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Current Obesity Reports
Published in: Current Obesity Reports 3/2020

01-09-2020 | Obesity | Etiology of Obesity (M Rosenbaum, Section Editor)

Socioeconomics of Obesity

Authors: Chika Vera Anekwe, Amber R. Jarrell, Matthew J. Townsend, Gabriela I. Gaudier, Julia M. Hiserodt, Fatima Cody Stanford

Published in: Current Obesity Reports | Issue 3/2020

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Abstract

Purpose of Review

The purpose of this review is to evaluate and emphasize important findings in the recent literature regarding the socioeconomics of obesity. It is important to evaluate trends of this global epidemic and elucidate its impact on different demographic groups and across socioeconomic strata.

Recent Findings

Obesity rates continue to increase domestically and globally which is associated with a concomitant rise in medical and economic costs. There are disparities in obesity rates based on race/ethnicity, sex, gender and sexual identity, and socioeconomic status, yet these disparities are not explained fully by health behaviors, socioeconomic position, or cumulative stress alone—community and societal environmental factors have a significant role in the obesity epidemic.

Summary

Socioeconomic factors contribute to obesity on an individual and community level, and any viable approach to sustainably addressing the obesity epidemic must take these factors into account.
Literature
1.
CDC, Defining adult overweight and obesity, CDC, Editor. 2017.
2.
Zhang Q and Wang Y. Trends in the association between obesity and socioeconomic status in U.S. adults: 1971 to 2000. 2004. 12(10): p. 1622-1632.
3.
4.
Hales C, et al., Prevalence of obesity among adults: United States, 2017–2018. 2020: NCHS Data Brief. p. 1–8.
5.
Ward ZJ, Bleich SN, Cradock AL, Barrett JL, Giles CM, Flax C, et al. Projected U.S. state-level prevalence of adult obesity and severe obesity. N Engl J Med. 2019;381:2440–50.
6.
Azagba S, Shan L, Latham K. Overweight and obesity among sexual minority adults in the United States. Int J Environ Res Public Health. 2019;16(10):1828.PubMedCentralCrossRef
7.
Grammer AC, et al. Overweight and obesity in sexual and gender minority adolescents: a systematic review. Obesity Reivews, 2019. 20(10).
8.
Jarin J, et al. Cross-sex hormones and metabolic parameters in adolescents with gender dysphoria. Pediatrics, 2017. 139(5).
9.
MacKay AP, Duran C. Adolescent health in the United States, CDC, Editor. 2007. National Center for Health Statistics.
10.
Hardin, A.P. and J.M. Hackell, Age limit of pediatrics. Pediatrics, 2017. 140(3): p. e20172151.
11.
CDC, Defining childhood obesity, CDC, Editor. 2018.
12.
Ogden CL, Carroll MD, Lawman HG, Fryar CD, Kruszon-Moran D, Kit BK, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA. 2016;315(21):2292–9.
13.
14.
Cuevas AG, et al. Assessing the role of health behaviors, socioeconomic status, and cumulative stress for racial/ethnic disparities in obesity. Obesity. 2020;28(1):161–70.PubMedCrossRef
15.
Kwarteng JL, Schulz AJ, Mentz GB, Israel BA, Perkins DW. Independent effects of neighborhood poverty and psychosocial stress on obesity over time. J Urban Health. 2017;94:791–802.PubMedPubMedCentralCrossRef
16.
Clarke PJ, O’Malley PM, Schulenberg JE, Johnston LD. Midlife health and socioeconomic consequences of persistent overweight across early adulthood: findings from a national survey of American adults (1986-2008). Am J Epidemiol. 2010;172(5):540–8.PubMedPubMedCentralCrossRef
17.
Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH. Social and economic consequences of overweight in adolescence and young adulthood. N Engl J Med. 1993;329(14):1008–12.PubMedCrossRef
18.
Hiilamo A, Lallukka T, Mänty M, Kouvonen A. Obesity and socioeconomic disadvantage in midlife female public sector employees: a cohort study. BMC Public Health. 2017;17:842.PubMedPubMedCentralCrossRef
19.
20.
Puhl RM, Andreyeva T, Brownell KD. Perceptions of weight discrimination: prevalence and comparison to race and gender discrimination in America. Int J Obes. 2008;32:992–1000.CrossRef
21.
22.
Phelan SM, Burgess DJ, Yeazel MW, Hellerstedt WL, Griffin JM, van Ryn M. Impact of weight bias and stigma on quality of care and outcomes for patients with obesity. Obes Rev. 2015;16(4):319–26.PubMedPubMedCentralCrossRef
23.
Baum CL 2nd, Ford WF. The wage effects of obesity: a longitudinal study. Health Econ. 2004;13(9):885–99.PubMedCrossRef
24.
Pinkston JC. The dynamic effects of obesity on the wages of young workers. Econ Hum Biol. 2017;27(Pt A):154–66.PubMedCrossRef
25.
Huizinga MM, Bleich SN, Beach MC, Clark JM, Cooper LA. Disparity in physician perception of patients’ adherence to medications by obesity status. Obesity. 2010;18(10):1932–7.PubMedCrossRef
26.
27.
Latner JD, Durso LE, Mond JM. Health and health-related quality of life among treatment-seeking overweight and obese adults: associations with internalized weight bias. J Eat Disord. 2013;1:3.PubMedPubMedCentralCrossRef
28.
Rubino F, Puhl RM, Cummings DE, Eckel RH, Ryan DH, Mechanick JI, et al. Joint international consensus statement for ending stigma of obesity. Nat Med. 2020;26(4):485–97.
29.
Coleman-Jensen, A., et al., Statistical supplement to household food security in the United States in 2017. 2018, US Department of Agriculture Economic Research Service: Washington, DC.
30.
Metallinos-Katsaras, E., A. Must, and Gorman K. A longitudinal study of food insecurity on obesity in preschool children 2012. 112(12): p. 1949–1958.
31.
32.
Franklin B, Jones A, Love D, Puckett S, Macklin J, White-Means S. Exploring mediators of food insecurity and obesity: a review of recent literature. J Community Health. 2012;37(1):253–64.PubMedPubMedCentralCrossRef
33.
Rummo PE, Feldman JM, Lopez P, Lee D, Thorpe LE, Elbel B. Impact of changes in the food, built, and socioeconomic environment on BMI in US counties, BRFSS 2003-2012. Obesity. 2020;28(1):31–9.PubMedCrossRef
34.
Morland K, Diez Roux AV, Wing S. Supermarkets, other food stores, and obesity: the atherosclerosis risk in communities study. Am J Prev Med. 2006;30(4):333–9.PubMedCrossRef
35.
Boone-Heinonen J, Diez-Roux AV, Goff DC, Loria CM, Kiefe CI, Popkin BM, et al. The neighborhood energy balance equation: does neighborhood food retail environment + physical activity environment = obesity? The CARDIA study PLoS One. 2013;8(12):e85141.
36.
Auchincloss AH, Mujahid MS, Shen M, Michos ED, Whitt-Glover MC, Diez Roux AV. Neighborhood health-promoting resources and obesity risk (the multi-ethnic study of atherosclerosis). Obesity (Silver Spring). 2013;21(3):621–8.CrossRef
37.
Harvey JR, Ogden D. Obesity treatment in disadvantaged population groups: where do we stand and what can we do? Prev Med. 2014;86:71–5.CrossRef
38.
Osei-Assibey G, Kyrou I, Adi Y, Kumar S, Matyka K. Dietary and lifestyle interventions for weight management in adults from minority ethnic/non-White groups: a systematic review. Obes Rev. 2010;11(11):769–76.PubMedCrossRef
39.
Bennett GG, Warner ET, Glasgow RE, Askew S, Goldman J, Ritzwoller DP, et al. Obesity treatment for socioeconomically disadvantaged patients in primary care practice. Arch Intern Med. 2012;172(7):565–74.
40.
Cossrow N, Falkner B. Race/ethnic issues in obesity and obesity-related comorbidities. J Clin Endocrinol Metab. 2004;89(6):2590–4.PubMedCrossRef
41.
Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 2002;287(3):356–9.PubMedCrossRef
42.
Calle EE, Thun MJ, Petrelli JM, Rodriguez C, Heath CW Jr. Body-mass index and mortality in a prospective cohort of U.S. adults. N Engl J Med. 1999;341(15):1097–105.PubMedCrossRef
43.
Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA. 2003;289(2):187–93.PubMedCrossRef
44.
August KJ, Sorkin DH. Racial/ethnic disparities in exercise and dietary behaviors of middle-aged and older adults. J Gen Intern Med. 2011;26(3):245–50.PubMedCrossRef
45.
Krueger PM and Reither EN, Mind the gap: race/ethnic and socioeconomic disparities in obesity. 2015. 11(95).
46.
47.
48.
Jones-Smith JC, Gordon-Larsen P, Siddiqi A, Popkin BM. Cross-national comparisons of time trends in overweight inequality by socioeconomic status among women using repeated cross-sectional surveys from 37 developing countries, 1989-2007. Am J Epidemiol. 2011;173(6):667–75.PubMedPubMedCentralCrossRef
49.
Devaux M, Sassi F. Social inequalities in obesity and overweight in 11 OECD countries. Eur J Pub Health. 2013;23(3):464–9.CrossRef
50.
Ogden CL, et al. Obesity and socioeconomic status in adults: United States, 2005–2008, in NCHS data brief, U.S.D.o.H.a.H. Services, Editor. 2010.
51.
Sweeting H. Gendered dimensions of obesity in childhood and adolescence. Nutr J. 2008;7.
52.
Waters, H. and M. Graf, America’s obesity crisis: the health and economic costs of excess weight. 2018, Milken Institute.
53.
Abdullah A, Peeters A, de Courten M, Stoelwinder J. The magnitude of association between overweight and obesity and the risk of diabetes: a meta-analysis of prospective cohort studies. Diabetes Res Clin Pract. 2010;89(3):309–19.CrossRefPubMed
54.
Polednak AP. Estimating the number of U.S. incident cancers attributable to obesity and the impact on temporal trends in incidence rates for obesity-related cancers. Cancer Detect Prev. 2008;32(3):190–9.PubMedCrossRef
55.
Glance LG, Li Y, Osler TM, Mukamel DB, Dick AW. Impact of obesity on mortality and complications in trauma patients. Ann Surg. 2014;259(3):576–81.PubMedCrossRef
56.
Thompson D, Edelsberg J, Colditz GA, Bird AP, Oster G. Lifetime health and economic consequences of obesity. Arch Intern Med. 1999;159(18):2177–83.PubMedCrossRef
57.
Hammond, R.A. and R. Levine, The economic impact of obesity in the United States. Diabetes Metab Syndr Obes . 2010. 3.
58.
Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289(1):76–9.
59.
Kleinman N, Abouzaid S, Andersen L, Wang Z, Powers A. Cohort analysis assessing medical and nonmedical cost associated with obesity in the workplace. J Occup Environ Med. 2014;56(2):161–70.PubMedCrossRef
60.
Asay GRB, et al. Absenteeism and employer costs associated with chronic diseases and health risk factors in the US workforce. Prev Chronic Dis. 2016;13:E141–1.
61.
Goettler A, Grosse A, Sonntag D. Productivity loss due to overweight and obesity: a systematic review of indirect costs. BMJ Open. 2017;7(10):e014632–2.
62.
Ricci JA, Chee E. Lost productive time associated with excess weight in the U.S. workforce. J Occup Environ Med. 2005;47(12):1227–34.PubMedCrossRef
63.
Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA. 2003;289(2):187–93.PubMedCrossRef
64.
Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Mamun AA, Bonneux L, et al. Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med. 2003;138(1):24–32.
65.
Dannenberg AL, Burton DC, Jackson RJ. Economic and environmental costs of obesity: the impact on airlines. Am J Prev Med. 2004;27(3):264–4.
66.
Jacobson SH, King DM. Measuring the potential for automobile fuel savings in the US: the impact of obesity. Transp Res D. 2009;14(1):6–13.CrossRef
67.
Jacobson SH, McLay LA. The economic impact of obesity on automobile fuel consumption. Eng Econ. 2006;51(4):307–23.CrossRef
68.
Black N, Johnston DW, Peeters A. Childhood obesity and cognitive achievement. Health Econ. 2015;24(9):1082–100.PubMedCrossRef
69.
Hagman E, Danielsson P, Brandt L, Svensson V, Ekbom A, Marcus C. Childhood obesity, obesity treatment outcome, and achieved education: a prospective cohort study. J Adolesc Health. 2017;61(4):508–13.PubMedCrossRef
70.
French SA, et al. Obesity in adolescence predicts lower educational attainment and income in adulthood: the Project EAT Longitudinal Study. Obesity (Silver Spring, Md.), 2018. 26(9): p. 1467–1473.
71.
Apovian, C.M., The clinical and economic consequences of obesity Am J Manag Care, 2013. 19(10 Suppl): p. s219–s228.
72.
Kolotkin RL, Andersen JR. A systematic review of reviews: exploring the relationship between obesity, weight loss and health-related quality of life. Clinical obesity. 2017;7(5):273–89.PubMedPubMedCentralCrossRef
73.
Ng M, et al. Global, regional and national prevalence of overweight and obesity in children and adults 1980-2013: A systematic analysis. The Lancet, 2014. 384(9945):766–81.
75.
Dobbs R, et al. Overcoming obesity: an initial economic analysis. 2014. McKinsey Global Institute.
76.
Tremmel, M., et al., Economic burden of obesity: a systematic literature review. Int J Environ Res Public Health, 2017. 14(4).
77.
Withrow D, Alter DA. The economic burden of obesity worldwide: a systematic review of the direct costs of obesity. Obes Rev. 2011;12(2):131–41.PubMedCrossRef
78.
Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. Int J Obes. 2008;32(9):1431–7.CrossRef
79.
Lyn R, Heath E, Dubhashi J. Global implementation of obesity prevention policies: a review of progress, politics, and the path forward. Curr Obes Rep. 2019;8(4):504–16.PubMedCrossRef
80.
Afshin A, et al. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13–27.PubMedCrossRef
81.
Ghosh A, Charlton KE, and Batterham MJ. Socioeconomic disadvantage and its implications for population health planning of obesity and overweight, using cross-sectional data from general practices from a regional catchment in Australia. BMJ, 2016. 6(5).
Metadata
Title
Socioeconomics of Obesity
Authors
Chika Vera Anekwe
Amber R. Jarrell
Matthew J. Townsend
Gabriela I. Gaudier
Julia M. Hiserodt
Fatima Cody Stanford
Publication date
01-09-2020
Publisher
Springer US
Keywords
Obesity
Obesity
Published in
Current Obesity Reports / Issue 3/2020
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-020-00398-7

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