Growing in wealth, South Africa battles obesity
Gugulethu, South Africa (CNN) -- In restaurants in this township outside Cape Town, South Africa, barbecue grills crackle with chains of sausage, marinated chicken quarters and boulder-sized slabs of beef and lamb.
In the city, customers order fried chicken, meat pies, biltong (beef jerky), French fries, sausages called boerewors and burgers, a combination of Western and South African fast foods.
Along with growing prosperity, a culture of high-fat foods has taken hold in urban South Africa. In a country where malnutrition is one of the major causes of children's deaths, South Africa is also experiencing an increase in obesity-related conditions such as heart disease, high blood pressure and diabetes.
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"We're in transition from poverty to economic development," said Dr. Thandi Puoane, associate professor at the University of the Western Cape School of Public Health.
The influx of people to urban areas has caused major dietary shifts that are more starchy, sugary, fatty and salty and feature bigger portions, according to South African research.
In townships, predominantly black communities located outside cities, being overweight does not carry negative connotations.
"Black South African women are not keen on weight loss, because in this era, people think you are thin, you have HIV -- that's the thinking," said Tandi Matoti-Mvalo, a dietitian.
http://www.cnn.com/2010/HEALTH/07/09/south.africa.diet.heart/index.html?hpt=Sbin