Nutr Res Pract. 2011 Jun; 5(3): 253–259.
Published online 2011 Jun 21. doi: 10.4162/nrp.2011.5.3.253
Survey of American food trends and the growing obesity epidemic
Qin Shao1 and Khew-Voon Chin2
Abstract We further speculate that the bacterial antigen derived from the Bacillus thuringiensis (Bt) entomocidal crystalline protein protoxin , which is genetically engineered into corn to confer resistance to insect pests, may be the underlying culprit that causes anomalous adipose tissue dysregulation and obesity development.
The rapid rise in the incidence of obesity has emerged as one of the most pressing global public health issues in recent years. The underlying etiological causes of obesity, whether behavioral, environmental, genetic, or a combination of several of them, have not been completely elucidated. The obesity epidemic has been attributed to the ready availability, abundance, and overconsumption of high-energy content food. We determined here by Pearson’s correlation the relationship between food type consumption and rising obesity using the loss-adjusted food availability data from the United States Department of Agriculture (USDA) Economic Research Services (ERS) as well as the obesity prevalence data from the Behavioral Risk Factor Surveillance System (BRFSS) and the National Health and Nutrition Examination Survey (NHANES) at the Centers for Disease Control and Prevention (CDC). Our analysis showed that total calorie intake and consumption of high fructose corn syrup (HFCS) did not correlate with rising obesity trends. Intake of other major food types, including chicken, dairy fats, salad and cooking oils, and cheese also did not correlate with obesity trends. However, our results surprisingly revealed that consumption of corn products correlated with rising obesity and was independent of gender and race/ethnicity among population dynamics in the U.S. Therefore, we were able to demonstrate a novel link between the consumption of corn products and rising obesity trends that has not been previously attributed to the obesity epidemic. This correlation coincides with the introduction of bioengineered corns into the human food chain, thus raising a new hypothesis that should be tested in molecular and animal models of obesity.
Keywords: Obesity, food trend, corn product, genetically modified, bioengineered
It is estimated that, worldwide, approximately 937 million adults are overweight and 396 million are obese . This rising trend continues unabated both globally and in the United States, which claims the largest population of overweight and obese adults [2,3]. Various etiologic factors associated with obesity have been reported, including a number of genes identified from genome-wide scans and functional genomic studies as well as some viruses and bacteria [4–7]. The current prevailing hypothesis centers on the premise that the problem of obesity is one of energy imbalance, wherein total energy intake far exceeds energy output . In addition, the global epidemic of obesity has been attributed to heuristic observations of an increase in the consumption of high-energy/high-fat content foods coupled with a sedentary lifestyle that expends little energy.
The notion that particular nutrients or food sources might influence obesity is controversial . For example, the increased consumption of some food types, including beverages and foods that contain high-fructose corn syrup (HFCS), is speculated to be associated with obesity [10,11]. Moreover, in a previous study, mice given HFCS-sweetened water gained more weight and showed increase adiposity . While the results of this animal study seem to provide experimental evidence that supports the hypothesis that consumption of HFCS causes obesity, the results from epidemiological and clinical studies in human are inconclusive [13,14], leaving the question of HFCS association with obesity unanswered. Therefore, whether or not the intake of certain food types predisposes an individual to increased risk for obesity needs to be examined.
Quantifying the amount of food an individual consumes daily is difficult, and determining the intake of specific food types is intractable, thus posing significant challenges to the investigation of food intake and the development of obesity. It is known that the Loss-Adjusted Food Availability Data from the Economic Research Services (ERS) of the United States Department of Agriculture (USDA) constitute time series data on the national food supply of several hundred food-types targeted to the food marketing system. These data are represented as per capita food availability and are useful for studying food consumption trends, as they are an indirect measurement of actual food intake .
To determine whether or not excess energy intake or the consumption specific food types contribute to the development of obesity, we surveyed Loss-Adjusted Food Availability and obesity prevalence data to investigate the correlation between total energy intake and consumption of certain food types with rising trends in obesity. We confirmed a novel association of rising obesity trends with increased corn product consumption that may be linked to the growing and ubiquitous presence of genetically modified (GM) or engineered (GE) corn in the human diet.
Materials and Methods
We analyzed the relationship between the trends in obesity prevalence and the average daily per capita calories consumed for various food types using Pearson’s correlation. To validate the positive correlations, we investigated the dependence of the obesity trends on different food types by fitting a multiple linear regression using both full and reduced model functions.
We analyzed the USDA ERS Loss-Adjusted Food Availability Data, which include seven major aggregated food groups including 1, meat, eggs, and nuts; 2, dairy; 3, fruit; 4, vegetables; 5, flour and cereal products; 6, added fats and oils, and dairy fats; and 7, caloric sweeteners. These groups are further comprised of more than 100 individual or specific food types (commodities). Analysis of these food types revealed that a large number of them including fresh vegetables, fresh fruit, beverage milk, fish and shellfish, fruit juice, nuts, and others, showed either negative trends or no change in trends of consumption and did not coincide with rising trends in obesity (Fig. 2).
Since energy imbalance resulting from excess calorie intake is thought to contribute to obesity, we first analyzed the trends in calorie intake between 1995 and 2008. The food availability data indicated that the average daily per capita total calorie intake has plateaued since year 2000, whereas obesity exhibited a rising trend (Fig. 3A), and Pearson’s analysis showed a correlation coefficient of 0.79 (Table 1). In contrast, strong positive correlations with obesity were unexpectedly found for chicken and corn products (Fig. 3B and C), with Pearson’s correlation coefficients of 0.96 and 0.99, respectively (Table 1).
Correlation coefficient means whether the food does or does not match with weight gain. The higher the number the more it matches. The high match for chicken may be that chickens are fed with corn grain. There is a high match for oils and dressings; many of which are made with corn.
Correlation between trends in food type consumption and obesity
We also observed a positive correlation between total cheese intake and obesity (Fig. 3D). However, further analysis revealed that, with the exception of cheddar and mozzarella cheese, most other cheeses, such as provolone, parmesan, Swiss cheese, blue cheese, and others, showed little or no changes in consumption trends between 1995 and 2008, and Pearson’s analysis of either cheddar (Fig. 3E) or mozzarella (Fig. 3F) did not show correlation with rising obesity.
Even though correlation with obesity was not found for “Added Fats and Oils, and Dairy Fats” (Fig. 3G), with a correlation coefficient of 0.86 (Table 1), analysis of Salad and Cooking Oils (Fig. 3H) and Dairy Fats (Fig. 3I) revealed correlation with obesity, each with a correlation coefficient of 0.97 (Table 1). These correlations subsequently did not cross-validate upon further analysis by multiple linear regression (see below).
Additionally, either poor or negative correlations were found for foods such as flour and cereal products, shortening, red meat, caloric sweeteners, and HFCS, with correlation coefficients of -0.03, -0.18, -0.40, -0.74, and -0.38, respectively (Fig. 3J-N, and Table 1). The consumption of refined cane and beet sugar (Fig. 3O) as well as sweet corn as a fresh vegetable (Fig. 3P) also did not correlate with obesity. The consumption of corn as a fresh vegetable constituted only a small percentage (averaging 0.01%) of the total calorie intake between 1995 and 2008.
To further test these positive correlations with obesity trends, we performed a fitting by multiple linear regression analysis with food types that showed correlation coefficients > 0.95, which included chicken, corn products, dairy fats, salad and cooking oils, and total cheese, in a full model function. This analysis showed that only corn products had p-values smaller than 0.05 (Table 2), suggesting that consumption of corn products had a significant effect on rising obesity trends. In the reduced model, we analyzed corn products and total cheese, which have p-values closest to 0.05 from the full model analysis, and our results confirmed a correlation between corn products, but not total cheese, and obesity trends (Table 2).
Multiple linear regression analysis of food types and obesity trends
The observed correlation between consumption of corn products and rising obesity is surprising. It is noteworthy that HFCS is classified separately as a caloric sweetener and not aggregated with other corn products. Moreover, HFCS showed a negative correlation with rising obesity (Table 1).
We were also aware that genetically modified (GM) corn has been planted in the U.S. since 1996 . To further investigate the relationship between bioengineered corn and rising obesity, we obtained data on the adoption of GM corn from the USDA, which covered the period between 2000 and 2008, for comparison with rising obesity. These data did not take into account the use of GM corn for other purposes besides as a food or animal feed. Despite this limitation, our result shows that the trends of obesity and adoption of GM corn were similar (Fig. 4B).
We further asked whether or not the consumption of corn products might be associated with the demographic distribution of the population. Using the NHANES stratified obesity prevalence data between NHANES III (1988-1994), NHANES (1999-2000), (2001-2002), (2003-2004), (2005-2006), and (2007-2008), we examined the relationship between corn product consumption and race/ethnicity of men and women between 1995 and 2008. Our results show that the trends of obesity and corn product consumption rose in parallel irrespective of gender among non-Hispanic white men and women (Fig. 5A and B), non-Hispanic black men and women (Fig. 5C and D), and Mexican-American men and women (Fig. 5E and F), thus suggesting that the association of rising obesity trends with increased corn product consumption is independent of race/ethnicity and gender.
Our analysis of obesity and food type consumption trends data in this report yielded three major findings. First, it has been long accepted that overconsumption of food coupled with a sedentary lifestyle results in a positive energy imbalance, which is a formula for obesity development. Our analysis in this report, however, indicates that even though total calorie intake in the U.S. has plateaued in recent years, the incidence of obesity continues to rise, thus suggesting that rising obesity trends do not correlate with total energy intake. Alternatively, it is conceivable that the total caloric intake has plateaued while the levels of physical activity have also not increased, thus explaining the intransigent obesity trends.
Second, HFCS as a cause of obesity has been intensely debated. It was shown recently that rats given HFCS along with a regular chow diet gained more weight than control rats, even when they consumed the same amount of calories . Further, consumption of an HFCS-containing diet increased visceral fats and blood triglycerides over time. However, our results show a negative correlation of HFCS with rising obesity, as HFCS consumption has been on the decline since 2000. However, this negative correlation does not refute the underlying biological role of HFCS in obesity. Instead, it suggests that HFCS consumption on the whole may not contribute to rising obesity trends. Though we initially also observed positive correlations between increased consumption of chicken, salad and cooking oils, dairy fats, and total cheese with obesity, subsequent multiple linear regression analysis and cross-validation of these results revealed a lack of significance in these correlations.
The above observations suggest that additional factors may be involved in rising obesity trends. Therefore, our third finding of a correlation between increased corn product intake and rising obesity between 1995 and 2008 is intriguing, as these foods are not generally considered unhealthy. What are the underlying etiologic links between these foods and obesity?
In the ERS dataset, corn products are considered an aggregate comprised of flour and meal, hominy and grits, cornstarch, and other corn products, which are widely used in the manufacture of a large variety of food products consumed by humans. Recently, it was reported that approximately 85% of the corn grown in the U.S. is transgenic . The increased ubiquity of GM or genetically engineered corn products in human food sources is noted, but their potential impact on human health has not been investigated despite recent reports of hepatorenal toxicity in rats fed GM maize [26,27]. Moreover, the rising trends in obesity coincide, in part, with the introduction of GM corn in foods and animal feeds in the U.S. [28,29]. These observations prompted us to hypothesize that consumption of GM corn products may contribute to rising obesity trends. The implications of our results and the new hypothesis raised here are provocative but testable, as the effects of GM corn products can be assessed in molecular and animal models of obesity. No data are currently available on how much genetically engineered food is on the market due to a lack of proper labeling and traceability.
We further speculate that the bacterial antigen derived from the Bacillus thuringiensis (Bt) entomocidal crystalline protein protoxin , which is genetically engineered into corn to confer resistance to insect pests, may be the underlying culprit that causes anomalous adipose tissue dysregulation and obesity development.
Despite such shortcomings, the BRFSS obesity trends were remarkably similar to the NHANES dataset. In addition, the data for the rate of GM corn adoption in the U.S. did not take into consideration the different uses of these transgenic corns other than as foods and feeds. Although it is clear that transgenic corn has penetrated into human foods and animal feeds, and the consumption of GM crops has been deemed safe , precise data regarding the amounts and types of foods containing transgenic corn products are unavailable, and the correlation with increased emergence of common human diseases including diabetes and obesity has not been investigated.
Taken together, our results reveal a novel association of corn product consumption with rising trends of obesity, which may be linked to the increased ubiquity of transgenic corn in the diet. These trends data findings warrant further investigation and confirmation through laboratory testing.
We thank Jennifer E.W. Hill, Ph.D. (Department of Physiology and Pharmacology, University of Toledo, College of Medicine, Toledo, Ohio) for helpful comments and discussions regarding the manuscript.
This work was supported in part by a National Institutes of Health grant CA102204.
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