Department of Economics, University of Copenhagen, Copenhagen, Denmark.
Department of Economics, University of Goettingen, Goettingen, Germany.
Health Econ. 2021 Jun;30(6):1276-1290. doi: 10.1002/hec.4231. Epub 2021 Mar 19.
The fetal origins hypothesis suggests that health and nutrition shocks in utero are causally related to health deficits in old age. It has received considerable empirical support, both within epidemiology and economics but so far it has not been integrated into a life cycle theory of human aging and longevity. The present study shows that the health deficit model, based on the frailty index developed in gerontology, generates shock amplification consistent with the hypothesis. In order to discuss human health over the life cycle from conception to death, we develop a theory of ontogenetic growth and health in utero and during childhood, unify it with the health deficit model of adult aging, and discuss the transmission of early-life shocks to late-life health deficit accumulation.
胎儿起源假说表明,子宫内的健康和营养冲击与老年时的健康缺陷有因果关系。该假说在流行病学和经济学领域都得到了相当多的实证支持,但到目前为止,它还没有被整合到人类衰老和长寿的生命周期理论中。本研究表明,基于老年医学中开发的脆弱性指数的健康缺陷模型产生的冲击放大与该假说一致。为了从受孕到死亡讨论人类整个生命周期的健康状况,我们在子宫内和儿童期建立了一个关于个体发育生长和健康的理论,将其与成人衰老的健康缺陷模型统一起来,并讨论了早期生活冲击对晚年健康缺陷积累的传递。