Socioeconomic status throughout life and body mass index: a systematic review and meta-analysis

Abstract: This article aimed to systematically review the association between socioeconomic status according to the life course models and the body mass index (BMI) in adults. A review was performed following the guidelines of the PRISMA. The studies were identified in the MEDLINE/PubMed, LILACS and...

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Main Authors: Luna Strieder Vieira, Isabel Oliveira Bierhals, Juliana dos Santos Vaz, Fernanda de Oliveira Meller, Fernando César Wehrmeister, Maria Cecília Formoso Assunção
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/pdf/csp/v35n10/1678-4464-csp-35-10-e00125518.pdf
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author Luna Strieder Vieira
Isabel Oliveira Bierhals
Juliana dos Santos Vaz
Fernanda de Oliveira Meller
Fernando César Wehrmeister
Maria Cecília Formoso Assunção
author_facet Luna Strieder Vieira
Isabel Oliveira Bierhals
Juliana dos Santos Vaz
Fernanda de Oliveira Meller
Fernando César Wehrmeister
Maria Cecília Formoso Assunção
author_sort Luna Strieder Vieira
collection DOAJ
description Abstract: This article aimed to systematically review the association between socioeconomic status according to the life course models and the body mass index (BMI) in adults. A review was performed following the guidelines of the PRISMA. The studies were identified in the MEDLINE/PubMed, LILACS and Web of Science databases. The eligible articles investigated the association between at least one life course model (risk accumulation, critical period or social mobility) and BMI. In order to assess the quality of the selected articles, the NOS checklist was applied to each study. Eleven articles were selected for the systematic review, and seven articles were selected for the meta-analysis. The average score and the median in the NOS checklist were 6.4, within a maximum possible score of 8 points. The most used model was social mobility. Regarding meta-analysis, there was association between lower life course socioeconomic status and BMI among women. BMI mean difference (MD) was higher among those who remained with low socioeconomic status throughout life when compared with those who maintained a high socioeconomic status (MD: 2.17, 95%CI: 1.48; 2.86). Before that, the BMI MD was higher among those with upward mobility, compared with those who maintained a high socioeconomic status throughout life (MD: 1.20, 95%CI: 0.73; 1.68). The risk of overweight was also higher among women who maintained low socioeconomic status (summary RR: 1.70, 95%CI: 1.05; 2.74); however, according to the GRADE, the studies presented very low quality evidence. For men, no association was observed. Having low socioeconomic status sometime during life is associated with higher BMI in adulthood.
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spelling doaj.art-a6fd1068fe434a8ea5f24354d5b09d252022-12-21T18:10:49ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-446410.1590/0102-311x00125518Socioeconomic status throughout life and body mass index: a systematic review and meta-analysisLuna Strieder VieiraIsabel Oliveira BierhalsJuliana dos Santos VazFernanda de Oliveira MellerFernando César WehrmeisterMaria Cecília Formoso AssunçãoAbstract: This article aimed to systematically review the association between socioeconomic status according to the life course models and the body mass index (BMI) in adults. A review was performed following the guidelines of the PRISMA. The studies were identified in the MEDLINE/PubMed, LILACS and Web of Science databases. The eligible articles investigated the association between at least one life course model (risk accumulation, critical period or social mobility) and BMI. In order to assess the quality of the selected articles, the NOS checklist was applied to each study. Eleven articles were selected for the systematic review, and seven articles were selected for the meta-analysis. The average score and the median in the NOS checklist were 6.4, within a maximum possible score of 8 points. The most used model was social mobility. Regarding meta-analysis, there was association between lower life course socioeconomic status and BMI among women. BMI mean difference (MD) was higher among those who remained with low socioeconomic status throughout life when compared with those who maintained a high socioeconomic status (MD: 2.17, 95%CI: 1.48; 2.86). Before that, the BMI MD was higher among those with upward mobility, compared with those who maintained a high socioeconomic status throughout life (MD: 1.20, 95%CI: 0.73; 1.68). The risk of overweight was also higher among women who maintained low socioeconomic status (summary RR: 1.70, 95%CI: 1.05; 2.74); however, according to the GRADE, the studies presented very low quality evidence. For men, no association was observed. Having low socioeconomic status sometime during life is associated with higher BMI in adulthood.http://www.scielo.br/pdf/csp/v35n10/1678-4464-csp-35-10-e00125518.pdfReviewMeta-analysisBody Mass IndexSocioeconomic Status
spellingShingle Luna Strieder Vieira
Isabel Oliveira Bierhals
Juliana dos Santos Vaz
Fernanda de Oliveira Meller
Fernando César Wehrmeister
Maria Cecília Formoso Assunção
Socioeconomic status throughout life and body mass index: a systematic review and meta-analysis
Cadernos de Saúde Pública
Review
Meta-analysis
Body Mass Index
Socioeconomic Status
title Socioeconomic status throughout life and body mass index: a systematic review and meta-analysis
title_full Socioeconomic status throughout life and body mass index: a systematic review and meta-analysis
title_fullStr Socioeconomic status throughout life and body mass index: a systematic review and meta-analysis
title_full_unstemmed Socioeconomic status throughout life and body mass index: a systematic review and meta-analysis
title_short Socioeconomic status throughout life and body mass index: a systematic review and meta-analysis
title_sort socioeconomic status throughout life and body mass index a systematic review and meta analysis
topic Review
Meta-analysis
Body Mass Index
Socioeconomic Status
url http://www.scielo.br/pdf/csp/v35n10/1678-4464-csp-35-10-e00125518.pdf
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AT fernandadeoliveirameller socioeconomicstatusthroughoutlifeandbodymassindexasystematicreviewandmetaanalysis
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