Dietary intakes of an African population in different stages of transition in the North West Province, South Africa: the THUSA study

MacIntyre, Una Elizabeth; Kruger, Herculina S.; Venter, C S; Vorster, Hester H.

doi:10.1016/s0271-5317(01)00392-x

Cited by 112 publications

(132 citation statements)

References 17 publications

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“…SFA, PUFA and cholesterol intakes were, on the other hand, well within the recommended ranges in both groups. This relatively low fat intake is similar to what has been seen in previous studies (THUSA) in this population (38) .…”

Section: Discussionsupporting

confidence: 91%

The use of predefined diet quality scores in the context of CVD risk during urbanization in the South African Prospective Urban and Rural Epidemiological (PURE) study

Dolman

Wentzel-Viljoen

Jerling

et al. 2013

Public Health Nutr.

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Objective: Urbanization is generally associated with increased CVD risk and accompanying dietary changes. Little is known regarding the association between increased CVD risk and dietary changes using approaches such as diet quality. The relevance of predefined diet quality scores (DQS) in non-Western developing countries has not yet been established. Design: The association between dietary intakes and CVD risk factors was investigated using two DQS, adapted to the black South African diet. Dietary intake data were collected using a quantitative FFQ. CVD risk was determined by analysing known CVD risk factors. Setting: Urban and rural areas in North West Province, South Africa. Subjects: Apparently healthy volunteers from the South African Prospective Urban and Rural Epidemiological (PURE) study population (n 1710). Results: CVD risk factors were significantly increased in the urban participants, especially women. Urban men and women had significantly higher intakes of both macro-and micronutrients with macronutrient intakes well within the recommended CVD guidelines. While micronutrient intakes were generally higher in the urban groups than in the rural groups, intakes of selected micronutrients were low in both groups. Both DQS indicated improved diet quality in the urban groups and good agreement was shown between the scores, although they seemed to measure different aspects of diet quality. Conclusions: The apparent paradox between improved diet quality and increased CVD risk in the urban groups can be explained when interpreting the cut-offs used in the scores against the absolute intakes of individual nutrients. Predefined DQS as well as current guidelines for CVD prevention should be interpreted with caution in non-Western developing countries.

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Section: Discussionsupporting

confidence: 91%

The use of predefined diet quality scores in the context of CVD risk during urbanization in the South African Prospective Urban and Rural Epidemiological (PURE) study

Dolman

Wentzel-Viljoen

Jerling

et al. 2013

Public Health Nutr.

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show abstract

“…Individuals in peri-urban settlements in South Africa follow problematic diet regimes that consist of an excessive intake of saturated fats, calories, salt, sugar, and animal proteins, and the insufficient intake of fibre and essential vitamins and minerals − caused by minimal fruit, vegetable, and dairy consumption (MacIntyre, Kruger, Venter, & Vorster, 2002;Mungai-Singh, 2012;Sacks et al, 2001;Steyn, Katzenellenbogen, Lombard, & Bourne, 1997;Temple, Steyn, Myburgh, & Nel, 2006). This diet directly opposes the nutrition guidelines provided by The South African Hypertension Guideline (2011), which 1 immediately adjoining an urban area usually comprising of low income housing and mixed formal and informal settlements emphasises the adoption of a diet that is low in total and saturated fat, caffeine, salt, and sugar, and high in fibre, low-fat dairy products, vitamins, and minerals (Appel et al, 1997;Seedat & Rayner, 2011).…”

Section: Dietary Patterns In Peri-urban South African Settlementsmentioning

confidence: 99%

Psychological Intervention to Address Hypertension in South Africa’s Peri-Urban Settlements

Witten¹,

Vuuren²,

Learmonth³

2013

Online Readings in Psychology and Culture

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“…High total fat intakes have been reported in urban upper middle-income men (32%E) and women (33%E) from South India (Ghafoorunissa et al, 2002). Urbanisation plays an important role in the increase of fat intake as shown by studies from South Africa, China and India (Labadarios et al, 2005;MacIntyre et al, 2002;Fu et al, 2006;Shetty, 2002).…”

Section: Individual Dietary Surveysmentioning

confidence: 97%

“…Individual Dietary Surveys (IDS) showed high total fat intakes in Europe, the United States, South Africa, Kenya, China and India (Elmadfa et al, 2004;Wright et al, Chapter 13: Global trends in production, intake and food composition 143 2004; Labadarios et al, 2005;MacIntyre et al, 2002;Fu et al, 2006;Shetty, 2002). Differences in total fat intakes were, however, also observed within countries.…”

Section: Individual Dietary Surveysmentioning

confidence: 99%

Fish Oil Supplement Research Remains Murky

Moyer¹

2012

Nature

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Dietary intakes of an African population in different stages of transition in the North West Province, South Africa: the THUSA study

Cited by 112 publications

References 17 publications

The use of predefined diet quality scores in the context of CVD risk during urbanization in the South African Prospective Urban and Rural Epidemiological (PURE) study

The use of predefined diet quality scores in the context of CVD risk during urbanization in the South African Prospective Urban and Rural Epidemiological (PURE) study

Psychological Intervention to Address Hypertension in South Africa’s Peri-Urban Settlements

Fish Oil Supplement Research Remains Murky

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