Supermarket purchase contributes to nutrition-related non-communicable diseases in urban Kenya

Autor: Demmler, Kathrin M., Klasen, Stephan, Nzuma, Jonathan M., Qaim, Matin
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Blood Glucose
Male
AGRICULTURE
Physiology
lcsh:Medicine
Blood Pressure
Vascular Medicine
INDONESIA
Body Mass Index
Geographical Locations
Endocrinology
Medicine and Health Sciences
lcsh:Science
Metabolic Syndrome
Metabolic Syndrome X
food and beverages
Fasting
MALNUTRITION
Blood Sugar
Body Fluids
Multidisciplinary Sciences
Blood
Physiological Parameters
Science & Technology - Other Topics
Female
HEALTH
Anatomy
TRANSITION
Research Article
Adult
General Science & Technology
Endocrine Disorders
education
Nutritional Status
DIET
MIDDLE-INCOME COUNTRIES
MD Multidisciplinary
INSTRUMENTAL VARIABLES
Diabetes Mellitus
Humans
Obesity
Nutrition
Science & Technology
lcsh:R
Body Weight
Food Consumption
Biology and Life Sciences
SMALL FARMERS
Kenya
Cross-Sectional Studies
Food
Metabolic Disorders
People and Places
Africa
Housing
lcsh:Q
Physiological Processes
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 9, p e0185148 (2017)
ISSN: 1932-6203
Popis: Background While undernutrition and related infectious diseases are still pervasive in many developing countries, the prevalence of non-communicable diseases (NCD), typically associated with high body mass index (BMI), is rapidly rising. The fast spread of supermarkets and related shifts in diets were identified as possible factors contributing to overweight and obesity in developing countries. Potential effects of supermarkets on people’s health have not been analyzed up till now. Objective This study investigates the effects of purchasing food in supermarkets on people’s BMI, as well as on health indicators such as fasting blood glucose (FBG), blood pressure (BP), and the metabolic syndrome. Design This study uses cross-section observational data from urban Kenya. Demographic, anthropometric, and bio-medical data were collected from 550 randomly selected adults. Purchasing food in supermarkets is defined as a binary variable that takes a value of one if any food was purchased in supermarkets during the last 30 days. In a robustness check, the share of food purchased in supermarkets is defined as a continuous variable. Instrumental variable regressions are applied to control for confounding factors and establish causality. Results Purchasing food in supermarkets contributes to higher BMI (+ 1.8 kg/m2 ) (P
Databáze: OpenAIRE