Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-23T23:07:48.313Z Has data issue: false hasContentIssue false

Integrated nutrition science: from theory to practice in South Africa

Published online by Cambridge University Press:  02 January 2007

HH Vorster*
Affiliation:
School of Physiology and Nutrition, Faculty of Health Sciences, North-West University (Potchefstroom Campus), Private Bag X6001, Potchefstroom 2520, South Africa
BM Margetts
Affiliation:
School of Physiology and Nutrition, Faculty of Health Sciences, North-West University (Potchefstroom Campus), Private Bag X6001, Potchefstroom 2520, South Africa
CS Venter
Affiliation:
School of Physiology and Nutrition, Faculty of Health Sciences, North-West University (Potchefstroom Campus), Private Bag X6001, Potchefstroom 2520, South Africa
MP Wissing
Affiliation:
School of Psycho-Social and Behavioural Sciences, Faculty of Health Sciences, North-West University (Potchefstroom Campus), Potchefstroom 2520, South Africa
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective

To describe an integrated, holistic conceptual framework and research paradigm for a better understanding of the nutrition transition in middle- and low-income countries.

Motivation

Current inability effectively to prevent the increasing burden related to changes in food consumption patterns and other health behaviours of populations in transition motivates a new approach for nutrition research and practice. In this proposed approach, broader and integrated dimensions of science and practice may be applied for a better understanding of this complex phenomenon.

Result

Examples from our own studies are given and quoted to illustrate how results from transdisciplinary studies were used to design an integrated, holistic programme to improve quality of life of people infected with HIV.

Conclusion

Based on these experiences it is argued that the more holistic and integrated approach should and could lead to more effective and sustainable interventions to prevent the adverse health consequences of the nutrition transition. At the same time such an approach will contribute to efforts to conserve the environment and also human, living and natural resources.

Type
Research Article
Copyright
Copyright © The Authors 2005

References

1The Giessen Declaration. Public Health Nutrition 2005; 8(6A): 783–6.Google Scholar
2Leitzmann, C, Cannon, G. Dimensions, domains and principles of the new nutrition science. Public Health Nutrition 2005; 8(6A): 787–94.CrossRefGoogle ScholarPubMed
3The Health Systems Trust. South African Health Review 2002. Durban: Health Systems Trust, 2002; 546 pp.Google Scholar
4Vorster, HH, Bourne, LT, Venter, CS, Oosthuizen, W. Contribution of nutrition to the health transition in developing countries: a framework for research and intervention. Nutrition Reviews 1999; 57(11): 341–9.CrossRefGoogle Scholar
5MacIntyre, UE, Kruger, HS, Venter, CS, Vorster, HH. Dietary intakes of an African population in different stages of transition in the North-West Province, South Africa: the THUSA study. Nutrition Research 2002; 22: 239–56.CrossRefGoogle Scholar
6Walker, ARP. Diet and atherosclerosis. Lancet 1955; 2: 565–6.CrossRefGoogle Scholar
7Vorster, HH, Venter, CS, Mensink, E, van Staden, DA, Labadarios, D, Strydom, AJC, et al. Adequate nutritional status despite restricted dietary variety in adult rural Vendas. South African Journal of Clinical Nutrition 1994; 7(2): 316.Google Scholar
8Vorster, HH, Wissing, MP, Venter, CS, et al. The impact of urbanization on physical, physiological and mental health of Africans in the North-West Province of South Africa: the THUSA study. South African Journal of Sciences 2000; 96: 505–14.Google Scholar
9Wissing, MP, Vorster, HH. General coping strategies related to probability of contracting HIV-infection. Paper presented at the XXVII International Congress of PsychologyStockholm, Sweden23–28 July 2000.Google Scholar
10Lemke, S. Food and nutrition security in black South African households: creative ways of coping and survival. PhD thesis, University of Munich, Munich, 2001.Google Scholar
11Lemke, S, Vorster, HH, Jansen van Rensburg, NS, Ziche, J. Empowered women, social networks and the contribution of qualitative research: broadening our understanding of underlying causes for food and nutrition insecurity. Public Health Nutrition 2003; 6(8): 759–64.CrossRefGoogle ScholarPubMed
12Vorster, HH, Kruger, A, Margetts, BM, Venter, CS, Kruger, HS, Veldman, FJ, et al. The nutritional status of asymptomatic HIV-infected Africans. Directions for dietary intervention? Public Health Nutrition 2004; 7(8): 1055–64.Google Scholar
13Venter, CS, Jerling, JC, Oosthuizen, W, Hanson, P, Mooko, M. The effects of an instant soy-maize porridge on the well-being of young HIV-positive volunteers. Presented at Soy & Health 2002: Clinical Evidence, Dietetic ApplicationsLondon30–31 May 2002.Google Scholar
14Roux, AA, Venter, CS, Wessels, CC. A group work programme for HIV/AIDS patients. Social Work Practitioner-Researcher 2001; 13(2): 3347.Google Scholar
15Scholtz, SC, Bosman, MJC. HIV positive and negative consumers accept an instant soy maize porridge [abstract]. South African Journal of Clinical Nutrition 2002; 15: (Suppl. 2): S9.Google Scholar
16Kruger, HS, Venter, CS, Vorster, HH. Obesity in African women in the North-West Province, South Africa is associated with an increased risk of non-communicable diseases: the THUSA study. British Journal of Nutrition 2002; 86: 733–40.CrossRefGoogle Scholar
17Kruger, MC, De Winter, RM, Becker, PJ, Vorster, HH. Changes in markers of bone turnover following urbanisation in black South Africa women. Journal of Endocrinology, Metabolism and Diabetes of South Africa (JEMDSA) 2004; 9(1): 814.CrossRefGoogle Scholar
18Manyedi, ME, Koen, MP, Greeff, M. Experiences of widowhood and beliefs about the mourning process of the Batswana people. Health South Africa Gesondheid 2004; 8(4): 6987.CrossRefGoogle Scholar
19Van Rooyen, JM, Nienaber, AW, Huisman, HW, Schutte, AE, Malan, NT, Schutte, R, et al. Differences in resting cardiovascular parameters in 10- to 15-year-old children of different ethnicity: the contribution of physiological and psychological factors. Annals of Behavioral Medicine 2004; 28(3): 163–70.Google Scholar
20Prinsloo, A, Pienaar, AE. Prevalence of developmental co-ordination disorder and influences of physical activity levels and body composition on the children of farm dwellers: FLAGH-study. African Journal for Physical, Health Education, Recreation and Dance (AJPHERD) 2003; 9(1): 151–64.Google Scholar
21Phometsi, M, Kruger, A, Van't Riet, H. Nutrition knowledge and barriers to dietary practices among school children in a farming community – FLAGH-programme. Development South Africa 2005; in press.Google Scholar
22Strydom, H. Perception and needs of farm dwellers on ageing, advanced age and future perspectives. Journal of Gerontological Social Work 2003; 42(1): 5976.CrossRefGoogle Scholar
23Schutte, AE, Kruger, HS, Wissing, MP, Underhay, C, Vorster, HH. The emergence of the metabolic syndrome in urban obese African women: the POWIRS study. South African Journal of Science 2005; 101: 61–7.Google Scholar
24Vorster, HH, Hautvast, J. Introduction to human nutrition: a global perspective on food and nutrition. In: Gibney, MJ, Vorster, HH, eds. Introduction to Human Nutrition. Oxford: Blackwell, 2002; 111.Google Scholar