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Childhood socio-economic stress may be linked with adult obesity

Adults who grow up in a low socio-economic environment may be more likely to desire food even when they are not hungry, according to a University of Alberta study, which suggests stressful childhood environments are a precursor for obesity later in life, and challenges the notion that advertising junk food is at the root of the obesity epidemic.

Jim Swaffield (Credit: University of Alberta)

"What we did not know was that stressful conditions experienced during early childhood appear to calibrate the brain to desire high-energy-dense foods throughout one's lifespan," explained Dr Jim Swaffield, a consumer psychology researcher at the Alberta School of Business, who conducted the study with Qi Guo, a researcher from the Faculty of Education. "This research also helps explain why people with lower socio-economic status, who live in chronically stressful conditions, have higher obesity rates."

For the study, ‘Childhood Socioeconomic Status Impacts Adult Food Preference: The Mediating Role of Stress and Trait Appetite’, published in Behavioral Sciences, 311 adults (133 men and 178 women) were shown random images of food items from each of the six major food categories - vegetables, fruits, grains, dairy, meat/poultry, and sweets - and rated how desirable each food item is.

Participants rated each food on a seven-point scale according to the question, "How desirable is this food item to you right now?" with seven being extremely desirable.

The food items were split into two equally sized groups based on caloric content. Foods that contained fewer than 1.49 calories per gram were classified as low-energy-dense foods, and foods with more than 1.5 calories per gram were classified as high-energy-dense foods.

The participants were then asked a series of questions about their early childhood socio-economic conditions and current stress level.

Next, Swaffield and Guo administered a questionnaire to determine whether the participants had a state or trait appetite. State appetite refers to the desire to eat only when one is hungry due to low glucose levels; trait appetite refers to those who desire food even when they are not hungry.

What they discovered was that adults who were raised in harsh socio-economic conditions were very food motivated and more likely to have trait appetite, whereas adults who were raised in safe socio-economic conditions were more likely to have a state appetite.

Moreover, adult participants who lived in a high socio-economic environment during childhood were more likely to desire low-energy-dense foods. In contrast, adults who were raised in a low socio-economic environment during childhood had low desire for low-energy-dense foods.

Swaffield says the dominant theories as to why stress triggers the desire to eat include the insurance hypothesis, which postulates that humans have an instinctive drive to overeat to acquire excess fat stores that would buffer the impact of a future famine.

"It is believed that as environmental conditions become harsh, a sense of resource scarcity is felt which creates a sense of stress," he said. "To reduce stress, humans are driven to acquire and consume excess food. This is a pattern that has also been found in birds, rodents and non-human primates."

Another belief as to why stress can increase the desire for high-energy-dense foods is that stress signals to the body that it needs to prepare for a fight-or-flight response.

"Fighting or fleeing is how one reduces the cause of the stress. To fuel this response, our muscles need to mobilise stored glucose and fats as quickly as possible."

Swaffield adds that stress increases the desire for high-energy-dense foods because energy-dense foods trigger production of the neurotransmitter dopamine, which blunts the stress response and makes the person feel better.

Swaffield and Guo's study comes as pressure mounts to ban advertising of junk food. And though banning junk food ads makes intuitive sense, Swaffield notes there are real-world implications if the correlation between obesity and advertising is spurious.

"If we err in identifying the cause of obesity, we will fail to develop a strategy to remedy this problem, and the number of people who live with these conditions will continue to grow."


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