Abstract

BackgroundThe role of psychosocial determinants of overweight and obesity is receiving attention in South African literature. South Africans tend to exhibit an inaccurate perception of their body weight.AimsThe purpose of this study was to determine levels of body satisfaction in female staff members working in primary schools in Mangaung, Bloemfontein.SettingMangaung is a peri-urban area in Bloemfontein in the Free State province of South Africa.MethodsFemale staff members over the age of 18 years were invited to participate in the study. Anthropometric measurements of weight and height were measured using standardised techniques to calculate body mass index (BMI). Waist circumference (WC) was measured as an indicator of risk for non-communicable diseases (NCDs). Weight satisfaction was measured using a structured, self-administered body satisfaction questionnaire.ResultsThe majority of the staff members (71.3%) were classified as obese (BMI > 30 kg/m2); similarly a majority of them were at a high risk of NCDs according to WC. A little over a third (34.8%) of the women perceived themselves to have a normal weight. The majority of the women who had no concern with their body image were obese (59.1%) and only 8.7% of the women in this study were markedly concerned with their body image. Of the 60.9% of women who reported having attempted to lose weight, 38.6% reported using exercise and 30.0% used water as a weight loss method.ConclusionWomen’s awareness of a healthy weight should be promoted if efforts to achieve weight loss are to be effective.

Highlights

  • The World Health Organization estimates that globally 1.9 billion people are overweight and of these 600 million are obese (WHO 2018)

  • A total of 115 women working as educators (89.6%) and admin personnel (10.4%) in Mangaung schools participated in the study

  • An unsurprising percentage (71.3%) of the women was classified as having a body mass index (BMI) of over 30 kg/m2, whilst only 10 women had a normal weight

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Summary

Introduction

The World Health Organization estimates that globally 1.9 billion people are overweight and of these 600 million are obese (WHO 2018). South Africa (SA) has the highest prevalence of obesity in subSaharan Africa, with 68% of women being overweight or obese (NDOH et al 2018). This increased burden of overweight and obesity in South African women is the cause for concern as it is a driver for the development for non-communicable diseases (NCDs) (Ford, Patel & Venkat Narayan 2017), which, in turn, translates to an increased disease burden (Reddy 2020). The determination of the role of psychosocial factors in the development of overweight and obesity, such as the presence of mental illnesses (e.g. anxiety and depression) and perceptions of body weight, has gained momentum (Halliwell 2015). South Africans tend to exhibit an inaccurate perception of their body weight

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