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美国年轻成年人中不良童年经历和肥胖之间的关联
Kiran Thapa1, Ye Shen1, José F Cordero1
1College of Public Health, University of Georgia, Athens, GA, USA.
Annals of epidemiology
|September 18, 2025
概括
童年不良经历 (ACE),特别是身体虐待和累积创伤,显著增加年轻成人肥胖的风险,尤其是女性. 这些发现凸显了早期生活逆境对健康的长期影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理学 心理学 心理学
背景情况:
- 儿童不良经历 (ACE) 被认为是具有潜在长期健康后果的重大压力因素.
- 肥胖是一个日益严重的公共卫生问题,其复杂的多因素起源.
- 了解早期生活逆境和成人肥胖之间的相互作用对于有针对性的干预至关重要.
研究的目的:
- 调查年轻成年人ACE和肥胖之间的关联.
- 为了确定性别是否影响ACE和肥胖之间的关系.
- 确定有助于肥胖风险的特定ACE.
主要方法:
- 利用了从青少年到成人健康国家纵向研究 (N = 5193) 的数据.
- 测量一般肥胖 (BMI ≥30 kg/m2) 和腹部肥胖 (腰围).
- 员工修改Poisson回归以估计风险比率,使用性别分层分析.
主要成果:
- 儿童时期的身体虐待与更高的一般肥胖风险有独立的关联,特别是在女性中.
- 暴露于四种或更多的ACE与增加一般和腹部肥胖的风险有关.
- 这些关联在基线儿童BMI的独立性下持续存在.
结论:
- ACEs,特别是身体虐待和累积暴露,与年轻成年人肥胖风险增加有显著的关联.
- 创伤性早期生活事件可能是成年人肥胖的关键因素,在女性中观察到明显的影响.
- 这些发现强调了解决儿童创伤在肥胖预防策略中的重要性.
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