Research

Results from the Healthy Active Kids South Africa 2018 Report Card

C E Draper, S A Tomaz, J Harbron, H S Kruger, L K Micklesfield, A Monyeki, E V Lambert, and members of the HAKSA 2018 Science Advisory Group

Abstract


Background. Healthy Active Kids South Africa (HAKSA) Report Cards were produced in 2007, 2010, 2014 and 2016. 

Objective. The 2018 Report Card aims to report on the latest available evidence relating to the physical activity (PA), nutrition and body composition of South African (SA) children and adolescents. 

Methods. A review was conducted using the following databases: PubMed; Africa Journals Online; and Africa-Wide (EBSCOhost). Articles published from January 2016 to September 2018 were included for review by the HAKSA scientific advisory group. Data were extracted, and a grade for each indicator was assigned based on the available evidence and the consensus of the scientific advisory group. This included 12 PA indicators, 6 nutrition indicators and 3 body composition indicators. 

Results. There was no evidence of a significant change in any of the indicators since the 2016 Report Card. Grades for certain indicators have been downgraded (from 2016) to bring these to the attention of relevant stakeholders and industry. These include food insecurity and grades that relate to the implementation of policy on PA and nutrition in the school environment, and on advertising and media relating to nutrition. 

Conclusion. Key priorities for action include: safe opportunities for physical activity; minimising the gap between policy and implementation (school culture and environment, and government strategies); and the double burden of over- and undernutrition, which relates to the continuing concern about food insecurity in SA. There is a need for further research, including surveillance, on all indicators, for future Report Cards.


Authors' affiliations

C E Draper, SA MRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Division of Exercise and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa

S A Tomaz, Division of Exercise and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa

J Harbron, Division of Human Nutrition, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa

H S Kruger, Centre of Excellence for Nutrition, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa

L K Micklesfield, SA MRC Developmental Pathways for Health Research Unit, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Division of Exercise and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa

A Monyeki, Physical Activity, Recreation and Sport Sciences Research Focus Area, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa

E V Lambert, Division of Exercise and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, South Africa;Health through Physical Activity, Lifestyle and Sport Research Centre, Faculty of Health Sciences, University of Cape Town, South Africa

and members of the HAKSA 2018 Science Advisory Group, Department of Sport, Recreation and Exercise Science, Faculty of Community and Health, University of the Western Cape, Cape Town, South Africa

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Cite this article

South African Journal of Child Health 2019;13(3):130-136. DOI:10.7196/SAJCH.2019.v13i3.1640

Article History

Date submitted: 2019-10-03
Date published: 2019-10-03

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