Cadernos de Saúde Pública (Nov 2021)

Socioeconomic status and body mass index life course models: the 1993 Pelotas (Brazil) birth cohort

  • Luna Strieder Vieira,
  • Juliana dos Santos Vaz,
  • Fernando César Wehrmeister,
  • Felipe Garcia Ribeiro,
  • Janaína Vieira dos Santos Motta,
  • Helen Denise Gonçalves da Silva,
  • Maria Cecília Formoso Assunção

DOI
https://doi.org/10.1590/0102-311x00260820
Journal volume & issue
Vol. 37, no. 10

Abstract

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Abstract: This article aims to assess the relationship between an individual’s socioeconomic status over their life-course and their body mass index (BMI) at 22 years of age, according to the hypotheses generated by risk accumulation, critical period, and social mobility models. This was a population-based prospective study based on the Pelotas (Brazil) 1993 birth cohort. The risk accumulation, critical period, and social mobility models were tested in relation to a saturated model and compared with a partial F-test. After the best model was chosen, linear regression was carried out to determine the crude and adjusted regression coefficients of the association between socioeconomic status over the life-course and BMI at 22 years of age. The sample was comprised of 3,292 individuals (53.3% women). We found dose-response effect for both men and women, although the results were opposite. Among men, a lower score in socioeconomic status accumulation model led to a lower BMI average at 22 years of age; whereas among women, a lower score in socioeconomic status accumulation model caused an increase in BMI at 22 years of age.

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