Life course socioeconomic conditions and metabolic syndrome in adults: the Atherosclerosis Risk in Communities (ARIC) Study.
Life course socioeconomic conditions and metabolic syndrome in adults: the Atherosclerosis Risk in Communities (ARIC) Study.
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DOI：
10.1016/j.annepidem.2009.07.094
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发表时间：
2009-12
影响因子：
5.6
通讯作者：
Heiss, Gerardo
中科院分区：
文献类型：
--
作者：
Chichlowska, Kristal L.;Rose, Kathryn M.;Diez-Roux, Ana V.;Golden, Sherita H.;Mcneill, Annie M.;Heiss, Gerardo
本研究在社区动脉粥样硬化风险研究（1987-89）中考察了童年、成年和累积SES （cumSES）对中年人代谢综合征（MetS）患病率的影响。参与者包括2461名黑人和8536名白人，年龄在45到64岁之间，没有糖尿病。采用童年、成年早期和成年期的社会经济地位（SES）测量来创建cumSES评分。儿童期SES、成年早期SES、成年期SES和cumSES得分分为高/低两类。使用2005年ATP III标准，通过SES对年龄和中心校正的met患病率和95%置信区间进行了种族-性别组的对数线性回归估计。黑人和白人女性在童年时期、成年早期、成年成熟或怀孕时的社会经济地位较低，比社会经济地位高的女性更容易发生MetS。在调整了身体活动、吸烟状况和饮酒状况后，这些关联仍然存在。相反，SES与met在男性中没有关联。我们的研究结果表明，生命早期和整个生命过程中的社会经济劣势会影响黑人和白人女性患met的风险。
This study examined the effect of childhood, adulthood and cumulative SES (cumSES) on the prevalence of metabolic syndrome (MetS) in middle-aged adults in the Atherosclerosis Risk in Communities Study, (1987–89). Participants included 2,461 black and 8,536 white men and women ages 45 to 64 years without diabetes. Socioeconomic status (SES) measures from childhood, early adulthood and mature adulthood were used to create a cumSES score. Childhood SES, early adult SES, mature adult SES and cumSES scores were grouped into two categories (high/low). Age- and center-adjusted prevalence ratios and 95% confidence intervals for MetS, using 2005 ATP III criteria, by SES were estimated by log-linear regression for race-sex groups. Black and white women with low childhood SES, early adult SES, mature adult SES or cumSES were more likely to have the MetS than those with high SES. These associations remained after adjustment for physical activity, smoking status and drinking status. In contrast, there was no association of SES with MetS in men. Our findings suggest that socioeconomic disadvantage early in life and across the life course influence risk of the MetS in black and white women.
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影响因子：
158.5
作者：
GORTMAKER, SL;MUST, A;DIETZ, WH
通讯作者：
DIETZ, WH
影响因子：
3.4
作者：
Krieger, N;Barbeau, EM;Soobader, MJ
通讯作者：
Soobader, MJ
影响因子：
3.3
作者：
Lehman, BJ;Taylor, SE;Seeman, TE
通讯作者：
Seeman, TE
影响因子：
3.3
作者：
Chichlowska KL;Rose KM;Diez-Roux AV;Golden SH;McNeill AM;Heiss G
通讯作者：
Heiss G
影响因子：
12.7
作者：
Barbeau, EM;Krieger, N;Soobader, MJ
通讯作者：
Soobader, MJ