Metro South Addiction and Mental Health Service, Brisbane, Queensland, Australia.
School of Clinical Medicine, University of Queensland, Brisbane, Queensland, Australia.
Intern Med J. 2023 Jul;53(7):1121-1130. doi: 10.1111/imj.15824. Epub 2022 Jul 12.
Childhood maltreatment (CM) is associated with both dietary fat intake and obesity in later life. There is less information on associations with metabolic risk factors and specific types of CM such as physical, sexual and emotional abuse, as well as neglect.
To assess the association between five types of self-reported CM and a range of obesity and metabolic indicators in a subsample of a birth cohort.
This was a study of 1689 adults born in a major metropolitan maternity hospital in Australia and followed up 30 years later. Body mass index, bioimpedance and fasting lipid levels/insulin resistance were measured. Details on self-reported CM were collected using the Child Trauma Questionnaire. We adjusted for birth weight, parental income and relationship at participants' birth, as well as maternal age and alcohol or tobacco use. We also adjusted for participants' smoking, depression, educational level, marital and employment status at follow up.
One-fifth reported maltreatment (n = 362), most commonly emotional neglect (n = 175), followed by emotional abuse (n = 128), physical neglect (n = 123), sexual (n = 121) and physical abuse (n = 116). On adjusted analyses, there were significant associations for CM, particularly neglect or emotional abuse, and one or more of the following outcomes: obesity, the total cholesterol/high-density lipoprotein cholesterol (TC/HDL-C) ratio and HDL levels. Results for other outcomes were more equivocal.
Of child maltreatment types, emotional abuse and neglect show the strongest associations with obesity and several cardiometabolic risk factors, therefore highlighting the public health importance of early intervention to reduce childhood adversity.
儿童期虐待（CM）与成年后饮食脂肪摄入和肥胖有关。关于与代谢风险因素以及身体、性和情感虐待以及忽视等特定类型的 CM 的关联的信息较少。
在一个出生队列的子样本中评估五种自我报告的 CM 类型与一系列肥胖和代谢指标之间的关联。
这是一项对澳大利亚一家主要大都市妇产医院出生的 1689 名成年人进行的研究，随访 30 年后进行。测量体重指数、生物阻抗和空腹血脂水平/胰岛素抵抗。使用儿童创伤问卷收集有关自我报告的 CM 的详细信息。我们调整了出生体重、父母收入和参与者出生时的关系，以及母亲年龄和酒精或烟草使用情况。我们还根据参与者在随访时的吸烟、抑郁、教育水平、婚姻和就业状况进行了调整。
五分之一的人报告遭受过虐待（n=362），最常见的是情感忽视（n=175），其次是情感虐待（n=128）、身体忽视（n=123）、性虐待（n=121）和身体虐待（n=116）。在调整后的分析中，CM 存在显著关联，特别是忽视或情感虐待，以及以下一个或多个结果：肥胖、总胆固醇/高密度脂蛋白胆固醇（TC/HDL-C）比值和 HDL 水平。其他结果的结果则更为模棱两可。
在儿童虐待类型中，情感虐待和忽视与肥胖和几种心血管代谢风险因素的关联最强，因此强调了早期干预以减少儿童逆境的重要性。
