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Macronutrients and obesity: Revisiting the calories in, calories out framework

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  • Riera-Crichton, Daniel
  • Tefft, Nathan

Abstract

Recent clinical research has studied weight responses to varying diet composition, but the contribution of changes in macronutrient intake and physical activity to rising population weight remains controversial. Research on the economics of obesity typically assumes a “calories in, calories out” framework, but a weight production model separating caloric intake into carbohydrates, fat, and protein, has not been explored in an economic framework. To estimate the contributions of changes in macronutrient intake and physical activity to changes in population weight, we conducted dynamic time series and structural VAR analyses of U.S. data between 1974 and 2006 and a panel analysis of 164 countries between 2001 and 2010. Findings from all analyses suggest that increases in carbohydrates are most strongly and positively associated with increases in obesity prevalence even when controlling for changes in total caloric intake and occupation-related physical activity. Our structural VAR results suggest that, on the margin, a 1% increase in carbohydrates intake yields a 1.01 point increase in obesity prevalence over 5 years while an equal percent increase in fat intake decreases obesity prevalence by 0.24 points.

Suggested Citation

  • Riera-Crichton, Daniel & Tefft, Nathan, 2014. "Macronutrients and obesity: Revisiting the calories in, calories out framework," Economics & Human Biology, Elsevier, vol. 14(C), pages 33-49.
  • Handle: RePEc:eee:ehbiol:v:14:y:2014:i:c:p:33-49
    DOI: 10.1016/j.ehb.2014.04.002
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    1. Nelson, D.E. & Powell-Griner, E. & Town, M. & Kovar, M.G., 2003. "A Comparison of National Estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System," American Journal of Public Health, American Public Health Association, vol. 93(8), pages 1335-1341.
    2. Peter C. B. Phillips & Bruce E. Hansen, 1990. "Statistical Inference in Instrumental Variables Regression with I(1) Processes," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 57(1), pages 99-125.
    3. Darius Lakdawalla & Tomas Philipson, 2002. "The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination," Working Papers 0203, Harris School of Public Policy Studies, University of Chicago.
    4. Burkhauser, Richard V. & Cawley, John & Schmeiser, Maximilian D., 2009. "The timing of the rise in U.S. obesity varies with measure of fatness," Economics & Human Biology, Elsevier, vol. 7(3), pages 307-318, December.
    5. Zhen Miao & John C. Beghin & Helen H. Jensen, 2012. "Taxing Sweets: Sweetener Input Tax Or Final Consumption Tax?," Contemporary Economic Policy, Western Economic Association International, vol. 30(3), pages 344-361, July.
    6. Lakdawalla, Darius & Philipson, Tomas, 2009. "The growth of obesity and technological change," Economics & Human Biology, Elsevier, vol. 7(3), pages 283-293, December.
    7. Ruhm, Christopher J., 2012. "Understanding overeating and obesity," Journal of Health Economics, Elsevier, vol. 31(6), pages 781-796.
    8. Putnam, Judith Jones & Allshouse, Jane E., 1999. "Food Consumption, Prices, and Expenditures, 1970-97," Statistical Bulletin 154924, United States Department of Agriculture, Economic Research Service.
    9. Zagorsky, Jay L. & Smith, Patricia K., 2009. "Does the U.S. Food Stamp Program contribute to adult weight gain?," Economics & Human Biology, Elsevier, vol. 7(2), pages 246-258, July.
    10. David M. Cutler & Edward L. Glaeser & Jesse M. Shapiro, 2003. "Why Have Americans Become More Obese?," Journal of Economic Perspectives, American Economic Association, vol. 17(3), pages 93-118, Summer.
    11. Christian, Thomas & Rashad, Inas, 2009. "Trends in U.S. food prices, 1950-2007," Economics & Human Biology, Elsevier, vol. 7(1), pages 113-120, March.
    12. Fletcher, Jason M. & Frisvold, David E. & Tefft, Nathan, 2010. "The effects of soft drink taxes on child and adolescent consumption and weight outcomes," Journal of Public Economics, Elsevier, vol. 94(11-12), pages 967-974, December.
    13. Olivier Blanchard & Roberto Perotti, 2002. "An Empirical Characterization of the Dynamic Effects of Changes in Government Spending and Taxes on Output," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 117(4), pages 1329-1368.
    14. Engle, Robert & Granger, Clive, 2015. "Co-integration and error correction: Representation, estimation, and testing," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 39(3), pages 106-135.
    15. Jason M. Fletcher & David Frisvold & Nathan Tefft, 2010. "Can Soft Drink Taxes Reduce Population Weight?," Contemporary Economic Policy, Western Economic Association International, vol. 28(1), pages 23-35, January.
    16. Andreyeva, Tatiana & Kelly, Inas Rashad & Harris, Jennifer L., 2011. "Exposure to food advertising on television: Associations with children's fast food and soft drink consumption and obesity," Economics & Human Biology, Elsevier, vol. 9(3), pages 221-233, July.
    17. Kevin D Hall & Juen Guo & Michael Dore & Carson C Chow, 2009. "The Progressive Increase of Food Waste in America and Its Environmental Impact," PLOS ONE, Public Library of Science, vol. 4(11), pages 1-6, November.
    18. Newey, Whitney & West, Kenneth, 2014. "A simple, positive semi-definite, heteroscedasticity and autocorrelation consistent covariance matrix," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 33(1), pages 125-132.
    19. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    20. Finkelstein, Eric A. & Zhen, Chen & Bilger, Marcel & Nonnemaker, James & Farooqui, Assad M. & Todd, Jessica E., 2013. "Implications of a sugar-sweetened beverage (SSB) tax when substitutions to non-beverage items are considered," Journal of Health Economics, Elsevier, vol. 32(1), pages 219-239.
    21. Srinivasan, C.S., 2013. "Can adherence to dietary guidelines address excess caloric intake? An empirical assessment for the UK," Economics & Human Biology, Elsevier, vol. 11(4), pages 574-591.
    22. Gary Taubes, 2012. "Treat obesity as physiology, not physics," Nature, Nature, vol. 492(7428), pages 155-155, December.
    23. Senarath Dharmasena & Oral Capps, 2012. "Intended and unintended consequences of a proposed national tax on sugar‐sweetened beverages to combat the U.S. obesity problem," Health Economics, John Wiley & Sons, Ltd., vol. 21(6), pages 669-694, June.
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    Cited by:

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    2. Scott A. Carson, 2021. "Omitting the Obvious: Cohort Effects in 19th and 20th Century BMI Variation," CESifo Working Paper Series 8817, CESifo.
    3. Aiyar, Anaka & Dhingra, Sunaina & Pingali, Prabhu, 2021. "Transitioning to an obese India: Demographic and structural determinants of the rapid rise in overweight incidence," Economics & Human Biology, Elsevier, vol. 43(C).
    4. Scott Alan Carson, 2016. "Nineteenth Century Black and Mixed-Race Physical Activity, Calories, and Life Expectancy: Nutrition, Sanitation, or Medical Intervention?," The Review of Black Political Economy, Springer;National Economic Association, vol. 43(3), pages 363-385, December.
    5. Harris, Matthew C., 2017. "Imperfect information on physical activity and caloric intake," Economics & Human Biology, Elsevier, vol. 26(C), pages 112-125.
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    7. Wisniewski, Suzanne L., 2017. "Childhood obesity among the poor in Peru: Are there implications for cognitive outcomes?," Economics & Human Biology, Elsevier, vol. 26(C), pages 51-60.

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    More about this item

    Keywords

    Obesity; Macronutrients; Health production;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • O13 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Agriculture; Natural Resources; Environment; Other Primary Products
    • Q18 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Agriculture - - - Agricultural Policy; Food Policy; Animal Welfare Policy

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