Eastern Economic Journal, 2014, (1–22) © 2014 EEA 0094-5056/14 www.palgrave-journals.com/eej/ Global Evidence on Obesity and Related Outcomes: An Overview of Prevalence, Trends, and Determinants Nadia Doytch a,b , Dhaval M. Dave c,d and Inas Rashad Kelly d,e a School of Business, Brooklyn College, CUNY, 2900 Bedford Avenue, 216 Whitehead Hall, Brooklyn, NY 11210, USA. E-mail: ndoytch@brooklyn@cuny.edu b Asian Institute of Management, 123 Paseo de Roxas, Makati 1260, Philippines. c Department of Economics, Bentley University, 175 Forest St., AAC 195, Waltham, MA 02452, USA. E-mail: ddave@bentley.edu d National Bureau of Economic Research, 1050 Massachusetts Ave., Cambridge, MA 02138, USA. e Department of Economics, Queens College, CUNY, 65–30 Kissena Boulevard, 300 Powdermaker Hall, Flushing, NY 11367, USA. E-mail: inas.kelly@qc.cuny.edu This study documents prevalence rates, trends in, and determinants of body mass index (BMI), outcomes related to obesity, and proximate inputs into obesity such as caloric intake for panels of countries, categorized by geographical regions and levels of development for the time period 1980–2008. Our estimates inform the nature and scope of obesity on a global scale, and contribute toward an understanding of the drivers of the upward trend in obesity and toward identifying effective public policy responses. The cross-national trends, across countries spanning the spectrum of economic development and geographic regions, suggest that obesity is not a problem limited to the United States and other developed countries, but rather a global concern. With the exception of Sub-Saharan Africa and the group of low-income countries, average BMI levels for all other country groupings (based on geographic regions and level of economic development) had reached the overweight/pre-obese range by 2008. Concurrently, we also observe an increase in glucose levels. We further find that higher caloric intake globally over the past three decades may be a direct driving factor to the increase in BMI. Fixed effects regression analyses reveal that changes in real GDP per capita and labor force participation can partly explain the increase in BMI through their impact on caloric intake and physical inactivity. The commonality in the rising trends in BMI and obesity around the world is suggestive of common underlying causes, although substantial heterogeneity remains, as well as marked dif- ferences by gender. Eastern Economic Journal advance online publication 28 July 2014; doi:10.1057/eej.2014.37 Keywords: obesity; trends; global health; economy; determinants; outcomes JEL: I1 INTRODUCTION Obesity is a significant public health challenge facing the United States. Until relatively recently, however, obesity in the United States was fairly rare. During the early 1980s, for instance, prevalence in most of the surveyed states (based on the Behavioral Risk Factor Surveillance System, Centers for Disease Control and Prevention — CDC) was less than 10 percent, and the obesity rate was only about 1–2 percent at the turn of the 20th century [Komlos and Brabec 2011]. However, between 1980 and 2000, the prevalence of obese adults doubled to 34 percent, and the prevalence of obesity for children almost tripled to 17 percent. 1