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Health SA Gesondheid (Online)

On-line version ISSN 1025-9848

Health SA Gesondheid (Online) vol.15 n.1 Cape Town  2010

 

REVIEW ARTICLE

 

The link between poverty and malnutrition: A South African perspective

 

 

Hester (Esté) H. Vorster

Faculty of Health Sciences, North-West University, South Africa

Correspondence

 

 


ABSTRACT

In this article, a brief review of the nutritional problems in South Africa, as well as the intergenerational, vicious cycle of poverty and malnutrition, are used to argue for the necessity of including a nutrition intervention component in poverty-alleviation programmes. It is concluded that this cycle can be broken by improving the nutritional status of women in their productive years, whereby foetal malnutrition, arrested mental development and physical stunting in children, adolescents and adults can be prevented. The result will be an improvement in human capital, health and productivity with the ultimate aim of escaping poverty as suggested by the seven principles of Solomons (2005).

Keywords: double burden of nutrition-related disease; foetal programming; poverty; human capital; obesity; overweight; over-nutrition; stunting; under-nutrition


OPSOMMING

In hierdie artikel word 'n kort oorsig van die voedingsprobleme in Suid-Afrika sowel as die noodlottige siklus van wanvoeding en armoede wat oor generasies strek, gebruik om aan te voer dat dit noodsaaklik is om 'n voedingsintervensie-komponent in programme gemik op die verligting van armoede in te sluit. Daar word tot die gevolgtrekking gekom dat die siklus gebreek kan word as die voedingstatus van vroue in hulle voortplantingsjare verbeter word. Hierdie verbetering sal fetale wanvoeding, sowel as belemmerde groei en kognitiewe ontwikkeling van kinders, adolessente en volwassenes voorkom. Die gevolg sal 'n verbetering van menskapitaal, verbeterde gesondheid en verhoogde produktiwiteit wees, met die uiteindelike doel om armoede te ontsnap soos voorgestel deur die sewe beginsels van Solomons (2005).


 

 

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REFERENCES

Armstrong, M.E.G., Lambert, M.I., Sharwood, K.A. & Lambert, E.V., 2006, 'Obesity and overweight in South African primary school children - the Health of the Nation Study', South African Medical Journal 96(5), 439-444.         [ Links ]

Barker, D.J.P. (ed.), 1992, Fetal and infant origins of adult disease, British Medical Journal, London.         [ Links ]

Barker, D.J.P., 1997, 'Prenatal influences on disease in later life', in P.S. Shetty & K. McPherson (eds.), Diet, nutrition and chronic disease: Lessons from contrasting worlds, pp. 41-58, Wiley, Chichester.         [ Links ]

Berg, A., 1973, The nutrition factor: Its role in national development, The Brookings Institution, Washington.         [ Links ]

Bourne, L.T., Lambert, E.V. & Steyn, K., 2002, 'Where does the black population of South Africa stand on the nutrition transition?', Public Health Nutrition 5(1), 157-162.         [ Links ]

Bradshaw, D., Schneider, M., Norman, R. & Bourne, L.T., 2006, 'Mortality patterns of chronic diseases of lifestyle in South Africa', in K. Steyn, J. Fourie & N. Temple (eds.), Chronic diseases of lifestyle in South Africa, pp. 58-64, Medical Research Council, Tygerberg.         [ Links ]

Crawford, P.B., Townsend, M.S., Metz, D.I., Smith, D., Espinosa-Hall, G., Donohue, S.S. et al., 2004, 'How can Californians be overweight and hungry?', California Agriculture 58(1), 12-17        [ Links ]

Dao, M.Q., 2008, 'Human capital, poverty, and income distribution in developing countries, Journal of Economic Studies 35(4), 294-303.         [ Links ]

Engle, P.L. & Lhotska, L., 1999, 'The role of care in programmatic actions for nutrition: Designing programmes involving care', Food and Nutrition Bulletin 20(1), 121-135.         [ Links ]

Faber, M. & Wenhold, F., 2007, 'Nutrition in contemporary South Africa', Water SA 33(3), 390-398.         [ Links ]

Food and Agriculture Organization, 1997, Agriculture, food and nutrition for Africa, Rome.         [ Links ]

Food and Agriculture Organization, 2001a, Food insecurity: When people live with hunger and fear starvation, Rome.         [ Links ]

Food and Agriculture Organization, 2001b, Millennium Development Goal No. 1, viewed 28 December 2006, from http://www.fao.org/docrep/008/a0056e/A0056E04.html        [ Links ]

Food and Agriculture Organization, 2005, The state of food insecurity in the world, Pamphlet AD/I/A0199E/1/11.05/700, Rome.         [ Links ]

Garza, C., 2002, 'The nutrition situation: An overview', Food and Nutrition Bulletin 23(4), 343-344.         [ Links ]

Gluckman, P.D., Hanson, M.A. & Pinal, C., 2005, 'The developmental origins of adult disease', Maternal and Child Nutrition 1(3), 130-141.         [ Links ]

Grantham-McGregor, S.M., Fernald, L.C. & Sethuraman, K., 1999, 'Effects of health and nutrition on cognitive and behavioural development in children in the first three years of life. Part 1: Low birth-weight, breastfeeding and protein-energy malnutrition. Part 2: Infections and micronutrient deficiencies: Iodine, iron and zinc', Food and Nutrition Bulletin 20(1), 53-99.         [ Links ]

Horrell, S., Humphries, J. & Voth, H.J., 2001, 'Destined for deprivation: Human capital formation and intergenerational poverty in nineteenth-century England,' Explorations in Economic History 38(3), 339-365.         [ Links ]

Institute for Fiscal Studies, 2006, Human development and poverty reduction in developing countries, viewed 28 December 2006, from www.ips.org.uk        [ Links ]

Kiess, L., Moench-Pfanner, R. & Bloem, M., 2001, 'Food-based strategies: Can they play a role in international development?,' Food and Nutrition Bulletin 22(4), 436-442.         [ Links ]

Kruger, H.S., Margetts, B.M. & Vorster, H.H., 2004, 'Evidence for relatively greater subcutaneous fat deposition in stunted girls in the North-West province, South Africa, as compared with non-stunted girls', Nutrition 20, 564-569.         [ Links ]

Labadarios, D., Steyn, N., Maunder, E., MacIntyre, U., Swart, R., Gericke, G. et al., 2000, The National Food Consumption Study (NFCS) in children aged 1-9 years, South Africa, Department of Health, Pretoria.         [ Links ]

Labadarios, D., Steyn, N., Mgijima, C. & Dladla, N., 2005, 'Review of South African nutrition policy 1994-2002 and targets for 2007', Nutrition 21(1), 100-108.         [ Links ]

Labadarios, D., Swart, R., Maunder, E.M.W., Kruger, H.S., Gericke, G.J., Kuzwayo, P.M.N. et. al., 2008, 'Executive summary of the National Food Consumption Survey: Fortification baseline (NFCS-FB-1)', South African Journal of Clinical Nutrition 21(3) (suppl. 2), 247-300.         [ Links ]

Levitt, N.S., Lambert, E.V. & Norris, S.A., 2006, 'Early life origins of adult chronic diseases: A South African perspective', in N. Steyn, J. Fourie & N. Temple (eds.), Chronic diseases of lifestyle in South Africa, pp. 58-64, Medical Research Council, Tygerberg.         [ Links ]

Mukuddem-Petersen, J. & Kruger, H.S., 2004, 'Association between stunting and overweight among 10-15 year old children in the North-West province of South Africa: The THUSABANA study', International Journal of Obesity 28, 842-851.         [ Links ]

Nelson, M., 2000, 'Childhood nutrition and poverty', Proceedings of the Nutrition Society 59(2), 307-319.         [ Links ]

Puoane, T., Steyn, K., Bradshaw, D., Laubscher, R., Fourie, J., Lambert, V. et al., 2002, 'Obesity in South Africa: The South African demographic and health survey', Obesity Research 10, 1038-1048.         [ Links ]

Rajagopolan, S., 2003, 'Nutrition challenges in the next decade', Food and Nutrition Bulletin 24(3), 275-280.         [ Links ]

Sen, A., 1998, 'The possibility of social choice', Nobel lecture, Economic Sciences 190, 178-225.         [ Links ]

Sen, A., 2008, 'The rich get hungrier', The New York Times, 28 May,         [ Links ] [no access date] from http://www.nytimes.com/2008/05/28/opinion/28sen.html?_r=1

Solomons, N.W., 2005, 'Programme and policy issues related to promote positive early nutritional influences to prevent obesity, diabetes and cardiovascular disease in later life: A developing countries view', Maternal and Child Nutrition 1(3), 204-215.         [ Links ]

Standing Committee on Nutrition, 2006, 'Diet-related chronic diseases and the double burden of malnutrition in West Africa', SCN News 33, 1-78.         [ Links ]

Steyn, N.P., 2006, 'Nutrition and chronic diseases of lifestyle in South Africa', in K. Steyn, J. Fourie, N. Temple (eds.), Chronic diseases of lifestyle in South Africa, pp. 58-64, Medical Research Council, Tygerberg.         [ Links ]

Steyn, N.P. & Labadarios, D., 2008, 'Understanding the determinants of obesity', South African Journal of Clinical Nutrition 21(4), 304-305.         [ Links ]

Steyn, N. & Labadarios, D., 2002, 'Review of nutrition policy implementation', South African Health Review, viewed n.d., May 2010, from http://www.hst.org/za/uploads/files/chapter17.pdf        [ Links ]

Streeten, P., 1994, 'Human development: Means and ends', American Economic Review 84(2), 232-237.         [ Links ]

Townsend, M.S., Love, B., Achterberg, C. & Murphy, S., 2001, 'Food insecurity is positively related to overweight in women', Journal of Nutrition 13, 1738-1745.         [ Links ]

UNICEF, 1990, Strategy for improved nutrition of children and women in developing countries, policy review paper, E/ICEF/1990/1.6, New York.         [ Links ]

Vorster, H.H., 2001, 'The emergence of cardiovascular disease during urbanisation of Africans', Public Health Nutrition 5(1), 239-243.         [ Links ]

Vorster, H.H., 2007, 'Nutrition and HIV and AIDS', in J. Mann & S. Truswell (eds.), Essentials of human nutrition, pp. 558-569, Oxford University Press, Oxford.         [ Links ]

Vorster, H.H., Oosthuizen, W., Jerling, J.C., Veldman, F.J. & Burger, H.M., 1997, 'The nutritional status of South Africans: A review of the literature from 1975-1996', Durban: Health Systems Trust (1), 1-22, (2), 1-122.         [ Links ]

Wachs, T.D., 1999, 'The nature and nurture of child development', Food and Nutrition Bulletin 20(1), 7-22.         [ Links ]

World Health Organization, 2005, Consultation on nutrition and HIV/AIDS in Africa: Evidence, lessons and recommendations for action, Durban, South Africa 10-13 April 2005, Geneve.         [ Links ]

World Health Organization, 2006, 'Integrated intersectoral food and nutrition policies and strategies to address the double-burden of nutrition problems throughout the life course', Regional/sub-regional capacity-building training workshop, Johannesburg, January.         [ Links ]

 

 

Correspondence:
Esté Vorster
North-West University
Private Bag X6001
Potchefstroom 2520
South Africa
email: este.vorster@nwu.ac.za

Received: 22 May 2009
Accepted: 10 Feb. 2010
Published: 18 Aug. 2010

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