Regidor E, Gutiérrez-Fisac J L, Banegas J R, López-García E, Rodríguez-Artalejo F
Department of Preventive Medicine and Public Health, School of Medicine, Universidad Complutense de Madrid, Spain.
Eur J Clin Nutr. 2004 Mar;58(3):488-94. doi: 10.1038/sj.ejcn.1601835.
To investigate the association between socioeconomic position, measured at three stages of the life course, and obesity in the elderly.
Cross-sectional study carried out in 2000-2001.
In total, 4009 subjects aged 60 y and older, representative of the Spanish noninstitutionalised population.
We estimated body mass index (BMI) and waist circumference (WC) by social class in childhood, by educational level and by adult social class, as well as the association between these two obesity measures and each socioeconomic characteristic after adjusting for the other two.
In men, no relation was found between the two measures of obesity studied and socioeconomic circumstances throughout the life course. Nor was any relation found in women between social class in childhood and the two measures of obesity after adjusting for the other two socioeconomic variables. In contrast, BMI and WC in women showed a statistically significant inverse gradient with educational level and with adult social class after adjusting for age and the rest of the socioeconomic variables.
In general, these results support the small amount of existing evidence on the association between obesity and abdominal obesity and socioeconomic position by educational level and adult social class. The results for social class in childhood do not support the existing evidence, and suggest that this association may depend on specific historic and cultural circumstances.
研究在生命历程三个阶段所衡量的社会经济地位与老年人肥胖之间的关联。
于2000 - 2001年开展的横断面研究。
总共4009名60岁及以上的受试者，代表西班牙非机构化人口。
我们按童年时期的社会阶层、教育水平和成年后的社会阶层估算体重指数（BMI）和腰围（WC），并在对另外两个因素进行校正后，研究这两种肥胖指标与每种社会经济特征之间的关联。
在男性中，所研究的两种肥胖指标与生命历程中的社会经济状况之间未发现关联。在女性中，校正另外两个社会经济变量后，童年时期的社会阶层与两种肥胖指标之间也未发现关联。相比之下，校正年龄和其他社会经济变量后，女性的BMI和WC与教育水平及成年后的社会阶层呈现出统计学上显著的反向梯度。
总体而言，这些结果支持了现有少量关于肥胖及腹型肥胖与教育水平和成年后社会阶层所衡量的社会经济地位之间关联的证据。童年时期社会阶层的结果不支持现有证据，并表明这种关联可能取决于特定的历史和文化背景。
