Skip to main content
×
Home
    • Aa
    • Aa
  • Access
  • Cited by 16
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Fruhstorfer, B. H. Mousoulis, C. Uthman, O. A. and Robertson, W. 2016. Socio-economic status and overweight or obesity among school-age children in sub-Saharan Africa - a systematic review. Clinical Obesity, Vol. 6, Issue. 1, p. 19.


    Kimani-Murage, Elizabeth W. 2013. Exploring the paradox: double burden of malnutrition in rural South Africa. Global Health Action, Vol. 6,


    Craig, E. Reilly, J.J. and Bland, R. 2016. Risk factors for overweight and overfatness in rural South African children and adolescents. Journal of Public Health, Vol. 38, Issue. 1, p. 24.


    Popkin, Barry M Adair, Linda S and Ng, Shu Wen 2012. Global nutrition transition and the pandemic of obesity in developing countries. Nutrition Reviews, Vol. 70, Issue. 1, p. 3.


    Essien, Utibe R. Shahid, Naysha N. and Berkowitz, Seth A. 2016. Food Insecurity and Diabetes in Developed Societies. Current Diabetes Reports, Vol. 16, Issue. 9,


    Pisa, Pedro Pedro, Titilola Kahn, Kathleen Tollman, Stephen Pettifor, John and Norris, Shane 2015. Nutrient Patterns and Their Association with Socio-Demographic, Lifestyle Factors and Obesity Risk in Rural South African Adolescents. Nutrients, Vol. 7, Issue. 5, p. 3464.


    Mayosi, B. M. and Forrester, T. 2012. Commentary: 'Serum-cholesterol, diet, and coronary heart-disease in Africans and Asians in Uganda' by AG Shaper and KW Jones. International Journal of Epidemiology, Vol. 41, Issue. 5, p. 1233.


    Draper, Catherine E Micklesfield, Lisa K Kahn, Kathleen Tollman, Stephen M Pettifor, John M Dunger, David B and Norris, Shane A 2014. Application of Intervention Mapping to develop a community-based health promotion pre-pregnancy intervention for adolescent girls in rural South Africa: Project Ntshembo (Hope). BMC Public Health, Vol. 14, Issue. Suppl 2, p. S5.


    Zhou, Jiachen Lurie, Mark N. Bärnighausen, Till McGarvey, Stephen T. Newell, Marie-Louise and Tanser, Frank 2012. Determinants and spatial patterns of adult overweight and hypertension in a high HIV prevalence rural South African population. Health & Place, Vol. 18, Issue. 6, p. 1300.


    Micklesfield, Lisa K Pedro, Titilola M Kahn, Kathleen Kinsman, John Pettifor, John M Tollman, Stephen and Norris, Shane A 2014. Physical activity and sedentary behavior among adolescents in rural South Africa: levels, patterns and correlates. BMC Public Health, Vol. 14, Issue. 1,


    Juwara, Alimatou Huang, Nicole Chien, Li-Ying and Chen, Hsin-Jen 2016. Stunting and weight statuses of adolescents differ between public and private schools in urban Gambia. International Journal of Public Health, Vol. 61, Issue. 6, p. 717.


    Kahn, K. Collinson, M. A. Gomez-Olive, F. X. Mokoena, O. Twine, R. Mee, P. Afolabi, S. A. Clark, B. D. Kabudula, C. W. Khosa, A. Khoza, S. Shabangu, M. G. Silaule, B. Tibane, J. B. Wagner, R. G. Garenne, M. L. Clark, S. J. and Tollman, S. M. 2012. Profile: Agincourt Health and Socio-demographic Surveillance System. International Journal of Epidemiology, Vol. 41, Issue. 4, p. 988.


    Peltzer, Karl and Pengpid, Supa 2011. Overweight and Obesity and Associated Factors among School-Aged Adolescents in Ghana and Uganda. International Journal of Environmental Research and Public Health, Vol. 8, Issue. 12, p. 3859.


    Scott, A. Ejikeme, C. S. Clottey, E. N. and Thomas, J. G. 2013. Obesity in sub-Saharan Africa: development of an ecological theoretical framework. Health Promotion International, Vol. 28, Issue. 1, p. 4.


    Ginsburg, Carren Griffiths, Paula L. Richter, Linda M. and Norris, Shane A. 2013. Residential mobility, socioeconomic context and body mass index in a cohort of urban South African adolescents. Health & Place, Vol. 19, p. 99.


    Pengpid, Supa and Peltzer, Karl 2015. Overweight and Obesity and Associated Factors among School-Aged Adolescents in Six Pacific Island Countries in Oceania. International Journal of Environmental Research and Public Health, Vol. 12, Issue. 12, p. 14505.


    ×

Predictors of adolescent weight status and central obesity in rural South Africa

  • Elizabeth W Kimani-Murage (a1) (a2), Kathleen Kahn (a1) (a3) (a4), John M Pettifor (a5), Stephen M Tollman (a1) (a3) (a4), Kerstin Klipstein-Grobusch (a6) and Shane A Norris (a5)
  • DOI: http://dx.doi.org/10.1017/S1368980011000139
  • Published online: 28 February 2011
Abstract
AbstractObjective

To investigate predictors of adolescent obesity in rural South Africa.

Design

Cross-sectional study. Height, weight and waist circumference were measured using standard procedures. Overweight and obesity in adolescents aged 10–17 years were assessed using the International Obesity Taskforce cut-offs, while the WHO adult cut-offs were used for participants aged 18–20 years. Waist-to-height ratio of >0·5 defined central obesity in those at Tanner stages 3–5. Linear and logistic regression analysis was used to evaluate risk factors.

Setting

Agincourt sub-district, rural South Africa.

Subjects

Participants (n 1848) were aged 10–20 years.

Results

Combined overweight and obesity was higher in girls (15 %) than boys (4 %), as was central obesity (15 % and 2 %, respectively). With regard to overweight/obesity, fourfold higher odds were observed for girls and twofold higher odds were observed for participants from households with the highest socio-economic status (SES). The odds for overweight/obesity were 40 % lower if the household head had not completed secondary level education. For central obesity, the odds increased 10 % for each unit increase in age; girls had sevenfold higher odds v. boys; post-pubertal participants had threefold higher odds v. pubertal participants; those with older mothers aged 50+ years had twofold higher odds v. those whose mothers were aged 35–49 years; those in highest SES households had twofold higher odds v. those in lowest SES households.

Conclusions

In rural South Africa, adolescent females are most at risk of obesity which increases with age and appears to be associated with higher SES. To intervene effectively, it is essential to understand how household factors influence food choice, diet and exercise.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Predictors of adolescent weight status and central obesity in rural South Africa
      Your Kindle email address
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Predictors of adolescent weight status and central obesity in rural South Africa
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Predictors of adolescent weight status and central obesity in rural South Africa
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Email lizmurage@gmail.com; ekimani@aphrc.org
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.BM Popkin & P Gordon-Larsen (2004) The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord 28, Suppl. 3, S2S9.

3.K Bibbins-Domingo , P Coxson , MJ Pletcher (2007) Adolescent overweight and future adult coronary heart disease. N Engl J Med 357, 23712379.

6.CC Jinabhai , P Reddy , M Taylor (2007) Sex differences in under and over nutrition among school-going Black teenagers in South Africa: an uneven nutrition trajectory. Trop Med Int Health 12, 944952.

8.E Kimani-Murage , K Kahn , J Pettifor (2010) The prevalence of stunting, overweight and obesity, and metabolic disease risk in rural South African children. BMC Public Health 10, 158.

9.PL Griffiths , EK Rousham , SA Norris (2008) Socio-economic status and body composition outcomes in urban South African children. Arch Dis Child 93, 862867.

10.KK Davison & LL Birch (2001) Childhood overweight: a contextual model and recommendations for future research. Obes Rev 2, 159171.

11.R Kruger , HS Kruger & UE Macintyre (2006) The determinants of overweight and obesity among 10- to 15-year-old schoolchildren in the North West Province, South Africa – the THUSA BANA (Transition and Health during Urbanisation of South Africans; BANA, children) study. Public Health Nutr 9, 351358.

12.JR Hargreaves , MA Collinson , K Kahn (2004) Childhood mortality among former Mozambican refugees and their hosts in rural South Africa. Int J Epidemiol 33, 12711278.

13.CG Dolan , SM Tollman , VG Nkuna (1997) The links between legal status and environmental health: a case study of Mozambican refugees and their hosts in the Mpumalanga (Eastern Transvaal) Lowveld, South Africa. Health Hum Rights 2, 6284.

15.MA Collinson , SM Tollman & K Kahn (2007) Migration, settlement change and health in post-apartheid South Africa: triangulating health and demographic surveillance with national census data. Scand J Public Health 35, Suppl. 69, S77S84.

16.MA Collinson , SM Tollman , B Wolff (2006) Trends in internal labour migration from rural Limpopo Province, male risk behaviour, and implications for the spread of HIV/AIDS in rural South Africa. J Ethn Migr Stud 32, 633648.

17.K Kahn , SM Tollman , MA Collinson (2007) Research into health, population and social transitions in rural South Africa: data and methods of the Agincourt Health and Demographic Surveillance System. Scand J Public Health 35, Suppl. 69, S8S20.

20.SA Norris & LM Richter (2005) Usefulness and reliability of Tanner pubertal self-rating to urban black adolescents in South Africa. J Res Adolesc 15, 609624.

21.D Filmer & LH Pritchett (2001) Estimating wealth effects without expenditure data – or tears: an application to educational enrollments in states of India. Demography 38, 115132.

23.TJ Cole , MC Bellizzi , KM Flegal (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 12401243.

24.M Ashwell (2009) Obesity risk: importance of the waist-to-height ratio. Nurs Stand 23, 4954.

26.R Kelishadi (2007) Childhood overweight, obesity, and the metabolic syndrome in developing countries. Epidemiol Rev 29, 6276.

27.JJ Reilly , E Methven , ZC McDowell (2003) Health consequences of obesity. Arch Dis Child 88, 748752.

29.MB Neutzling , JA Taddei , EM Rodrigues (2000) Overweight and obesity in Brazilian adolescents. Int J Obes Relat Metab Disord 24, 869874.

31.LL Hardy , SL Bass & ML Booth (2007) Changes in sedentary behavior among adolescent girls: a 2.5-year prospective cohort study. J Adolesc Health 40, 158165.

32.CH Lindquist , KD Reynolds & MI Goran (1999) Sociocultural determinants of physical activity among children. Prev Med 29, 305312.

33.AB Wisniewski & SD Chernausek (2009) Gender in childhood obesity: family environment, hormones, and genes. Gend Med 6, Suppl. 1, S76S85.

35.D Neumark-Sztainer , SJ Paxton , PJ Hannan (2006) Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. J Adolesc Health 39, 244251.

38.M Kursmark & M Weitzman (2009) Recent findings concerning childhood food insecurity. Curr Opin Clin Nutr Metab Care 12, 310316.

41.Y Wang (2001) Cross-national comparison of childhood obesity: the epidemic and the relationship between obesity and socioeconomic status. Int J Epidemiol 30, 11291136.

42.J Sobal (1991) Obesity and socioeconomic status: a framework for examining relationships between physical and social variables. Med Anthropol 13, 231247.

44.A Matijasevich , CG Victora , J Golding (2009) Socioeconomic position and overweight among adolescents: data from birth cohort studies in Brazil and the UK. BMC Public Health 9, 105.

45.HH Vorster , CS Venter , MP Wissing (2005) The nutrition and health transition in the North West Province of South Africa: a review of the THUSA (Transition and Health during Urbanisation of South Africans) study. Public Health Nutr 8, 480490.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: