Abstract:
OBJECTIVE:To identify whether psychosocial stress exposure during early childhood predicts subsequent increased eating in the absence of hunger (EAH), emotional overeating, food responsiveness, and enjoyment of food. METHODS:This was an observational longitudinal study. Among 207 low-income children (54.6% non-Hispanic white, 46.9% girls), early childhood stress exposure was measured by parent report and a stress exposure index calculated, with higher scores indicating more stress exposure. Eating behaviors were measured in early (mean, 4.3; standard deviation, 0.5 years) and middle (mean, 7.9; standard deviation, 0.7 years) childhood. Observed EAH was assessed by measuring kilocalories of palatable food the child consumed after a meal. Parents reported on child eating behaviors on the Child Eating Behavior Questionnaire. Child weight and height were measured and body mass index z score (BMIz) calculated. Multivariable linear regression, adjusting for child sex, race/ethnicity, and BMIz, was used to examine the association of stress exposure with rate of change per year in each child eating behavior. RESULTS:Early childhood stress exposure predicted yearly increases in EAH (β = 0.14; 95% confidence interval, 0.002, 0.27) and Emotional Overeating (β = 0.14; 95% confidence interval, 0.008, 0.27). Stress exposure was not associated with Food Responsiveness (trend for decreased Enjoyment of Food; β = -0.13; 95% confidence interval, 0.002, -0.26). All child obesogenic eating behaviors increased with age (P < .05). CONCLUSIONS:Early stress exposure predicted increases in child eating behaviors known to associate with overweight/obesity. Psychosocial stress may confer overweight/obesity risk through eating behavior pathways. Targeting eating behaviors may be an important prevention strategy for children exposed to stress.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Miller AL,Gearhardt AN,Retzloff L,Sturza J,Kaciroti N,Lumeng JCdoi
10.1016/j.acap.2018.01.007subject
Has Abstractpub_date
2018-08-01 00:00:00pages
685-691issue
6eissn
1876-2859issn
1876-2867pii
S1876-2859(18)30012-3journal_volume
18pub_type
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journal_title:Academic pediatrics
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更新日期:2017-01-01 00:00:00
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更新日期:2018-08-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/j.acap.2018.03.009
更新日期:2018-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.08.011
更新日期:2020-08-20 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.12.001
更新日期:2014-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.acap.2019.02.014
更新日期:2019-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.08.014
更新日期:2018-04-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.09.012
更新日期:2020-09-30 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.acap.2013.04.005
更新日期:2013-07-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2018-03-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-07-01 00:00:00
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doi:10.1016/j.acap.2018.01.008
更新日期:2018-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-11-01 00:00:00
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journal_title:Academic pediatrics
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更新日期:2012-09-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2016.01.013
更新日期:2016-04-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.07.001
更新日期:2014-11-01 00:00:00
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journal_title:Academic pediatrics
pub_type: 杂志文章
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更新日期:2013-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-10-07 00:00:00