000 04024nab a22005057a 4500
999 _c9094
_d9094
005 20250625151720.0
008 250114s2025 -nz|| |||| 00| 0 eng d
040 _aAFVC
100 _911655
_aMellar, Brooklyn M.
245 _aIdentification of positive childhood experiences with the potential to mitigate childhood unhealthy weight status in children within the context of adverse childhood experiences :
_ba prospective cohort study
_cBrooklyn M. Mellar, Maryam Ghasemi, Pauline Gulliver, Barry Milne, Fiona Langridge, Tracey McIntosh, Christa Fouché, Boyd Swinburn and Ladan Hashemi
260 _bBMC,
_c2025
500 _aBMC Public Health, 25: 8
520 _aBackground Despite potential protective and mitigating effects of positive childhood experiences (PCEs) on poor health outcomes, limited research has identified relevant PCEs and examined their individual and cumulative associations with weight status, or their mitigating effects on the associations between adverse childhood experiences (ACEs) and obesity in children. This study aims to develop an exploratory PCEs Index with the potential to protect against or mitigate the association between ACEs and unhealthy weight status. Methods Data came from the Growing Up in New Zealand study. The analytic sample was restricted to those who provided obesity data at age 8 and one child per mother, resulting in a sample of 4,895 children. Nine individual ACEs and their cumulative scores, a newly developed PCEs index consisting of six individual PCEs and (their) cumulative scores, and an overweight/obesity variable were included in the analyses. Results By age eight, experience of at least 3 PCEs was reported by 72.1% of the sample. However, the experience of the highest number of PCEs (5–6) was only reported by 23% of the sample. Four out of six assessed PCEs were associated with decreased likelihood of overweight/obesity. A dose-response effect was observed where experience of three or more PCEs was associated with decreased odds for obesity (AORs decreased from 0.77 for 3 PCEs to 0.54 for 5–6 PCEs). No consistent mitigating effects were found for individual PCEs; however interactions were found between reporting at least four of the six PCEs, experience of cumulative ACEs, and reduced odds for overweight/obesity at age 8. Conclusions A critical number of PCEs may be required to mitigate the detrimental impacts of ACEs on weight status among children. These findings reinforce the need to consider a constellation of strength-focused ecological domains to alleviate the burden of childhood obesity, particularly for children exposed to multiple adversities. (Authors' abstract). Record #9094
650 _aADVERSE CHILDHOOD EXPERIENCES
_94089
650 _aBULLYING
_991
650 _aCHILD ABUSE
_9103
650 _aCHILD EXPOSURE TO VIOLENCE
_9130
650 0 _98305
_aGrowing Up in New Zealand study (GUiNZ)
650 0 _aHAUORA
_9281
650 0 _aMĀORI
_9357
650 0 _aMĀTUA
_95550
650 _aOBESITY
_913654
650 _aPARENTING
_9429
650 _aPATU TAMARIKI
_95534
650 _aPREVALENCE
_9457
650 _aPROTECTIVE FACTORS
_94270
650 _aRACISM
_93087
650 _aTAMARIKI
_9597
650 4 _aWHAKAHĀWEA IWI
_97831
650 4 _aWHAKAWETITANGA
_95672
651 _aNEW ZEALAND
_92588
700 _aGhasemi, Maryam
_913655
700 _aGulliver, Pauline
_92705
700 _aMilne, Barry
_913329
700 _aLangridge, Fiona
_910915
700 _aMcIntosh, Tracey
_92985
700 _91173
_aFouché, Christa
700 _aSwinburn, Boyd
_913656
700 _aHashemi, Ladan
_99605
773 0 _tBMC Public Health, 25: 8
830 _aBMC Public Health
_94668
856 _uhttps://doi.org/10.1186/s12889-024-20727-y
_zDOI: 10.1186/s12889-024-20727-y (Open access)
856 _uhttps://www.auckland.ac.nz/en/news/2025/01/14/Childhood-trauma-the-norm.html
_zRead media release, 14 January 2025
942 _2ddc
_cARTICLE
_hnews132