Socioeconomic differences in bone mass in pediatric populations: A systematic review
Authors' conclusion
Although the evidence points to a potential direct relationship between parental education and whole-body and femoral BMD, this relationship appears to be an indirect effect, likely mediated by factors such as fat mass. For BMC, no consistent relationship with parental education was found.
Study context
- Population
- Children and adolescents with bone mass assessed by central DXA; five electronic databases searched8 studies included
- Comparison
- Bone mass by socioeconomic indicators
- Outcome
- Differences in BMD and BMC according to socioeconomic indicators
Pooled result
As reported in the abstract
Lower whole-body bone mineral density (BMD) with lower parental/guardian education
2 of 3 studies
Lower femoral BMD with lower parental/guardian education
all 8 results from 1 study
Lower whole-body BMC with lower parental/guardian education
1 of 7 possible results
Further pooled results
Other socioeconomic indicators (e.g., education, region of residence, marital status, economic level, social class)
- Investigated by very limited number of studies, preventing a robust synthesis
- ≤ 2 studies
Original publication
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