Adverse childhood experiences and diet quality in the national sample of Poles: The mediating role of emotion regulation

IF 4.6 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2024-11-07 DOI:10.1016/j.appet.2024.107749

Marcin Rzeszutek , Joanna Kowalkowska , Katarzyna Drabarek , Angelika Van Hoy , Katarzyna Schier , Maja Lis-Turlejska , Małgorzata Dragan , Paweł Holas , Dominika Maison , Gabriela Wdowczyk , Elżbieta Litwin , Julia Wawrzyniak , Wiktoria Znamirowska , Szymon Szumiał , Małgorzata Desmond

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引用次数: 0

Abstract

Adverse childhood experiences (ACEs) increase the risk of adverse psychological and physical outcomes and chronic disease in adulthood. The mechanism of this relationship is still unclear. ACEs might exert their negative influence on adult health via both dietary and psychological axes. Our study aimed to examine the relationship between ACEs and diet quality in the national sample of Poles. We also aimed to determine whether difficulty in regulating emotions act as a mediator of this relationship. The national Polish sample of adults (n = 3557) took part in this study. ACEs were assessed via the Adverse Childhood Experiences Questionnaire. Data on food consumption frequency over the past year, body weight and height were collected using the self-administered version of the Dietary Habits and Nutrition Beliefs Questionnaire (KomPAN®). Two diet quality scores were evaluated: Pro-Healthy-Diet-Index-10 (pHDI) and Non-Healthy-Diet-Index-14 (nHDI). Emotion regulation (ER) was evaluated via the Difficulties in Emotion Regulation Scale (DERS). Path analysis was used to examine the associations between the variables, firstly formulated by theoretical assumptions expressed by directed acyclic graphs (DAGs). A higher number of ACEs was related to higher difficulties in ER in adults (p < 0.001), which in turn was related to lower pHDI (p < 0.001) and higher nHDI (p = 0.027). Our findings strengthen the rationale for ACEs screening as a potential risk factor for diet-related chronic disease in adulthood. They provide a framework for public health prevention strategies via interventions targeting diet quality and emotional regulation in the setting of multidisciplinary practice.

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全国极地样本中的童年不良经历与饮食质量：情绪调节的中介作用

童年的不良经历（ACEs）会增加成年后出现不良心理和生理后果以及慢性疾病的风险。这种关系的机制尚不清楚。ACE可能通过饮食和心理两个方面对成年后的健康产生负面影响。我们的研究旨在调查全国波兰人样本中的 ACE 与饮食质量之间的关系。此外，我们还想确定调节情绪方面的困难是否是这种关系的中介因素。波兰全国成人样本（n = 3557）参与了这项研究。ACE通过童年不良经历问卷进行评估。过去一年的食物消费频率、体重和身高数据则通过自填式膳食习惯和营养信念问卷（KomPAN®）收集。对两种饮食质量进行了评估：健康饮食指数-10（pHDI）和非健康饮食指数-14（nHDI）。情绪调节（ER）通过情绪调节困难量表（DERS）进行评估。路径分析用于研究变量之间的关联，首先通过有向无环图（DAG）表达的理论假设来制定。ACE次数越多，成人的情绪调节难度越高（p

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.