Sex-specific associations of childhood maltreatment with obesity-related traits - The Study of Health in Pomerania (SHIP)

Copyright © 2024. Published by Elsevier Ltd..

BACKGROUND: Child maltreatment (CM) is linked to obesity in adulthood. However, sex-differences and direct measurements of body fat have previously been insufficiently considered in this context.

OBJECTIVE: To assess sex-specific associations of CM with anthropometric markers of overweight/obesity and direct measures of body fat.

PARTICIPANTS AND SETTING: Analyses were conducted in 4006 adults from a population-based cohort in Northeastern Germany (SHIP-TREND-0).

METHODS: CM was assessed using the Childhood Trauma Questionnaire (CTQ). Obesity-related traits included anthropometric indicators (i.e., height, weight, body mass index [BMI], waist [WC] and hip circumference [HC], waist-to-hip ratio [WHR], waist-to-height ratio [WHtR]), fat mass (FM) and fat-free mass (FFM) derived from bioelectrical impedance analysis (BIA), and subcutaneous (SAT) and visceral adipose tissue (VAT) ascertained using magnetic resonance imaging (MRI). Sex-stratified linear regression models predicting obesity-related traits from total CTQ scores were adjusted for age and education. Exploratory analyses investigated effects of CTQ subscales on obesity-related traits.

RESULTS: In men, CM was positively associated with WHtR (β = 0.04; p = .030) and VAT (β = 0.02; p = .031) and inversely with body height (β = -0.05; p = .010). In women, CM-exposure was positively associated with body weight (β = 0.07; p = .018), BMI (β = 0.03; p = .013), WC (β = 0.07; p = .005), HC (β = 0.05; p = .046), WHR (β = 0.03; p = .015), WHtR (β = 0.04; p = .006), FM (β = 0.04; p = .006), and SAT (β = 0.06; p = .041). In both sexes, effects were mainly driven by exposure to emotional and physical abuse.

CONCLUSIONS: Results suggest that associations between CM-exposure and obesity-related traits in adulthood are primarily present in women. This may have implications for sex-specific obesity-related cardiometabolic risk after CM.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:149

Enthalten in:

Child abuse & neglect - 149(2024) vom: 30. März, Seite 106704

Sprache:

Englisch

Beteiligte Personen:

Töpfer, Philipp [VerfasserIn]
Siewert-Markus, Ulrike [VerfasserIn]
Klinger-König, Johanna [VerfasserIn]
Grabe, Hans J [VerfasserIn]
Stracke, Sylvia [VerfasserIn]
Dörr, Marcus [VerfasserIn]
Völzke, Henry [VerfasserIn]
Ittermann, Till [VerfasserIn]
Markus, Marcello R P [VerfasserIn]

Links:

Volltext

Themen:

Body fat
Cardiometabolic risk
Child maltreatment
Journal Article
Long-term risk
Obesity
Research Support, Non-U.S. Gov't
Sex differences

Anmerkungen:

Date Completed 12.03.2024

Date Revised 27.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.chiabu.2024.106704

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368850005