Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN.
Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN.
J Pediatr. 2019 Jan;204:71-76.e1. doi: 10.1016/j.jpeds.2018.08.071. Epub 2018 Oct 1.
To investigate the relationship between adverse childhood experiences (ACEs) and weight status among adolescents.
Data were drawn from the Minnesota Student Survey, a large (n = 105 759), statewide, anonymous survey of public school students in eighth, ninth, and eleventh grades. Self-reported height and weight were used to calculate body mass index. Multinomial logistic regression was used to examine associations between self-reported ACEs and weight status, controlling for key sociodemographic characteristics.
ACEs were positively associated with weight status; adolescents with more ACEs were more likely to have overweight, obesity, and severe obesity than adolescents with no ACEs. Adolescents who reported an ACE were 1.2, 1.4, and 1.5 times as likely to have overweight, obesity, and severe obesity, respectively, compared with their peers with no ACEs. There was no relationship between ACEs and underweight.
The results of this large sample of adolescents with anonymous data support the hypothesis that ACEs and obesity are strongly associated. The directionality of this relationship needs to be understood. Moreover, these findings suggest that child health professionals may need to screen for ACEs as an important aspect of clinical weight management.
探讨青少年不良童年经历（ACEs）与体重状况之间的关系。
数据来自明尼苏达州学生调查，这是一项针对八年级、九年级和十一年级公立学校学生的大型（n=105759）、全州范围、匿名调查。通过自我报告的身高和体重来计算体重指数。采用多项逻辑回归来检验自我报告的 ACEs 与体重状况之间的关联，同时控制关键的社会人口特征。
ACEs 与体重状况呈正相关；经历更多 ACEs 的青少年比没有 ACEs 的青少年更有可能超重、肥胖和严重肥胖。与没有 ACEs 的同龄人相比，报告 ACE 的青少年超重、肥胖和严重肥胖的可能性分别增加了 1.2、1.4 和 1.5 倍。ACEs 与体重不足之间没有关系。
这项针对匿名数据的大量青少年样本的结果支持 ACEs 和肥胖之间存在强烈关联的假设。需要了解这种关系的方向性。此外，这些发现表明，儿童健康专业人员可能需要筛查 ACEs，将其作为临床体重管理的一个重要方面。
