High prevalence of overall overweight/obesity and abdominal obesity amongst adolescents: An emerging nutritional problem in rural high schools in Limpopo Province, South Africa

African Journal of Primary Health Care & Family Medicine


 
 
Field Value
 
Title High prevalence of overall overweight/obesity and abdominal obesity amongst adolescents: An emerging nutritional problem in rural high schools in Limpopo Province, South Africa
 
Creator Debeila, Sego Modjadji, Perpetua Madiba, Sphiwe
 
Subject Public health; adolescents; rural health overweight and obesity; socio-demography; nutrition knowledge; dietary practices; high school adolescents; rural South Africa
Description Background: As the gap in nutritional profiles between urban and rural rapidly reduces because of nutrition transition, rural adolescents are likely to engage in urban lifestyle behaviours.Aim: The study determined the prevalence of overweight/obesity amongst adolescents in rural high schools and the association with selected factors.Setting: Fetakgomo Municipality in rural Limpopo Province, South Africa.Methods: A cross-sectional study was conducted amongst 378 adolescents selected through multistage sampling from high schools. Data collected were socio-demography, nutritional knowledge, dietary practices and anthropometry. The International Obesity Task Force age and sex-specific body mass index (BMI) cut-off values were used to determine overweight/obesity, whilst adult BMI cut-off values were used for those ≥ 18 years. Waist-to-height ratio (WHtR) greater than 0.5 indicated abdominal obesity, as well as waist circumference (WC) and waist-to-hip ratio (WHR) above the cut-off values.Results: The proportion of overweight/obesity amongst adolescents was 35%, whilst 25% had abdominal obesity by WHR and 21% by WHtR. Multivariate logistic regression showed that being a girl (AOR = 2.9, 95% CI: 1.74–4.85), older adolescent (AOR = 3.1, 95% CI: 1.57–6.29) and living in a household with employed adults (AOR = 2.3, 95% CI: 1.19–4.51) were associated with increased odds of being overweight/obese. Eating breakfast was associated with reduced odds of being overweight/obese (AOR = 0.6, 95% CI: 0.34–0.97).Conclusion: Overweight/obesity and abdominal obesity amongst adolescents were more prevalent than underweight. The Integrated School Health Programme should have clear guidelines on food items served and sold at schools.
 
Publisher AOSIS
 
Contributor None
Date 2021-05-18
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v13i1.2596
 
Source African Journal of Primary Health Care & Family Medicine; Vol 13, No 1 (2021); 9 pages 2071-2936 2071-2928
 
Language eng
 
Relation https://phcfm.org/index.php/phcfm/article/view/2596/4647 https://phcfm.org/index.php/phcfm/article/view/2596/4646 https://phcfm.org/index.php/phcfm/article/view/2596/4648 https://phcfm.org/index.php/phcfm/article/view/2596/4645
 
Coverage South Africa; Limpopo Province 2017 adolescents; black; secondary school learners
Rights Copyright (c) 2021 Perpetua Modjadji https://creativecommons.org/licenses/by/4.0