Childhood Socioeconomic Position and Objectively Measured Physical Capability Levels in Adulthood: A Systematic Review and Meta-Analysis

被引:104
作者
Birnie, Kate [1 ]
Cooper, Rachel [2 ,3 ]
Martin, Richard M. [1 ]
Kuh, Diana [2 ,3 ]
Sayer, Avan Aihie [4 ]
Alvarado, Beatriz E. [5 ]
Bayer, Antony [6 ]
Christensen, Kaare [7 ,8 ]
Cho, Sung-il [9 ,10 ]
Cooper, Cyrus [4 ,11 ,12 ]
Corley, Janie [13 ,14 ]
Craig, Leone [15 ,16 ]
Deary, Ian J. [13 ,14 ]
Demakakos, Panayotes [17 ]
Ebrahim, Shah [18 ]
Gallacher, John [6 ]
Gow, Alan J. [13 ,14 ]
Gunnell, David [1 ]
Haas, Steven [19 ]
Hemmingsson, Tomas [20 ]
Inskip, Hazel [4 ]
Jang, Soong-nang [21 ]
Noronha, Kenya [22 ]
Osler, Merete [23 ]
Palloni, Alberto [24 ]
Rasmussen, Finn
Santos-Eggimann, Brigitte [25 ,26 ]
Spagnoli, Jacques [25 ,26 ]
Starr, John [14 ,27 ]
Steptoe, Andrew [17 ]
Syddall, Holly [4 ]
Tynelius, Per
Weir, David [28 ]
Whalley, Lawrence J. [15 ]
Zunzunegui, Maria Victoria [29 ]
Ben-Shlomo, Yoav [1 ]
Hardy, Rebecca [2 ,3 ]
机构
[1] Univ Bristol, Dept Social Med, Bristol, Avon, England
[2] UCL, MRC, Unit Lifelong Hlth & Ageing, London, England
[3] UCL, Div Populat Hlth, London, England
[4] Univ Southampton, MRC, Lifecourse Epidemiol Unit, Southampton, Hants, England
[5] Queens Univ, Dept Community Hlth & Epidemiol, Kingston, ON, Canada
[6] Cardiff Univ, Dept Primary Care & Publ Hlth, Ctr Hlth Sci Res, Cardiff, S Glam, Wales
[7] Univ So Denmark, Inst Publ Hlth, Danish Twin Registry, Odense, Denmark
[8] Univ So Denmark, Inst Publ Hlth, Danish Aging Res Ctr, Odense, Denmark
[9] Seoul Natl Univ, Sch Publ Hlth, Dept Epidemiol, Seoul, South Korea
[10] Seoul Natl Univ, Inst Hlth & Environm, Seoul, South Korea
[11] Univ Oxford, Natl Inst Hlth, Oxford, England
[12] Univ Oxford, Res Musculoskeletal Biomed Res Unit, Oxford, England
[13] Univ Edinburgh, Dept Psychol, Edinburgh, Midlothian, Scotland
[14] Univ Edinburgh, Ctr Cognit Ageing & Cognit Epidemiol, Edinburgh, Midlothian, Scotland
[15] Univ Aberdeen, Inst Appl Hlth Sci, Aberdeen, Scotland
[16] Univ Aberdeen, Rowett Inst Nutr & Hlth, Aberdeen, Scotland
[17] UCL, Dept Epidemiol & Publ Hlth, London, England
[18] Univ London London Sch Hyg & Trop Med, Dept Noncommunicable Dis Epidemiol, London WC1E 7HT, England
[19] Arizona State Univ, Sch Social & Family Dynam, Tempe, AZ USA
[20] Karolinska Inst, Div Occupat & Environm Med, Dept Publ Hlth Sci, Stockholm, Sweden
[21] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
[22] Univ Fed Minas Gerais, Dept Econ, Belo Horizonte, MG, Brazil
[23] Glostrup Univ Hosp, Res Ctr Prevent & Hlth, Glostrup, Denmark
[24] Univ Wisconsin, Ctr Demog & Ecol, Madison, WI 53706 USA
[25] Univ Hosp Ctr, Inst Social & Prevent Med, Lausanne, Switzerland
[26] Univ Lausanne, Lausanne, Switzerland
[27] Univ Edinburgh, Dept Geriatr Med, Edinburgh, Midlothian, Scotland
[28] Univ Michigan, Inst Social Res, Ann Arbor, MI USA
[29] Univ Montreal, Dept Med Sociale & Prevent, Montreal, PQ, Canada
来源
PLOS ONE | 2011年 / 6卷 / 01期
基金
英国工程与自然科学研究理事会; 英国医学研究理事会; 英国生物技术与生命科学研究理事会; 英国经济与社会研究理事会; 英国惠康基金;
关键词
CAUSE-SPECIFIC MORTALITY; CORONARY-HEART-DISEASE; LIFE-COURSE APPROACH; EARLY OLD-AGE; MUSCLE STRENGTH; COHORT PROFILE; GRIP STRENGTH; FOLLOW-UP; SOCIAL INEQUALITIES; FUNCTIONAL REACH;
D O I
10.1371/journal.pone.0015564
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: Grip strength, walking speed, chair rising and standing balance time are objective measures of physical capability that characterise current health and predict survival in older populations. Socioeconomic position (SEP) in childhood may influence the peak level of physical capability achieved in early adulthood, thereby affecting levels in later adulthood. We have undertaken a systematic review with meta-analyses to test the hypothesis that adverse childhood SEP is associated with lower levels of objectively measured physical capability in adulthood. Methods and Findings: Relevant studies published by May 2010 were identified through literature searches using EMBASE and MEDLINE. Unpublished results were obtained from study investigators. Results were provided by all study investigators in a standard format and pooled using random-effects meta-analyses. 19 studies were included in the review. Total sample sizes in meta-analyses ranged from N = 17,215 for chair rise time to N = 1,061,855 for grip strength. Although heterogeneity was detected, there was consistent evidence in age adjusted models that lower childhood SEP was associated with modest reductions in physical capability levels in adulthood: comparing the lowest with the highest childhood SEP there was a reduction in grip strength of 0.13 standard deviations (95% CI: 0.06, 0.21), a reduction in mean walking speed of 0.07 m/s (0.05, 0.10), an increase in mean chair rise time of 6% (4%, 8%) and an odds ratio of an inability to balance for 5s of 1.26 (1.02, 1.55). Adjustment for the potential mediating factors, adult SEP and body size attenuated associations greatly. However, despite this attenuation, for walking speed and chair rise time, there was still evidence of moderate associations. Conclusions: Policies targeting socioeconomic inequalities in childhood may have additional benefits in promoting the maintenance of independence in later life.
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页数:13
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