Why Obesity Rates Among Women in South Africa Are Surging and What Needs to Be Done
The Growing Obesity Crisis Among South African Women
Tackling Obesity: Obesity is fast becoming one of South Africa’s most pressing public health concerns, particularly among women. A recent study by the World Obesity Federation reveals that by 2030, nearly 45% of women in Africa will be overweight or obese. South Africa, with one of the highest female obesity rates on the continent, faces an urgent need for intervention.
Dr. Nomathemba Chandiwana of the Desmond Tutu Health Foundation has compared the obesity epidemic to HIV, highlighting stigma, lack of treatment options, and disproportionate effects on women. Without immediate action, the trend could worsen, leading to increased cases of diabetes, heart disease, and other non-communicable diseases (NCDs).
Why Are Women More Affected?
Obesity rates among women in South Africa are significantly higher than those among men—currently at two-thirds of the female population. Several factors contribute to this:
- Urbanization & Lifestyle Changes – Lack of safe spaces for physical activity, long working hours, and caregiving responsibilities make it difficult for women to engage in exercise.
- Dietary Shifts – The rise of ultra-processed and fast foods has led to unhealthy eating habits, often replacing traditional, nutrient-rich diets.
- Medical Factors – Antiretroviral therapy (ART) used for HIV treatment has been linked to weight gain, disproportionately affecting women.
- Cultural Perceptions – In some South African communities, weight gain is associated with good health and wealth, making it less of a concern socially.
The Need for Action: Prevention & Solutions
Tackling obesity requires multi-level interventions, including:
✅ Education & Awareness – Informing communities about the risks of obesity and the benefits of a balanced diet and exercise.
✅ Improved Healthcare Access – Ensuring that obesity treatment, including emerging anti-obesity medications, is available to South Africans.
✅ Healthier Food Policies – Government intervention through sugar taxes, better food labelling, and restrictions on unhealthy food marketing.
✅ Encouraging Physical Activity – Creating safe environments for women to engage in exercise, from workplace wellness programs to public recreational spaces.
A Call for Urgent Change
South Africa must prioritize obesity prevention and treatment to prevent a surge in NCDs and improve the quality of life for women. While new weight-loss treatments like GLP-1 receptor agonists (e.g., Wegovy, Mounjaro) show promise, accessibility remains a challenge. The key to reversing this trend lies in education, better policies, and increased healthcare investment.
Obesity is not just a personal issue—it’s a national health crisis that requires immediate and targeted action.
Also read: Say Goodbye to Edibles: South Africa Bans Cannabis and Hemp Food Products