South Africa’s Obesity Crisis and Non-Communicable Diseases: A Growing Concern
As South Africa marks February as National Healthy Lifestyle Awareness Month, the Gauteng Department of Health has sounded the alarm on the alarming obesity trend within the province. This year, Healthy Lifestyle Awareness Day was officially recognized on February 20, bringing to light the critical health issues facing many South Africans today. At the heart of this initiative is an urgent need to address the significant rise in obesity and its direct correlation with several Non-Communicable Diseases (NCDs) such as diabetes, hypertension, stroke, and heart disease.
Obesity Statistics in South Africa
Recent statistics suggest a staggering reality: approximately half of South African adults are living with excess weight. Specifically, 23% of adults fall into the overweight category, while 27% are considered obese. This trend is particularly pronounced in urban provinces like Gauteng, where lifestyle factors like long working hours, sedentary behavior, and dietary choices are becoming detrimental to public health.
Lifestyle Factors Contributing to Health Risks
The rise of chronic health issues can be attributed to various lifestyle factors. Long hours spent at sedentary jobs, a lack of physical activity, and an increased consumption of processed foods have made unhealthy living more mainstream. Alcohol and tobacco use are also contributing to the growing incidence of NCDs, prompting concerns about a potential healthcare crisis.
Hypertension on the Rise
Hypertension stands out as one of the most pressing public health issues, with Gauteng recently reporting over 67,000 new cases, including more than 25,000 diagnoses among adults aged 18 to 44. This shift indicates a worrying trend where high blood pressure, traditionally associated with older populations, is increasingly affecting younger adults.
Additionally, during the previous year, over 8.7 million adults underwent hypertension screenings thanks to community outreach efforts by healthcare teams. This proactive approach is crucial for early detection and timely intervention, especially as hypertension prevalence among men and women in Gauteng has surged from 29% to 49% and from 34% to 51%, respectively.
The Diabetes Challenge
Diabetes, another significant health concern in Gauteng, currently affects about 12% of the adult population. Although the province has achieved a commendable 67% control rate among patients undergoing treatment—exceeding the target of 65%—the fact that many individuals remain undiagnosed poses serious risks. These undiagnosed cases can lead to severe complications, including heart disease, stroke, kidney failure, blindness, and amputations.
The Call to Action
In the face of these alarming statistics, Gauteng Health MEC Nomantu Nkomo-Ralehoko has urged residents to take proactive measures to safeguard their health. The #AsibeHealthyGP campaign is designed to mobilize communities toward healthier living. Part of this initiative includes “Wellness Wednesdays,” where people are encouraged to dedicate a few minutes each week to physical activity. This pledge not only promotes individual health but also aims to enhance workplace wellness by encouraging corporate partners to allow exercise breaks during work hours.
Recommendations for a Healthier Lifestyle
The Gauteng Department of Health reinforces the World Health Organization’s guidelines recommending that adults engage in at least 150 minutes of moderate-intensity physical activity weekly. To combat the growing incidence of NCDs, residents are encouraged to maintain a healthy weight through balanced nutrition, regular exercise, reducing alcohol consumption, avoiding tobacco, and participating in routine health screenings. These steps are seen as critical for preventing ailments that could otherwise strain families and the public healthcare system.
The focus remains on transforming lifestyle habits to foster a healthier society. The conversation around obesity and NCDs is not merely about statistics; it’s about community engagement, education, and proactive health management. By coming together as communities and making informed choices, meaningful progress can be made against the obesity epidemic and its linked diseases.

