Associations Between Adverse Childhood Experiences and Early Adolescent Physical Activity in the United States

To determine the associations between the number of adverse childhood experiences (ACEs) and objectively-measured physical activity (PA) in a population-based, demographically diverse cohort of 9–14-year-olds and to determine which subtypes of ACEs were associated with physical activity levels. We a...

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Bibliographic Details
Published in:Academic pediatrics Vol. 24; no. 4; pp. 662 - 668
Main Authors: Al-shoaibi, Abubakr A.A., Iyra, Puja, Raney, Julia H., Ganson, Kyle T., Dooley, Erin E., Testa, Alexander, Jackson, Dylan B., Gabriel, Kelley P., Baker, Fiona C., Nagata, Jason M.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.05.2024
Subjects:
Adolescent
adolescents
adverse childhood experiences
Adverse Childhood Experiences - statistics & numerical data
Child
Child Abuse - statistics & numerical data
Cohort Studies
Divorce - statistics & numerical data
Exercise
Female
Fitbit
Humans
Linear Models
Male
Neonatal and Perinatal Medicine
Pediatrics
Physical Abuse - statistics & numerical data
physical activity
United States
United States
adolescents
Fitbit
adverse childhood experiences
physical activity
ISSN:1876-2859, 1876-2867, 1876-2867
Online Access:Get full text
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Summary:To determine the associations between the number of adverse childhood experiences (ACEs) and objectively-measured physical activity (PA) in a population-based, demographically diverse cohort of 9–14-year-olds and to determine which subtypes of ACEs were associated with physical activity levels. We analyzed data (n = 7046) from the Adolescent Brain Cognitive Development (ABCD) Study 4.0 release at baseline and year 2 follow-up. ACE (cumulative score and subtypes) and physical activity (average Fitbit daily steps assessed at Year 2) were analyzed using linear regression analyses. Covariates included race and ethnicity, sex, household income, parent education, body mass index, study site, twins/siblings, and data collection period. Adjusted models suggest an inverse association between number of ACEs and Fitbit daily steps, with ≥4 (compared to 0) ACEs associated with 567 fewer daily steps (95% CI -902.2, -232.2). Of the ACEs subtypes, emotional abuse (B = −719.3, 95% CI −1430.8, −7.9), physical neglect (B = −423.7, 95% CI −752.8, −94.6), household mental illness (B = −317.1, 95% CI −488.3, −145.9), and household divorce or separation (B = −275.4, 95% CI −521.5, −29.2) were inversely and statistically significant associated with Fitbit daily steps after adjusting for confounders. Our results suggest that there is an inverse, dose-dependent relationship between cumulative number of ACEs and physical activity as measured by daily steps. This work highlights the importance of screening for ACEs among young people at an early age to help identify those who could benefit from interventions or community programs that support increased physical activity.
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Equal contributions
ISSN:1876-2859
1876-2867
1876-2867
DOI:10.1016/j.acap.2023.10.004