Obesity of politicians and corruption in Ukraine in 2000–2020– Reply

We collected 469 frontal face images of Ukrainian cabinet ministers who were in office in 2000–2020. For each image, the minister's body mass index was estimated using a computer vision algorithm. The time series of median estimated body mass index of cabinet ministers co-moves over time with two existing measures of corruption – World Bank worldwide governance indicator Control of Corruption, and the discrepancy between the quantity of luxury wristwatches exported from Switzerland to Ukraine (reported by Swiss statistics) and the corresponding quantity imported by Ukraine from Switzerland (reported by Ukrainian statistics).     

肥胖对健康的危害及运动减肥

文章介绍了肥胖产生的原因及对人体健康的危害,并阐述了如何通过有效的体育运动进行减肥。     

The contribution of Western fast food to fast-growing body mass in China

The westernization of Asian countries has led to the rapid expansion of Western-style fast-food restaurants, which are believed to be fueling an unprecedented rise in body mass in these countries. This study tests this belief using longitudinal data from China. Exploiting the opening of a Western-style fast-food restaurant in a particular community, we conduct a transition analysis to make a more convincing causal interpretation than the standard cross-sectional or fixed-effects approach. Considering several measures of fatness, we find no robust evidence of Western fast food having a substantial effect overall, but there is some indication of effect heterogeneity.     

The cost of diabetes and obesity in Australia

Aims: To assess and compare the direct healthcare and non-healthcare costs and government subsidies by body weight and diabetes status.

Methods: The Australian Diabetes, Obesity and Lifestyle study collected health service utilization and health-related expenditure data at the 2011–2012 follow-up surveys. Costing data were available for 4,409 participants. Unit costs for 2016–2017 were used where available or were otherwise inflated to 2016–2017 dollars. Age- and sex-adjusted costs per person were estimated using generalized linear models.

Results: The annual total direct cost ranged from $1,998 per person with normal weight to $2,501 per person with obesity in participants without diabetes. For those with diabetes, total direct costs were $2,353 per person with normal weight, $3,263 per person with overweight, and $3,131 per person with obesity. Additional expenditure as government subsidies ranged from $5,649 per person with normal weight and no diabetes to $8,085 per person with overweight and diabetes. In general, direct costs and government subsidies were higher for overweight and obesity compared to normal weight, regardless of diabetes status, but were more noticeable in the diabetes sub-group. The annual total excess cost compared with normal weight people without diabetes was 26% for obesity alone and 46% for those with obesity and diabetes.

Limitations: Participants included in this study represented a healthier cohort than the Australian population. The relatively small sample of people with both obesity and diabetes prevented a more detailed analysis by obesity class.

Conclusion: Overweight and obesity are associated with increased costs, which are further increased in individuals who also have diabetes. Interventions to prevent overweight and obesity or reduce weight in people who are overweight or obese, and prevent diabetes, should reduce the financial burden.     

What's on the Menu? Policies to Reduce Young People's Sugar Consumption

Young people in the UK consume far above the maximum recommended levels of added sugar. It is likely that neither they nor their parents fully take account of the future health, social and economic costs of this high sugar consumption. This provides a rationale for policy intervention. The majority of young people's added sugar consumption occurs in the home, where purchases are typically made by parents. This means that understanding the purchase decisions of adults is important for policy design, even if the policies aim to reduce the consumption of young people. We discuss the merits of popular policies, including taxes, advertising restrictions and restrictions on the availability of specific foods, and we identify promising avenues for future research.     

Does Participation in the Food Stamp Program Increase the Prevalence of Obesity and Health Care Spending?

We use panel data techniques and information on state-level Food Stamp Program characteristics to obtain unbiased estimates of the impact of Food Stamp Program participation on weight status and health care spending among nonelderly adults. Our results suggest that program participation by women leads to a 5.9% (p = 0.07) increase in their likelihood of overweight and obesity, which is smaller than previous estimates, and to higher medical expenditures. The direct effect of program participation on medical spending through higher discretionary income is significantly larger than the indirect effect through changes in weight status.     

The Effect of Behavioral Contagion and Tie-Strength on Calorie Intake in Food Courts

Major contributors to the obesity epidemic are societal and result from sedentary lifestyles and consumption of high-calorie diets. Previous studies suggest that food choice behavior is socially transmissible. Hence, knowledge of the impact of social influence on calorie intake is critical to improve the understanding about the outcomes of policies related to healthful diets. There is the need to analyze the influence of social networks on choosing food in a public place. Thus, we interviewed groups of food court patrons in an all-you-can-eat college dining hall. Results show individuals dining in a group with at least one obese group member are consuming more calories from high-calorie foods and fewer calories from low-calorie foods. Food-related interactions in a group influenced food consumption. Hence, dining with obese peers likely increases calorie intake.     

Warning labels on junk food: experimental evidence

Unhealthy food choice is one of the main causes of being overweight. Nutritionists blame a particular category of food: junk food. Several authors have proposed a fat tax for reducing the junk food demand, but others have demonstrated that these taxes must be very high in order to be effective. Therefore, a warning label about calorie content may be an alternative way to reduce the consumption of junk food. In this exploratory study, using students as respondents, a high‐calorie warning label is explored with an incentive compatible valuation method. The results indicate that a high‐calorie warning label has little effect on respondents’ choices, even when they have no prior familiarity with the food.     

Parental perception of lunch schemes in Danish kindergartens: A cross-sectional survey

Children’s daily consumption of food in childcare institutions has an impact on their public health nutritional status. The collaboration of parents and employees of kindergartens is important to ensure healthy eating habits among the next generation. Consequently, evaluations of lunch schemes are important to provide a good foundation for enhancing communication between home and institutional settings. The aim of this article is to assess parental satisfaction and identify themes related to parental perceptions of lunch schemes in Danish kindergartens. A survey was developed and distributed in four kindergartens with lunch schemes. A combination of closed and open questions were used to evaluate satisfaction and identify positive and negative aspects of the lunch schemes. Parents of 93 children participated in the study and the response rate was 55%. Eighty-nine percent expressed satisfaction with their children’s lunch scheme. According to parents, the most positive aspects were that lunch schemes serve a variety of food, their ability to prevent neophobia, that children learn that eating is a social occasion, and that the arrangements offer convenience to parents. The negative aspects identified were the lack of communication between the kindergarten childcare institutions and the parents regarding the food. Overall, parents are very satisfied with their children’s lunch schemes; however, the information between institutions and parents could be improved.     

Food environments in Malta: Associations with store size and area-level deprivation

Food environments are potential targets for interventions to reduce obesity prevalence, particularly in island settings that are typically dependent on food imports. This observational study aimed to characterise the availability, quality and price of foods and beverages in a nationally representative sample of grocery stores in Malta using the Nutrition Environment Measures Survey for Stores (NEMS-S) instrument, and to examine the association between area-level density of different types of food stores and the likelihood of children living in these areas being overweight or obese. Fieldwork was carried out between March and May 2014. There was a strong positive correlation between store size and NEMS-S score (p = <0.001), suggesting that smaller grocery stores generally offered a smaller range of products and fewer healthy food/beverage options than larger supermarkets. Across all stores, median prices of certain ‘healthier’ versions of foods were more expensive than their less healthy alternatives. A significant association between risk of childhood overweight, and density of confectionery stores in children’s locality of residence, was found (OR 1.19; 95% CI: 1.04, 1.37). These baseline findings highlight opportunities to improve the food environment in Malta to support more healthful eating, and may be of particular interest to public health practitioners in island settings.