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Socioeconomic status and risk factors for obesity and metabolic disorders in a population-based sample of adult females
Preventive Medicine, 10/15/09

Brennan SL et al. – Greater measures of adiposity and less healthy lifestyle choices were observed in individuals from lower SES. Significant differences in body composition were identified between quintiles 1 and 5, whereas subjects in the mid quintiles had relatively similar measures. The inverse relationship between SES, obesity and less healthy lifestyle underscores the possibility that these associations may be causal and should be investigated further.

Exclusive Author Commentary
Sharon L Brennan, 10/15/09

Socioeconomic status (SES) is a multidimensional construct, which can be defined from individual measures including income, education, and occupation, or by an aggregate of area-based measures. Area-based SES characterizes the contextual disadvantage/advantage of area of residence, and thus provides an accepted proxy to examine social and economic characteristics upon health outcomes. Our data suggest the lowest SES group, defined by area-based measures, to be a high-risk group for obesity, and thus a target for health promotion that addresses modifiable confounders of poorer health, including greater levels of smoking, larger serving sizes of foods, and reduced physical activity. There is evidence that policies targeted towards disadvantaged groups, rather than individuals, has helped to reduce health inequalities such as cardiovascular disease. Therefore our study suggests that targeting intervention policies and strategies towards areas of lower SES may help to effectively decrease the disproportionate burden of obesity in disadvantaged groups.

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