Department of Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA.
Department of Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA; Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA; Center for Health Promotion and Health Equity, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA.
Appetite. 2021 Jul 1;162:105180. doi: 10.1016/j.appet.2021.105180. Epub 2021 Mar 6.
Early life adversity has been linked to poor health, including obesity. Understanding the role of unhealthy food intake, may elucidate the importance of self-soothing behaviors in explaining the association between early life adversity and poor health in adulthood. The purpose of this study was to assess the association between early life adversity and dietary quality in a sample of adults from the Lifestyle Influences of Family Environment study. Early life adversity, demographic, and dietary data were obtained for 145 participants using formal interviews and two days of interviewer-administered 24-h recalls. Dietary quality was measured using the 2015 Healthy Eating Index (HEI) scoring algorithm to compute total and component scores. The association between early life adversity and dietary quality was assessed through linear regression and in models adjusted for age and sex. The mean ± SD HEI score for all participants was 54.6 ± 12.8. Individuals with early life adversity had a 4.51 lower overall HEI score when compared to those without early life adversity, 95% CI (0.35, 8.68). After adjusting for age and sex, early life adversity was associated with a 4.6 lower HEI score, 95% CI (0.45, 8.73). HEI component scores indicated that individuals with early life adversity were significantly more likely to have lower whole grain (0.7 versus 2.4) and total dairy (4.3 versus 6.1) scores compared to those without early life adversity. ELA was associated with lower measures of dietary quality. Results warrant future research on dietary and behavioral factors that underly the association between early life adversity and poor health outcomes.
早年生活逆境与健康不良有关，包括肥胖。了解不健康食物摄入的作用，可能阐明自我安慰行为在解释早年生活逆境与成年后健康不良之间的关联中的重要性。本研究的目的是评估生活方式影响家庭环境研究中成年人样本中早年生活逆境与饮食质量之间的关联。使用正式访谈和两天的访谈者管理 24 小时回忆，为 145 名参与者获取了早年生活逆境、人口统计学和饮食数据。使用 2015 年健康饮食指数（HEI）评分算法测量饮食质量，以计算总得分和成分得分。通过线性回归和调整年龄和性别的模型评估早年生活逆境与饮食质量之间的关联。所有参与者的平均±SD HEI 评分为 54.6±12.8。与没有早年生活逆境的个体相比，有早年生活逆境的个体的整体 HEI 评分低 4.51，95%置信区间（0.35，8.68）。调整年龄和性别后，早年生活逆境与 HEI 评分低 4.6 相关，95%置信区间（0.45，8.73）。HEI 成分得分表明，与没有早年生活逆境的个体相比，有早年生活逆境的个体更有可能全麦（0.7 对 2.4）和总乳制品（4.3 对 6.1）得分较低。ELA 与饮食质量较低的测量结果相关。结果证明，需要进一步研究饮食和行为因素，这些因素是早年生活逆境与健康不良结果之间关联的基础。
