Key result
Lower education linked to shorter survival and increased disability driven by cardiometabolic and neurodegenerative diseases.
Why the study?
After the first COVID-19 wave, disease severity in some countries was attributed to a lack of basic education, prompting an assessment of educational trajectories, health, and ageing well.
Educational level and early life environment significantly impact health literacy, lifestyle choices, and long-term health outcomes including cardiovascular and metabolic diseases.
Supports incorporating education level into cardiovascular risk stratification; leaves open whether interventions improve survival and reduce disability.
After the first wave of the COVID-19 pandemic, during which the severity of the disease in certain countries was attributed to a lack of basic education of the inhabitants, the authors of this paper initiated a literature review of educational trajectories, health, and ageing well. The findings strongly demonstrate that alongside genetics, the affective and educational family environment, as well as the general environment, greatly interact starting from the very first days of life. Thus, epigenetics plays a major role in the determination of health and disease [DOHAD] in the first 1,000 days of life as well as in the characterization of gender. Other factors such as socio-economic level, parental education, schooling in urban or rural areas, also play a major role in the differential acquisition of health literacy. This determines adherence (or lack thereof) to healthy lifestyles, risky behaviours, substance abuse, but also compliance with hygiene rules, and adherence to vaccines and treatments. The combination of all these elements and lifestyle choices facilitates the emergence of metabolic disorders (obesity, diabetes), which promote cardiovascular and kidney damage, and neurodegenerative diseases, explaining that the less well educated have shorter survival and spend more years of life in disability. After having demonstrated the impact of the educational level on health and longevity, the members of this inter-academic group propose specific educational actions at three levels: (1) teachers and health professionals, (2) parents, (3) the public, emphasizing that these crucial actions can only be carried out with the unfailing support of state and academic authorities.
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Frangos et al. (2023) conducted a review in Health and ageing well. Education level was evaluated. Lower educational levels are associated with shorter survival and more years lived in disability due to the emergence of metabolic disorders, cardiovascular damage, and neurodegenerative diseases.
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