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

  • Lesley T Bourne (a1), Estelle V Lambert (a2) and Krisela Steyn (a3)
  • DOI:
  • Published online: 22 December 2006

To review data on selected risk factors related to the emergence of non communicable 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) ≥ 30 kgm−2) and that a further 26.7% were overweight (BMI ≥ 25 to <30 kgm−2). The obesity prevalence among men of the same age was 6.0%, with 19.4% being overweight. The national prevalence of hypertension in blacks was 24.4%, using the cut-off point of 140/90 mmHg. There are limited data on the population's physical activity patterns. However, the effects of the HIV/AIDS epidemic will become increasingly important.


The increasing emergence of NCDs in black South Africans, compounded by the HIV/AIDS pandemic, presents a complex picture for health workers and policy makers. Increasing emphasis needs to be placed on healthy lifestyles.

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3I Segal , ARP Walker . Low fat intake with falling fibre intake commensurate with rarity of non-infective bowel diseases in blacks in Soweto, Johnannesburg, South Africa. Nutr. Cancer 1986; 8: 185–91.

11ARP Walker , BF Walker , AJ Walker . Comparison of nutrient intakes of South African elderly black women in 1969 and 1989. J. Hum. Nutr. Diet. 1992; 5: 169–77.

12ARP Walker , BF Walker . High high-density lipoprotein cholesterol in African children and adults in a population free of coronary heart disease. BMJ 1978; 2: 1336–8.

17RB Shekelle , A Shyrock , M Mac , O Paul . Diet and serum cholesterol and death from coronary heart disease: The Western Electric Study. N. Engl. J. Med. 1981; 304: 6570.

25K Steyn , J Katzenellenbogen , CJ Lombard , LT Bourne . Urbanisation and the risk for chronic diseases of lifestyle in the black population of the Cape Peninsula, South Africa. J.Cardiovasc. Risk 1997; 4: 135–42.

32NS Levitt ,JM Katzenellenbogen , D Bradshaw , MN Hoffman , F Bonnici . The prevalence and risk factors for NIDDM in urban Africans in Cape Town, South Africa. Diabetes Care 1993; 16: 601–7.

33NS Levitt , K Steyn , EV Lambert , JM Fourie , K Rossouw . Modifiable risk factors for Type 1 diabetes mellitus in a periurban community in South Africa. Diabet. Med. 1999; 16: 15.

35TL Kolbe , EV Lambert , K Charlton , TD Noakes . Effectiveness of a low intensity, community-based exercise program for older South Africans from previously disadvantaged communities. Med. Sci. Sports Exerc. 1999; 31(Suppl. 5): S185.

38VL Burt , P Whelton , EJ Rocella , C Brown , JA Cutler , M Higgins . Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988–1991. Hypertension 1995; 25: 305–13.

39R Fuentes , N Illmaniemi , E Laurikainen , J Tuomilehto , A Nissinen . Hypertension in developing economies: a review of population based studies carried out from 1980–1988. J. Hypertens. 2000; 18: 521–9.

40DG McLarty , C Pollitt , ABM Swai . Diabetes in South Africa. Diabet. Med. 1990; 7: 670–84.

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