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Cross-Country Variation in Obesity Patterns among Older Americans and Europeans

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  • Pierre-Carl Michaud
  • Arthur Van Soest
  • Tatiana Andreyeva

Abstract

While the fraction of obese people is not as large in Europe as in the United States, obesity is becoming an important issue in Europe as well. Using comparable data from the Survey of Health, Aging and Retirement in Europe (SHARE) and the Health and Retirement Study in the U.S. (HRS), this paper analyzes the correlates of obesity in the population ages 50 and above, focusing on measures of energy intake and expenditure as well as socio-economic status. The main results are as follows: 1) Obesity rates differ substantially on both sides of the Atlantic and across European countries, with most of the difference coming from the right tail of the weight distribution. 2) Part of the difference in obesity prevalence between the U.S. and Europe is explained by a higher fraction of food eaten away from home and notably lower time devoted to cooking in the U.S. 3) Sedentary lifestyle or a lack of vigorous and moderate physical activity may also explain a substantial share of the cross-country differences. 4) Differential SES patterns of energy intake and expenditure across countries cannot fully account for the observed cross-country variation in the SES gradient in obesity.

Suggested Citation

  • Pierre-Carl Michaud & Arthur Van Soest & Tatiana Andreyeva, 2007. "Cross-Country Variation in Obesity Patterns among Older Americans and Europeans," Working Papers WR-495, RAND Corporation.
    • Handle: RePEc:ran:wpaper:wr-495
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    References listed on IDEAS

    as
    1. Tatiana Andreyeva & Pierre-Carl Michaud & Arthur Van Soest, 2005. "Obesity and Health in Europeans Ages 50 and Above," Working Papers WR-331, RAND Corporation.
    2. Lakdawalla, Darius & Philipson, Tomas J., 2002. "The Growth of Obesity and Technological Change: A Theoretical and Empirical Examination," Working Papers 174, The University of Chicago Booth School of Business, George J. Stigler Center for the Study of the Economy and the State.
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    Cited by:

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    2. Cavaco, Sandra & Eriksson, Tor & Skalli, Ali, 2014. "Life cycle development of obesity and its determinants in six European countries," Economics & Human Biology, Elsevier, vol. 14(C), pages 62-78.
    3. Michaud, Pierre-Carl & Goldman, Dana P. & Lakdawalla, Darius N. & Zheng, Yuhui & Gailey, Adam H., 2009. "Understanding the Economic Consequences of Shifting Trends in Population Health," IZA Discussion Papers 4366, Institute of Labor Economics (IZA).
    4. Giorgio Brunello & Pierre-Carl Michaud & Anna Sanz-de-Galdeano, 2008. "The Rise in Obesity Across the Atlantic An Economic Perspective," Working Papers WR-586, RAND Corporation.
    5. Cawley, John & Maclean, Johanna Catherine & Sikora Kessler, Asia, 2017. "Reporting error in weight and height among older adults: Implications for estimating healthcare costs," The Journal of the Economics of Ageing, Elsevier, vol. 9(C), pages 122-144.
    6. Brunello, Giorgio & Michaud, Pierre-Carl & Sanz-de-Galdeano, Anna, 2008. "The Rise in Obesity across the Atlantic: An Economic Perspective," IZA Discussion Papers 3529, Institute for the Study of Labor (IZA).
    7. Gwozdz, Wencke & Sousa-Poza, Alfonso & Reisch, Lucia A. & Ahrens, Wolfgang & Eiben, Gabriele & M. Fernandéz-Alvira, Juan & Hadjigeorgiou, Charalampos & De Henauw, Stefaan & Kovács, Eva & Lauria, Fabio, 2013. "Maternal employment and childhood obesity – A European perspective," Journal of Health Economics, Elsevier, vol. 32(4), pages 728-742.
    8. Daouli, Joan & Davillas, Apostolos & Demoussis, Michael & Giannakopoulos, Nicholas, 2013. "The determinants of body mass in Greece: Evidence from the National Health Survey," MPRA Paper 66392, University Library of Munich, Germany.
    9. Pieroni, L. & Salmasi, L., 2014. "Fast-food consumption and body weight. Evidence from the UK," Food Policy, Elsevier, vol. 46(C), pages 94-105.
    10. Pieroni, Luca & Salmasi, Luca, 2010. "Body weight and socio-economic determinants: quantile estimations from the British Household Panel Survey," ISER Working Paper Series 2010-41, Institute for Social and Economic Research.
    11. Shinsuke Ikeda & Kang Myong-Il & Fumio Ohtake, 2009. "Fat Debtors: Time Discounting, Its Anomalies, and Body Mass Index," ISER Discussion Paper 0732, Institute of Social and Economic Research, Osaka University.
    12. Anna Sanz de Galdeano, 2007. "An Economic Analysis of Obesity in Europe: Health, Medical Care and Absenteeism Costs," Working Papers 2007-38, FEDEA.
    13. Ikeda, Shinsuke & Kang, Myong-Il & Ohtake, Fumio, 2010. "Hyperbolic discounting, the sign effect, and the body mass index," Journal of Health Economics, Elsevier, vol. 29(2), pages 268-284, March.
    14. Costa-Font, Joan & Fabbri, Daniele & Gil, Joan, 2009. "Decomposing body mass index gaps between Mediterranean countries: A counterfactual quantile regression analysis," Economics & Human Biology, Elsevier, vol. 7(3), pages 351-365, December.
    15. Michael Lechner, 2008. "Long-Run Labour Market Effects of Individual Sports Activities," SOEPpapers on Multidisciplinary Panel Data Research 114, DIW Berlin, The German Socio-Economic Panel (SOEP).
    16. Maruyama, Shiko & Nakamura, Sayaka, 2018. "Why are women slimmer than men in developed countries?," Economics & Human Biology, Elsevier, vol. 30(C), pages 1-13.
    17. Firman Witoelar & John Strauss & Bondan Sikoki, 2009. "Socioeconomic Success and Health in Later Life Evidence from the Indonesia Family Life Survey," Working Papers WR-704, RAND Corporation.
    18. Xiaoyan Li & Nicole Maestas, 2008. "Does the Rise in the Full Retirement Age Encourage Disability Benefits Applications? Evidence from the Health and Retirement Study," Working Papers wp198, University of Michigan, Michigan Retirement Research Center.
    19. Cavaco, Sandra & Eriksson, Tor & Skalli, Ali, 2011. "Life Cycle Development of Obesity and Its Determinants," Working Papers 11-7, University of Aarhus, Aarhus School of Business, Department of Economics.

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    More about this item

    Keywords

    Body Mass Index; International Comparison; SHARE;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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