Friday, April 11, 2025

Understanding Obesity: A Critical Public Health Challenge in South Africa

We spoke to Sister Babalwa Rongwana from the Heart and Stroke Foundation South Africa who shared invaluable insights about obesity, a condition affecting millions worldwide and presenting particular challenges in South Africa.

The World Health Organization defines obesity as "an abnormal or excessive fat accumulation that presents itself as a health risk." Far from being just a matter of appearance, obesity significantly increases the risk of developing serious health conditions including:

Heart disease

Stroke

Various cancers

Diabetes


One of the most harmful misconceptions about obesity is viewing it simply as a "lifestyle disease" or a "lack of willpower." Sister Rongwana emphasized that this oversimplified view ignores multiple contributing factors:

Biology

Mental health influences

Genetic risk factors

Access to healthcare

Availability of ultra-processed foods

This stigmatization often prevents people from seeking the help they need, as they fear being judged rather than receiving proper medical support.

Perhaps most concerning is the rapid increase in childhood obesity, which according to Sister Rongwana "doubles every ten years" and affects one in four children under age five. This early-onset obesity can profoundly impact:

Physical health

Social and emotional well-being

Self-esteem

The Heart and Stroke Foundation recommends several approaches to combat obesity:

Know your numbers: Understanding your weight, BMI, and blood pressure helps assess your risk factors

Eat a balanced diet: Increase consumption of fruits and vegetables

Reduce intake: Lower consumption of salt, sugar, and processed foods

Stay active: Regular physical activity remains essential


Grow your own: Home vegetable gardens can improve access to healthy foods

Increase water intake: Proper hydration supports overall health

Early intervention: Breastfeeding is encouraged to help prevent childhood obesity

 

The Heart and Stroke Foundation South Africa implements several programs to address obesity:

Health awareness campaigns that promote healthy behaviors

School health initiatives educating children about nutrition and active living

HeartMark Endorsement Program helping consumers identify foods lower in salt and sugar

Health risk assessment programs enabling people to know their numbers and understand their risks

 

Anyone concerned about obesity can access support through:

Website: www.healthfoundation.co.za

Social media: Facebook, Instagram, LinkedIn

Health line: 021-422-1586

 

As Sister Rongwana reminds us, obesity is a medical condition that can be managed with the right support and information. Making better lifestyle choices today can significantly impact our cardiovascular health tomorrow.

Click on the video to hear more: 


Presenter : Jasnine Roberts
Producer: Jasnine Roberts

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