BMJ Open (Jan 2024)

How prices and income influence global patterns in saturated fat intake by age, sex and world region: a cross-sectional analysis of 160 countries

  • Albertino Damasceno,
  • Cristina Palacios,
  • Anoop Misra,
  • Parvin Mirmiran,
  • Nizal Sarrafzadegan,
  • Simon Anderson,
  • Ingibjorg Gunnarsdottir,
  • Yanping Li,
  • Anand Krishnan,
  • Yu Chen,
  • Alireza Esteghamati,
  • Farshad Farzadfar,
  • Giuseppe Grosso,
  • Reza Malekzadeh,
  • Sumathi Swaminathan,
  • Patricio Lopez-Jaramillo,
  • Noushin Mohammadifard,
  • Jean-Michel Gaspoz,
  • Pedro Marques-Vidal,
  • Idris Guessous,
  • Tal Shimony,
  • Lital Keinan-Boker,
  • Carukshi Arambepola,
  • Antonia Trichopoulou,
  • Dariush Mozaffarian,
  • Marialaura Bonaccio,
  • Simona Costanzo,
  • Licia Iacoviello,
  • Andrew Muhammad,
  • Wen-Harn Pan,
  • Manami Inoue,
  • Peter Vollenweider,
  • Luz Maria Sanchez-Romero,
  • Carl Lachat,
  • Demosthenes Panagiotakos,
  • Sangita Sharma,
  • Eva Roos,
  • Milton Severo,
  • Safiah Yusof,
  • Nuno Lunet,
  • Roya Kelishadi,
  • Frederick Cudhea,
  • Anuradha Khadilkar,
  • Cho-il Kim,
  • Veena Ekbote,
  • Masoud Mirzaei,
  • Inge Huybrechts,
  • Lluis Serra-Majem,
  • Anjum Memon,
  • Simón Barquera,
  • Aminul Haque,
  • Katia Castetbon,
  • Saeed Dastgiri,
  • Victoria Miller,
  • Julia Reedy,
  • Peilin Shi,
  • Jianyi Zhang,
  • Abla M. Sibai,
  • Xia Cao,
  • Pascal Bovet,
  • Pamela Abbott,
  • Karen Charlton,
  • Hsing-Yi Chang,
  • Yasuhiro Matsumura,
  • Yoonsu Cho,
  • Puneet Misra,
  • Morteza Abdollahi,
  • Suad Al-Hooti,
  • Anahita Houshiar-rad,
  • Eda Koksal,
  • Abdulrahman Musaiger,
  • Gulden Pekcan,
  • Sahar Zaghloul,
  • Yves Martin-Prevel,
  • Kyungwon Oh,
  • Meei-Shyuan Lee,
  • Sirje Vaask,
  • Shu Wen Ng,
  • Simon Forsyth,
  • Dimitrios Trichopoulos,
  • Erkki Vartiainen,
  • Christian Haerpfer,
  • Carla Lopes,
  • Foong Ming Moy,
  • Tor Strand,
  • Mohammadreza Pakseresht,
  • Yi Ma,
  • Androniki Naska,
  • Dorothy Gauci,
  • Ibrahim Elmadfa,
  • Wilbur Hadden,
  • Hajah Masni Ibrahim,
  • Lars Johansson,
  • Hae-Jeung Lee,
  • Nur Indrawaty Lipoeto,
  • Balakrishna Nagalla,
  • Stefka Petrova,
  • Noppawan Piaseu,
  • Laufey Steingrimsdottir,
  • Lucjan Szponar,
  • Holmfridur Thorgeirsdóttir,
  • Inga Thorsdottir,
  • Aida Turrini,
  • Anna Waskiewicz,
  • Gábor Zajkás,
  • Harikumar Rachakulla,
  • Heléne Enghardt Barbieri,
  • Nattinee Jitnarin,
  • Le Tran Ngoan,
  • Jaana Lindström,
  • Kalyana Sundram,
  • Ranil Jayawardena,
  • Irina Kovalskys,
  • Noël Barengo,
  • Zaleha Abdullah Mahdy,
  • Maryam Hashemian,
  • Duarte Torres,
  • Angélica Ochoa,
  • Pulani Lanerolle,
  • Chandrashekar Janakiram,
  • Fatemeh Vida Zohoori,
  • Parvin Abedi,
  • Suvi Virtanen,
  • Amelia Ahles,
  • Jacqueline N Yenerall,
  • Josh Erndt-Marino,
  • Mustafa Arici,
  • Amy Luke,
  • Suhad Abumweis,
  • Mohannad Al Nsour,
  • Iftikhar Alam,
  • Nasser Al-Daghri,
  • Shaun Sabico,
  • alHamad Nawal Ai,
  • Eman Alissa,
  • Sameer Al-Zenki,
  • Karim Anzid,
  • Joanne Arsenault Hacettepe,
  • Renzo Asciak,
  • Lajos Biró,
  • Juan Rivera Dommarco,
  • Daniel Illescas-Zarate,
  • Sonia Rodriguez Ramirez,
  • Ivonne Ramirez Silva,
  • Per Bergman,
  • Anna Karin Lindroos,
  • Jessica Petrelius Sipinen,
  • Sesikeran Boindala,
  • Mauricio T. Caballero,
  • FNeville Calleja,
  • Mario Capanzana,
  • Jan Carmikle,
  • Michelle Castro,
  • Corazon Cerdena,
  • Shashi Chiplonkar,
  • Khun-Aik Chuah,
  • IRCCS INM Neuromed,
  • Stefaan De Henauw,
  • Karin DeRidder,
  • Eric Ding,
  • Rokiah Don,
  • Charmaine Duante,
  • Vesselka Duleva,
  • Samuel Duran Aguero,
  • Jalila El Ati,
  • Alison Eldridge,
  • Tatyana El-kour,
  • Laetitia Nikiema,
  • Zohreh Etemad,
  • Fariza Fadzil,
  • Mei Fen Chan,
  • Anne Fernandez,
  • Dulitha Fernando,
  • Regina Fisberg,
  • Edna Gamboa Delgado,
  • J Brahmam Ginnela,
  • Aida Hadziomeragic,
  • Jemal Haidar Ali,
  • Rubina Hakeem,
  • Rajkumar Hemalatha,
  • Avula Laxmaiah,
  • Indrapal Meshram,
  • Nimmathota Arlappa,
  • Sigrun Henjum,
  • Hristo Hinkov,
  • Zaiton Hjdaud,
  • Daniel Hoffman,
  • Beth Hopping,
  • Shu-Yi Hung Yao-Te Hsieh,
  • Nahla Chawkat Hwalla,
  • Nayu Ikeda,
  • Olof Jonsdottir,
  • Rajesh Jeewon,
  • Ola Kally,
  • Mirnalini Kandiah,
  • Tilakavati Karupaiah,
  • Rebecca Goldsmith,
  • Jurgen Konig,
  • Liisa Korkalo,
  • Riitta Freese,
  • Jeremy Koster,
  • Herculina Kruger,
  • Rebecca Kuriyan-Raj,
  • Sanghui Kweon,
  • Sihyun Park,
  • Yuen Lai,
  • Indu Waidyatilaka,
  • Catherine Leclercq,
  • J Lennert Veerman,
  • Lydia Lera Marques,
  • Annie Ling,
  • Widjaja Lukito,
  • Elisabette Lupotto,
  • Stefania Sette,
  • Raffaela Piccinelli,
  • Wan Manan,
  • Dirce Marchioni,
  • Angie Mathee,
  • Paramita Mazumdar,
  • Gert Mensink,
  • Alexa Meyer,
  • Claudette Mitchell,
  • David Balfour,
  • Moses Mwangi,
  • Maryam Maghroun,
  • Fatemeh Mohammadi-Nasrabadi,
  • Zalilah Mohd Shariff,
  • Elizabeth Mwaniki,
  • Jannicke Myhre,
  • Augustin Nawidimbasba Zeba,
  • Sina Noshad,
  • Marga Ocke,
  • Jillian Odenkirk,
  • Mariana Oleas,
  • Sonia Olivares,
  • Johana Ortiz-Ulloa,
  • Johanna Otero,
  • Rajendra Parajuli,
  • Luz Posada,
  • Farhad Pourfarzi,
  • Alan Martin Preston,
  • Ingrid Rached,
  • Ali Reza Rahbar,
  • Colin Rehm,
  • Makiko Sekiyama,
  • Rusidah Selamat,
  • Khadijah Shamsuddin,
  • Harri Sinkko,
  • Milton Fabian Suarez-Ortegon,
  • Elzbieta Sygnowska,
  • Maria Szabo,
  • Ilse Khouw,
  • Swee Ai Ng,
  • Heli Tapanainen FrieslandCampina,
  • Reema Tayyem,
  • Bemnet Tedla,
  • Coline van Oosterhout,
  • Marieke Vossenaar,
  • Eva Warensjo Lemming,
  • Lothar Wieler,
  • Mabel Yap,
  • Maria Elisa Zapata,
  • Khairul Zarina,
  • Zipporah Bukania,
  • Yeri Kombe,
  • Julie Long,
  • K. Michael Hambidge,
  • Tshilenge S. Diba,
  • Umber S. Khan,
  • Gabriela Tejeda,
  • Cornelia Tudorie,
  • Anca Nicolau,
  • Amanda de Moura Souza,
  • Alan de Brauw,
  • Mourad Moursi,
  • Alicia Rovirosa,
  • Carol Henry,
  • Getahun Ersino,
  • Gordon Zello,
  • Chanthaly Luangphaxay,
  • Daovieng Douangvichit,
  • Latsamy Siengsounthone,
  • Christine Hotz,
  • Constance Rybak,
  • Corina Aurelia Zugravu,
  • Donka Baykova,
  • Elizabeth Yakes-Jimenez,
  • Gudrun B. Keding,
  • Lydiah M. Waswa,
  • Irmgard Jordan,
  • J.V. Meenakshi,
  • Laila Eleraky,
  • Wolfgang Stuetz,
  • Lalka Rangelova,
  • Lilian Aluso,
  • Julia Boedecker,
  • Francis Oduor,
  • Tamene Taye Asayehu,
  • Veronika Janská,
  • Ward Siamusantu,
  • Ken Brown

DOI
https://doi.org/10.1136/bmjopen-2023-074562
Journal volume & issue
Vol. 14, no. 1

Abstract

Read online

Objective When considering proposals to improve diets, it is important to understand how factors like price and income can affect saturated fat (SF) intake and demand. In this study, we examine and estimate the influence of price and income on intake across 160 countries, by age and sex, and derive sensitivity measures (price elasticities) that vary by age, sex and world region.Design We econometrically estimate intake responsiveness to income and prices across countries, accounting for differences by world region, age and sex. Intake data by age, sex and country were obtained from the 2018 Global Dietary Database. These data were then linked to global price data for select food groups from the World Bank International Comparison Programme and income data from the World Development Indicators Databank (World Bank).Results Intake differences due to price were highly significant, with a 1% increase in price associated with a lower SF intake (% energy/d) of about 4.3 percentage points. We also find significant differences across regions. In high-income countries, median (age 40) intake reductions were 1.4, 0.8 and 0.2 percentage points, given a 1% increase in the price of meat, dairy, and oils and fats, respectively. Price elasticities varied with age but not sex. Intake differences due to income were insignificant when regional binary variables were included in the analysis.Conclusion The results of this study show heterogeneous associations among prices and intake within and across countries. Policymakers should consider these heterogeneous effects as they address global nutrition and health challenges.