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Abstract ObjectivesStudies suggest that living at high altitude decreases obesity risk, but this research is limited to single‐country analyses. We examine the relationship between altitude and body mass index (BMI) among women living in a diverse sample of low‐ and middle‐income countries. Materials and MethodsUsing Demographic and Health Survey data from 1 583 456 reproductive age women (20–49 years) in 54 countries, we fit regression models predicting BMI and obesity by altitude controlling for a range of demographic factors—age, parity, breastfeeding status, wealth, and education. ResultsA mixed‐effects model with country‐level random intercepts and slopes predicts an overall −0.162 kg/m2(95% CI −0.220, −0.104) reduction in BMI and lower odds of obesity (OR 0.90, 95% CI 0.87, 0.95) for every 200 m increase in altitude. However, countries vary dramatically in whether they exhibit a negative or positive association between altitude and BMI (34 countries negative, 20 positive). Mixed findings also arise when examining odds of obesity. DiscussionWe show that past findings of declining obesity risk with altitude are not universal. Increasing altitude predicts slightly lower BMIs at the global level, but the relationship within individual countries varies in both strength and direction.more » « less
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Hadley, Craig; Maxfield, Amanda; Hruschka, Daniel (, World Development)
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Hruschka, Daniel J.; Hadley, Craig; Hackman, Joseph; Hernandez Montoya, Alejandro Raul (, PLOS ONE)
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Kaiser, Bonnie N.; Hruschka, Daniel; Hadley, Craig (, American Journal of Human Biology)Abstract Although wealth is consistently found to be an important predictor of health and well‐being, there remains debate as to the best way to conceptualize and operationalize wealth. In this article, we focus on the measurement of economic resources, which is one among many forms of wealth. We provide an overview of the process of measuring material wealth, including theoretical and conceptual considerations, a how‐to guide based on the most common approach to measurement, and a review of important theoretical and empirical questions that remain to be resolved. Throughout, we emphasize considerations particular to the settings in which anthropologists work, and we include variations on common approaches to measuring material wealth that might be better suited to anthropologists' theoretical questions, methodological approaches, and fieldwork settings.more » « less
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