Obesity in South Africa: 'It's an epidemic and we're in trouble'

4 March 2024 marks World Obesity Day, urging our nation's attention.

Similar to the HIV crisis of the 1990s, we are confronted with a dire health threat that's been neglected for far too many years.

South Africa particularly stands out with alarmingly high obesity rates, expected to surge by 47.7% among females and 23.3% among males by 2025.

Discovery's ObeCity Index 2023 reveals that over 20 million South African adults struggle with being overweight or obese, with women comprising 68% of this group.

In addition, one in 10 children under the age of five is affected by childhood obesity.

While the prevalence has been steadily increasing, Chandiwana asserts that we have reached epidemic levels, stating unequivocally that we are in trouble.

She attributes this trend to the escalating cost and limited availability of nutritious foods, easy access to ultra-processed foods, and a lack of physical activity.

The repercussions of obesity are profound, with over 200 diseases known to be associated with excess weight.

These include well-known conditions like type 2 diabetes, heart disease, and strokes, as well as less recognised ailments such as mental health disorders and weight-related stigma.

Unfortunately, she emphasises that our healthcare system is ill-prepared and inadequately equipped to address this epidemic.