Cardiovascular

Dietary patterns and associated cardiometabolic risk factors among teachers in Makhado Municipality, South Africa.

TL;DR

Distinct dietary patterns were associated with cardiometabolic risk among teachers in Makhado Municipality, highlighting the need for culturally appropriate dietary interventions.

Key Findings

Six distinct dietary patterns were identified among teachers in Makhado Municipality using exploratory factor analysis.

  • The six patterns identified were: mixed, Western, meat-free, Mediterranean fish-free, animal starch product and low-carbohydrates, and Mediterranean.
  • Dietary intake was assessed using a validated food-frequency questionnaire reflecting habitual intake.
  • The study population consisted of 201 teachers selected via stratified random sampling from rural public schools.
  • Exploratory factor analysis was the analytical method used to derive the dietary patterns.

The mixed dietary pattern was significantly associated with systolic blood pressure among teachers.

  • The association between the mixed dietary pattern and systolic blood pressure was statistically significant (p = 0.03).
  • Nonparametric tests in STATA version 17 were used to analyse associations.
  • The significance threshold was set at p < 0.05.

The Western dietary pattern was significantly associated with total cholesterol and low-density lipoprotein (LDL) cholesterol.

  • The Western pattern was associated with total cholesterol (p = 0.04).
  • The Western pattern was also associated with LDL cholesterol (p = 0.02).
  • These findings suggest a relationship between Western-style eating and adverse lipid profiles in this population.

Both the meat-free and Mediterranean fish-free dietary patterns were significantly associated with high-density lipoprotein (HDL) cholesterol.

  • Both the meat-free and Mediterranean fish-free patterns were associated with HDL cholesterol (p = 0.03).
  • HDL cholesterol is considered a cardiometabolic risk factor, with lower levels associated with increased cardiovascular risk.
  • These two patterns are notable for the absence of animal protein sources (meat or fish) typically associated with Mediterranean-style diets.

The animal protein fruit dietary pattern was significantly associated with fasting glucose levels.

  • The association between the animal protein fruit pattern and fasting glucose was statistically significant (p = 0.02).
  • Fasting glucose is a key marker for type 2 diabetes risk.
  • This finding suggests that a pattern combining animal protein and fruit intake may relate to glycaemic outcomes in this population.

The study was conducted among teachers in rural public schools in Makhado Municipality, Limpopo province, South Africa, using a cross-sectional design.

  • A total of 201 teachers participated, selected through stratified random sampling.
  • Data collected included demographic information, blood pressure, fasting glucose, lipid profiles, and anthropometry.
  • The cross-sectional design limits causal inference between dietary patterns and cardiometabolic outcomes.
  • The setting was rural public schools within Makhado Municipality, Limpopo province.

What This Means

This research examined the eating habits of 201 school teachers in rural Limpopo, South Africa, and investigated how those habits relate to heart and metabolic health risks such as high blood pressure, abnormal cholesterol levels, and elevated blood sugar. Using a food questionnaire and statistical analysis, the researchers identified six distinct dietary patterns among the teachers, ranging from Western-style diets (high in processed and animal foods) to Mediterranean-style, meat-free, and mixed patterns. Each pattern showed different associations with specific health markers. The study found that teachers following a Western dietary pattern had higher total cholesterol and LDL ('bad') cholesterol levels, which are known risk factors for heart disease. A mixed dietary pattern was linked to higher systolic blood pressure, while an animal protein and fruit pattern was associated with higher fasting blood glucose, a marker for diabetes risk. Interestingly, both meat-free and Mediterranean fish-free patterns were associated with HDL ('good') cholesterol levels, suggesting these eating styles may influence lipid profiles differently. This research suggests that what teachers eat is meaningfully connected to their cardiometabolic health risks, and that these connections vary depending on the overall dietary pattern rather than individual foods. The authors emphasize that since diet is a modifiable risk factor, there is potential for targeted nutrition interventions tailored to the cultural food preferences of this South African community. Such interventions could be integrated into workplace wellness programs and primary healthcare policies to help reduce the burden of non-communicable diseases like heart disease and diabetes among teachers.

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Citation

Ratshilivha Z, Muluvhu T, Jacobs S, Mahopo T. (2026). Dietary patterns and associated cardiometabolic risk factors among teachers in Makhado Municipality, South Africa.. African journal of primary health care &amp; family medicine. https://doi.org/10.4102/phcfm.v18i1.5292