Association of adverse childhood experiences and overweight or obesity in adolescents: A systematic review and network analysis

IF 8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Reviews Pub Date : 2024-07-29 DOI:10.1111/obr.13809
Renato Mikio Moriya, Carlos Eduardo Coral de Oliveira, Edna Maria Vissoci Reiche, João Luís Lima Passini, Sandra Odebrecht Vargas Nunes
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Abstract

This systematic review with meta-analysis assessed the effects of adverse childhood experiences (ACEs) linked to overweight or obesity in adolescents. Twenty-eight studies (cross-sectional, case–control, or cohort) were included, which described individuals with a history of ACE or adverse family experiences, such as physical, emotional, or psychological abuses; neglect; exposure to domestic violence or peer violence; and sexual abuse. Body mass index (BMI) or BMI z score was used by the study to define adolescents with overweight or obesity. Adolescents who reported childhood experiences, mainly physical, sexual, and emotional abuses, were more associated with overweight/obesity, especially those who experienced four or more ACEs. Network meta-analysis indicated that physical, sexual, and neglect were the most common ACEs associated with obesity in adolescents. Due to significant differences and imprecision among the studies, network meta-analysis was inconclusive in determining the impact of other types of ACE on outcomes. However, evidence suggests that exposure to sexual and physical abuse, as well as neglect, is associated with adolescents who are obese or overweight, as well as with the number of ACE experienced. The study presented evidence suggesting that dealing with many ACEs may be a risk factor for overweight and obesity in adolescents.

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不良童年经历与青少年超重或肥胖的关系:系统回顾与网络分析。
本系统综述和荟萃分析评估了与青少年超重或肥胖有关的童年不良经历(ACE)的影响。共纳入了 28 项研究(横断面、病例对照或队列),这些研究描述了有 ACE 或不良家庭经历史的个体,如身体、情感或心理虐待;忽视;遭受家庭暴力或同伴暴力;以及性虐待。研究用体重指数(BMI)或BMI z 分数来定义超重或肥胖的青少年。报告童年经历(主要是身体虐待、性虐待和情感虐待)的青少年更容易超重/肥胖,尤其是那些经历过四次或四次以上ACE的青少年。网络荟萃分析表明,身体虐待、性虐待和忽视是与青少年肥胖有关的最常见的 ACE。由于各研究之间存在显著差异且不精确,网络荟萃分析无法确定其他类型的 ACE 对结果的影响。不过,有证据表明,遭受性虐待和身体虐待以及忽视与青少年肥胖或超重有关,也与经历的 ACE 数量有关。该研究提出的证据表明,经历许多 ACE 可能是导致青少年超重和肥胖的一个风险因素。
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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
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