Abstract

Adult height is the most commonly used biological indicator to evaluate material and emotional conditions in which people grew up, allowing the analysis of secular trends associated with socio-economic change as well as of social inequalities among human populations. There is a lack of studies on both aspects regarding urban populations. Our study evaluates the secular trends and the disparities in height of conscripts born between 1915 and 1953 and called-up at the age of 21 between 1936 and 1969, living in districts with low versus middle and high socio-economic conditions, in the city of Madrid, Spain. We test the hypothesis that urban spatial segregation and social stratification was associated with significant differences in height. Results show that height increased significantly during the analysed period, both among conscripts living in the middle- and upper-class districts (5.85 cm) and in the lower-class districts (6.75 cm). The positive secular trend in height among conscripts from middle- and upper-class districts was sustained throughout the period, but the trend in height among the lower class fluctuated according to social, political, and economic events. Our findings support previous research that adult height is influenced strongly by the family living conditions during infancy and by community effects acting during childhood and adolescence.

Highlights

  • The human life cycle is characterized by an extended time for growth and development, which provides great biological plasticity, allowing human beings to adjust to changing social and environmental conditions [1]

  • As a contribution to the analysis of socio-economic determinants of inequality in health, this study focuses on secular trends and social differences in adult height of conscripts born between 1916 and 1953 in the city of Madrid, Spain, a period of deep socio-economic changes and intense socio-political turmoil, including the Spanish Civil War (1936–1939) and the dictatorship of General Franco that lasted through four decades

  • Despite the global positive secular trend in height of conscripts living in both categories of districts and the tendency to converge, Figure 2 shows clear differences between the lower-class districts and middle- and upper-class districts

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Summary

Introduction

The human life cycle is characterized by an extended time for growth and development, which provides great biological plasticity, allowing human beings to adjust to changing social and environmental conditions [1]. The pre-reproductive stage of the human life cycle has critical periods in which the speed of growth is very intense—the foetal stage, infancy, and adolescence—which increase susceptibility to nutritional deficiencies or excesses, illnesses, physical workload, and psychosocial stress. These factors may affect growth irreversibly and determine health and illness patterns in the adult stage [2]. Public Health 2019, 16, 2048; doi:10.3390/ijerph16112048 www.mdpi.com/journal/ijerph

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