The Relationship Between Adverse Childhood Experiences and Weight-Related Health Behaviors in a National Sample of Children.

Autor: Harada M; Developmental-Behavioral Pediatrics, Department of Pediatrics, University of California Los Angeles (M Harada, S Iyer, M Szilagyi, and I Koolwijk). Electronic address: melissa.k1.harada@kp.org., Guerrero A; Department of Pediatrics, University of California Los Angeles (A Guerrero, W Slusser)., Iyer S; Developmental-Behavioral Pediatrics, Department of Pediatrics, University of California Los Angeles (M Harada, S Iyer, M Szilagyi, and I Koolwijk)., Slusser W; Department of Pediatrics, University of California Los Angeles (A Guerrero, W Slusser); David Geffen School of Medicine, Fielding School of Public Health and the Semel Healthy Campus Initiative Center at UCLA (W Slusser)., Szilagyi M; Developmental-Behavioral Pediatrics, Department of Pediatrics, University of California Los Angeles (M Harada, S Iyer, M Szilagyi, and I Koolwijk)., Koolwijk I; Developmental-Behavioral Pediatrics, Department of Pediatrics, University of California Los Angeles (M Harada, S Iyer, M Szilagyi, and I Koolwijk).
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2021 Nov-Dec; Vol. 21 (8), pp. 1372-1379. Date of Electronic Publication: 2021 Jun 05.
DOI: 10.1016/j.acap.2021.05.024
Abstrakt: Objective: To examine how adverse childhood experiences (ACEs) relate to healthy weight behaviors in children.
Methods: We examined data from the 2016 National Survey of Children's Health. ACE scores were calculated from 6 measures of household dysfunction. Outcome measures included 5 healthy weight behaviors. Logistic regression models assessed associations between ACEs and healthy weight behaviors controlling for sociodemographic variables.
Results: Children 6 to 17 years of age (n = 32,528) with 0 ACEs had increased odds of: watching 2 hours or less of television daily (6-12 years: odds ratio [OR] 1.46; 95% confidence interval [CI], 1.20-1.80, 13-17 years: OR 1.64; 95% CI, 1.39-1.94), using electronics for 2 hours or less daily (6-12 years: OR 1.44; 95% CI, 1.15-1.80, 13-17 years: OR 1.86; 95% CI, 1.60-2.16), sharing 4 or more family meals per week (6-12 years: OR 1.39; 95% CI, 1.17-1.66, 13-17 years: OR 1.68; 95% CI, 1.44-1.95), and getting adequate age-specific sleep (6-12 years: OR 1.50; 95% CI, 1.26-1.79, 13-17 years: OR 1.31; 95% CI, 1.11-1.55) when compared to children with one or more ACEs. Children 13 to 17 years of age with 0 ACEs had increased odds of exercising for 60 minutes daily (OR 1.27; 95% CI, 1.02-1.58) when compared to children with one or more ACEs. There was an overall gradient dose pattern; the odds of engaging in a healthy weight behavior decreased as the number of ACEs increased, with mixed significance levels.
Conclusions: In children, ACE exposure is associated with decreased healthy weight behaviors and behavior counseling alone may be insufficient. Trauma-informed care to address intra-familial adversity may be necessary.
(Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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