Childhood maltreatment and high dietary fat intake behaviors in adulthood: A birth cohort study
Childhood maltreatment and high dietary fat intake behaviors in adulthood: A birth cohort study
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DOI：
10.1016/j.chiabu.2017.08.002
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发表时间：
2017-10-01
影响因子：
4.8
通讯作者：
Najman, Jake Moses
中科院分区：
文献类型：
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作者：
Abajobir, Amanuel Alemu;Kisely, Steve;Najman, Jake Moses
儿童期虐待与多种慢性疾病有关，包括肥胖、其他代谢事件和饮食失调。然而，人们对儿童虐待与高膳食脂肪摄入之间的关系知之甚少。这项研究探讨了同时发生和具体形式的已证实的儿童虐待与成年后自我报告的高膳食脂肪摄入量之间的关联程度，以及在预测这种关联时是否存在性别儿童虐待相互作用。该研究还探讨了虐待发生的年龄、儿童时期虐待发生的数量与高膳食脂肪摄入相关行为之间的关系。这些数据来自澳大利亚一项前瞻性的产前母子二人组研究，即昆士兰大学妊娠研究。该研究对 Mater 医院 7223 名活体单胎婴儿出生后的母子二人进行了跟踪调查。在怀孕早期进行招募，然后在产后 3-5 天进行随访，并在孩子 6 个月、5 岁、14 岁和 21 岁时再次进行随访。这些数据与经机构证实的 0-14 岁儿童虐待案件有关。这项研究将数据链接扩展到 3766 名（47.4% 女性）参与者，他们在 21 年的随访中拥有膳食脂肪摄入行为的完整数据。使用连续逻辑回归来估计多种和特定形式的儿童虐待的高膳食脂肪摄入量各自的 95% 置信区间的比值比，以及儿童虐待证实的年龄和数量。最后，使用性别儿童虐待交互项来预测结果。在未经调整和调整的分析中，已证实的儿童期虐待（包括身体虐待）与高膳食脂肪摄入相关行为有关。同样，5 岁至 14 岁之间儿童虐待的证实与高膳食脂肪摄入相关行为显着相关，两次或多次虐待的证实也是如此。纳入性别儿童虐待互动仅对协会的规模和方向产生很小的影响。慢性和严重形式的儿童虐待（包括身体虐待）与成年早期较高的膳食脂肪摄入率有关。复制这种关联的进一步研究可能会集中于可能解释这种行为的神经激素机制。
Childhood maltreatment has been associated with a wide range of chronic medical conditions including obesity, other metabolic events and eating disorders. However, little is known about the association between childhood maltreatment and high dietary fat intake. This study addresses the extent to which co-occurring and specific forms of substantiated childhood maltreatment are associated with self-reported high dietary fat intake in adulthood and whether there is a gender childhood maltreatment interaction in predicting this association. The study also examines the association between age at substantiation of maltreatment, number of childhood maltreatment substantiations and high dietary fat intake-related behaviors. The data were from a prospective Australian pre-birth mother-child dyads study, the Mater-University of Queensland Study of Pregnancy. The study followed 7223 mother-child dyads following the birth of a live, singleton baby at the Mater hospital. Recruitment was early in pregnancy, and then follow-ups at 3-5 days postpartum and again when the child was 6 months, 5, 14 and 21 years of age. The data were linked to agency-substantiated cases of childhood maltreatment 0-14 years. This study extended the data linkage to 3766 (47.4% female) participants who had complete data on dietary fat intake behaviors at the 21-year follow-up. Consecutive logistic regressions were used to estimate odds ratios with respective 95% confidence intervals for high dietary fat intake for multiple and specific forms of childhood maltreatment, as well as age at and number of childhood maltreatment substantiations. Finally, a gender childhood maltreatment interaction term was used to predict the outcome. In both unadjusted and adjusted analyses, substantiated childhood maltreatment including physical abuse were associated with high dietary fat intake-related behaviors. Similarly, substantiation of childhood maltreatment between the ages of 5 and 14 years was significantly associated with high dietary fat intake-related behaviors as were two or more substantiations of maltreatment. Inclusion of gender childhood maltreatment interaction only had a minor impact on the size and direction of the association. Chronic and severe forms of childhood maltreatment including physical abuse are associated with a higher rate of dietary fat intake in young adulthood. Further research to replicate this association might focus on possible neuro-hormonal mechanisms that might explain this behavior.