Early Life Conditions Research Articles

Urbanization and Cognitive Function Among Middle-Aged and Old Adults in China.

Our study examined the effect of urbanization on cognitive function and its possible pathways among Chinese middle-aged and older adults independent of the influence of health-selective migration. Using data from the China Health and Retirement Longitudinal Study, we compared cognitive function among three groups (urbanized-rural residents, rural nonmigrants, and urban nonmigrants). Logistic regression and structural equation models were applied to explore the impact of urbanization on cognitive function and the potential mechanisms. Compared with the urbanized-rural group, urban nonmigrants had better cognitive function, with a significant coefficient of 1.56 (95% CI: 1.22, 1.89) for global cognition scores and 0.37 (95% CI: 0.22, 0.53) for episodic memory scores. The rural nonmigrants had the worst cognitive function (β = -0.79, 95% CI: -1.04, -0.55) and lower scores of mental intactness (β = -0.65, 95% CI: -0.84, -0.57) and episodic memory (β = -0.14, 95% CI: -0.26, -0.03). The association between urbanization and cognitive function was mainly mediated by income and living conditions among middle-aged and older adults. Rural people who experienced planned urbanization in China had higher cognitive scores than rural non-migrants. Urbanization could thus have a beneficial and cumulative effect on cognitive function. Improvements in living conditions and changes in income are the main drivers behind the relationship. However, urbanization could compensate for the negative impact on cognitive function from disadvantaged early-life conditions, but it cannot completely eliminate the gap between urbanized-rural people and urban nonmigrants.

Trends in inequality of opportunity in health over the life cycle: The role of early-life conditions

This paper explores the evolution of inequality of opportunity in the prevalence of chronic diseases along the life cycle and across different birth cohorts for individuals aged 50 or older and residing in 13 European countries. We adopt an ex-ante parametric approach and rely on the dissimilarity index as our reference inequality metric. In addition to a commonly used set of circumstances, we pay particular attention to the role of adverse early-life conditions, such as the experience of harm and the quality of the relationship with parents. In order to quantify the relative importance of each circumstance, we apply the Shapley inequality decomposition method. Our results suggest that inequality of opportunity in health is not stable over the life cycle - it is generally lower at younger ages and then monotonically increases. Moreover, it varies between different birth cohorts and is generally higher for younger individuals than for older age groups. Finally, the contribution of adverse early life conditions ranges between 25% and 45%, which is comparable to the share of socio-economic circumstances but significantly higher than the relative contribution of other demographic characteristics, especially at younger ages.

Infancy Dietary Patterns, Development, and Health: An Extensive Narrative Review.

Correct dietary patterns are important for a child’s health from birth to adulthood. Understanding a child’s health as a state of entire physical, mental, and social well-being is essential. However, reaching adulthood in a complete health proper state is determined by feeding and dietary habits during preconception, pregnancy, or children infancy. Different factors, such as the mother’s lifestyle, culture, or socioeconomic status, are crucial during all these phases. In this review, we aimed to assess the long-term associations between infancy dietary patterns and health and their influence on development and growth. To reach this objective, a consensus critical review was carried out using primary sources such as scientific articles, and secondary bibliographic indexes, databases, and web pages. PubMed, SciELO, and Google Scholar were the tools used to complete this research. We found that high-income countries promote high-calorie foods and, consequently, obesity problems among children are rising. However, undernutrition is a global health issue concerning children in low- and middle-income countries; thus, parental socioeconomic status in early life is essential to children’s health and development, showing that biological, social, and environmental influences are increased risk factors for chronic diseases. This narrative review is aimed to collect evidence for early nutritional intervention and future disease prevention.

Assessment of Risk Factors of Septicemia

Septicemia, commonly referred to as blood poisoning, is a potentially life-threatening medical condition caused by the presence of harmful bacteria in the bloodstream. Objective: To assess risk factors of septicemia and observe correlation between them. Methods: This study is cross-sectional, descriptive, and observational. From the medical wards and Accident & Emergency Department of Mayo Hospital Lahore, 101 patients with septicemia were removed. Data was entered into a Performa created specifically for this use. Results: 15/32 patients of UTI, 11/18 patients of bed sores, 6/13 patients having chest infection, 4/8 patients having wound infection, 4/6 patients of hepatic encephalopathy and 3/6 patients of CVA were diabetic. Correlation at two levels was seen i.e., 0.05 which is an indicative of significant correlation and 0.01 which indicates highly significant correlation. Conclusions: Understanding the risk factors associated with septicemia is crucial for preventing and managing this condition. Age, male sex, diabetes, smoking, hypertension, and immunocompromised status have all been identified as significant risk factors for septicemia. Improving early life conditions, increasing vitamin D intake, and improving nutritional status may also play a role in reducing the risk of septicemia.

Aging With Incarceration Histories: An Intersectional Examination of Incarceration and Health Outcomes Among OlderAdults.

Experiences with incarceration are linked to poor mental and physical health across the life course. The purpose of this research is to examine whether incarceration histories are associated with worse physical and mental health among older adults. We apply an intersectionality framework and consider how the intersection of sexism and racism leads to unequal health outcomes following incarceration among women and people of color. We employ 2 measures of health (i.e., number of depressive symptoms and physical limitations) to broadly capture mental and physical health. Using data from Waves 11 and 12 of the Health and Retirement Study, we estimated a series of general linear models to analyze differences in health by incarceration history, gender/sex, and race/ethnicity. Findings suggest that experiences with incarceration are associated with a greater number of physical limitations and more depressive symptoms among older men and women, net of sociodemographic characteristics, early-life conditions, and lifetime stressful events. Formerly incarcerated women, particularly women of color, had more physical limitations and depressive symptoms relative to other groups. These findings suggest that incarceration histories have far-reaching health implications. Older women of color with incarceration histories experience markedly high levels of physical limitations and depressive symptoms in later life.

Delayed early life effects in the threespine stickleback.

Early life conditions can have a decisive influence on viability later in life. However, the influence of embryo density within a nest or body cavity on subsequent viability has received little attention within an ecological setting. This is surprising given that embryos often compete for limited resources, such as nutrients and oxygen, and this could influence their viability later in life through carry-over and compensatory effects. We show that the density of fertilized eggs within the nests of threespine stickleback males (Gasterosteus aculeatus) influences their viability after hatching. Embryos from larger broods hatch earlier and at a smaller size than those from smaller broods, which reduces their survival until the age of four weeks. This indicates a trade-off between the number and viability of offspring that males can raise to the hatching stage, which could explain the high incidence of partial egg cannibalism in nest-brooding fishes-as a strategy to improve the survival of remaining offspring. These results highlight the importance of considering conditions at the embryonic stage when evaluating the impact of early life conditions on viability and the adaptive value of reproductive decisions.

Early social environment affects attention to social cues in juvenile common ravens, Corvus corax.

Social competence, i.e. defined as the ability to adjust the expression of social behaviour to the available social information, is known to be influenced by early-life conditions. Brood size might be one of the factors determining such early conditions, particularly in species with extended parental care. We here tested in ravens whether growing up in families of different sizes affects the chicks' responsiveness to social information. We experimentally manipulated the brood size of 13 captive raven families, creating either small or large families. Simulating dispersal, juveniles were separated from their parents and temporarily housed in one of two captive non-breeder groups. After five weeks of socialization, each raven was individually tested in a playback setting with food-associated calls from three social categories: sibling, familiar unrelated raven they were housed with, and unfamiliar unrelated raven from the other non-breeder aviary. We found that individuals reared in small families were more attentive than birds from large families, in particular towards the familiar unrelated peer. These results indicate that variation in family size during upbringing can affect how juvenile ravens value social information. Whether the observed attention patterns translate into behavioural preferences under daily life conditions remains to be tested in future studies.

Early-life conditions impact juvenile telomere length, but do not predict later life-history strategies or fitness in a wild vertebrate.

Environmental conditions experienced during early life may have long‐lasting effects on later‐life phenotypes and fitness. Individuals experiencing poor early‐life conditions may suffer subsequent fitness constraints. Alternatively, individuals may use a strategic “Predictive Adaptive Response” (PAR), whereby they respond—in terms of physiology or life‐history strategy—to the conditions experienced in early life to maximize later‐life fitness. Particularly, the Future Lifespan Expectation (FLE) PAR hypothesis predicts that when poor early‐life conditions negatively impact an individual's physiological state, it will accelerate its reproductive schedule to maximize fitness during its shorter predicted life span. We aimed to measure the impact of early‐life conditions and resulting fitness across individual lifetimes to test predictions of the FLE hypothesis in a wild, long‐lived model species. Using a long‐term individual‐based dataset, we investigated how early‐life conditions are linked with subsequent fitness in an isolated population of the Seychelles warbler Acrocephalus sechellensis. How individuals experience early‐life environmental conditions may vary greatly, so we also tested whether telomere length—shorter telomers are a biomarker of an individual's exposure to stress—can provide an effective measure of the individual‐specific impact of early‐life conditions. Specifically, under the FLE hypothesis, we would expect shorter telomeres to be associated with accelerated reproduction. Contrary to expectations, shorter juvenile telomere length was not associated with poor early‐life conditions, but instead with better conditions, probably as a result of faster juvenile growth. Furthermore, neither juvenile telomere length, nor other measures of early‐life conditions, were associated with age of first reproduction or the number of offspring produced during early life in either sex. We found no support for the FLE hypothesis. However, for males, poor early‐life body condition was associated with lower first‐year survival and reduced longevity, indicating that poor early‐life conditions pose subsequent fitness constraints. Our results also showed that using juvenile telomere length as a measure of early‐life conditions requires caution, as it is likely to not only reflect environmental stress but also other processes such as growth.

Genotype-by-environment interactions modulate the rate of microevolution in reproductive timing in humans.

Evidence from natural populations shows that changes in environmental conditions can cause rapid modifications in the evolutionary potential of phenotypes, partly through genotype-by-environment interactions (G×E). Therefore, the overall rate of microevolution should depend on fluctuations in environmental conditions, even when directional selection is sustained over several generations. We tested this hypothesis in a preindustrial human population that experienced a microevolutionary change in age at first reproduction (AFR) of mothers, using the annual infant mortality rate (IMR) as an indicator of environmental conditions during their early life. Using quantitative genetics analyses, we found that G×Es explained a nonnegligible fraction of the additive genetic variance in AFR and in relative fitness, as well as of the genetic covariance between AFR and fitness (i.e., the Robertson-Price covariance). The covariance was stronger for individuals exposed to unfavorable early-life environmental conditions. Our results unravel the presence of G×Es in an important life history trait and its impact on the rate of microevolution, which appears to have been sensitive to short-term fluctuations in local environmental conditions.

Loneliness among older adults in Europe: The relative importance of early and later life conditions.

The aim of this paper is to study the association between childhood circumstances and loneliness in older adults in Europe. Based on rich information collected by the Survey on Health, Ageing, and Retirement in Europe (SHARE) on childhood characteristics and individual characteristics at age 50+, the study is able to control for personality traits, socioeconomic and demographic factors, social support and health in later life, and country-specific characteristics. The analyses show strong correlations between life circumstances in childhood and feeling lonely in older age; these correlations remain significant after adjusting for covariates. While ill health is the main factor correlated with loneliness at 50+, as expected, the analysis of the relative importance of the determinants reveals that personality traits account for more than 10% of the explained variance and that life circumstances during childhood account for 7%. Social support at older ages is the second highest category of factors, accounting for 27%—with, interestingly, support at home and social network characteristics contributing about 10% each, engaging in activities and computer skills accounting for 7% of the explained variance. Demographic and socioeconomic factors account for 6% and country-level characteristics contribute 5%. This paper points out the relevance of early life interventions to tackling loneliness in older age, and it shows that early interventions and interventions aiming at increasing social support in later life need to be adapted to all personality types. Thus, the role of childhood circumstances and the mechanisms explaining the association between loneliness in childhood and loneliness in later life deserve more attention in future research.

Nesting in Anolis Lizards: An Understudied Topic in a Well-Studied Clade

Maternal nesting behavior in oviparous species strongly influences the environmental conditions their embryos experience during development. In turn, these early-life conditions have consequences for offspring phenotypes and many fitness components across an individual’s lifespan. Thus, identifying the evolutionary and ecological causes and effects of nesting behavior is a key goal of behavioral ecology. Studies of reptiles have contributed greatly to our understanding of how nesting behavior shapes offspring phenotypes. While some taxonomic groups have been used extensively to provide insights into this important area of biology, many groups remain poorly studied. For example, the squamate genusAnolishas served as a model to study behavior, ecology, and evolution, but research focused onAnolisnesting behavior and developmental plasticity is comparatively scarce. This dearth of empirical research may be attributed to logistical challenges (e.g., difficulty locating nests), biological factors (e.g., their single-egg clutches may hinder some experimental designs), and a historical focus on males inAnolisresearch. Although there is a gap in the literature concerningAnolisnesting behavior, interest in nesting ecology and developmental plasticity in this group has grown in recent years. In this paper, we (1) review existing studies of anole nesting ecology and developmental plasticity; (2) highlight areas of anole nesting ecology that are currently understudied and discuss how research in these areas can contribute to broader topics (e.g., maternal effects and global change biology); and (3) provide guidelines for studying anole nesting in the field. Overall, this review provides a foundation for establishing anoles as models to study nesting ecology and developmental plasticity.

Life-Course Transitions in Rural Residence and Old-Age Mortality in Iowa, 1930-2014.

Early-life conditions are associated with mortality in men, but not studied to the same extent in women. We add new evidence by studying a cohort of women born between 1916 and 1931 and followed for mortality between 1986 and 2013. Our sample from Iowa includes a significant number of rural women, from both farms and small towns. The long-term effects of growing up in a rural area were mixed: farmers' daughters lived longer than women growing up off-farm in rural areas. Daughters of farm laborers and skilled or semi-skilled trades workers fared worst, when considering early-life socioeconomic status. We also find evidence that migrating to small-town Iowa was associated with lower life expectancy after age fifty-five. Considering social class and farm-nonfarm status is important for understanding the health of rural America.

P500. Deficit and Distress Symptom Profiles in Schizophrenia are Influenced by Season of Birth: A Replication

Environmental conditions of gestation and early post-natal life have lifelong influences on development and health outcomes. Season of birth (SOB) is a proxy for some of these conditions (e.g., affecting light exposure, activity levels, prevalent pathogens). Earlier work has linked spring/summer birth with deficit schizophrenia. We previously linked spring birth with a PANSS deficit profile (elevated negative and reduced distress symptoms) in a discovery sample of 451 people with schizophrenia. We retested this finding in an independent, 306-person replication sample.

Temporal Trends in Racial and Ethnic Disparities in Multimorbidity Prevalence in the United States, 1999-2018

BackgroundDisparities in multimorbidity prevalence indicate health inequalities, as the risk of morbidity does not intrinsically differ by race/ethnicity. This study aimed to determine if multimorbidity differences by race/ethnicity are decreasing over time. MethodsSerial cross-sectional analysis of the National Health Interview Survey, 1999-2018. Included individuals were ≥18 years old and categorized by self-reported race, ethnicity, age, and income. The main outcomes were temporal trends in multimorbidity prevalence based on the self-reported presence of ≥2 of 9 common chronic conditions. FindingsThe study sample included 596,355 individuals (4.7% Asian, 11.8% Black, 13.8% Latino/Hispanic, and 69.7% White). In 1999, the estimated prevalence of multimorbidity was 5.9% among Asian, 17.4% among Black, 10.7% among Latino/Hispanic, and 13.5% among White individuals. Prevalence increased for all racial/ethnic groups during the study period (P ≤ .001 for each), with no significant change in the differences between them. In 2018, compared with White individuals, multimorbidity was more prevalent among Black individuals (+2.5 percentage points) and less prevalent among Asian and Latino/Hispanic individuals (−6.6 and −2.1 percentage points, respectively). Among those aged ≥30 years, Black individuals had multimorbidity prevalence equivalent to that of Latino/Hispanic and White individuals aged 5 years older, and Asian individuals aged 10 years older. ConclusionsFrom 1999 to 2018, a period of increasing multimorbidity prevalence for all the groups studied, there was no significant progress in eliminating disparities between Black individuals and White individuals. Public health interventions that prevent the onset of chronic conditions in early life may be needed to eliminate these disparities.

Impact of Fkbp5 × early life adversity × sex in humanised mice on multidimensional stress responses and circadian rhythmicity

The cumulative load of genetic predisposition, early life adversity (ELA) and lifestyle shapes the prevalence of psychiatric disorders. Single nucleotide polymorphisms (SNPs) in the human FKBP5 gene were shown to modulate disease risk. To enable investigation of disease-related SNPs in behaviourally relevant context, we generated humanised mouse lines carrying either the risk (AT) or the resiliency (CG) allele of the rs1360780 locus and exposed litters of these mice to maternal separation. Behavioural and physiological aspects of their adult stress responsiveness displayed interactions of genotype, early life condition, and sex. In humanised females carrying the CG- but not the AT-allele, ELA led to altered HPA axis functioning, exploratory behaviour, and sociability. These changes correlated with differential expression of genes in the hypothalamus, where synaptic transmission, metabolism, and circadian entrainment pathways were deregulated. Our data suggest an integrative role of FKBP5 in shaping the sex-specific outcome of ELA in adulthood.

Pain catastrophizing, pain sensitivity and fear of pain are associated with early life environmental unpredictability: a path model approach

BackgroundSocioeconomic disadvantages in the childhood environment might strongly influence beliefs and behavior characterizing the adult years. When children experience unpredictable and adverse situations, they develop an unpredictability schema with the core belief that situations are unpredictable.MethodsIn two studies, we examined the association of childhood socioeconomic disadvantages with self-reported pain sensitivity, pain catastrophizing, and pain-related fear. Multidimensional survey measures were used to assess environmental conditions experienced in childhood. In addition, participants completed the Pain Catastrophizing Scale, Pain Sensitivity Questionnaire, Body Awareness Questionnaire, Unpredictability Schema Questionnaire, and Fear of Pain Questionnaire. In Study 1 (N = 252), in separate models, we examined pain sensitivity and pain catastrophizing of a community sample of pain-free young individuals in association with their childhood experiences. In Study 2 (N = 293), in a new sample, but with a wider age range, we examined the association of early life socioeconomic disadvantages with pain-related fear. In both studies, the predictions were tested with Structural Equation Modeling. Our models constituted a path from childhood socioeconomic status and household unpredictability to pain variables via the factors of family resources, unpredictability schemas, and body awareness.Results and conclusionsThe findings converged on the conclusion that individuals experiencing disadvantageous early life conditions tended to have an elevated level of pain catastrophizing, higher perceived sensitivity to pain, and higher level of pain-related fear. These associations were mediated by an unpredictability schema and body awareness.

Understanding Geographic Disparities in Mortality

A rich literature shows that early-life conditions shape later-life outcomes, including health and migration events. However, analyses of geographic disparities in mortality outcomes focus almost exclusively on contemporaneously measured geographic place (e.g., state of residence at death), thereby potentially conflating the role of early-life conditions, migration patterns, and effects of destinations. We employ the newly available Mortality Disparities in American Communities data set, which links respondents in the 2008 American Community Survey to official death records, and estimate consequential differences based on the method of aggregation we use: the unweighted mean absolute deviation of the difference in life expectancy at age 50 measured by state of birth versus state of residence is 0.58 years for men and 0.40 years for women. These differences are also spatially clustered, and we show that regional inequality in life expectancy is higher based on life expectancies by state of birth, implying that interstate migration mitigates baseline geographic inequality in mortality outcomes. Finally, we assess how state-specific features of in-migration, out-migration, and nonmigration together shape measures of mortality disparities by state (of residence), further demonstrating the difficulty of clearly interpreting these widely used measures.

Life Course Socioeconomic Status and Healthy Longevity in China.

In 2020, China's population aged 60 or older exceeded 264 million, representing 25% of the global population in that age-group. Older adults in China experienced periods of dramatic political and social unrest in early life, as well as economic transformations leading to drastic improvements in living standards during adulthood and older age. However, the implications of life course socioeconomic status (SES) trajectories for healthy longevity in later life have not been systematically studied in China. We utilize data from the China Health and Retirement Longitudinal Study (CHARLS) to comprehensively investigate how early-life conditions and adult SES combine to influence healthy longevity in later life. We find that both childhood and adulthood SES are associated with late-life health. The largest disparities in life expectancy (LE) and disability-free LE are found between those with persistently low SES throughout life and those with consistently high SES. At age 45, the gap in total LE between the most advantaged and least advantaged groups is six years for men and five years for women. Despite China's major policy changes prioritizing equity in income and health care in recent decades, our findings suggest that dramatic health inequalities among older adults remain. Our findings extend the literature on the effect of socioeconomic patterns across the life course on gradients in later-life health and highlight continuing disparities in healthy longevity among older adults in China.

Early-life conditions, height and mortality of nineteenth-century Dutch vagrant women

ABSTRACT Adult height is a remarkably accurate summary of early-life environmental conditions. Because of that, height may be negatively associated with mortality. These relationships – between early-life conditions and height, and between height and mortality – have been well-studied in modern samples of both genders, and in historical samples of men. However, these relationships are understudied historical samples of women. Therefore, this study aimed to better-understand the determinants and consequences of female adult height. More specifically, this study examined the relationships between (1) early-life environmental conditions and adult height, and (2) adult height and mortality. To accomplish this, we used a unique dataset that provided lifetime information of 1,088 women who were born between 1811 and 1838, and who were convicted of vagrancy and sent to the penal colonies of Veenhuizen and de Ommerschans. An ordered logistic regression was used to assess the relationship between early-life determinants and adult height. Cox regression analyses were performed to investigate the relationship between height and mortality. In terms of findings, region of birth, population size of municipality at birth, parental socio-economic status and religion were associated with adult height. The results examining height’s relationship to mortality were more surprising: taller vagrant women – those more than one standard deviation above the mean height – had higher probabilities of dying earlier than those within 0.5 standard deviations of the mean height. Ultimately, this study adds to the evidence that taller height is likely not universally beneficial for living longer.

Nonlinear spatial and temporal decomposition provides insight for climate change effects on sub-Arctic herbivore populations

Global temperatures are increasing, affecting timing and availability of vegetation along with relationships between plants and their consumers. We examined the effect of population density, herd body condition in the previous year, elevation, plant productivity and phenology, snow, and winter onset on juvenile body mass in 63 semi-domesticated populations of Rangifer tarandus throughout Norway using spatiotemporal generalized additive models (GAMs) and varying coefficient models (VCMs). Optimal climate windows were calculated at both the regional and national level using a novel nonlinear climate window algorithm optimized for prediction. Spatial and temporal variation in effects of population and environmental predictors were considered using a model including covariates decomposed into spatial, temporal, and residual components. The performance of this decomposed model was compared to spatiotemporal GAMs and VCMs. The decomposed model provided the best fit and lowest prediction errors. A positive effect of herd body condition in the previous year explained most of the deviance in calf body mass, followed by a more complex effect of population density. A negative effect of timing of spring and positive effect of winter onset on juvenile body mass suggested that a snow free season was positive for juvenile body mass growth. Our findings suggest early spring onset and later winter permanent snow cover as reinforcers of early-life conditions which support more robust reindeer populations. Our methodological improvements for climate window analyses and effect size measures for decomposed variables provide important contributions to account for, measure, and interpret nonlinear relationships between climate and animal populations at large scales.