2011/10/17 by James A. Levine · 1 citation
Medicine · Health Professions · #Obesity, Physical Activity, Diet #Health and Lifestyle Studies #Birth, Development, and Health
paper · pdf · doi:10.2337/db11-1118
openalex publication_date 2011/10/17 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/31
High-income countries have greater rates ofobesity than middle- and low-income countries(1). Countries that develop wealth also developobesity; for instance, with economic growth in China and India, obesity rates have increased by several-fold (1). The international trend is that greater obesity tracks with greater wealth (2,3). The U.S. is one of the wealthiest countries in the world and accordingly has high obesity rates; one-third of the population has obesity plus another third is overweight. The situation is predicted to worsen; rising childhood obesity rates forewarn of worsening statistics (4). While it is agreed that both individual factors such as genetic susceptibility and behavior are important in life-long weight gain, evidence is ill-defined with respect to the nature of the environmental influences that impact obe-sity (5). In 2010, 15.1 % of Americans lived in poverty based upon