Adult; Age Factors; Alcohol Drinking/epidemiology; Belgium/epidemiology; Cardiovascular Diseases/epidemiology/etiology; Child; Cohort Studies; Diabetes Mellitus, Type 2/epidemiology/etiology; Family Characteristics; Female; Humans; Male; Parents/psychology; Questionnaires; Random Allocation; Residence Characteristics; Risk Factors; Smoking/adverse effects/epidemiology; Socioeconomic Factors
Abstract :
[en] Socioeconomic and psychosocial handicaps are often associated with disease. There is a large body of information on adults on such relationships, but data are sparse on children. In a cohort of 1028 boys and girls, selected at random from school classes in Province de Luxembourg, a mainly rural area of Belgium, these problems were analysed in age strata of 6-8, 8-10, 10-12 years. Participation rate was 71%. Information was collected from questionnaires,. Anthropometric variables, blood pressure and glucose as well as cholesterol, triglycerides and insulin were measured in the children and related to the psychosocial and socioeconomic factors, organized into rural, psychosocial, socioeconomic and alcohol/smoking clusters of observations. Rural: Duration of living in the area of the child and parents correlated with diastolic blood pressure, particularly in boys (p < 0.01). Psychosocial: Housewives (p = 0.002) and their children (p = 0.002) had higher body mass indexes (BMI) than other mothers and their children. Sons of housewives also had higher blood pressure (systolic, p = 0.0007, diastolic, p = 0.007). Socioeconomic: Socioeconomic factors of parents (profession, unemployment) played relatively minor roles. Alcohol/smoking: Alcohol consumption was related to skinfold thickness in boys (p = 0.022), but not in girls. Girls, but not boys, with smoking parents had higher BMI (p=0.014). Multiple regression analyses suggested that psychosocial factors, such as housewives as mothers of large families, may be important for associations with cardiovascular risk factors in their children. There were apparent differences in the findings between girls and boys, suggesting that boys are more vulnerable to the impacts of the factors analysed.
Disciplines :
General & internal medicine
Author, co-author :
Guillaume, Michèle ; Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique
Lapidus, L.
Lambert, A.
Bjorntorp, P.
Language :
English
Title :
Socioeconomic and psychosocial conditions of parents and cardiovascular risk factors in their children: the Belgian Luxembourg Child Study III.
1. Andersen LB, Haraldsdottir J. Tracking of cardiovascular disease risk factors including maximal oxygen uptake and physical activity from late teenage to adulthood. An 8-year follow-up study. J Int Med 1993; 234: 309-15
2. Rose GA, Marmot MG. Social class and coronary heart disease. Br Heart J 1981; 45: 13-9
4. Björntorp P. Visceral obesity: a "civilization syndrome". Obes Res 1993; 1: 206-22
5. Knuiman JT, Hermus RJJ, Hautvast JGAJ. Serum total and high density lipoprotein (HDL) cholesterol concentrations in rural and urban boys from 16 countries. Atherosclerosis 1980; 36: 529-37
6. Viikari J, Åkerblom HK, Nikkari T, Seppänen A, Uhari M, Pesonen E, et al. Atherosclerosis precursors in Finnish children and adolescents. IV. Serum lipids in newborns, children and adolescents. Acta Paediatr Scand 1985; 318 Suppl: 103-9
7. Leino M, Porkka KVK, Raitakari TO, Laitinen S, Taimela S, Viikari JSA. Influence of parental occupation on coronary heart disease risk factors in children. The Cardiovascular Risk in Young Finns Study. Int J Epidemiol 1996; 25; 1189-95
8. Räikkönen K, Keltikangas-Järvinen L, Pietikäinen M. Type A behavior and its determinants in children, adolescents and young adults with and without parental coronary heart disease: a case-control study. J Psychosom Res 1991; 35: 273-80
9. Lissau-Lund-Sørensen I, Sørensen TIA, Prospective study on the influence of social factors in childhood on risk of overweight in young adulthood. Int J Obes 1992; 16: 169-75
10. Mellbin T, Vuille JC. Further evidence of an association between psychosocial problems and increase in relative weight between 7 and 10 years of age. Acta Paediatr Scand 1989; 78: 576-80
11. Popkin B, Solon F. Income, time, the working mother and child nutrition. Environ Child Health 1976; 22: 156-66
12. Ravelli GP, Belmont L. Obesity in nineteen-year-old men: family size and birth order associations. Am J Epidemiol 1979; 109: 66-70
13. Brohet C. Monica in the Province of Luxembourg: a province at high risk for coronary heart disease. Paper presented at Epidemiology and Prevention of Cardiovascular Diseases in Belgium: State of the Art. Brussels, November 1991
14. Brohet C, Janssens D, Beck D, Hannut R, Kulbertus H, Lavenne F, et al. Cardiovascular risk factors in a sample of a rural Belgian population: the Bellux MONICA Study. Acta Med Scand 1988; Suppl 728: 129-36
15. Guillaume M, Lapidus L, Beckers F, Lambert A, Björntorp P. Cardiovascular risk factors in children from the Belgian Luxembourg province. The Belgian Luxembourg Child Study. Am J Epidemiol 1996; 144: 867-80
16. Guillaume M, Lapidus L, Beckers F, Lambert A, Björntorp P. Familial trends of obesity through three generations: the Belgian Luxembourg Child Study. Int J Obes 1995; 19 Suppl 3: 5-9
17. Guillaume M, Björntorp P. Obesity in children. Horm Metab Res 1996; 28: 573-81
18. Guillaume M, Lapidus L, Björntorp P, Lambert A. Physical activity, obesity and cardiovascular risk factors in children. The Belgian Luxembourg Child Study II. Obes Res 1997; 5: 549-56
19. Guillaume M. Children in Province de Luxembourg. The Belgian Luxembourg Child Study. An epidemiological study of cardiovascular risk factors and their determinants. Public health and nutrition. [Dissertation]. Brussels: Université Catholique de Louvain, 1994
20. Freeman W, Weir DC, Whitehead JE, Rogers DI, Sapiano SB, Floyd CA, et al. Association between risk factors for coronary heart disease in schoolboys and adult mortality rates in the same localities. Arch Dis Child 1990; 65: 78-83
21. Recensement de la population et des logements au ler mars 1991. Tome 1B: Chiffres de la population, âge, sexe, nationalité' par commune. Brussels: Institut National de Statistiques, 1992
22. Nombre de chomeurs complets indemnisés inscrits en fin de mois et taux de chômage. Répartition par arrondissement, province et sexe. Tableau 9.2. Brussels: Office National de l'Emploi, 1993
23. Population de 18 ans et plus, ne suivant plus d'enseignement de plein exercice, par sexe et niveau d'instruction - chiffres provisoires. Recensement de la population et des logements; Tableau 00.22. A. Brussels: Institut National de Statistiques, 1991
24. Statistique finale des revenus soumis à l'impôt des personnes physiques et à l'impôt des non-résidents. Exercice 1992 - Revenus de 1991 - Statistiques financières, N° 60. Brussels: Institut National de Statistiques, 1993
25. Desroisieres A, Thévenot L. Les catégories socio-professionnelles. Brussels: Ed LaDécouverte, 1988
26. World Health Organization. PROJECT MONICA manual. Cardiovascular diseases unit. Geneva: World Health Organization, 1990
27. Statistical Analysis System. SAS user's guide. Version 6, Vol. 2. 4th ed. Cary, NC: SAS Institute Inc., 1989
28. Telama R, Viikari J, Välimäki I, Siren-Tiusanen H, Akerblom HK, Uhari M, et al. Atherosclerosis precursors in Finnish children and adolescents. X. Leisure-time physical activity. Acta Paediatr Scand 1985; Suppl 318: 169-80
29. Knuiman JT, Westenbrink S, van der Heyden L, West CE, Burema J, de Boer J, et al. Determinants of total and high density lipoprotein cholesterol in boys from Finland, the Netherlands, Italy, the Philippines and Ghana with special reference to diet. Hum Nutr Clin Nutr 1983; 37C: 237-54
30. Romanella NE, Wakat DK, Loyd BH, Kelly LE. Physical activities and attitudes in lean and obese children and their mothers. Int J Obes 1991; 15: 407-14
31. Garn SM, Clark DC. Trends in fatness and the origin of obesity. Pediatrics 1976; 57: 443-56
32. Goldblatt PB, Moore ME, Stunkard AJ. Social factors in obesity. JAMA 1965; 192: 1039-44
33. Sonne-Holm S, Sørensen TIA. Prospective study of attainment of social class of severely obese subjects in relation to parental social class, intelligence, and education. Br Med J 1986; 292: 586-9
34. Julius S, Esler MD, Randall OS. Role of autonomic nervous system in mild human hypertension. Clin Sci Mol Med 1975; 48: 243-52
35. Obesity. Preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. WHO/NUT/NCD/98.1, 1998
36. Berenson GS, Srinivasan SR, Cresanta JL, Foster TA, Webber LS. Dynamic changes of serum lipoproteins in children during adolescence and sexual maturation. Am J Epidemiol 1981; 113: 157-70