关键词: adverse childhood experiences early life adversity obesity overweight weight cycling

来  源:   DOI:10.1002/osp4.736   PDF(Pubmed)

Abstract:
UNASSIGNED: Adverse childhood experiences (ACEs) predict obesity onset; however, the relationship between ACEs and history of weight cycling has not been adequately explored. This gap is problematic given the difficulty in weight loss maintenance and the impact of ACEs on obesity development, chronicity, and associated weight stigma. The objective of this study was to examine associations between self-reported history of ACEs and weight cycling in a sample of weight loss treatment-seeking adults with overweight/obesity.
UNASSIGNED: The number of participants in the analyzed sample was 78, mostly white educated adult women (80% female, 81% Caucasian, 75% ≥ bachelor\'s degree) with excess adiposity enrolled in the Cognitive and Self-regulatory Mechanisms of Obesity Study. ACEs were measured at baseline using the ACEs Scale. History of weight cycling was measured using the Weight and Lifestyle Inventory that documented weight loss(es) of 10 or more pounds.
UNASSIGNED: Higher ACE scores were associated with a greater likelihood of reporting a history of weight cycling. Participants with four or more ACEs had 8 times higher odds (OR = 8.301, 95% CI = 2.271-54.209, p = 0.027) of reporting weight cycling compared with participants with no ACEs. The association of weight cycling for those who endorsed one to three ACEs was not significant (OR = 2.3, 95% CI = 0.771-6.857, p = 0.135) in this sample.
UNASSIGNED: The role of ACEs in health may be related to associations with weight cycling. Results indicated that those who reported four or more ACEs had significantly higher odds of reporting weight cycling compared with those with no ACEs. Further research is needed to further explore how ACEs predict the likelihood of weight cycling, which may be prognostic for sustained weight loss treatment response and weight stigma impacts.
摘要:
不良儿童经历(ACE)预测肥胖的发作;然而,ACEs与体重循环史之间的关系尚未得到充分探讨.考虑到减肥维持的难度以及ACE对肥胖发展的影响,这种差距是有问题的。慢性,和相关的体重污名。这项研究的目的是在超重/肥胖的寻求减肥治疗的成年人样本中,检查自我报告的ACE病史与体重循环之间的关联。
分析样本中的参与者人数为78人,主要是白人受过教育的成年女性(80%为女性,81%白种人,75%≥学士学位)肥胖过多的肥胖患者参加了肥胖的认知和自我调节机制研究。使用ACE量表在基线测量ACE。使用记录10磅或更多磅的体重减轻的体重和生活方式清单来测量体重循环的历史。
较高的ACE评分与报告体重循环史的更大可能性相关。与没有ACE的参与者相比,有四个或更多ACE的参与者报告体重循环的几率高8倍(OR=8.301,95%CI=2.271-54.209,p=0.027)。在这个样本中,那些认可一到三个ACE的人的体重循环相关性不显著(OR=2.3,95%CI=0.771-6.857,p=0.135)。
ACE在健康中的作用可能与体重循环有关。结果表明,与没有ACE的人相比,报告四个或更多ACE的人报告体重循环的几率明显更高。需要进一步的研究来进一步探索ACE如何预测体重循环的可能性,这可能是持续减肥治疗反应和体重污名影响的预后。
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