Childhood socioeconomic position and objectively measured physical capability levels in adulthood: a systematic review and meta-analysis.

Details

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State: Public
Version: Final published version
Serval ID
serval:BIB_DCCF873C4D89
Type
Article: article from journal or magazin.
Collection
Publications
Title
Childhood socioeconomic position and objectively measured physical capability levels in adulthood: a systematic review and meta-analysis.
Journal
Plos One
Author(s)
Birnie K., Cooper R., Martin R.M., Kuh D., Sayer A.A., Alvarado B.E., Bayer A., Christensen K., Cho S.I., Cooper C., Corley J., Craig L., Deary I.J., Demakakos P., Ebrahim S., Gallacher J., Gow A.J., Gunnell D., Haas S., Hemmingsson T., Inskip H., Jang S.N., Noronha K., Osler M., Palloni A., Rasmussen F., Santos-Eggimann B., Spagnoli J., Starr J., Steptoe A., Syddall H., Tynelius P., Weir D., Whalley L.J., Zunzunegui M.V., Ben-Shlomo Y., Hardy R.
Working group(s)
HALCyon study team
Contributor(s)
Day I., Tilling K., Alfred T., Gardner M., Shiels P., von Zglinicki T., Southall H., Aucott P., Elliott J., Power C., McNeill G., Lennox A., Richards M., Mishra G., Murray E., Mulla Z., Goodwin J.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
6
Number
1
Pages
e15564
Language
english
Notes
Publication types: Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review
Publication Status: epublish
Abstract
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 Unpublished results were obtained from study investigators.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.
Keywords
Adult, Child, Hand Strength, Health Status Disparities, Humans, Motor Activity, Physical Examination, Social Class, Walking
Pubmed
Web of science
Open Access
Yes
Create date
11/08/2011 15:37
Last modification date
20/08/2019 16:01
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