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South Africa's Silent Health Crisis: NCDs Rise
30 Mar
Summary
- Non-communicable disease deaths rose over 58% between 1997 and 2018.
- Nearly 40% of South African adults are overweight.
- Only 19.8% of South African adults meet WHO physical activity guidelines.

South Africa is confronting an escalating crisis of non-communicable diseases (NCDs) and associated fatalities. Between 1997 and 2018, deaths from NCDs like type 2 diabetes and hypertension surged by more than 58%. This health emergency is compounded by high rates of overweight and obesity, affecting nearly 40% of the adult population.
A significant barrier to prevention and management is the low level of physical activity, with 47% of adults not engaging in any exercise and only 19.8% meeting the World Health Organization's recommended guidelines, far below the global average of 73%.
Researchers are promoting the concept of 'movement snacks,' emphasizing that brief, low-intensity activities and everyday tasks, such as housework or short walks, contribute significantly to physical and mental well-being. Campaigns like "Mzansi, what's your move?" aim to encourage more movement through accessible actions.
Challenges to active living, particularly in urban environments, include safety concerns related to road infrastructure and crime rates, which deter walking and cycling. Municipalities are urged to improve green spaces and maintain pavements and bicycle lanes.
Incidental movements and micro-breaks during the workday are also vital. Simple interventions, like using stairs, centralizing office equipment, or incorporating walking meetings, can counteract the negative effects of prolonged sitting. Studies have shown that such interventions can lead to measurable improvements in health indicators like body mass index and blood pressure.