Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Washington, DC, USA.
Health Econ. 2011 Feb;20(2):184-95. doi: 10.1002/hec.1579.
Overweight/obesity, caused by the 'nutrition transition', is identified as one of the leading risk factors for non-communicable mortality. The nutrition transition in developing countries is associated with a major shift from the consumption of staple crops and whole grains to highly and partially processed foods. This study examines the contribution of processed foods consumption to the prevalence of overweight/obesity in Guatemala using generalized methods of moments (GMM) regression. The results show that all other things remaining constant, a 10% point increase in the share of partially processed foods from the total household food expenditure increases the BMI of family members (aged 10 years and above) by 3.95%. The impact of highly processed foods is much stronger. A 10% point increase in the share of highly processed food items increases the BMI of individuals by 4.25%, ceteris paribus. The results are robust when body weight is measured by overweight/obesity indicators. These findings suggest that increasing shares of partially and highly processed foods from the total consumption expenditure could be one of the major risk factors for the high prevalence of overweight/obesity in the country.
超重/肥胖是由“营养转型”引起的,被认为是导致非传染性死亡率的主要危险因素之一。发展中国家的营养转型与主食和全谷物消费向高度和部分加工食品的重大转变有关。本研究使用广义矩法(GMM)回归,考察了加工食品消费对危地马拉超重/肥胖流行的贡献。结果表明,在其他所有条件保持不变的情况下,家庭食品总支出中部分加工食品份额增加 10%,会使家庭成员(10 岁及以上)的 BMI 增加 3.95%。高度加工食品的影响要强烈得多。高度加工食品份额增加 10%,会使个体的 BMI 增加 4.25%,其他条件不变。当体重用超重/肥胖指标来衡量时,结果是稳健的。这些发现表明,从总消费支出中增加部分和高度加工食品的份额,可能是该国超重/肥胖高流行率的主要危险因素之一。