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According to the social causation hypothesis, social differences in health occur due to accumulation of multiple adverse circumstances experienced by the lower SES groups throughout the life course, as compared to the more favourable conditions experienced by the higher SES groups.15 With regard to obesity, it has been suggested that psychosocial stress induced by multiple negative life circumstances may lead to unhealthy behaviour, resulting in increased risk of obesity. A study of middle aged women reported that psychosocial stress (job strain, poor social support) and recent unhealthy behaviour together with a reproductive history of early menarche and high parity explained a large proportion of the association between low social class and obesity.17 Other studies investigating the role of recent health behaviour suggest that health behaviour account for only some of the class variance in body mass index (BMI, kg/m2).18, 19 However, these studies17, 18, 19 focus on recent life circumstances only, use limited indicators, and are cross sectional in design, which makes it difficult to determine the direction of causality. Research on the causes of obesity emphasizes the importance of long term influence of early life circumstances,16 particularly psychosocial circumstances.20 Parental social class,10 health related behaviour,21 and social acceptance22 during childhood were reported to be associated with increased body fat in longitudinal studies. japanese two day diet pil pticesl I have over the years used both the tiller and wheel versions and admittedly had at some stage or other been let down by them. To have them repaired by the manufacturers has never been a problem, as I found they will bend over backwards to help you. However, when in lousy conditions and your yachts self steering fails, that is then of little consolation..
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