A Longitudinal Study of Life Trauma, Chronic Stress and Body Mass Index on Weight Gain over a 2-Year Period.

A Longitudinal Study of Life Trauma, Chronic Stress and Body Mass Index on Weight Gain over a 2-Year Period.
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对生命创伤,慢性应激和体重指数的纵向研究,对体重增加了2年。

DOI:
10.1080/08964289.2020.1780192
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发表时间:
2022-07
期刊:
Behavioral medicine (Washington, D.C.)
影响因子:
--
通讯作者:
Sinha R
Sinha R
中科院分区:
其他
文献类型:
--
作者:
Fogelman N;Magin Z;Hart R;Sinha R

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美国正面临着一个令人震惊的和日益增长的肥胖流行病。压力与肥胖有关,但生活创伤对体重增加的具体纵向影响尚未得到评估。在这里,我们研究了生活创伤和慢性压力是否可以预测体重增加,同时也测量了体重指数(BMI)的影响。生活创伤和慢性应激与累积逆境访谈(CAI)进行了评估。体重和BMI在两年的时间里被反复记录。结果显示,随着时间的推移,体重增加显著增加。与超重(IOw)和瘦个体(Il)相比,肥胖个体(IOb)在发病时报告了显著更高水平的生活创伤。对于IOb和IOw,更多的创伤事件与体重增加相关,但对于Il则无关。随着时间的推移,慢性压力的增加与体重增加并不一致。目前的研究结果表明,需要解决创伤应对问题,特别是在弱势群体中,以防止体重增加,并遏制与肥胖相关的健康结果。
The United States is facing an alarming and increasing obesity epidemic. Stress is associated with obesity, but specific longitudinal effects of life trauma on weight gain have not been assessed. Here we examined if life trauma and chronic stress predicted weight gain while also measuring the impact of body mass index (BMI). Life trauma and chronic stress were assessed with the Cumulative Adversity Interview (CAI). Weight and BMI were captured repeatedly over a two-year period. Results show significant increases in weight gain over time. Individuals with obesity (IOb) reported significantly higher levels of life trauma at the onset compared to overweight (IOw) and lean individuals (Il). Greater numbers of trauma events were associated with increased weight gain for both IOb and IOw but not for Il. Increased chronic stress was not consistently associated with weight gain over time. Current findings suggest the need to address trauma coping, especially in vulnerable individuals to prevent greater weight gain and curb obesity-related health outcomes.
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