Adolescent obesity prevention in Botswana: beliefs and recommendations of school personnel.

The study's objectives were to gain school personnel's (1) perceptions on diet, physical activity, body size, and obesity, (2) description of school food and physical activity practices, and (3) recommendations for programs to prevent adolescent obesity. The study took place in six junior secondary schools of varying socioeconomic status in Gaborone, Botswana. Using a qualitative descriptive design, semistructured interviews were conducted with key school personnel. Directed content analysis was used to summarize the findings. School personnel believed that obesity was an important problem. They felt that school food was unhealthy and that physical activity was provided insufficiently. Participants shared enthusiasm for a school-based health-promoting intervention that must be fun and include active engagement and education on healthy lifestyles for all students. Participants supported on-site food shop inventory changes and physical activity programs. Potential barriers listed were schools' financial resources, interest of students, and time limitations of all involved.

Socio-economic status and urbanization are linked to snacks and obesity in adolescents in Botswana.

OBJECTIVE: To describe patterns of food consumption associated with overweight/obesity (OW/OB) and their links to socio-economic status (SES) and urbanization. DESIGN: A nationwide cross-sectional survey. SETTING: Secondary schools in cities, towns and villages in Botswana, Africa. SUBJECTS: A total of 746 adolescent schoolchildren. RESULTS: OW/OB is associated with greater SES, city residence and a snack-food diet pattern. Students belonging to higher SES compared with those from a lower SES background reported significantly (P < 0·01) more daily servings of snack foods (1·55 v. 0·76) and fewer servings of traditional diet foods (0·99 v. 1·68) and also reported that they ate meals outside the home more often (90% v. 72%). Students in cities ate significantly (P < 0·01) more servings of snacks (1·69 v. 1·05 v. 0·51) and fewer servings of traditional foods (0·67 v. 1·52 v. 1·61) compared with those in urban and rural villages. The odds of OW/OB were increased 1·16-fold with a snack-food diet, a result that was diminished when controlled for SES. CONCLUSIONS: These data suggest that nutritional transition occurs at different rates across urbanization and SES levels in Botswana. In cities, increasing the availability of fruit while reducing access to or portion sizes of snack items is important. Emphasis on continued intake of traditional foods may also be helpful as rural areas undergo economic and infrastructural development.

Poor intake of milk, vegetables, and fruit with limited dietary variety by Botswana's elderly.

The aim of this research was to determine dietary intake of elderly Batswana, evaluate the diet quality using the Health Eating Index (HEI), identify factors associated with poor quality, and determine the impact of age on dietary scores. Villages and towns were selected in three strata: urban, semi-urban, and rural. A total of 99 elderly (67% female, 33% males), age range 60-95 years, were recruited through purposive sampling. A 24-hour multiplepass food recall was combined with demographic, health, and cooking responsibilities questions. The elderly diet met requirements for only the Grains group (9 serving/day). Most elderly obtained good HEI component scores on fat, saturated fat, cholesterol, sodium, and Grains group intake. The HEI scores were poor for variety, milk, fruits, and vegetables. Most elderly had poor diet (38%) or a diet that needed improvement (59%), and only 3% had a good diet.