拉丁裔和西班牙裔年轻人的不良经历,保护因素和肥胖
Victoria Goldman1, Sevan Esaian1, Miguel Ángel Rivas Fernández2
1Department of Pediatrics, Division of Endocrinology, Diabetes and Metabolism, Children's Hospital Los Angeles, Los Angeles, California.
JAMA network open
|December 4, 2025
概括
儿童不良经历 (ACE) 与年轻人较高的体重指数 (BMI) 有关. 保护因素,如自我应对和照顾者支持,可以减轻这种关联,特别是在拉丁人和西班牙裔青年中.
科学领域:
- 儿科卫生健康 儿科卫生健康
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 儿童肥胖率的上升是一个重大的公共卫生问题.
- 童年不良经历 (ACE) 可能通过压力诱导的体重增加导致肥胖.
- 拉丁美洲和西班牙裔年轻人患ACE和肥胖率较高,需要集中研究.
研究的目的:
- 在一个多元化的青年群体中检查ACE和体重指数 (BMI) 之间的关联.
- 确定是否有保护性因素调节了ACEs-BMI关系,重点是拉丁人和西班牙裔青年.
主要方法:
- 利用了青少年大脑认知发展 (ABCD) 研究的数据,这是一组11-12岁的大型横截面队列.
- 分析了累积的ACE和年轻人报告的保护因素 (自我应对,照顾者/朋友支持).
- 采用线性混合效应模型来评估关联和调节,控制混因素.
主要成果:
- 与非西班牙裔青年相比,拉丁裔和西班牙裔青年的BMI和ACE分数较高.
- 在所有参与者中,ACE与增加的BMI有显著的关联.
- 自我应对,照顾者支持和整体保护性得分调节了ACEs-BMI关联,特别是在拉丁人和西班牙裔青年中.
结论:
- 这些发现强调了ACE查在儿科肥胖管理中的重要性.
- 促进自我应对和照顾者支持等保护因素对于减轻ACE对青年BMI的影响至关重要.
- 以创伤为基础的干预措施和弹性建设策略可以帮助解决体重差异并改善健康结果.
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