Abstract

This paper reviews literature on the relationship between food supply and obesity. The focus is on the supply, cost, and variety of food through various types of food outlets and the impact of these factors on obesity in developed countries. The article reveals complex relationships between food supply factors and obesity. A numer of factors related to lifestyles including the mobility of populations and the use of motor vehicles greatly reduce the impact of the local environment on family and individual eating patterns. However, obesity is also affected by factors such as the type and density of food outlets, the cost of food, the travel distance and means of transport to the food outlet. While the relationship between food supply and obesity in the literature reveals complex and mixed findings, this paper concludes obesity is complex and food supply is only part of this phenomenon’s predictors. Because the relationship between food supply and obesity is mediated by such multiple and complex factors including population behaviours, beliefs, lifestyles, knowledge and both food and physical environments; multiple strategies including policy development and other strategies aimed at manipulating food environments, physical environments, populations’ beliefs, behaviours and practices must be considered in searching for evidence to effectively combat obesity.

Highlights

  • Obesity is a significant public health problem worldwide and high income countries are significantly more affected compared to low and middle income countries [1,2]

  • In the review that assessed neighbourhood food supply and obesity in the USA, Black and Macinko [22] demonstrated that, neighbourhood food availability is associated with food choices and/or lack of these, especially for fruit and vegetables among low income households, the net impact of neighbourhoods food supply on obesity remains unresolved

  • This review reveals complex relationships between food supply factors and obesity

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Summary

Introduction

Obesity is a significant public health problem worldwide and high income countries are significantly more affected compared to low and middle income countries [1,2]. It is well acknowledged that obesity causes a wide range of chronic conditions including high blood pressure, type 2 diabetes, stroke, cardiovascular disease and certain forms of cancer [3,4] which in turn are primary drivers of health care spending, disability and deaths [3,4,5]. Treating obesity once it has been established is not easy and the likelihood of childhood obesity transitioning into adulthood obesity is high [6,7]. With the likelihood of obesity increasing worldwide [10], it is clear that Australia faces escalating costs of obesity, and urgent measures are necessary to combat this scourge

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