Adverse childhood experiences and disordered eating among middle-aged adults: Findings from the coronary artery risk development in young adults study.
Adverse childhood experiences and disordered eating among middle-aged adults: Findings from the coronary artery risk development in young adults study.
复制标题
不良童年经历和中年人饮食失调：年轻人冠状动脉风险发展研究的结果。
DOI：
10.1016/j.ypmed.2022.107124
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发表时间：
2022
影响因子：
5.1
通讯作者：
JacobsJr,DavidR
中科院分区：
文献类型：
--
作者：
Yoon,CynthiaY;Mason,SusanM;Loth,Katie;JacobsJr,DavidR
不良童年经历（ACE）包括童年虐待，忽视和家庭药物滥用。儿童期虐待是饮食失调（DEB）的危险因素。不太确定的是儿童忽视和家庭药物滥用与DEB的关联，很少有研究探讨ACE与中年DEB的关联。本研究的目的是检查ACE和DEB之间的中年人之间的关联，并检查性别差异。在2000-2001年的年轻成人冠状动脉风险发展研究中回顾性评估了18岁之前的ACE（N= 3340，年龄32 - 46岁）。DEB结果（即，对体重和体型的关注、对饮食或食物的焦虑、不健康的体重控制行为、慢性节食、暴饮暴食和暴食）在1995-1996年（27 - 41岁）进行了评估。改良Poisson回归估计任何ACE病史、每种ACE和累积ACE与DEB结局相关的风险比（RR）。在女性中，情感虐待，身体忽视和情感忽视与大多数DEB适度相关（在DEB中，RR分别为1.21-1.35，1.21-1.45和1.23-1.41），调整后的社会人口变量，BMI和抑郁症状。累积ACE评分与所有DEB呈逐步相关（趋势p ≤0.05），除了体重、体型和暴饮暴食。在男性中，情绪虐待与大多数DEB最相关（RR = 1.23-1.92）;家庭物质滥用与暴饮暴食适度相关（RR = 1.26，95%CI = 1.04-1.53）。ACE与不健康的体重控制行为、暴饮暴食和暴饮暴食累积相关（pfor趋势<0.01）。
Adverse childhood experiences (ACEs) include childhood abuse, neglect, and household substance abuse. Childhood abuse is a risk factor for disordered eating (DEB). Less well established are associations of childhood neglect and household substance abuse with DEB, and little research has examined ACE associations with DEB in middle adulthood. The objective of this study was to examine associations between ACEs and DEBs among middle-aged adults and examine sex differences. ACEs prior to age 18 were retrospectively assessed in the Coronary Artery Risk Development in Young Adults study in 2000–2001 (N= 3340, ages 32 to 46). DEB outcomes (i.e., concerns about weight and shape, anxiety about eating or food, unhealthy weight control behaviors, chronic dieting, overeating, and binge eating) were assessed in 1995–1996 (ages 27 to 41). Modified Poisson regressions estimated risk ratios (RRs) for associations of a history of any ACE, each ACE, and cumulative ACEs with DEB outcomes. Among women, emotional abuse, physical neglect, and emotional neglect were each modestly associated with most DEBs (RRs = 1.21–1.35, 1.21–1.45, and 1.23–1.41 across DEBs, respectively) after adjustment for sociodemographic variables, BMI, and depressive symptoms. A cumulative ACE score was associated with all DEBs in a stepwise manner (pfor trend ≤0.05) except concerns about weight and shape and overeating. Among men, emotional abuse was most consistently related to the majority of DEBs (RRs = 1.23–1.92); household substance abuse was modestly associated with overeating (RR = 1.26, 95% CI = 1.04–1.53). ACEs were cumulatively associated with unhealthy weight control behaviors, overeating, and binge eating (pfor trend <0.01).