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The effects of COVID‐19 lockdown on the body weight and lifestyle behaviors of U.S. adults

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  • Jaesang Sung
  • Will Davis
  • Qihua Qiu

Abstract

The COVID‐19 pandemic and associated policies may have impacted body weight and related lifestyle behaviors. Using 2017–2020 Behavioral Risk Factor Surveillance System data, we estimate the effects of COVID‐19 lockdown on Body Mass Index (BMI) and the probability of obesity among adults in the United States. Our triple‐differences approach, using recent pre‐pandemic years as counterfactuals, identifies statistically significant lockdown‐induced increases in body weight. Event study results highlight a lagged effect of lockdown on body weight, with BMI increases manifesting 2 months post‐lockdown. These effects are particularly pronounced among non‐white adults, low‐income individuals, females, and metropolitan residents. The lockdown's impact on mental health, a potential mechanism driving BMI increases, is concentrated among non‐white, low‐income adults. We observe potential post‐lockdown changes in diet and sedentary behaviors, evidenced by increased Google searches for high‐calorie foods, food delivery apps, and video streaming. Google searches related to healthy habits, such as exercise, yield mixed results.

Suggested Citation

  • Jaesang Sung & Will Davis & Qihua Qiu, 2024. "The effects of COVID‐19 lockdown on the body weight and lifestyle behaviors of U.S. adults," Southern Economic Journal, John Wiley & Sons, vol. 90(4), pages 900-948, April.
  • Handle: RePEc:wly:soecon:v:90:y:2024:i:4:p:900-948
    DOI: 10.1002/soej.12679
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    1. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
    2. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2018. "Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self‐Assessed Health," Southern Economic Journal, John Wiley & Sons, vol. 84(3), pages 660-691, January.
    3. Bentzen, Jeanet Sinding, 2021. "In crisis, we pray: Religiosity and the COVID-19 pandemic," Journal of Economic Behavior & Organization, Elsevier, vol. 192(C), pages 541-583.
    4. Adams-Prassl, A. & Boneva, T. & Golin, M & Rauh, C., 2020. "Inequality in the Impact of the Coronavirus Shock: New Survey Evidence for the UK," Cambridge Working Papers in Economics 2023, Faculty of Economics, University of Cambridge.
    5. James Flynn, 2023. "Do sugar‐sweetened beverage taxes improve public health for high school aged adolescents?," Health Economics, John Wiley & Sons, Ltd., vol. 32(1), pages 47-64, January.
    6. Sumedha Gupta & Kosali I. Simon & Coady Wing, 2020. "Mandated and Voluntary Social Distancing During The COVID-19 Epidemic: A Review," NBER Working Papers 28139, National Bureau of Economic Research, Inc.
    7. Fang, Hanming & Wang, Long & Yang, Yang, 2020. "Human mobility restrictions and the spread of the Novel Coronavirus (2019-nCoV) in China," Journal of Public Economics, Elsevier, vol. 191(C).
    8. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    9. José María Barrero & Nicholas Bloom & Steven J. Davis, 2023. "The Evolution of Work from Home," Journal of Economic Perspectives, American Economic Association, vol. 37(4), pages 23-50, Fall.
    10. Guido Matias Cortes & Eliza Forsythe, 2023. "Heterogeneous Labor Market Impacts of the COVID-19 Pandemic," ILR Review, Cornell University, ILR School, vol. 76(1), pages 30-55, January.
    11. Adams-Prassl, Abi & Boneva, Teodora & Golin, Marta & Rauh, Christopher, 2020. "Inequality in the impact of the coronavirus shock: Evidence from real time surveys," Journal of Public Economics, Elsevier, vol. 189(C).
    12. Gregory Colman & Dhaval Dave, 2018. "Unemployment and Health Behaviors over the Business Cycle: A Longitudinal View," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 93-120, July.
    13. Alipour, Jean-Victor & Fadinger, Harald & Schymik, Jan, 2021. "My home is my castle – The benefits of working from home during a pandemic crisis," Journal of Public Economics, Elsevier, vol. 196(C).
    14. Berniell, Inés & Facchini, Gabriel, 2021. "COVID-19 lockdown and domestic violence: Evidence from internet-search behavior in 11 countries," European Economic Review, Elsevier, vol. 136(C).
    15. Sumedha Gupta & Kosali Simon & Coady Wing, 2020. "Mandated and Voluntary Social Distancing during the COVID-19 Epidemic," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 51(2 (Summer), pages 269-326.
    16. Brandon J. Restrepo, 2017. "Calorie Labeling in Chain Restaurants and Body Weight: Evidence from New York," Health Economics, John Wiley & Sons, Ltd., vol. 26(10), pages 1191-1209, October.
    17. Feng‐An Yang & Hung‐Hao Chang & Jiun‐Hao Wang, 2022. "The economic impact of the COVID‐19 pandemic on the Taiwanese food industry: Empirical evidence using business transaction data," Journal of Agricultural Economics, Wiley Blackwell, vol. 73(2), pages 376-395, June.
    18. Courtemanche, Charles, 2009. "Rising cigarette prices and rising obesity: Coincidence or unintended consequence?," Journal of Health Economics, Elsevier, vol. 28(4), pages 781-798, July.
    19. Annie Tubadji & Frédéric Boy & Don J. Webber, 2023. "Narrative Economics, Public Policy and Mental Health," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 18(1), pages 43-70, February.
    20. Bree J. Lang & Matthew Lang, 2021. "Pandemics, Protests, and Firearms," American Journal of Health Economics, University of Chicago Press, vol. 7(2), pages 131-163.
    21. Abi Adams-Prassl & Teodora Boneva & Marta Golin & Christopher Rauh, 2022. "The impact of the coronavirus lockdown on mental health: evidence from the United States," Economic Policy, CEPR, CESifo, Sciences Po;CES;MSH, vol. 37(109), pages 139-155.
    22. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    23. Haiyang Lu & Peng Nie & Long Qian, 2021. "Do Quarantine Experiences and Attitudes Towards COVID-19 Affect the Distribution of Mental Health in China? A Quantile Regression Analysis," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 16(5), pages 1925-1942, October.
    24. Crossley, Thomas F. & Fisher, Paul & Low, Hamish, 2021. "The heterogeneous and regressive consequences of COVID-19: Evidence from high quality panel data," Journal of Public Economics, Elsevier, vol. 193(C).
    25. Dhaval Dave & Andrew I. Friedson & Kyutaro Matsuzawa & Joseph J. Sabia, 2021. "When Do Shelter‐In‐Place Orders Fight Covid‐19 Best? Policy Heterogeneity Across States And Adoption Time," Economic Inquiry, Western Economic Association International, vol. 59(1), pages 29-52, January.
    26. Ruhm, Christopher J., 2005. "Healthy living in hard times," Journal of Health Economics, Elsevier, vol. 24(2), pages 341-363, March.
    27. Catherine Hausman & David S. Rapson, 2018. "Regression Discontinuity in Time: Considerations for Empirical Applications," Annual Review of Resource Economics, Annual Reviews, vol. 10(1), pages 533-552, October.
    28. Brandon J. Restrepo & Eliana Zeballos, 2020. "The effect of working from home on major time allocations with a focus on food-related activities," Review of Economics of the Household, Springer, vol. 18(4), pages 1165-1187, December.
    29. Sabrina Wulff Pabilonia & Victoria Vernon, 2022. "Telework, Wages, and Time Use in the United States," Review of Economics of the Household, Springer, vol. 20(3), pages 687-734, September.
    30. Lívia Madeira Triaca & Paulo de Andrade Jacinto & Marco Túlio Aniceto França & César Augusto Oviedo Tejada, 2020. "Does greater unemployment make people thinner in Brazil?," Health Economics, John Wiley & Sons, Ltd., vol. 29(10), pages 1279-1288, October.
    31. Douglas L. Miller, 2023. "An Introductory Guide to Event Study Models," Journal of Economic Perspectives, American Economic Association, vol. 37(2), pages 203-230, Spring.
    32. Stefania Albanesi & Jiyeon Kim, 2021. "Effects of the COVID-19 Recession on the US Labor Market: Occupation, Family, and Gender," Journal of Economic Perspectives, American Economic Association, vol. 35(3), pages 3-24, Summer.
    33. Lipton, Brandy J. & Decker, Sandra L., 2015. "The effect of health insurance coverage on medical care utilization and health outcomes: Evidence from Medicaid adult vision benefits," Journal of Health Economics, Elsevier, vol. 44(C), pages 320-332.
    34. Goolsbee, Austan & Syverson, Chad, 2021. "Fear, lockdown, and diversion: Comparing drivers of pandemic economic decline 2020," Journal of Public Economics, Elsevier, vol. 193(C).
    35. Ehsan Latif, 2014. "The Impact Of Macroeconomic Conditions On Obesity In Canada," Health Economics, John Wiley & Sons, Ltd., vol. 23(6), pages 751-759, June.
    36. Rodrigo Aranda & Michael Darden & Donald Rose, 2021. "Measuring the impact of calorie labeling: The mechanisms behind changes in obesity," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2858-2878, November.
    37. Thomas Woods & Tatjana Miljkovic, 2022. "Modeling the Economic Cost of Obesity Risk and Its Relation to the Health Insurance Premium in the United States: A State Level Analysis," Risks, MDPI, vol. 10(10), pages 1-28, October.
    38. Decker, Sandra L. & Lipton, Brandy J., 2015. "Do Medicaid benefit expansions have teeth? The effect of Medicaid adult dental coverage on the use of dental services and oral health," Journal of Health Economics, Elsevier, vol. 44(C), pages 212-225.
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