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Dietary Practices and Adolescent Obesity in Secondary School Learners at Disadvantaged Schools in South Africa: Urban–Rural and Gender Differences

Author

Listed:
  • Alice P. Okeyo

    (Department of Nursing Science, University of Fort Hare, Ring Road, Alice 5700, South Africa)

  • Eunice Seekoe

    (Sefako Makgatho Health Science University, Ga-Rankuwa 0208, South Africa)

  • Anniza de Villiers

    (Non-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town 7505, South Africa)

  • Mieke Faber

    (Non-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town 7505, South Africa
    Centre of Excellence for Nutrition, North-West University, Private Bag X1290, Potchefstroom 2520, South Africa)

  • Johanna H. Nel

    (Department of Logistics, Stellenbosch University, Stellenbosch 7600, South Africa)

  • Nelia P. Steyn

    (Division Human Nutrition, Department of Human Biology, University of Cape Town, UCT Medical Campus, Anzio Road, Anatomy Building, Observatory, Cape Town 7925, South Africa)

Abstract

South Africa has a high prevalence of obesity in black female adolescents and a paucity of knowledge regarding contributing dietary practices. The aim of this study was to assess the dietary practices and weight status of male and female adolescents at secondary schools in the Eastern Cape province in urban and rural areas. Sixteen schools and grade 8–12 learners (N = 1360) were randomly selected from three health districts comprising poor disadvantaged communities. A short unquantified food frequency questionnaire was used to collect data on learners’ usual eating practices with regards to weekly meal pattern, breakfast consumption, foods taken to school, takeaways, and snacks eaten while watching television (TV). Body mass index measurements were determined for each learner. Prevalence of combined overweight and obesity differed significantly between genders, 9.9% in males versus 36.1% in females ( p < 0.001). Significant gender differences were noted regarding eating practices. Females had a higher frequency of eating sugary snacks ( p < 0.001) and a lower frequency of eating breakfast ( p < 0.01) than males. Females ate significantly more fried fish ( p < 0.05), pizza ( p < 0.05) fat cakes (fried dough balls) ( p < 0.05), hotdogs ( p < 0.01), candy ( p < 0.001), cake ( p < 0.01), and crisps ( p < 0.001). Compared to urban areas, the frequency of eating breakfast ( p < 0.01) and sugary snacks ( p < 0.05) was significantly higher in rural areas. Significantly more learners in urban areas consumed boerewors (beef sausage) rolls ( p = 0.027), hamburgers ( p = 0.004), and soft drinks ( p = 0.019), while more learners in the rural areas consumed cordial ( p = 0.001). In conclusion, a high prevalence of combined overweight and obesity was found in black female adolescents and a high prevalence of poor dietary practices was observed, with significant gender and urban–rural differences.

Suggested Citation

  • Alice P. Okeyo & Eunice Seekoe & Anniza de Villiers & Mieke Faber & Johanna H. Nel & Nelia P. Steyn, 2020. "Dietary Practices and Adolescent Obesity in Secondary School Learners at Disadvantaged Schools in South Africa: Urban–Rural and Gender Differences," IJERPH, MDPI, vol. 17(16), pages 1-18, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5864-:d:398298
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    References listed on IDEAS

    as
    1. Case, Anne & Menendez, Alicia, 2009. "Sex differences in obesity rates in poor countries: Evidence from South Africa," Economics & Human Biology, Elsevier, vol. 7(3), pages 271-282, December.
    2. repec:pri:cheawb:case_and_menendez_ehb_dec_2009 is not listed on IDEAS
    3. Reddy, S.P. & Resnicow, K. & James, S. & Funani, I.N. & Kambaran, N.S. & Omardien, R.G. & Masuka, P. & Sewpaul, R. & Vaughan, R.D. & Mbewu, A., 2012. "Rapid increases in overweight and obesity among South African adolescents: Comparison of data from the South African national youth risk behaviour survey in 2002 and 2008," American Journal of Public Health, American Public Health Association, vol. 102(2), pages 262-268.
    4. Chiara Mameli & Sara Mazzantini & Gian Vincenzo Zuccotti, 2016. "Nutrition in the First 1000 Days: The Origin of Childhood Obesity," IJERPH, MDPI, vol. 13(9), pages 1-9, August.
    5. repec:pri:cheawb:case_and_menendez_ehb_dec_2009.pdf is not listed on IDEAS
    6. Zagorsky, Jay L., 2005. "Health and wealth: The late-20th century obesity epidemic in the U.S," Economics & Human Biology, Elsevier, vol. 3(2), pages 296-313, July.
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    2. Youlim Kim & Hyeonkyeong Lee & Mikyung Lee & Hyeyeon Lee & Sookyung Kim & Kennedy Diema Konlan, 2021. "The Sequential Mediating Effects of Dietary Behavior and Perceived Stress on the Relationship between Subjective Socioeconomic Status and Multicultural Adolescent Health," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    3. Danielle Dolley & Rosa Du Randt & Uwe Pühse & Markus Gerber & Jacob Bosma & Ann Aerts & Larissa Adams & Patricia Arnaiz & Nandi Joubert & Ivan Müller & Siphesihle Nqweniso & Harald Seelig & Peter Stei, 2023. "Relationship between Body Mass Index and Physical Activity among Children from Low-Income Communities in Gqeberha, South Africa: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(2), pages 1-11, January.

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