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	<title>Comments on: Does IQ affect cardiovascular disease risk?</title>
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		<title>By: Helen Jaques</title>
		<link>http://www.helenjaques.co.uk/blog/2009/iq-cardiovascular-disease-risk/comment-page-1/#comment-642</link>
		<dc:creator>Helen Jaques</dc:creator>
		<pubDate>Sat, 25 Jul 2009 14:37:57 +0000</pubDate>
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		<description>Thanks for the comments guys.

The authors do mention the interesting difference between the analysis using IQ at 20 years old and the analysis using IQ at middle age.  They suggest two possibilities to account for this difference:
1) That IQ is, to a degree, a &lt;a href=&quot;http://www.bmj.com/cgi/content/abstract/322/7290/819&quot; rel=&quot;nofollow&quot;&gt;&#039;record of bodily insults across the life course&#039;&lt;/a&gt;. Apparently IQ scores are inversely correlated with chronic disease, so tend to fall as a person ages and acquires more diseases. The authors tried to account for this possibility by excluding deaths in the first 4 years of follow-up, reasoning that those dying from chronic disease during this period were likely to have the highest amount of comorbidities at study induction, but controlling for this factor didn&#039;t really change their results.
2) That IQ at middle age is more likely to correspond with socioeconomic position than IQ at 20 years old - that is, 20 year olds haven&#039;t had much opportunity to establish or change their socioeconomic position compared to older people.

This study used serveral markers to determine socioeconomic position: income, education, family income, and &#039;occupational prestige&#039; (don&#039;t ask me how they worked out that one).  So in theory this analysis would have taken into account &#039;stress associated with subordination&#039; in the occupational prestige measure.  Possibly.  Health effects of IQ is certainly a murky area of study...</description>
		<content:encoded><![CDATA[<p>Thanks for the comments guys.</p>
<p>The authors do mention the interesting difference between the analysis using IQ at 20 years old and the analysis using IQ at middle age.  They suggest two possibilities to account for this difference:<br />
1) That IQ is, to a degree, a <a href="http://www.bmj.com/cgi/content/abstract/322/7290/819" rel="nofollow">&#8216;record of bodily insults across the life course&#8217;</a>. Apparently IQ scores are inversely correlated with chronic disease, so tend to fall as a person ages and acquires more diseases. The authors tried to account for this possibility by excluding deaths in the first 4 years of follow-up, reasoning that those dying from chronic disease during this period were likely to have the highest amount of comorbidities at study induction, but controlling for this factor didn&#8217;t really change their results.<br />
2) That IQ at middle age is more likely to correspond with socioeconomic position than IQ at 20 years old &#8211; that is, 20 year olds haven&#8217;t had much opportunity to establish or change their socioeconomic position compared to older people.</p>
<p>This study used serveral markers to determine socioeconomic position: income, education, family income, and &#8216;occupational prestige&#8217; (don&#8217;t ask me how they worked out that one).  So in theory this analysis would have taken into account &#8216;stress associated with subordination&#8217; in the occupational prestige measure.  Possibly.  Health effects of IQ is certainly a murky area of study&#8230;</p>
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		<title>By: Allan</title>
		<link>http://www.helenjaques.co.uk/blog/2009/iq-cardiovascular-disease-risk/comment-page-1/#comment-640</link>
		<dc:creator>Allan</dc:creator>
		<pubDate>Fri, 24 Jul 2009 19:13:23 +0000</pubDate>
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		<description>As far as I can tell from this summary, the study used income as a measure of socioeconomic status (education was mentioned too but how it played out in the analysis isn&#039;t clear from this). This might be a problem if we are interested in knowing whether or how the effect of IQ on risk is socially mediated. My impression from a cursory knowledge of the social determinants of health literature is that the big risk factor is stress associated with subordination rather than low income per se. Perhaps higher IQ individuals were, controlling for income (and formal education for that matter), more likely to be positions or occupations that afforded them greater autonomy and (self) respect. We would also ideally want to factor in variables that could both depress IQ scores and and contribute to cardiovascular risk. Poverty and other stressors in childhood could play a role here.</description>
		<content:encoded><![CDATA[<p>As far as I can tell from this summary, the study used income as a measure of socioeconomic status (education was mentioned too but how it played out in the analysis isn&#8217;t clear from this). This might be a problem if we are interested in knowing whether or how the effect of IQ on risk is socially mediated. My impression from a cursory knowledge of the social determinants of health literature is that the big risk factor is stress associated with subordination rather than low income per se. Perhaps higher IQ individuals were, controlling for income (and formal education for that matter), more likely to be positions or occupations that afforded them greater autonomy and (self) respect. We would also ideally want to factor in variables that could both depress IQ scores and and contribute to cardiovascular risk. Poverty and other stressors in childhood could play a role here.</p>
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		<title>By: Kristen</title>
		<link>http://www.helenjaques.co.uk/blog/2009/iq-cardiovascular-disease-risk/comment-page-1/#comment-639</link>
		<dc:creator>Kristen</dc:creator>
		<pubDate>Fri, 24 Jul 2009 15:01:29 +0000</pubDate>
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		<description>Interesting article. IQ scores tend to be pretty stable after age 8, so I&#039;m wondering first about the differences when IQ at 20 versus middle age are added into the equation. If those IQ scores are significantly different, I would question the measures they are using. In addition, the recommendation to include educational opportunities will probably increase achievement scores, but changing IQ scores tends to take significant long term intervention. Thanks for the summary.</description>
		<content:encoded><![CDATA[<p>Interesting article. IQ scores tend to be pretty stable after age 8, so I&#8217;m wondering first about the differences when IQ at 20 versus middle age are added into the equation. If those IQ scores are significantly different, I would question the measures they are using. In addition, the recommendation to include educational opportunities will probably increase achievement scores, but changing IQ scores tends to take significant long term intervention. Thanks for the summary.</p>
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