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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Adverse family experiences during childhood and adolescent obesity
William J Heerman1, Shanthi Krishnaswami2, Shari L Barkin1
1Division of General Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Insights
Childhood adverse family experiences (AFEs) significantly increase adolescent obesity risk. Non-Hispanic White children face the highest risk, highlighting the need for targeted interventions.
Area of Science:
- Public Health
- Pediatrics
- Psychology
Background:
- Adverse family experiences (AFEs) in childhood are linked to negative health outcomes.
- Understanding the association between AFEs and adolescent obesity is crucial for public health.
- Identifying at-risk populations is essential for targeted prevention strategies.
Purpose of the Study:
- To investigate the relationship between childhood adverse family experiences (AFEs) and adolescent obesity.
- To identify specific demographic groups at higher risk for AFEs and subsequent obesity.
Main Methods:
- Cross-sectional analysis of the 2011-2012 National Survey of Children's Health.
- Included children aged 10-17 years, with weighted estimates representing over 31 million children.
- AFEs measured via caregiver reports of nine psychosocial risk factors; obesity determined by caregiver-reported height and weight.
Main Results:
- Over 30% of children experienced two or more AFEs, with significant geographic variation.
- Children with two or more AFEs had a 20.4% obesity rate, compared to 12.5% for those with no AFEs.
- Children with ≥2 AFEs were 1.8 times more likely to be obese, particularly Non-Hispanic White children.
Conclusions:
- Increased exposure to childhood AFEs is associated with higher rates of adolescent overweight and obesity.
- Geographic variations and race/ethnicity-based differences identify specific populations at elevated risk.
- Findings underscore the importance of addressing AFEs in childhood to mitigate adolescent obesity.
Objective:
To evaluate the association between adverse family experiences (AFEs) during childhood and adolescent obesity and to determine populations at highest risk for AFEs.
Methods:
A cross-sectional analysis was performed of the 2011-2012 National Survey of Children's Health, including children aged 10-17 years. Weighted estimates of 31,258,575 children were based on interviews with 42,239 caregivers. Caregiver reports of nine psychosocial risk factors measured AFEs during childhood. Adolescent overweight and obesity were derived by caregiver-reported child height and weight.
Results:
Nearly one-third (30.5%) of children had experienced ≥2 AFEs, with geographic variation by state. The prevalence of obesity among children experiencing ≥2 AFEs was 20.4%, when compared with 12.5% among children with 0 AFEs. Adjusted survey regression models were controlled for child, parent, household, and neighborhood characteristics. Children with ≥2 AFEs in childhood were more likely to have obesity (AOR = 1.8; 95% CI = 1.47-2.17; P < 0.001) than those with no AFEs, with Non-Hispanic, White children most affected.
Conclusions:
Adolescents in this national sample who were exposed to greater numbers of AFEs in childhood also had higher rates of overweight and obesity. Geographic variation and differential associations based on race/ethnicity identified children at greatest risk.
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