As South Africa faces a growing obesity epidemic driven by rampant sugar consumption, experts have warned that urgent action is needed, and innovative treatments can turn the tide for South Africans struggling with their weight and health.
It is revealed that without immediate intervention, half of all women in the country could find themselves in this category within the next five years.
This rising trend, outlined in the 2025 World Obesity Atlas, reveals that South Africa's obesity crisis is outpacing that of many Western nations, with sugar addiction identified as a central issue.
Dr Tommie Smook, a medical practitioner at Dr Smook & Partners and co-owner of practice manager RXME, emphasises that even a Body Mass Index (BMI) of 25 is considered overweight, and a BMI of 30 categorises one as obese.
It is explained that the dire implications of rising obesity figures are underscored during Heart Awareness Month in September, when Smook highlights that the effects of sugar are not confined to waistlines.
“Sugar dramatically increases the risk of high blood pressure, heart disease, type 2 diabetes, and even depression. This is no longer just about weight; it’s about survival and quality of life,” he states, reflecting the grave reality faced by many South Africans today.
It is revealed that around 63% of South Africans under the age of 70 succumb to non-communicable diseases, such as diabetes and heart disease, with excess weight serving as a significant risk factor. The pervasive presence of sugar in everyday foods compounds this challenge.
It deceptively lurks in cereals, sauces, and even in fruit juices labelled as “100% natural”. Disturbingly, research indicates that sugar consumption among South Africans has tripled over the past 50 years, with ultra-processed foods driving this sharp increase.
“We’re in a war with sugar, and sugar is winning. It hijacks the brain’s reward system, creating cravings and withdrawal symptoms,” remarks Smook.
He explains that for instance, a single soda can contain around seven teaspoons of sugar, enough to perpetuate addiction.
The health consequences are grave: excess sugar can lead to heightened blood pressure, inflamed blood vessels, and accumulation of visceral fat around vital organs, creating a recipe for heart attacks and strokes. The burden on South Africa's healthcare system is already immense, and action is urgently required.
Despite the daunting challenge, Smook reassures that it’s not necessary to completely eliminate sugar to see improvement. “Thoughtful changes, done consistently, can reset this relationship, helping you feel lighter and more energised,” he advises. He further recommends several tips to combat sugar overload:
Rethink sauces: opt for spice rubs or lemon juice instead of chutneys that are high in sugar.
Skip flavouring drinks: Infuse sparkling water with fruit slices rather than reaching for juice or soda.
Check your cereal: Many “healthy” mueslis are often loaded with sugar; choose oats topped with nuts and fresh fruit.
Beware of “low fat” options: These products may be high in sugars to enhance flavour; stick to whole, unprocessed foods.
Sweeten naturally: Use cinnamon, citrus zest, or vanilla essence to replace sugar in coffee and baking.
These small shifts can gradually retrain taste buds, making sugary foods less appealing over time. However, for some, breaking free from sugar's hold can be exceptionally challenging. This is where GLP-1 therapies come into play. Originally developed for diabetes treatment, these breakthrough medications mimic natural hormones that regulate appetite, blood sugar, and digestion.
By decreasing cravings, slowing digestion, and promoting a feeling of fullness, GLP-1 therapies offer support for safe and steady weight loss. Beyond the scale, these treatments contribute to stabilising blood sugar and insulin levels, lowering blood pressure, reducing inflammation, and improving blood vessel health, crucial factors for safeguarding heart health.
“Within weeks, patients notice fewer cravings, improved appetite control, and steady weight loss. Combined with lifestyle changes, this represents the future of preventative health, protecting South Africans’ hearts while helping them feel good in their own skin again,” concludes Smook.
Saturday Star