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Overweight and obesity amongst Black women in Durban, KwaZulu-Natal: A ‘disease’ of perception in an area of high HIV prevalence

Published on Jan 24, 2013in African Journal of Primary Health Care & Family Medicine
· DOI :10.4102/phcfm.v5i1.450
Rynal Devanathan1
Estimated H-index: 1
(UKZN: University of KwaZulu-Natal),
Tonya M. Esterhuizen20
Estimated H-index: 20
(UKZN: University of KwaZulu-Natal),
Rd Govender6
Estimated H-index: 6
(UKZN: University of KwaZulu-Natal)
Abstract
Background: Overweight and obesity is an emerging health problem, particularly amongst urban Black women living in areas of high HIV prevalence. Understanding factors affecting this pandemic is essential to enable effective weight loss programmes to be implemented. This study explored urban Black women’s perception of their body image against a backdrop of pre-existing non-communicable diseases (NCDs). Method: In this cross-sectional exploratory study 328 urban Black women were sampled systematically. Anthropometric measurements were conducted and women were interviewed using the Stunkard body image silhouettes as a tool to determine perception. Results: Most of the subjects (61%) were in the 40–59 years age group. Mean body mass index (BMI) was 37 (± 9.41 kg/m2) with over 90% being overweight or obese. Diabetes mellitus was the most common NCD, with a prevalence of 72%. Amongst the diabetic patients 7% were overweight and 64% obese. Perceived body image compared to derived BMI showed that women underestimated their body image across all weight categories. Over 40% indicated a normal to overweight preferred body image, with 99% of respondents associating the underweight silhouettes with disease and HIV infection. Conclusion: Urban Black women with underlying NCDs and living in an area of high HIV prevalence perceive themselves to be thinner than their actual BMI, which may be a barrier to weight loss management. This misperception may be used as a proxy risk marker for weight gain in urban Black women.
  • References (23)
  • Citations (8)
References23
Newest
#1Thandi Puoane (UWC: University of the Western Cape)H-Index: 27
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#1Ama de-Graft Aikins (University of Cambridge)H-Index: 21
#2Petra Boynton (UCL: University College London)H-Index: 19
Last.Lem L Atanga (University of Dschang)H-Index: 1
view all 3 authors...
60 CitationsSource
#1Harold E. BaysH-Index: 53
#2Debbra D. BazataH-Index: 8
Last.James R. Gavin (Emory University)H-Index: 10
view all 5 authors...
17 CitationsSource
#1Barry M. Popkin (UNC: University of North Carolina at Chapel Hill)H-Index: 323
711 CitationsSource
#1Rakesh Malhotra (Duke University)H-Index: 26
#2Catherine Hoyo (Duke University)H-Index: 35
Last.Thandi Puoane (UWC: University of the Western Cape)H-Index: 27
view all 8 authors...
38 CitationsSource
21 CitationsSource
#1M. T. van der Merwe (University of the Witwatersrand)H-Index: 10
#2Michael S. Pepper (University of Pretoria)H-Index: 72
120 CitationsSource
#1Zandile Mciza (UCT: University of Cape Town)H-Index: 1
#2Julia H. Goedecke (UCT: University of Cape Town)H-Index: 30
Last.Estelle V. Lambert (UCT: University of Cape Town)H-Index: 49
view all 8 authors...
91 CitationsSource
#1Janet D. Latner (Cant.: University of Canterbury)H-Index: 35
#2Albert J. Stunkard (UPenn: University of Pennsylvania)H-Index: 94
Last.G Terencewilson (RU: Rutgers University)H-Index: 72
view all 3 authors...
237 CitationsSource
#1Thandi Puoane (UWC: University of the Western Cape)H-Index: 27
#2J.M. Fourie (Johns Hopkins University)H-Index: 1
Last.A. Oelefse (Medical Research Council)H-Index: 1
view all 6 authors...
112 CitationsSource
Cited By8
Newest
#1Chara Biggs (UKZN: University of KwaZulu-Natal)H-Index: 2
#2Elizabeth Spooner (UKZN: University of KwaZulu-Natal)H-Index: 3
Source
#1Samantha E. Croffut (UNC: University of North Carolina at Chapel Hill)
#2Gloria HamelaH-Index: 5
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#1Nyovani Madise (University of Southampton)H-Index: 33
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#2Dorothy J. MeyerH-Index: 4
Last.Nkwan Jacob GobteH-Index: 2
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