Maternal educational inequalities in measured body mass index trajectories in three European countries.


Journal

Paediatric and perinatal epidemiology
ISSN: 1365-3016
Titre abrégé: Paediatr Perinat Epidemiol
Pays: England
ID NLM: 8709766

Informations de publication

Date de publication:
05 2019
Historique:
received: 01 11 2018
revised: 05 03 2019
accepted: 16 03 2019
pubmed: 16 5 2019
medline: 11 2 2020
entrez: 16 5 2019
Statut: ppublish

Résumé

Social inequalities in the prevalence of childhood overweight and obesity are well-established, but less is known about when the social gradient first emerges and how it evolves across childhood and adolescence. This study examines maternal education differentials in children's body mass trajectories in infancy, childhood and adolescence using data from four contemporary European child cohorts. Prospective data on children's body mass index (BMI) were obtained from four cohort studies-Generation XXI (G21-Portugal), Growing Up in Ireland (GUI) infant and child cohorts, and the Millennium Cohort Study (MCS-UK)-involving a total sample of 41,399 children and 120,140 observations. Children's BMI trajectories were modelled by maternal education level using mixed-effect models. Maternal educational inequalities in children's BMI were evident as early as three years of age. Children from lower maternal educational backgrounds were characterised by accelerated BMI growth, and the extent of the disparity was such that boys from primary-educated backgrounds measured 0.42 kg/m Maternal education is a strong predictor of BMI across European nations. Socio-economic differentials emerge early and widen across childhood, highlighting the need for early intervention.

Sections du résumé

BACKGROUND
Social inequalities in the prevalence of childhood overweight and obesity are well-established, but less is known about when the social gradient first emerges and how it evolves across childhood and adolescence.
OBJECTIVE
This study examines maternal education differentials in children's body mass trajectories in infancy, childhood and adolescence using data from four contemporary European child cohorts.
METHODS
Prospective data on children's body mass index (BMI) were obtained from four cohort studies-Generation XXI (G21-Portugal), Growing Up in Ireland (GUI) infant and child cohorts, and the Millennium Cohort Study (MCS-UK)-involving a total sample of 41,399 children and 120,140 observations. Children's BMI trajectories were modelled by maternal education level using mixed-effect models.
RESULTS
Maternal educational inequalities in children's BMI were evident as early as three years of age. Children from lower maternal educational backgrounds were characterised by accelerated BMI growth, and the extent of the disparity was such that boys from primary-educated backgrounds measured 0.42 kg/m
CONCLUSIONS
Maternal education is a strong predictor of BMI across European nations. Socio-economic differentials emerge early and widen across childhood, highlighting the need for early intervention.

Identifiants

pubmed: 31090081
doi: 10.1111/ppe.12552
doi:

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

226-237

Subventions

Organisme : Medical Research Council
ID : MR/L01341X/1
Pays : United Kingdom

Investigateurs

Harri Alenius (H)
Laura Baglietto (L)
Mel Bartley (M)
Michele Bellone (M)
Eloise Berger (E)
Murielle Bochud (M)
Giulia Candiani (G)
Cristian Carmeli (C)
Luca Carra (L)
Raphaele Castagne (R)
Marc Chadeau-Hyam (M)
Sergio Cima (S)
Giuseppe Costa (G)
Emilie Courtin (E)
Cyrille Delpierre (C)
Angelo D'Errico (A)
Angela Donkin (A)
Pierre-Antoine Dugué (PA)
Paul Elliott (P)
Guy Fagherazzi (G)
Giovanni Fiorito (G)
Martina Gandini (M)
Valérie Gares (V)
Pascale Gerbouin-Rerrolle (P)
Graham Giles (G)
Marcel Goldberg (M)
Dario Greco (D)
Florence Guida (F)
Allison Hodge (A)
Maryam Karimi (M)
Piia Karisola (P)
Michelle Kelly (M)
Mika Kivimaki (M)
Jessica Laine (J)
Thierry Lang (T)
Audrey Laurent (A)
Benoit Lepage (B)
Dori Lorsch (D)
Giles Machell (G)
Johan Mackenbach (J)
Michael Marmot (M)
Roger Milne (R)
Peter Muennig (P)
Wilma Nusselder (W)
Dusan Petrovic (D)
Silvia Polidoro (S)
Martin Preisig (M)
Paolo Recalcati (P)
Erica Reinhard (E)
Fulvio Ricceri (F)
Oliver Robinson (O)
None Jose Rubio Valverde
Gianluca Severi (G)
Terrence Simmons (T)
Silvia Stringhini (S)
Vesa Terhi (V)
Jen Than (J)
Anne-Claire Vergnaud (AC)
Federica Vigna-Taglianti (F)
Peter Vollenweider (P)
Marie Zins (M)

Informations de copyright

© 2019 John Wiley & Sons Ltd.

Auteurs

Cathal McCrory (C)

Department of Medical Gerontology, The Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland.

Siobhan Leahy (S)

Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Limerick, Ireland.

Ana Isabel Ribeiro (AI)

EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.

Silvia Fraga (S)

EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.

Henrique Barros (H)

EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.

Mauricio Avendano (M)

Department of Social Science, Health and Medicine, Kings College London, London, UK.

Paolo Vineis (P)

Department of Epidemiology and Biostatistics, MRC-PHE Centre for Environment and Health, School of Public Health, Imperial College London, London, UK.

Richard Layte (R)

Department of Sociology, Trinity College Dublin, Dublin, Ireland.

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