ArticlePloS one2015
Factors Associated with Excessive Body Fat in Men and Women: Cross-Sectional Data from Black South Africans Living in a Rural Community and an Urban Township.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Healthy Aging Adult South Africa report card: a systematic review of the evidence between 2013 and 2020 for middle-aged South African men and women.Cardiovascular journal of AfricaPooled it
- Health, wealth, and nature in harmony? a method of moments quantile regression approach to the obesity-income-environment trinity in the G7 panel.Journal of health, population, and nutrition · 2025Article
- Weight underestimation and high cardiovascular disease risk among South African adults with obesity: implications for integrated obesity prevention.BMC public health · 2025Article
- The Association between Marital Status and Obesity: A Systematic Review and Meta-Analysis.Diseases (Basel, Switzerland) · 2024Review
- Residence-based inequalities in overweight/obesity in sub-Saharan Africa: a multivariate non-linear decomposition analysis.Tropical medicine and health · 2024Article
- Epidemiological correlates of overweight and obesity in the Northern Cape Province, South Africa.PeerJ · 2023Article
- Implementing and Evaluating Community Health Worker-Led Cardiovascular Disease Risk Screening Intervention in Sub-Saharan Africa Communities: A Participatory Implementation Research Protocol.International journal of environmental research and public health · 2022Article
- Socioeconomic inequalities in intergenerational overweight and obesity transmission from mothers to offsprings in South Africa.SSM - population health · 2022Article
- Weight underestimation and body size dissatisfaction among black African adults with obesity: Implications for health promotion.African journal of primary health care & family medicine · 2019Article
- Low intake of commonly available fruits and vegetables in socio-economically disadvantaged communities of South Africa: influence of affordability and sugary drinks intake.BMC public health · 2019Article
- Sugar-sweetened beverage intake and relative weight gain among South African adults living in resource-poor communities: longitudinal data from the STOP-SA study.International journal of obesity (2005) · 2019Article
- Low potassium and high sodium intakes: a double health threat to Cape Verdeans.BMC public health · 2018Article
- Sociodemographic, socioeconomic, clinical and behavioural predictors of body mass index vary by sex in rural South African adults-findings from the AWI-Gen study.Global health action · 2018Article
- Demographic, socio-economic and behavioural correlates of BMI in middle-aged black men and women from urban Johannesburg, South Africa.Global health action · 2018Article
- Lifestyle factors and co-morbidities associated with obesity and overweight in Nkonkobe Municipality of the Eastern Cape, South Africa.Journal of health, population, and nutrition · 2017Article
- Article
- Perceptions of body size, obesity threat and the willingness to lose weight among black South African adults: a qualitative study.BMC public health · 2016Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the factors associated with excessive body fat among black African men and women living in rural and urban communities of South Africa.
methodsThis is a cross-sectional analysis of data from the Prospective Urban and Rural Epidemiology (PURE) study, Cape Town, South Africa conducted in 2009/2010. The study sample included 1220 participants (77.2% women) aged 35-70 years, for whom anthropometric measurements were obtained and risk factors documented through face-to-face interviews using validated international PURE study protocols. Sex-specific logistic regression models were used to evaluate socio-demographic, lifestyle and psychological factors associated with three excessive body fat indicators, namely body mass index (BMI), waist circumference (WC) and body fat percent (BF%).
resultsThe prevalence of excessive body fat based on BF%, WC and BMI cut-offs were 96.0%, 86.1%, and 81.6% for women respectively, and 62.2%, 25.9%, and 36.0% for men respectively. The significant odds of excessive body fat among the currently married compared to unmarried were 4.1 (95% CI: 1.3-12.5) for BF% and 1.9 (95% CI: 1.3-2.9) for BMI among women; and 4.9 (95% CI: 2.6-9.6), 3.2 (95% CI: 1.6-6.4) and 3.6 (95% CI: 1.9-6.8) for BF%, WC and BMI respectively among men. Age ≤50 years (compared to age >50 years) was inversely associated with excessive BF% in men and women, and less-than-a-college education was inversely associated with excessive BMI and WC in men. Tobacco smoking was inversely associated with all three excessive adiposity indicators in women but not in men. Unemployment, depression, and stress did not predict excessive body fat in men or women.
conclusionThe sex-differences in the socio-demographic and lifestyle factors associated with the high levels of excessive body fat in urban and rural women and men should be considered in packaging interventions to reduce obesity in these communities.
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