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青少年早期的逆境和肥胖风险:一项为期9年的基于人口的前性队列研究
Hannah Steiman De Visser1,2,3, Brenden Dufault4,5, Nicole Brunton N1,2,3,6
1Children's Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.
Pediatric research
|January 24, 2024
概括
儿童不良经历 (ACE) 与青少年肥胖症有关. 行为困难和自我概念问题在很大程度上调解了这种关联,突出了干预的关键目标.
科学领域:
- 儿童心理学 儿童心理学
- 公共卫生 公共卫生
- 青少年健康 青少年健康
背景情况:
- 关于将不良童年经历 (ACE) 与青少年肥胖症联系在一起的因素的前性研究有限.
- 本研究使用纵向数据解决了这一差距.
研究的目的:
- 研究日常活动,饮食质量,自我形象和行为困难在ACE和青少年BMI之间关系中的调解作用.
- 确定影响早期逆境对体重状况的长期影响的关键因素.
主要方法:
- 前性队列研究 (在爱尔兰长大),采用9岁,13岁和18岁时收集的数据.
- 在9岁之前测量了14个ACE,主要结果是18岁时的BMI.
- 利用结构方程建模来分析调解途径.
主要成果:
- 超过77%的青少年经历了逆境; 26.7%的青少年在18岁时超重/肥胖.
- 在9岁和13岁时,ACE暴露与更高的BMI Z-分数有关.
- 行为困难 (β=0.01) 和自我概念 (β=0.0027) 在18岁时显著调解了ACEs-BMI关联.
结论:
- 童年不良经历和青少年肥胖之间的联系间接地介于行为困难和自我概念.
- 这些发现强调了解决心理和行为因素在面临逆境的年轻人中预防肥胖的重要性.
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