Santos Melissa, Burton E Thomaseo, Cadieux Adelle, Gaffka Bethany, Shaffer Laura, Cook Jessica L, Tucker Jared M
The Pediatric Obesity Center, Connecticut Children's, Hartford, CT, USA.
Children's Foundation Research Institute, Le Bonheur Children's Hospital, Memphis, TN, USA.
Behav Med. 2023 Oct-Dec;49(4):381-391. doi: 10.1080/08964289.2022.2077294. Epub 2022 Jul 6.
Adverse Childhood Experiences (ACEs) affect almost half of youth in the U.S. and are linked to a host of deleterious medical and psychosocial outcomes. The current study examines the relationships among ACEs, childhood obesity, and modifiable lifestyle behaviors to inform clinical care, future research, and policy. Using data from the 2016-2018 National Survey of Children's Health (NSCH), associations between children's ACEs, weight status, and health behaviors that may influence the link between ACEs and obesity were examined. In the NSCH data, 25.3% of youth aged 10-17 years experienced one ACE with another 25.9% experiencing two or more ACEs. Having ACEs was related to excess screen time and inadequate sleep, and independently associated with obesity. Findings highlight the importance of providers screening and finding ways to intervene on behalf of youth with obesity. The present provides guidelines for providers on intervening with youth experiencing ACEs.
童年不良经历（ACEs）影响了近一半的美国青少年，并与一系列有害的医学和心理社会后果相关联。当前的研究探讨了ACEs、儿童肥胖和可改变的生活方式行为之间的关系，以为临床护理、未来研究和政策提供参考。利用2016 - 2018年全国儿童健康调查（NSCH）的数据，研究了儿童的ACEs、体重状况以及可能影响ACEs与肥胖之间联系的健康行为之间的关联。在NSCH数据中，10 - 17岁的青少年中有25.3%经历过一次ACE，另有25.9%经历过两次或更多次ACE。经历ACEs与过多的屏幕时间和睡眠不足有关，并且独立于肥胖相关联。研究结果凸显了医疗服务提供者对肥胖青少年进行筛查并找到干预方法的重要性。本研究为医疗服务提供者干预经历ACEs的青少年提供了指导方针。
