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Does the ban on trans-fats improve public health? In search of the optimal policy response

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Abstract

This paper examines the contribution of the regulatory ban on trans-fats and voluntary trans-fat regulation to public health outcomes for a sample of 39 countries in the period 1990–2015. To this end, we exploit within-country variation in trans-fat legislation to estimate the impact of the trans fat ban on cardiovascular mortality and obesity rates. Our difference-in-difference estimates indicate modest and beneficial effects of the trans-fats ban in reducing cardiovascular mortality and obesity rate. We find that the ban on trans fats tends to decrease the mortality rate attributed to cardiovascular diseases while the effects on the obesity rates are significant, especially among children and adolescent age group. By contrast, voluntary regulation of trans fats and demand-driven regulatory strategies are generally not associated with a marked drop in the obesity rate. By controlling for country-specific time trends, we show that the estimated mortality- and obesity-related impact of the ban is not driven by pre-existing trends, and does not affect non-cardiovascular mortality rate.

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Notes

  1. Australia, Austria, Belgium, Brazil, Canada, Chile, Colombia, Costa Rica, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Japan, Latvia, Lithuania, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Russia, Slovakia, Slovenia, South Korea, Spain, Sweden, Switzerland, United Kingdom, United States.

References

  • Arellano, M., & Bond, S. (1991). Some tests of specification for panel data: Monte Carlo evidence and an application to employment equations. The Review of Economic Studies, 58(2), 277–297.

    Article  Google Scholar 

  • Aro, A., Jauhiainen, M., Partanen, R., Salminen, I., & Mutanen, M. (1997). Stearic acid, trans fatty acids, and dairy fat: Effects on serum and lipoprotein lipids, apolipoproteins, lipoprotein (a), and lipid transfer proteins in healthy subjects. The American Journal of Clinical Nutrition, 65(5), 1419–1426.

    Article  Google Scholar 

  • Ascherio, A., Hennekens, C. H., Buring, J. E., Master, C., Stampfer, M. J., & Willett, W. C. (1994). Trans-fatty acids intake and risk of myocardial infarction. Circulation, 89(1), 94–101.

    Article  Google Scholar 

  • Ascherio, A., & Willett, W. C. (1997). Health effects of trans fatty acids. The American Journal of Clinical Nutrition, 66(4), 1006S–1010S.

    Article  Google Scholar 

  • Astrup, A., Dyerberg, J., Selleck, M., & Stender, S. (2008). Nutrition transition and its relationship to the development of obesity and related chronic diseases. Obesity Reviews, 9(s1), 48–52.

    Article  Google Scholar 

  • Baer, D. J., Judd, J. T., Clevidence, B. A., & Tracy, R. P. (2004). Dietary fatty acids affect plasma markers of inflammation in healthy men fed controlled diets: A randomized crossover study. The American Journal of Clinical Nutrition, 79(6), 969–973.

    Article  Google Scholar 

  • Besley, T., & Burgess, R. (2004). Can labor regulation hinder economic performance? Evidence from India. Quarterly Journal of Economics, 119(1), 91–134.

    Article  Google Scholar 

  • Brouwer, I. A., Wanders, A. J., & Katan, M. B. (2013). Trans fatty acids and cardiovascular health: Research completed? European Journal of Clinical Nutrition, 67(5), 541–547.

    Article  Google Scholar 

  • Brownell, K. D., & Pomeranz, J. L. (2014). The trans-fat ban—Food regulation and long-term health. New England Journal of Medicine, 370(19), 1773–1775.

    Article  Google Scholar 

  • Caggiula, A. W., & Mustad, V. A. (1997). Effects of dietary fat and fatty acids on coronary artery disease risk and total and lipoprotein cholesterol concentrations: Epidemiologic studies. The American Journal of Clinical Nutrition, 65(5), 1597S–1610S.

    Article  Google Scholar 

  • Cameron, A. C., Gelbach, J. B., & Miller, D. L. (2011). Robust inference with multiway clustering. Journal of Business & Economic Statistics, 29(2), 238–249.

    Article  Google Scholar 

  • Cohen, J. T. (2014). FDA’s proposed ban on trans fats: How do the costs and benefits stack up? Clinical Therapeutics, 36(3), 322–327.

    Article  Google Scholar 

  • Coombes, R. (2011). Trans fats: Chasing a global ban. British Medical Journal (BMJ), 343, d5567.

    Article  Google Scholar 

  • Danaei, G., Ding, E. L., Mozaffarian, D., Taylor, B., Rehm, J., Murray, C. J., et al. (2009). The preventable causes of death in the United States: Comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Medicine, 6(4), e1000058.

    Article  Google Scholar 

  • De Geest, G., & Kovac, M. (2009). Formation of contracts in the draft common frame of reference. European Review of Private Law, 17(2), 113.

    Google Scholar 

  • Downs, S. M., Thow, A. M., & Leeder, S. R. (2013). The effectiveness of policies for reducing dietary trans fat: A systematic review of the evidence. Bulletin of the World Health Organization, 91(4), 262–269h.

    Article  Google Scholar 

  • Ebbeling, C. B., Pawlak, D. B., & Ludwig, D. S. (2002). Childhood obesity: Public-health crisis, common sense cure. The Lancet, 360(9331), 473–482.

    Article  Google Scholar 

  • Farrell, J. (1986). Voluntary disclosure: Robustness of the unraveling result, and comments on its importance. In R. Grieson (Ed.), Antitrust and regulation. Lanham: Lexington Books.

    Google Scholar 

  • Feenstra, R. C., Inklaar, R., & Timmer, M. P. (2015). The next generation of the Penn World Table. American Economic Review, 105(10), 3150–3182.

    Article  Google Scholar 

  • Fishman, J. M., & Hagerty, M. K. (1990). The optimal amount of discretion to allow in disclosure. Quarterly Journal of Economics, 105(2), 427–444.

    Article  Google Scholar 

  • Golombieski, R., Veit, J. C., Piccolo, J., Emanuelli, T., Rocha, J. B. T., & Bürger, M. E. (2015). Cross-generational trans fat intake modifies BDNF mRNA in the hippocampus: Impact on memory loss in a mania animal model. Hippocampus, 25(5), 556–565.

    Article  Google Scholar 

  • Gould, E., Tanapat, P., McEwen, B. S., Flügge, G., & Fuchs, E. (1998). Proliferation of granule cell precursors in the dentate gyrus of adult monkeys is diminished by stress. Proceedings of the National Academy of Sciences, 95(6), 3168–3171.

    Article  Google Scholar 

  • Grossman, J. S. (1981). The informational role of warranties and private disclosure about product quality. Journal of Law and Economics, XXIV, 461–489.

    Article  Google Scholar 

  • Han, S. N., Leka, L. S., Lichtenstein, A. H., Ausman, L. M., Schaefer, E. J., & Meydani, S. N. (2002). Effect of hydrogenated and saturated, relative to polyunsaturated, fat on immune and inflammatory responses of adults with moderate hypercholesterolemia. Journal of Lipid Research, 43(3), 445–452.

    Google Scholar 

  • Hayek, F. A. (1973). Law, legislation and liberty. London: Routledge.

    Google Scholar 

  • Hendry, V. L., Almíron-Roig, E., Monsivais, P., Jebb, S. A., Benjamin Neelon, S. E., Griffin, S. J., et al. (2015). Impact of regulatory interventions to reduce intake of artificial trans–fatty acids: A systematic review. American Journal of Public Health, 105(3), e32–e42.

    Article  Google Scholar 

  • Hirschleifer, J., & Riley, G. J. (1995). The analytics of uncertainty and information (3rd reprint). Cambridge: Cambridge University Press.

    Google Scholar 

  • Jovanovic, B. (1982). Truthful disclosure of information. Bell Journal of Economics, 13, 36–44.

    Article  Google Scholar 

  • Judd, J. T., Clevidence, B. A., Muesing, R. A., Wittes, J., Sunkin, M. E., & Podczasy, J. J. (1994). Dietary trans fatty acids: Effects on plasma lipids and lipoproteins of healthy men and women. The American Journal of Clinical Nutrition, 59(4), 861–868.

    Article  Google Scholar 

  • Katan, M. B., Zock, P. L., & Mensink, R. P. (1995). Trans fatty acids and their effects on lipoproteins in humans. Annual Review of Nutrition, 15(1), 473–493.

    Article  Google Scholar 

  • Kavanagh, K., Jones, K. L., Sawyer, J., Kelley, K., Carr, J. J., Wagner, J. D., et al. (2007). Trans fat diet induces abdominal obesity and changes in insulin sensitivity in monkeys. Obesity, 15(7), 1675–1684.

    Article  Google Scholar 

  • Koletzko, B. (1992). Trans fatty acids may impair biosynthesis of long-chain polyunsaturates and growth in man. Acta Paediatrica, 81(4), 302–306.

    Article  Google Scholar 

  • Kromhout, D., & De Coulander, C. L. (1984). Diet, prevalence and 10-year mortality from coronary heart disease in 871 middle-aged men: The Zutphen Study. American Journal of Epidemiology, 119(5), 733–741.

    Article  Google Scholar 

  • Kronman, A. T. (1978). Mistake, disclosure, information, and the law of contracts. Journal of Legal Studies, 7(1), 1–34.

    Article  Google Scholar 

  • Lemaitre, R. N., King, I. B., Raghunathan, T. E., Pearce, R. M., Weinmann, S., Knopp, R. H., et al. (2002). Cell membrane trans-fatty acids and the risk of primary cardiac arrest. Circulation, 105(6), 697–701.

    Article  Google Scholar 

  • Leth, T., Jensen, H. G., Mikkelsen, A. Æ., & Bysted, A. (2006). The effect of the regulation on trans fatty acid content in Danish food. Atherosclerosis Supplements, 7(2), 53–56.

    Article  Google Scholar 

  • Ludwig, D. S. (2011). Technology, diet, and the burden of chronic disease. Journal of American Medical Association, 305(13), 1352–1353.

    Article  Google Scholar 

  • Mackaay, E. (1982). Economics of information and law. Dordrecht: Kluwer Nijhof Publishing.

    Book  Google Scholar 

  • Matthews, S., & Postlewaite, A. (1985). Quality testing and disclosure. The Rand Journal of Economics, 16(3), 328–340.

    Article  Google Scholar 

  • Mensink, R. P. (2016). Effects of saturated fatty acids on serum lipids and lipoproteins: A systematic review and regression analysis. Geneva: World Health Organization.

    Google Scholar 

  • Mensink, R. P., & Katan, M. B. (1990). Effect of dietary trans fatty acids on high-density and low-density lipoprotein cholesterol levels in healthy subjects. New England Journal of Medicine, 323(7), 439–445.

    Article  Google Scholar 

  • Mensink, R. P., Sanders, T. A., Baer, D. J., Hayes, K. C., Howles, P. N., & Marangoni, A. (2016). The increasing use of interesterified lipids in the food supply and their effects on health parameters. Advances in Nutrition, 7(4), 719–729.

    Article  Google Scholar 

  • Micha, R., & Mozaffarian, D. (2009). Trans fatty acids: Effects on cardiometabolic health and implications for policy. Prostaglandins Leukot Essent Fatty Acids, 79(3–5), 147–152.

    Google Scholar 

  • Milgrom, R. P. (1981). Good news and bad news: Representation theorems and applications. Bell Journal of Economics, 12, 380–391.

    Article  Google Scholar 

  • Missmer, S. A., Chavarro, J. E., Malspeis, S., Bertone-Johnson, E. R., Hornstein, M. D., Spiegelman, D., et al. (2010). A prospective study of dietary fat consumption and endometriosis risk. Human Reproduction, 25(6), 1528–1535.

    Article  Google Scholar 

  • Moulton, B. R. (1986). Random group effects and the precision of regression estimates. Journal of Econometrics, 32(3), 385–397.

    Article  Google Scholar 

  • Moulton, B. R. (1990). An illustration of a pitfall in estimating the effects of aggregate variables on micro units. The Review of Economics and Statistics, 72(2), 334–338.

    Article  Google Scholar 

  • Mozaffarian, D., Katan, M. B., Ascherio, A., Stampfer, M. J., & Willett, W. C. (2006). Trans fatty acids and cardiovascular disease. New England Journal of Medicine, 354(15), 1601–1613.

    Article  Google Scholar 

  • Mozaffarian, D., Rimm, E. B., King, I. B., Lawler, R. L., McDonald, G. B., & Levy, W. C. (2004). Trans fatty acids and systemic inflammation in heart failure. The American Journal of Clinical Nutrition, 80(6), 1521–1525.

    Article  Google Scholar 

  • O’Flaherty, M., Flores-Mateo, G., Nnoaham, K., Lloyd-Williams, F., & Capewell, S. (2012). Potential cardiovascular mortality reductions with stricter food policies in the United Kingdom of Great Britain and Northern Ireland. Bulletin of the World Health Organization, 90, 522–531.

    Article  Google Scholar 

  • Ogus, A. I. (2004). Regulation: Legal form and economic theory. London: Bloomsbury Publishing.

    Google Scholar 

  • Oh, K., Hu, F. B., Manson, J. E., Stampfer, M. J., & Willett, W. C. (2005). Dietary fat intake and risk of coronary heart disease in women: 20 years of follow-up of the nurses’ health study. American Journal of Epidemiology, 161(7), 672–679.

    Article  Google Scholar 

  • Okuno-Fujiwara, M., Postlewaite, A., & Suzumura, K. (1990). Strategic information revelation. The Review of Economic Studies, 57, 25–47.

    Article  Google Scholar 

  • Posner, R. A. (2014). Economic analysis of law (9th ed.). Dordrecht: Kluwer.

    Google Scholar 

  • Ratnayake, W. M. N., L’abbe, M. R., & Mozaffarian, D. (2009). Nationwide product reformulations to reduce trans fatty acids in Canada: When trans fat goes out, what goes in? European Journal of Clinical Nutrition, 63(6), 808.

    Article  Google Scholar 

  • Restrepo, B. J., & Rieger, M. (2016a). Trans fat and cardiovascular disease mortality: Evidence from bans in restaurants in New York. Journal of Health Economics, 45, 176–196.

    Article  Google Scholar 

  • Restrepo, B. J., & Rieger, M. (2016b). Denmark’s policy on artificial trans fat and cardiovascular disease. American Journal of Preventive Medicine, 50(1), 69–76.

    Article  Google Scholar 

  • Riserus, U. L. F., Arner, P., Brismar, K., & Vessby, B. (2002). Treatment with dietary trans10cis12 conjugated linoleic acid causes isomer-specific insulin resistance in obese men with the metabolic syndrome. Diabetes Care, 25(9), 1516–1521.

    Article  Google Scholar 

  • Salmeron, J., Hu, F. B., Manson, J. E., Stampfer, M. J., Colditz, G. A., Rimm, E. B., et al. (2001). Dietary fat intake and risk of type 2 diabetes in women. The American Journal of Clinical Nutrition, 73(6), 1019–1026.

    Article  Google Scholar 

  • Schäefer, H. B., & Ott, C. (2004). The economic analysis of civil law. Cheltenham‎: Edward Elgar.

    Google Scholar 

  • Shavell, S. (1994). Acqusition and disclosure of information prior to sale. The Rand Journal of Economics, 25(1), 20–36.

    Article  Google Scholar 

  • Stender, S., & Dyerberg, J. (2003). The influence of trans fatty acids on health. Report from the Danish Nutrition Council. Danish Nutrition Council.

  • Stender, S., Dyerberg, J., & Astrup, A. (2006). Consumer protection through a legislative ban on industrially produced trans fatty acids in foods in Denmark. Scandinavian Journal of Food and Nutrition, 50(4), 155–160.

    Article  Google Scholar 

  • Teegala, S. M., Willett, W. C., & Mozaffarian, D. (2009). Consumption and health effects of trans fatty acids: A review. Journal of AOAC International, 92(5), 1250–1257.

    Google Scholar 

  • Thaler, R. H., & Sunstein, C. R. (2003). Libertarian paternalism. American Economic Review, 93(2), 175–179.

    Article  Google Scholar 

  • Trebilcock, J. M. (1993). The limits of freedom of contract. Cambridge: Harvard University Press.

    Google Scholar 

  • Trevizol, F., Dias, V. T., Roversi, K., Barcelos, R. C. S., Kuhn, F. T., Roversi, F. T., et al. (2015) Cross-generational transfat intake modifies BDNF mRNA in the hippocampus: impact on memory loss in a mania animal model. Hippocampus, 25, 556–565.

    Article  Google Scholar 

  • Uauy, R., Aro, A., Clarke, R., L’Abbé, M. R., Mozaffarian, D., Skeaff, C. M., et al. (2009). WHO scientific update on trans fatty acids: Summary and conclusions. European Journal of Clinical Nutrition, 63(S2), S68.

    Article  Google Scholar 

  • Van De Veer, D. (1986). Paternalistic intervention: The moral bounds on benevolence. Princeton: Princeton University Press.

    Google Scholar 

  • Vandana, D., Gulia, N., Kulveer, S., & Singh Khatkar, B. (2011). Trans fats—Sources, health risks and alternative approach—A review. Journal of Food Science and Technology, 48(5), 534–541.

    Article  Google Scholar 

  • Vesper, H. W., Kuiper, H. C., Mirel, L. B., Johnson, C. L., & Pirkle, J. L. (2012). Levels of plasma trans-fatty acids in non-Hispanic white adults in the United States in 2000 and 2009. Journal of American Medical Association, 307(6), 562–563.

    Article  Google Scholar 

  • Williams, M. A., King, I. B., Sorensen, T. K., Zingheim, R. W., Troyer, B. L., Zebelman, A. M., et al. (1998). Risk of preeclampsia in relation to elaidic acid (trans fatty acid) in maternal erythrocytes. Gynecologic and Obstetric Investigation, 46(2), 84–87.

    Article  Google Scholar 

  • Wonnell, T. C. (1991). The structure of a general theory of non-disclosure. Case Western Research Law Review, 41, 329.

    Google Scholar 

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Correspondence to Mitja Kovac.

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The authors would like to thank Menahem Spiegel for the editorial guidance and to the anonymous referee for comments and feedback on the earlier version of the paper. We would also like to thank Boudwijn Bouckaert, Gerrit De Geest, Ben Depoorter, Miguel Garcia Posada-Gomez, Nuno Garoupa, Sven Hoeppner, Jonathan Klick, Lela Mélon, Edward Norton, Juan S. Mora Sanguinetti, Joseph Sabia, Hélène Schernberg, Stefan Voigt, Peter Van Wijck, and Wolfgang Weigel as well as the participants of the 16th Annual German Law and Economics Conference (Ljubljana), 8th Annual Conference of Spanish Law and Economics Association (Madrid), 34th Annual Conference of the European Association of Law and Economics (EALE) in London for comments, feedback and initiatives on the earlier drafts of the paper.

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Kovac, M., Spruk, R. Does the ban on trans-fats improve public health? In search of the optimal policy response. J Regul Econ 55, 258–281 (2019). https://doi.org/10.1007/s11149-019-09387-8

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