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童年不良经历和整个生命过程中感知到的身体尺寸:一项使用加拿大老龄化纵向研究 (CLSA) 数据的纵向研究
Vanessa De Rubeis1, Andrea Gonzalez1, Lauren Griffith2
1Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
BMJ public health
|February 28, 2025
概括
早期的生活逆境,或不良的童年经历 (ACEs),与长期的身体尺寸变化有关. 高ACE暴露增加了持续高体型轨迹的可能性,特别是在女性身上.
科学领域:
- 发展心理学 发展心理学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 早期的生活逆境记录了长期的健康后果.
- 童年不良经历 (ACE) 对整个生命的体型轨迹的具体影响仍然不清楚.
研究的目的:
- 为了在整个生命周期中识别身体尺寸的独特模式 (轨迹).
- 为了研究ACE和这些感知身体尺寸轨迹之间的关联.
主要方法:
- 一项纵向研究利用了来自CLSA的11,830名加拿大成年人 (49-93岁) 的数据.
- 参与者回忆起了8个ACE和他们在多个生命阶段 (年龄25岁,45岁,55岁,65岁和当前) 感知到的身体大小.
- 隐性类增长混合建模确定了体型轨迹,使用多项逻辑回归分析ACE关联,探索性别差异.
主要成果:
- 确定了六种身体尺寸轨迹:持续低,持续中等,适度增加,强烈增加,下降和持续高.
- 与中度增加相比,更高的ACE暴露与强烈增加和持续高体型轨迹的几率增加相关.
- 报告4-8个ACE的女性与男性不同,与始终高的轨迹有显著的关联.
结论:
- 显而易见的是,在整个生命过程中,身体尺寸发展的明显模式是明显的.
- 不利的童年经历与导致肥胖的轨迹有关,无论是在生命早期还是晚期.
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