皮质醇,脱水氨和抑郁症状是从虐待儿童到肥胖的途径
Elizabeth D Handley1, Justin Russotti1, Dante Cicchetti1
1Mt. Hope Family Center, University of Rochester.
概括
虐待儿童通过较低的皮质醇/脱氨 (DHEA) 比率与儿童肥胖有关,而不是抑郁症状. 这突显了压力激素对有虐待史的儿童健康结果的影响.
科学领域:
- 儿童心理学 儿童心理学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 虐待儿童是整个生命周期中肥胖的重要危险因素.
- 将儿童虐待与肥胖联系在一起的生物机制尚未完全理解.
- 应激反应系统,包括皮质醇和脱水氨 (DHEA) 等激素,可能发挥作用.
研究的目的:
- 调查抑郁症状和皮质醇/DHEA比率在虐待儿童和儿童肥胖之间的关联中的调解作用.
- 为了区分荷尔蒙失调与心理痛苦对滥用后肥胖风险的影响.
主要方法:
- 研究了1229名贫困儿童的样本.
- 在38.3%的参与者中,从儿童保护服务记录中确定了虐待儿童史.
- 唾液皮质醇和DHEA水平在多天内测量,以计算皮质醇/DHEA比率.
主要成果:
- 有虐待史的儿童的皮质醇/DHEA比率较低.
- 较低的皮质醇/DHEA比率与更高的儿童肥胖的可能性显著相关.
- 抑郁症状与虐待儿童有关,但没有介绍与肥胖的联系,这表明上腺皮质失调的独特作用.
结论:
- 童年逆境可能会产生持久的生理影响,影响生命早期的健康.
- 以较低的皮质醇/DHEA比率表明的上皮质皮质调节障碍是将儿童虐待与肥胖联系起来的关键机制.
- 以创伤为基础的护理和旨在预防虐待儿童的干预措施对于预防肥胖的努力至关重要.
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