Educational inequalities in metabolic syndrome prevalence, timing, and duration amongst adults over the life course: a microsimulation analysis based on the lifelines cohort study

International Journal of Behavioral Nutrition and Physical Activity

Research

Liza A. Hoveling¹  Nynke Smidt¹  Aart C. Liefbroer²  Alexander Lepe³  Marlou L. A. de Kroon⁴  Michael Boissonneault⁵  Joop A. A. de Beer⁵ 

[1] Department of Epidemiology, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands;Department of Epidemiology, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands;Netherlands Interdisciplinary Demographic Institute (NIDI)-KNAW, University of Groningen, PO Box 11650, 2502 AR, The Hague, The Netherlands;Department of Sociology, Vrije Universiteit Amsterdam, De Boelelaan 1081, 1081 HV, Amsterdam, The Netherlands;Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands;Department of Health Sciences, Community and Occupational Medicine, University of Groningen, University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands;Environment and Health, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium;Netherlands Interdisciplinary Demographic Institute (NIDI)-KNAW, University of Groningen, PO Box 11650, 2502 AR, The Hague, The Netherlands;

关键词: Metabolic syndrome;    Education;    Smoking;    Alcohol drinking;    Diet;    Health literacy;    Microsimulation;   

DOI  :  10.1186/s12966-023-01495-1

 received in 2022-06-03, accepted in 2023-07-29,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundEducational inequalities in metabolic syndrome (MetS) are a growing public health concern. Intervening on modifiable factors may help reduce these inequalities, but there is a need for evidence on the long-term impact of intervening on these factors. Thus, we simulate the development of educational inequalities in MetS across the life course and assess the impact of intervening on the modifiable factors that contribute to these inequalities.MethodsWe used data from the prospective multigenerational Dutch Lifelines Cohort Study to estimate the required input for a continuous-time microsimulation. The microsimulation projects the development of educational inequalities in MetS between ages 18 and 65, and assesses the potential benefit of intervening on smoking, alcohol use, diet quality, and health literacy.FindingsThe likelihood of ever experiencing MetS between ages 18 and 65 varies from 32.5% among high educated women to 71.5% among low educated men. On average, 27.6% more individuals with low education will ever experience MetS between ages 18 and 65 compared to those with high education. Additionally, individuals with low education generally will develop MetS 2.3 years earlier, and will spend an extra 2.6 years with MetS, compared to individuals with high education. Changes to smoking behaviours in individuals with low education produced the largest effect; it would reduce inequalities in prevalence, timing and duration by an average of 7.5%, 9.5%, and 6.9%, respectively.ConclusionsInterventions targeting the modifiable factors included in this study, especially smoking, could help reduce the estimated educational inequalities in MetS over the life course.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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