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

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

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Bibliographic Details
Published in:Public health nutrition 2002-02, Vol.5 (1a), p.157-162
Main Authors: Bourne, Lesley T, Lambert, Estelle V, Steyn, Krisela
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
Adults
African Americans
African Continental Ancestry Group
Aged
AIDS
Black people
Body mass index
Carbohydrates
Chronic Disease
Diabetes Mellitus, Type 2 - epidemiology
Diet
Dietary Carbohydrates - administration & dosage
Dietary Fats - administration & dosage
Disease
Energy
Exercise
Female
Health Transition
HIV
HIV Infections - complications
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Hypertension
Hypertension - epidemiology
Life Style - ethnology
Male
Medical research
Middle Aged
Nutrition research
Obesity
Obesity - complications
Obesity - epidemiology
Obesity - ethnology
Overweight
Population
Prevalence
Proteins
Public health
Risk Factors
Rural areas
South Africa - epidemiology
Urban areas
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Summary:To review data on selected risk factors related to the emergence of noncommunicable diseases (NCDs) in the black population of South Africa. 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. Review and analysis of secondary data over time relating to diet, physical activity and obesity and relevant to nutrition-related NCDs. Urban, peri-urban and rural areas of South Africa. National prevalence data are also included. Black adults over the age of 15 years were examined. 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
ISSN:1368-9800
1475-2727
DOI:10.1079/PHN2001288