Exposure to early life trauma is associated with adult obesity
Exposure to early life trauma is associated with adult obesity
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DOI：
10.1016/j.psychres.2005.11.007
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发表时间：
2006-05-30
影响因子：
11.3
通讯作者：
Gordon, Evian
中科院分区：
文献类型：
--
作者：
Gunstad, John;Paul, Robert H.;Gordon, Evian
童年时期经历创伤性事件与成年后肥胖的风险增加有关。据推测，儿童创伤的心理后遗症是造成这种风险的原因，尽管没有研究调查是否在没有心理障碍的人中发现肥胖风险增加。我们检查了696名没有明显医学或精神病史的成年人的早期生活压力和体重指数（BMI）。双因素相关分析显示，早期生活压力源总数（r=0.08）、年龄（r=0.19）、性别（r=0.16）与成人BMI显著相关。考虑到性别和身体质量指数之间的关系，我们分别对男性和女性的早期生活压力因素对成年肥胖的影响进行了研究。在男性中，层次回归显示，早期生活压力的暴露预示着成年后的肥胖。具体来说，在控制了年龄的影响后，被欺负/被拒绝的历史（肥胖31%，体重正常9%）和情绪虐待（肥胖17%，体重正常2%）预测了成人肥胖。在女性中，没有发现早期生活压力和成年肥胖之间的关系。这些发现表明，早期生活压力和成年肥胖之间的关系是由多个过程介导的，而且它们的相对作用可能在男性和女性之间有所不同。2005爱思唯尔爱尔兰有限公司版权所有。
Exposure to traumatic events during childhood is associated with an elevated risk of adult obesity. It has been hypothesized that the psychological sequelae from childhood trauma account for this risk, though no study has examined whether an increased risk of obesity is found in persons without psychological disorders. We examined exposure to early life stressors and body mass index (BMI) in 696 adults without significant medical or psychiatric history. Bivariate correlation showed that the total number of early life stressors (r=0.08), age (r=0.19), and sex (r=0.16) were significantly related to adult BMI. Given the relationship between sex and BMI, we examined the contribution of early life stressors to adult obesity separately for men and women. In men, hierarchical regression showed that exposure to early life stressors predicted adult obesity. Specifically, history of being bullied/rejected (Obese 31%, Normal weight, 9%) and emotional abuse (Obese, 17%; Normal weight, 2%) predicted adult obesity after controlling for the effects of age. In women, no relationship between early life stressors and adult obesity was found. These findings suggest that multiple processes mediate the relationship between early life stress and adult obesity and that their relative contributions may differ between men and women. (c) 2005 Elsevier Ireland Ltd. All rights reserved.