Childhood Obesity: The Need for Practice Based Solutions - A South African Perspective

Pienaar, Anita E.; Strydom, Gert L.

doi:10.5772/32158

Cited by 2 publications

(5 citation statements)

References 50 publications

(86 reference statements)

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“…Therefore, healthcare professionals need to have a thorough scientific background and understanding of the obese adolescent with regard to the physical, emotional, cognitive and physiological barriers facing them. [13] Furthermore, the primary care clinician plays a central role in preventing the development of overweight and obesity by promoting healthy lifestyle behaviours in all children and adolescents. Table 5.…”

Section: Resultsmentioning

confidence: 99%

“…[13] However, owing to the multiple pathways involved in its devel opment, i.e. environmental, social, behav ioural, and biological roots, manage ment of the disorder is extremely challenging, particu larly in children and adolescents.…”

Section: Managementmentioning

confidence: 99%

“…Even with small changes in BMI, improvements in lipid profile, BP and insulin resistance have been noted. [13] Therefore, weight loss, healthier dietary habits and increased physical activity are mandatory for the improvement of cardiometabolic disorders in adolescents. However, pharmacotherapy should be considered for hypertension >99th percentile, LDLC >4.9 mmol/L and diabetes not responding to lifestyle changes.…”

Section: Managementmentioning

confidence: 99%

“…[14] Interventions should focus on creat ing healthier environments by providing oppor tunities for fun physical activities and easy access to healthy meals. [13] Parental involvement is considered critical in sup porting change to the adolescent's lifestyle behaviours. This is achieved by creating an enabling home environment by providing easy access to healthy foods, encouraging physical activity and discouraging seden tary behaviour such as television viewing.…”

Section: Managementmentioning

confidence: 99%

“…To achieve and sustain such adjustments, obese adolescents require high levels of social support from family, friends and healthcare professionals. [5,13] In addition to diet and activity, there is a third key component for successful obesity management, which is the psychology of the adolescent. Among the techniques to reinforce compliance and positive thinking are goal setting, selfmonitoring, reinforcements, rewards, and peer mentoring.…”

Section: Managementmentioning

confidence: 99%

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

Peer¹,

Ganie²

2016

S Afr Med J

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Section: Resultsmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

Section: Managementmentioning

confidence: 99%

See 3 more Smart Citations

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

Peer¹,

Ganie²

2016

S Afr Med J

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Differential prevalence and associations of overweight and obesity by gender and population group among school learners in South Africa: a cross-sectional study

et al. 2017

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BackgroundFactors influencing the increasing prevalence of overweight/obesity among children and adolescents in sub-Saharan Africa remain unclear. We assessed the prevalence and determinants of overweight and obesity and effects on cardio-metabolic profile in school learners in the Western Cape, South Africa.MethodsCross-sectional data were collected from 7 to 18-year-old South African school learners attending 14 schools, randomly selected from 107 government schools in the areas. The learners were selected through stratified random sampling techniques. Logistic regressions were used to assess the determinants of overweight/obesity and its association with cardio-metabolic profile.ResultsAmong the 1559 participants, the overall prevalence of overweight/obesity was 22.9%. Being a girl (Odds ratio 2.51, 95% CI: 1.92–3.29), or Black African (1.35, 1.04–.75) was associated with increased odds of being overweight/obese. The identified health consequences among the overweight/obese learners differed between the ethnic groups. Overweight/obese coloured (mixed ancestry) learners were more likely to have hypertension (3.27, 1.18–9.08), hypertriglyceridemia (1.94, 0.99–3.78) and low high-density lipoprotein cholesterol (HDL-C) (3.65, 2.33–5.72), overweight/obese Black African learners had higher odds for hypertension (3.62, 1.31–10.04) and low HDL-C (1.56, 1.01–2.40) and overweight/obese White learners were prone to low HDL-C (5.04, 1.35–18.80).ConclusionsOverweight/obesity is highly prevalent among school learners in Western Cape (South Africa), with being female or Black African increasing the odds. That overweight/obesity is also associated with adverse cardio-metabolic risk profile aggravates the problem and suggests worse cardiovascular outcomes in South African young adults in the future.Electronic supplementary materialThe online version of this article (doi:10.1186/s40608-017-0165-1) contains supplementary material, which is available to authorized users.

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Childhood Obesity: The Need for Practice Based Solutions - A South African Perspective

Cited by 2 publications

References 50 publications

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

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

Differential prevalence and associations of overweight and obesity by gender and population group among school learners in South Africa: a cross-sectional study

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