The relationship between stunting and overweight among children from South Africa : secondary analysis of the National Food Consumption Survey – Fortification Baseline I

dc.contributor.authorSymington, Elizabeth A.en_ZA
dc.contributor.authorGericke, Gerda J.en_ZA
dc.contributor.authorNel, Johanna H.en_ZA
dc.contributor.authorLabadarios, Demetreen_ZA
dc.date.accessioned2017-02-10T07:34:56Z
dc.date.available2017-02-10T07:34:56Z
dc.date.issued2016-01
dc.descriptionCITATION: Symington, E. A., Gericke, G. J., Nel, J. H. & Labadarios, D. 2016. 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, 106(1):65-69, doi:10.7196/SAMJ.2016.v106i1.9839.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractENGLISH SUMMARY : Background: Globally, in children the prevalence of overweight and obesity is increasing, and this is associated with an increased risk of non­communicable diseases in adulthood. There is a need to examine the growing trends of overweight and obesity in children and their consequences in low­ and middle­income 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 ­ 119­month­old 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 z­scores. 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 height­for­age z­scores (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.urihttp://www.samj.org.za/index.php/samj/article/view/9839
dc.description.versionPublisher's version
dc.format.extent5 pages ; illustrations
dc.identifier.citationSymington, E. A., Gericke, G. J., Nel, J. H. & Labadarios, D. 2016. 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, 106(1):65-69, doi:10.7196/SAMJ.2016.v106i1.9839.
dc.identifier.issn2078-5135 (Online)
dc.identifier.issn0256-957 (Print)
dc.identifier.otherdoi:10.7196/SAMJ.2016.v106i1.9839
dc.identifier.urihttp://hdl.handle.net/10019.1/100616
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Group
dc.rights.holderAuthors retain copyright
dc.subjectObesityen_ZA
dc.subjectGrowth disordersen_ZA
dc.titleThe relationship between stunting and overweight among children from South Africa : secondary analysis of the National Food Consumption Survey – Fortification Baseline Ien_ZA
dc.typeArticleen_ZA
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