Adverse childhood experiences and appetitive traits in adolescence: A prospective cohort study.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-05-08 DOI:10.1111/ijpo.70022

Alexandra Costa, Sílvia Fraga, Marion M Hetherington, Andreia Oliveira

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引用次数: 0

Abstract

Objective: To explore the association between adverse childhood experiences (ACEs) and appetitive traits in adolescence.

Methods: Participants were 4118 children from the Generation XXI cohort. ACEs were assessed at age 10 with a self-administered questionnaire covering 15 different experiences and analysed by exposure categories (0, 1-3, 4-5 and ≥6) and dimensions identified through component analysis. Appetitive traits at age 13 were measured with the Children's Eating Behaviour Questionnaire, completed by parents. Multivariable linear regression analysis, adjusted for sociodemographic factors, was used.

Results: Ninety-six percent reported at least one ACE, with 26% reporting ≥6. Those who reported at least one ACE had higher scores on food approach traits, indicative of an avid appetite. A dose-response relationship was observed between the number of ACEs and Food Responsiveness, Emotional Overeating and Desire to Drink. Participants with ≥6 ACEs scored higher on Enjoyment of Food ( $\hat{β}$ = 0.19, 95% confidence interval [CI] [0.06, 0.31]) and Emotional Undereating ( $\hat{β}$ = 0.13, 95% CI [0.01, 0.25]), and lower on Slowness in Eating ( $\hat{β}$ = -0.19, 95%CI [-0.32, -0.06]). Analysis by ACEs dimensions revealed more consistent associations with food approach traits.

Conclusion: Greater ACE exposure was associated with appetitive traits that increase obesity risk, suggesting that these traits may contribute to explaining the association between ACEs and obesity.

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不良童年经历与青春期食欲特征：一项前瞻性队列研究。

目的：探讨不良童年经历与青少年食欲特征的关系。方法：研究对象为来自21代队列的4118名儿童。在10岁时通过一份涵盖15种不同经历的自填问卷对ace进行评估，并根据暴露类别（0、1-3、4-5和≥6）和成分分析确定的维度进行分析。13岁时的食欲特征由父母填写的儿童饮食行为问卷进行测量。采用多变量线性回归分析，调整社会人口因素。结果：96％的患者报告至少一次ACE， 26％的患者报告至少一次ACE% reporting ≥6. Those who reported at least one ACE had higher scores on food approach traits, indicative of an avid appetite. A dose-response relationship was observed between the number of ACEs and Food Responsiveness, Emotional Overeating and Desire to Drink. Participants with ≥6 ACEs scored higher on Enjoyment of Food ( β ̂ $$ \hat{\beta\ } $$ = 0.19, 95% confidence interval [CI] [0.06, 0.31]) and Emotional Undereating ( β ̂ $$ \hat{\beta} $$ = 0.13, 95% CI [0.01, 0.25]), and lower on Slowness in Eating ( β ̂ $$ \hat{\beta} $$ = -0.19, 95%CI [-0.32, -0.06]). Analysis by ACEs dimensions revealed more consistent associations with food approach traits.Conclusion: Greater ACE exposure was associated with appetitive traits that increase obesity risk, suggesting that these traits may contribute to explaining the association between ACEs and obesity.

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.