ArticlePublic health nutrition2018
Accelerated nutrition transition in the North West Province of South Africa: results from the Prospective Urban and Rural Epidemiology (PURE-NWP-SA) cohort study, 2005 to 2010.
Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Dietary behaviours in the context of nutrition transition: a systematic review and meta-analyses in two African countries.Public health nutrition · 2020Pooled it
- Dietary habits, dietary diversity, and the influence of work-related stress among male academic professionals in Ibadan, Nigeria: a cross-sectional study.Journal of health, population, and nutrition · 2026Article
- Cardiovascular disease risk factors are associated with conventional lipids and apolipoproteins in South African adults of African ancestry.Lipids in health and disease · 2025Article
- Diet quality and environmental impact of university students' food choices at a South African university.Frontiers in nutrition · 2025Article
- Nutrient intake of young South African adults from the baseline of the African-PREDICT cohort study.Public health nutrition · 2024Article
- Food acquisition and consumption by NOVA food classification and lived poverty index among rural and urban households in South Africa and Ghana.Public health nutrition · 2024Article
- HbA1c comparable to fasting glucose in the external validation of the African Diabetes Risk Score and other established risk prediction models in Black South Africans.BMC endocrine disorders · 2024Article
- Child-directed marketing on packaged breakfast cereals in South Africa.Public health nutrition · 2023Article
- The potential repositioning of South African underutilised plants for food and nutrition security: A scoping review.Heliyon · 2023Article
- Nutrient Patterns and Body Mass Index: A Comparative Longitudinal Analysis in Urban Black South African Adolescents and Adults.Nutrients · 2023Article
- Towards Sustainable Shifts to Healthy Diets and Food Security in Sub-Saharan Africa with Climate-Resilient Crops in Bread-Type Products: A Food System Analysis.Foods (Basel, Switzerland) · 2022Article
- The Characteristics of Diverticular Disease in Caribbean Population: A Control Group Study.Canadian journal of gastroenterology & hepatology · 2022Article
- Dietary Patterns and Breast Cancer Risk in Black Urban South African Women: The SABC Study.Nutrients · 2021Article
- Exploring the diet and physical activity behaviours of adolescents living in India and sub-Saharan Africa: a qualitative evidence synthesis.Public health nutrition · 2021Review
- Metabolic-associated Fatty Liver Disease as Assessed by the Fatty Liver Index Among Migrant and Non-migrant Ghanaian Populations.Journal of clinical and translational hepatology · 2021Article
- A Priori and a Posteriori Dietary Patterns among Pregnant Women in Johannesburg, South Africa: The NuPED Study.Nutrients · 2021Article
- A comparison of the associations between adiposity and lipids in Malawi and the United Kingdom.BMC medicine · 2020Article
- Changes in diet quality over 10 years of nutrition transition in Colombia: analysis of the 2005 and 2015 nationally representative cross-sectional surveys.International journal of public health · 2020Article
- Magnesium Intake Predicts Bone Turnover in Postmenopausal Black South African Women.Nutrients · 2019Article
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4 authors at 2 institutions in 1 country.
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Abstract
objectiveSouth Africa (SA) is in the midst of a health transition characterized by a quadruple burden of diseases and a nutrition transition. The existing nutrition transition in SA, accompanied by the coexistence of under- and overnutrition in the population, motivated the present study. Its objectives were to measure and report the changes in nutrient intakes of rural and urban black Africans over time to assess the impact of urbanization and modernization of lifestyles on dietary intakes and non-communicable disease (NCD) risk.
designThe PURE-NWP-SA study recruited 2000 black South African volunteers aged 35-70 years in 2005, of which detailed nutrient intakes from 1858 participants were available. In 2010 nutrient intakes of a cohort of 1154 participants were measured.
resultsMedian energy intake increased over time. In 2010, rural participants consumed the amount of energy (men 9·7 MJ/d; women 9·1 MJ/d) that urban participants consumed in 2005 (men 9·9 MJ/d; women 9·0 MJ/d). The nutrition transition was characterized by increases in the percentage of energy from animal protein, total fat (rural men and women), saturated (not urban women) and monounsaturated fat, as well as added sugar. Despite the higher energy intake, not all the participants met total micronutrient needs in 2010.
conclusionsThe PURE nutrient intake data confirmed that the nutrition transition in the North West Province of SA is extremely rapid in rural areas. The shift towards higher energy intakes, an animal food-based diet, higher intakes of fat and lower intake of fibre, at the cost of lower plant protein and starchy food intakes, could increase the risk of NCD.
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