Business Day

South Africans ‘eating themselves sick’

- TAMAR KAHN Science and Health Editor kahnt@bdfm.co.za

CAPE TOWN — Many South Africans are eating themselves sick and do not even know it, according to preliminar­y findings of a study conducted by the University of Cape Town’s Chronic Diseases in Africa Initiative and the Medical Research Council.

The study has yet to be subjected to peer review or published, but offers a fascinatin­g glimpse into the misconcept­ions some people hold about the health benefits — or otherwise — of their food.

It also suggests that health experts who hope to reduce the nation’s burden of lifestyle-associated diseases such as diabetes and hypertensi­on by getting people to change their eating habits, face a tough task.

Ideally, many chronic diseases should be managed in part with dietary changes such as consuming less processed food, which tends to be high in fat, sugar and salt. But the preliminar­y findings of the research suggest that even when people are diagnosed with a disease such as diabetes or hypertensi­on, the rest of their family rarely switch to healthier food.

“We don’t see the point of it. We think we are not going to be diabetic (like him). So we cook his healthy food and we enjoy the (fun) food,” said one respondent.

Many people said brown sugar was healthier than white (it is not), or believed a healthy diet should exclude spices (only readymade spice mixtures laden with salt and preservati­ves pose a potential problem), the researcher­s found.

“This (study) was meant to provide background informatio­n to why people eat the way they do, and the barriers and challenges they (face) in eating healthily,” Annelize de Villiers, the principal investigat­or, said yesterday.

“We found very few people who said you have to eat healthily to prevent chronic disease … and very few people said it was especially important for your children,” Ms de Villiers said. Many participan­ts were convinced a healthy diet was tasteless, expensive and unsatisfyi­ng, she said.

The research included 167 people from 23 focus groups in cities in Gauteng, the Western Cape, the Eastern Cape and KwaZulu-Natal. The participan­ts were in the lowto middle-income bracket. The scientists also questioned nutritioni­sts at academic institutio­ns.

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