scholarly journals Association of Adverse Childhood Experiences (ACEs) With Obesity And Underweight In Children

Author(s):  
Tomasz Hanć ◽  
Ewa Bryl ◽  
Paula Szcześniewska ◽  
Agata Dutkiewicz ◽  
Aneta Rita Borkowska ◽  
...  

Abstract Purpose: The aim of the study was to test the hypothesis that adverse childhood experiences (ACEs) are related to both obesity and underweight from childhood, and that the association of ACEs with weight abnormalities is modulated by type of ACEs, sex and socioeconomic status (SES) indices. Methods: The relations between ACEs (0 vs ≥1), ACE accumulation and ACE type with weight status and z scores BMI were assessed in 503 children aged 6-12 years from Poznan, Poland. The effects of interaction of ACEs with sex and SES on z scores BMI were included in the analyses. Results: ACEs were significantly related to both obesity and underweight, in unadjusted analysis, and when sex and SES indices, such as size of place of residence, people per room in household, and parental education were controlled. The relation of ACEs with z scores BMI was modulated by ACE type, parental subjective assessment of economic situation of a family and parental education. ACE accumulation was not related to an increase of obesity or underweight rate, or z scores BMI. Conclusion: The study implicates the need for both obesity and underweight prevention in individuals with adverse experiences as early as in childhood.

Author(s):  
Tomasz Hanć ◽  
Ewa Bryl ◽  
Paula Szcześniewska ◽  
Agata Dutkiewicz ◽  
Aneta R. Borkowska ◽  
...  

Abstract Purpose The aim of the study was to test the hypothesis that adverse childhood experiences (ACEs) are related to both obesity and underweight from childhood, and that the association of ACEs with weight abnormalities is modulated by type of ACEs, sex and socioeconomic status (SES) indices. Methods The relations between ACEs (0 vs ≥ 1), ACE accumulation and ACE type with weight status and z scores BMI were assessed in 503 children aged 6–12 years from Poznan, Poland. The effects of interaction of ACEs with sex and SES on z scores BMI were included in the analyses. Results ACEs were significantly related to both obesity and underweight, in unadjusted analysis, and when sex and SES indices, such as size of place of residence, people per room in household, and parental education were controlled. The relation of ACEs with z scores BMI was modulated by ACE type, parental subjective assessment of economic situation of a family and parental education. ACE accumulation was not related to an increase of obesity or underweight rate, or z scores BMI. Conclusion The study implicates the need for both obesity and underweight prevention in individuals with adverse experiences as early as in childhood. Level of evidence III: evidence obtained from well-designed cohort study.


2021 ◽  
Vol 145 ◽  
pp. 106447
Author(s):  
Brittany R. Schuler ◽  
Christian Vazquez ◽  
Julia M. Kobulsky ◽  
Krista Schroeder ◽  
Gina L. Tripicchio ◽  
...  

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Monica C Myers ◽  
Mark K Santillan ◽  
Debra S Brandt ◽  
Amy K Stroud ◽  
Julie A Vignato ◽  
...  

Hypertensive diseases are associated with adverse experiences in childhood as well as depression. In order to determine if these associations were present in women with preeclampsia (PreE), a particularly devastating hypertensive disease in pregnancy, the scores from three questionnaires: Adverse Childhood Experiences (ACE), Edinburgh Postnatal Depression Scale (EPDS), and the Patient Health Questionnaire-9 (PHQ-9) were compared between women with PreE (n=32) and women without PreE (n=46) between 9 and 48 months postpartum (IRB# 201808705). ACE scores are calculated by summing an individual’s affirmative responses to specific adverse experiences during childhood. In our study, the average ACE score of individuals with PreE was higher than that of women without PreE (1.69 vs. 1.02, P=.04). We also divided women into groups based on whether their ACE score was ≤3 or ≥4 due to evidence that individuals who have experienced ≥4 ACEs are at greatest risk for physical and mental health conditions. Among our participants, 80% of women with an ACE score ≥4 (n=10) had PreE while only 35.3% of women with a score ≤3 (n=68) developed the condition (P=0.01). As well, the odds of having PreE were higher in those with ACE scores ≥4, compared with those with scores ≤3 (OR= 7.34; 95% CI = 1.44, 37.33). In a subset of participants, scores were available from EPDS, survey that identifies women who have postpartum depression 6 weeks after birth, and from the PHQ-9, another assessment for depression. Among our participants, the average EPDS score was higher in women with PreE than women without PreE (6.38, n=21 vs. 3.71, n=42 P=0.01), indicating more severe symptoms of postpartum depression in women who also had PreE. In addition, the average PHQ-9 score among women with PreE was higher than that of women without PreE (3.71, n=15 vs 1.86, n=37 P=.02) with a higher score indicating more severe depression. The average PHQ-9 score was also higher in women who had ACE scores ≥4 than women with scores ≤3 (4.00, n=4 vs. 2.27, n=48 P=.01) indicating that women with more adverse childhood events were more likely to experience depression. Together, these findings indicate that PreE may be associated with adverse events during childhood as well as depression in late pregnancy and/or postpartum.


2021 ◽  
Vol 6 ◽  
Author(s):  
Shanelle V. Clay ◽  
Cheria Jackson ◽  
Quincy Stephenson

Using a meta-synthesis approach, through the review of current literature, five published and peer reviewed qualitative research reports were studied. The intention was to identify interventions being used with West African children who have endured adverse childhood experiences. These results were found through matching inclusionary criteria and all studies were screened for appropriateness and relevance to the topic matter. The literature was analyzed across five online databases including Proquest, PsychInfo, Scopus, Wiley, and Springer from January 2005 to June 2020. The authors found minimal evidence indicating interventions used in West Africa for adverse experiences related specifically to children, but found themes related to interventions that serve West African families that include children. Findings were thematically analyzed through meta-synthesis and identified four themes used in the interventions, which include western, spiritual, expressive arts, and cultural approaches. West African children endure adverse experiences such as terrorism, abuse, and war violence that contribute to an increasing the need for mental health interventions. These experiences approached from western, spiritual, expressive arts, and cultural vantage points were identified but limited in information about delivery and efficacy, thus providing little guidance regarding further exploratory research.


2020 ◽  
Vol 32 (2) ◽  
pp. 27-41
Author(s):  
M.M. Salawu ◽  
E.T. Owoaje

Background: Adverse Childhood Experiences (ACEs) are traumatic events a child is exposed to early in life. It is a global problem that constitutes a public health concern. However, few studies have been conducted on ACEs in low- and middle-income countries (LMICs) like Nigeria. This study assessed the prevalence and predictors of ACEs among youths in rural communities in Oyo State, South-west, Nigeria.Methods: A cross-sectional survey was conducted among 575 youths selected by multistage sampling technique. A structured interviewer-administered questionnaire was used to obtain information on exposure to ACEs; abuse, neglect and household dysfunctions among respondents. Data were analyzed with SPSS version 21.0. Associations were explored with chi-square test and logistics regression analysis. Level of significance was set at 5%.Results: The mean age (SD) of respondents was 26.3 (4.9) years. Three hundred and forty-two (59.5%) respondents were males, 252 (43.8%) had secondary education and 276 (24.5%) were classified into the lowest wealth quintiles. Most respondents 529 (92%) reported they had experienced ACEs. Most prevalent ACEs were psychological neglect 247 (42.9%), physical neglect 236 (41.0%), psychological abuse 231 (40.2%) and household substance abuse 223 (38.8%). The predictors of experiencing ACEs were having a mother with primary education and below (AOR=2.61; CI=1.383.51) and being in the lowest wealth quintile (AOR=1.53 CI=1.24-2.87).Conclusion: Poor education and poverty contributed to the high occurrence of ACEs among youths in rural south-west. Strategic interventions by government/organizations to improve parental education and ameliorate poverty may be beneficial in reducing ACEs and ensure optimal child development. Keywords: Adverse childhood experiences; Predictors; Youths; Rural; Nigeria


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
F Soares Peres ◽  
S Soares ◽  
H Barros ◽  
A C Santos ◽  
S Fraga

Abstract Background Evidence showed that adverse childhood experiences (ACEs) are associated with the development of disease later in life and premature death. Examining the occurrence of these experiences at early ages would contribute to intervene and therefore to reduce health inequalities. This study aimed to assess the prevalence of ACEs among 10-year-children and to examine its association with early socioeconomic circumstances. Methods At the fourth wave of the population-based birth cohort Generation XXI, from Porto, Portugal, 5153 children completed a self-report questionnaire on 9 experiences related to household dysfunction and physical and emotional abuse. Socioeconomic circumstances included household income, maternal and paternal education, and history of parental unemployment. Logistic regression was performed to calculate the Odds Ratios (OR) and 95% Confidence Intervals (95%CI). Results A high prevalence of physical and emotional abuse was reported by children from low socioeconomic circumstances. A graded relationship between socioeconomic circumstances and cumulative ACEs was observed, for instance, low household income was associated with increased number of ACEs (one event [OR = 1.10; 95%CI: 0.89-1.36], two events [OR = 1.41; 95%CI: 1.15-1.73], three events [OR = 1.67; 95%CI: 1.34-2.06], and four or more events [OR = 2.05; 95%CI: 1.64-2.55]). Also, living with one parent or none of them increased the likelihood of reporting multiple ACEs (OR = 5.50; 95%CI: 4.23-7.13). Conclusions Children from low socioeconomic circumstances were more likely to report multiple adverse experiences in the first decade of life. These findings support that children from less advantaged environments might be at a higher risk of co-occurrence of adverse experiences during their childhood. Key messages Prevalence of ACEs is high among 10-year-old children and is associated with low socioeconomic circumstances. Social inequalities in children should be prioritized by public health policy.


2021 ◽  
Vol 42 ◽  
Author(s):  
Cleiber Henrique Borini ◽  
Diene Monique Carlos ◽  
Lazslo Antônio Ávila ◽  
Simone Saltareli ◽  
Priscilla Hortense

ABSTRACT Objective: To analyze the adverse experiences lived in the childhood by people with chronic musculoskeletal pain, based on psychoanalytic psychosomatics. Methods: Qualitative research, developed with 20 people with chronic musculoskeletal pain and who were receiving physiotherapeutic treatment at a clinic in the countryside of the state of São Paulo. The data were collected during the months of June and July 2018, through semi-structured interviews. This article refers to one of the resulting themes of reflexive thematic analysis: Suffered life, hard life. Results: When talking about their lives, people living with chronic musculoskeletal pain revealed themes associated with some adverse childhood experiences such as parental deaths, neglect, economic hardship, family violence, physical and psychological violence. Final considerations: The analysis of adverse experiences lived in childhood by people with chronic musculoskeletal pain shows presence of intense suffering revealed in people’s speech when associated with perceived physical pain.


2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Esme Fuller-Thomson ◽  
Jessica P. Liddycoat ◽  
Maria Stefanyk

Aims. To examine the relationship between a history of parental addictions and the cumulative lifetime incidence of arthritis while controlling for age, sex, race, and four clusters of risk factors: (1) other adverse childhood experiences, (2) adult health behaviors (i.e., smoking, obesity, inactivity, and alcohol consumption), (3) adult socioeconomic status and (4) mental health. Materials and Methods. Secondary analysis of 13,036 Manitoba and Saskatchewan respondents of the population-based 2005 Canadian Community Health Survey. Sequential logistic regression analyses were conducted. Findings. After controlling for demographic characteristics, including age, gender, and race, respondents who reported a history of parental addictions had significantly higher odds of arthritis in comparison to individuals without (OR=1.58; 95% CI 1.38–1.80). Adjustment for socioeconomic status, adult health behaviors, and mental health conditions had little impact on the parental addictions and arthritis relationship. The association between parental addictions and arthritis was substantially reduced when adverse childhood experiences (OR=1.33; 95% CI 1.15–1.53) and all four groups of risk factors collectively (OR=1.30; 95% CI = 1.12–1.51) were included in the analyses; however, the relationship remained statistically significant. Conclusions. A robust association was found between parental addictions and cumulative lifetime incidence of arthritis. This link remained even when controlling for four groups of potential risk factors.


2020 ◽  
Vol 46 (4) ◽  
pp. 823-833
Author(s):  
Stefania Tognin ◽  
Ana Catalan ◽  
Gemma Modinos ◽  
Matthew J Kempton ◽  
Amaia Bilbao ◽  
...  

Abstract Objective To investigate the association between facial affect recognition (FAR) and type of adverse childhood experiences (ACEs) in a sample of clinical high risk (CHR) individuals and a matched sample of healthy controls (HCs). Methods In total, 309 CHR individuals and 51 HC were recruited as part of an European Union-funded multicenter study (EU-GEI) and included in this work. During a 2-year follow-up period, 65 CHR participants made a transition to psychosis (CHR-T) and 279 did not (CHR-NT). FAR ability was measured using a computerized version of the Degraded Facial Affect Recognition (DFAR) task. ACEs were measured using the Childhood Experience of Care and Abuse Questionnaire, the Childhood Trauma Questionnaire, and the Bullying Questionnaire. Generalized regression models were used to investigate the relationship between ACE and FAR. Logistic regressions were used to investigate the relationship between FAR and psychotic transition. Results In CHR individuals, having experienced emotional abuse was associated with decreased total and neutral DFAR scores. CHR individuals who had experienced bullying performed better in the total DFAR and in the frightened condition. In HC and CHR, having experienced the death of a parent during childhood was associated with lower DFAR total score and lower neutral DFAR score, respectively. Analyses revealed a modest increase of transition risk with increasing mistakes from happy to angry faces. Conclusions Adverse experiences in childhood seem to have a significant impact on emotional processing in adult life. This information could be helpful in a therapeutic setting where both difficulties in social interactions and adverse experiences are often addressed.


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