全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Individual, Social, Economic, and Environmental Model: A Paradigm Shift for Obesity Prevention

DOI: 10.5402/2012/571803

Full-Text   Cite this paper   Add to My Lib

Abstract:

Obesity has joined the list of “wicked problems” with associated implications for public health, food security, and the entire food supply chain. This paper examines the possible causes, consequences, and policy implications, especially important in an environment of shrinking budgets. The causes of obesity are multifaceted and involve complex interactions; hence any successful prevention and mitigation strategy should identify the key factors and interactions thereof. We propose a dynamic and integrated individual, social, economic and environmental model (ISEEM) to accomplish this. Within this framework, the optimal mix of economic incentives, better education, and land use planning emerge as key factors in obesity prevention and mitigation and the promotion of healthier, more sustainable communities. The use of the ISEEM framework, involving a combination of strategies targeted to specific circumstances of individual communities and localities, could address this wicked problem in an environment characterized by increasing conflicts among budgets, heuristics, and politics. 1. Introduction Despite decades of research, policy makers are still debating the causes, consequences, and much needed policy interventions to combat obesity. Obesity is reaching epidemic proportions especially in the developed and, more recently, in the developing world, where the problem is compounded by a myriad of socioeconomic, demographic, built, and natural environmental factors. According to the World Health Organization (WHO) over one billion adults around the globe are overweight and about 700 million of those are considered to be obese [1]. In the United States about 64% of adults aged 20–74 are overweight and 30% of those are estimated to be obese [2, 3]. Obesity, defined in terms of body mass index (BMI), is a function of both height and weight. According to the National Institute of Health (NIH) US guidelines, adults having a BMI ≥ 30?(kg/m2) are considered obese, and those with a BMI 25–29.9?(kg/m2) are considered to be overweight. For children, a BMI at or above the 95th percentile, depending on age and sex-specific growth charts, is considered to be obese [4]. Overweight and obesity increase the risk of having other diseases, such as diabetes, cardiovascular diseases, and cancer [5, 6]. Health care expenditures of obesity in the USA are reported to be in the range of $11–14 billion for children and youth and $ 75–90 billion for adults [7]. The increased burden has led to an intense debate to call for significant policy initiatives to prevent obesity [8, 9]. While

References

[1]  WHO, Obesity and Overweight, Health Organization, Geneva, Switzerland, 2011.
[2]  CDC, Obesity and Overweight: Data for the U.S, Centers for Disease Control and Prevention, Unites States Department of Health and Human Resources, Atlanta, Ga, USA, 2011.
[3]  K. M. Flegal, M. D. Carroll, C. L. Ogden, and L. R. Curtin, “Prevalence and trends in obesity among US adults, 1999—2008,” Journal of the American Medical Association, vol. 303, no. 3, pp. 235–241, 2010.
[4]  R. J. Kuczmarski, C. L. Ogden, S. S. Guo et al., “CDC Growth Charts for the United States: methods and development,” Vital and Health Statistics. Series 11, Data from the National Health Survey, no. 246, pp. 1–190, 2002.
[5]  L. E. Egede and D. Zheng, “Modifiable cardiovascular risk factors in adults with diabetes: prevalence and missed opportunities for physician counseling,” Archives of Internal Medicine, vol. 162, no. 4, pp. 427–433, 2002.
[6]  G. Wang, Z. J. Zheng, G. Heath, C. Macera, M. Pratt, and D. Buchner, “Economic burden of cardiovascular disease associated with excess body weight in U.S. Adults,” American Journal of Preventive Medicine, vol. 23, no. 1, pp. 1–6, 2002.
[7]  J. F. Bell, F. J. Zimmerman, D. E. Arterburn, and M. L. MacIejewski, “Health-care expenditures of overweight and obese males and females in the medical expenditures panel survey by age cohort,” Obesity, vol. 19, no. 1, pp. 228–232, 2011.
[8]  V. Niehoff, “Childhood obesity: a call to action,” Bariatric Nursing and Surgical Patient Care, vol. 4, no. 1, pp. 17–23, 2009.
[9]  WHTFCO Solving the problem of childhood obesity within a generation, White House Task Force on Childhood Obesity, Washington, DC, USA, 2010.
[10]  M. Grossman, “On the concept of Health capital and the demand for health,” The Journal of Political Economy, vol. 80, pp. 223–253, 1972.
[11]  N. B. Belloc and L. Breslow, “Relationship of physical health status and health practices,” Preventive Medicine, vol. 1, no. 3, pp. 409–421, 1972.
[12]  R. F. Muth, “Household production and consumer demand functions,” Econometrica, vol. 34, pp. 699–708, 1966.
[13]  B. Anderson, S. Lyon-call, C. Fussman, G. Imes, and A. Rafferty, “Fast-food consumption and obesity among Michigan adults,” Preventive Chronic Diseases, vol. 8, p. A71, 2011.
[14]  L. V. Moore, A. V. Diez Roux, J. A. Nettleton, D. R. Jacobs, and M. Franco, “Fast-Food consumption, diet quality, and neighborhood exposure to fast food,” American Journal of Epidemiology, vol. 170, no. 1, pp. 29–36, 2009.
[15]  H. Stewart, N. Blisard, S. Bhuyan, and R. Nayga, The Demand for Food Away From Home Full-Service or Fast Food?, Economic Research Service, USDA, 2004.
[16]  N. K. Mehta and V. W. Chang, “Weight status and restaurant availability. A multilevel analysis,” American Journal of Preventive Medicine, vol. 34, no. 2, pp. 127–133, 2008.
[17]  S. Y. Chou, M. Grossman, and H. Saffer, “An economic analysis of adult obesity: results from the Behavioral Risk Factor Surveillance System,” Journal of Health Economics, vol. 23, no. 3, pp. 565–587, 2004.
[18]  L. M. Powell, S. Slater, D. Mirtcheva, Y. Bao, and F. J. Chaloupka, “Food store availability and neighborhood characteristics in the United States,” Preventive Medicine, vol. 44, no. 3, pp. 189–195, 2007.
[19]  S. T. Yen and B. H. Lin, “Beverage consumption among US children and adolescents: full-information and quasi maximum-likelihood estimation of a censored system,” European Review of Agricultural Economics, vol. 29, no. 1, pp. 85–103, 2002.
[20]  O. Capps, A. Clauson, J. Guthrie, G. Pittman, and M. Stockton, Contributions of Nonalcoholic Beverages to the U.S. Diet, Economic Research Service, USDA, 2005.
[21]  V. S. Malik, M. B. Schulze, and F. B. Hu, “Intake of sugar-sweetened beverages and weight gain: a systematic review,” American Journal of Clinical Nutrition, vol. 84, no. 2, pp. 274–288, 2006.
[22]  J. F. Guthrie and J. F. Morton, “Food sources of added sweeteners in the diets of Americans,” Journal of the American Dietetic Association, vol. 100, no. 1, pp. 43–51, 2000.
[23]  L. M. Powell and F. J. Chaloupka, “Food prices and obesity: evidence and policy implications for taxes and subsidies,” Milbank Quarterly, vol. 87, no. 1, pp. 229–257, 2009.
[24]  R. Knutson, J. Penn, and W. Boehm, Agricultural and Food Policy, Prentice Hall, New Jersey, NJ, USA, 1995.
[25]  R. Wilkinson, The Impact of Inequality, Routledge, New York, NY, USA, 2006.
[26]  A. Drewnowski and S. E. Specter, “Poverty and obesity: the role of energy density and energy costs,” American Journal of Clinical Nutrition, vol. 79, no. 1, pp. 6–16, 2004.
[27]  M. L. Loureiro and R. M. Nayga, “International dimensions of obesity and overweight related problems: an economics perspective,” American Journal of Agricultural Economics, vol. 87, no. 5, pp. 1147–1153, 2005.
[28]  A. Amarasinghe, G. D'Souza, C. Brown, H. Oh, and T. Borisova, “The influence of socioeconomic and environmental determinants on health and obesity: a West Virginia case study,” International Journal of Environmental Research and Public Health, vol. 6, no. 8, pp. 2271–2287, 2009.
[29]  M. S. Townsend, J. Peerson, B. Love, C. Achterberg, and S. P. Murphy, “Food insecurity is positively related to overweight in women,” Journal of Nutrition, vol. 131, no. 6, pp. 1738–1745, 2001.
[30]  L. Powell, S. Slater, and F. Chaloupka, “The relationship between community physical activity settings and race, ethnicity and socioeconomic status,” Evidence-Based Preventive Medicine, vol. 1, pp. 135–144, 2004.
[31]  J. Variyam, The Price is Right :Economics and Rising Obesity, Amber Waves, 2005.
[32]  D. Lakdawalla and T. Philipson, “The growth of obesity and technological change,” Economics and Human Biology, vol. 7, no. 3, pp. 283–293, 2009.
[33]  T. J. Philipson and R. A. Posner, “The long-run growth in obesity as a function of technological change,” Perspectives in Biology and Medicine, vol. 46, no. 3, pp. S87–S107, 2003.
[34]  D. M. Cutler, E. L. Glaeser, and J. M. Shapiro, “Why have Americans become more obese?” Journal of Economic Perspectives, vol. 17, no. 3, pp. 93–118, 2003.
[35]  Gronau, “Leisure, home production, and work: the theory of the allocation of time revisited,” The Journal of Political Economy, vol. 85, pp. 1099–1124, 1977.
[36]  M. A. Lee and M. Mather, “U.S. Labor force trends,” Population Bulletin, vol. 63, no. 2, pp. 3–16, 2008.
[37]  R. Sturm, “The economics of physical activity: societal trends and rationales for interventions,” American Journal of Preventive Medicine, vol. 27, no. 3, pp. 126–135, 2004.
[38]  J. A. Mendoza, F. J. Zimmerman, and D. A. Christakis, “Television viewing, computer use, obesity, and adiposity in US preschool children,” International Journal of Behavioral Nutrition and Physical Activity, vol. 4, article 44, 2007.
[39]  F. J. Zimmerman and J. F. Bell, “Associations of television content type and obesity in children,” American Journal of Public Health, vol. 100, no. 2, pp. 334–340, 2010.
[40]  L. Mancino, B. Lin, and N. Ballinger, The role of economics in eating choices and weight outcomes. Economic Research Service, USDA, Agriculture Information Bulletin Number 2004.
[41]  J. Feng, T. A. Glass, F. C. Curriero, W. F. Stewart, and B. S. Schwartz, “The built environment and obesity: a systematic review of the epidemiologic evidence,” Health and Place, vol. 16, no. 2, pp. 175–190, 2010.
[42]  M. A. Papas, A. J. Alberg, R. Ewing, K. J. Helzlsouer, T. L. Gary, and A. C. Klassen, “The built environment and obesity,” Epidemiologic Reviews, vol. 29, no. 1, pp. 129–143, 2007.
[43]  F. Li, P. A. Harmer, B. J. Cardinal et al., “Built environment, adiposity, and physical activity in adults aged 50–75,” American Journal of Preventive Medicine, vol. 35, no. 1, pp. 38–46, 2008.
[44]  R. Ewing, T. Schmid, R. Killingsworth, A. Zlot, and S. Raudenbush, “Relationship between urban sprawl and physical activity, obesity, and morbidity,” American Journal of Health Promotion, vol. 18, no. 1, pp. 47–57, 2003.
[45]  H. Frumkin, “Urban sprawl and public health,” Public Health Reports, vol. 117, no. 3, pp. 201–217, 2002.
[46]  J. Foster-Bey Sprawl, Smart Growth and Economic Opportunity, The Urban Institute, Metropolitan Housing Communities Policy Center, Program on Regional Economic Opportunities, Washington, DC, USA, 2002.
[47]  M. Pratt, C. A. Macera, J. F. Sallis, M. O'Donnell, and L. D. Frank, “Economic interventions to promote physical activity: application of the SLOTH model,” American Journal of Preventive Medicine, vol. 27, no. 3, pp. 136–145, 2004.
[48]  L. Freeman, “The effects of sprawl on neighborhood social ties,” Journal of the American Planning Association, vol. 67, no. 1, pp. 69–77, 2001.
[49]  R. Lopez, “Urban sprawl and risk for being overweight or obese,” American Journal of Public Health, vol. 94, no. 9, pp. 1574–1579, 2004.
[50]  K. Morland, S. Wing, and A. D. Roux, “The contextual effect of the local food environment on residents' diets: the atherosclerosis risk in communities study,” American Journal of Public Health, vol. 92, no. 11, pp. 1761–1767, 2002.
[51]  J. P. Block, R. A. Scribner, and K. B. Desalvo, “Fast food, race/ethnicity, and income: a geographic analysis,” American Journal of Preventive Medicine, vol. 27, no. 3, pp. 211–217, 2004.
[52]  D. D. Reidpath, C. Burns, J. Garrard, M. Mahoney, and M. Townsend, “An ecological study of the relationship between social and environmental determinants of obesity,” Health and Place, vol. 8, no. 2, pp. 141–145, 2002.
[53]  L. D. Frank and H. A. McKay, “Time to walk the talk: embracing the built environment to promote physical mobility,” British Journal of Sports Medicine, vol. 44, no. 9, p. 615, 2010.
[54]  L. D. Frank, M. A. Andresen, and T. L. Schmid, “Obesity relationships with community design, physical activity, and time spent in cars,” American Journal of Preventive Medicine, vol. 27, no. 2, pp. 87–96, 2004.
[55]  R. S. Rosenberger, Y. Sneh, T. T. Phipps, and R. Gurvitch, “A spatial analysis of linkages between health care expenditures, physical inactivity, obesity and recreation supply,” Journal of Leisure Research, vol. 37, no. 2, pp. 216–235, 2005.
[56]  D. Kim, S. V. Subramanian, S. L. Gortmaker, and I. Kawachi, “US state- and county-level social capital in relation to obesity and physical inactivity: a multilevel, multivariable analysis,” Social Science and Medicine, vol. 63, no. 4, pp. 1045–1059, 2006.
[57]  N. A. Christakis and J. H. Fowler, “The spread of obesity in a large social network over 32 years,” The New England Journal of Medicine, vol. 357, no. 4, pp. 370–379, 2007.
[58]  V. W. Chang, “Racial residential segregation and weight status among US adults,” Social Science and Medicine, vol. 63, no. 5, pp. 1289–1303, 2006.
[59]  J. M. Fletcher, D. E. Frisvold, and N. Tefft, “The effects of soft drink taxes on child and adolescent consumption and weight outcomes,” Journal of Public Economics, vol. 94, no. 11-12, pp. 967–974, 2010.
[60]  D. Miljkovic, W. Nganje, and H. de Chastenet, “Economic factors affecting the increase in obesity in the United States: differential response to price,” Food Policy, vol. 33, no. 1, pp. 48–60, 2008.
[61]  B. H. Lin, S. T. Yen, D. Dong, and D. M. Smallwood, “Economic incentives for dietary improvement among food stamp recipients,” Contemporary Economic Policy, vol. 28, no. 4, pp. 524–536, 2010.
[62]  M. F. Jacobson and K. D. Brownell, “Small taxes on soft drinks and snack foods to promote health,” American Journal of Public Health, vol. 90, no. 6, pp. 854–857, 2000.
[63]  D. Coate and M. Grossman, “Effects of alcoholic beverage prices and legal drinking ages on youth alcohol use,” Journal of Law and Economics, vol. 31, no. 1, pp. 145–171, 1988.
[64]  M. Grossman, “Health benefits of increases in alcohol and cigarette taxes,” British Journal of Addiction, vol. 84, no. 10, pp. 1193–1204, 1989.
[65]  E. A. Finkelstein, C. Zhen, J. Nonnemaker, and J. E. Todd, “Impact of targeted beverage taxes on higher- and lower-income households,” Archives of Internal Medicine, vol. 170, no. 22, pp. 2028–2034, 2010.
[66]  R. Sturm, L. M. Powell, J. F. Chriqui, and F. J. Chaloupka, “Soda taxes, soft drink consumption, and children's body mass index,” Health Affairs, vol. 29, no. 5, pp. 1052–1058, 2010.
[67]  C. Zhen, M. K. Wohlgenant, S. Karns, and P. Kaufman, “Habit formation and demand for sugar-sweetened beverages,” American Journal of Agricultural Economics, vol. 93, no. 1, pp. 175–193, 2011.
[68]  S. Cash, D. Sunding, and D. Zilberman, “Fat taxes and thing subsidies: prices, diet and health outcomes,” in Annual Meeting of the American Agricultural Economics Association, Denver, Colo, USA, 2004,.
[69]  R. Bahl, “Why levy discriminatory excises on soft drinks,” in of International Studies Program, Policy Studies, Georgia State University, 1998.
[70]  P. M. Suter, “Is alcohol consumption a risk factor for weight gain and obesity?” Critical Reviews in Clinical Laboratory Sciences, vol. 42, no. 3, pp. 197–227, 2005.
[71]  F. Pogue and L. Sgontz, “Taxing to control social costs: the case of alcohol,” The American Economic Review, vol. 79, pp. 235–243, 1989.
[72]  I. Parry, Comparing the Marginal Excess Burden of Labor, Petrol, Cigarette, and Alcohol Taxes: An Application to the United Kingdom, Resource for the Future, Washington, DC, USA, 2001.
[73]  J. Block and C. Walter, “Can taxing sugary soda influence consumption and avoid unanticipated consequences?” Choices, vol. 26, 2011.
[74]  J. Fletcher, “Soda Taxes and Substitution effects: will obesity be affected ?” Choices, vol. 26, 2011.
[75]  A. K. Amarasinghe, “Cost-effectiveness implications of GP intervention to promote physical activity: evidence from Perth, Australia,” Cost Effectiveness and Resource Allocation, vol. 8, article 10, 2010.
[76]  P. Bohm and C. S. Russell, “Comparative analysis of alternative policy instruments,” Handbook of Natural Resource and Energy Economics, pp. 395–460, 1985.
[77]  J. O. Hill, “Can a small-changes approach help address the obesity epidemic? A report of the joint task force of the american society for nutrition, institute of food technologists, and international food information council,” American Journal of Clinical Nutrition, vol. 89, no. 2, pp. 477–484, 2009.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133