Wagner Katia Jakovljevic Pudla, Bastos João Luiz Dornelles, Navarro Albert, Gonzalez-Chica David Alejandro, Boing Antonio Fernando
Centro de Ciências Rurais, Universidade Federal de Santa Catarina, Curitibanos, SC, Brasil.
Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Pública, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Rev Saude Publica. 2018;52:15. doi: 10.11606/s1518-8787.2018052000123. Epub 2018 Feb 26.
OBJECTIVE To test whether there is an association between socioeconomic status in childhood and measures of body mass index, waist circumference and the presence of overall and abdominal obesity in adult life. METHODS A cross-sectional analysis of a population-based cohort study, including a sample of adults (22-63 years old) living in Florianópolis, Southern Brazil. The socioeconomic status in childhood was analyzed through the education level of the participant's parents. Height, weight and waist circumference were measured by previously trained interviewers. Linear and logistic regressions with adjustment for confounding factors and stratification of data according to gender were used. RESULTS Of the 1,222 adults evaluated, 20.4% (95%CI 18.1-22.8) presented overall obesity and 24.8% (95%CI 22.4-27.4), abdominal obesity. The body mass index and waist circumference averages among women were, respectively, 1.2 kg/m2 (95%CI -2.3- -0.04) and 2.8 cm (95%CI -5.3- -0.2) lower among those with higher socioeconomic status in childhood. Among men, waist circumference was 3.9 cm (95%CI 1.0-6.8) higher in individuals with higher socioeconomic status in childhood. Regarding obesity, women of higher socioeconomic status in childhood had lower odds of abdominal obesity (OR = 0.56, 95%CI 0.34-0.90), and no such association was observed among men. CONCLUSIONS The socioeconomic status in childhood influences body mass index, waist circumference and obesity in adults, with a difference in the direction of association according to gender. The higher socioeconomic status among men and the lower socioeconomic status among women were associated with higher adiposity indicators.
目的 检验儿童期社会经济地位与成年后体重指数、腰围测量值以及总体肥胖和腹型肥胖的存在之间是否存在关联。方法 对一项基于人群的队列研究进行横断面分析，研究对象为居住在巴西南部弗洛里亚诺波利斯的成年人（22 - 63岁）样本。通过参与者父母的教育水平分析儿童期社会经济地位。身高、体重和腰围由经过预先培训的访谈员测量。使用线性回归和逻辑回归，并对混杂因素进行调整，同时根据性别对数据进行分层。结果 在评估的1222名成年人中，20.4%（95%可信区间18.1 - 22.8）存在总体肥胖，24.8%（95%可信区间22.4 - 27.4）存在腹型肥胖。儿童期社会经济地位较高的女性，其体重指数和腰围平均值分别比其他女性低1.2 kg/m²（95%可信区间 -2.3 - -0.04）和2.8 cm（95%可信区间 -5.3 - -0.2）。儿童期社会经济地位较高的男性，其腰围比其他男性高3.9 cm（95%可信区间1.0 - 6.8）。关于肥胖，儿童期社会经济地位较高的女性腹型肥胖几率较低（比值比 = 0.56，95%可信区间0.34 - 0.90），而在男性中未观察到这种关联。结论 儿童期社会经济地位影响成年人的体重指数、腰围和肥胖情况，且关联方向因性别而异。男性较高的社会经济地位和女性较低的社会经济地位与较高的肥胖指标相关。
