不良童年经历与肥胖的长期关系。
Adverse childhood experiences and obesity over time.
机构信息
Hebrew University, Paul Baerwald School of Social Work and Social Welfare, Jerusalem91905, Israel.
School of Social Work, St. Louis University, St. Louis, MO, USA.
出版信息
Public Health Nutr. 2021 Aug;24(11):3205-3209. doi: 10.1017/S1368980021001804. Epub 2021 Apr 26.
OBJECTIVE
The effects of adverse childhood experiences (ACE) on children and adolescents' health status such as obesity are understudied. The current study addressed the effect of ACE on obesity status during childhood utilising multiple waves of national panel data.
DESIGN
Longitudinal survey.
SETTING
Data were drawn from three waves of the second cohort of the National Survey of Child and Adolescent Well-Being (NSCAW II). NSCAW II study sampled cases from Child Protective Services investigations that were closed between February 2008 and April 2009 nationwide. We measured ACE cumulatively and as separate events and stratified by gender.
PARTICIPANTS
Totally, 3170 youth births to 14 years of age at baseline.
RESULTS
A count measure of ACE is indeed associated with greater odds of obesity during childhood. Differential effects for different types of ACE were also found, most notably neglect. For girls, physical and psychological neglect increased odds of obesity.
CONCLUSIONS
Findings support evidence for the importance of using both a count measure of ACE as well as separating out single events by gender.
目的
关于儿童期逆境经历（ACE）对儿童和青少年健康状况（如肥胖）的影响，研究还不够充分。本研究利用全国性的面板数据的多波次数据，探讨 ACE 对儿童期肥胖状况的影响。
设计
纵向调查。
设置
数据来自儿童与青少年健康全国调查（NSCAW II）的第二队列的三个波次。NSCAW II 研究从 2008 年 2 月至 2009 年 4 月期间全国范围内结案的儿童保护服务调查中抽取案例。我们对 ACE 进行了累积测量，并按性别分别作为单独事件进行了分层。
参与者
共有 3170 名在基线时年龄为 14 岁以下的青少年。
结果
ACE 的计数测量确实与儿童期肥胖的几率增加有关。还发现了不同类型 ACE 的差异效应，其中最明显的是忽视。对于女孩来说，身体和心理上的忽视增加了肥胖的几率。
结论
研究结果支持使用 ACE 的计数测量以及按性别区分单个事件的重要性。
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