Mendoza Ivan D, Banda Jorge A, Giano Zachary, Hubach Randolph D
Department of Public Health, Purdue University, 812 W State St., West Lafayette, IN 47907, USA.
Department of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, 13001 East 17th Place, Aurora, CO 80045, USA.
Prev Med Rep. 2023 Jul 24;35:102339. doi: 10.1016/j.pmedr.2023.102339. eCollection 2023 Oct.
Few studies have examined the role adverse childhood experiences (ACEs) have on specific diet patterns. This study assessed the association between ACEs and daily fruit and vegetable intake (FVI). Data were derived from the 2019 Behavioral Risk Factor Surveillance System (BRFSS) which surveys 50 states and three U.S. territories. Participants who completed the ACEs module were included in the analyses (N = 106,967). Total ACEs included the summed responses from the domains of abuse, household challenges, and neglect. FVI was reported by number of times consumed per day. The two fruit items included fruit (fresh, frozen, and canned) and fruit juice. The four vegetable items included leafy greens, fried potatoes, non-fried potatoes, and other vegetables. All fruit and vegetable items were analyzed separately to see which specific items drove the relationship between total ACEs and total FVI, equaling a total of 8 regression models. Every model controlled for poor mental health days, sex, age, ethnicity, income, body mass index, and physical activity. Total ACEs were positively associated with daily intake of fried potatoes (β = 0.008, p =.025), other potatoes (β = 0.008, p =.049), and other vegetables (β = 0.024, p <.001). Total ACEs were negatively associated with daily intake of fruit (β = -0.016, p <.001). ACEs had non-significant relationships with leafy greens and fruit juice. Findings suggests that those with increased ACEs scores report increased consumption of fried potatoes, non-fried potatoes, and other vegetables, and less of fruit. Findings highlight the need for understanding food context and preparation when analyzing the relationship between ACEs and diet intake.
很少有研究探讨童年不良经历（ACEs）对特定饮食模式的影响。本研究评估了ACEs与每日水果和蔬菜摄入量（FVI）之间的关联。数据来自2019年行为风险因素监测系统（BRFSS），该系统对美国50个州和三个领地进行调查。完成ACEs模块的参与者被纳入分析（N = 106,967）。ACEs总分包括来自虐待、家庭挑战和忽视领域的汇总回答。FVI通过每天食用次数报告。两种水果项目包括水果（新鲜、冷冻和罐装）和果汁。四种蔬菜项目包括绿叶蔬菜、炸土豆、非炸土豆和其他蔬菜。对所有水果和蔬菜项目分别进行分析，以确定哪些特定项目驱动了ACEs总分与FVI总分之间的关系，共产生8个回归模型。每个模型都对心理健康不佳天数、性别、年龄、种族、收入、体重指数和身体活动进行了控制。ACEs总分与炸土豆（β = 0.008，p = 0.025）、其他土豆（β = 0.008，p = 0.049）和其他蔬菜（β = 0.024，p < 0.001）的每日摄入量呈正相关。ACEs总分与水果的每日摄入量呈负相关（β = -0.016，p < 0.001）。ACEs与绿叶蔬菜和果汁之间的关系不显著。研究结果表明，ACEs得分较高的人报告称炸土豆、非炸土豆和其他蔬菜的消费量增加，而水果的消费量减少。研究结果强调，在分析ACEs与饮食摄入量之间的关系时，需要了解食物背景和制备情况。
