Exposure to violence in childhood is associated with higher body mass index in adolescence
Exposure to violence in childhood is associated with higher body mass index in adolescence
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DOI：
10.1016/j.chiabu.2015.08.005
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发表时间：
2015-12-01
影响因子：
4.8
通讯作者：
McLaughlin, Katie A.
中科院分区：
文献类型：
--
作者：
Gooding, Holly C.;Milliren, Carly;McLaughlin, Katie A.
为了确定不同类型的童年逆境是否与青春期的身体质量指数(BMI)有关，我们研究了147名13-17岁的青少年，其中41%的人报告至少接触过一种逆境(虐待、虐待、同伴受害、或目睹社区或家庭暴力)。我们使用线性回归检验了逆境类型与特定年龄和性别的BMI z得分之间的关系，并使用Logistic回归检验了超重和肥胖状态之间的关系。我们对潜在的社会人口、行为和心理混杂因素进行了调整，并测试了性别对效果的影响。有性虐待、情感虐待或同伴受害历史的青少年与那些没有暴露的青少年相比，BMI z得分没有显著差异(p>；所有比较都是0.05)。经历过身体虐待(Beta=0.50，95%CI为0.12~0.91)或经历过家庭暴力(Beta=0.85，95%CI为0.30~1.40)的青少年BMI-z得分较高。目击家庭暴力的参与者超重或肥胖的几率几乎是后者的6倍(95%CI：1.09-30.7)，即使在调整了潜在的混杂因素后也是如此。没有发现逆境对性别的影响。儿童时期接触暴力与较高的青少年BMI有关。这一发现突显了在儿科实践中筛查暴力行为和为年轻人提供肥胖预防咨询的重要性。(C)2015爱思唯尔有限公司。保留所有权利。
To determine whether different types of childhood adversity are associated with body mass index (BMI) in adolescence, we studied 147 adolescents aged 13-17 years, 41% of whom reported exposure to at least one adversity (maltreatment, abuse, peer victimization, or witness to community or domestic violence). We examined associations between adversity type and age- and sex-specific BMI z-scores using linear regression and overweight and obese status using logistic regression. We adjusted for potential socio-demographic, behavioral, and psychological confounders and tested for effect modification by gender. Adolescents with a history of sexual abuse, emotional abuse, or peer victimization did not have significantly different BMI z-scores than those without exposure (p > 0.05 for all comparisons). BMI z-scores were higher in adolescents who had experienced physical abuse (beta = 0.50, 95% CI 0.12-0.91) or witnessed domestic violence (beta = 0.85, 95% CI 0.30-1.40). Participants who witnessed domestic violence had almost 6 times the odds of being overweight or obese (95% CI: 1.09-30.7), even after adjustment for potential confounders. No gender-by-adversity interactions were found. Exposure to violence in childhood is associated with higher adolescent BMI. This finding highlights the importance of screening for violence in pediatric practice and providing obesity prevention counseling for youth. (C) 2015 Elsevier Ltd. All rights reserved.