Mayo Clinic, 200 1st SW, Rochester, MN, 55905, USA.
Mayo Clinic Florida, 4500 San Pablo Rd S, Jacksonville, FL, 32224, USA.
Curr Obes Rep. 2024 Sep;13(3):574-583. doi: 10.1007/s13679-024-00563-2. Epub 2024 Jun 14.
The goal of this chapter was to summarize the literature on childhood adversity and obesity, discuss treatment implications with a case example, and provide recommendations for trauma-informed care for clinicians who work with individuals living with obesity.
Adversity in childhood is related directly and indirectly to obesity development. Upstream contributors like adverse childhood experiences (ACEs) and other factors can lead to experiences of toxic stress and increased allostatic load, resulting in downstream effects of obesity and other chronic health conditions. A well-established literature has linked ACEs and obesity suggesting complex interactions between genetic, biological, behavioral, mental health, social, and environmental factors and obesity. Trauma-informed care strategies can be used to optimize care for individuals living with obesity. Care pathways should include individual (clinician) and systemic (organizational) evidence-based interventions.
本章旨在总结有关儿童逆境与肥胖的文献，通过病例示例讨论治疗意义，并为治疗肥胖患者的临床医生提供基于创伤知情的护理建议。
儿童时期的逆境与肥胖的发展直接或间接相关。上游因素，如不良的童年经历（ACEs）和其他因素，可导致毒性应激和全身负荷增加，从而导致肥胖和其他慢性健康状况的下游影响。已确立的文献将 ACEs 和肥胖联系起来，表明肥胖与遗传、生物、行为、心理健康、社会和环境因素之间存在复杂的相互作用。基于创伤的护理策略可用于优化肥胖患者的护理。护理途径应包括个体（临床医生）和系统（组织）循证干预措施。
