1
|
Kang Y, Liu C, Ji Y, Zhang H, Wang Y, Bi W, Xu J, Guo B. The burden of knee osteoarthritis worldwide, regionally, and nationally from 1990 to 2019, along with an analysis of cross-national inequalities. Arch Orthop Trauma Surg 2024; 144:2731-2743. [PMID: 38761235 DOI: 10.1007/s00402-024-05250-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 02/17/2024] [Indexed: 05/20/2024]
Abstract
OBJECTIVE To describe the disease burden of knee osteoarthritis (KOA) globally, regionally, and in 204 countries by age, sex, and sociodemographic index (SDI) from 1990 to 2019, and to explore cross-national inequalities across SDI. METHODS The Global Burden of Disease (GBD) 2019 database collected data on KOA worldwide from 1990 to 2019, including prevalence, incidence, years lived with disability (YLDs). The average annual percentage change (AAPC) was used to measure temporal trends. In addition, the inequality slope index and the health concentration index were calculated to quantify the unequal distribution of the burden of KOA across 204 countries worldwide. RESULTS In 2019, the global age-standardized prevalence rate increased by 7.5% compared with 1990, and the age-standardized incidence rate increased by about 6.2%; The age-standardized YLDs rate increased by about 7.8%. In addition to the Republic of Korea and the United States of America, the disease burden of KOA has increased year by year in other countries around the world. The incidence of KOA was highest at ages 50-59, while the prevalence and rates of YLDs were highest at ages 75-84. The burden of KOA was higher in women than in men. Cross-country inequality suggests that the inequality in the burden of KOA between high SDI and low SDI countries becomes greater, and that countries with high SDI bear a disproportionately high burden. CONCLUSION The global KOA burden has risen steadily between 1990 and 2019, and cross-national inequality gaps remain large. Targeted measures must therefore be taken to address this inequality and the increasing global KOA disease burden.
Collapse
Affiliation(s)
- Yunkang Kang
- Department of Orthopedic Surgery, Fuyang People's Hospital, Anhui Medical University, 501, Sanqing Road, Fuyang, 236000, China
| | - Chunlong Liu
- Department of Hepatobiliary and Pancreatic Surgery, Fuyang People's Hospital, Anhui Medical University, Fuyang, 236000, China
| | - Yuncong Ji
- Department of Orthopedic Surgery, Fuyang Hospital, Bengbu Medical College, Fuyang, 236000, China
| | - Haoran Zhang
- Department of Orthopedic Surgery, Fuyang People's Hospital, Anhui Medical University, 501, Sanqing Road, Fuyang, 236000, China
| | - Yanbo Wang
- Department of Orthopedic Surgery, Fuyang People's Hospital, Anhui Medical University, 501, Sanqing Road, Fuyang, 236000, China
| | - Wenzhi Bi
- Department of Orthopedic Surgery, Fuyang People's Hospital, Anhui Medical University, 501, Sanqing Road, Fuyang, 236000, China
| | - Jian Xu
- Department of Orthopedic Surgery, Fuyang People's Hospital, Anhui Medical University, 501, Sanqing Road, Fuyang, 236000, China.
| | - Biao Guo
- Department of Orthopedic Surgery, Fuyang People's Hospital, Anhui Medical University, 501, Sanqing Road, Fuyang, 236000, China.
- Department of Orthopedic Surgery, Fuyang Hospital, Bengbu Medical College, Fuyang, 236000, China.
| |
Collapse
|
2
|
Song M, Chen H, Li J, Han W, Wu W, Wu G, Zhao A, Yuan Q, Yu J. A comparison of the burden of knee osteoarthritis attributable to high body mass index in China and globally from 1990 to 2019. Front Med (Lausanne) 2023; 10:1200294. [PMID: 37680622 PMCID: PMC10481341 DOI: 10.3389/fmed.2023.1200294] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 07/27/2023] [Indexed: 09/09/2023] Open
Abstract
Background Excess body mass index (BMI) plays a key role in the onset and progression of knee osteoarthritis (knee OA). However, the burden of knee OA attributable to high BMI at the global, Chinese, and regional levels have received far too little attention. The aim of this study is to provide evidence to support the design of policy by investigating long-term trends of years lived with disability (YLDs) for knee OA. Methods To illustrate the trends of YLDs for knee OA attributable to high BMI and the temporal trends of the YLDs rate by age, period, and cohort, Joinpoint regression software and age-period-cohort (APC) were used to analyze the YLDs data of knee OA from the Global Burden of Disease (GBD) 2019. Results In China, there were 549,963.5 YLDs for knee OA attributable to high BMI in 2019, which had increased by 460.7% since 1990. From 1990 to 2019, age-standardized disability-adjusted life year rate (ASDR) of knee OA attributable to high BMI trended upwards. The average annual percent change (AAPC) of knee OA attributable to high BMI in China and globe were 3.019, 1.419%, respectively. The longitudinal age curve of the APC model showed that the YLDs rates of knee OA due to high BMI increased with age, and YLDs rates were higher among females than males. The period rate ratios (RRs) of knee OA due to high BMI increased significantly. The cohort RRs of knee OA due to high BMI increased among those born between 1900 and 1970. The net drifts of knee OA attributable to high BMI in China and globe were above 1. Compared with global condition, the net drift values of knee OA attributable to high BMI in China was higher. Compared with females, males had higher net drift value. Countries with high socio-demographic index (SDI) have a much higher burden of knee OA caused by high BMI than countries with low SDI. Conclusion In China, high BMI is a substantial cause of knee OA, the incidence of which has been increasing since 1990. In addition, women and the elderly are more vulnerable to knee OA caused by high BMI. The Chinese government must take the long-term impact of high BMI on knee OA into account and implement effective public health policies and resort to interventions to reduce the burden as soon as possible.
Collapse
Affiliation(s)
- Min Song
- Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
| | - Huijing Chen
- School of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
| | - Jingyi Li
- Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
| | - Weichang Han
- Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
| | - Wenfeng Wu
- The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
| | - Gaoyi Wu
- Huatuo Hospital, Zhaoqing, Guangdong, China
| | - Anqi Zhao
- Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
| | - Qing Yuan
- Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
| | - Jiani Yu
- The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong Provincial Hospital of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China
| |
Collapse
|
3
|
Zhao G, Zhu S, Zhang F, Zhang X, Zhang X, Li T, Li D, Zhu W. Global Burden of osteoarthritis associated with high body mass index in 204 countries and territories, 1990-2019: findings from the Global Burden of Disease Study 2019. Endocrine 2023; 79:60-71. [PMID: 36190652 DOI: 10.1007/s12020-022-03201-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 09/15/2022] [Indexed: 01/07/2023]
Abstract
OBJECTIVE To quantify the burden of osteoarthritis (OA) associated with high body mass index (BMI) across 204 countries and territories from 1990 to 2019. METHODS This study extracted global, regional, and national data on years lived with disability (YLD) of OA associated with high BMI from GBD 2019. The YLD burden of OA associated with high BMI was systematically analyzed by age, SDI, sex, and EAPC. RESULTS At the global level, ~2.67 million (95% UI: 1.04, 5.75) YLD were attributable to OA associated with high BMI, with an age-standardized rate of 31.9 (95% UI: 12.4, 68.75) YLD per 100,000 population in 2019. There was a 0.5 increase (95% UI: 0.35, 0.79) over the 30 years with an EAPC of 1.45. In 2019, Australasia {57.49 (95% UI: 23.62, 125.38)}, high-income North America {56.2 (95% UI: 23.32, 121.97)}, and Andean Latin America {49.77 (95% UI: 19.73, 111.73)} had the highest age-standardized YLD rates. The population aged at 60-74 group had a higher YLD rate for both males and females. Females tended to be more sensitive to the OA associated with high BMI than male in any region. CONCLUSIONS In summary, the YLD rate of OA associated with high BMI presented a continuous upward trend in most countries. Women and older people are more sensitive to OA due to physiological and psychological factors. Controlling modifiable risk factors such as maintaining an appropriate BMI is needed for disease prevention.
Collapse
Affiliation(s)
- Gaichan Zhao
- Department of Public Health, School of Public Health, Wuhan University, 430071, Wuhan, China
| | - Shijie Zhu
- Department of Occupational and Environmental Health, School of Public Health, Wuhan University, 430071, Wuhan, China
| | - Faxue Zhang
- Department of Occupational and Environmental Health, School of Public Health, Wuhan University, 430071, Wuhan, China
| | - Xupeng Zhang
- Department of Public Health, School of Public Health, Wuhan University, 430071, Wuhan, China
| | - Xiaowei Zhang
- Department of Occupational and Environmental Health, School of Public Health, Wuhan University, 430071, Wuhan, China
| | - Tianzhou Li
- Department of Occupational and Environmental Health, School of Public Health, Wuhan University, 430071, Wuhan, China
| | - Dejia Li
- Department of Occupational and Environmental Health, School of Public Health, Wuhan University, 430071, Wuhan, China.
| | - Wei Zhu
- Department of Occupational and Environmental Health, School of Public Health, Wuhan University, 430071, Wuhan, China.
| |
Collapse
|
4
|
Aiyar A, Dhingra S, Pingali P. Transitioning to an obese India: Demographic and structural determinants of the rapid rise in overweight incidence. ECONOMICS AND HUMAN BIOLOGY 2021; 43:101041. [PMID: 34332246 DOI: 10.1016/j.ehb.2021.101041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 06/29/2021] [Accepted: 07/02/2021] [Indexed: 06/13/2023]
Abstract
India, which has long suffered from undernutrition, has seen a rapid rise in overweight incidence in the last decade and a half. These changes are characterized by significant within-country differences in overweight incidence that vary by gender and regional development levels. In this paper, we provide an integrative framework, linking the income-gradient hypothesis of obesity with biological, obesogenic, and environmental factors to provide an explanation on the emergence of within-country differences in overweight patterns. We utilize measured body mass index (BMI), along with individual- and household-level data of over 800,000 men and women surveyed in the National Family Health Surveys of 2005-06 and 2015-16 to identify correlates of within-country differences in overweight incidence. A decomposition analysis reveals that among women, in addition to increasing access to obesogenic technologies, biological factors are associated with overweight incidence. Among men, obesogenic factors related to technology use and health behaviors are associated with the rise in overweight incidence, but biological factors are not. At lower levels of regional development, overweight incidence is associated with greater access to obesogenic technology such as motorized transport, which reduces physical activity among men at higher rates than women. At higher levels of economic development, obesogenic behaviors, such as watching more television and reducing smoking, are associated with overweight incidence. Our results corroborate the call by public health experts for group-specific policies to stem the rise of overweight incidence in developing countries.
Collapse
Affiliation(s)
- Anaka Aiyar
- Department of Economics, University of Nevada, Reno, 1664 N Virginia Avenue, Reno, NV, 89557, United States.
| | - Sunaina Dhingra
- School of Government and Public Policy, O P Jindal Global University, Sonipat, Haryana, 131001, India.
| | - Prabhu Pingali
- Tata-Cornell Institute for Agriculture and Nutrition, Charles H. Dyson School of Applied Economics and Management, Cornell University, 375 Warren Hall, Ithaca, NY, 14853, United States.
| |
Collapse
|
5
|
Boni Z. Slim choices: young people’s experiences of individual responsibility for childhood obesity. CRITICAL PUBLIC HEALTH 2020. [DOI: 10.1080/09581596.2020.1851655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Zofia Boni
- Institute of Anthropology and Ethnology, Adam Mickiewicz University, Poznan, Poland
| |
Collapse
|
6
|
Hoke MK, Schell LM. Doing biocultural anthropology: Continuity and change. Am J Hum Biol 2020; 32:e23471. [PMID: 32681558 DOI: 10.1002/ajhb.23471] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 06/23/2020] [Accepted: 06/24/2020] [Indexed: 12/27/2022] Open
Abstract
Biocultural anthropology has long represented an important approach in the study of human biology. However, despite demonstrated utility, its somewhat amorphous identity leaves some scholars questioning just what it means to be biocultural. In this article, rather than providing proscriptive doctrine, we contribute to these conversations about the nature of biocultural anthropology by considering what biocultural research does. We begin with a consideration of some of the foundational themes of biocultural work including recognition of the dialectical nature of sociocultural and biological forces, interest in inequality, and incorporation of both evolutionary and political economic perspectives. To emphasize the consistency of biocultural work over time, we also trace these themes from originating work to their appearance in current research. We then identify some of the key actions of the biocultural approach, noting that biocultural work can execute any number though rarely all of these actions simultaneously. We then offer brief introductions to the articles that make up this special issue, highlighting the ways in which each piece undertakes key biocultural actions. Following these introductions, we provide a discussion of some of the types of biocultural work that are not present in this special issue, recognizing the breadth of biocultural research across multiple subfields of anthropology. Finally, we point to some potentially fruitful directions for future biocultural research. In the end, we conclude that while biocultural anthropology may not have a cohesive or set agenda, it does have a clear and recognizable form of content and methodology illuminated by its actions.
Collapse
Affiliation(s)
- Morgan K Hoke
- Department of Anthropology & Population Studies Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Lawrence M Schell
- Department of Anthropology, Department of Epidemiology and Statistics, & the Center for the Elimination of Minority Health Disparities, University at Albany, Albany, New York, USA
| |
Collapse
|
7
|
McLennan AK, Shimonovich M, Ulijaszek S, Wilson M. The problem with relying on dietary surveys: sociocultural correctives to theories of dietary change in the Pacific islands. Ann Hum Biol 2018; 45:272-284. [DOI: 10.1080/03014460.2018.1469668] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Amy K. McLennan
- Institute of Social and Cultural Anthropology, School of Anthropology and Museum Ethnography, University of Oxford, Oxford, UK
| | - M. Shimonovich
- Health Services Research Unit, University of Aberdeen, Aberdeen, UK
| | - S.J. Ulijaszek
- Institute of Social and Cultural Anthropology, School of Anthropology and Museum Ethnography, University of Oxford, Oxford, UK
| | - M. Wilson
- School of GeoSciences, University of Edinburgh, Edinburgh, UK
| |
Collapse
|
8
|
Burden of obesity in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 study. Int J Public Health 2018; 63:165-176. [PMID: 28776243 PMCID: PMC5973977 DOI: 10.1007/s00038-017-1002-5] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 06/21/2017] [Accepted: 06/23/2017] [Indexed: 02/08/2023] Open
Abstract
OBJECTIVES We used the Global Burden of Disease (GBD) 2015 study results to explore the burden of high body mass index (BMI) in the Eastern Mediterranean Region (EMR). METHODS We estimated the prevalence of overweight and obesity among children (2-19 years) and adults (≥20 years) in 1980 and 2015. The burden of disease related to high BMI was calculated using the GBD comparative risk assessment approach. RESULTS The prevalence of obesity increased for adults from 15.1% (95% UI 13.4-16.9) in 1980 to 20.7% (95% UI 18.8-22.8) in 2015. It increased from 4.1% (95% UI 2.9-5.5) to 4.9% (95% UI 3.6-6.4) for the same period among children. In 2015, there were 417,115 deaths and 14,448,548 disability-adjusted life years (DALYs) attributable to high BMI in EMR, which constitute about 10 and 6.3% of total deaths and DALYs, respectively, for all ages. CONCLUSIONS This is the first study to estimate trends in obesity burden for the EMR from 1980 to 2015. We call for EMR countries to invest more resources in prevention and health promotion efforts to reduce this burden.
Collapse
|
9
|
Takeda W, Melby MK. Spatial, temporal, and health associations of eating alone: A cross-cultural analysis of young adults in urban Australia and Japan. Appetite 2017; 118:149-160. [DOI: 10.1016/j.appet.2017.08.013] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Revised: 08/08/2017] [Accepted: 08/10/2017] [Indexed: 11/25/2022]
|
10
|
Gene-by-environment interactions of the CLOCK, PEMT, and GHRELIN loci with average sleep duration in relation to obesity traits using a cohort of 643 New Zealand European children. Sleep Med 2017; 37:19-26. [DOI: 10.1016/j.sleep.2017.05.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Revised: 05/15/2017] [Accepted: 05/21/2017] [Indexed: 12/12/2022]
|
11
|
Siqueira K, Griep RH, Rotenberg L, Costa A, Melo E, Fonseca MDJ. Interrelationships between nursing workers' state of nutrition, socio demographic factors, work and health habits. CIENCIA & SAUDE COLETIVA 2017; 20:1925-35. [PMID: 26060971 DOI: 10.1590/1413-81232015206.00792014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Accepted: 11/02/2014] [Indexed: 11/22/2022] Open
Abstract
The interrelationships between professional nursing workers' state of nutrition, variables relating to their socio demographic relationships, their professional work, and health behavior, were examined based on a correspondence analysis technique. This is a sectional study carried out involving 917 nursing professionals in a public hospital in Rio de Janeiro. The results show the formation of four groups, three of them grouped under BMI (body mass index) categories. The obese individuals group included poor health, current socio economic conditions, unfavorable past conditions, and former night shift workers. The low/adequate group showed the most favorable conditions, while the group of overweight individuals also included smoking, alcohol consumption, and current night shift work (up to five nights per two-week period). Specifically, among the interrelationships between the states of nutrition levels, we highlight those relating to current and previously evaluated socio economic conditions, and underscore the life-long importance of social indicators.
Collapse
|
12
|
Abstract
This study provides a foundation for understanding how globalization and changing food environments are linked to cultural models of food prestige in adolescents. We used methods from cognitive anthropology, including free lists, pile sorts, and consensus modeling, to explore the meanings that Indian adolescents attribute to foods. Adolescents (n = 29) were asked to free list foods eaten outside and inside the home. Different adolescents (n = 65) were asked to pile sort and rank 30 foods identified during the free lists according to which foods are the most prestigious, traditional, routine, and advertised on television. We found that adolescents overwhelmingly believed nontraditional foods to be the most prestigious. Nonlocal foods, both from foreign countries and other regions of India, as well as foods eaten outside the home, were also considered prestigious.
Collapse
Affiliation(s)
- Amanda Maxfield
- a Department of Anthropology , Emory University , Atlanta , Georgia , USA
| | - Shailaja Patil
- b Department of Community Medicine, Shri. B.M. Patil Medical College , BLDE University , Bijapur , India
| | - Solveig A Cunningham
- c Hubert Department of Global Health , Emory University , Atlanta , Georgia , USA
| |
Collapse
|
13
|
Ruiz M, Goldblatt P, Morrison J, Porta D, Forastiere F, Hryhorczuk D, Antipkin Y, Saurel-Cubizolles MJ, Lioret S, Vrijheid M, Torrent M, Iñiguez C, Larrañaga I, Bakoula C, Veltsista A, van Eijsden M, Vrijkotte TGM, Andrýsková L, Dušek L, Barros H, Correia S, Järvelin MR, Taanila A, Ludvigsson J, Faresjö T, Marmot M, Pikhart H. Impact of Low Maternal Education on Early Childhood Overweight and Obesity in Europe. Paediatr Perinat Epidemiol 2016; 30:274-84. [PMID: 26945670 DOI: 10.1111/ppe.12285] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Comparable evidence on adiposity inequalities in early life is lacking across a range of European countries. This study investigates whether low maternal education is associated with overweight and obesity risk in children from distinct European settings during early childhood. METHODS Prospective data of 45 413 children from 11 European cohorts were used. Children's height and weight obtained at ages 4-7 years were used to assess prevalent overweight and obesity according to the International Obesity Task Force definition. The Relative/Slope Indices of Inequality (RII/SII) were estimated within each cohort and by gender to investigate adiposity risk among children born to mothers with low education as compared to counterparts born to mothers with high education. Individual-data meta-analyses were conducted to obtain aggregate estimates and to assess heterogeneity between cohorts. RESULTS Low maternal education yielded a substantial risk of early childhood adiposity across 11 European countries. Low maternal education yielded a mean risk ratio of 1.58 (95% confidence interval (CI) 1.34, 1.85) and a mean risk difference of 7.78% (5.34, 10.22) in early childhood overweight, respectively, measured by the RII and SII. Early childhood obesity risk by low maternal education was as substantial for all cohorts combined (RII = 2.61 (2.10, 3.23)) and (SII = 4.01% (3.14, 4.88)). Inequalities in early childhood adiposity were consistent among boys, but varied among girls in a few cohorts. CONCLUSIONS Considerable inequalities in overweight and obesity are evident among European children in early life. Tackling early childhood adiposity is necessary to promote children's immediate health and well-being and throughout the life course.
Collapse
Affiliation(s)
- Milagros Ruiz
- Research Department of Epidemiology and Public Health, University College London, London, UK
| | - Peter Goldblatt
- Research Department of Epidemiology and Public Health, UCL Institute of Health Equity, University College London, London, UK
| | - Joana Morrison
- Research Department of Epidemiology and Public Health, University College London, London, UK
| | - Daniela Porta
- Department of Epidemiology, Lazio Regional Health System, Rome, Italy
| | | | - Daniel Hryhorczuk
- Center for Global Health, University of Illinois College of Medicine, Chicago, IL, USA
| | - Youriy Antipkin
- Institute of Pediatrics, Obstetrics, and Gynecology, Kyiv, Ukraine
| | - Marie-Josèphe Saurel-Cubizolles
- Institut National de la Santé et de la Recherche Médicale (INSERM) UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Statistics, Sorbonne Paris Cité, DHU Risks in Pregnancy, Paris Descartes University, Paris, France
| | - Sandrine Lioret
- Institut National de la Santé et de la Recherche Médicale (INSERM) UMR 1153, Early Origin of the Child's Health and Development Team (ORCHAD), Center for Epidemiology and Statistics, Sorbonne Paris Cité, Paris Descartes University, Paris, France
| | - Martine Vrijheid
- Center for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.,Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain
| | - Maties Torrent
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Barcelona, Spain.,IB-Salut Menorca Health Area, Balearic Islands, Spain
| | - Carmen Iñiguez
- FISABIO - Universitat Jaume I - Universitat de València Joint Research Unit of Epidemiology and Environmental Health, Castellón de la Plana, Spain
| | - Isabel Larrañaga
- Public Health Department of Gipuzkoa, Gipuzkoa, Spain.,BIODONOSTIA Health Research Institute, San Sebastian, Spain
| | - Chryssa Bakoula
- First Department of Paediatrics, Aghia Sophia Children's Hospital, University of Athens, Athens, Greece
| | - Alexandra Veltsista
- First Department of Paediatrics, Aghia Sophia Children's Hospital, University of Athens, Athens, Greece
| | - Manon van Eijsden
- Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam, Amsterdam, The Netherlands
| | - Tanja G M Vrijkotte
- Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Lenka Andrýsková
- Faculty of Science, Research Centre of Toxic Compounds in the Environment (RECETOX), Masaryk University, Brno, Czech Republic
| | - Ladislav Dušek
- Faculty of Science, Research Centre of Toxic Compounds in the Environment (RECETOX), Masaryk University, Brno, Czech Republic.,Institute of Biostatistics & Analyses (IBA), Masaryk University, Brno, Czech Republic
| | - Henrique Barros
- EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal.,Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal
| | - Sofia Correia
- EPIUnit - Institute of Public Health, University of Porto, Porto, Portugal.,Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal
| | - Marjo-Riitta Järvelin
- Department of Epidemiology and Biostatistics, MRC Health Protection Agency (HPE), Centre for Environment and Health, School of Public Health, Imperial College London, London, UK.,Biocenter Oulu, University of Oulu, Oulu, Finland.,Unit of Primary Care, Oulu University Hospital, Oulu, Finland.,Faculty of Medicine, Center for Life Course Epidemiology, University of Oulu, Oulu, Finland
| | - Anja Taanila
- Institute of Health Sciences, University of Oulu, Oulu, Finland
| | - Johnny Ludvigsson
- Division of Pediatrics, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden
| | - Tomas Faresjö
- Department of Medicine and Health, Community Medicine/General Practice Faculty of Health Sciences, Linköping University, Linköping, Sweden
| | - Michael Marmot
- Research Department of Epidemiology and Public Health, University College London, London, UK.,Research Department of Epidemiology and Public Health, UCL Institute of Health Equity, University College London, London, UK
| | - Hynek Pikhart
- Research Department of Epidemiology and Public Health, University College London, London, UK
| |
Collapse
|
14
|
Burggraf C, Teuber R, Brosig S, Glauben T. Economic growth and the demand for dietary quality: Evidence from Russia during transition. ECONOMICS AND HUMAN BIOLOGY 2015; 19:184-203. [PMID: 26469973 DOI: 10.1016/j.ehb.2015.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 07/02/2015] [Accepted: 08/10/2015] [Indexed: 06/05/2023]
Abstract
The increasing incidence of nutrition-related chronic diseases worldwide has raised people's awareness of dietary quality. Most existing studies on the topic of changing nutrition patterns measure dietary quality by single macronutrient indicators or anthropometric outcomes. However, such an approach is often too narrow to provide a picture of overall dietary quality and is sometimes even misleading. This study contributes to the existing literature by taking into account that the analysis of dietary quality comprises two dimensions: the adequate intake of vitamins and minerals, as well as the moderate intake of nutrients that increase the risk of chronic diseases. Thereby, we apply Grossman's health investment model to the analysis of the demand for dietary quality, explicitly addressing the different dimensions of dietary quality and the intertemporal character of health investments. We apply our approach to Russia using data from the Russia Longitudinal Monitoring Survey from 1996 to 2008. Our results show that intake levels of vitamins and minerals as well as saturated and total fatty acids increased after 1998 along with economic recovery, while the intake of fiber decreased. Our econometric results imply an income elasticity of vitamins and minerals of 0.051, and an income elasticity of fats of 0.073. Overall, our results are in line with an ongoing nutrition transition in the Russian Federation, which is marked by decreasing deficiencies in vitamins and minerals, as well as the increasing consumption of fats with its accompanying negative health consequences.
Collapse
Affiliation(s)
- Christine Burggraf
- Leibniz Institute of Agricultural Development in Transition Economies (IAMO), Theodor-Lieser Street 2, Halle (Saale), Germany.
| | - Ramona Teuber
- Department of Food and Resource Economics, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C, Denmark
| | - Stephan Brosig
- Leibniz Institute of Agricultural Development in Transition Economies (IAMO), Theodor-Lieser Street 2, Halle (Saale), Germany
| | - Thomas Glauben
- Leibniz Institute of Agricultural Development in Transition Economies (IAMO), Theodor-Lieser Street 2, Halle (Saale), Germany
| |
Collapse
|
15
|
Cho W, Takeda W, Oh Y, Aiba N, Lee Y. Perceptions and practices of commensality and solo-eating among Korean and Japanese university students: A cross-cultural analysis. Nutr Res Pract 2015; 9:523-9. [PMID: 26425283 PMCID: PMC4575966 DOI: 10.4162/nrp.2015.9.5.523] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Revised: 06/22/2015] [Accepted: 07/08/2015] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND/OBJECTIVES Commensality, eating together with others, is a major representation of human sociality. In recent time, environments around commensality have changed significantly due to rapid social changes, and the decline of commensality is perceived as a serious concern in many modern societies. This study employs a cross-cultural analysis of university students in two East Asian countries, and examines cross-cultural variations of perceptions and actual practices of commensality and solo-eating. SUBJECTS/METHODS The analysis was drawn from a free-list survey and a self-administrative questionnaires of university students in urban Korea and Japan. The free-listing survey was conducted with a small cohort to explore common images and meanings of commensality and solo-eating. The self-administrative questionnaire was developed based on the result of the free-list survey, and conducted with a larger cohort to examine reasons and problems of practices and associated behaviors and food intake. RESULTS We found that Korean subjects tended to show stronger associations between solo-eating and negative emotions while the Japanese subjects expressed mixed emotions towards the practice of solo-eating. In the questionnaire, more Korean students reported they prefer commensality and tend to eat more quantities when they eat commensally. In contrast, more Japanese reported that they do not have preference on commensality and there is no notable difference in food quantities when they eat commensally and alone. Compared to the general Korean cohort finding, more proportion of overweight and obese groups of Korean subjects reported that they tend to eat more when they are alone than normal and underweight groups. This difference was not found in the overweight Japanese subjects. CONCLUSION Our study revealed cross-cultural variations of perceptions and practices of commensality and solo-eating in a non-western setting.
Collapse
Affiliation(s)
- Wookyoun Cho
- Department of Food and Nutrition, Gachon University, Gyeonggi 461-701, Korea
| | - Wakako Takeda
- National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Building 62, Mills Road, Acton, ACT, 2601, Australia
| | - Yujin Oh
- Research Evaluation Team, Korea Health Promotion Foundation, Namsan Square, Seoul 100-705, Korea
| | - Naomi Aiba
- Department of Nutrition and Life Science, Kanagawa Institute of Technology, Kanagawa 243-0392, Japan
| | - Youngmee Lee
- Department of Food and Nutrition, Gachon University, Gyeonggi 461-701, Korea
| |
Collapse
|
16
|
|
17
|
Cherry CO, Serieux E, Didier M, Nuttal ME, Schuster RJ. Prevalence of risk factors for the metabolic syndrome in the middle income Caribbean nation of st. Lucia. Adv Prev Med 2014; 2014:501972. [PMID: 25309758 PMCID: PMC4189759 DOI: 10.1155/2014/501972] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2014] [Revised: 09/03/2014] [Accepted: 09/11/2014] [Indexed: 12/28/2022] Open
Abstract
The objective of this research was to measure the presence of metabolic syndrome risk factors in a sample population in the middle income Caribbean nation of St. Lucia and to identify the demographic and behavioral factors of metabolic syndrome among the study participants. Interviews and anthropometric measures were conducted with 499 St. Lucians of ages 18-99. Descriptive statistics were used for the analysis. Fifty-six percent of females and 18 percent of males had a waist size equal to or above the indicator for the metabolic syndrome. Behavioral risk factors such as sedentary lifestyle, smoking, and alcohol consumption varied by gender. Thirty-six percent of women and 22% of men reported a sedentary lifestyle and 43% of women and 65% of men reported any alcohol consumption. More research should be done to determine the cultural norms and gender differences associated with modifiable risk behaviors in St. Lucia.
Collapse
Affiliation(s)
| | - Elizabeth Serieux
- Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA, USA
| | - Martin Didier
- Department of Internal Medicine, Tapion Hospital, P.O. Box 1780, Castries, Saint Lucia
| | - Mary Elizabeth Nuttal
- Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA, USA
| | | |
Collapse
|
18
|
Toselli S, Brasili P, Di Michele R, Spiga F. Perception of fattening foods in Italian children and adolescents. SPRINGERPLUS 2014; 3:402. [PMID: 25184104 PMCID: PMC4149680 DOI: 10.1186/2193-1801-3-402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/26/2014] [Accepted: 07/29/2014] [Indexed: 11/10/2022]
Abstract
The present study aimed to analyze, in Italian children and adolescents, the beliefs about which foods are fattening, the appreciation of fattening foods, and the perception of some socio-cultural attributes of them. 244 children (F: 125, M: 119, aged 8-11) and 305 adolescents (F: 153; M: 152, aged 11-14) from Bologna, Northern Italy, were asked to indicate five fattening foods. For each of the indicated foods, a yes-no answer was required to the question: "is this food special for you?", and to six questions concerning socio-cultural attributes of the food, which were modelled using a latent variable with two classes named "traditional" and "modern". Pearson's chi square tests revealed, both in boys and girls, significant associations between the age class and the foods indicated as fattening: lean meat, condiments, non-sweet fruit and vegetables were more often indicated as fattening by children than by adolescents. Overall, boys showed higher appreciation and perception of fashionability of fattening foods. Girls appreciated less bread and pasta, and indicated more often than boys these foods as fattening. The different food perception of between age classes and sexes can be respectively explained by a better dietary awareness of adolescents, and by girls worrying about their look more than boys.
Collapse
Affiliation(s)
- Stefania Toselli
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Patricia Brasili
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Rocco Di Michele
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Federico Spiga
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| |
Collapse
|
19
|
Cavaco S, Eriksson T, Skalli A. Life cycle development of obesity and its determinants in six European countries. ECONOMICS AND HUMAN BIOLOGY 2014; 14:62-78. [PMID: 24958454 DOI: 10.1016/j.ehb.2014.04.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2013] [Revised: 04/11/2014] [Accepted: 04/15/2014] [Indexed: 06/03/2023]
Abstract
This paper empirically examines the effect of parents' and individuals' own socioeconomic status on overweight and obesity, and investigates how this effect changes over the life cycle. The impact of individuals' health behaviours on their obesity status later in life is also studied. We use data from Denmark, Finland, France, Greece, the Netherlands and the U.K. in which 4595 individuals aged 50-65 are surveyed and where individuals' height and weight at different ages (25, 35, 45 and current age) are available. We perform "repeated cross-sections" analyses as well as dynamic probit analyses of the individuals' obesity histories. We contribute to the literature by examining the role of a variety of obesity determinants over the whole life cycle, not only over a certain portion of individuals' lives. Key findings are: (i) parents' socioeconomic status predicts obesity in early adulthood whereas the individual's own socioeconomic status as adult is more important in explaining obesity at later stages of the life cycle, (ii) changes in obesity status are associated with changes in health behaviours, (iii) obesity in late adulthood is strongly and positively correlated with overweight and obesity in younger ages, and (iv) cross-country differences in obesity and overweight largely remain after controlling for parental and childhood factors and individuals' health behaviours.
Collapse
Affiliation(s)
| | | | - Ali Skalli
- LEMMA, Université Panthéon-Assas, France
| |
Collapse
|
20
|
Mama SK, Soltero EG, Ledoux TA, Gallagher MR, Lee RE. Solving the obesity epidemic: voices from the community. Nurs Inq 2013; 21:192-201. [PMID: 24372868 DOI: 10.1111/nin.12054] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2013] [Indexed: 01/03/2023]
Abstract
"Science and Community: Ending Obesity Improving Health" (S&C) aimed to reduce obesity in Houston by developing community partnerships to identify research priorities and develop a sustainable obesity reduction program. Partnership members were recruited from S&C events and invited to participate in in-depth interviews to gain insight into obesity prevalence, causes, and solutions. Members (n = 22) completed a 60-90-min in-depth interview. The interview guide consisted of 30 questions about pressing health problems in the community, potential solutions to health problems and obesity and how the environment has impacted obesity and health behaviors in the community. Interviewees (n = 12 women and 10 men) were mostly Hispanic/Latino (n = 9) and African American (n = 7). Common problems identified were childhood obesity, balancing a healthy diet and physical inactivity. Interviewees identified obesity as a major problem in their communities and cited access to quality food and physical activity resources as both a problem and a solution. Additional emergent themes focused on solutions, including increasing awareness and education, coordinated efforts among organizations and using an ecologic approach to combat obesity. Community insight gleaned from this study may be used to enhance relevance and sustainability of programs developed to reduce obesity and suggests possible avenues for participatory research and intervention.
Collapse
Affiliation(s)
- Scherezade K Mama
- University of Houston, Houston, TX, USA; The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA
| | | | | | | | | |
Collapse
|
21
|
Srinivasan CS. Can adherence to dietary guidelines address excess caloric intake? An empirical assessment for the UK. ECONOMICS AND HUMAN BIOLOGY 2013; 11:574-591. [PMID: 23665354 DOI: 10.1016/j.ehb.2013.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2012] [Revised: 04/03/2013] [Accepted: 04/04/2013] [Indexed: 06/02/2023]
Abstract
The facilitation of healthier dietary choices by consumers is a key element of government strategies to combat the rising incidence of obesity in developed and developing countries. Public health campaigns to promote healthier eating often target compliance with recommended dietary guidelines for consumption of individual nutrients such as fats and added sugars. This paper examines the association between improved compliance with dietary guidelines for individual nutrients and excess calorie intake, the most proximate determinant of obesity risk. We apply quantile regressions and counterfactual decompositions to cross-sectional data from the National Diet and Nutrition Survey (2000-01) to assess how excess calorie consumption patterns in the UK are likely to change with improved compliance with dietary guidelines. We find that the effects of compliance vary significantly across different quantiles of calorie consumption. Our results show that compliance with dietary guidelines for individual nutrients, even if successfully achieved, is likely to be associated with only modest shifts in excess calorie consumption patterns. Consequently, public health campaigns that target compliance with dietary guidelines for specific nutrients in isolation are unlikely to have a significant effect on the obesity risk faced by the population.
Collapse
Affiliation(s)
- C S Srinivasan
- Department of Food Economics and Marketing, School of Agriculture, Policy and Development, University of Reading, Agriculture Building, Reading RG6 6AR, UK.
| |
Collapse
|
22
|
Prevalence of overweight and obesity in urban elementary school children in northeastern Romania: its relationship with socioeconomic status and associated dietary and lifestyle factors. BIOMED RESEARCH INTERNATIONAL 2013; 2013:537451. [PMID: 23936815 PMCID: PMC3726018 DOI: 10.1155/2013/537451] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2013] [Revised: 06/17/2013] [Accepted: 06/18/2013] [Indexed: 11/25/2022]
Abstract
The purpose of this paper is to estimate the prevalence of obesity and to identify its potential determinants to optimize the methods of prevention to combat further increases in childhood overweight. The study was carried out on 3444 school children of 6–10 years of age attending 30 schools in northeast Romania. Schools were classified by geographical location and socioeconomic status (SES). Overweight and obesity status were determined using IOTF BMI cut-off points. Prevalence of overweight (including obesity) was found to be 24.6% among boys and 22.6% among girls, whereas the prevalence of obesity was 7.8% in boys and 6.3% in girls. High SES (OR: 1.46; 95% CI: 1.10–1.93) and eating French fries and chips (OR: 1.81; 95% CI: 1.24–2.67) were associated with increased risk of overweight. In high- and medium-SES children, overweight was positively associated with the consumption of French fries and chips (2.93, 95% CI: 1.54–5.60 and 1.82, 95% CI: 1.04–3.21). In low-SES children, overweight was associated with low fruit consumption (0.21, 95% CI: 0.05–1.00) and sedentary behavior (3.37, 95% CI: 1.13–10.05). Therefore, the social and environmental determinants should be considered when constructing and implementing preventive measures regarding overweight and obesity.
Collapse
|
23
|
Hruschka DJ, Brewis AA. Absolute wealth and world region strongly predict overweight among women (ages 18-49) in 360 populations across 36 developing countries. ECONOMICS AND HUMAN BIOLOGY 2013; 11:337-344. [PMID: 22269776 DOI: 10.1016/j.ehb.2012.01.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2011] [Revised: 01/02/2012] [Accepted: 01/02/2012] [Indexed: 05/31/2023]
Abstract
This paper proposes a benchmark for comparing SES gradients across countries, based on gross domestic product apportioned to members of differing wealth categories within countries. Using this approach, we estimate absolute wealth in 360 populations in 36 developing countries and model its relationship with overweight (BMI≥25) among non-pregnant women ages 18-49. A simple model based on absolute wealth alone strongly predicts odds of overweight (R(2)=0.59), a relationship that holds both between countries and between different groups in the same country (10 populations for each of 36 countries). Moreover, world region modifies this relationship, accounting for an additional 22% of variance (R(2)=0.81). This allows us to extract a basic pattern: rising rates of overweight in lower and middle income countries closely track increasing economic resources, and the shape of that gradient differs by region in systematic ways.
Collapse
Affiliation(s)
- Daniel J Hruschka
- School of Human Evolution and Social Change, Arizona State University, Tempe, AZ 85287-2402, USA.
| | | |
Collapse
|
24
|
Zeljko HM, Skarić-Jurić T, Narančić NS, Barešić A, Tomas Z, Petranović MZ, Miličić J, Salihović MP, Janićijević B. Age trends in prevalence of cardiovascular risk factors in Roma minority population of Croatia. ECONOMICS AND HUMAN BIOLOGY 2013; 11:326-336. [PMID: 22633739 DOI: 10.1016/j.ehb.2012.02.007] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2011] [Revised: 02/29/2012] [Accepted: 02/29/2012] [Indexed: 06/01/2023]
Abstract
The Roma (Gypsy) are the largest European minority population characterized by poverty, social exclusion as well as by numerous life-style and cultural specificities, which all could have an adverse impact on their cardiovascular health. This study assesses the prevalence of cardiovascular diseases (CVD) risk factors in community-based sample of 430 adult Roma, living in rural area of Croatia, by providing the actual and age-adjusted estimates using the European standard population. The most prominent classical CVD risk phenotypes (blood pressure, obesity, smoking, glucose and lipid profile) were selected, and the standard risk cut-offs were applied. The study has shown that compared to general population of Croatia, the Roma population bears a high CVD risk factors load related to smoking and high glucose level. The CVD risk factors prevalence in Roma also showed important sex and age patterns, the most imposing of which are the findings of higher prevalence of CVD risks in women (especially obesity and triglyceride levels) and the trend of higher body mass index (BMI) level in younger age group (18-34 years) which both stand in contrast to the trends characterizing the general population of Croatia. These findings are complemented by the trend of decreased risk in the oldest age group (65+ years) for all investigated CVD risk factors (with exception of triglycerides level) compared to the 50-64 age group. We conclude that the age and sex CVD risks pattern point to the health transition of this rural Roma population. As we expect the proportion of CVD in the Roma minority of Croatia to increase in the future along with further modernization of their lifestyle, the CVD prevention measures in this population are urgent and should be primarily targeted at women and at the younger segment of this population.
Collapse
Affiliation(s)
- Hrvojka Marija Zeljko
- Clinical Hospital Merkur, Department of Internal Medicine, Zajčeva 19, Zagreb, Croatia.
| | | | | | | | | | | | | | | | | |
Collapse
|
25
|
Offer A, Pechey R, Ulijaszek S. Obesity under affluence varies by welfare regimes: the effect of fast food, insecurity, and inequality. ECONOMICS AND HUMAN BIOLOGY 2010; 8:297-308. [PMID: 20801725 DOI: 10.1016/j.ehb.2010.07.002] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2010] [Revised: 07/19/2010] [Accepted: 07/19/2010] [Indexed: 05/09/2023]
Abstract
Among affluent countries, those with market-liberal welfare regimes (which are also English-speaking) tend to have the highest prevalence of obesity. The impact of cheap, accessible high-energy food is often invoked in explanation. An alternative approach is that overeating is a response to stress, and that competition, uncertainty, and inequality make market-liberal societies more stressful. This ecological regression meta-study pools 96 body-weight surveys from 11 countries c. 1994-2004. The fast-food 'shock' impact is found to work most strongly in market-liberal countries. Economic insecurity, measured in several different ways, was almost twice as powerful, while the impact of inequality was weak, and went in the opposite direction.
Collapse
Affiliation(s)
- Avner Offer
- All Souls College, University of Oxford, High Street, Oxford, OX1 4AL, UK.
| | | | | |
Collapse
|
26
|
Raggi A, Brunani A, Sirtori A, Liuzzi A, Berselli ME, Villa V, Ceriani F, Leonardi M. Obesity-related disability: key factors identified by the International Classification of Functioning, Disability and Health. Disabil Rehabil 2010; 32:2028-34. [PMID: 20441415 DOI: 10.3109/09638281003797372] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
PURPOSE To identify obese patients' disability features considering the level of body impairments, activity limitations and participation restrictions in relation to environmental factors' effect. METHOD Adult obese inpatients (BMI > 35) were enrolled and were administered a set of 166 ICF categories. Count-based indexes were developed for each ICF component: correlations and regression on performance and capacity indexes were performed. RESULTS Fifty-one patients (62.7% females, mean age 38.1) entered in the study. Description of ICF-based disability components is reported. Capacity is better correlated with body functions (r = 0.619, P < 0.01) and body structures (r = 0.375, P < 0.01) than performance; on the contrary, environmental barriers are correlated better with performance (r = 0.531, P < 0.01) than with capacity. Impairments in body functions and environmental barriers are the best predictors of limitations both in capacity and in performance. CONCLUSIONS Through this multidisciplinary approach, supported by ICFs biopsychosocial model, we described functioning and disability in obese patients, highlighting the strong effect of body functions' impairments and the limited one of environmental factors. This approach can guide rehabilitation programmes, the promotion of positive health outcomes and the modification of patients' lifestyle, not only intended as an issue of barriers' elimination, but as the activation and maintenance of environmental facilitators.
Collapse
Affiliation(s)
- Alberto Raggi
- Neurology, Public Health and Disability Unit - Scientific Directorate, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy
| | | | | | | | | | | | | | | | | |
Collapse
|
27
|
Raggi A, Sirtori A, Brunani A, Liuzzi A, Leonardi M. Use of the ICF to describe functioning and disability in obese patients. Disabil Rehabil 2009; 31 Suppl 1:S153-8. [DOI: 10.3109/09638280903317724] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
|
28
|
Bibliography. Current world literature. Obesity and nutrition. Curr Opin Endocrinol Diabetes Obes 2008; 15:470-5. [PMID: 18769222 DOI: 10.1097/med.0b013e328311f3cb] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
29
|
Abstract
Obesity is new in human evolutionary history, having become possible at the population level with increased food security. As with any phenotype, obesity is at base an outcome of gene-environment interactions. However, different disciplines working in obesity research have identified different facets of the problem and developed different models of population obesity. These include those of thrifty genotypes, obesogenic behavior, obesogenic environments, nutrition transition, obesogenic culture, and biocultural interactions of genetics, environment, behavior, and culture. Although there is an overlap between various of these models, there remains a lack of consensus concerning obesity causation at the population level. This is a major problem in study of, and intervention in, obesity among populations.
Collapse
Affiliation(s)
- Stanley J Ulijaszek
- Unit for Biocultural Variation and Obesity, Institute of Social and Cultural Anthropology, University of Oxford, Oxford, UK.
| |
Collapse
|
30
|
Ackerson LK, Kawachi I, Barbeau EM, Subramanian SV. Geography of underweight and overweight among women in India: a multilevel analysis of 3204 neighborhoods in 26 states. ECONOMICS AND HUMAN BIOLOGY 2008; 6:264-80. [PMID: 18602351 PMCID: PMC2794379 DOI: 10.1016/j.ehb.2008.05.002] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2008] [Accepted: 05/20/2008] [Indexed: 05/26/2023]
Abstract
We investigated the geographic distribution and the relationship with neighborhood wealth of underweight and overweight in India. Using multilevel modeling techniques, we calculated state-specific smoothed shrunken state residuals of overweight and underweight, neighborhood and state variation of nutritional status, and the relationships between neighborhood wealth and nutritional status of 76,681 women living in 3204 neighborhoods in 26 Indian states. We found a substantial variation in overweight and underweight at the neighborhood and state levels, net of what could be attributed to individual-level factors. Neighborhood wealth was associated with increased levels of overweight and decreased levels of underweight, and was found to modify the relationship between personal living standard and nutritional status. These findings suggest that interventions to address the double burden of undernutrition and overnutrition in India must take into account state and neighborhood characteristics in order to be successful.
Collapse
Affiliation(s)
- Leland K Ackerson
- Department of Society, Human Development, and Health, Harvard School of Public Health, 677 Huntington Avenue, KRESGE 7th Floor, Boston, MA 02115-6096, USA.
| | | | | | | |
Collapse
|