The explanation of educational disparities in adiposity by
lifestyle, socioeconomic and mental health mediators: a
multiple mediation model

J 2024

The explanation of educational disparities in adiposity by lifestyle, socioeconomic and mental health mediators: a multiple mediation model

BARTOŠKOVÁ, Anna; Albert KŠIŇAN; Juan P. GONZÁLEZ-RIVAS; Martin BOBÁK; Hynek PIKHART et. al.

Základní údaje

Originální název

The explanation of educational disparities in adiposity by lifestyle, socioeconomic and mental health mediators: a multiple mediation model

Autoři

BARTOŠKOVÁ, Anna; Albert KŠIŇAN; Juan P. GONZÁLEZ-RIVAS; Martin BOBÁK a Hynek PIKHART

Vydání

EUROPEAN JOURNAL OF CLINICAL NUTRITION, ENGLAND, SPRINGER NATURE, 2024, 0954-3007

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30308 Nutrition, Dietetics

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.300

Kód RIV

RIV/00216224:14310/24:00135413

Organizační jednotka

Přírodovědecká fakulta

DOI

https://doi.org/10.1038/s41430-024-01403-1

UT WoS

001145750000001

EID Scopus

2-s2.0-85182723186

Klíčová slova anglicky

Epidemiology; Risk factors

Štítky

143180, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 23. 6. 2025 09:19, Mgr. Michaela Hylsová, Ph.D.

Anotace

V originále

Background: The inverse association between education and obesity was previously found in numerous studies. This study aims to assess several possible mediators in the educational disparities in adiposity. We hypothesize the potential mediating role of lifestyle, socioeconomic, and mental health factors in the association between education and adiposity. Methods: Cross-sectional population-based sample from Czechia included 2,154 25-64 years old subjects (54.6% women). Education was classified as high, middle, and low. Adiposity was assessed as a latent variable based on body fat percentage, BMI, waist circumference, and visceral fat. The mediation potential of unhealthy dietary behavior, alcohol intake, smoking, sedentary behaviors, income, stress, depression, and quality of life was assessed in age-adjusted sex-specific multiple mediation models. Results: The negative direct effect of education on adiposity was statistically significant at 5% level of significance in both sexes. For men, the indirect effect was statistically significant via sedentary behavior (β = 0.041; 95% CI [0.025–0.062]) with a mediation ratio of 23.7%. In women, the indirect effect was statistically significant via dietary risk (β = −0.023, 95% CI [−0.037, −0.013]), alcohol intake (β = −0.006; 95% CI [−0.014, −0.001]), sedentary behavior (β = 0.012, 95% CI [0.004,0.023]), income (β = −0.022; 95% CI [−0.041, −0.004]), and mental health (β = −0.007; 95% CI [−0.019, −0.001]). The total mediation ratio in women was 30.5%. Conclusions: Sedentary behaviors had mediating role in the association between education and adiposity in both sexes, with more important role in men. In addition, unhealthy diet and lower income partially mediated the educational gradient in adiposity in women.

Návaznosti

EF17_043/0009632, projekt VaV

Název: CETOCOEN Excellence

LX22NPO5104, projekt VaV

Název: Národní institut pro výzkum metabolických a kardiovaskulárních onemocnění (Akronym: CarDia)

Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Národní institut pro léčbu metabolických a kardiovaskulárních onemocnění, 5.1 EXCELES

857487, interní kód MU

Název: R-Exposome Chair: Unlocking the potential of RECETOX in Exposome research (Akronym: R-Exposome Chair)

Investor: Evropská unie, R-Exposome Chair: Unlocking the potential of RECETOX in Exposome research, Spreading excellence and widening participation

857560, interní kód MU
(Kód CEP: EF17_043/0009632)

Název: CETOCOEN Excellence (Akronym: CETOCOEN Excellence)

Investor: Evropská unie, CETOCOEN Excellence, Spreading excellence and widening participation

90121, velká výzkumná infrastruktura

Název: RECETOX RI

Přiložené soubory

2367109_updated_version.pdf

2367109.pdf

Citovat

BARTOŠKOVÁ, Anna; Albert KŠIŇAN; Juan P. GONZÁLEZ-RIVAS; Martin BOBÁK a Hynek PIKHART. The explanation of educational disparities in adiposity by lifestyle, socioeconomic and mental health mediators: a multiple mediation model. EUROPEAN JOURNAL OF CLINICAL NUTRITION. ENGLAND: SPRINGER NATURE, 2024, roč. 78, č. 5, s. 376-383. ISSN 0954-3007. Dostupné z: https://doi.org/10.1038/s41430-024-01403-1.

@article{2367109,
   author = {Bartošková, Anna and Kšiňan, Albert and GonzálezandRivas, Juan P. and Bobák, Martin and Pikhart, Hynek},
   article_location = {ENGLAND},
   article_number = {5},
   doi = {https://doi.org/10.1038/s41430-024-01403-1},
   keywords = {Epidemiology; Risk factors},
   language = {eng},
   issn = {0954-3007},
   journal = {EUROPEAN JOURNAL OF CLINICAL NUTRITION},
   title = {The explanation of educational disparities in adiposity by lifestyle, socioeconomic and mental health mediators: a multiple mediation model},
   url = {https://www.nature.com/articles/s41430-024-01403-1},
   volume = {78},
   year = {2024}
}

TY  - JOUR
ID  - 2367109
AU  - Bartošková, Anna - Kšiňan, Albert - González-Rivas, Juan P. - Bobák, Martin - Pikhart, Hynek
PY  - 2024
TI  - The explanation of educational disparities in adiposity by lifestyle, socioeconomic and mental health mediators: a multiple mediation model
JF  - EUROPEAN JOURNAL OF CLINICAL NUTRITION
VL  - 78
IS  - 5
SP  - 376-383
EP  - 376-383
PB  - SPRINGER NATURE
SN  - 09543007
KW  - Epidemiology
KW  - Risk factors
UR  - https://www.nature.com/articles/s41430-024-01403-1
N2  - Background: The inverse association between education and obesity was previously found in numerous studies. This study aims to assess several possible mediators in the educational disparities in adiposity. We hypothesize the potential mediating role of lifestyle, socioeconomic, and mental health factors in the association between education and adiposity. Methods: Cross-sectional population-based sample from Czechia included 2,154 25-64 years old subjects (54.6% women). Education was classified as high, middle, and low. Adiposity was assessed as a latent variable based on body fat percentage, BMI, waist circumference, and visceral fat. The mediation potential of unhealthy dietary behavior, alcohol intake, smoking, sedentary behaviors, income, stress, depression, and quality of life was assessed in age-adjusted sex-specific multiple mediation models. Results: The negative direct effect of education on adiposity was statistically significant at 5% level of significance in both sexes. For men, the indirect effect was statistically significant via sedentary behavior (β = 0.041; 95% CI [0.025–0.062]) with a mediation ratio of 23.7%. In women, the indirect effect was statistically significant via dietary risk (β = −0.023, 95% CI [−0.037, −0.013]), alcohol intake (β = −0.006; 95% CI [−0.014, −0.001]), sedentary behavior (β = 0.012, 95% CI [0.004,0.023]), income (β = −0.022; 95% CI [−0.041, −0.004]), and mental health (β = −0.007; 95% CI [−0.019, −0.001]). The total mediation ratio in women was 30.5%. Conclusions: Sedentary behaviors had mediating role in the association between education and adiposity in both sexes, with more important role in men. In addition, unhealthy diet and lower income partially mediated the educational gradient in adiposity in women.
ER  -

BARTOŠKOVÁ, Anna; Albert KŠIŇAN; Juan P. GONZÁLEZ-RIVAS; Martin BOBÁK a Hynek PIKHART. The explanation of educational disparities in adiposity by lifestyle, socioeconomic and mental health mediators: a multiple mediation model. \textit{EUROPEAN JOURNAL OF CLINICAL NUTRITION}. ENGLAND: SPRINGER NATURE, 2024, roč.~78, č.~5, s.~376-383. ISSN~0954-3007. Dostupné z: https://doi.org/10.1038/s41430-024-01403-1.

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