Overweight grandsons and grandfathers’ starvation exposure

IF 3.4 2区 经济学 Q1 ECONOMICS Journal of Health Economics Pub Date : 2023-09-01 DOI:10.1016/j.jhealeco.2023.102796
Dora L. Costa
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Abstract

Much of the increase in the prevalence of overweight and obesity has been in developing countries with a history of famines and malnutrition. This paper is the first to examine overweight among adult grandsons of grandfathers exposed to starvation during developmental ages. I study grandsons born to grandfathers who served in the Union Army during the US Civil War (1861-5) where some grandfathers experienced severe net malnutrition because they suffered a harsh POW experience. I find that male-line but not female-line grandsons of grandfathers who survived a severe captivity during their growing years faced a 21% increase in mean overweight and a 2% increase in mean BMI compared to grandsons of non-POWs. Male-line grandsons descended from grandfathers who experienced a harsh captivity faced a 22%–28% greater risk of dying every year after age 45 relative to grandsons descended from non-POWs, with overweight accounting for 9%–14% of the excess risk.

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超重的孙子和祖父的饥饿暴露。
超重和肥胖患病率的增加主要发生在有饥荒和营养不良历史的发展中国家。这篇论文首次调查了在发育年龄暴露在饥饿中的祖父的成年孙子的超重情况。我研究了在美国内战期间(1861-5年)在联邦军队服役的祖父所生的孙子,在那里,一些祖父经历了严重的净营养不良,因为他们经历了严酷的战俘经历。我发现,与非战俘的孙子相比,在成长过程中经历了严重圈养的祖父的男系孙子(而不是女系孙子)平均超重增加了21%,平均BMI增加了2%。与非战俘后裔的孙子相比,经历过严酷囚禁的祖父后裔的男系孙子在45岁后每年面临的死亡风险高出22%-28%,超重占超额风险的9%-14%。
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来源期刊
Journal of Health Economics
Journal of Health Economics 医学-卫生保健
CiteScore
6.10
自引率
2.90%
发文量
96
审稿时长
49 days
期刊介绍: This journal seeks articles related to the economics of health and medical care. Its scope will include the following topics: Production and supply of health services; Demand and utilization of health services; Financing of health services; Determinants of health, including investments in health and risky health behaviors; Economic consequences of ill-health; Behavioral models of demanders, suppliers and other health care agencies; Evaluation of policy interventions that yield economic insights; Efficiency and distributional aspects of health policy; and such other topics as the Editors may deem appropriate.
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