Adverse Childhood Experiences in Obesity and Hypertension Among Young Adults in Delhi-NCR, India

IF 1.6 4区医学 Q1 ANTHROPOLOGY

American Journal of Human Biology Pub Date : 2025-03-05 DOI:10.1002/ajhb.70016

Vineet Chaudhary, Gagandeep Kaur Walia, Oishi Choudhury, Naorem Kiranmala Devi, Kallur Nava Saraswathy

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Abstract

Objectives

Despite growing evidence linking adverse childhood experiences (ACEs) with physical health conditions such as obesity and hypertension, research in low- and middle-income countries (LMICs), including India, remains limited. This study aims to examine the relationship between ACE exposure and the risk of overweight/obesity and hypertension among young adults in Delhi-NCR, India.

Methods

The present cross-sectional study involved 1702 young adults of both sexes. Participants were recruited from two universities in Delhi–NCR, India. ACEs were measured using the ACE-International questionnaire (ACE-IQ), while anthropometric (weight, height, waist circumference, and hip circumference) and blood pressure parameters were assessed using standard protocols.

Results

The prevalence of overweight/obesity increased with higher ACE categories, from 38% among participants with no ACEs to 49.7% among those with ≥ 4 ACEs (p = 0.006). Linear regression showed a significant positive association between ACE scores and BMI (β = 0.182, p = 0.004), waist circumference (WC; β = 0.351, p = 0.022), and waist-to-height ratio (WHtR; β = 0.002, p = 0.026). Odds ratio analysis revealed that participants with 3 or more ACEs had increased odds of being overweight/obese compared to unexposed individuals. No consistent associations were found between ACE exposure and blood pressure parameters. Among specific ACE domains, household mental illness was associated with higher odds of both general and central obesity, and bullying showed the highest odds for overweight/obesity.

Conclusions

ACE-exposed young adults may be at a higher risk of overweight/obesity; however, the risk of hypertension may not be immediate. Early intervention may help offset the risk of obesity and related disorders among ACE-exposed youth.

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印度德里- ncr年轻人中肥胖和高血压的不良童年经历

尽管越来越多的证据表明，不良童年经历（ace）与肥胖和高血压等身体健康状况有关，但在包括印度在内的中低收入国家（LMICs）开展的研究仍然有限。本研究旨在研究印度德里ncr地区年轻人ACE暴露与超重/肥胖和高血压风险之间的关系。方法对1702名男女青年进行横断面研究。参与者从印度德里的两所大学招募。ace采用ace -国际问卷（ACE-IQ）进行测量，而人体测量（体重、身高、腰围和臀围）和血压参数采用标准方案进行评估。结果：随着ACE类别的增加，超重/肥胖的患病率也随之增加，从无ACE的38%增加到ACE≥4的49.7% （p = 0.006）。线性回归显示，ACE评分与BMI （β = 0.182, p = 0.004）、腰围(WC；β = 0.351, p = 0.022)，腰高比(WHtR；β = 0.002, p = 0.026)。优势比分析显示，与未暴露的个体相比，有3次或更多ace的参与者超重/肥胖的几率增加。在ACE暴露和血压参数之间没有发现一致的关联。在特定的ACE域中，家庭精神疾病与全身性和中枢性肥胖的几率都较高，而欺凌与超重/肥胖的几率最高。结论暴露于ace的年轻人可能有较高的超重/肥胖风险；然而，高血压的风险可能不会立即出现。早期干预可能有助于抵消暴露于ace的青少年肥胖和相关疾病的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Human Biology 生物-生物学

CiteScore

4.80

自引率

13.80%

发文量

124

审稿时长

4-8 weeks

期刊介绍： The American Journal of Human Biology is the Official Journal of the Human Biology Association. The American Journal of Human Biology is a bimonthly, peer-reviewed, internationally circulated journal that publishes reports of original research, theoretical articles and timely reviews, and brief communications in the interdisciplinary field of human biology. As the official journal of the Human Biology Association, the Journal also publishes abstracts of research presented at its annual scientific meeting and book reviews relevant to the field. The Journal seeks scholarly manuscripts that address all aspects of human biology, health, and disease, particularly those that stress comparative, developmental, ecological, or evolutionary perspectives. The transdisciplinary areas covered in the Journal include, but are not limited to, epidemiology, genetic variation, population biology and demography, physiology, anatomy, nutrition, growth and aging, physical performance, physical activity and fitness, ecology, and evolution, along with their interactions. The Journal publishes basic, applied, and methodologically oriented research from all areas, including measurement, analytical techniques and strategies, and computer applications in human biology. Like many other biologically oriented disciplines, the field of human biology has undergone considerable growth and diversification in recent years, and the expansion of the aims and scope of the Journal is a reflection of this growth and membership diversification. The Journal is committed to prompt review, and priority publication is given to manuscripts with novel or timely findings, and to manuscripts of unusual interest.