IDEAS home Printed from https://ideas.repec.org/p/ags/gagfdp/108350.html
   My bibliography  Save this paper

Direct and Indirect Determinants of Obesity: The Case of Indonesia

Author

Listed:
  • Romling, Cornelia
  • Qaim, Matin

Abstract

Overweight and obesity are becoming serious issues in many developing countries. Since undernutrition is not completely eradicated yet, these countries face a dual burden that obstructs economic development. We analyze the nutrition transition in Indonesia using longitudinal data from the Indonesian Family and Life Survey, covering the period between 1993 and 2007. Obesity has been increasing remarkably across all population groups, including rural and low income strata. Prevalence rates are particularly high for women. We also develop a framework to analyze direct and indirect determinants of body mass index. This differentiation has rarely been made in previous research, but appears useful for policy making purposes. Regression models show that changing food consumption patterns coupled with decreasing physical activity levels during work and leisure time directly contribute to increasing obesity. Education, income, and marital status are significant determinants that influence nutritional status more indirectly. Change regressions underline that there are important path-dependencies. From a policy perspective, nutrition awareness and education campaigns, combined with programs to support leisure time exercise, seem to be most promising to contain the obesity pandemic. Women should be at the center of policy attention.

Suggested Citation

  • Romling, Cornelia & Qaim, Matin, 2011. "Direct and Indirect Determinants of Obesity: The Case of Indonesia," GlobalFood Discussion Papers 108350, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.
  • Handle: RePEc:ags:gagfdp:108350
    DOI: 10.22004/ag.econ.108350
    as

    Download full text from publisher

    File URL: https://ageconsearch.umn.edu/record/108350/files/GlobalFood_DP4.pdf
    Download Restriction: no

    File URL: https://libkey.io/10.22004/ag.econ.108350?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Raghav Gaiha & Raghbendra Jha & Vani S. Kulkarni, 2010. "Obesity, Affluence and Urbanisation in India," ASARC Working Papers 2010-10, The Australian National University, Australia South Asia Research Centre.
    2. Case, Anne & Menendez, Alicia, 2009. "Sex differences in obesity rates in poor countries: Evidence from South Africa," Economics & Human Biology, Elsevier, vol. 7(3), pages 271-282, December.
    3. Smith, Lisa C. & Haddad, Lawrence James, 2000. "Explaining child malnutrition in developing countries: a cross-country analysis," Research reports 111, International Food Policy Research Institute (IFPRI).
    4. repec:pri:cheawb:case_and_menendez_ehb_dec_2009 is not listed on IDEAS
    5. Sonya Huffman & Marian Rizov, 2010. "The Rise of Obesity in Transition: Theory and Empirical Evidence from Russia," Journal of Development Studies, Taylor & Francis Journals, vol. 46(3), pages 574-594.
    6. Tomas Philipson, 2001. "The world‐wide growth in obesity: an economic research agenda," Health Economics, John Wiley & Sons, Ltd., vol. 10(1), pages 1-7, January.
    7. Awudu Abdulai, 2010. "Socio-economic characteristics and obesity in underdeveloped economies: does income really matter?," Applied Economics, Taylor & Francis Journals, vol. 42(2), pages 157-169.
    8. Offer, Avner & Pechey, Rachel & Ulijaszek, Stanley, 2010. "Obesity under affluence varies by welfare regimes: The effect of fast food, insecurity, and inequality," Economics & Human Biology, Elsevier, vol. 8(3), pages 297-308, December.
    9. Caputo, Angelika & Foraita, Ronja & Klasen, Stephan & Pigeot, Iris, 2003. "Undernutrition in Benin--an analysis based on graphical models," Social Science & Medicine, Elsevier, vol. 56(8), pages 1677-1691, April.
    10. Lakdawalla, Darius & Philipson, Tomas, 2009. "The growth of obesity and technological change," Economics & Human Biology, Elsevier, vol. 7(3), pages 283-293, December.
    11. Yang Lu & Dana Goldman, 2010. "The Effects of Relative Food Prices on Obesity -- Evidence from China: 1991-2006," NBER Working Papers 15720, National Bureau of Economic Research, Inc.
    12. Popkin, Barry M., 1999. "Urbanization, Lifestyle Changes and the Nutrition Transition," World Development, Elsevier, vol. 27(11), pages 1905-1916, November.
    13. Fernald, Lia C.H., 2007. "Socio-economic status and body mass index in low-income Mexican adults," Social Science & Medicine, Elsevier, vol. 64(10), pages 2030-2042, May.
    14. repec:pri:cheawb:case_and_menendez_ehb_dec_2009.pdf is not listed on IDEAS
    15. Odelia Rosin, 2008. "The Economic Causes Of Obesity: A Survey," Journal of Economic Surveys, Wiley Blackwell, vol. 22(4), pages 617-647, September.
    16. Offer, Avner & Pechey, Rachel & Ulijaszek, Stanley, 2010. "Obesity under affluence varies by welfare regimes: The effect of fast food, insecurity, and inequality," Economics & Human Biology, Elsevier, vol. 8(3), pages 297-308, December.
    17. Valeggia, Claudia R. & Burke, Kevin M. & Fernandez-Duque, Eduardo, 2010. "Nutritional status and socioeconomic change among Toba and Wichí populations of the Argentinean Chaco," Economics & Human Biology, Elsevier, vol. 8(1), pages 100-110, March.
    18. Asfaw, Abay, 2007. "Do Government Food Price Policies Affect the Prevalence of Obesity? Empirical Evidence from Egypt," World Development, Elsevier, vol. 35(4), pages 687-701, April.
    19. Bing Ma, 2010. "Socioeconomic Status and Obesity Gradient over Age:New Evidence from China," UMBC Economics Department Working Papers 10-122, UMBC Department of Economics, revised 01 Mar 2012.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Emamian, Mohammad Hassan & Fateh, Mansooreh & Hosseinpoor, Ahmad Reza & Alami, Ali & Fotouhi, Akbar, 2017. "Obesity and its socioeconomic determinants in Iran," Economics & Human Biology, Elsevier, vol. 26(C), pages 144-150.
    2. Oyedolapo A. Anyanwu & Elena N. Naumova & Virginia R. Chomitz & Fang Fang Zhang & Kenneth Chui & Martha I. Kartasurya & Sara C. Folta, 2022. "The Effects of the COVID-19 Pandemic on Nutrition, Health and Environment in Indonesia: A Qualitative Investigation of Perspectives from Multi-Disciplinary Experts," IJERPH, MDPI, vol. 19(18), pages 1-20, September.
    3. Pushkar Maitra & Nidhiya Menon, 2019. "Portliness Amidst Poverty: Evidence from India," Arthaniti: Journal of Economic Theory and Practice, , vol. 18(2), pages 138-170, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Römling, Cornelia & Qaim, Matin, 2011. "Direct and Indirect Determinants of Obesity: The Case of Indonesia," Proceedings of the German Development Economics Conference, Berlin 2011 70, Verein für Socialpolitik, Research Committee Development Economics.
    2. repec:zbw:gdec11:aglobalfooddiscussionpapersx4 is not listed on IDEAS
    3. Tafreschi, Darjusch, 2015. "The income body weight gradients in the developing economy of China," Economics & Human Biology, Elsevier, vol. 16(C), pages 115-134.
    4. Roemling, Cornelia & Qaim, Matin, 2012. "Obesity Trends, Determinants and Policy Implications in Indonesia," 2012 Conference, August 18-24, 2012, Foz do Iguacu, Brazil 126208, International Association of Agricultural Economists.
    5. Butzlaf, Iris & Minos, Dimitrios, 2016. "Understanding the Drivers of Overweight and Obesity in Developing Countries: The Case of South Africa," GlobalFood Discussion Papers 232025, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.
    6. Chavas, Jean-Paul, 2013. "On the microeconomics of food and malnutrition under endogenous discounting," European Economic Review, Elsevier, vol. 59(C), pages 80-96.
    7. Hruschka, Daniel J. & Brewis, Alexandra A., 2013. "Absolute wealth and world region strongly predict overweight among women (ages 18–49) in 360 populations across 36 developing countries," Economics & Human Biology, Elsevier, vol. 11(3), pages 337-344.
    8. Abay, Kibrom A. & Ibrahim, Hosam & Breisinger, Clemens, 2022. "Food policies and obesity in low- and middle-income countries," World Development, Elsevier, vol. 151(C).
    9. Goryakin, Yevgeniy & Lobstein, Tim & James, W. Philip T. & Suhrcke, Marc, 2015. "The impact of economic, political and social globalization on overweight and obesity in the 56 low and middle income countries," Social Science & Medicine, Elsevier, vol. 133(C), pages 67-76.
    10. Ferda Halicioglu, 2013. "Dynamics of obesity in Finland," Journal of Economic Studies, Emerald Group Publishing Limited, vol. 40(5), pages 644-657, October.
    11. Costa-Font, Joan & Mas, Núria, 2016. "‘Globesity’? The effects of globalization on obesity and caloric intake," Food Policy, Elsevier, vol. 64(C), pages 121-132.
    12. Costa-Font, Joan & Hernández-Quevedo, Cristina & Jiménez-Rubio, Dolores, 2014. "Income inequalities in unhealthy life styles in England and Spain," Economics & Human Biology, Elsevier, vol. 13(C), pages 66-75.
    13. Amy Damon & Devon Kristiansen, 2014. "Childhood obesity in Mexico: the effect of international migration," Agricultural Economics, International Association of Agricultural Economists, vol. 45(6), pages 711-727, November.
    14. Komlos, John & Brabec, Marek, 2011. "The trend of BMI values of US adults by deciles, birth cohorts 1882-1986 stratified by gender and ethnicity," Economics & Human Biology, Elsevier, vol. 9(3), pages 234-250, July.
    15. Colchero, M.A. & Sosa-Rubí, S.G., 2012. "Heterogeneity of income and lifestyle determinants of body weight among adult women in Mexico, 2006," Social Science & Medicine, Elsevier, vol. 75(1), pages 120-128.
    16. Salmasi, Luca & Celidoni, Martina, 2017. "Investigating the poverty-obesity paradox in Europe," Economics & Human Biology, Elsevier, vol. 26(C), pages 70-85.
    17. Pieroni, L. & Salmasi, L., 2014. "Fast-food consumption and body weight. Evidence from the UK," Food Policy, Elsevier, vol. 46(C), pages 94-105.
    18. Ren, Yanjun & Castro Campos, Bente & Loy, Jens-Peter & Brosig, Stephan, 2019. "Low-income and overweight in China: Evidence from a life-course utility model," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 18(8), pages 1753-1767.
    19. Ren, Yanjun & Li, Hui & Wang, Xiaobing, 2019. "Family income and nutrition-related health: Evidence from food consumption in China," Social Science & Medicine, Elsevier, vol. 232(C), pages 58-76.
    20. Aiyar, Anaka & Dhingra, Sunaina & Pingali, Prabhu, 2021. "Transitioning to an obese India: Demographic and structural determinants of the rapid rise in overweight incidence," Economics & Human Biology, Elsevier, vol. 43(C).
    21. Butzlaff, Iris, 2016. "BMI Growth Rates and the Nutrition Transition: The Role of Income, Inequality and Income Growth in Russia," GlobalFood Discussion Papers 232914, Georg-August-Universitaet Goettingen, GlobalFood, Department of Agricultural Economics and Rural Development.

    More about this item

    Keywords

    Consumer/Household Economics; Food Consumption/Nutrition/Food Safety; Health Economics and Policy;
    All these keywords.

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ags:gagfdp:108350. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: AgEcon Search (email available below). General contact details of provider: https://edirc.repec.org/data/iagoede.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.