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. 2021 Jul 27;45(11):2316–2334. doi: 10.1038/s41366-021-00899-y

Table 4.

Summary of associations between socioeconomic position and fat-free measures in children.

SEP indicator Direction of SEP and body composition association Total
Positive association Negative association No clear direction
N % References N % References N % References N %
Fat-Free Mass
Miscellaneous 7 100% [69]b,c [69]a,c [69]b,c [69]a,c [61]b [61]a [48] 0 0 7 10%
Fat-Free Mass %
SEP 1 25% [41]b,c 2 50% [69]b,c [69]a,c 1 25% [42]c 4 6%
Parental Education 1 25% [42]a,c 2 50% [69]b,c [69]a,c 1 25% [42]b,c 4 6%
Miscellaneous 3 75% [61]b [61]a [42]a,c 0 1 25% [42]b,c 4 6%
Fat-Free Mass Index
Occupational Social Class 1 33% [38]a 0 2 66% [38]b [31] 3 4%
Parental Education 0 0 3 100% [73]d [31, 36] 3 4%
Miscellaneous 1 50% [36] 0 1 50% [75] 2 3%
Dry Lean Mass
SEP 3 100% [42]c [41]b,c [40]c 0 0 3 4%
Miscellaneous 2 40% [42]b,c[42]b,c 0 3 60% [42]a,c [42]a,c [40]c 5 7%
Lean Mass
Parental Education1 3 43% [77]a,c[77]b,c[58] 0 4 57% [18]a [50]c[32, 49] 7 10%
SEP 3 100% [77]a,c[77]b,c[56]a,c 0 0 3 4%
Occupational Social Class 0 0 3 100% [32, 49, 64] 3 4%
Miscellaneous 0 0 4 100% [50]c[50]c[50]c[49] 4 6%
Lean Mass %
Parental Education 1 33% [58] 2 66% [77]a,c[77]b,c 0 3 4%
SEP 0 2 100% [77]a,c[77]b,c 0 2 3%
Lean Mass Index
SEP 0 0 3 100% [51]c[77]a,c [77]b,c 3 4%
Parental Education 0 0 2 100% [77]a,c[77]b,c 2 3%
Appendicular Skeletal Muscle
School Level SEP 2 100% [61]a[61]b 0 0 2 3%
Appendicular Skeletal Muscle %
Miscellaneous 5 100% [63]a [63]b [61]a [61]b [52] 0 0 5 7%
Overall Weighted Distribution of Associations
Lean Body Measures Combined
Combined SEP 48% 12% 41% 69 100%
Combined SEP (HIC) 55% 0% 45% 29 42%
Combined SEP (MIC) 43% 20% 38% 40 58%

Positive associations indicate an increase in fat measure with an increase in socioeconomic advantage; inverse associations indicate a decrease in fat measure with an increase in socioeconomic advantage. Miscellaneous SEP measures are where less than two papers reported on the measure.

aIndicates results for girls only.

bIndicates results for boys only.

cIndicates study conducted in a MIC.

dIndicates lean body mass instead of FFM.