Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Childhood socioeconomic position and objectively measured physical capability levels in adulthood: a systematic review and meta-analysis

Birnie, Kate, Cooper, Rachel, Martin, Richard M., Kuh, Diana, Sayer, Avan Aihie, Alvarado, Beatriz E., Bayer, Antony James, Christensen, Kaare, Cho, Sung-il, Cooper, Cyrus, Corley, Janie, Craig, Leone, Deary, Ian J., Demakakos, Panayotes, Ebrahim, Shah, Gallacher, John Edward, Gow, Alan J., Gunnell, David, Haas, Steven, Hemmingsson, Tomas, Inskip, Hazel, Jang, Soong-nang, Noronha, Kenya, Osler, Merete, Palloni, Alberto, Rasmussen, Finn, Santos-Eggimann, Brigitte, Spagnoli, Jacques, Starr, John, Steptoe, Andrew, Syddall, Holly, Tynelius, Per, Weir, David, Whalley, Lawrence J., Zunzunegui, Maria Victoria, Ben-Shlomo, Yoav and Hardy, Rebecca 2011. Childhood socioeconomic position and objectively measured physical capability levels in adulthood: a systematic review and meta-analysis. PLoS ONE 6 (1) , e15564. 10.1371/journal.pone.0015564

[img]
Preview
PDF - Published Version
Available under License Creative Commons Attribution.

Download (760kB) | Preview

Abstract

Background Grip strength, walking speed, chair rising and standing balance time are objective measures of physical capability that characterise current health and predict survival in older populations. Socioeconomic position (SEP) in childhood may influence the peak level of physical capability achieved in early adulthood, thereby affecting levels in later adulthood. We have undertaken a systematic review with meta-analyses to test the hypothesis that adverse childhood SEP is associated with lower levels of objectively measured physical capability in adulthood. Methods and Findings Relevant studies published by May 2010 were identified through literature searches using EMBASE and MEDLINE. Unpublished results were obtained from study investigators. Results were provided by all study investigators in a standard format and pooled using random-effects meta-analyses. 19 studies were included in the review. Total sample sizes in meta-analyses ranged from N = 17,215 for chair rise time to N = 1,061,855 for grip strength. Although heterogeneity was detected, there was consistent evidence in age adjusted models that lower childhood SEP was associated with modest reductions in physical capability levels in adulthood: comparing the lowest with the highest childhood SEP there was a reduction in grip strength of 0.13 standard deviations (95% CI: 0.06, 0.21), a reduction in mean walking speed of 0.07 m/s (0.05, 0.10), an increase in mean chair rise time of 6% (4%, 8%) and an odds ratio of an inability to balance for 5s of 1.26 (1.02, 1.55). Adjustment for the potential mediating factors, adult SEP and body size attenuated associations greatly. However, despite this attenuation, for walking speed and chair rise time, there was still evidence of moderate associations. Conclusions Policies targeting socioeconomic inequalities in childhood may have additional benefits in promoting the maintenance of independence in later life.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Systems Immunity Research Institute (SIURI)
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RJ Pediatrics
Publisher: PLoS
ISSN: 1932-6203
Date of First Compliant Deposit: 30 March 2016
Last Modified: 04 Jun 2017 04:21
URI: http://orca.cf.ac.uk/id/eprint/37481

Citation Data

Cited 92 times in Google Scholar. View in Google Scholar

Cited 78 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics