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Maltreatment in Infancy: A Developmental Perspective on Prevention and Intervention.婴儿期虐待：预防与干预的发展视角
Trauma Violence Abuse. 2016 Oct;17(4):366-86. doi: 10.1177/1524838016658878.
2
The impact of adverse childhood experiences on obesity and unhealthy weight control behaviors among adolescents.童年不良经历对青少年肥胖及不健康体重控制行为的影响。
Compr Psychiatry. 2016 Nov;71:17-24. doi: 10.1016/j.comppsych.2016.08.002. Epub 2016 Aug 8.
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Adverse family experiences and obesity in children and adolescents in the United States.美国儿童和青少年的不良家庭经历与肥胖问题
Prev Med. 2016 Sep;90:148-54. doi: 10.1016/j.ypmed.2016.06.035. Epub 2016 Jul 1.
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Child abuse and physical health in adulthood.儿童虐待与成年人的身体健康
Health Rep. 2016 Mar 16;27(3):10-8.
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Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort.童年不良经历：巴西出生队列青少年中的患病率及相关因素
Child Abuse Negl. 2016 Jan;51:21-30. doi: 10.1016/j.chiabu.2015.11.017. Epub 2015 Dec 19.
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Individual, family, and culture level contributions to child physical abuse and neglect: A longitudinal study in nine countries.个人、家庭和文化层面因素对儿童身体虐待及忽视的影响：一项针对九个国家的纵向研究。
Dev Psychopathol. 2015 Nov;27(4 Pt 2):1417-28. doi: 10.1017/S095457941500084X.
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Childhood obesity as a predictor of morbidity in adulthood: a systematic review and meta-analysis.儿童肥胖作为成年期发病的预测因素：一项系统综述和荟萃分析。
Obes Rev. 2016 Jan;17(1):56-67. doi: 10.1111/obr.12316. Epub 2015 Oct 6.
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Childhood maltreatment, pubertal development, HPA axis functioning, and psychosocial outcomes: An integrative biopsychosocial model.童年期虐待、青春期发育、下丘脑-垂体-肾上腺（HPA）轴功能及心理社会结局：一种综合的生物心理社会模型
Dev Psychobiol. 2015 Dec;57(8):984-93. doi: 10.1002/dev.21340. Epub 2015 Sep 11.
9
Exposure to violence in childhood is associated with higher body mass index in adolescence.童年时期遭受暴力与青少年时期较高的体重指数相关。
Child Abuse Negl. 2015 Dec;50:151-8. doi: 10.1016/j.chiabu.2015.08.005. Epub 2015 Aug 21.
10
Childhood maltreatment increases the risk for visceral obesity.童年期受虐会增加内脏性肥胖的风险。
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青少年期不良童年经历（ACEs）与肥胖：一项跨队列比较

Adverse Childhood Experiences (ACEs) and Adiposity in Adolescents: A Cross-Cohort Comparison.

作者信息

Soares Ana Luiza G, Matijasevich Alicia, Menezes Ana M B, Assunção Maria Cecília, Wehrmeister Fernando C, Howe Laura D, Gonçalves Helen

机构信息

Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.

MRC Integrative Epidemiology Unit, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

出版信息

Obesity (Silver Spring). 2018 Jan;26(1):150-159. doi: 10.1002/oby.22035. Epub 2017 Nov 14.

DOI:10.1002/oby.22035
PMID:29135081
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5765459/
Abstract

OBJECTIVE

This study aimed to assess the association between adverse childhood experiences (ACEs) and adiposity in adolescents from two cohorts in different socioeconomic contexts.

METHODS

Data from the Avon Longitudinal Study of Parents and Children (ALSPAC, United Kingdom) and the 1993 Pelotas Cohort (Brazil) were used. Six ACEs were assessed in both cohorts up to age 15. At 15 years, body mass index (BMI) and waist circumference (WC) were measured, and at 18 years, BMI, fat mass index, and android fat percentage were assessed.

RESULTS

Few associations were observed between ACEs and adiposity at 15 years, and they were not consistent across cohorts. For adiposity at age 15 in ALSPAC, physical abuse had a positive association with WC, and domestic violence had a positive association with both WC and BMI. A dose-response relationship between the ACE score and both WC and BMI at 15 years was observed in ALSPAC. In the 1993 Pelotas Cohort, the associations found in crude analysis were no longer evident after adjustment.

CONCLUSIONS

This study found some evidence of an association between an ACE score and adiposity in adolescence in a United Kingdom cohort but no evidence of association in a Brazilian cohort. Residual confounding or context-specific relationships could explain the different pattern of associations.

摘要

目的

本研究旨在评估不同社会经济背景下两个队列的青少年中童年不良经历（ACEs）与肥胖之间的关联。

方法

使用了来自英国阿冯父母与儿童纵向研究（ALSPAC）和1993年巴西佩洛塔斯队列的数据。在两个队列中对15岁之前的六种ACEs进行了评估。在15岁时测量体重指数（BMI）和腰围（WC），在18岁时评估BMI、脂肪量指数和腹部脂肪百分比。

结果

在15岁时，ACEs与肥胖之间观察到的关联较少，且在不同队列中不一致。对于ALSPAC队列中15岁时的肥胖情况，身体虐待与WC呈正相关，家庭暴力与WC和BMI均呈正相关。在ALSPAC队列中观察到15岁时ACE评分与WC和BMI之间存在剂量反应关系。在1993年佩洛塔斯队列中，粗分析中发现的关联在调整后不再明显。

结论

本研究发现英国队列中有一些证据表明ACE评分与青少年肥胖之间存在关联，但巴西队列中没有关联证据。残余混杂因素或特定背景关系可能解释了不同的关联模式。