The Swedish School of Sport and Health Sciences, Box 5626, 114 86, Stockholm, Sweden.
Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Curr Obes Rep. 2018 Jun;7(2):204-209. doi: 10.1007/s13679-018-0310-2.
To explore the sequence and interaction of infancy and early childhood risk factors, particularly relating to disturbances in the social environment, and how the consequences of such exposures can promote weight gain and obesity.
This review will argue that socioeconomic adversity is a key upstream catalyst that sets the stage for critical midstream risk factors such as family strain and dysfunction, offspring insecurity, stress, emotional turmoil, low self-esteem, and poor mental health. These midstream risk factors, particularly stress and emotional turmoil, create a more or less perfect foil for calorie-dense junk food self-medication and subtle addiction, to alleviate uncomfortable psychological and emotional states. Disturbances in the social environment during infancy and early childhood appear to play a critical role in weight gain and obesity, through such mechanisms as insecurity, stress, and emotional turmoil, eventually leading to junk food self-medication and subtle addiction.
探讨婴儿期和幼儿期风险因素的顺序和相互作用,特别是与社会环境紊乱相关的因素,以及这些暴露的后果如何促进体重增加和肥胖。
本综述认为,社会经济逆境是关键的上游催化剂,为关键的中游风险因素(如家庭紧张和功能障碍、后代不安全、压力、情绪波动、低自尊和心理健康不良)奠定了基础。这些中游风险因素,特别是压力和情绪波动,为高热量垃圾食品自我治疗和微妙的成瘾创造了或多或少完美的条件,以缓解不舒服的心理和情绪状态。婴儿期和幼儿期社会环境的紊乱似乎通过不安全、压力和情绪波动等机制在体重增加和肥胖中起关键作用,最终导致垃圾食品自我治疗和微妙的成瘾。