Life course socioeconomic position and body composition in adulthood: a systematic review and narrative synthesis.

Life course socioeconomic position and body composition in adulthood: a systematic review and narrative synthesis.
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DOI:
10.1038/s41366-021-00898-z
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发表时间:
2021-11
期刊:
International journal of obesity (2005)
影响因子:
--
通讯作者:
Hardy R
Hardy R
中科院分区:
其他
文献类型:
--
作者:
Bridger Staatz C;Kelly Y;Lacey RE;Blodgett JM;George A;Arnot M;Walker E;Hardy R

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多项系统评价研究了社会经济地位(SEP)和体重指数(BMI)在整个生命过程中的关系。然而,BMI并没有捕捉到脂肪和肌肉的数量和分布,而脂肪和肌肉是比BMI更好的肥胖指标,并且与不良健康结果独立相关。SEP和身体成分之间的关系知之甚少,也没有文献进行综述。因此,我们系统地回顾了文献中的生活过程SEP和身体组成之间的关联。方案在PROSPERO(CRD 42019119937)上注册,审查遵循PRISMA指南。对三个数据库(MEDLINE、Embase Classic + Embase和SPORTDiscus)进行了电子检索。纳入了英文的原始研究,这些研究检查了任何年龄段SEP的任何公认测量值与成年期身体组成(脂肪量、无脂肪量、比例和分布)之间的关联,使用直接技术测量,即,而不是人体测量进行了叙述性综合。最终审查共纳入47篇论文,无一篇来自低收入国家(LIC)。在高收入国家(HIC),儿童和成年期的更大优势与较低的脂肪水平有关。相反的关联仅在中等收入国家发现。对于瘦体重的测量,大多数论文报告没有关联,或更大的优势,在成年期与更高的瘦体重,HIC和MIC之间的变化很小。结果表明,脂肪测量遵循与BMI相似的模式,并且HIC中的女性更有可能在脂肪和瘦肉测量中经历不平等。需要进一步研究低收入国家和中等收入国家。
Multiple systematic reviews have investigated the relation between socioeconomic position (SEP) and body mass index (BMI) throughout the life course. However, BMI does not capture quantity and distribution of fat and muscle, which are better indicators of obesity than BMI, and have been independently linked to adverse health outcomes. Less is known about the relation between SEP and body composition, and the literature has not been reviewed. We therefore systematically reviewed the literature on the association between life course SEP and body composition in adulthood. A protocol was registered on PROSPERO (CRD42019119937), and the review followed PRISMA guidelines. An electronic search of three databases (MEDLINE, Embase Classic + Embase and SPORTDiscus) was conducted. Original studies in the English language were included that examine the association between any recognised measure of SEP at any age and body composition (fat mass, fat-free mass, ratio and distribution) in adulthood, measured using a direct technique, i.e., not an anthropometric measure. A narrative synthesis was conducted. A total of 47 papers were included in the final review, none were from low-income countries (LICs). Greater advantage in childhood and adulthood was associated with lower fat levels in high-income countries (HICs). Associations in the opposite direction were found exclusively in middle-income countries (MICs). No studies in MICs reported associations for childhood SEP. For measures of lean mass, the majority of papers reported no association, or greater advantage in adulthood associated with higher lean mass, with little variation between HICs and MICs. Associations in HICs are more often observed in women than men. The results indicate that fat measures follow similar patterns to those seen for BMI, and that women in HICs are more likely to experience inequalities in both fat and lean measures. Further research in LICs and MICs is needed.
从15岁开始的体重指数,早年的肌肉质量,力量和质量:MRC全国健康与发展调查的发现。
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影响因子: --
作者:
Cooper R;Hardy R;Bann D;Aihie Sayer A;Ward KA;Adams JE;Kuh D;MRC National Survey of Health and Development Scientific and Data Collection Team
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DOI: 10.1155/2018/7538625
发表时间: 2018
影响因子: --
作者:
Rangel Peniche DB;Alemán Mateo H;Barreiro MLAA;Ruiz Valenzuela RE;Ramírez-Torres M;Urquidez-Romero R
通讯作者: Urquidez-Romero R