TY - JOUR
T1 - Childhood abuse victimization, stress-related eating, and weight status in young women
AU - Mason, Susan M.
AU - MacLehose, Richard F.
AU - Katz-Wise, Sabra L.
AU - Austin, S. Bryn
AU - Neumark-Sztainer, Dianne
AU - Harlow, Bernard L.
AU - Rich-Edwards, Janet W.
N1 - Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Purpose: Abuse in childhood predicts stress-related overeating and excess weight gain in young women. We investigated whether two stress-related overeating behaviors-binge eating and coping-motivated eating-explain childhood abuse associations with weight status in young women. Methods: Analyses included 4377 women participating in the Growing Up Today Study, a longitudinal cohort of youth enrolled at age 9 to 14years. We used marginal structural models to estimate the effects of abuse before age 11years on weight status at age 22 to 29years with and without adjustment for binge eating and coping-motivated eating. Results: Women with severe physical, sexual, and emotional abuse had early adult body mass indexes (BMIs) that were 0.74kg/m2 (95% confidence interval [CI]: 0.15-1.33), 0.69 (95% CI:-0.46 to 1.83), and 0.85 (95% CI: 0.24-1.45) kg/m2 higher, respectively, than those without abuse. Adjustment for coping-motivated eating attenuated the excess BMI associated with severe physical abuse, but no other important attenuations were found. Conclusions: Physical, sexual, and emotional abuse before age 11years were associated with higher early adult weight status, although the sexual abuse estimate was not statistically significant. Evidence for a role of stress-related eating in abuse-BMI associations was limited and inconsistent across abuse types.
AB - Purpose: Abuse in childhood predicts stress-related overeating and excess weight gain in young women. We investigated whether two stress-related overeating behaviors-binge eating and coping-motivated eating-explain childhood abuse associations with weight status in young women. Methods: Analyses included 4377 women participating in the Growing Up Today Study, a longitudinal cohort of youth enrolled at age 9 to 14years. We used marginal structural models to estimate the effects of abuse before age 11years on weight status at age 22 to 29years with and without adjustment for binge eating and coping-motivated eating. Results: Women with severe physical, sexual, and emotional abuse had early adult body mass indexes (BMIs) that were 0.74kg/m2 (95% confidence interval [CI]: 0.15-1.33), 0.69 (95% CI:-0.46 to 1.83), and 0.85 (95% CI: 0.24-1.45) kg/m2 higher, respectively, than those without abuse. Adjustment for coping-motivated eating attenuated the excess BMI associated with severe physical abuse, but no other important attenuations were found. Conclusions: Physical, sexual, and emotional abuse before age 11years were associated with higher early adult weight status, although the sexual abuse estimate was not statistically significant. Evidence for a role of stress-related eating in abuse-BMI associations was limited and inconsistent across abuse types.
KW - Body mass index
KW - Child abuse
KW - Eating disorders
KW - Hyperphagia
KW - Obesity
KW - Overweight
KW - Psychological stress
KW - Violence
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U2 - 10.1016/j.annepidem.2015.06.081
DO - 10.1016/j.annepidem.2015.06.081
M3 - Article
C2 - 26272779
AN - SCOPUS:84941184149
SN - 1047-2797
VL - 25
SP - 760-766.e2
JO - Annals of epidemiology
JF - Annals of epidemiology
IS - 10
ER -