TY - JOUR
T1 - Socio-economic life course and obesity among adults in Florianopolis, southern Brazil
AU - Wagner, Katia Jakovljevic Pudla
AU - Bastos, João Luiz
AU - Navarro, Albert
AU - Boing, Antonio Fernando
PY - 2018/5/1
Y1 - 2018/5/1
N2 - © 2017 SESPAS Objective: To estimate the association between socio-economic life course and body mass index (BMI), waist circumference (WC) and general and abdominal obesity in adults. Methods: A cross-sectional analysis of a population-based cohort study of 1,222 adults (aged 22–63) from Florianopolis, southern Brazil. The socio-economic life course was analysed using the educational level of participants and their parents. Height, weight and WC were measured by specially trained staff. Linear and logistic regressions were used with adjustment for confounding factors, and data were stratified according to sex. Results: Mean BMI and WC were about 2 kg/m2 (95% CI: −3.3 to −0.7) and 6 cm (95% CI: −9.7 to −2.9) lower in women with a high socio-economic position, while the association was reversed in men with a high socio-economic position, with WC being about 4 cm higher (95% CI: 0.1 to 7.5). In addition, women who had always been in a high socio-economic position were less likely to have abdominal obesity (OR: 0.38; 95% CI: 0.20 to 0.76) while no such association was found in men. Conclusion: Socio-economic life course influences BMI, WC and obesity, with differences between males and females, thereby indicating that public policies that contemplate a socio-economic life course approach can be effective for controlling obesity.
AB - © 2017 SESPAS Objective: To estimate the association between socio-economic life course and body mass index (BMI), waist circumference (WC) and general and abdominal obesity in adults. Methods: A cross-sectional analysis of a population-based cohort study of 1,222 adults (aged 22–63) from Florianopolis, southern Brazil. The socio-economic life course was analysed using the educational level of participants and their parents. Height, weight and WC were measured by specially trained staff. Linear and logistic regressions were used with adjustment for confounding factors, and data were stratified according to sex. Results: Mean BMI and WC were about 2 kg/m2 (95% CI: −3.3 to −0.7) and 6 cm (95% CI: −9.7 to −2.9) lower in women with a high socio-economic position, while the association was reversed in men with a high socio-economic position, with WC being about 4 cm higher (95% CI: 0.1 to 7.5). In addition, women who had always been in a high socio-economic position were less likely to have abdominal obesity (OR: 0.38; 95% CI: 0.20 to 0.76) while no such association was found in men. Conclusion: Socio-economic life course influences BMI, WC and obesity, with differences between males and females, thereby indicating that public policies that contemplate a socio-economic life course approach can be effective for controlling obesity.
KW - Adults
KW - Cross-sectional study
KW - Obesity
KW - Socio-economic factors
KW - Socio-economic life course
U2 - 10.1016/j.gaceta.2017.01.006
DO - 10.1016/j.gaceta.2017.01.006
M3 - Article
SN - 0213-9111
VL - 32
SP - 244
EP - 250
JO - Gaceta Sanitaria
JF - Gaceta Sanitaria
IS - 3
ER -