Early life social conditions and adverse experiences are associated with childhood BMI and perceived overeating.

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2024-10-08 DOI:10.1111/ijpo.13179

Anna Bartoskova Polcrova, Gabriela Ksinan Jiskrova, Martin Bobak, Hynek Pikhart, Jana Klánová, Albert J Ksinan

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Abstract

Background: Early life socioeconomic disadvantage and adverse experiences may lead to overeating, which is in turn associated with increased body mass index (BMI). However, recent evidence indicated that the association between childhood BMI and overeating might be bidirectional. This bidirectionality prompts the need for further investigation of early life predictors of BMI in childhood.

Objectives: To longitudinally assess the directionality of the association between childhood BMI and perceived overeating and to investigate their antecedent early life predictors.

Methods: The sample included data from 5151 children from the ELSPAC study, collected between 18 months and 11 years of child age. The outcomes were child BMI and mother-reported overeating, assessed at the age of 3, 5, 7 and 11 years. Predictors included maternal BMI, maternal education, single parenthood, financial difficulties and adverse childhood experiences (ACEs) reported by parents and paediatricians. The random intercept cross-lagged panel model was applied.

Results: The mean child's BMI at age 3 was 15.59 kg/m² and increased to 17.86 kg/m² at age 11. The percentage of parent-reported overeating increased in the following period, from about 12% at age 3 to 17% at age 11. The results showed temporal stability in perceived overeating and BMI, with a bidirectional relationship strengthening over time. The child's BMI was associated with maternal BMI. Maternal BMI was positively associated with child-perceived overeating, but a stronger effect was found for ACEs. ACEs mediated the impact of maternal education, financial difficulties and single parenthood on overeating.

Conclusions: We observed stable bidirectional associations between BMI and perceived overeating. The results indicated two main pathways: one linked to maternal BMI and early childhood BMI increase followed by perceived overeating and the second associated with ACEs mediating the effect of early childhood social factors on perceived overeating, leading to gradual BMI gain.

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早年的社会条件和不良经历与儿童的体重指数和认为的暴饮暴食有关。

背景：早年的社会经济劣势和不良经历可能导致暴饮暴食，而暴饮暴食又与体重指数（BMI）的增加有关。然而，最近有证据表明，童年体重指数与暴饮暴食之间的关系可能是双向的。这种双向性促使我们有必要进一步研究儿童时期体重指数的早期预测因素：纵向评估儿童期体重指数与感知到的暴饮暴食之间关系的方向性，并研究其早期生活中的先行预测因素：样本包括 ELSPAC 研究中 5151 名儿童的数据，收集时间为儿童 18 个月至 11 岁之间。结果为儿童体重指数和母亲报告的暴饮暴食，分别在儿童3、5、7和11岁时进行评估。预测因素包括母亲体重指数、母亲教育程度、单亲家庭、经济困难以及父母和儿科医生报告的不良童年经历（ACEs）。研究采用随机截距交叉滞后面板模型：结果：3 岁儿童的平均体重指数为 15.59 kg/m2，11 岁时增至 17.86 kg/m2。父母报告的暴饮暴食比例在接下来的时间里有所上升，从 3 岁时的约 12% 上升到 11 岁时的 17%。结果显示，暴饮暴食感和体重指数在时间上具有稳定性，双向关系随着时间的推移而加强。孩子的体重指数与母亲的体重指数相关。母亲的体重指数与儿童感知的暴饮暴食呈正相关，但 ACE 的影响更大。ACE对母亲教育、经济困难和单亲对暴饮暴食的影响具有中介作用：我们观察到体重指数（BMI）与感知到的暴饮暴食之间存在稳定的双向关系。结果表明有两条主要途径：一条途径与母亲的体重指数（BMI）有关，儿童早期的体重指数（BMI）增加，随后感知到暴饮暴食；第二条途径与 ACE 有关，ACE 在儿童早期的社会因素对感知到暴饮暴食的影响中起中介作用，导致体重指数（BMI）逐渐增加。

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

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.