PMID- 26792310 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160324 LR - 20181023 IS - 0256-9574 (Print) VI - 106 IP - 1 DP - 2015 Dec 16 TI - The relationship between stunting and overweight among children from South Africa: Secondary analysis of the National Food Consumption Survey--Fortification Baseline I. PG - 65-9 LID - 10.7196/SAMJ.2016.v106i1.9839 [doi] AB - BACKGROUND: Globally, in children the prevalence of overweight and obesity is increasing, and this is associated with an increased risk of non-communicable diseases in adulthood. There is a need to examine the growing trends of overweight and obesity in children and their consequences in low- and middle-income 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 36-119-month-old 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 z-scores. 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 height-for-age z-scores (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. FAU - Symington, Elizabeth A AU - Symington EA AD - Department of Life and Consumer Sciences, College of Agriculture and Environmental Sciences, University of South Africa, Johannesburg, South Africa. syminea@unisa.ac.za. FAU - Gericke, Gerda J AU - Gericke GJ FAU - Nel, Johanna H AU - Nel JH FAU - Labadarios, Demetre AU - Labadarios D LA - eng PT - Journal Article DEP - 20151216 PL - South Africa TA - S Afr Med J JT - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JID - 0404520 EDAT- 2016/01/23 06:00 MHDA- 2016/01/23 06:01 CRDT- 2016/01/22 06:00 PHST- 2015/06/12 00:00 [received] PHST- 2015/11/02 00:00 [accepted] PHST- 2016/01/22 06:00 [entrez] PHST- 2016/01/23 06:00 [pubmed] PHST- 2016/01/23 06:01 [medline] AID - 10.7196/SAMJ.2016.v106i1.9839 [doi] PST - epublish SO - S Afr Med J. 2015 Dec 16;106(1):65-9. doi: 10.7196/SAMJ.2016.v106i1.9839.