Where does the black population of South Africa stand on the nutrition transition?

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dc.contributor.authorBourne, Lesley T
dc.contributor.authorLambert, Estelle V
dc.contributor.authorSteyn, Krisela
dc.date.accessioned2021-10-08T07:15:55Z
dc.date.available2021-10-08T07:15:55Z
dc.date.issued2002
dc.description.abstractOBJECTIVE: 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.
dc.identifier.apacitationBourne, L. T., Lambert, E. V., & Steyn, K. (2002). Where does the black population of South Africa stand on the nutrition transition?. <i>Public Health Nutrition</i>, 5(1a), 174 - 177. http://hdl.handle.net/11427/34724en_ZA
dc.identifier.chicagocitationBourne, Lesley T, Estelle V Lambert, and Krisela Steyn "Where does the black population of South Africa stand on the nutrition transition?." <i>Public Health Nutrition</i> 5, 1a. (2002): 174 - 177. http://hdl.handle.net/11427/34724en_ZA
dc.identifier.citationBourne, L.T., Lambert, E.V. & Steyn, K. 2002. Where does the black population of South Africa stand on the nutrition transition?. <i>Public Health Nutrition.</i> 5(1a):174 - 177. http://hdl.handle.net/11427/34724en_ZA
dc.identifier.issn1368-9800
dc.identifier.issn1475-2727
dc.identifier.ris TY - Journal Article AU - Bourne, Lesley T AU - Lambert, Estelle V AU - Steyn, Krisela AB - 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. DA - 2002 DB - OpenUCT DP - University of Cape Town IS - 1a J1 - Public Health Nutrition LK - https://open.uct.ac.za PY - 2002 SM - 1368-9800 SM - 1475-2727 T1 - Where does the black population of South Africa stand on the nutrition transition? TI - Where does the black population of South Africa stand on the nutrition transition? UR - http://hdl.handle.net/11427/34724 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34724
dc.identifier.vancouvercitationBourne LT, Lambert EV, Steyn K. Where does the black population of South Africa stand on the nutrition transition?. Public Health Nutrition. 2002;5(1a):174 - 177. http://hdl.handle.net/11427/34724.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Exercise Science and Sports Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourcePublic Health Nutrition
dc.source.journalissue1a
dc.source.journalvolume5
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1079/PHN2001288
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherAfrican Americans
dc.subject.otherAfrican Continental Ancestry Group
dc.subject.otherAged
dc.subject.otherChronic Disease
dc.subject.otherDiabetes Mellitus, Type 2
dc.subject.otherDietary Carbohydrates
dc.subject.otherDietary Fats
dc.subject.otherFemale
dc.subject.otherHIV Infections
dc.subject.otherHealth Transition
dc.subject.otherHumans
dc.subject.otherHypertension
dc.subject.otherLife Style
dc.subject.otherMale
dc.subject.otherMiddle Aged
dc.titleWhere does the black population of South Africa stand on the nutrition transition?
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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