Many Americans have a soft spot for Botswana. Some developed that fondness for the African country while reading the best-selling “The No. 1 Ladies Detective Agency” series. But few have had a chance to do any sleuthing of their own there.
That changed when UI scientist Karen Chapman-Novakofski acquired a doctoral student from Botswana and learned how few data existed about the health and nutrition of that country’s elderly.
“In Botswana, which has the highest incidence of AIDS of any African country, the aged are often raising many grandchildren whose parents have died from the disease. So the elderly’s good health is very important,” Chapman-Novakofski said.
The two traveled to Africa and set up shop in front of post offices on the days the elderly received their pension checks and questioned them about their eating habits.
The results of their research have helped policy makers in Botswana and were published in the November/December issue of the Journal of Nutrition Education and Behavior. The article also has been selected for inclusion in a special issue of that journal focusing on world poverty.
“The information that we gathered will support needed changes in the country’s nutrition policy. For example, should foods be fortified? And what foods are best to fortify?” said Chapman-Novakofski, a professor of nutrition at Illinois.
“Because of our research, Sega (her former doctoral student and collaborator Segametsi D. Maruapula, now a professor at the University of Botswana) is well positioned to assume leadership in this area,” she said.
The elderly in Botswana have little variety in their diet, and, of the five major food groups, they receive only enough grain, and not nearly enough milk, fruits, vegetables and meat. Only 41 percent had eaten meat in the 24-hour period before they were surveyed, the researcher said.
She noted that mixed dishes – for example, samp (a grain) and beans – are a source of protein, and added that people who consume lower-calorie diets may need higher protein levels in order to function well.
“The most widely consumed foods were tea, sorghum and maize meal, followed by milk and bread,” she said. “Although up to 40 percent of the elderly drink milk, they mainly drink it in their tea. And milk in Botswana is ultrapasteurized, canned milk that may not be fortified with vitamins A and D.”
The scientists also investigated dietary patterns, Chapman-Novakofski said.
For example, persons living in urban areas had more access to fruits and vegetables than their rural counterparts. “And, in a pattern that also occurs in the West, single, widowed and elderly females consumed less meat and fruit than elderly men and married people,” she said.
Eating vegetables was more common if older persons had children in their homes, also a Western behavior, she said. “As a rule, people make an effort to prepare more nutritious meals if children also are eating them.”
The frequent role of the elderly as caretakers of their grandchildren makes it all the more necessary that government policy makers promote good health and nutrition among that group, Chapman-Novakofski said.
“Although, as a researcher, the amazing thing to me was that the people we interviewed were as old and as mobile as they were. Most had walked to the post office to get their pension,” she said.
“Many live to be 80 or 90, yet they’re obviously not eating the five fruits and vegetables a day that we recommend. They may not be in robust good health, yet they seem to be healthy enough, especially in a country that has severe infectious disease,” she said.
“So there may be other factors that promote their longevity, which is an interesting area for further research,” she said.
As people in Botswana begin to adopt Western consumption patterns, “they’ll have the challenge of promoting good eating habits while avoiding some of the bad habits that we have, such as overconsumption of fats and calories,” she said.
Chapman-Novakofski’s research also was published in the Journal of Nutrition for the Elderly. Both articles were co-written by Maruapula. Partial funding was provided by the UI, the University of Botswana, and the Norwegian Council of Universities/Centre for International University Cooperation.
