A weighty matter: Identification and management of overweight and obesity in adolescents

Peer, Nasheeta; Ganie, Yasmeen

doi:10.7196/samj.2016.v106i7.10946

Cited by 5 publications

(6 citation statements)

References 12 publications

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“…A recent study by Negash et al 53 reported overweight/obesity prevalence of 22.9% amongst adolescents in urban high schools in more affluent communities in the Western Cape in South Africa. The overweight/obesity rate reported in this study is higher than values reported in earlier studies conducted in South Africa, 21,53,55,56 and rates reported in urban schools in Ghana, Ethiopia and Nigeria. 50,51,52,57 Our results are similar with worldwide implications with the difference that obesity in the rural and the urban is decreasing, and the rate of overweight/ obesity is increasing amongst populations in the rural setting.…”

Section: Discussioncontrasting

confidence: 88%

“…Our results showed a significantly higher overweight/obesity amongst in girls (43%) than in boys (21%). The difference between rates reported in boys and girls is comparable with rates reported in several studies in South Africa, 21 , 53 , 55 , 56 rates in SSA 50 , 51 , 52 and rates in national estimates. 26 , 53 However, the prevalence reported in girls (43%) is higher than the 26.3% national prevalence reported in South Africa in 2013.…”

Section: Discussionsupporting

confidence: 86%

“…59 In addition, adolescent girls are less likely to meet physical activity recommendations than boys. 60 Other studies, mostly conducted in urban schools in South Africa, reported lower prevalence of overweight/obesity in girls 21,53,56 as well as studies conducted in rural schools. 61,62 The prevalence reported in this study is higher than values reported in urban schools in Ghana, Ethiopia and Nigeria.…”

Section: Discussionmentioning

confidence: 99%

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High prevalence of overall overweight/obesity and abdominal obesity amongst adolescents: An emerging nutritional problem in rural high schools in Limpopo Province, South Africa

Debeila

Modjadji

Madiba

2021

African Journal of Primary Health Care & Family Medicine

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Background: As the gap in nutritional profiles between urban and rural rapidly reduces because of nutrition transition, rural adolescents are likely to engage in urban lifestyle behaviours.Aim: The study determined the prevalence of overweight/obesity amongst adolescents in rural high schools and the association with selected factors.Setting: Fetakgomo Municipality in rural Limpopo Province, South Africa.Methods: A cross-sectional study was conducted amongst 378 adolescents selected through multistage sampling from high schools. Data collected were socio-demography, nutritional knowledge, dietary practices and anthropometry. The International Obesity Task Force age and sex-specific body mass index (BMI) cut-off values were used to determine overweight/obesity, whilst adult BMI cut-off values were used for those ≥ 18 years. Waist-to-height ratio (WHtR) greater than 0.5 indicated abdominal obesity, as well as waist circumference (WC) and waist-to-hip ratio (WHR) above the cut-off values.Results: The proportion of overweight/obesity amongst adolescents was 35%, whilst 25% had abdominal obesity by WHR and 21% by WHtR. Multivariate logistic regression showed that being a girl (AOR = 2.9, 95% CI: 1.74–4.85), older adolescent (AOR = 3.1, 95% CI: 1.57–6.29) and living in a household with employed adults (AOR = 2.3, 95% CI: 1.19–4.51) were associated with increased odds of being overweight/obese. Eating breakfast was associated with reduced odds of being overweight/obese (AOR = 0.6, 95% CI: 0.34–0.97).Conclusion: Overweight/obesity and abdominal obesity amongst adolescents were more prevalent than underweight. The Integrated School Health Programme should have clear guidelines on food items served and sold at schools.

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Section: Discussioncontrasting

confidence: 88%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

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High prevalence of overall overweight/obesity and abdominal obesity amongst adolescents: An emerging nutritional problem in rural high schools in Limpopo Province, South Africa

Debeila

Modjadji

Madiba

2021

African Journal of Primary Health Care & Family Medicine

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“…This indicates a general lack in understanding of community-based approaches to addressing obesity and shifted the responsibility away from the individual. Previous research, including work from SA, suggests that behaviour change approaches, which are considered the cornerstone of health promotion interventions, should be conducted and if those fail, then weight loss medication and/or surgery can be considered [ 54 , 55 ]. Our study did not specifically ask which obese people adolescents considered needing hospitalisation.…”

Section: Discussionmentioning

confidence: 99%

Adolescents’ understanding of obesity: a qualitative study from rural South Africa

Seabi

Wagner

Norris

et al. 2021

Global Health Action

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Background Levels of obesity are rising in South Africa, notably among adolescent females. Excessive energy-dense diets and physical inactivity are among the factors contributing to this increase. Given that these factors are largely behavioural, understanding young people’s views of obesity can contribute to more targeted behavioural interventions. Yet little is known of how rural South African adolescents view obesity. Objectives The aim of this study was to explore rural South African adolescents’ views of obesity, including their understanding of its causes, consequences, and solutions. Methods This qualitative study took place within the MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) study area, in rural northeast South Africa. Three focus group discussions were held with male (n = 16) and female adolescents (n = 15), aged 14–19 years in 2018. Data were analysed using thematic analysis and the Social Cognitive Theory used to frame the findings. Results Participants presented conflicting views of obesity, with both positive and negative opinions expressed. Causes of obesity were seen to be multifactorial, including genetics, diet, lack of physical activity, and HIV treatment. Adolescents proposed medication and hospitalisation as ways to address obesity. When discussing interventions to address obesity, adolescents expressed the need for more information, suggesting that providing information to both themselves and their family members as part of interventions would be important. Conclusions Rural South African adolescents have a complex perspective of obesity, likely driven in part by the current nutrition transition underway and do not inherently see individual behaviour as a driver or mitigator of obesity. Complex interventions including the involvement of other household members are needed to change adolescents’ views on the role of the individual, and ultimately, change both individual and household behaviour to prevent obesity.

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“…Peer and Ganie [2] highlight the fact that we are already facing an NCD crisis in SA. The severity of the obesity epidemic in this country can be illustrated by the fact that nearly one in every five SA boys and one in every four girls is obese.…”

mentioning

confidence: 99%

Colliding epidemics of communicable and non-communicable diseases during adolescence in South Africa

Karim

2016

S Afr Med J

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A weighty matter: Identification and management of overweight and obesity in adolescents

Cited by 5 publications

References 12 publications

High prevalence of overall overweight/obesity and abdominal obesity amongst adolescents: An emerging nutritional problem in rural high schools in Limpopo Province, South Africa

High prevalence of overall overweight/obesity and abdominal obesity amongst adolescents: An emerging nutritional problem in rural high schools in Limpopo Province, South Africa

Adolescents’ understanding of obesity: a qualitative study from rural South Africa

Colliding epidemics of communicable and non-communicable diseases during adolescence in South Africa

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