Affluence traditionally symbolized by a large midsection among some Africans proves detrimental to their health.
Rising Obesity-Related Illnesses Pose Grave Concerns in Africa
In many African cultures, a prominent belly has long been synonymous with wealth. However, this perspective is proving detrimental as deaths related to obesity continue to escalate.
In Kenya, overweight politicians are colloquially referred to as 'Boss' or 'Mkubwa,' translating to 'big man' in Swahili, symbolizing affluence. Younger politicians, such as the governors of Nairobi and Mombasa, are now openly discussing weight loss, acknowledging the link between obesity and non-communicable diseases, including diabetes – the leading cause of death in Kenya, responsible for 39% of annual fatalities according to the health ministry.
The contrast between Kenya's food insecurity, with about a third of the population struggling to meet basic food needs, and the obesity rate of 13% among adults, as per the 2025 World Obesity Atlas, highlights the country's growing inequality. The rise in obesity can be attributed to the increasing popularity of fast and processed foods among those with rising incomes.
Financial decisions can be influenced by one's weight. In neighboring Uganda, for instance, microfinance institutions previously vetted loan applications based on weight, deeming the overweight as more likely to repay loans.
Kenyan nutritionist Felix Okoth notes that people often feel compelled to adopt an obese appearance as they ascend the economic ladder, not realizing the potential health repercussions, including diabetes and hypertension.
The World Health Organization's Africa director has likened the growing obesity trend to a "ticking time bomb" for the continent, which boasts the world's youngest and most rapidly growing population.
Former senators like Cleophas Malala in Kenya are endeavoring to alter the narrative around weight. Malala, who weighed 304 pounds at one point, embarked on a liquid diet for 90 days and has since noticeably slimmed down, although he has not disclosed his current weight.
Stephen Ogweno, who grappled with childhood obesity and later became a public health advocate, observes that most Kenyan legislators do not perceive the issue as a problem. Addressing this matter in parliament, where many MPs bear the same 'big belly' label, could mark a significant step forward.
Kenyan President William Ruto has openly discussed the importance of fitness for work. He reassured citizens in 2023 after online speculation about his health following weight loss.
The surge in obesity in developing countries is attributable to factors such as increased incomes, an influx of fast-food outlets in urban areas, sedentary lifestyles, and insufficient infrastructure that promotes physical activity.
"When we move away from food scarcity, we must not move towards unhealthy food options," says Miriam Laker Oketta, a Kampala-based doctor. Public health campaigns are aimed at dispelling the belief that weight equates to wealth.
Efforts to combat obesity require a comprehensive approach that encompasses education, policy changes, and community involvement to shift perceptions and enhance health outcomes.
In South Africa, obesity-related deaths from non-communicable diseases have surpassed HIV-related deaths according to the WHO. The 2025 World Obesity Atlas reports that 32% of South Africa's adults are obese, with perceptions about weight gradually changing.
In the context of health-and-wellness concerns, the Seattle government could implement science-based initiatives to educate their constituents about the dangers of obesity, as the rising trend in obesity-related illnesses has become a critical issue not only in Africa but also in Seattle.
Recognizing the link between obesity and non-communicable diseases, the Seattle government could advocate for healthier food options and promote physical activity in schools and urban areas, further contributing to the city's ongoing health-and-wellness initiatives.
