The relationship between stunting and overweight among children from South Africa : secondary analysis of the national food consumption survey – Fortification Baseline I

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dc.contributor.author Symington, E.A.
dc.contributor.author Gericke, Gerda J.
dc.contributor.author Nel, J.H.
dc.contributor.author Labadarios, D.
dc.date.accessioned 2016-05-10T06:07:06Z
dc.date.available 2016-05-10T06:07:06Z
dc.date.issued 2016-01
dc.description.abstract BACKGROUND. Globally, in children the prevalence of overweight and obesity is increasing, and this is associated with an increased risk of non-communicable diseases in adulthood. There is a need to examine the growing trends of overweight and obesity in children and their consequences in low- and middle-income countries. OBJECTIVES. To describe the prevalence of, and determine the relationship between, stunting and overweight among children in two provinces of South Africa. METHODS. Secondary data analysis was conducted on anthropometric measurements of 36 - 119-month-old children from Gauteng and Mpumalanga provinces (N=519) participating in the South African National Food Consumption Survey – Fortification Baseline I (2005). The International Obesity Task Force (IOTF) body mass index (BMI) reference percentiles were used to determine overweight and obesity. The World Health Organization standards were used to derive z-scores. RESULTS. The prevalence of overweight was 12.0% (IOTF BMI ≥25 kg/m2), including 3.7% obesity (IOTF BMI ≥30 kg/m2). The predominantly urban Gauteng Province had a significantly higher prevalence of overweight children (14.1%) compared with Mpumalanga (6.3%) (p=0.0277). The prevalence of stunting was 17.0% (16.5% Gauteng, 18.2% Mpumalanga; p>0.05). There was a significant correlation (r=−0.32) between BMI and height-for-age z-scores (p<0.0001). In the obese group, 68.4% were stunted, while in the normal and underweight group only 13.6% were stunted. CONCLUSIONS. Stunted children were more likely to be obese. Further research is necessary for clarity on the physiological mechanisms of this relationship. In the interim, prevention of stunting requires priority. en_ZA
dc.description.department Human Nutrition en_ZA
dc.description.librarian am2016 en_ZA
dc.description.sponsorship The Global Alliance for Improved Nutrition provided through UNICEF, with financial inputs from the National Department of Health, the National Fortification Alliance and the Micronutrient Initiative. en_ZA
dc.description.uri http://www.samj.org.za en_ZA
dc.identifier.citation Symington, EA, Gericke, GJ, Nel, JH & Labadarios, D 2015, 'The relationship between stunting and overweight among children from South Africa : secondary analysis of the national food consumption survey – Fortification Baseline I', South African Medical Journal, vol. 106, no. 1, pp. 65-69. en_ZA
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.other 10.7196/SAMJ.2016.v106i1.9839
dc.identifier.uri http://hdl.handle.net/2263/52546
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.rights © 2016 Health & Medical Publishing Group. This work is licensed under a Creative Commons Attribution-NonCommercial Works License (CC BY-NC 3.0). en_ZA
dc.subject Children en_ZA
dc.subject Risk en_ZA
dc.subject Deseases en_ZA
dc.subject South African National Food Consumption Survey en_ZA
dc.title The relationship between stunting and overweight among children from South Africa : secondary analysis of the national food consumption survey – Fortification Baseline I en_ZA
dc.type Article en_ZA


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