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Associations between adverse childhood experiences and weight, weight control behaviors and quality of life in Veterans seeking weight management services
Eating Behaviors ( IF 2.936 ) Pub Date : 2020-11-22 , DOI: 10.1016/j.eatbeh.2020.101461
Robin M. Masheb , Margaret Sala , Alison G. Marsh , Jennifer L. Snow , Amanda M. Kutz , Christopher B. Ruser

Introduction

A neglected area of trauma research with Veterans is the study of Adverse Childhood Experiences (ACEs). The present study aimed to examine the prevalence of ACEs, and to explore relationships between ACEs and measures of weight, eating behaviors and quality of life in weight loss seeking Veterans.

Methods

Participants were 191 Veterans [mean age 58.9 (SD = 12.8), mean Body Mass Index (BMI) 35.4 (SD = 6.1), 86.9% male, 33.7% racial/ethnic minority] receiving care at VA Connecticut Healthcare System (VA CT) who attended an orientation session of VA's behavioral weight management program. Participants completed a measure of ACEs and measures related to weight, eating and health.

Results

Among completers, 68.6% endorsed at least one ACE. The average number of reported ACEs was 2.2 (SD = 2.5), with 48.7% of Veterans reporting more than one type of ACE. Women were more likely to report any ACE (88.0% vs. 65.6%, p = .025) and reported significantly more ACEs compared to males (4.2 vs. 1.9, p < .001). ACEs were associated with lower physical activity (p = .05), lower quality of life (p's < 0.05), and lower weight-related quality of life (p < .01), but not weight, weight control strategies, binge eating, or alcohol use.

Conclusion

ACEs are common among weight loss seeking Veterans, particularly among female Veterans. Findings suggest that there is a high rate of ACEs in Veterans, which are associated with exercise and quality of life outcomes, but not diet and weight outcomes.



中文翻译:

寻求体重管理服务的退伍军人中不利的儿童经历与体重,体重控制行为和生活质量之间的关联

介绍

退伍军人研究创伤的一个被忽视的领域是不良儿童经历(ACE)的研究。本研究旨在检查ACE的患病率,并探讨ACE与寻求减肥的退伍军人的体重,饮食行为和生活质量之间的关系。

方法

参加该研究的191名退伍军人[平均年龄58.9(SD  = 12.8),平均体重指数(BMI)35.4(SD  = 6.1),男性86.9%,种族/族裔少数民族]在康涅狄格州医疗保健系统(VA CT)接受治疗他们参加了VA行为体重管理计划的入学培训。参与者完成了ACEs的量度以及与体重,饮食和健康有关的量度。

结果

在完成者中,有68.6%的人认可了至少一个ACE。报告的ACE的平均数量为2.2(标准差= 2.5),其中48.7%的退伍军人报告了一种以上的ACE。女性更有可能报告任何ACE(88.0%vs. 65.6%,p  = .025),并且报告的ACEs明显多于男性(4.2 vs. 1.9,p  <.001)。ACE与运动量较低(p  = .05),生活质量较低(p's  <0.05)和体重相关的生活质量较低(p  <.01)有关,但与体重,体重控制策略,暴饮暴食,或饮酒。

结论

ACEs在寻求减肥的退伍军人中很常见,尤其是在女性退伍军人中。研究结果表明,退伍军人中ACE的发生率很高,这与运动和生活质量的结果有关,而与饮食和体重的结果无关。

更新日期:2020-12-23
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