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In the last several decades, multiculturalism has became the one of the most popular research topics in psychology and counseling, and the counselor preferences of ethnic minority clients has been well researched. However, in the history of research on counselor preferences, the needs and preferences of ethnic majority clients have been neglected. This study investigated the counselor preferences of White university students. This study examined three primary research questions: whether counselor ethnicity influenced White university students’ initial counselor preferences, what were White university students’ preferences for various counselor characteristics, and whether White university students preferred specific counseling styles for different problem types. A survey consisting of three parts, a demographic questionnaire, a questionnaire including three analogical counselor-client vignettes, and a Preferred Counselor Characteristics Inventory, was administered to students at a university in the southeastern United States. With regard to preferences for counselor ethnicity, the findings suggested that counselor ethnicity generally did not affect White participants’ initial counselor preferences. Aside from ethnicity, the study investigated White students’ preferences for various counselor characteristics: credibility, counseling style, age, gender and race. The results indicated that the characteristics valued by the highest percentage of White students were counselor credibility and counseling style. Moreover, participants’ preferences were influenced by their own gender and past experiences with counseling. Lastly, participants favored different counseling styles depending on the problem type, and gender played an important role in preference for counseling style.

In the last several decades, multiculturalism has became the one of the most popular research topics in psychology and counseling, and the counselor preferences of ethnic minority clients has been well researched. However, in the history of research on counselor preferences, the needs and preferences of ethnic majority clients have been neglected. This study investigated the counselor preferences of White university students. This study examined three primary research questions: whether counselor ethnicity influenced White university students’ initial counselor preferences, what were White university students’ preferences for various counselor characteristics, and whether White university students preferred specific counseling styles for different problem types. A survey consisting of three parts, a demographic questionnaire, a questionnaire including three analogical counselor-client vignettes, and a Preferred Counselor Characteristics Inventory, was administered to students at a university in the southeastern United States. With regard to preferences for counselor ethnicity, the findings suggested that counselor ethnicity generally did not affect White participants’ initial counselor preferences. Aside from ethnicity, the study investigated White students’ preferences for various counselor characteristics: credibility, counseling style, age, gender and race. The results indicated that the characteristics valued by the highest percentage of White students were counselor credibility and counseling style. Moreover, participants’ preferences were influenced by their own gender and past experiences with counseling. Lastly, participants favored different counseling styles depending on the problem type, and gender played an important role in preference for counseling style.

This investigation into a process of transformation was intended to explore the institution of African sacral rule in its relation to the Christian church and to provide a theological model, which could be used to establish a new mission field. The bulk of the work has been conducted through anthropological and historical methods crossing international boundaries and cultures within both sacral rule and the Christian church in Africa. The specific case studies have been the sacral rule of Grassfields people in Cameroon and the Akan in Ghana with focus on the Basel Mission and resulting churches. On the one hand, this comparative approach brought to light in-depth knowledge of the sacral ruler's encounter with the institution of the Christian church and its representatives. On the other hand, the investigation shows that with some preconceived ideas of sacral rule inherited from the missionaries who had established themselves in deliberate rejection of the existing system of government and the people involved, the African church leaders were put at a disadvantage. However, it has been demonstrated that in the process of struggle for survival and change, each institution has been partially assimilated by the· other. Those who have helped these two institutions to deepen their relationship through a genuine dialogue are outstanding Christians who occupied the position of sacral rulers in both Cameroon and Ghana. They have provided historical material on which an understanding of the cultural changes within sacral rule as well as the Christian church was based. The previous religious experience and knowledge of the sacral rulers are invariably used as a frame of reference for their understanding and interpretation of the Bible and their relationship with Christ. / Thesis (Ph.D.)-University of Natal, Pietermaritzburg, 2003.

The purpose of this study was to compare the differences in the utilization of coping mechanisms of minority and White adolescents. By measuring the coping skills in adolescents, it sought to identify which strategies are most frequently used within the construct of race.

<p>This dissertation investigates the effects of ethnic resources generated by an immigrant group’s concentration in self-employment and a geographic area, and class resources—education in particular—on the self-employment outcomes of immigrant business, which has been a lasting interest from the early days of immigrant entrepreneurship research. To examine the effects of immigrants’ concentration and education, ordinary least squares regression and hierarchical linear regression for cross-classified random effects models are fit to each of the 26 minority and white immigrant groups in the 33 Canadian CMA’s (Census Metropolitan Areas). Using the 2006 Census, the dissertation examines (1) the effects of immigrants’ REC (Residential and Entrepreneurial Concentration) in CMA’s; (2) the interactions between REC and reactive ethnicity—an enhanced awareness of one’s ethnicity due to disadvantage in the host society; and (3) the effects of education on self-employment propensity and income. Unlike previous studies which examined one or a few immigrant or minority groups in one or a few locales, the dissertation provides empirical evidence on the effects of REC and education on self-employment outcomes, based on a wide range of immigrant groups in Canadian CMA’s. The findings indicate that positive effects of REC as well as education on self-employment outcomes exist, but are limited to increasing the self-employment propensity of some immigrant groups. The effects of REC and education on self-employment income, however, are found to be generally insignificant. The study also provides the first empirical evidence that the positive effects of some types of REC become more positive as the reactive ethnicity of an immigrant group increases, as reactive ethnicity theory predicts.</p> / Doctor of Philosophy (PhD)

Non-communicable diseases (NCDs), also known as chronic diseases of lifestyle, cause the greatest burden of disease globally. The major risk factors for NCDs are hypertension, hyperglycaemia, high cholesterol, tobacco smoking, alcohol abuse, overweight/obesity and physical inactivity. NCDs in South Africa are increasing in black South Africans with the transition from rural to urban areas. The transitions have resulted in a change in lifestyle. Regular moderate intensity physical activity (PA) has many health benefits and decreases the risk for NCDs. PA is often determined by means of questionnaires, motion sensors (pedometers and accelerometers), heart rate and accelerometry combined. Within the South African context PA has traditionally been determined with internationally composed questionnaires adapted for South Africa. In South Africa the relationship between PA and risk factors for NCDs has not been investigated in populations in transition, and limited information on the relationship between change in PA and the change in risk factors in a South African population is available. The objectives of this study was to determine the correlation between the adapted Baecke physical activity questionnaire and the International Physical Activity Questionnaire (short version) (IPAQ-S), the changes in PA and how the changes relate to changes in BMI, and finally the relationship between the changes in PA and the changes in the risk factors for NCDs of black South Africans. The study forms part of the baseline and five year follow-up of the South African leg of the Prospective Urban and Rural Epidemiological (PURE) study. This study is a longitudinal study of which the baseline data was allocated in 2005 and the five year follow-up allocated in 2010. 2 000 participants aged 30 years and older were recruited for the initial study – 1 000 urbanised (from Ikageng), and 1 000 rural black adults (from Ganyesa, Moswana and Tlakgameng). Data, including the PA questionnaires (Baecke & IPAQ-S) were collected by a specialised multidisciplinary team. After signing an informed consent form, questionnaires were completed during individual interviews and conducted by extensively trained fieldworkers in the language of the participants’ choice. The variables used in this study were anthropometric measurements, blood pressure, serum lipids and fasting blood glucose. BMI was calculated from the body weight divided by the height squared. Statistical analysis was performed using SPSS for windows (Version 21.0). Descriptive statistics were performed to determine the characteristics of the participants. The relationship between Baecke and IPAQ-S was determined by means of a partial correlation adjusting for age and BMI. Linear regression analyses were used to determine the relationship between the changes in PA (dependent variable) and BMI (predictor variable) and then adjusted for gender and age. Where a significant relationship was observed (in the case of setting, urban versus rural) separate analyses were performed for the rural and urban participants; likewise the relationship between the changes in PAI (dependant variable) and the change in the risk factors for NCDs (predictor variable) was determined by means of linear regression analysis, and also adjusted for gender, change in age and setting (urban/rural). The results from this study indicated that a weak but significant relationship was found between the Baecke and IPAQ-S (Spearman r = 0.243; p = 0.00) when adjusted for age and BMI. Significant differences were found between rural and urban participants for age and BMI in 2005, where the urban participants where older and reported a higher BMI compared to the rural participants. Rural women gained significantly more weight than the urban women. The PAI in the urban participants increased from 2005 (6.40 ± 1.84) to 2010 (7.50 ± 1.40), but decreased in rural participants from 2005 (8.21 ± 1.48) to 2010 (5.10 ± 1.54). Change in BMI was significantly inverse associated with change in PA for the urban population after adjusting for gender, setting (rural/urban) and change in age (β = -0.10; p = 0.004). Significant differences were found for resting systolic blood pressure (SBP) for the rural (129.72 ± 23.30) and urban (137.33 ± 25.14) participants as well as the diastolic blood pressure (DBP) of rural (86.16 ± 14.48) and urban (89.28 ± 14.46), fasting glucose of rural (4.88 ± 1.23) and urban (5.10 ± 1.86), triglycerides of rural (1.21 ± 0.64) and urban (1.38 ± 0.92) and physical activity index (PAI) of rural (8.21 ± 1.48) and urban (6.40 ± 1.84) in 2005. There were significant changes in the high density lipoprotein cholesterol (HDL-C) and in the low density lipoprotein cholesterol (LDL-C). Although the overall PAI decreased from 2005 (7.30 ± 1.90) to 2010 (6.46 ± 1.85), it increased in urban participants (6.40 ± 1.84 – 7.50 ± 1.40) and decreased in rural participants (8.21 ± 1.48 – 5.10 ± 1.54). A significant negative relationship between changes in PAI and changes in blood pressure (systolic and diastolic), total cholesterol and LDL-cholesterol was found when adjusted for gender. When changes in PA and changes in risk factors were separated according to gender, a significant negative relationship was found between PA and diastolic blood pressure (β -0.63; p 0.02) in the male population, and a significant negative relationship for females between PA and systolic blood pressure (β -1.05; p 0.002), diastolic blood pressure (β -0.59; p 0.003), total cholesterol (β -0.05; p 0.01) and LDL-cholesterol (β -0.07; p 0.00). In conclusion, the study found that the low but significant correlation between PAI assessed with the Baeck questionnaire and IPAQ-S makes both questionnaires applicable for the South African context, however the Baecke questionnaire is based on various domains for PA, while the IPAQ-S report on time spent in physical activity. Over the 5-year period PA decreased in this black South African population with a concomitant increase in BMI. Biological risk factors for NCDs increased from 2005 to 2010. The change in PA was inversely related to changes in total blood pressure. Future in PA interventions would be beneficial in the management of hypertension in the at risk South African black population. / PhD (Human Movement Science), North-West University, Potchefstroom Campus, 2014

Motivation A close association exists between hypertension and arterial stiffness. Whether the increased arterial stiffness seen in hypertensives are due to structural or functional adaptations in the vasculature is uncertain. Hypertension is more common in blacks and they have an increased arterial stiffness and higer stroke prevalence than white populations. Arterial stiffening, or a loss of arterial distensibility, increases the risk for cardiovascular events, including stroke and heart failure, as it increases the afterload on the heart, as well as creating a higher pulsatile load on the microcirculation. The stiffness of the carotid artery is associated with cardiovascular events, like stroke, and all-cause mortality. Furthermore, carotid stiffness is independently associated with stroke, probably because stiffening of the carotid artery may lead to a higher pressure load on the brain. Inflammation, endothelial activation, dyslipidemia, hyperglycemia and health behaviours may also influence hypertension and arterial stiffness. Limited information is availiable on these associations in black South Africans. The high prevalence of hypertension and cardiovascular disease in blacks creates the need for effective prevention and intervention programs in South Africa. Aim We aimed to compare the characteristics of the carotid artery between 5-year sustained hypertensive and normotensive black participants. Furthermore, we aimed to determine whether blood pressure, conventional cardio-metabolic risk factors, markers of inflammation, endothelial activation and measures of health behaviours are related to these carotid characteristics. Methodology This sub-study forms part of the South African leg of the multi-national Prospective Urban and Rural Epidemiology (PURE) study. The participants of the PURE-SA study were from the North West Province of South Africa, and baseline data collection took place in 2005 (N=2010), while follow-up data was collected five years later, in 2010 (N=1288). HIV-free participants who were either hypertensive or normotensive (N=592) for the 5-year period, and who had complete datasets, were included in this sub-study. The study population thus consists of a group of 5-year sustained normotensive (n=241) and hypertensive (n=351) black participants. Anthropometric measurements included height, weight, waist circumference and the calculation of body mass index (BMI). We included several cardiovascular measurements, namely brachial systolic- and diastolic blood pressure, heart rate, central systolic blood pressure, central pulse pressure and the carotid dorsalis-pedis pulse wave velocity. Carotid characteristics included distensibility, intima media thickness, cross sectional wall area, maximum and minimum lumen diameter. Biochemical variables that were determined included HIV status, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol, triglycerides, fasting glucose, glycated haemoglobin (HbA1c), creatinine clearance, interleukin-6, C-reactive protein, intracellular adhesion-molecule-1 and vascular adhesion molecule-1. Health behaviours were quantified by measuring γ-glutamyltransferase and by self-reported alcohol, tobacco and anti-hypertensive, anti-inflammatory and lipid-lowering medication use. We compared the normotensive and hypertensive groups by using independent t-tests and chi-square tests. The carotid characteristics were plotted according to quartiles of central systolic blood pressure by making use of standard analyses of variance (ANOVA) and the analyses of co-variance (ANCOVA). Pearson correlations done in the normotensive and hypertensive Africans helped to determine covariates for the multiple regression models. We used forward stepwise multiple regression analyses with the carotid characteristics as dependent variables to determine independent associations between variables. Results and Conclusion The cardiovascular measures, including pulse wave velocity, were significantly higher in the hypertensive group (all p≤0.024). The lipid profile, markers of inflammation, endothelial activation and glycaemia, as well as health behaviours, did not differ between the hypertensives and normotensives after adjustments for age, sex, waist circumference, γ-glutamyltransferase, tobacco use and anti-hypertensive medication use. After similar adjustments, all carotid characteristics, except IMT, were significantly different between the groups (all p≤0.008). However, upon additional adjustment for cSBP, significance was lost. The stiffness and functional adaptation seen in this study are not explained by the classic cardio-metabolic risk factors, markers of endothelial activation or health behaviours of the participants. The differences that exist in terms of arterial stiffness between the normotensive and hypertensive groups may be explained by the increased distending pressure in the hypertensive group. Despite their hypertensive status, it seems that there are no structural adaptations in these hypertensive Africans. / MSc (Physiology), North-West University, Potchefstroom Campus, 2015

Motivation: The different coping styles used to respond to psychosocial stress have been linked to the development of cardiovascular disease (CVD). However, the manner in which the cardiovascular system is influenced differs between the coping styles. Of the different coping styles, defensive active coping (AC) has been shown to be the most detrimental to cardiovascular health. This is worsened by augmented α-adrenergic cardiac responses found in Africans. Furthermore, many studies have found that the prevalence of hypertension and other CVDs is much higher in urban Africans when compared to their Caucasian counterparts. This can be attributed to certain lifestyle changes implemented by Africans in the transition that occurs with urbanization, where they are forced to cope with an urban-dwelling lifestyle. One of these lifestyle factors, which also poses as a cardiovascular risk factor, is increased usage and in some cases abuse of alcohol. Certain discrepancies exist between ethnicities with regard to the metabolism of alcohol, which influences the effect of alcohol on the individual. Alcohol usage as a possible manner of coping has been supported in many instances, but the interdependent effects of alcohol usage and AC as cardiovascular risk factors has only been found in African men. Further investigation is needed to determine if coping and alcohol abuse act in tandem only in African men, or also in other ethnic or sex groups. What also needs to be discussed is whether the inconsistencies between ethnicities regarding alcohol metabolism, plays a part in the development of CVD in a bi-ethnic gender cohort. Objectives: The main aims of this study were to determine 1) receiver operated characteristic (ROC) ethnic specific cut points of alcohol usage in the prediction of ambulatory hypertension, and 2) to assess if these cut points in defensive active groups revealed increased cardiometabolic risk in a bi-ethnic sex cohort, and if so, whether the increased risk will be associated with a specific race or sex group? Methodology: This sub-study forms part of the SABPA (Sympathetic activity and Ambulatory Blood Pressure in Africans) study, conducted from 2008 to 2009. After exclusion criteria were applied, our bi-ethnic sex cohort consisted of 390 individuals. These participants were all from the Kenneth Kaunda Education District of the North-West province in South Africa, and they all signed informed consent prior to participation. The SABPA study was approved by the Ethics Review Board of the North-West University, with additional ethical approval for this sub-study. All procedures in this study complied with the guidelines of the Declaration of Helsinki. Each participant completed a psychosocial battery supervised by registered clinical psychologists, and information regarding their medication use and medical history was obtained. They also completed the Coping Style Indicator questionnaire which was developed by Amirkhan, to identify the coping style habitually used. Ambulatory blood pressure and ECG measurements were recorded for a 24h period with the Cardiotens CE120®. Anthropometric measurements were performed by ISAK (International Society for the Advancement of Kinanthropometry) level 2 accredited anthropometrists using calibrated instruments. Out of this, the body surface area were calculated. The physical activity of each participant was determined by use of the Actical® omnidirectional accelerometer. Resting blood samples were collected by a registered nurse. The following blood serum levels were determined: gamma-glutamyl transferase (γ-GT) as a marker for alcohol usage, C-reactive protein, cholesterol, high density lipoprotein, triglycerides, cotinine, reactive oxygen species and glycated haemoglobin levels. All statistical analyses were done using Statistica version 12.0. Descriptive statistics were conducted to state the baseline characteristics of the entire group, while Chi-square (X2) tests were used to determine prevalence for medications and pathology. ROC analyses were computed to establish a cut point for γ-GT predicting ambulatory hypertension in each ethnicity as well as in the entire group. Independent t-tests identified confounders, after which two-way analysis of covariance (ANCOVA) tests were computed to test a 2 x 2 main effects interaction (race x γ-GT cut points) for all cardiometabolic risk markers and to compare the different ethnic groups. ANCOVAs were then performed in the ethnic groups with high γ-GT as well as in above mean AC for the graphs that followed. Lastly, odds ratios (OR‟s) with 95% confidence intervals (CI‟s) were calculated in several models to highlight the odds of high alcohol intake to predict ambulatory hypertension in the ethnic-sex groups as well as in AC ethnic-sex groups. Significant values were noted as p ≤ 0.05. Results: The Africans revealed higher cardiometabolic risk markers, above mean defensive active coping, seeking social support with less avoidance coping scores. ROC analyses revealed that ambulatory hypertension commences at a much higher level of γ-GT in the Africans [55.7U/l (AUC=0.69; 95% CI: 0.61; 0.76)] with sensitivity /specificity of 47%/83% compared to the Caucasians [19.5U/l (AUC=0.747; 95% CI: 0.68; 0.82)] with sensitivity/specificity of 70%/73%. The Caucasians thus reveal an increased sensitivity for alcohol ingestion at a much lower γ-GT cut point compared to the Africans. When comparing ethnic specific ROC cut point groups, we found that certain levels of cardiometabolic risk factors such as C-reactive protein, systolic blood pressure, waist circumference and silent ischemic events, were significantly higher in the African group, especially in above mean AC groups. Out of the Africans with high γ-GT levels, 73% used the AC style, suggesting hypervigilant AC coping and increased CVD risk in Africans. Clinical significance was determined by OR‟s, which demonstrated that high γ-GT levels in AC African men predicted ambulatory hypertension with an OR of 7.37 (95% CI: 6.71 – 8.05). Higher alcohol intake predicted ambulatory hypertension in AC Caucasians with an OR of 2.77 (95% CI: 2.31 – 3.23) in men and 6.42 (95% CI: 5.85 – 7.0) in women respectively. Conclusion: γ-GT cut-points in defensive active groups revealed increased cardiometabolic risk markers in a bi-ethnic sex cohort. A possible hypermetabolic state in African men may initially protect them against CVD morbidity but if chronically challenged with no forthcoming social support, CVD risk is imminent. / MSc (Physiology), North-West University, Potchefstroom Campus, 2015

Non-communicable diseases (NCDs), also known as chronic diseases of lifestyle, cause the greatest burden of disease globally. The major risk factors for NCDs are hypertension, hyperglycaemia, high cholesterol, tobacco smoking, alcohol abuse, overweight/obesity and physical inactivity. NCDs in South Africa are increasing in black South Africans with the transition from rural to urban areas. The transitions have resulted in a change in lifestyle. Regular moderate intensity physical activity (PA) has many health benefits and decreases the risk for NCDs. PA is often determined by means of questionnaires, motion sensors (pedometers and accelerometers), heart rate and accelerometry combined. Within the South African context PA has traditionally been determined with internationally composed questionnaires adapted for South Africa. In South Africa the relationship between PA and risk factors for NCDs has not been investigated in populations in transition, and limited information on the relationship between change in PA and the change in risk factors in a South African population is available. The objectives of this study was to determine the correlation between the adapted Baecke physical activity questionnaire and the International Physical Activity Questionnaire (short version) (IPAQ-S), the changes in PA and how the changes relate to changes in BMI, and finally the relationship between the changes in PA and the changes in the risk factors for NCDs of black South Africans. The study forms part of the baseline and five year follow-up of the South African leg of the Prospective Urban and Rural Epidemiological (PURE) study. This study is a longitudinal study of which the baseline data was allocated in 2005 and the five year follow-up allocated in 2010. 2 000 participants aged 30 years and older were recruited for the initial study – 1 000 urbanised (from Ikageng), and 1 000 rural black adults (from Ganyesa, Moswana and Tlakgameng). Data, including the PA questionnaires (Baecke & IPAQ-S) were collected by a specialised multidisciplinary team. After signing an informed consent form, questionnaires were completed during individual interviews and conducted by extensively trained fieldworkers in the language of the participants’ choice. The variables used in this study were anthropometric measurements, blood pressure, serum lipids and fasting blood glucose. BMI was calculated from the body weight divided by the height squared. Statistical analysis was performed using SPSS for windows (Version 21.0). Descriptive statistics were performed to determine the characteristics of the participants. The relationship between Baecke and IPAQ-S was determined by means of a partial correlation adjusting for age and BMI. Linear regression analyses were used to determine the relationship between the changes in PA (dependent variable) and BMI (predictor variable) and then adjusted for gender and age. Where a significant relationship was observed (in the case of setting, urban versus rural) separate analyses were performed for the rural and urban participants; likewise the relationship between the changes in PAI (dependant variable) and the change in the risk factors for NCDs (predictor variable) was determined by means of linear regression analysis, and also adjusted for gender, change in age and setting (urban/rural). The results from this study indicated that a weak but significant relationship was found between the Baecke and IPAQ-S (Spearman r = 0.243; p = 0.00) when adjusted for age and BMI. Significant differences were found between rural and urban participants for age and BMI in 2005, where the urban participants where older and reported a higher BMI compared to the rural participants. Rural women gained significantly more weight than the urban women. The PAI in the urban participants increased from 2005 (6.40 ± 1.84) to 2010 (7.50 ± 1.40), but decreased in rural participants from 2005 (8.21 ± 1.48) to 2010 (5.10 ± 1.54). Change in BMI was significantly inverse associated with change in PA for the urban population after adjusting for gender, setting (rural/urban) and change in age (β = -0.10; p = 0.004). Significant differences were found for resting systolic blood pressure (SBP) for the rural (129.72 ± 23.30) and urban (137.33 ± 25.14) participants as well as the diastolic blood pressure (DBP) of rural (86.16 ± 14.48) and urban (89.28 ± 14.46), fasting glucose of rural (4.88 ± 1.23) and urban (5.10 ± 1.86), triglycerides of rural (1.21 ± 0.64) and urban (1.38 ± 0.92) and physical activity index (PAI) of rural (8.21 ± 1.48) and urban (6.40 ± 1.84) in 2005. There were significant changes in the high density lipoprotein cholesterol (HDL-C) and in the low density lipoprotein cholesterol (LDL-C). Although the overall PAI decreased from 2005 (7.30 ± 1.90) to 2010 (6.46 ± 1.85), it increased in urban participants (6.40 ± 1.84 – 7.50 ± 1.40) and decreased in rural participants (8.21 ± 1.48 – 5.10 ± 1.54). A significant negative relationship between changes in PAI and changes in blood pressure (systolic and diastolic), total cholesterol and LDL-cholesterol was found when adjusted for gender. When changes in PA and changes in risk factors were separated according to gender, a significant negative relationship was found between PA and diastolic blood pressure (β -0.63; p 0.02) in the male population, and a significant negative relationship for females between PA and systolic blood pressure (β -1.05; p 0.002), diastolic blood pressure (β -0.59; p 0.003), total cholesterol (β -0.05; p 0.01) and LDL-cholesterol (β -0.07; p 0.00). In conclusion, the study found that the low but significant correlation between PAI assessed with the Baeck questionnaire and IPAQ-S makes both questionnaires applicable for the South African context, however the Baecke questionnaire is based on various domains for PA, while the IPAQ-S report on time spent in physical activity. Over the 5-year period PA decreased in this black South African population with a concomitant increase in BMI. Biological risk factors for NCDs increased from 2005 to 2010. The change in PA was inversely related to changes in total blood pressure. Future in PA interventions would be beneficial in the management of hypertension in the at risk South African black population. / PhD (Human Movement Science), North-West University, Potchefstroom Campus, 2014