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The Relationship of Sugar to Population-Level Diabetes Prevalence: An Econometric Analysis of Repeated Cross-Sectional Data

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  • Sanjay Basu
  • Paula Yoffe
  • Nancy Hills
  • Robert H Lustig

Abstract

While experimental and observational studies suggest that sugar intake is associated with the development of type 2 diabetes, independent of its role in obesity, it is unclear whether alterations in sugar intake can account for differences in diabetes prevalence among overall populations. Using econometric models of repeated cross-sectional data on diabetes and nutritional components of food from 175 countries, we found that every 150 kcal/person/day increase in sugar availability (about one can of soda/day) was associated with increased diabetes prevalence by 1.1% (p

Suggested Citation

  • Sanjay Basu & Paula Yoffe & Nancy Hills & Robert H Lustig, 2013. "The Relationship of Sugar to Population-Level Diabetes Prevalence: An Econometric Analysis of Repeated Cross-Sectional Data," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-8, February.
    • Handle: RePEc:plo:pone00:0057873
    DOI: 10.1371/journal.pone.0057873
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    References listed on IDEAS

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    Cited by:

    1. Mendez Lopez, Ana & Loopstra, Rachel & McKee, Martin & Stuckler, David, 2017. "Is trade liberalisation a vector for the spread of sugar-sweetened beverages? A cross-national longitudinal analysis of 44 low- and middle-income countries," Social Science & Medicine, Elsevier, vol. 172(C), pages 21-27.
    2. Toni Meier & Karolin Senftleben & Peter Deumelandt & Olaf Christen & Katja Riedel & Martin Langer, 2015. "Healthcare Costs Associated with an Adequate Intake of Sugars, Salt and Saturated Fat in Germany: A Health Econometrical Analysis," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-21, September.
    3. Seuring, Till & Goryakin, Yevgeniy & Suhrcke, Marc, 2015. "The impact of diabetes on employment in Mexico," Economics & Human Biology, Elsevier, vol. 18(C), pages 85-100.
    4. Alexander Bentley, R. & Ruck, Damian J. & Fouts, Hillary N., 2020. "U.S. obesity as delayed effect of excess sugar," Economics & Human Biology, Elsevier, vol. 36(C).
    5. R. Alexander Bentley & Paul Ormerod & Damian J. Ruck, 2018. "Recent origin and evolution of obesity-income correlation across the United States," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-14, December.
    6. Karen R Siegel & Mohammed K Ali & Adithi Srinivasiah & Rachel A Nugent & K M Venkat Narayan, 2014. "Do We Produce Enough Fruits and Vegetables to Meet Global Health Need?," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-7, August.
    7. Benjamin Wood & Gary Ruskin & Gary Sacks, 2020. "How Coca-Cola Shaped the International Congress on Physical Activity and Public Health: An Analysis of Email Exchanges between 2012 and 2014," IJERPH, MDPI, vol. 17(23), pages 1-11, December.
    8. Paul Gertler & Tadeja Gracner, 2022. "The Sweet Life: The Long-Term Effects of a Sugar-Rich Early Childhood," NBER Working Papers 30799, National Bureau of Economic Research, Inc.
    9. Seuring, Till & Serneels, Pieter & Suhrcke, Marc, 2019. "The impact of diabetes on labour market outcomes in Mexico: A panel data and biomarker analysis," Social Science & Medicine, Elsevier, vol. 233(C), pages 252-261.
    10. Vitor Castro, 2017. "Pure, White and Deadly… Expensive: A Bitter Sweetness in Health Care Expenditure," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 1644-1666, December.
    11. Rafael Moreira Claro & Vargas Hernandez & Joel Alberto & Satoru Shimokawa & Euna Han & Sharada Keats & Steve Wiggins, 2015. "The Rising Cost of a Healthy Diet – Changing Relative prices of Foods in High- Income and Emerging Economies," Working Papers id:7250, eSocialSciences.
    12. Susan L. Prescott & Christopher R. D’Adamo & Kathleen F. Holton & Selena Ortiz & Nina Overby & Alan C. Logan, 2023. "Beyond Plants: The Ultra-Processing of Global Diets Is Harming the Health of People, Places, and Planet," IJERPH, MDPI, vol. 20(15), pages 1-21, July.
    13. Gračner, Tadeja, 2021. "Bittersweet: How prices of sugar-rich foods contribute to the diet-related disease epidemic in Mexico," Journal of Health Economics, Elsevier, vol. 80(C).
    14. Nicole Hanson & Wonjoo Yun, 2018. "Should “big food” companies introduce healthier options? The effect of new product announcements on shareholder value," Marketing Letters, Springer, vol. 29(1), pages 1-12, March.

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