Gender-specific mediators of the association between parental education and adiposity among adolescents: the HEIA study

Sci Rep. 2019 May 13;9(1):7282. doi: 10.1038/s41598-019-43604-w.

Abstract

Identifying the mechanisms behind socioeconomic inequalities in adiposity among youth is vital for efforts aimed at combating these inequalities. The study explored whether a broad range of behavioral and familial factors mediated the associations between parental education and indicators of adiposity among adolescents. Baseline data from a school-based intervention study conducted in 2007 among 11-year-old adolescents were used. Anthropometric outcomes, physical activity and sedentary time among adolescents were objectively measured. Other behavioral variables and parental waist circumference were self-reported. Mediation analyses were conducted. Among boys, maternal waist circumference (WC), paternal WC and TV viewing mediated 16%, 11.5% and 13% of the association between parental education and adolescent WC. The respective proportions when body fat percentage was used as the outcome variable were 22.5%, 16% and 21%. Among girls, maternal and paternal WC mediated 20% and 14% of the association between parental education and WC. The respective proportions when body fat percentage was used as the outcome variable were 14% and 10%. Other included variables did not play any mediating role. Parental WC was found to be a mediator of socioeconomic differences in adiposity in both genders; underlying mechanisms were however not investigated. Among boys, reducing TV time could contribute to the reduction of social inequalities in adiposity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adiposity*
  • Adolescent
  • Child
  • Educational Status*
  • Exercise
  • Female
  • Health Status Disparities
  • Humans
  • Male
  • Norway / epidemiology
  • Parents / education*
  • Pediatric Obesity / epidemiology
  • Pediatric Obesity / etiology*
  • Risk Factors
  • Screen Time
  • Sedentary Behavior
  • Sex Factors
  • Socioeconomic Factors
  • Waist Circumference