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Epidemiologic and economic consequences of the global epidemics of obesity and diabetes

A Corrigendum to this article was published on 01 March 2006

This article has been updated

Overweight and obesity, the main drivers of type 2 diabetes, have long been regarded as health risks associated with affluence. Over the last decade, profound changes in the quality, quantity and source of food consumed in many developing countries, combined with a decrease in levels of physical activity among the population, have led to an increase in the prevalence of diabetes and its complications. Here, we present quantitative estimates of the epidemiological and economic impact of obesity and diabetes on developing countries. We provide the economic rationale for public policy action. We stress the importance of creating a roadmap to guide the development of comprehensive policies involving governments and private companies, and emphasize the need for experimentation in building the evidence while testing theories.

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Figure 1
Figure 2

Change history

  • 24 February 2006

    In the version of this article initially published, some information about sources was omitted. The citation of the data source for Table 1 should have included a reference to the World Health Organization SuRF 2 Report for the country estimates and the World Health Organization Global InfoBase for Global/Income group estimates. Figures 1 and 2 should have included a reference to Wild et al. (Diabetes Care 27, 1047–1053; 2004). This error has been corrected in the PDF version of the article.

Notes

  1. Note: In the version of this article initially published, some information about sources was omitted. The citation of the data source for Table 1 should have included a reference to the World Health Organization SuRF 2 Report for the country estimates and the World Health Organization Global InfoBase for Global/Income group estimates. Figures 1 and 2 should have included a reference to Wild et al. (Diabetes Care 27, 1047–1053; 2004). This error has been corrected in the PDF version of the article.

References

  1. World Health Organization. Preventing chronic diseases: a vital investment (2005).

  2. Wang, L., Kong, L., Wu, F., Bai, Y. & Burton, R. Lancet 366, 1821–1824 (2005).

    Article  Google Scholar 

  3. Srinath Reddy, K., Shah, B., Varghese, C. & Ramadoss, A. Lancet 366, 1744–1749 (2005).

    Article  CAS  Google Scholar 

  4. Lobstein, T., Bauer, L. Uauy, R. & IASO International Obesity TaskForce. Obes. Rev. 5 Suppl 1, 4–85 (2004).

    Article  Google Scholar 

  5. Tshabalala-Msimang, M. Speech by the Minister, Dr. Manto Tshabalala-Msimang at the Healthy Lifestyle Campaign. 15 September 2005 http://www.doh.gov.za/docs/sp/2005/sp0918.html

  6. James, W. et al. in Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors (World Health Organization, Geneva, 2003).

    Google Scholar 

  7. American Diabetes Association. Pediatrics 105, 671–680 (2000).

  8. Cockram, C. Hong Kong Med. J. 6, 43–52 (2000).

    CAS  PubMed  Google Scholar 

  9. Bloomgarden, Z. Diabetes Care 27, 998–1010 (2004).

    Article  Google Scholar 

  10. Pinhas-Hamiel, O. & Zeitler, P. J. Pediatr. 146, 693–700 (2005).

    Article  Google Scholar 

  11. Roglic, G. et al. Diabetes Care 28, 2130–2135 (2005).

    Article  Google Scholar 

  12. Cutler, D., Glaeser, E.L. & Shapiro, J.M. J. Econ. Perspect. 17, 93–118 (2003).

    Article  Google Scholar 

  13. Drewnowski, A. Am. J. Prev. Med. 27, 154–162 (2004).

    Article  Google Scholar 

  14. Chou, S., Grossman, M. & Saffer, H. J. Health Econ. 23, 565–587 (2004).

    Article  Google Scholar 

  15. Anderson, P.M., Butcher, K.F. & Levine, P.B. J. Health Econ. 22, 477–504 (2003).

    Article  Google Scholar 

  16. Variyam, J. Nutrition labeling in the food-away-from-home sector: an economic assessment. (Economic Research Service, US Department of Agriculture, 2005).

    Google Scholar 

  17. Pereira, M. et al. Lancet 365, 36–42 (2005).

    Article  Google Scholar 

  18. Finkelstein, E., Ruhm, C.J. & Kosa, K.M. Annu. Rev. Public Health 26, 239–257 (2005).

    Article  Google Scholar 

  19. World Health Organization & Food and Agriculture Organization. WHO Technical Report 916 (World Health Organization, Geneva, 2003).

  20. Putnam, J., Allshouse, J.E. & Kantor, L.S. Food Rev. 25, 2–15 (2002).

    Google Scholar 

  21. Center for Disease Control and Prevention. Morb. Mortal. Wkly. Rep. 53, 80–82 (2004).

  22. Nielsen, S. & Popkin, B.M. J. Am. Med. Assoc. 289, 450–453 (2003).

    Article  Google Scholar 

  23. Philipson, T. & Posner, R.A. Perspect. Biol. Med. 46, S87–S107 (2003).

    Article  Google Scholar 

  24. Oxford Health Alliance Working Group. Economic costs of chronic diseases and the economic rationale for public and private intervention. (Oxford Health Alliance, 2005).

  25. Ezzati, M. et al. PLoS Med 2, e133 (2005).

    Article  Google Scholar 

  26. Sturm, R. Health Aff. 21, 245–253 (2002).

    Article  Google Scholar 

  27. McGlynn, E. et al. N. Engl. J. Med. 348, 2635–2645 (2003).

    Article  Google Scholar 

  28. Niefeld, M. et al. Diabetes Care 26, 1344–1349 (2003).

    Article  Google Scholar 

  29. Barcelo, A., Aedo, C., Rajpathak, S. & Robles, S. Bull. World Health Organ. 81, 19–27 (2003).

    PubMed  PubMed Central  Google Scholar 

  30. Lin, T., Chou, P., Lai, M., Tsai, S. & Tai, T. Diabetes Res. Clin. Pract. 54 Suppl 1, 43–46 (2001).

    Article  Google Scholar 

  31. Gura, T. Science 299, 849–852 (2003).

    Article  CAS  Google Scholar 

  32. Santry, H., Gillen, D.L. & Lauderdale, D.S. J. Am. Med. Assoc. 294, 1909–1917 (2005).

    Article  CAS  Google Scholar 

  33. Lee, W. & Wang, W. Obes. Surg. 15, 751–757 (2005).

    Article  Google Scholar 

  34. Datar, A., Sturm, R. & Magnabosco, J.L. Obes. Res. 12, 58–68 (2004).

    Article  Google Scholar 

  35. Mo-suwan, L., Lebel, L., Puetopaiboon, A. & Junjana, C. Int. J. Obes. Relat. Metab. Disord. 23, 272–277 (1999).

    Article  CAS  Google Scholar 

  36. Kraut, A., Tate, R., Walld, R. & Mustard, C. Diabetes Care 24, 64–68 (2001).

    Article  CAS  Google Scholar 

  37. Cawley, J. J. Hum. Resour. 9, 451–474 (2004).

    Article  Google Scholar 

  38. Mete, C. & Schultz, T.P. Economics Growth Center, Yale University Discussion Paper No. 846 (2002).

  39. Sarlio-Lahteenkorva, S. & Lahelma, E. Int. J. Epidemiol. 28, 445–449 (1999).

    Article  CAS  Google Scholar 

  40. Cawley, J. & Danziger, S. National Bureau of Economic Research Working Paper No. 10508 (2004).

  41. Mackintosh, M. in RUIG: Réseau Universitaire International de Genève/United Nations Research Institute for Social Development, Geneva., 2003.

  42. Shobhana, R., Rama Rao, P., Lavanya, A., Williams, R., Vijay, V. & Ramachandran, A. Diabetes Res. Clin. Pract. 48, 37–42 (2000).

    Article  CAS  Google Scholar 

  43. Neuhann, H., Warter-Neuhann, C., Lyaruu, I. & Msuya, L. Diabetes Medicine 19, 509–513 (2002).

    Article  CAS  Google Scholar 

  44. Kibriya, M., Ali, L., Banik, N.G. & Khan, A.K. Diabetes Res. Clin. Pract. 46, 253–257 (1999).

    Article  CAS  Google Scholar 

  45. Henry-Lee, A. & Yearwood, A. Protecting the poor and medically indigent under health insurance: a case study in Jamaica. Small Applied Research 6 (Partnerships for Health Reform Project, Abt Associates Inc., Bethesda, Maryland, 1999).

    Google Scholar 

  46. Lakdawalla, D., Philipson, T. & Bhattacharya, J. American Economic Review 95 (2005).

    Google Scholar 

  47. Kuchler, F. & Ballenger, N. FoodReview 25, 33–37 (2002).

    Google Scholar 

  48. Philipson, T. Health Econ. 10, 1–7 (2001).

    Article  CAS  Google Scholar 

  49. Goetzel, R., Ozminkowski, R.J., Baase, C.M. & Billotti, G.M. J. Occup. Environ. Med. 47, 759–768 (2005).

    Article  Google Scholar 

  50. Leeder, S. Raymond, S., Greenberg, H., Liu, H. & Esson, K. A rage against time: the challenge of cardiovascular disease in developing countries. (The Earth Institute at Columbia University, New York, 2004).

    Google Scholar 

  51. American Diabetes Association. Diabetes Care 26, 917–932 (2003).

  52. Dawson, K.G., Gomes, D., Gerstein, H., Blanchard, J.F. & Kahler, K.H. Diabetes Care 25, 1303–1307 (2002).

    Article  Google Scholar 

  53. Chale, S.S. Swai, A.B., Mujinja, P.G. & McLarty, D.G. Brit. Med. J. 304, 1215–1218 (1992).

    Article  CAS  Google Scholar 

  54. US Department of Health and Human Services. The Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity (2001).

  55. Katzmarzyk, P.T. & Janssen, I. Can. J. Appl. Physiol. 29, 90–115 (2004).

    Article  Google Scholar 

  56. Schmid, A., Schneider, H., Golay, A. & Keller, U. Sozial- und Praventivmedizin 50, 87–94 (2005).

    Article  Google Scholar 

  57. Sander, B. & Bergemann, R. Eur. J. Health Econ. 4, 248–253 (2003).

    Article  Google Scholar 

  58. Popkin, B.M. J. Nutr. 131, 871S–873S (2001).

    Article  CAS  Google Scholar 

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Yach, D., Stuckler, D. & Brownell, K. Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med 12, 62–66 (2006). https://doi.org/10.1038/nm0106-62

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