Increased food energy supply as a major driver of the obesity epidemic: a global analysis

AbstractObjective We investigated associations between changes in national food energy supply and in average population body weight.Methods We collected data from 24 high-, 27 middle- and 18 low-income countries on the average measured body weight from global databases, national health and nutrition...

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Main Authors: Stefanie Vandevijvere, Carson C Chow, Kevin D Hall, Elaine Umali, Boyd A Swinburn
Format: Article
Language:English
Published: The World Health Organization 2015-07-01
Series:Bulletin of the World Health Organization
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000700007&lng=en&tlng=en
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author Stefanie Vandevijvere
Carson C Chow
Kevin D Hall
Elaine Umali
Boyd A Swinburn
author_facet Stefanie Vandevijvere
Carson C Chow
Kevin D Hall
Elaine Umali
Boyd A Swinburn
author_sort Stefanie Vandevijvere
collection DOAJ
description AbstractObjective We investigated associations between changes in national food energy supply and in average population body weight.Methods We collected data from 24 high-, 27 middle- and 18 low-income countries on the average measured body weight from global databases, national health and nutrition survey reports and peer-reviewed papers. Changes in average body weight were derived from study pairs that were at least four years apart (various years, 1971-2010). Selected study pairs were considered to be representative of an adolescent or adult population, at national or subnational scale. Food energy supply data were retrieved from the Food and Agriculture Organization of the United Nations food balance sheets. We estimated the population energy requirements at survey time points using Institute of Medicine equations. Finally, we estimated the change in energy intake that could theoretically account for the observed change in average body weight using an experimentally-validated model.Findings In 56 countries, an increase in food energy supply was associated with an increase in average body weight. In 45 countries, the increase in food energy supply was higher than the model-predicted increase in energy intake. The association between change in food energy supply and change in body weight was statistically significant overall and for high-income countries (P< 0.001).Conclusion The findings suggest that increases in food energy supply are sufficient to explain increases in average population body weight, especially in high-income countries. Policy efforts are needed to improve the healthiness of food systems and environments to reduce global obesity.
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spelling doaj.art-f10f8d31d99b49998bb8522585e33a242024-03-02T02:29:36ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862015-07-0193744645610.2471/BLT.14.150565S0042-96862015000700007Increased food energy supply as a major driver of the obesity epidemic: a global analysisStefanie VandevijvereCarson C ChowKevin D HallElaine UmaliBoyd A SwinburnAbstractObjective We investigated associations between changes in national food energy supply and in average population body weight.Methods We collected data from 24 high-, 27 middle- and 18 low-income countries on the average measured body weight from global databases, national health and nutrition survey reports and peer-reviewed papers. Changes in average body weight were derived from study pairs that were at least four years apart (various years, 1971-2010). Selected study pairs were considered to be representative of an adolescent or adult population, at national or subnational scale. Food energy supply data were retrieved from the Food and Agriculture Organization of the United Nations food balance sheets. We estimated the population energy requirements at survey time points using Institute of Medicine equations. Finally, we estimated the change in energy intake that could theoretically account for the observed change in average body weight using an experimentally-validated model.Findings In 56 countries, an increase in food energy supply was associated with an increase in average body weight. In 45 countries, the increase in food energy supply was higher than the model-predicted increase in energy intake. The association between change in food energy supply and change in body weight was statistically significant overall and for high-income countries (P< 0.001).Conclusion The findings suggest that increases in food energy supply are sufficient to explain increases in average population body weight, especially in high-income countries. Policy efforts are needed to improve the healthiness of food systems and environments to reduce global obesity.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000700007&lng=en&tlng=en
spellingShingle Stefanie Vandevijvere
Carson C Chow
Kevin D Hall
Elaine Umali
Boyd A Swinburn
Increased food energy supply as a major driver of the obesity epidemic: a global analysis
Bulletin of the World Health Organization
title Increased food energy supply as a major driver of the obesity epidemic: a global analysis
title_full Increased food energy supply as a major driver of the obesity epidemic: a global analysis
title_fullStr Increased food energy supply as a major driver of the obesity epidemic: a global analysis
title_full_unstemmed Increased food energy supply as a major driver of the obesity epidemic: a global analysis
title_short Increased food energy supply as a major driver of the obesity epidemic: a global analysis
title_sort increased food energy supply as a major driver of the obesity epidemic a global analysis
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862015000700007&lng=en&tlng=en
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