Cited by 561Obesity, Physical Activity, DietFood Security and Health in Diverse PopulationsNutrition, Health and Food Behavior

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Obesity, diets, and social inequalities

Drewnowski, Adam·2009·Nutrition Reviews

DOI 10.1111/j.1753-4887.2009.00157.x

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Abstract

Obesity and type 2 diabetes follow a socioeconomic gradient. Highest rates are observed among groups with the lowest levels of education and income and in the most deprived areas. Inequitable access to healthy foods is one mechanism by which socioeconomic factors influence the diet and health of a population. As incomes drop, energy-dense foods that are nutrient poor become the best way to provide daily calories at an affordable cost. By contrast, nutrient-rich foods and high-quality diets not only cost more but are consumed by more affluent groups. This article discusses obesity as an economic phenomenon. Obesity is the toxic consequence of economic insecurity and a failing economic environment.

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Authors: Drewnowski, A.
Affiliations: University of Washington (US)
Corresponding author: Drewnowski, Adam
ORCID: Drewnowski, Adam
Venue: Nutrition Reviews
Publisher: Oxford University Press (OUP)
Published: 2009-05
Volume: 67
Pages: S36-S39
ISSN: 0029-6643 (ISSN-L)
1753-4887
DOI: 10.1111/j.1753-4887.2009.00157.x
OpenAlex: W2160492459
Cited by: 561
References: 16
Citations by year: 2026: 14 · 2025: 17 · 2024: 23 · 2023: 11 · 2022: 25 · 2021: 47 · 2020: 46 · 2019: 41 · 2018: 32 · 2017: 36 · 2016: 33 · 2015: 41 · 2014: 38 · 2013: 50 · 2012: 47
FWCI: 35.82
Type: journal article
Language: en
Open access: closed
Locations: Nutrition Reviews (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: obesity, type 2 diabetes, socioeconomic disparities, diet, food affordability, social gradient, income, food environment, energy-dense foods, economic insecurity, social determinants of health
MeSH terms: Energy Intake, Costs and Cost Analysis, Diet, Educational Status, Food, Humans, Nutritive Value, Obesity, Poverty, Social Class, Socioeconomic Factors

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