The association of adverse life events with children's emotional overeating and restrained eating in a population-based cohort

IF 4.3 2区医学 Q1 NUTRITION & DIETETICS International Journal of Eating Disorders Pub Date : 2020-07-23 DOI:10.1002/eat.23351

Robin Thomas MD, Roberta Siliquini MD, Manon H. Hillegers MD, PhD, Pauline W. Jansen PhD

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引用次数: 12

Abstract

Objective

Life adversities are recognized risk factors for eating disorders, in adolescents and adults, but whether such adversities are also associated with particular eating behaviors earlier in life is still unclear. Our aim was to assess whether experiencing adverse life events in early childhood is associated with emotional overeating and restrained eating at age 10.

Methods

Emotional overeating and restrained eating were assessed in 4,653 10-years-old children using the mother-reported Children's Eating Behavior Questionnaire and Dutch Eating Behavior Questionnaire. Mothers also reported on 24 different life events during childhood, those with moderate or severe impact being categorized as adverse life events. Regression analyses were performed to investigate relationships between adverse life events and eating behaviors in the total sample.

Results

Adjusted for covariates, adverse life events were associated with more emotional overeating and restrained eating in children (p-values for trend <.01). Specifically, mothers who reported that their child experienced 3+ adverse life events, also reported significantly higher emotional overeating (B = 0.20; 95% confidence interval [CI], 0.06–0.33) and restrained eating (B = 0.21; 95% CI, 0.08–0.33) in their children relative to children who did not experience adverse life events. These results did not differ by sex.

Discussion

Our results based on mother-reported data suggest that children's experiences of life adversities are associated with emotional overeating and restrained eating at age 10 years. We recommend future prospective studies using multi-informant assessments of both adverse life events and eating behaviors to further describe the nature and developmental course of this relationship.

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在以人群为基础的队列中，不良生活事件与儿童情绪性暴饮暴食和节制饮食的关系

生活逆境是青少年和成人饮食失调的公认危险因素，但这种逆境是否也与生命早期的特定饮食行为有关尚不清楚。我们的目的是评估童年早期经历不良生活事件是否与10岁时的情绪性暴饮暴食和节制饮食有关。方法采用《儿童饮食行为问卷》和《荷兰式饮食行为问卷》对4653名10岁儿童进行情绪性暴饮暴食和克制性饮食的调查。母亲们还报告了24种不同的童年生活事件，那些有中度或严重影响的事件被归类为不良生活事件。通过回归分析来调查不良生活事件与总样本饮食行为之间的关系。结果经协变量调整后，儿童不良生活事件与情绪性暴饮暴食和克制性饮食相关(p值为趋势值< 0.01)。具体来说，报告孩子经历3次以上不良生活事件的母亲也报告了更高的情绪性暴饮暴食(B = 0.20;95%可信区间[CI]， 0.06-0.33)和节制饮食(B = 0.21;95% CI, 0.08-0.33)，与没有经历不良生活事件的儿童相比。这些结果没有性别差异。我们的研究结果基于母亲报告的数据，表明儿童的生活逆境经历与10岁时的情绪性暴饮暴食和克制性饮食有关。我们建议未来的前瞻性研究使用多信息来源评估不良生活事件和饮食行为，以进一步描述这种关系的性质和发展过程。

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来源期刊

International Journal of Eating Disorders 医学-精神病学

CiteScore

10.00

自引率

12.70%

发文量

204

审稿时长

4-8 weeks

期刊介绍： Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.