不良童年经历与青少年前阶段加速度计测量的体力活动和睡眠

Adverse Childhood Experiences and Accelerometer-Measured Physical Activity and Sleep in Preadolescents.

机构信息

Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI; Department of Pediatrics, Emma Pendleton Bradley Hospital, Riverside, RI.

出版信息

Acad Pediatr. 2024 May-Jun;24(4):654-661. doi: 10.1016/j.acap.2023.09.014. Epub 2023 Sep 23.

DOI:10.1016/j.acap.2023.09.014

PMID:37748537

Abstract

OBJECTIVE

To assess the relationship between adverse childhood experiences (ACEs) and objective measures of physical activity and sleep.

METHODS

Data from the baseline and 2-year follow-up of the Adolescent Brain and Cognitive Development study were analyzed (n = 6227 for physical activity; n = 4151 for sleep). ACEs were assessed by parent report at baseline (mean age 9.9 years) with 3 levels: none, exposure to 1 ACE, and exposure to 2 or more ACEs. Objective measures of physical activity and sleep were assessed with an accelerometer at 2-year follow-up (mean age 11.9 years). Multivariate linear regression analyses were used to examine the relationship between ACEs and physical activity as well as sleep, adjusting for family income and sex.

RESULTS

Compared to children with no ACEs, children with ACEs had fewer daily steps: 1 ACE (β = -323 (95% CI: -508 to -138), P < .001) and 2 or more ACEs (β = -417 (95% CI: -624 to -209), P < .001). ACEs were also associated with shorter sleep duration (minutes), although only for participants with 2 or more ACEs (1 ACE: β = -2.2 (-5.3 to 0.8), P = .16; 2 or more ACEs: β = -6.2 (95% CI: -9.6 to -2.7), P < .001). Rapid eye movement (REM) sleep specifically was reduced in participants with ACEs (1 ACE (β = -1.4 (-2.7 to -0.01), P = .05) and 2 or more ACEs (β = -2.3 (-3.8 to -0.8), P = .003).

CONCLUSIONS

There is a dose-response relationship between ACEs and reduced daily steps, total sleep duration, and REM sleep in preadolescents.

摘要

目的

评估不良童年经历（ACEs）与身体活动和睡眠的客观测量指标之间的关系。

方法

对青少年大脑与认知发展研究的基线和 2 年随访数据进行了分析（身体活动分析 n=6227；睡眠分析 n=4151）。ACEs 通过家长报告在基线（平均年龄 9.9 岁）时进行评估，分为 3 个等级：无 ACEs、暴露于 1 个 ACEs 和暴露于 2 个或更多 ACEs。2 年随访时使用加速度计评估身体活动和睡眠的客观测量指标。多变量线性回归分析用于检查 ACEs 与身体活动以及睡眠之间的关系，调整家庭收入和性别因素。

结果

与无 ACEs 的儿童相比，有 ACEs 的儿童每天的步数更少：1 个 ACE（β=-323（95%CI：-508 至-138），P<.001）和 2 个或更多 ACEs（β=-417（95%CI：-624 至-209），P<.001）。ACEs 也与睡眠时间（分钟）缩短有关，尽管仅在有 2 个或更多 ACEs 的参与者中如此（1 个 ACE：β=-2.2（-5.3 至 0.8），P=0.16；2 个或更多 ACEs：β=-6.2（95%CI：-9.6 至-2.7），P<.001）。有 ACEs 的参与者快速眼动（REM）睡眠明显减少（1 个 ACE（β=-1.4（-2.7 至-0.01），P=0.05）和 2 个或更多 ACEs（β=-2.3（-3.8 至-0.8），P=0.003）。