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早年经历创伤与成年期肥胖有关。

Exposure to early life trauma is associated with adult obesity.

作者信息

Gunstad John, Paul Robert H, Spitznagel Mary Beth, Cohen Ronald A, Williams Leanne M, Kohn Michael, Gordon Evian

机构信息

Kent State University, Department of Psychology, Kent Hall, Kent OH 44242, USA.

出版信息

Psychiatry Res. 2006 May 30;142(1):31-7. doi: 10.1016/j.psychres.2005.11.007. Epub 2006 May 19.

Abstract

Exposure to traumatic events during childhood is associated with an elevated risk of adult obesity. It has been hypothesized that the psychological sequelae from childhood trauma account for this risk, though no study has examined whether an increased risk of obesity is found in persons without psychological disorders. We examined exposure to early life stressors and body mass index (BMI) in 696 adults without significant medical or psychiatric history. Bivariate correlation showed that the total number of early life stressors (r=0.08), age (r=0.19), and sex (r=0.16) were significantly related to adult BMI. Given the relationship between sex and BMI, we examined the contribution of early life stressors to adult obesity separately for men and women. In men, hierarchical regression showed that exposure to early life stressors predicted adult obesity. Specifically, history of being bullied/rejected (Obese 31%, Normal weight, 9%) and emotional abuse (Obese, 17%; Normal weight, 2%) predicted adult obesity after controlling for the effects of age. In women, no relationship between early life stressors and adult obesity was found. These findings suggest that multiple processes mediate the relationship between early life stress and adult obesity and that their relative contributions may differ between men and women.

摘要

童年时期遭受创伤性事件与成年后肥胖风险升高有关。据推测,童年创伤带来的心理后遗症是导致这种风险的原因,不过尚无研究探讨在没有心理障碍的人群中是否也存在肥胖风险增加的情况。我们对696名没有重大病史或精神病史的成年人进行了早年生活应激源暴露情况和体重指数(BMI)的调查。双变量相关性分析显示,早年生活应激源总数(r = 0.08)、年龄(r = 0.19)和性别(r = 0.16)与成年后的BMI显著相关。鉴于性别与BMI之间的关系,我们分别研究了早年生活应激源对男性和女性成年后肥胖的影响。在男性中,分层回归分析表明早年生活应激源暴露可预测成年后肥胖。具体而言,在控制年龄因素的影响后,曾遭受霸凌/被排斥的经历(肥胖者占31%,正常体重者占9%)以及情感虐待(肥胖者占17%;正常体重者占2%)可预测成年后肥胖。在女性中,未发现早年生活应激源与成年后肥胖之间存在关联。这些研究结果表明,多种因素介导了早年生活应激与成年后肥胖之间的关系,而且它们对男性和女性的相对影响可能有所不同。

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