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The aim of the present study was to assess the relationship between life-course socio-economic status (SES) and different dimensions of functional health in older adults. Data on 821 Portuguese adults aged 50 years and over in 2013\u20132015 were analysed. Life-course SES was computed using participants\u2019 paternal occupation (non-manual (nm); manual (m)) and own occupation (nm; m), resulting in four patterns: stable high (nm + nm), upward (m + nm), downward (nm + m) and stable low (m + m). Functional health included physical and mental functioning, cognitive function, handgrip strength, and walking speed. Linear (beta coefficients) and logistic regressions (odds ratios) were used to estimate the association between life-course SES and functional health.<\/jats:p><jats:p>Overall, those who accumulated social disadvantage during life-course presented worse functional health than those with stable high SES (stable low \u2013 SF-36 physical functioning: <jats:italic>\u03b2<\/jats:italic> = \u22129.75; 95% CI: \u221214.34; \u22125.15; SF-36 mental health: <jats:italic>\u03b2<\/jats:italic> = \u22127.33; 95% CI: \u221211.55; \u22123.11; handgrip strength: <jats:italic>\u03b2<\/jats:italic> = \u22121.60; 95% CI: \u22122.86; \u22120.35; walking time, highest tertile: OR = 5.28; 95% CI: 3.07; 9.09). Those with an upward SES were not statistically different from those in the stable high SES for most of the health outcomes; however, those with an upward SES trajectory tended to have higher odds of cognitive impairment (OR = 1.75; 95% CI: 0.96; 3.19). A downward SES trajectory increased the odds of slower walking speed (OR = 4.62; 95% CI: 1.78; 11.95). A disadvantaged life-course SES impacts older adults\u2019 physical and mental functioning. For some outcomes, this was attenuated by a favourable adulthood SES but those with a stable low SES consistently presented worse functional health.<\/jats:p>","DOI":"10.1017\/s0021932023000093","type":"journal-article","created":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T03:45:46Z","timestamp":1686627946000},"page":"36-49","source":"Crossref","is-referenced-by-count":6,"title":["Life-course socio-economic status and its impact on functional health of Portuguese older adults"],"prefix":"10.1017","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9484-1887","authenticated-orcid":false,"given":"A.","family":"Henriques","sequence":"first","affiliation":[]},{"given":"L.","family":"Ruano","sequence":"additional","affiliation":[]},{"given":"S.","family":"Fraga","sequence":"additional","affiliation":[]},{"given":"S.","family":"Soares","sequence":"additional","affiliation":[]},{"given":"H.","family":"Barros","sequence":"additional","affiliation":[]},{"given":"M.","family":"Talih","sequence":"additional","affiliation":[]}],"member":"56","published-online":{"date-parts":[[2023,6,13]]},"reference":[{"key":"S0021932023000093_ref29","volume-title":"Age and Inequality: Diverse Pathways through Later Life","author":"O\u2019Rand","year":"1999"},{"key":"S0021932023000093_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2020.104755"},{"key":"S0021932023000093_ref11","doi-asserted-by":"publisher","DOI":"10.1080\/13803395.2011.589374"},{"key":"S0021932023000093_ref41","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k1046"},{"key":"S0021932023000093_ref21","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cky166"},{"key":"S0021932023000093_ref43","volume-title":"R: A Language and Environment for Statistical Computing","author":"Team","year":"2021"},{"key":"S0021932023000093_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gby028"},{"key":"S0021932023000093_ref9","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2019.00218"},{"key":"S0021932023000093_ref26","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afn236"},{"key":"S0021932023000093_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30058-X"},{"key":"S0021932023000093_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/31.2.285"},{"key":"S0021932023000093_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-9-13"},{"key":"S0021932023000093_ref33","doi-asserted-by":"publisher","DOI":"10.1093\/esr\/jcm013"},{"key":"S0021932023000093_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2003.09.013"},{"key":"S0021932023000093_ref38","first-page":"281","article-title":"Reliability and validity in measuring physical and mental health construct of the Portuguese version of MOS SF-36","volume":"19","author":"Severo","year":"2006","journal-title":"Acta M\u00e9dica Portuguesa"},{"key":"S0021932023000093_ref15","doi-asserted-by":"publisher","DOI":"10.1353\/dem.2004.0005"},{"key":"S0021932023000093_ref48","volume-title":"SF-36 Physical and Mental: Health Summary Scales: A User\u00b4s Manual","author":"Ware","year":"1994"},{"key":"S0021932023000093_ref49","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"S0021932023000093_ref51","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-017-0662-3"},{"key":"S0021932023000093_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/002214650704800101"},{"key":"S0021932023000093_ref54","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-015-9945-6"},{"key":"S0021932023000093_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.11.004"},{"key":"S0021932023000093_ref27","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53221.x"},{"key":"S0021932023000093_ref44","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdz018"},{"key":"S0021932023000093_ref45","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/26.1.224"},{"key":"S0021932023000093_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2020.106073"},{"key":"S0021932023000093_ref47","doi-asserted-by":"publisher","DOI":"10.4081\/jphr.2021.2036"},{"key":"S0021932023000093_ref53","doi-asserted-by":"crossref","unstructured":"Fillenbaum, GG (2013). 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