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Lifelong socioeconomic position and physical performance in midlife: results from the British 1946 birth cohort

  • Social Epidemiology
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Abstract

Socioeconomic position (SEP) across life is found to be related to adult physical performance, but the underlying pathways are not well characterized. Using a British birth cohort (N = 2956), the associations of SEP from childhood into midlife with objective physical performance measures in midlife were examined, adjusting for possible confounders or mediators, including indicators of muscle development and central nervous system function. Childhood and adulthood SEP were positively related to standing balance and chair rise performance, but not to grip strength after basic adjustments. When both father’s occupation and mother’s education were included in the same model, having a mother with low education was associated with 0.6 standard deviations (SD) (95% confidence interval (CI: 0.3, 0.8)) poorer standing balance time compared with having a mother with the highest educational level, and having a father in the lowest occupational group was associated with a 0.3 SD (95% CI: 0.1, 0.6) lower chair rise score compared with having a father in the highest occupational group. These associations were maintained, albeit attenuated, after adjustment. In contrast, the associations of own education and adult occupation with physical performance were generally not maintained after adjustment. SEP across life impacts on midlife physical performance, and thereby the ageing process.

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References

  1. Marmot M. The marmot review fair society, healthy lives. In: Marmot M, editor. London: UCL, 2010.

  2. Mohd Hairi F, Mackenbach JP, Andersen-Ranberg K, et al. Does socio-economic status predict grip strength in older Europeans? Results from the SHARE study in non-institutionalised men and women aged 50+. J Epidemiol Community Health. 2010;64:829–37.

    Article  PubMed  Google Scholar 

  3. Brunner E, Shipley M, Spencer V, et al. Social inequality in walking speed in early old age in the Whitehall II study. J Gerontol A Biol Sci Med Sci. 2009;64:1082–9.

    Article  PubMed  Google Scholar 

  4. Syddall H, Evandrou M, Cooper C, et al. Social inequalities in grip strength, physical function, and falls among community dwelling older men and women: findings from the Hertfordshire Cohort Study. J Aging Health. 2009;21:913–39.

    Article  PubMed  Google Scholar 

  5. Russo A, Onder G, Cesari M, et al. Lifetime occupation and physical function: a prospective cohort study on persons aged 80 years and older living in a community. Occup Environ Med. 2006;63:438–42.

    Article  PubMed  CAS  Google Scholar 

  6. Coppin AK, Ferrucci L, Lauretani F, et al. Low socioeconomic status and disability in old age: evidence from the InChianti study for the mediating role of physiological impairments. J Gerontol A Biol Sci Med Sci. 2006;61:86–91.

    PubMed  Google Scholar 

  7. Rautio N, Heikkinen E, Ebrahim S. Socio-economic position and its relationship to physical capacity among elderly people living in Jyvaskyla, Finland: five- and ten-year follow-up studies. Soc Sci Med. 2005;60:2405–16.

    Article  PubMed  Google Scholar 

  8. Kuh D, Hardy R, Butterworth S, et al. Developmental origins of midlife physical performance: evidence from a British birth cohort. Am J Epidemiol. 2006;164:110–21.

    Article  PubMed  Google Scholar 

  9. Kuh D, Bassey EJ, Butterworth S, et al. Grip strength, postural control, and functional leg power in a representative cohort of British men and women: associations with physical activity, health status, and socioeconomic conditions. J Gerontol A Biol Sci Med Sci. 2005;60:224–31.

    PubMed  Google Scholar 

  10. Guralnik JM, Ferrucci L, Pieper CF, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci. 2000;55:M221–31.

    PubMed  CAS  Google Scholar 

  11. Rantanen T, Guralnik JM, Foley D, et al. Midlife hand grip strength as a predictor of old age disability. JAMA. 1999;281:558–60.

    Article  PubMed  CAS  Google Scholar 

  12. Cooper R, Kuh D, Cooper C, et al. Objective measures of physical capability and subsequent health: a systematic review. Age and Ageing. 2010 (in press).

  13. Cooper R, Kuh D, Hardy R. Objectively measured physical capability levels and mortality: systematic review and meta-analysis. BMJ. 2010;341:c4467.

    Article  PubMed  Google Scholar 

  14. Birnie K, Cooper R, Martin RM, et al. Childhood socioeconomic position and objectively measured physical capability levels in adulthood: a systematic review and meta-analysis. PLoS ONE. 2011;6(1):e15564. doi:10.1371/journal.pone.0015564.

    Article  PubMed  CAS  Google Scholar 

  15. Wadsworth M, Kuh D, Richards M, et al. Cohort profile: the 1946 national birth cohort (MRC national survey of health and development). Int J Epidemiol. 2006;35:49–54.

    Article  PubMed  Google Scholar 

  16. Kuh D, Bassey J, Hardy R, et al. Birth weight, childhood size, and muscle strength in adult life: evidence from a birth cohort study. Am J Epidemiol. 2002;156:627–33.

    Article  PubMed  Google Scholar 

  17. Guralnik JM, Butterworth S, Wadsworth ME, et al. Childhood socioeconomic status predicts physical functioning a half century later. J Gerontol A Biol Sci Med Sci. 2006;61:694–701.

    PubMed  Google Scholar 

  18. Braddon FEM, Rodgers B, Wadsworth MEJ, et al. Onset of obesity in a 36 year birth cohort study. Brit Med J (Clin Res Ed). 1986;293:299–303.

    Article  CAS  Google Scholar 

  19. Kuh D, Cooper R, Hardy R, et al. Lifetime cognitive performance is associated with midlife physical performance in a prospective national birth cohort study. Psychosom Med. 2009;71:38–48.

    Article  PubMed  Google Scholar 

  20. Mackenbach JP, Kunst AE. Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. Soc Sci Med. 1997;44:757–71.

    Article  PubMed  CAS  Google Scholar 

  21. Sekine M, Chandola T, Martikainen P, et al. Socioeconomic inequalities in physical and mental functioning of British, Finnish, and Japanese civil servants: role of job demand, control, and work hours. Soc Sci Med. 2009;69:1417–25.

    Article  PubMed  Google Scholar 

  22. Gjonca E, Tabassum F, Breeze E. Socioeconomic differences in physical disability at older age. J Epidemiol Community Health. 2009;63:928–35.

    Article  PubMed  CAS  Google Scholar 

  23. Jang SN, Choi YJ, Kim DH. Association of socioeconomic status with successful ageing: differences in the components of successful ageing. J Biosoc Sci. 2009;41:207–19.

    Article  PubMed  Google Scholar 

  24. Stansfeld SA, Head J, Fuhrer R, et al. Social inequalities in depressive symptoms and physical functioning in the Whitehall II study: exploring a common cause explanation. J Epidemiol Community Health. 2003;57:361–7.

    Article  PubMed  CAS  Google Scholar 

  25. Laaksonen E, Martikainen P, Head J, et al. Associations of multiple socio-economic circumstances with physical functioning among Finnish and British employees. Eur J Public Health. 2009;19:38–45.

    Article  PubMed  Google Scholar 

  26. Osler M, Madsen M, Nybo Andersen AM, et al. Do childhood and adult socioeconomic circumstances influence health and physical function in middle-age? Soc Sci Med. 2009;68:1425–31.

    Article  PubMed  Google Scholar 

  27. Giskes K, Lenthe Fv F, Brug HJ, et al. Dietary intakes of adults in the Netherlands by childhood and adulthood socioeconomic position. Eur J Clin Nutr. 2004;58:871–80.

    Article  PubMed  CAS  Google Scholar 

  28. McVeigh JA, Norris SA, de Wet T. The relationship between socio-economic status and physical activity patterns in South African children. Acta Paediatr. 2004;93:982–8.

    Article  PubMed  CAS  Google Scholar 

  29. Galobardes B, Lynch JW, Davey Smith G. Is the association between childhood socioeconomic circumstances and cause-specific mortality established? Update of a systematic review. J EpidemiolCommunity Health. 2008;62:387–90.

    CAS  Google Scholar 

  30. Wadsworth ME, Butterworth SL, Hardy RJ, et al. The life course prospective design: an example of benefits and problems associated with study longevity. Soc Sci Med. 2003;57:2193–205.

    Article  PubMed  CAS  Google Scholar 

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The manuscript is funded by MRC Unit for Lifelong Health and Ageing in UK and supported in part by the Intramural Research Program, National Institute on Aging, NIH in USA, and the Research Council of Norway. The funders of the study had no role in the study design, data collection, data analysis, data interpretation, or writing of the report.

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Correspondence to Bjørn Heine Strand.

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Strand, B.H., Cooper, R., Hardy, R. et al. Lifelong socioeconomic position and physical performance in midlife: results from the British 1946 birth cohort. Eur J Epidemiol 26, 475–483 (2011). https://doi.org/10.1007/s10654-011-9562-9

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  • DOI: https://doi.org/10.1007/s10654-011-9562-9

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