The Association Between Food Prices and the Blood Glucose Level of US Adults with Type 2 Diabetes

Overview

Journal Am J Public Health

Specialty Public Health

Date 2014 Feb 15

PMID 24524504

Citations 9

Authors

Tobenna D Anekwe

Ilya Rahkovsky

Affiliations

Soon will be listed here.

Abstract

Objectives: We estimated the association between the price of healthy and less-healthy food groups and blood sugar among US adults with type 2 diabetes.

Methods: We linked 1999-2006 National Health and Nutrition Examination Survey health information to food prices contained in the Quarterly Food-at-Home Price Database. We regressed blood sugar levels on food prices from the previous calendar quarter, controlling for market region and a range of other covariates. We also examined whether the association between food prices and blood sugar varies among different income groups.

Results: The prices of produce and low-fat dairy foods were associated with blood sugar levels of people with type 2 diabetes. Specifically, higher prices for produce and low-fat dairy foods were associated with higher levels of glycated hemoglobin and fasting plasma glucose 3 months later. Food prices had a greater association with blood sugar for low-income people than for higher-income people, and in the expected direction.

Conclusions: Higher prices of healthy foods were associated with increased blood sugar among people with type 2 diabetes. The association was especially pronounced among low-income people with type 2 diabetes.

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References

Waterlander W, Steenhuis I, de Boer M, Schuit A, Seidell J . The effects of a 25% discount on fruits and vegetables: results of a randomized trial in a three-dimensional web-based supermarket. Int J Behav Nutr Phys Act. 2012; 9:11. PMC: 3297502. DOI: 10.1186/1479-5868-9-11. View

Rashad I . Obesity and diabetes: the roles that prices and policies play. Adv Health Econ Health Serv Res. 2009; 17:113-28. View

Andreyeva T, Long M, Brownell K . The impact of food prices on consumption: a systematic review of research on the price elasticity of demand for food. Am J Public Health. 2009; 100(2):216-22. PMC: 2804646. DOI: 10.2105/AJPH.2008.151415. View

Sturm R, Powell L, Chriqui J, Chaloupka F . Soda taxes, soft drink consumption, and children's body mass index. Health Aff (Millwood). 2010; 29(5):1052-8. PMC: 2864626. DOI: 10.1377/hlthaff.2009.0061. View

Bantle J, Wylie-Rosett J, Albright A, Apovian C, Clark N, Franz M . Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2008; 31 Suppl 1:S61-78. DOI: 10.2337/dc08-S061. View

Vijan S, Stuart N, Fitzgerald J, Ronis D, Hayward R, Slater S . Barriers to following dietary recommendations in Type 2 diabetes. Diabet Med. 2004; 22(1):32-8. DOI: 10.1111/j.1464-5491.2004.01342.x. View

Rasmussen O, Thomsen C, Hansen K, Vesterlund M, Winther E, Hermansen K . Effects on blood pressure, glucose, and lipid levels of a high-monounsaturated fat diet compared with a high-carbohydrate diet in NIDDM subjects. Diabetes Care. 1993; 16(12):1565-71. DOI: 10.2337/diacare.16.12.1565. View

Brownell K, Farley T, Willett W, Popkin B, Chaloupka F, Thompson J . The public health and economic benefits of taxing sugar-sweetened beverages. N Engl J Med. 2009; 361(16):1599-605. PMC: 3140416. DOI: 10.1056/NEJMhpr0905723. View

Jacobson M, Brownell K . Small taxes on soft drinks and snack foods to promote health. Am J Public Health. 2000; 90(6):854-7. PMC: 1446261. DOI: 10.2105/ajph.90.6.854. View

10.

Rahkovsky I, Gregory C . Food prices and blood cholesterol. Econ Hum Biol. 2012; 11(1):95-107. DOI: 10.1016/j.ehb.2012.01.004. View

11.

Koro C, Bowlin S, Bourgeois N, Fedder D . Glycemic control from 1988 to 2000 among U.S. adults diagnosed with type 2 diabetes: a preliminary report. Diabetes Care. 2003; 27(1):17-20. DOI: 10.2337/diacare.27.1.17. View

12.

. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2011; 35 Suppl 1:S64-71. PMC: 3632174. DOI: 10.2337/dc12-s064. View

13.

Horowitz C, Williams L, Bickell N . A community-centered approach to diabetes in East Harlem. J Gen Intern Med. 2003; 18(7):542-8. PMC: 1494885. DOI: 10.1046/j.1525-1497.2003.21028.x. View

14.

Cassady D, Jetter K, Culp J . Is price a barrier to eating more fruits and vegetables for low-income families?. J Am Diet Assoc. 2007; 107(11):1909-15. DOI: 10.1016/j.jada.2007.08.015. View

15.

Leone A, Rigby S, Betterley C, Park S, Kurtz H, Johnson M . Store type and demographic influence on the availability and price of healthful foods, Leon County, Florida, 2008. Prev Chronic Dis. 2011; 8(6):A140. PMC: 3221579. View

16.

Jenkins D, Hu F, Tapsell L, Josse A, Kendall C . Possible benefit of nuts in type 2 diabetes. J Nutr. 2008; 138(9):1752S-1756S. DOI: 10.1093/jn/138.9.1752S. View

17.

Powell L, Chaloupka F . Food prices and obesity: evidence and policy implications for taxes and subsidies. Milbank Q. 2009; 87(1):229-57. PMC: 2879182. DOI: 10.1111/j.1468-0009.2009.00554.x. View

18.

. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2003; 27 Suppl 1:S5-S10. DOI: 10.2337/diacare.27.2007.s5. View

19.

Sacks D . A1C versus glucose testing: a comparison. Diabetes Care. 2011; 34(2):518-23. PMC: 3024379. DOI: 10.2337/dc10-1546. View

20.

Powell L, Bao Y . Food prices, access to food outlets and child weight. Econ Hum Biol. 2009; 7(1):64-72. DOI: 10.1016/j.ehb.2009.01.004. View