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Heraclides A et al. – Social mobility and social accumulation can operate simultaneously across the life–course. Prevention of downward social mobility and social accumulation of disadvantage could reduce the overall prevalence of adult overweight and obesity.

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Alexandros Heraclides, 10/05/09

Social circumstances across the life-course influence disease processes, including obesity. In developed societies, the lower the socioeconomic position (SEP) the higher the prevalence of obesity. In addition, SEP during childhood has been shown to independently affect obesity during adulthood. In our study, we investigated how accumulation of social advantage or disadvantage across life affects prevalence of overweight and obesity in middle-age. Also, we investigated the role of social mobility (moving up or down the social hierarchy) across the life-course in relation to middle-age overweight and obesity. Our results indicate that accumulation of social disadvantage across life is linked to increasing prevalence of overweight and obesity. In addition, downward social mobility across the life-course (from high to low SEP) is associated with higher prevalence of overweight and obesity in middle-age. Improving social circumstances among those in lower SEPs, thus preventing accumulation of social disadvantage, could help reduce the overall prevalence as well as social inequalities in overweight and obesity.

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