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Associations between Adverse Childhood Experiences and Obesity in a Developing Country: A Cross-Sectional Study among Middle-Aged and Older Chinese Adults

International journal of environmental research and public health, 2022-06, Vol.19 (11), p.6796 [Peer Reviewed Journal]

2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2022 by the authors. 2022 ;ISSN: 1660-4601 ;ISSN: 1661-7827 ;EISSN: 1660-4601 ;DOI: 10.3390/ijerph19116796 ;PMID: 35682379

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  • Title:
    Associations between Adverse Childhood Experiences and Obesity in a Developing Country: A Cross-Sectional Study among Middle-Aged and Older Chinese Adults
  • Author: Lin, Li ; Chen, Weiqing ; Sun, Weidi ; Chen, Minyan ; Li, Jinghua ; Shen, Jichuan ; Guo, Vivian Yawei
  • Subjects: Adults ; Body mass ; Body mass index ; Body size ; Children ; Developing countries ; Epidemics ; Ethnicity ; Expenditures ; Households ; Industrialized nations ; LDCs ; Middle age ; Obesity ; Physical activity ; Regression analysis ; Retirement ; Rural areas ; Sleep ; Socioeconomic factors ; Socioeconomics
  • Is Part Of: International journal of environmental research and public health, 2022-06, Vol.19 (11), p.6796
  • Description: The association between adverse childhood experiences (ACEs) and obesity in developing countries has been underexplored and inconsistent. This cross-sectional study used data of 10,054 adults aged ≥ 45 years from the China Health and Retirement Longitudinal Study. Information on 12 ACE indicators was collected via questionnaires. General obesity was defined as a body mass index (BMI) of ≥28 kg/m². Central obesity was defined as a waist circumference of ≥90 cm for males and ≥85 cm for females. Logistic and linear regression analyses were conducted to evaluate the association of ACEs with general obesity, central obesity, BMI, and waist circumference where appropriate. Compared to the non-exposed group, the experience of ≥3 ACEs was significantly associated with decreased risks of general obesity (OR = 0.83, 95% CI: 0.69, 0.999), central obesity (OR = 0.88, 95% 0.77, 0.997), and smaller BMI (β = -0.27, 95% CI: -0.50, -0.04) and waist circumference (β = -0.89, 95% CI: -1.52, -0.26). Compared to the high socioeconomic status (SES) group, such associations were more evident in those with a low SES, except for central obesity. ACEs were shown to be inversely associated with later-life obesity in China, especially in socioeconomically disadvantaged populations. The context-specific impacts reflect divergent roles of socioeconomic position in the obesity epidemic between developed and developing countries. Further investigations are needed to confirm whether physical activity could shift the direction of this association.
  • Publisher: Switzerland: MDPI AG
  • Language: English
  • Identifier: ISSN: 1660-4601
    ISSN: 1661-7827
    EISSN: 1660-4601
    DOI: 10.3390/ijerph19116796
    PMID: 35682379
  • Source: GFMER Free Medical Journals
    PubMed Central
    ProQuest Central

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