Cumulative Adversity in Childhood and Emergent Risk Factors for Long-Term Health

To examine whether and when effects of cumulative adversity in the first 7 years of life are evident in relation to 3 childhood markers of risk for poor adult physical health. The study data are from an English birth cohort. Parental reports of 8 social risk factors were obtained during the child�...

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Vydáno v:The Journal of pediatrics Ročník 164; číslo 3; s. 631 - 638.e2
Hlavní autoři: Slopen, Natalie, Koenen, Karestan C., Kubzansky, Laura D.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Inc 01.03.2014
Témata:
Antisocial Personality Disorder - epidemiology
Blood Pressure
Body Height
Body Mass Index
Body Weight
Child
Child Abuse, Sexual - psychology
Child Behavior Disorders - epidemiology
Child Behavior Disorders - psychology
Child Development
Cohort Studies
Family Characteristics
Female
Foster Home Care
Humans
Income
Linear Models
Longitudinal Studies
Male
Mothers - psychology
Pediatrics
Residence Characteristics
Risk Factors
Surveys and Questionnaires
Wounds and Injuries - epidemiology
SBP
ALSPAC
DBP
CCEI
BP
BMI
Systolic blood pressure
Body mass index
Crown-Crisp Experiential Index
Diastolic blood pressure
Blood pressure
Avon Longitudinal Study of Parents and Children
ISSN:0022-3476, 1097-6833, 1097-6833
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Shrnutí:To examine whether and when effects of cumulative adversity in the first 7 years of life are evident in relation to 3 childhood markers of risk for poor adult physical health. The study data are from an English birth cohort. Parental reports of 8 social risk factors were obtained during the child's first 7 years, and scores were created to reflect cumulative adversity at 4 developmental periods. At age 7 and 11 years, weight, height, and blood pressure (BP) were measured by clinic staff, and caregivers reported behavior problems. Linear regression was used to estimate associations of cumulative adversity with each outcome (n = 4361) and changes in these outcomes between 7 and 11 years (n = 3348). At age 7 years, mean adversity and chronic exposure to high adversity were associated with elevated body mass index (BMI) and internalizing and externalizing symptoms (P < .05), but not elevated BP. Adversity in all developmental periods was associated with elevated numbers of internalizing and externalizing symptoms (P < .0001), but associations were less robust for BMI. Adversity did not predict change in BMI or BP between age 7 and 11 years, however, it predicted increases in internalizing and externalizing symptoms (P < .0001). Cumulative adversity was associated with BMI and behavior problems at age 7 years, and our data indicate that timing and chronicity of exposure to adversity differentially influence diverse indicators of long-term health risk commonly measured in childhood. This research suggests the hypothesis that interventions to address adversity could reduce the development of multiple chronic disease risk factors and limit their effects on health.
Bibliografie:ObjectType-Article-1
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ISSN:0022-3476
1097-6833
1097-6833
DOI:10.1016/j.jpeds.2013.11.003