Inequalities in cardiovascular risks among Swedish adolescents (ABIS): a prospective cohort study.
Adolescent
Age of Onset
Blood Pressure Determination
/ statistics & numerical data
Body Mass Index
Cardiovascular Diseases
/ blood
Child
Child, Preschool
Female
Healthcare Disparities
Heart Disease Risk Factors
Humans
Lipoproteins, HDL
/ blood
Lipoproteins, LDL
/ blood
Male
Needs Assessment
Obesity
/ diagnosis
Overweight
/ diagnosis
Preventive Health Services
/ methods
Socioeconomic Factors
Sweden
/ epidemiology
cardiac epidemiology
epidemiology
paediatric endocrinology
public health
social medicine
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
20 02 2020
20 02 2020
Historique:
entrez:
23
2
2020
pubmed:
23
2
2020
medline:
16
2
2021
Statut:
epublish
Résumé
To investigate if socioeconomic status (SES) is predictive of cardiovascular risk factors among Swedish adolescents. Identify the most important SES variable for the development of each cardiovascular risk factor. Investigate at what age SES inequality in overweight and obesity occurs. Longitudinal follow-up of a prospective birth cohort. All Babies in Southeast Sweden (ABIS) study includes data from children born between October 1997 and October 1999 in five counties of south east Sweden. A regional ABIS-study subsample from three major cities of the region n=298 adolescents aged 16-18 years, and prospective data from the whole ABIS cohort for overweight and obesity status at the ages 2, 5, 8 and 12 years (n=2998-7925). Blood pressure above the hypertension limit, overweight/obesity according to the International Obesity Task Force definition, low high-density lipoproteins (HDL) or borderline-high low-density lipoproteins according to National Cholesterol Education Program expert panel on cholesterol levels in children. For three out of four cardiovascular risk outcomes (elevated blood pressure, low HDL and overweight/obesity), there were increased risk in one or more of the low SES groups (p<0.05). The best predictor was parental occupational class (Swedish socioeconomic classification index) for elevated blood pressure (area under the receiver operating characteristic (ROC) curve 0.623), maternal educational level for overweight (area under the ROC curve 0.641) and blue-collar city of residence for low HDL (area under the ROC curve 0.641). SES-related differences in overweight/obesity were found at age 2, 5 and 12 and for obesity at age 2, 5, 8 and 12 years (all p<0.05). Even in a welfare state like Sweden, SES inequalities in cardiovascular risks are evident already in childhood and adolescence. Intervention programmes to reduce cardiovascular risk based on social inequality should start early in life.
Identifiants
pubmed: 32086351
pii: bmjopen-2019-030613
doi: 10.1136/bmjopen-2019-030613
pmc: PMC7044991
doi:
Substances chimiques
Lipoproteins, HDL
0
Lipoproteins, LDL
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e030613Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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