Adverse Childhood Experiences and Risk of Abnormal Body Mass Index : A Global Systematic Review and Meta-Analysis

Amiri, Sohrab and Mahmood, Nailah and Yusuf, Rahemeen and Ghenimi, Nadirah and Javaid, Syed Fahad and Khan, Moien AB (2024) Adverse Childhood Experiences and Risk of Abnormal Body Mass Index : A Global Systematic Review and Meta-Analysis. Children, 11 (8): 1015. ISSN 2227-9067

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Abstract

(1) Objectives: The impact of abnormal body mass index (BMI) on health is extensive, and various risk factors contribute to its effects. This study aimed to examine the association between adverse childhood experiences (ACEs) and BMI categories, including underweight, overweight, obesity, severe obesity, and morbid obesity; (2) Methods: Three databases were searched: Web of Science, PubMed, and Scopus. Manual searches were conducted using Google Scholar and ResearchGate. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to assess the association between ACEs and BMI. A random-effects model was used to combine the ORs and CIs across studies; (3) Results: This meta-analysis included 71 studies. The pooled ORs for the relationship between ACEs and obesity was 1.42 (95% CI: 1.24–1.63, Z = 4.96, p < 0.001), indicating a significant association. ACEs showed a positive association with overweight (OR = 1.16, 95% CI: 1.06–1.27, Z = 3.24, p = 0.001). Specifically, ACEs ≥ 4 were strongly associated with obesity (OR = 2.06, 95% CI: 1.27–3.36, Z = 2.90, p = 0.004). Sexual abuse was also found to be significantly associated with obesity (OR = 1.46, 95% CI: 1.29–1.65, Z = 5.98, p < 0.001); (4) Conclusion: This study finds that individuals who have experienced ACEs are more likely to have a higher BMI in adulthood. Therefore, ACEs should be considered a factor associated with abnormal BMI.

Item Type:
Journal Article
Journal or Publication Title:
Children
ID Code:
223499
Deposited By:
Deposited On:
29 Aug 2024 12:30
Refereed?:
Yes
Published?:
Published
Last Modified:
30 Aug 2024 00:18