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Why Is The Developed World Obese?

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Author Info
Sara Bleich
David Cutler
Christopher Murray
Alyce Adams

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Abstract

Obesity has risen dramatically in the past few decades. However, the relative contribution of energy intake and energy expenditure to rising obesity is not known. Moreover, the extent to which social and economic factors tip the energy balance is not well understood. In this longitudinal analysis of developed countries, we estimate the relative contribution of increased caloric intake and reduced physical activity to obesity using two methods of energy accounting. Results show that rising obesity is primarily the result of consuming more calories. We estimate multivariate regression models and use simulation analysis to explore technological and sociodemographic determinants of this dietary excess. Results indicate that the increase in caloric intake is associated with technological innovations such as reduced food prices as well as changing sociodemographic factors such as increased urbanization and increased female labor force participation. The study findings offer useful insights to future research concerned with the etiology of obesity and may help inform the development of obesity-related policy. In particular, our results suggest that policies to encourage less caloric intake may help reverse past trends in increased consumption.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 12954.

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Date of creation: Mar 2007
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Handle: RePEc:nbr:nberwo:12954

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Find related papers by JEL classification:
I12 - Health, Education, and Welfare - - Health - - - Health Production
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. David M. Cutler & Edward L. Glaeser & Jesse M. Shapiro, 2003. "Why Have Americans Become More Obese?," Harvard Institute of Economic Research Working Papers 1994, Harvard - Institute of Economic Research. [Downloadable!]
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  2. Jay Bhattacharya & Neeraj Sood, 2005. "Health Insurance and the Obesity Externality," NBER Working Papers 11529, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  3. Anderson, Patricia M. & Butcher, Kristin F. & Levine, Phillip B., 2003. "Maternal employment and overweight children," Journal of Health Economics, Elsevier, vol. 22(3), pages 477-504, May. [Downloadable!] (restricted)
  4. Chou, Shin-Yi & Grossman, Michael & Saffer, Henry, 2004. "An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System," Journal of Health Economics, Elsevier, vol. 23(3), pages 565-587, May. [Downloadable!] (restricted)
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  5. Dowler, Elizabeth A. & Seo, Young Ok, 1985. "Assessment of energy intake : Estimates of food supply v measurement of food consumption," Food Policy, Elsevier, vol. 10(3), pages 278-288, August. [Downloadable!] (restricted)
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Cited by:
(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Lechner, Michael, 2008. "Long-run Labour Market Effects of Individual Sports Activities," CEPR Discussion Papers 6886, C.E.P.R. Discussion Papers. [Downloadable!] (restricted)
    Other versions:
  2. Joan Costa-Font & Daniele Fabbri & Joan Gil, 2008. "Decomposing Cross-Country Gaps in Obesity and Overweight: Does the Social Environment Matter?," Working Papers in Economics 205, Universitat de Barcelona. Espai de Recerca en Economia. [Downloadable!]
  3. John C. Beghin & Helen H. Jensen, 2008. "Farm Policies and Added Sugars in US Diets," Food and Agricultural Policy Research Institute (FAPRI) Publications 08-wp462, Food and Agricultural Policy Research Institute (FAPRI) at Iowa State University. [Downloadable!]
    Other versions:
  4. Millimet, Daniel L. & Tchernis, Rusty & Husain, Muna, 2008. "School Nutrition Programs and the Incidence of Childhood Obesity," IZA Discussion Papers 3664, Institute for the Study of Labor (IZA). [Downloadable!]
    Other versions:
  5. Pierre-Carl Michaud & Arthur van Soest & Tatiana Andreyeva, 2007. "Cross-Country Variation in Obesity Patterns among Older Americans and Europeans," Social and Economic Dimensions of an Aging Population Research Papers 185, McMaster University. [Downloadable!]
    Other versions:
  6. Currie, Janet & DellaVigna, Stefano & Moretti, Enrico & Pathania, Vikram, 2009. "The Effect of Fast Food Restaurants on Obesity," Working Papers 47830, American Association of Wine Economists. [Downloadable!]
  7. Pere Gomis-Porqueras & Adrian Peralta-Alva, 2008. "A macroeconomic analysis of obesity," Working Papers 2008-017, Federal Reserve Bank of St. Louis. [Downloadable!]
  8. Janet Currie & Stefano DellaVigna & Enrico Moretti & Vikram Pathania, 2009. "The Effect of Fast Food Restaurants on Obesity and Weight Gain," NBER Working Papers 14721, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  9. Melayne M. McInnes & Judith A. Shinogle, 2009. "Physical Activity: Economic and Policy Factors," NBER Working Papers 15039, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
  10. David G. Blanchflower & Andrew J. Oswald & Bert Van Landeghem, 2008. "Imitative Obesity and Relative Utility," NBER Working Papers 14337, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
    Other versions:
  11. John Komlos & Ariane Breitfelder & Marco Sunder, 2008. "The Transition to Post-industrial BMI Values Among US Children," NBER Working Papers 13898, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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