Navigation Links
Extra cash from government program linked to higher risk of adult obesity
Date:10/21/2008

Berkeley -- While a poverty-alleviation program launched by the Mexican government that has been modeled in the United States and around the world has led to improved health and cognition outcomes in children, a new study by University of California, Berkeley, researchers says that the cash component of the program has a downside for adults.

The program, called Oportunidades, provides money to impoverished families on the condition that they participate in health-promoting activities, such as getting annual health checkups and attending nutrition and hygiene education seminars. This is in contrast to traditional welfare programs that provide cash to families based solely upon their income or where they live.

The study published today (Monday, Oct. 20) in the Journal of Nutrition found that adults in households that received more cash from the program were more likely to be overweight, obese and have higher blood pressure than those who had received less money over time.

"It's a controversial finding because it suggests that adults are not necessarily spending the money wisely for themselves," said Lia Fernald, UC Berkeley assistant professor of public health nutrition and lead author of the study. "It's not clear why the cash is having this effect, but it could be because people who suddenly have more cash are able to buy more high-calorie soft drinks, alcohol or snacks that they couldn't afford before, though we did not analyze how the money was spent in our study. This result could also reflect trends in the developing world, particularly in rapidly changing economies, of increased availability of foods high in fat and sugar in place of healthier cereals, fruits and vegetables."

The surprising study results come on the heels of an earlier paper, authored by the same UC Berkeley researchers, which showed that overall, the conditional cash transfer program was linked to better health outcomes among adults.

The researchers noted that the earlier paper compared adults who had been enrolled in Oportunidades for 3.5 to 5 years with newly enrolled adults who had not yet received any program benefits. In the new study, the authors wanted to specifically examine the role played by money accumulated through the program.

The Mexican government randomly selected communities that were eligible to enroll when the program first launched and allowed the remaining communities to enroll 18 months later. Households who enrolled first thus received more money cumulatively than ones enrolled later.

The study linked people's receipt of greater amounts of cash with higher body mass index, higher diastolic blood pressure and a higher prevalence of overweight and moderate to severe obesity in adults. In their analysis, the study authors controlled for other factors that could have influenced the results, such as length of time enrolled in the program, age, gender and education level.

"Our paper is in line with something that other economic studies have found: As people come out of poverty, they spend money on foods that can lead to obesity," said study co-author Paul Gertler, UC Berkeley professor of economics and health services finance. "It is interesting to note that in other work, we find the cash component of the program lowers obesity in young kids. One possible reason for this difference is that adults are using increased cash to provide protein and micronutrients for their children, whereas they are purchasing soda, alcohol and junk foods for themselves."

The researchers noted that the initial and central aim of the Oportunidades program was to improve health and development outcomes for children, a goal that the program has largely achieved. The impact of the program's components on adult health, however, has been a matter of debate.

"It's not unusual for adults to make better health and nutrition decisions for their kids than they do for themselves," added Fernald. "It's also possible that healthier foods and beverages are not available in the rural and impoverished regions where the Oportunidades program operates, and so adults may not have adequate access to sufficient resources for the whole family."

When the researchers factored in the length of time individuals were enrolled in the program, they noticed that those enrolled the longest - 5 years - had slightly better health outcomes than those enrolled for only 3.5 years. While the differences were not consistently significant statistically, the researchers pointed out that the trend, at least, was in the right direction.

Combined with the results from the earlier study showing that adults in the program had lower blood pressure and lower body mass index, the new findings suggest that the program's non-cash interventions - screening for chronic diseases and educational classes - seem to be counteracting the negative effects of extra income, the researchers said.

Launched in 1997, Oportunidades serves more than 5 million Mexican families and has been replicated in more than 20 developing countries. In 2007, New York City established the first conditional cash program in the United States that was modeled after Oportunidades.

"Our data suggest that if cash is given to adults unconditionally, with no health education or promotion component to balance it out, it could cause an increase in obesity and hypertension for adults," said Fernald. "What this study shows is that a strong focus on health education and prevention is a really critical part of any cash transfer or welfare program targeting adults."


'/>"/>

Contact: Sarah Yang
scyang@berkeley.edu
510-643-7741
University of California - Berkeley
Source:Eurekalert

Related medicine news :

1. New study: Pine bark extract reduces ADHD symptoms in children
2. IMA South American Extravaganza Dinner to Honor Coachella Valley Doctor
3. MassMutual Agent Honored by Insurance Industry for Extraordinary Service to Client
4. Wrigleys Orbit(R), Extra(R) and Eclipse(R) Sugar-Free Chewing Gums Awarded American Dental Associations Seal of Acceptance
5. NBME Appeals Massachusetts Judges Reversal of Lower Court in Suit for Extra Break Time During Medical Licensing Exam
6. Missouri House Recognizes Extraordinary Efforts Supporting National Guard Families
7. Portal vein thrombosis is common in extraportal vein obstruction
8. New study: pine bark extract boosts nitric oxide production
9. Markel Expands Classes for Contagion Risk with OUTBREAK(R) Extra Expense Coverage
10. Broccoli sprout-derived extract protects against ultraviolet radiation
11. Extracts of catfish caught in polluted waters cause breast cancer cells to multiply
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... Creek, Michigan (PRWEB) , ... June 26, 2016 , ... ... joined as sponsor of the 2016 Cereal Festival and World’s Longest Breakfast Table in ... in honor of the city’s history as home to some of the world’s leading ...
(Date:6/26/2016)... ... 26, 2016 , ... PawPaws brand pet supplements owned by Whole ... enhance the health of felines. The formula is all-natural and is made from Chinese ... PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract and ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many ... been diagnosed with endometriosis. These women need a treatment plan to not only ... approach that can help for preservation of fertility and ultimately achieving a pregnancy. ...
(Date:6/25/2016)... Austin, TX (PRWEB) , ... June 25, 2016 , ... ... Fellow of the American College of Mohs Surgery and to Dr. Russell Peckham for ... popular and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic ...
(Date:6/25/2016)... , ... June 25, 2016 , ... "With 30 hand-drawn ... specific project," said Christina Austin - CEO of Pixel Film Studios. , ProHand ... all within Final Cut Pro X . Simply select a ProHand generator and ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016  Consumers have taken a more active ... more emphasis on patient outcomes. ... the pharmaceutical industry have evolved beyond just providing ... are focusing on becoming more patient-oriented across their ... services that improve health. ...
(Date:6/24/2016)... 24, 2016 Research and ... "Structural Electronics 2015-2025: Applications, Technologies, Forecasts" report ... In-Mold Electronics, Smart Skin, Structural Health Monitoring, ... Structural electronics involves electronic and/or electrical components ... replacing dumb structures such as vehicle bodies or ...
(Date:6/24/2016)... PUNE, India , June 24, 2016 ... "Pen Needles Market by Type (Standard Pen Needles, Safety ... 12mm), Therapy (Insulin, GLP-1, Growth Hormone), Mode of Purchase ... published by MarketsandMarkets, This report studies the market for ... is expected to reach USD 2.81 Billion by 2021 ...
Breaking Medicine Technology: