Article | Published:

Epidemiology and Population Health

The impact of rising food prices on obesity in women: a longitudinal analysis of 31 low-income and middle-income countries from 2000 to 2014

International Journal of Obesity (2018) | Download Citation

Abstract

Objectives

To examine whether changes in food prices are associated with changes in obesity prevalence among women in developing countries, and assess effect modification by individual socioeconomic status (SES).

Methods

Longitudinal study of country-level food price inflation temporally and geographically linked to anthropometric data on non-pregnant adult women (n = 295,984) in 31 low-income and middle-income countries over the 2000–2014 time period, using separate multivariable multilevel growth models of five SES indicators. Post-estimation analysis computed the relationship between food price inflation and predicted mean probabilities of being obese, by SES.

Results

Rising food price inflation was strongly associated with women’s obesity prevalence, and SES consistently modified the relationship. Regardless of indicator used, higher food price inflation was positively associated with obesity among women in top SES categories, but was flat or negative among women in low SES categories, averaging over time. The SES differences were widest across educational strata and were most pronounced when food price inflation was highest. Overall, for every 1-unit increase in food price inflation, predicted mean obesity prevalence was between 0.02 and 0.06 percentage points greater in women of high SES compared to low SES women.

Conclusion

There is a strong link between food price inflation and obesity in adult women in developing countries which is clearly modified by individuals’ SES. Greater food price inflation was associated with greater obesity prevalence only among women in higher SES groups, who may be net food buyers most at risk of obesity in low-income and middle-income countries.

Key points

  • This is the first longitudinal study specifically examining the impact of rising food prices on health across different social groups and countries.

  • Our study uses a robust multilevel model for change, with national food price inflation data linked to individual-level anthropometric and socioeconomic data between 2000 and 2014.

  • We found food price inflation was positively linked to obesity in women of high SES, but no associations in other groups, and potential further modification by country income group.

  • Study results are threatened by residual confounding from unavailable country and individual factors.

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Acknowledgements

The authors appreciate statistical support and expertise from the UCLA IDRE Statistical Consulting Group. We also thank the anonymous reviewers for this feedback to improve the manuscript.

Author contributions

Conceived and designed the experiments: AIC, AD, RS, NP. Performed the experiments: AIC. Analyzed the data: AIC, AD, RS, NP. Wrote the first draft: AIC. Contributed to the final paper: AIC, AD, RS, NP. All authors approved the final version.

Funding

The authors received no specific funding for this project. AIC acknowledges previous salary support from the CHIR Postdoctoral Fellowship Award (MFE-135520).

Author information

Affiliations

  1. Collaboration for Outcomes Research and Evaluation (CORE), Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, Canada

    • Annalijn I. Conklin
  2. Centre for Health Evaluation and Outcome Sciences, Providence Healthcare Research Institute, St. Paul’s Hospital, Vancouver, Canada

    • Annalijn I. Conklin
  3. WORLD Policy Analysis Center, UCLA Fielding School of Public Health, Los Angeles, USA

    • Annalijn I. Conklin
  4. Centre for Population and Development Studies, Harvard University, Cambridge, USA

    • Adel Daoud
  5. Center for Health Policy Research, UCLA Fielding School of Public Health, Los Angeles, USA

    • Riti Shimkhada
    •  & Ninez A. Ponce
  6. Center Global and Immigrant Health, UCLA Fielding School of Public Health, Los Angeles, USA

    • Ninez A. Ponce
  7. Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, USA

    • Ninez A. Ponce

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Conflict of interest

The authors declare that they have no conflict of interest.

Corresponding author

Correspondence to Annalijn I. Conklin.

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DOI

https://doi.org/10.1038/s41366-018-0178-y