Obesity is South Africa’s new HIV epidemic

Authors

  • Dr Nomathemba Chandiwana Ezintsha, Faculty of Health Sciences, University of the Witwatersrand
  • Prof. Francois Venter Ezintsha, Faculty of Health Sciences, University of the Witwatersrand https://orcid.org/0000-0002-4157-732X
  • Dr Jennifer M Manne-Goehler Division of Infectious Diseases, Brigham and Women’s Hospital, Harvard Medical School
  • Prof. Alisha Wade Research in Metabolism and Endocrinology, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand
  • Prof. Carel W le Roux Diabetes Complications Research Centre, University College Dublin; Chemical Pathology, University of Pretoria
  • Nzama Lawrence Mbalati Communication Sciences, Healthy Living Alliance
  • Angelika Grimbeek Community Paediatrics, Healthy Living Alliance
  • Petronell Kruger Healthy Living Alliance
  • Eunice Montsho Healthy Living Alliance
  • Zukiswa Zimela Healthy Living Alliance
  • Anele Yawa General Secretary, Treatment Action Campaign
  • Sibongile Tshabalala National Chairperson, Treatment Action Campaign
  • Ndivhuwo Rambau Project Co-ordinator, Treatment Action
  • Ngqabutho Mpofu Communications, and Research Manager, Treatment Action Campaign
  • Sasha Stevenson Executive Director, Section 27
  • Bridget McNulty Sweet Life Diabetes Community and SA Diabetes Advocacy
  • Prof. Ntobeko A B Ntusi Department of Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital; University of Cape Town/SAMRC Extramural Research Unit on Intersection of Noncommunicable Diseases and Infectious Diseases; ARUA/Guild Cluster of Research Excellence on Noncommunicable Diseases and Associated Multimorbidity
  • Dr Yogan Pillay Director, HIV & TB Delivery, Bill and Melinda Gates Foundation, Pretoria; Department of Global Health, Stellenbosch University
  • Prof. Joel A Dave Division of Endocrinology, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town
  • Dr Angela Murphy Sunward Park Medical Centre
  • Prof. Sue Goldstein SAMRC/Wits Centre for Health Economics and Decision Science; PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand
  • Prof. Karen Hofman SAMRC/Wits Centre for Health Economics and Decision Science; PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand
  • Dr Sameera Mahomedy AMRC/Wits Centre for Health Economics and Decision Science; PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand
  • Dr Elizabeth Thomas SAMRC/ Wits Centre for Health Economics and Decision Science; PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand
  • Prof. Busi Mrara Professor and Head of Anaesthesiology and Critical Care, Walter Sisulu University
  • Prof. Jeff Wing Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand
  • Prof. Jeanne Lubbe Head, Upper Gastrointestinal Surgery, Tygerberg Hospital and Stellenbosch University; President, South African Metabolic Medicine and Surgery Society
  • Prof. Zack Koto Chair, Department of Surgery, Dr George Mukhari Academic Hospital and Sefako Makgatho Health Sciences University; President, College of Surgeons of South Africa; Senior Vice-President, Colleges of Medicine of South Africa, President, Association of Surgeons of South Africa
  • Dr Marli Conradie-Smit Head, Division of Endocrinology, Tygerberg Hospital
  • Prof. Sean Wharton McMaster University, York University, and Wharton Weight Management Clinic
  • Dr Wayne May Cape Town Bariatric Clinic
  • Dr Ian Marr Cape Town Bariatric Clinic
  • Dr Hilton Kaplan Cape Town Bariatric Clinic
  • Mariam Forgan Cape Town Bariatric Clinic
  • Dr Graham Alexander Cape Town Bariatric Clinic
  • Dr John S Turner Honorary Senior Specialist Groote Schuur Hospital and the University of Cape Town, Cape Town Bariatric Clinic
  • Gina Fourie Cape Town Bariatric Clinic
  • Dr Jocelyn Ann Hellig Cape Town Bariatric Clinic
  • Mandy Banks Cape Town Bariatric Clinic
  • Dr Kim E Ragsdale Cape Town Bariatric Clinic
  • Dr Marisa Noeth Zuid Afrikaans Bariatric Clinic
  • Dr Farzahna Mohamed Acting Clinical Head of Endocrinology, Charlotte Maxeke Johannesburg Academic Hospital and Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand
  • Prof. Landon Myer Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of Cape Town
  • Dr Limakatso Lebina Africa Health Research Institute
  • Prof. Salome Maswime Global Surgery Division, Faculty of Health Sciences, University of Cape Town
  • Prof. Yunus Moosa Southern African HIV Clinicians Society; Department of Infectious Diseases, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal
  • Dr Teressa Sumy Thomas Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand
  • Dr Mzamo Mbelle Division of Gastroenterology, Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand and Charlotte Maxeke Johannesburg Academic Hospital; Institute of Liver Studies, King’s College Hospital
  • Dr Phumla Sinxadi Division of Clinical Pharmacology, Department of Medicine, Faculty of Health Sciences, University of Cape Town
  • Prof. Linda-Gail Bekker Desmond Tutu HIV Centre, Faculty of Health Sciences, University of Cape Town
  • Dr Sindeep Bhana Honorary lecturer, Chris Hani Baragwanath Academic Hospital and Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand
  • Prof. June Fabian Wits Donald Gordon Medical Centre, Faculty of Health Sciences, University of the Witwatersrand
  • Associate Prof. Eric Decloedt Head, Division of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Hospital
  • Dr Zaheer Bayat Academic Head of Endocrinology, University of the Witwatersrand; Clinical Head of Medicine, Helen Joseph Hospital
  • Dr Reyna Daya Clinical Head of Endocrinology, Helen Joseph Hospital; Chair, Society for Endocrinology, Metabolism and Diabetes of South Africa
  • Dr Bilal Bobat Wits Donald Gordon Medical Centre, Faculty of Health Sciences, University of the Witwatersrand
  • Fiona Storie Southern African HIV Clinicians Society
  • Dr Julia H Goedecke Biomedical Research and Innovation Platform, South African Medical Research Council
  • Prof. Kathleen Kahn SAMRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand
  • Prof. Stephen Tollman SAMRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand
  • Dr Brett Mansfield Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand
  • Associate Prof. Mark J Siedner Africa Health Research Institute, Harvard Medical School
  • Dr Vincent C Marconi Division of Infectious Diseases and Department of Global Health, Emory University School of Medicine and Rollins School of Public Health
  • Dr Aaloke Mody Division of Infectious Diseases, Department of Medicine, and Center for Dissemination and Implementation, Institute for Public Health, Washington University
  • Dr Ntombifikile Nokwethemba Mtshali Shout-It-Now
  • Prof. Elvin Geng Division of Infectious Diseases, Department of Medicine, and Center for Dissemination and Implementation, Institute for Public Health, Washington University
  • Dr Suman Srinivasa Division of Endocrinology, Metabolism Unit, Massachusetts General Hospital and Harvard Medical School
  • Prof. Mohammed K Ali Department of Family and Preventive Medicine, School of Medicine, and Hubert Department of Global Health, Rollins School of Public Health, Emory University
  • Dr Samanta Lalla-Edwards Ezintsha, Faculty of Health Sciences, University of the Witwatersrand
  • Dr Alison Bentley Restonic Ezintsha sleep clinic, South African Society for Sleep and Health
  • Dr Gustaaf Wolvaardt Foundation for Professional Development
  • Dr Andrew Hill Department of Pharmacology and Therapeutics, University of Liverpool
  • Dr Jeremy Nel Division of Infectious Diseases, Department of Medicine, University of the Witwatersrand

DOI:

https://doi.org/10.7196/SAMJ.2024.v114i3.1927

Keywords:

Obesity, HIV, Healthy food

Abstract

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Author Biography

  • Prof. Francois Venter, Ezintsha, Faculty of Health Sciences, University of the Witwatersrand

    Executive Director, Ezintsha
    University of the Witwatersrand
    Faculty of Health Sciences
    SOUTH AFRICA

References

National Department of Health, Statistics South Africa, South African Medical Research Council, and ICF. South Africa Demographic and Health Survey 2016: Key findings. Pretoria, South Africa, and Rockville, Md, USA: NDoH, Stats SA, SAMRC, and ICF, 2018. https://www.dhsprogram.com/pubs/ pdf/SR248/SR248.pdf (accessed 19 February 2024).

Boachie MK, Thsehla E, Immurana M, Kohli-Lynch C, Hofman KJ. Estimating the healthcare cost of overweight and obesity in South Africa. Glob Health Action 2022;15(1):2045092. https://doi.org/10.1 080/16549716.2022.2045092

Statistics South Africa. Mortality and causes of death in South Africa: Findings from death notification, 2018. Statistical release P0309.3. Pretoria: Stats SA, 2021. http://www.statssa.gov.za/publications/ P03093/P030932018.pdf (accessed 19 February 2024).

Dai H, Alsalhe TA, Chalghaf N, Ricco M, Bragazzi NL, Wu J. The global burden of disease attributable to high body mass index in 195 countries and territories, 1990-2017: An analysis of the Global Burden of Disease Study. PLoS Med 2020;17(7):e1003198. https://doi.org/10.1371/journal.pmed.1003198

Larsson SC, Burgess S. Causal role of high body mass index in multiple chronic diseases: A systematic review and meta-analysis of Mendelian randomisation studies. BMC Med 2021;19(1):320. https://doi. org/10.1186/s12916-021-02188-x

Cummings DE, Rubino F. Obesity: What’s in a word? Lancet Diabetes Endocrinol 2021;9(7):408-409. https://doi.org/10.1016/S2213-8587(21)00122-4

Rubino F, Puhl RM, Cummings DE, et al. Joint international consensus statement for ending stigma of obesity. Nat Med 2020;26(4):485-497. https://doi.org/10.1038/s41591-020-0803-x

Batterham RL. Switching the focus from weight to health: Canada’s adult obesity practice guideline set a new standard for obesity management. EClinicalMedicine 2020;31:100636. https://doi.org/10.1016/j. eclinm.2020.100636

Perdomo CM, Cohen RV, Sumithran P, Clement K, Fruhbeck G. Contemporary medical, device, and surgical therapies for obesity in adults. Lancet 2023;401(10382):1116-1130. https://doi.org/10.1016/ S0140-6736(22)02403-5

Levi J, Wang J, Venter F, Hill A. Estimated minimum prices and lowest available national prices for antiobesity medications: Improving affordability and access to treatment. Obesity (Silver Spring) 2023;31(5):1270-1279. https://doi.org/10.1002/oby.23725

Lundgren JR, Janus C, Jensen SBK, et al. Healthy weight loss maintenance with exercise, liraglutide, or both combined. N Engl J Med 2021;384(18):1719-1730. https://doi.org/10.1056/NEJMoa2028198

National Department of Health, South Africa. Strategy for the prevention and management of obesity in South Africa, 2023-2028. Pretoria: NDoH, 2023. https://www.health.gov.za/wp-content/ uploads/2023/05/Obesity-Strategy-2023-2028_Final_Approved.pdf (accessed 19 February 2024).

Dicken SJ, Batterham RL. Ultra-processed food: A global problem requiring a global solution. Lancet Diabetes Endocrinol 2022;10(10):691-694. https://doi.org/10.1016/S2213-8587(22)00248-0

Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: Shaped by global drivers and local environments. Lancet 2011;378(9793):804-814. https://doi.org/10.1016/S0140-6736(11)60813-1 15. Eisenberg MJ, Atallah R, Grandi SM, Windle SB, Berry EM. Legislative approaches to tackling the

obesity epidemic. CMAJ 2011;183(13):1496-1500. https://doi.org/10.1503/cmaj.101522

He Z GB, Yaya S, Cheng Z, Zhou Y. Perceived neighborhood safety and exercise behavior among community dwellers in Gauteng, South Africa. Medicine (Baltimore) 2020;99(51):e23552. https://doi.

org/10.1097/MD.0000000000023552

VermeulenH.AbalancedfoodbasketapproachtomonitorfoodaffordabilityinSouthAfrica.PhDthesis.

Pretoria: University of Pretoria, 2020. https://www.repository.up.ac.za/bitstream/handle/2263/73175/

Vermeulen_Balanced_2020.pdf ?sequence=1 (accessed 19 February 2024).

Mulrenan C, Jenner K, Knai C. Tackling the obesity epidemic. BMJ 2023;381:1072. https://doi.

org/10.1136/bmj.p1072

Delobelle P. Big tobacco, alcohol, and food and NCDs in LMICs: An inconvenient truth and call to action.

Comment on ‘Addressing NCDs: Challenges from industry market promotion and interferences’. Int J

Health Policy Manag 2019;8(12):727-731. https://doi.org/10.15171/ijhpm.2019.74

Du M, Tugendhaft A, Erzse A, Hofman KJ. Sugar-sweetened beverage taxes: Industry response and

tactics. Yale J Biol Med 2018;91(2):185-190.

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Published

2024-03-18

Issue

SAMJ Vol. 114 no. 3

Section

Editorials

License

Copyright (c) 2024 Dr Nomathemba Chandiwana, Prof. Francois Venter, Dr Jennifer M Manne-Goehler, Prof. Alisha Wade, Prof. Carel W le Roux, Nzama Lawrence Mbalati, Angelika Grimbeek, Petronell Kruger, Eunice Montsho, Zukiswa Zimela, Anele Yawa, Sibongile Tshabalala, Ndivhuwo Rambau, Ngqabutho Mpofu, Sasha Stevenson, Bridget McNulty, Prof. Ntobeko A B Ntusi, Dr Yogan Pillay, Prof. Joel A Dave, Dr Angela Murphy, Prof. Sue Goldstein, Prof. Karen Hofman, Dr Elizabeth Thomas , Prof. Busi Mrara, Prof. Jeff Wing, Dr Sameera Mahomedy , Prof. Jeanne Lubbe , Prof. Zack Koto , Dr Marli Conradie-Smit , Prof. Sean Wharton, Dr Wayne May, Dr Ian Marr, Dr Hilton Kaplan , Mariam Forgan , Dr Graham Alexander , Dr Jocelyn Ann Hellig , Dr John S Turner, Gina Fourie, Mandy Banks , Dr Kim E Ragsdale , Dr Marisa Noeth, Prof. Landon Myer , Dr Farzahna Mohamed, Dr Limakatso Lebina , Prof. Salome Maswime, Prof. Yunus Moosa, Dr Teressa Sumy Thomas, Dr Mzamo Mbelle, Dr Phumla Sinxadi, Prof. Linda-Gail Bekker, Dr Sindeep Bhana, Prof. June Fabian, Associate Prof. Eric Decloedt, Dr Zaheer Bayat, Dr Reyna Daya, Dr Bilal Bobat, Fiona Storie, Dr Julia H Goedecke, Prof. Kathleen Kahn, Prof. Stephen Tollman, Dr Brett Mansfield, Associate Prof. Mark J Siedner, Dr Vincent C Marconi, Dr Aaloke Mody, Dr Ntombifikile Nokwethemba Mtshali, Prof. Elvin Geng, Prof. Mohammed K Ali, Dr Samanta Lalla-Edwards, Dr Alison Bentley, Dr Gustaaf Wolvaardt, Dr Suman Srinivasa, Dr Andrew Hill, Dr Jeremy Nel

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How to Cite

1.
Chandiwana N, Venter W, Manne-Goehler J, Wade A, le Roux C, Mbalati N, et al. Obesity is South Africa’s new HIV epidemic. S Afr Med J [Internet]. 2024 Mar. 18 [cited 2025 Sep. 26];114(3):e1927. Available from: https://samajournals.co.za/index.php/samj/article/view/1927