Hashemi Ladan, Ghasemi Maryam, Mellar Brooklyn, Gulliver Pauline, Milne Barry, Langridge Fiona, McIntosh Tracey, Fouche Christa, Swinburn Boyd
Violence and Society Centre, City, University of London, London, UK.
Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Eur J Psychotraumatol. 2025 Dec;16(1):2451480. doi: 10.1080/20008066.2025.2451480. Epub 2025 Jan 24.
: Individuals impacted by adverse childhood experiences (ACEs) are at greater risk of developing obesity, however, few studies have prospectively measured ACEs and obesity during childhood. Associations with the adoption of obesogenic behaviours during childhood, which directly contribute to obesity are also understudied.: To examine associations between individual and cumulative ACEs, obesity, and obesogenic behaviours during childhood.: Data came from . The study sample was restricted to those who provided obesity data at age 8 and one child per mother, resulting in an analytic sample of 4895 children. A newly developed ACEs index consisted of nine individual ACEs and cumulative ACEs scores (0, 1, 2, 3, 4+ ACEs), two obesity measures (BMI and waist circumference/height ratio), and eight obesogenic behaviours including unhealthy dietary behaviours, inadequate sleep duration, excessive screen time, and physical inactivity were included in the analyses.: ACEs were prevalent among this cohort of NZ children. By age eight, 87.1% of children experienced at least one ACE and 16% experienced at least 4 ACEs. Six individuals assessed ACEs showed significant associations with childhood obesity (AORs ranging from 1.22 to 1.44). A significant dose-response effect was observed where the experience of a higher number of ACEs was associated with greater risk for obesity (AORs increased from 1.78 for one ACE to 2.84 for 4+ ACEs). Further, a significant dose-response relationship was found between experiencing two or more ACEs and higher odds of adopting obesogenic behaviours (AORs ranging from 1.29 for physical inactivity to 3.16 for no regular breakfast consumption). ACEs exposure contributes to population-level burden of childhood obesity. Our findings highlight the importance of a holistic understanding of the determinants of obesity, reinforcing calls for ACEs prevention and necessitating incorporation of ACEs-informed services into obesity reduction initiatives.
受童年不良经历（ACEs）影响的个体患肥胖症的风险更高，然而，很少有研究前瞻性地测量童年时期的ACEs和肥胖症。童年时期采用致肥胖行为与肥胖症直接相关，这方面的关联也研究不足。
研究童年时期个体ACEs和累积ACEs、肥胖症以及致肥胖行为之间的关联。
……。研究样本仅限于那些在8岁时提供肥胖数据的儿童，且每位母亲只选一个孩子，最终分析样本为4895名儿童。新开发的ACEs指数包括9种个体ACEs和累积ACEs得分（0、1、2、3、4种及以上ACEs），两种肥胖测量指标（BMI和腰围/身高比），以及8种致肥胖行为，包括不健康饮食行为、睡眠时间不足、屏幕使用时间过长和身体活动不足，均纳入分析。
ACEs在这一新西兰儿童队列中很普遍。到8岁时，87.1%的儿童至少经历过一次ACEs，16%的儿童至少经历过4次ACEs。六项评估ACEs的指标与儿童肥胖症存在显著关联（调整后比值比范围为1.22至1.44）。观察到显著的剂量反应效应，即经历更多ACEs与更高的肥胖风险相关（调整后比值比从1次ACEs的1.78增加到4次及以上ACEs的2.84）。此外，发现经历两次或更多ACEs与采用致肥胖行为的较高几率之间存在显著的剂量反应关系（调整后比值比范围从身体活动不足的1.29到不吃常规早餐的3.16）。ACEs暴露导致儿童肥胖症在人群层面的负担。我们的研究结果凸显了全面理解肥胖症决定因素的重要性，强化了预防ACEs的呼声，并要求将基于ACEs的服务纳入肥胖症减少倡议中。
