Socioeconomic trajectory from birth to adolescence and lung function: prospective birth cohort study
2011

Socioeconomic Status and Lung Function in Adolescents

Sample size: 4005 publication 10 minutes Evidence: moderate

Author Information

Author(s): Menezes Ana MB, Dumith Samuel C, Perez-Padilla Rogélio, Noal Ricardo B, Wehrmeister Fernando C, Martínez-Mesa Jeovany, Araújo Cora LP, Hallal Pedro C

Primary Institution: Federal University of Pelotas

Hypothesis

The study aims to evaluate the association between lung function in adolescence and socioeconomic status at birth, in adolescence, and the trajectory of socioeconomic status from birth to adolescence.

Conclusion

Low income adolescents from Brazil present impaired lung function as compared to the better off, and this is largely explained by height.

Supporting Evidence

  • The study included 4,005 adolescents with valid spirometric data.
  • Mean FEV1 was significantly lower in adolescents from lower socioeconomic backgrounds.
  • Height was identified as a major factor explaining the association between SES and lung function.

Takeaway

Kids who grow up poor tend to have weaker lungs, and being shorter is a big reason why.

Methodology

A prospective birth cohort study in Pelotas, Brazil, including 4,005 adolescents followed from birth, measuring lung function with spirometry.

Potential Biases

Self-reported data on smoking may not accurately reflect actual smoking behavior.

Limitations

SES groups were defined based on family income, which may lead to misclassification, and smoking data was self-reported.

Participant Demographics

Mean age: 14.7 years; 51% female; 64% self-identified as white; 27% overweight.

Statistical Information

P-Value

p<0.001

Confidence Interval

95%CI 3.43-3.49 for boys' FEV1; 95%CI 2.91-2.95 for girls' FEV1

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2458-11-596

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