ArticlePloS one2017
Supermarket purchase contributes to nutrition-related non-communicable diseases in urban Kenya.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The relationship between climate change, globalization and non-communicable diseases in Africa: A systematic review.PloS one · 2024Pooled it
- Pooled prevalence of food away from home (FAFH) and associated non-communicable disease (NCD) markers: a systematic review and meta-analysis.Journal of health, population, and nutrition · 2022Pooled it
- Adapting Global Dietary Recommendation Indices to Assess Retail Food Environment Quality: Spatial Insights from Rural and Urban Kenya.Current developments in nutrition · 2026Article
- Food environments provide availability and physical access to vegetables in urban Benin and Mali.Public health nutrition · 2025Article
- Food Environments and Diet Quality Among Vendors and Consumers in Five Traditional Urban Markets in Kenya.Nutrients · 2024Article
- Urban Nutrition in the Global South: A Narrative Review of Current Research.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Review
- The promotion of ultra-processed foods in modern retail food outlets in rural and urban areas in Kenya.Public health nutrition · 2024Article
- The health and economic impact and cost effectiveness of interventions for the prevention and control of overweight and obesity in Kenya: a stakeholder engaged modelling study.Cost effectiveness and resource allocation : C/E · 2023Article
- Article
- Maternal exposure to air pollution alters energy balance transiently according to gender and changes gut microbiota.Frontiers in endocrinology · 2023Article
- From Ampesie to French fries: systematising the characteristics, drivers and impacts of diet change in rapidly urbanising Accra.Sustainability science · 2022Article
- Food environments and obesity: A geospatial analysis of the South Asia Biobank, income and sex inequalities.SSM - population health · 2022Article
- Associations of a National Tax on Non-Essential High Calorie Foods with Changes in Consumer Prices.Food policy · 2022Article
- Acute exercise reduces feeding by activating IL-6/Tubby axis in the mouse hypothalamus.Frontiers in physiology · 2022Article
- The Association Between Bangladeshi Adults' Demographics, Personal Beliefs, and Nutrition Literacy: Evidence From a Cross-Sectional Survey.Frontiers in nutrition · 2022Article
- How to Tackle the Relationship between Autoimmune Diseases and Diet: Well Begun Is Half-Done.Nutrients · 2021Review
- Urban rural differences in prevalence and risk factors of self-reported hypertension among Kenyan women: a population-based study.Journal of human hypertension · 2021Article
- Unlocking the potential for achievement of the UN Sustainable Development Goal 2 - 'Zero Hunger' - in Africa: targets, strategies, synergies and challenges.Food & nutrition research · 2021Review
- Impacts of a New Supermarket on Dietary Behavior and the Local Foodscape in Kisumu, Kenya: Protocol for a Mixed Methods, Natural Experimental Study.JMIR research protocols · 2020Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile undernutrition and related infectious diseases are still pervasive in many developing countries, the prevalence of non-communicable diseases (NCD), typically associated with high body mass index (BMI), is rapidly rising. The fast spread of supermarkets and related shifts in diets were identified as possible factors contributing to overweight and obesity in developing countries. Potential effects of supermarkets on people's health have not been analyzed up till now.
objectiveThis study investigates the effects of purchasing food in supermarkets on people's BMI, as well as on health indicators such as fasting blood glucose (FBG), blood pressure (BP), and the metabolic syndrome.
designThis study uses cross-section observational data from urban Kenya. Demographic, anthropometric, and bio-medical data were collected from 550 randomly selected adults. Purchasing food in supermarkets is defined as a binary variable that takes a value of one if any food was purchased in supermarkets during the last 30 days. In a robustness check, the share of food purchased in supermarkets is defined as a continuous variable. Instrumental variable regressions are applied to control for confounding factors and establish causality.
resultsPurchasing food in supermarkets contributes to higher BMI (+ 1.8 kg/m2) (P<0.01) and an increased probability (+ 20 percentage points) of being overweight or obese (P<0.01). Purchasing food in supermarkets also contributes to higher levels of FBG (+ 0.3 mmol/L) (P<0.01) and a higher likelihood (+ 16 percentage points) of suffering from pre-diabetes (P<0.01) and the metabolic syndrome (+ 7 percentage points) (P<0.01). Effects on BP could not be observed.
conclusionsSupermarkets and their food sales strategies seem to have direct effects on people's health. In addition to increasing overweight and obesity, supermarkets contribute to nutrition-related NCDs. Effects of supermarkets on nutrition and health can mainly be ascribed to changes in the composition of people's food choices.
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