Socio-economic status over the life course and obesity: Systematic review and meta-analysis.

<h4>Background</h4>The purpose of this review was to summarize the published literature on the association of childhood, adulthood and life course socio-economic status (SES) with obesity between January 1990 and June 2015.<h4>Methods</h4>The major medical electronic database...

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Main Authors: Suzy Newton, Dejana Braithwaite, Tomi F Akinyemiju
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0177151
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author Suzy Newton
Dejana Braithwaite
Tomi F Akinyemiju
author_facet Suzy Newton
Dejana Braithwaite
Tomi F Akinyemiju
author_sort Suzy Newton
collection DOAJ
description <h4>Background</h4>The purpose of this review was to summarize the published literature on the association of childhood, adulthood and life course socio-economic status (SES) with obesity between January 1990 and June 2015.<h4>Methods</h4>The major medical electronic databases were searched to identify studies that examined SES over the life-course in relation to obesity. A total of 219 studies were identified through the initial search, and 35 qualified for full review. Of these, 14 publications met our inclusion criteria for the meta-analysis, all from developed or upper-middle income countries.<h4>Results</h4>There was a consistent association between lower life course SES and obesity among women (summary OR: 1.35, 95% CI: 1.04, 1.76), but not among men (summary OR: 0.92, 95% CI: 0.60, 1.40). Overall, mean BMI was higher among individuals with lower life course SES compared with those with higher life course SES (summary mean BMI difference: 0.65, 95% CI: 0.59, 0.71). Mean waist circumference (WC) was higher among women with lower life course SES compared with those with higher life course SES (summary mean WC: 4.67, 95% CI: 4.15, 5.20), but lower among men (summary mean WC difference: -0.10, 95% CI: -0.11, -0.08).<h4>Conclusion</h4>The inverse relationship between life course SES and obesity among women was consistent, based mostly on studies in developed countries. Nevertheless, critical information gaps remain in relation to the impact of childhood and life course SES on obesity in developing countries.
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spelling doaj-art-ab0886d1f1e4483a9198fcbae3689e2e2025-08-20T03:24:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01125e017715110.1371/journal.pone.0177151Socio-economic status over the life course and obesity: Systematic review and meta-analysis.Suzy NewtonDejana BraithwaiteTomi F Akinyemiju<h4>Background</h4>The purpose of this review was to summarize the published literature on the association of childhood, adulthood and life course socio-economic status (SES) with obesity between January 1990 and June 2015.<h4>Methods</h4>The major medical electronic databases were searched to identify studies that examined SES over the life-course in relation to obesity. A total of 219 studies were identified through the initial search, and 35 qualified for full review. Of these, 14 publications met our inclusion criteria for the meta-analysis, all from developed or upper-middle income countries.<h4>Results</h4>There was a consistent association between lower life course SES and obesity among women (summary OR: 1.35, 95% CI: 1.04, 1.76), but not among men (summary OR: 0.92, 95% CI: 0.60, 1.40). Overall, mean BMI was higher among individuals with lower life course SES compared with those with higher life course SES (summary mean BMI difference: 0.65, 95% CI: 0.59, 0.71). Mean waist circumference (WC) was higher among women with lower life course SES compared with those with higher life course SES (summary mean WC: 4.67, 95% CI: 4.15, 5.20), but lower among men (summary mean WC difference: -0.10, 95% CI: -0.11, -0.08).<h4>Conclusion</h4>The inverse relationship between life course SES and obesity among women was consistent, based mostly on studies in developed countries. Nevertheless, critical information gaps remain in relation to the impact of childhood and life course SES on obesity in developing countries.https://doi.org/10.1371/journal.pone.0177151
spellingShingle Suzy Newton
Dejana Braithwaite
Tomi F Akinyemiju
Socio-economic status over the life course and obesity: Systematic review and meta-analysis.
PLoS ONE
title Socio-economic status over the life course and obesity: Systematic review and meta-analysis.
title_full Socio-economic status over the life course and obesity: Systematic review and meta-analysis.
title_fullStr Socio-economic status over the life course and obesity: Systematic review and meta-analysis.
title_full_unstemmed Socio-economic status over the life course and obesity: Systematic review and meta-analysis.
title_short Socio-economic status over the life course and obesity: Systematic review and meta-analysis.
title_sort socio economic status over the life course and obesity systematic review and meta analysis
url https://doi.org/10.1371/journal.pone.0177151
work_keys_str_mv AT suzynewton socioeconomicstatusoverthelifecourseandobesitysystematicreviewandmetaanalysis
AT dejanabraithwaite socioeconomicstatusoverthelifecourseandobesitysystematicreviewandmetaanalysis
AT tomifakinyemiju socioeconomicstatusoverthelifecourseandobesitysystematicreviewandmetaanalysis