Adverse Childhood Experiences Are Associated with Cardiometabolic Risk among Hispanic American Adolescents
To assess the relationship between adverse childhood experiences (ACEs) and cardiometabolic risk among Hispanic adolescents. This cross-sectional study was conducted at an academic research center in Gainesville, Florida. Participants were locally recruited, and data were collected from June 2016 to...
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| Veröffentlicht in: | The Journal of pediatrics 2021-10, Vol.237, p.267-275.e1 |
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| container_title | The Journal of pediatrics |
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| creator | Andrade, Joanne L. Hong, Young-Rock Lee, Alexandra M. Miller, Darci R. Williams, Charlette Thompson, Lindsay A. Bright, Melissa A. Cardel, Michelle I. |
| description | To assess the relationship between adverse childhood experiences (ACEs) and cardiometabolic risk among Hispanic adolescents.
This cross-sectional study was conducted at an academic research center in Gainesville, Florida. Participants were locally recruited, and data were collected from June 2016 to July 2018. Participants (n = 133, 60.2% female) were healthy adolescents aged 15-21 years who self-identified as Hispanic, were born in the US, and had a body mass index (BMI) between ≥18.5 and ≤40 kg/m2. Primary outcomes were BMI, body fat percentage, waist circumference, and resting blood pressure. Associations between ACEs and cardiometabolic measures were assessed by multivariable logistic regression models, which controlled for sex, age, parental education, and food insecurity. Results were sex-stratified to assess potential variations.
Reporting ≥4 ACEs (28.6%) was significantly associated with a greater BMI (P = .004), body fat percentage (P = .02), and diastolic blood pressure (P = .05) compared with reporting |
| doi_str_mv | 10.1016/j.jpeds.2021.06.024 |
| format | Article |
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This cross-sectional study was conducted at an academic research center in Gainesville, Florida. Participants were locally recruited, and data were collected from June 2016 to July 2018. Participants (n = 133, 60.2% female) were healthy adolescents aged 15-21 years who self-identified as Hispanic, were born in the US, and had a body mass index (BMI) between ≥18.5 and ≤40 kg/m2. Primary outcomes were BMI, body fat percentage, waist circumference, and resting blood pressure. Associations between ACEs and cardiometabolic measures were assessed by multivariable logistic regression models, which controlled for sex, age, parental education, and food insecurity. Results were sex-stratified to assess potential variations.
Reporting ≥4 ACEs (28.6%) was significantly associated with a greater BMI (P = .004), body fat percentage (P = .02), and diastolic blood pressure (P = .05) compared with reporting <4 ACEs. Female participants reporting ≥4 ACEs were significantly more likely to have a greater BMI (P = .04) and body fat percentage (P = .03) whereas male participants reporting ≥4 ACEs were significantly more likely to have a greater BMI (P = .04), systolic blood pressure (P = .03), and diastolic blood pressure (P = .03).
Hispanic adolescent participants who experienced ≥4 ACEs were more likely to have elevated risk markers of obesity and cardiometabolic disease. Further research is needed to elucidate the physiological mechanisms driving these relationships.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2021.06.024</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>abuse ; cardiovascular ; diabetes ; heart disease ; Latinx ; obesity ; trauma ; violence ; young adult</subject><ispartof>The Journal of pediatrics, 2021-10, Vol.237, p.267-275.e1</ispartof><rights>2021 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c336t-988f4606f94384a76c40017838b0029a4d0b8ae5807b6dd110afb3db1737e1b33</citedby><cites>FETCH-LOGICAL-c336t-988f4606f94384a76c40017838b0029a4d0b8ae5807b6dd110afb3db1737e1b33</cites><orcidid>0000-0002-8055-1210 ; 0000-0002-0366-5687</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2021.06.024$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids></links><search><creatorcontrib>Andrade, Joanne L.</creatorcontrib><creatorcontrib>Hong, Young-Rock</creatorcontrib><creatorcontrib>Lee, Alexandra M.</creatorcontrib><creatorcontrib>Miller, Darci R.</creatorcontrib><creatorcontrib>Williams, Charlette</creatorcontrib><creatorcontrib>Thompson, Lindsay A.</creatorcontrib><creatorcontrib>Bright, Melissa A.</creatorcontrib><creatorcontrib>Cardel, Michelle I.</creatorcontrib><title>Adverse Childhood Experiences Are Associated with Cardiometabolic Risk among Hispanic American Adolescents</title><title>The Journal of pediatrics</title><description>To assess the relationship between adverse childhood experiences (ACEs) and cardiometabolic risk among Hispanic adolescents.
This cross-sectional study was conducted at an academic research center in Gainesville, Florida. Participants were locally recruited, and data were collected from June 2016 to July 2018. Participants (n = 133, 60.2% female) were healthy adolescents aged 15-21 years who self-identified as Hispanic, were born in the US, and had a body mass index (BMI) between ≥18.5 and ≤40 kg/m2. Primary outcomes were BMI, body fat percentage, waist circumference, and resting blood pressure. Associations between ACEs and cardiometabolic measures were assessed by multivariable logistic regression models, which controlled for sex, age, parental education, and food insecurity. Results were sex-stratified to assess potential variations.
Reporting ≥4 ACEs (28.6%) was significantly associated with a greater BMI (P = .004), body fat percentage (P = .02), and diastolic blood pressure (P = .05) compared with reporting <4 ACEs. Female participants reporting ≥4 ACEs were significantly more likely to have a greater BMI (P = .04) and body fat percentage (P = .03) whereas male participants reporting ≥4 ACEs were significantly more likely to have a greater BMI (P = .04), systolic blood pressure (P = .03), and diastolic blood pressure (P = .03).
Hispanic adolescent participants who experienced ≥4 ACEs were more likely to have elevated risk markers of obesity and cardiometabolic disease. Further research is needed to elucidate the physiological mechanisms driving these relationships.</description><subject>abuse</subject><subject>cardiovascular</subject><subject>diabetes</subject><subject>heart disease</subject><subject>Latinx</subject><subject>obesity</subject><subject>trauma</subject><subject>violence</subject><subject>young adult</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kEFP3TAQhK2KSn2l_QW9-MglYR0bJzlwiJ4oVEJCQu3ZcuxNn9MkDt4A7b_H8HrmtNJqZjTzMfZNQClA6POxHFf0VFZQiRJ0CZX6wHYC2rrQjZQnbAdQVYVUtf7EPhONANAqgB0bO_-EiZDvD2Hyhxg9v_q7Ygq4OCTeJeQdUXTBbuj5c9gOfG-TD3HGzfZxCo7fB_rD7RyX3_wm0GqX_OvmHOHswjsfJySHy0Zf2MfBToRf_99T9uv71c_9TXF7d_1j390WTkq9FW3TDEqDHlolG2Vr7XJRUTey6fOI1ioPfWPxooG6194LAXbope9FLWsUvZSn7OyYu6b48Ii0mTnkBtNkF4yPZKoLJWvQSqsslUepS5Eo4WDWFGab_hkB5pWsGc0bWfNK1oA2mWx2XR5dmFc8BUyG3BsvHxK6zfgY3vW_ACG0gy4</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Andrade, Joanne L.</creator><creator>Hong, Young-Rock</creator><creator>Lee, Alexandra M.</creator><creator>Miller, Darci R.</creator><creator>Williams, Charlette</creator><creator>Thompson, Lindsay A.</creator><creator>Bright, Melissa A.</creator><creator>Cardel, Michelle I.</creator><general>Elsevier Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8055-1210</orcidid><orcidid>https://orcid.org/0000-0002-0366-5687</orcidid></search><sort><creationdate>202110</creationdate><title>Adverse Childhood Experiences Are Associated with Cardiometabolic Risk among Hispanic American Adolescents</title><author>Andrade, Joanne L. ; Hong, Young-Rock ; Lee, Alexandra M. ; Miller, Darci R. ; Williams, Charlette ; Thompson, Lindsay A. ; Bright, Melissa A. ; Cardel, Michelle I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-988f4606f94384a76c40017838b0029a4d0b8ae5807b6dd110afb3db1737e1b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>abuse</topic><topic>cardiovascular</topic><topic>diabetes</topic><topic>heart disease</topic><topic>Latinx</topic><topic>obesity</topic><topic>trauma</topic><topic>violence</topic><topic>young adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andrade, Joanne L.</creatorcontrib><creatorcontrib>Hong, Young-Rock</creatorcontrib><creatorcontrib>Lee, Alexandra M.</creatorcontrib><creatorcontrib>Miller, Darci R.</creatorcontrib><creatorcontrib>Williams, Charlette</creatorcontrib><creatorcontrib>Thompson, Lindsay A.</creatorcontrib><creatorcontrib>Bright, Melissa A.</creatorcontrib><creatorcontrib>Cardel, Michelle I.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andrade, Joanne L.</au><au>Hong, Young-Rock</au><au>Lee, Alexandra M.</au><au>Miller, Darci R.</au><au>Williams, Charlette</au><au>Thompson, Lindsay A.</au><au>Bright, Melissa A.</au><au>Cardel, Michelle I.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adverse Childhood Experiences Are Associated with Cardiometabolic Risk among Hispanic American Adolescents</atitle><jtitle>The Journal of pediatrics</jtitle><date>2021-10</date><risdate>2021</risdate><volume>237</volume><spage>267</spage><epage>275.e1</epage><pages>267-275.e1</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>To assess the relationship between adverse childhood experiences (ACEs) and cardiometabolic risk among Hispanic adolescents.
This cross-sectional study was conducted at an academic research center in Gainesville, Florida. Participants were locally recruited, and data were collected from June 2016 to July 2018. Participants (n = 133, 60.2% female) were healthy adolescents aged 15-21 years who self-identified as Hispanic, were born in the US, and had a body mass index (BMI) between ≥18.5 and ≤40 kg/m2. Primary outcomes were BMI, body fat percentage, waist circumference, and resting blood pressure. Associations between ACEs and cardiometabolic measures were assessed by multivariable logistic regression models, which controlled for sex, age, parental education, and food insecurity. Results were sex-stratified to assess potential variations.
Reporting ≥4 ACEs (28.6%) was significantly associated with a greater BMI (P = .004), body fat percentage (P = .02), and diastolic blood pressure (P = .05) compared with reporting <4 ACEs. Female participants reporting ≥4 ACEs were significantly more likely to have a greater BMI (P = .04) and body fat percentage (P = .03) whereas male participants reporting ≥4 ACEs were significantly more likely to have a greater BMI (P = .04), systolic blood pressure (P = .03), and diastolic blood pressure (P = .03).
Hispanic adolescent participants who experienced ≥4 ACEs were more likely to have elevated risk markers of obesity and cardiometabolic disease. Further research is needed to elucidate the physiological mechanisms driving these relationships.</abstract><pub>Elsevier Inc</pub><doi>10.1016/j.jpeds.2021.06.024</doi><orcidid>https://orcid.org/0000-0002-8055-1210</orcidid><orcidid>https://orcid.org/0000-0002-0366-5687</orcidid></addata></record> |
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| ispartof | The Journal of pediatrics, 2021-10, Vol.237, p.267-275.e1 |
| issn | 0022-3476 1097-6833 |
| language | eng |
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| source | Elsevier ScienceDirect Journals |
| subjects | abuse cardiovascular diabetes heart disease Latinx obesity trauma violence young adult |
| title | Adverse Childhood Experiences Are Associated with Cardiometabolic Risk among Hispanic American Adolescents |
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