Socioeconomic status and body mass index life course models: the 1993 Pelotas (Brazil) birth cohort

Cad Saude Publica. 2021 Nov 12;37(10):e00260820. doi: 10.1590/0102-311X00260820. eCollection 2021.

Abstract

This article aims to assess the relationship between an individual's socioeconomic status over their life-course and their body mass index (BMI) at 22 years of age, according to the hypotheses generated by risk accumulation, critical period, and social mobility models. This was a population-based prospective study based on the Pelotas (Brazil) 1993 birth cohort. The risk accumulation, critical period, and social mobility models were tested in relation to a saturated model and compared with a partial F-test. After the best model was chosen, linear regression was carried out to determine the crude and adjusted regression coefficients of the association between socioeconomic status over the life-course and BMI at 22 years of age. The sample was comprised of 3,292 individuals (53.3% women). We found dose-response effect for both men and women, although the results were opposite. Among men, a lower score in socioeconomic status accumulation model led to a lower BMI average at 22 years of age; whereas among women, a lower score in socioeconomic status accumulation model caused an increase in BMI at 22 years of age.

MeSH terms

  • Adult
  • Birth Cohort*
  • Body Mass Index
  • Brazil
  • Cohort Studies
  • Female
  • Humans
  • Life Change Events*
  • Male
  • Prospective Studies
  • Social Class
  • Socioeconomic Factors
  • Young Adult