The association between adverse childhood experiences, neighborhood greenspace, and body mass index: A cross-sectional study.
The association between adverse childhood experiences, neighborhood greenspace, and body mass index: A cross-sectional study.
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DOI：
10.1016/j.pmedr.2022.101915
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发表时间：
2022-10
影响因子：
2.8
通讯作者：
Sarwer, David B.
中科院分区：
文献类型：
--
作者：
Schroeder, Krista;Forke, Christine M.;Noll, Jennie G.;Wheeler, David C.;Henry, Kevin A.;Sarwer, David B.
先前的调查已发现不良童年经历 (ACE) 与体重指数 (BMI) 升高之间存在关联。 ACE 对 BMI 的影响主要通过个体层面的生理和行为框架来考虑。绿地等邻里因素也与 BMI 相关，在检查 ACE-BMI 关联的研究中可能值得考虑。这项探索性研究考察了 BMI 与 ACE 和社区绿地的关联，并测试了绿地是否调节 ACE-BMI 关联。方法需要对横截面数据进行二次分析。 ACE 和 BMI 取自 2012/2013 年费城 ACE 调查和 2012 年东南部家庭健康调查数据；参与者（n = 1,679 名成年人）家庭社区的绿地百分比是使用国家土地覆盖数据库数据计算的。多水平、多变量线性回归 1) 检查 BMI、ACE（0 个 ACE [参考]、1-3 个 ACE、4+ACE）和社区绿地水平（高 [参考]、中、低）之间的关联，2) 测试在控制社会人口统计和健康相关协变量之前和之后绿地是否调节 ACE-BMI 关联（通过加性交互作用评估）。经历 4+ 个 ACE（β=1.21；95%CI：0.26、2.15；p=0.01）、低邻里绿地（β=1.51；95%CI：0.67、2.35；p<0.01）和中邻里绿地（β=1.37；95%CI： 0.52, 2.21；p < 0.01) 与 BMI 相关 未调整的模型。在协变量调整模型中，只有低邻里绿地与 BMI 相关（β = 0.95；95% CI：0.14，1.75；p = 0.02）。在未调整（p = 0.89–0.99）或协变量调整（p = 0.46–0.79）模型中，ACEs-绿地相互作用并不显着。总之，在协变量调整模型中，同时考虑时，低社区绿地面积（而非 ACE）与城市居住成年人的 BMI 相关。
An association between adverse childhood experiences (ACEs) and elevated body mass index (BMI) has been found in previous investigations. ACEs’ effects on BMI have been primarily considered via individual-level physiological and behavioral frameworks. Neighborhood factors, such as greenspace, are also associated with BMI and may merit consideration in studies examining ACEs-BMI associations. This exploratory study examined associations of BMI with ACEs and neighborhood greenspace and tested whether greenspace moderated ACEs-BMI associations. Methods entailed secondary analysis of cross-sectional data. ACEs and BMI were captured from 2012/2013 Philadelphia ACE Survey and 2012 Southeastern Household Heath Survey data; greenspace percentage in participants’ (n = 1,679 adults) home neighborhoods was calculated using National Land Cover Database data. Multi-level, multivariable linear regression 1) examined associations between BMI, ACEs, (0 ACEs [reference], 1–3 ACEs, 4 + ACEs), and neighborhood greenspace levels (high [reference], medium, low) and 2) tested whether greenspace moderated the ACEs-BMI association (assessed via additive interaction) before and after controlling for sociodemographic and health-related covariates. Experiencing 4 + ACEs (β = 1.21; 95 %CI: 0.26, 2.15; p = 0.01), low neighborhood greenspace (β = 1.51; 95 %CI: 0.67, 2.35; p < 0.01), and medium neighborhood greenspace (β = 1.37; 95 %CI: 0.52, 2.21; p < 0.01) were associated with BMI in unadjusted models. Only low neighborhood greenspace was associated with BMI (β = 0.95; 95 %CI: 0.14, 1.75; p = 0.02) in covariate-adjusted models. The ACEs-greenspace interaction was not significant in unadjusted (p = 0.89–0.99) or covariate-adjusted (p = 0.46–0.79) models. In conclusion, when considered simultaneously, low neighborhood greenspace, but not ACEs, was associated with BMI among urban-dwelling adults in covariate-adjusted models.
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DOI：
10.3390/ijerph18010097
发表时间：
2020-12-25
影响因子：
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作者：
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DOI：
10.1073/pnas.1313731110
发表时间：
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影响因子：
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