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Socioeconomic factors and intergenerational differences in height of Portuguese adults born in 1990: results from the EPITeen cohort

Published online by Cambridge University Press:  11 October 2022

Berta Valente
Affiliation:
EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal
Elisabete Ramos
Affiliation:
EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
Joana Araújo*
Affiliation:
EPIUnit - Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal Faculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, Portugal
*
*Corresponding author: Email: joana.araujo@ispup.up.pt

Abstract

Average adult height is an indicator of population health and a marker of socioeconomic inequalities. This study aimed to assess how socioeconomic differences affect intergenerational height increase between adults born in 1990 and their parents. Data from a population-based cohort of subjects born in 1990 (EPITeen) were analysed. Participants’ adult height was objectively measured. Parental height, education, and occupation were reported by the parents. The height difference between daughters and their mothers (n=707), and sons and their fathers (n=647) was calculated. A generalised linear model was used to assess the association between parental education and occupation, separately, and the intergenerational height difference, adjusted for maternal age at birth, smoking during pregnancy, birthweight adjusted for gestational age, and birth order. Females were on average 1.46cm (SD=6.62) taller than their mothers, and males 3.00cm (SD=7.26) taller than their fathers. The highest height gain was shown in those with less advantaged socioeconomic background. In the adjusted model, sons whose mothers had 0-6 years of education grew 3.9cm taller (β=3.894; 95%CI:2.345;5.443) and daughters 1.5cm taller (β=1.529; 95%CI:0.180;2.878) (compared to >12y maternal education); for paternal education, sons and daughters grew 3.5cm (β=3.480; 95%CI:1.913;5.047) and 1.9cm taller (β=1.895; 95%CI:0.526;3.265), respectively. A higher height increase was found in participants with less advantaged maternal and paternal occupational level. Adults born in 1990 are taller than their parents, and height gain was higher in males than females. Adults from a lower socioeconomic status experienced the highest height gain, suggesting a reduction in height inequality.

Type
Research Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Alacevich, C. & Tarozzi, A. (2017) Child height and intergenerational transmission of health: Evidence from ethnic Indians in England. Economics & Human Biology 25, 6584. DOI: 10.1016/j.ehb.2016.10.004.CrossRefGoogle ScholarPubMed
Barros, P. P., Almeida Simoes, J. D., Allin, S., Mossialos, E. & Health Organization, World (2007) Health systems in transition: Portugal: health system review. Copenhagen: WHO Regional Office for Europe,Google Scholar
Barros, P. P., Machado, S. R., Simões Jde, A. & Health Organization, World (2011) Health systems in transition: Portugal: health system review. Copenhagen: WHO Regional Office for Europe, pp. 1156.Google ScholarPubMed
Batty, G. D., Shipley, M. J., Gunnell, D., Huxley, R., Kivimaki, M., Woodward, M., Lee, C. M. & Smith, G. D. (2009) Height, wealth, and health: an overview with new data from three longitudinal studies. Economics & Human Biololgy 7(2), 137152. DOI: 10.1016/j.ehb.2009.06.004.CrossRefGoogle ScholarPubMed
Biro, F. M., Mcmahon, R. P., Striegel-Moore, R., Crawford, P. B., Obarzanek, E., Morrison, J. A., Barton, B. A. & Falkner, F. (2001) Impact of timing of pubertal maturation on growth in black and white female adolescents: The National Heart, Lung, and Blood Institute Growth and Health Study. The Journal of Pediatrics 138(5), 636643. DOI: https://doi.org/10.1067/mpd.2001.114476.CrossRefGoogle ScholarPubMed
Blum, M. (2013) The influence of inequality on the standard of living: Worldwide anthropometric evidence from the 19th and 20th centuries. Economics & Human Biology 11(4), 436452.CrossRefGoogle ScholarPubMed
Borrescio-Higa, F., Bozzoli, C. G. & Droller, F. (2019) Early life environment and adult height: The case of Chile. Economics & Human Biology 33, 134143. DOI: 10.1016/j.ehb.2018.11.003.CrossRefGoogle ScholarPubMed
Cámara, A. D. (2015) A biosocial approach to living conditions: inter-generational changes of stature dimorphism in 20th-century Spain. Ann Hum Biol 42(2), 167177. DOI: 10.3109/03014460.2014.911349.CrossRefGoogle ScholarPubMed
Candela-Martínez, B., Cámara, A. D., López-Falcón, D. & Martínez-Carrión, J. M. (2022) Growing taller unequally? Adult height and socioeconomic status in Spain (Cohorts 1940–1994). SSM - Population Health 18, 101126. DOI: https://doi.org/10.1016/j.ssmph.2022.101126.CrossRefGoogle ScholarPubMed
Cardoso, H. F. (2008) Secular changes in body height and weight of Portuguese boys over one century. American Journal of Human Biology: The Official Journal of the Human Biology Association 20(3), 270277.CrossRefGoogle ScholarPubMed
Carson, S. A. (2009) Health, wealth, and inequality: a contribution to the debate about the relationship between inequality and health. Historical Methods: A Journal of Quantitative and Interdisciplinary History 42(2), 4356.CrossRefGoogle Scholar
Carvalho, G. S. (2012) Health education in Portuguese schools: The contribution of the health and education sectors. Health Education in Context. Brill Sense, pp. 3746.CrossRefGoogle Scholar
Chen, Q. & Marques-Vidal, P. (2007) Trends in food availability in Portugal in 1966–2003. European journal of nutrition 46(7), 418427.CrossRefGoogle ScholarPubMed
Cole, T. J. (2003) The secular trend in human physical growth: a biological view. Economics & Human Biology 1(2), 161168. DOI: 10.1016/s1570-677x(02)00033-3.CrossRefGoogle ScholarPubMed
Cox, S. L., Ruff, C. B., Maier, R. M. & Mathieson, I. (2019) Genetic contributions to variation in human stature in prehistoric Europe. Proceedings of the National Academy of Sciences 116(43), 2148421492.CrossRefGoogle ScholarPubMed
De Beer, H. (2012) Dairy products and physical stature: a systematic review and meta-analysis of controlled trials. Economics & Human Biology 10(3), 299309.CrossRefGoogle ScholarPubMed
De Onis, M. & Branca, F. (2016) Childhood stunting: a global perspective. Maternal & Child Nutrition 12 Suppl 1(Suppl 1), 1226. DOI: 10.1111/mcn.12231.CrossRefGoogle ScholarPubMed
Gorber, S. C., Tremblay, M., Moher, D. & Gorber, B. (2007) A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obesity reviews 8(4), 307326.CrossRefGoogle Scholar
Habibov, N., Luo, R., Auchynnikava, A. & Fan, L. (2020) Height and life satisfaction: Evidence from 27 nations. American Journal of Human Biology 32(3), e23351.CrossRefGoogle ScholarPubMed
Hauspie, R. C., Vercauteren, M. & Susanne, C. (1996) Secular changes in growth. Horm Res 45 Suppl 2, 817. DOI: 10.1159/000184841.CrossRefGoogle ScholarPubMed
ISCED, UNESCO. (2012) International standard classification of education 2011. UNESCO Institute for Statistics.Google Scholar
Jarosz, E. & Gugushvili, A. (2020) Parental education, health literacy and children’s adult body height. Journal of Biosocial Science 52(5), 696718. DOI: 10.1017/s0021932019000737.CrossRefGoogle ScholarPubMed
Kramer, M. S., Platt, R. W., Wen, S. W., Joseph, K. S., Allen, A., Abrahamowicz, M., Blondel, B., Breart, G. & Fetal/Infant Health Study Group of the Canadian Perinatal Surveillance System (2001) A new and improved population-based Canadian reference for birth weight for gestational age. Pediatrics 108(2), E35. DOI: 10.1542/peds.108.2.e35.CrossRefGoogle ScholarPubMed
Krzyżanowska, M. & Mascie-Taylor, C. N. (2011) Intra-and intergenerational social mobility in relation to height, weight and body mass index in a British national cohort. Journal of biosocial science 43(5), 611618.CrossRefGoogle Scholar
Kuh, D. L., Power, C. & Rodgers, B. (1991) Secular trends in social class and sex differences in adult height. International Journal of Epidemiology 20(4), 10011009.CrossRefGoogle ScholarPubMed
Lafave, D. & Thomas, D. (2017) Height and cognition at work: Labor market productivity in a low income setting. Economics & Human Biology 25, 5264. DOI: 10.1016/j.ehb.2016.10.008.CrossRefGoogle Scholar
Myrskylä, M., Silventoinen, K., Jelenkovic, A., Tynelius, P. & Rasmussen, F. (2013) The association between height and birth order: evidence from 652,518 Swedish men. J Epidemiol Community Health 67(7), 571577. DOI: 10.1136/jech-2012-202296.CrossRefGoogle ScholarPubMed
Öberg, S. (2015) Sibship size and height before, during, and after the fertility decline: a test of the resource dilution hypothesis. Demographic Research 32, 2974.CrossRefGoogle Scholar
Padez, C. (2002) Stature and stature distribution in Portuguese male adults 1904–1998: the role of environmental factors. American Journal of Human Biology 14(1), 3949.CrossRefGoogle ScholarPubMed
Perkins, J. M., Subramanian, S. V., Davey Smith, G. & Özaltin, E. (2016) Adult height, nutrition, and population health. Nutrition Reviews 74(3), 149165.CrossRefGoogle ScholarPubMed
Pi-Sunyer, F., Becker, D., Bouchard, C., Carleton, R., Colditz, G., Dietz, W., Foreyt, J., Garrison, R., Grundy, S., Hansen, B., Higgins, M., Hill, J.O., Howard, B., Kuczmarski, R., Kumanyika, S., Legako, R. D., Prewitt, T.E., Rocchini, A., Smith, P.L., Snetselaar, L., Sowers, J., Weintrub, M., Williamson, D., Wilson, G., Brown, C., Donato, K., Ernst, N., Hill, D.R., Horan, M., Hubbard, V., Kiley, J., Obarzanek, E., Shriger, D. & E., C. (1998) Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Expert Panel on the Identification, Evaluation, and Treatment of Overweight in Adults. Am J Clin Nutr 68(4), 899917. DOI: 10.1093/ajcn/68.4.899.Google Scholar
Ramos, E. & Barros, H. (2007) Family and school determinants of overweight in 13-year-old Portuguese adolescents. Acta Paediatrica 96(2), 281286.CrossRefGoogle ScholarPubMed
Ramos, E., Lopes, C., Oliveira, A. & Barros, H. (2009) Unawareness of weight and height–the effect on self-reported prevalence of overweight in a population-based study. J Nutr Health Aging 13(4), 310314. DOI: 10.1007/s12603-009-0028-7.CrossRefGoogle ScholarPubMed
Silventoinen, K. (2003) Determinants of variation in adult body height. Journal of Biosocial Science 35(2), 263285. DOI: 10.1017/s0021932003002633.CrossRefGoogle ScholarPubMed
Silventoinen, K., Kaprio, J., Lahelma, E. & Koskenvuo, M. (2000) Relative effect of genetic and environmental factors on body height: differences across birth cohorts among Finnish men and women. American journal of public health 90(4), 627.Google ScholarPubMed
Steckel, R. H. (1995) Stature and the Standard of Living. Journal of Economic Literature 33(4), 19031940.Google Scholar
Stradford, L., Van Poppel, F. & Lumey, L. (2017) Can resource dilution explain differences in height by birth order and family size? A study of 389,287 male recruits in twentieth-century Netherlands. The History of the Family 22(2-3), 214235.CrossRefGoogle ScholarPubMed
Stulp, G. & Barrett, L. (2016) Evolutionary perspectives on human height variation. Biological Reviews 91(1), 206234.CrossRefGoogle ScholarPubMed
Subramanian, S. V., Özaltin, E. & Finlay, J. E. (2011) Height of nations: a socioeconomic analysis of cohort differences and patterns among women in 54 low- to middle-income countries. PLoS One 6(4), e18962. DOI: 10.1371/journal.pone.0018962.CrossRefGoogle Scholar
Truninger, M., Teixeira, J., Horta, A., Alexandre, S. & Silva, V. a. D. (2012) A evolução do sistema de refeições escolares em Portugal (1933-2012): 1º relatório de pesquisa. Estudos e relatórios, 181.Google Scholar
Truninger, M., Teixeira, J., Horta, A., Silva, V. A. & Alexandre, S. (2013) Schools’ health education in Portugal: a case study on children’s relations with school meals. Educação, sociedade e culturas 38, 117133.Google Scholar
Wells, J. C. (2010) Maternal capital and the metabolic ghetto: an evolutionary perspective on the transgenerational basis of health inequalities. American Journal of Human Biology: The Official Journal of the Human Biology Association 22(1), 117.CrossRefGoogle ScholarPubMed
Yajnik, C. S. & Deshmukh, U. S. (2008) Maternal nutrition, intrauterine programming and consequential risks in the offspring. Reviews in Endocrine and Metabolic Disorders 9(3), 203211.CrossRefGoogle ScholarPubMed
Zheng, X. Y., Han, Y. L., Guo, C., Zhang, L., Qiu, Y. & Chen, G. (2014) Progress in research of nutrition and life expectancy. Biomedical and Environmental Sciences 27(3), 155161. DOI: 10.3967/bes2014.036.Google ScholarPubMed