Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?

Abstract Background Although the incidence of metabolic syndrome (MetS) strongly varies based on individuals’ socioeconomic position (SEP), as yet no studies have examined the SEP-MetS remission relationship. Our aim is to longitudinally assess the associations between SEP measures education, income...

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Autores principales:	Liza A. Hoveling, Aart C. Liefbroer, Ute Bültmann, Nynke Smidt
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Metabolic syndrome Socioeconomic factors Physical activity Smoking Alcohol drinking Diet Nutritional diseases. Deficiency diseases RC620-627 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/56be6a80f5274153b24bcfaf10339c88
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spelling	oai:doaj.org-article:56be6a80f5274153b24bcfaf10339c882021-11-14T12:44:35ZUnderstanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?10.1186/s12966-021-01217-51479-5868https://doaj.org/article/56be6a80f5274153b24bcfaf10339c882021-11-01T00:00:00Zhttps://doi.org/10.1186/s12966-021-01217-5https://doaj.org/toc/1479-5868Abstract Background Although the incidence of metabolic syndrome (MetS) strongly varies based on individuals’ socioeconomic position (SEP), as yet no studies have examined the SEP-MetS remission relationship. Our aim is to longitudinally assess the associations between SEP measures education, income and occupational prestige, and MetS remission, and whether these associations are mediated by health behaviors, including physical activity, smoking, alcohol intake and diet quality. Methods A subsample (n = 16,818) of the adult Lifelines Cohort Study with MetS at baseline was used. MetS remission was measured upon second assessment (median follow-up time 3.8 years), defined according to NCEP-ATPIII criteria. To estimate direct associations between SEP, health behaviors and MetS remission multivariable logistic regression analyses were used. To estimate the mediating percentages of health behaviors that explain the SEP-MetS remission relationship the Karlson-Holm-Breen method was used. Analyses were adjusted for age, sex, the other SEP measures and follow-up time. Results At the second assessment, 42.7% of the participants experienced MetS remission. Education and income were positively associated with MetS remission, but occupational prestige was not. The association between education and MetS remission could partly (11.9%) be explained by health behaviors, but not the association between income and MetS remission. Conclusions Individuals with higher education more often experienced remission from MetS, mainly because individuals with higher education were more likely to have healthier behaviors. However, individuals with higher income more often experienced MetS remissions, regardless of their health behaviors. The occupational prestige of individuals was not associated with MetS remission.Liza A. HovelingAart C. LiefbroerUte BültmannNynke SmidtBMCarticleMetabolic syndromeSocioeconomic factorsPhysical activitySmokingAlcohol drinkingDietNutritional diseases. Deficiency diseasesRC620-627Public aspects of medicineRA1-1270ENInternational Journal of Behavioral Nutrition and Physical Activity, Vol 18, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Metabolic syndrome Socioeconomic factors Physical activity Smoking Alcohol drinking Diet Nutritional diseases. Deficiency diseases RC620-627 Public aspects of medicine RA1-1270
spellingShingle	Metabolic syndrome Socioeconomic factors Physical activity Smoking Alcohol drinking Diet Nutritional diseases. Deficiency diseases RC620-627 Public aspects of medicine RA1-1270 Liza A. Hoveling Aart C. Liefbroer Ute Bültmann Nynke Smidt Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?
description	Abstract Background Although the incidence of metabolic syndrome (MetS) strongly varies based on individuals’ socioeconomic position (SEP), as yet no studies have examined the SEP-MetS remission relationship. Our aim is to longitudinally assess the associations between SEP measures education, income and occupational prestige, and MetS remission, and whether these associations are mediated by health behaviors, including physical activity, smoking, alcohol intake and diet quality. Methods A subsample (n = 16,818) of the adult Lifelines Cohort Study with MetS at baseline was used. MetS remission was measured upon second assessment (median follow-up time 3.8 years), defined according to NCEP-ATPIII criteria. To estimate direct associations between SEP, health behaviors and MetS remission multivariable logistic regression analyses were used. To estimate the mediating percentages of health behaviors that explain the SEP-MetS remission relationship the Karlson-Holm-Breen method was used. Analyses were adjusted for age, sex, the other SEP measures and follow-up time. Results At the second assessment, 42.7% of the participants experienced MetS remission. Education and income were positively associated with MetS remission, but occupational prestige was not. The association between education and MetS remission could partly (11.9%) be explained by health behaviors, but not the association between income and MetS remission. Conclusions Individuals with higher education more often experienced remission from MetS, mainly because individuals with higher education were more likely to have healthier behaviors. However, individuals with higher income more often experienced MetS remissions, regardless of their health behaviors. The occupational prestige of individuals was not associated with MetS remission.
format	article
author	Liza A. Hoveling Aart C. Liefbroer Ute Bültmann Nynke Smidt
author_facet	Liza A. Hoveling Aart C. Liefbroer Ute Bültmann Nynke Smidt
author_sort	Liza A. Hoveling
title	Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?
title_short	Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?
title_full	Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?
title_fullStr	Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?
title_full_unstemmed	Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?
title_sort	understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?
publisher	BMC
publishDate	2021
url	https://doaj.org/article/56be6a80f5274153b24bcfaf10339c88
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Understanding socioeconomic differences in metabolic syndrome remission among adults: what is the mediating role of health behaviors?

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