Diet-related non-communicable diseases in South Africa: determinants and policy responses

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dc.contributor.authorSpires, Mark
dc.contributor.authorDelobelle, Peter
dc.contributor.authorSanders, David
dc.contributor.authorPuoane, Thandi
dc.contributor.authorHoelzel, Philipp
dc.contributor.authorSwart, Rina
dc.date.accessioned2018-05-17T11:40:32Z
dc.date.available2018-05-17T11:40:32Z
dc.date.issued2016
dc.description.abstractNon-communicable diseases (NCDs) are the leading cause of death globally and they are on the rise both in low- and middle-income countries, with South Africa being no exception. Implicated in this upward trend in the country is an observed change in diet - a transition from traditional foods, to what has come to be known as the 'western' diet, i.e. more energy-dense, processed foods, more foods of animal origin, and more added sugar, salt and fat. Increasingly, international research links rapidly changing food environment with escalating chronic disease, i.e. it implicates population-level dietary change over individual factors such as knowledge, attitudes and behaviours. Environmental and/or policy interventions can be some of the most effective strategies for creating healthier food environments. This chapter explores the link between the rise in diet-related NCDs, their proximal determinants (specifically an observed change in diet patterns), contributing environmental factors, what is currently being done or recommended to address this internationally, and the most relevant national-level policies for South Africa. The authors conclude that to improve dietary patterns and reduce chronic diseases in South Africa will require a sustained public health effort that addresses environmental factors and the conditions in which people live and make choices. Overall, positive policies have been made at national level; however, many initiatives have suffered from a lack of concerted action. Key actions will be to reduce the intake of unhealthy foods and make healthy foods more available, affordable and acceptable in South Africa.en_US
dc.description.accreditationDHET
dc.identifier.citationSpires, M. et al. (2016). Diet-related non-communicable diseases in South Africa: determinants and policy responses. South African Health Review, 2016(1): 35 - 42en_US
dc.identifier.issn1025-1715
dc.identifier.urihttp://hdl.handle.net/10520/EJC189320
dc.identifier.urihttp://hdl.handle.net/10566/3688
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherHealth Systems Trust (HST)en_US
dc.rightsSouth African Health Review is an open access journal
dc.status.ispeerreviewedTRUE
dc.subjectNon-communicable diseases (NCDs)en_US
dc.subjectChange in dieten_US
dc.subjectChanging food environmenten_US
dc.subjectChronic diseaseen_US
dc.titleDiet-related non-communicable diseases in South Africa: determinants and policy responsesen_US
dc.typeArticleen_US

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