intersectoral collaboration and community participation, local actions, wide inclusion of the population, adequately resourced programmes, infiltration of existing initiatives, evidence-based planning, and proper monitoring and evaluation. Interventions should have the following components: reasonable weight goals, healthful eating, physical activity and behavioural change. Genes and mutations affecting susceptibility to the development of co-morbidities of obesity and vulnerable periods of life for the development of obesity should be prioritised. Prevention should be managed in community services, identification of high-risk patients in primary healthcare services and treatment of co-morbid diseases in hospital services

Environmental health · Obesity · Overweight · Population · Psychological intervention · Global Public Health Policies and Epidemiology · Medicine · Nursing · Obesity and Health Practices · Obesity, Physical Activity, Diet · Endocrinology · Gerontology

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Unique citing works36
Citations per year1,71
Citation span2005 - 2026 (22)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 35
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