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Towards a consensus definition of allostatic load: a multi-cohort, multi-system...

McCrory, C; McLoughlin, S; Layte, R; NiCheallaigh, C; O'Halloran, AM; Barros, H; Berkman, LF; Bochud, M; Crimmins, EM; Farrell, MT; Fraga, S; Grundy, E

Background: Allostatic load (AL) is a multi-system composite index for quantifying physiological dysregulation caused by life course stressors. For over 30 years, an extensive body of research has drawn on the AL framework but has been hampered by the lack of a consistent definition.Methods: This study analyses data for 67,126 individuals aged 40-111 years participating in 13 different cohort studies and 40 bio...


Socioeconomic disadvantage and health in early childhood: a population-based bi...

Ribeiro, AI; Fraga, S; Correia-Costa, L; McCrory, C; Barros, H

Background Measuring early socioeconomic inequalities in health provides evidence to understand the patterns of disease. Thus, our aim was to determine which children’s health outcomes are patterned by socioeconomics and to what extent the magnitude/direction of the differences vary by socioeconomic measure and outcome. Methods Data on early childhood (4 years) health was obtained from Generation XXI birth coho...


Special Report: The Biology of Inequalities in Health: The Lifepath Consortium

Vineis, P; Avendano-Pabon, M; Barros, H; Bartley, M; Carmeli, C; Carra, L; Chadeau-Hyam, M; Costa, G; Delpierre, C; D'Errico, A; Fraga, S; Giles, G

Funded by the European Commission Horizon 2020 programme, the Lifepath research consortium aimed to investigate the effects of socioeconomic inequalities on the biology of healthy aging. The main research questions included the impact of inequalities on health, the role of behavioral and other risk factors, the underlying biological mechanisms, the efficacy of selected policies, and the general implications of ...


Patterning of educational attainment across inflammatory markers: Findings from...

Maurel, M; Castagné, R; Berger, E; Bochud, M; Chadeau-Hyam, M; Fraga, S; Gandini, M; Hutri-Kähönen, N; Jalkanen, S; Kivimäki, M; Marmot, M; McCrory, C

Background. Evidence suggests that the inflammatory reaction, an adaptive response triggered by a variety of harmful stimuli and conditions involved in the risk and development of many chronic diseases, is a potential pathway through which the socioeconomic environment is biologically embedded. Difficulty in interpreting the role of the inflammatory system in the embodiment dynamic arises because of heterogenei...


Maternal educational inequalities in measured body mass index trajectories in t...

McCrory, C; Leahy, S; Ribeiro, AI; Fraga, S; Barros, H; Avendano, M; Vineis, P; Layte, R; LIFEPATH consortium

Background Social inequalities in the prevalence of childhood overweight and obesity are well-established, but less is known about when the social gradient first emerges and how it evolves across childhood and adolescence. Objective This study examines maternal education differentials in children's body mass trajectories in infancy, childhood and adolescence using data from four contemporary European child coho...


A Comparative Analysis of the Status Anxiety Hypothesis of Socio-economic Inequ...

Layte, R; McCrory, C; Cheallaigh, CN; Bourke, N; Kivimaki, M; Ribeiro, AI; Stringhini, S; Vineis, P

The status anxiety hypothesis proposes that systematic inflammation as a consequence of chronic psycho-social stress is a possible pathway linking socio-economic position (SEP) to premature ageing and is a possible explanation for cross-national variation in patterns of health and well-being. Harmonised data from the LIFEPATH consortium on 18,349 individuals aged 50 to 75 and 30,632 observations are used to mea...


Socioeconomic status, non-communicable disease risk factors, and walking speed ...

Stringhini, S; Carmeli, C; Jokela, M; Avendaño, M; McCrory, C; d'Errico, A; Bochud, M; Barros, H; Costa, G; Chadeau-Hyam, M; Delpierre, C; Gandini, M

Objective To assess the association of low socioeconomic status and risk factors for non-communicable diseases (diabetes, high alcohol intake, high blood pressure, obesity, physical inactivity, smoking) with loss of physical functioning at older ages. Design Multi-cohort population based study. Setting 37 cohort studies from 24 countries in Europe, the United States, Latin America, Africa, and Asia, 1990-2017 P...


Socioeconomic differences in children’s growth trajectories from infancy to ear...

McCrory, C; O'Leary, N; Fraga, S; Ribeiro, AI; Barros, H; Kartiosuo, N; Raitakari, O; Kivimäki, M; Vineis, P; Layte, R

Background Height is regarded as a marker of early-life illness, adversity, nutrition and psychosocial stress, but the extent to which differences in height are determined by early-life socioeconomic circumstances, particularly in contemporary populations, is unclear. This study examined socioeconomic differences in children’s height trajectories from birth through to 21 years of age in four European countries....


Socioeconomic indicators in epidemiologic research: A practical example from th...

d'Erico, A; Ricceri, F; Stringhini, S; Carmeli, C; Kivimaki, M; Bartley, M; McCrory, C; Bochud, M; Vollenweider, P; Tumino, R; Goldberg, M; Zins, M

Background: Several social indicators have been used in epidemiological research to describe socioeconomic position (SEP) of people in societies. Among SEP indicators, those more frequently used are education, occupational class and income. Differences in the incidence of several health outcomes have been reported consistently, independently from the indicator employed. Main objectives of the study were to pres...


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