000			04920nam a22004937a 4500
999			_c9095 _d9095
005			20250625151720.0
008			250114s2025 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aHashemi, Ladan _99605
245			_aAdverse childhood experiences and childhood obesity: _bcan positive childhood experiences mitigate the association? _cLadan Hashemi, Brooklyn M. Mellar, Maryam Ghasemi, Pauline Gulliver, Boyd Swinburn, Barry Milne, Fiona Langridge, Tracey McIntosh and Christa Fouché,
260			_bMinistry of Social Development | Te Manatū Whakahiato Ora, _c2025
300			_aelectronic document (96 pages) ; PDF file
520			_aAdverse childhood experiences (ACEs) and childhood obesity are prevalent issues with far-reaching health implications; however, their interconnection has been critically overlooked. Additionally, the potential positive effects of Positive childhood experiences (PCEs), which encompass nurturing, supportive, and enriching events or relationships during childhood, enhancing a child's well-being and development, remain inadequately studied in their role of protecting against health issues and mitigating the effects of early adversity. This study used data from 4,895 participants in the demographically diverse Growing Up in New Zealand (GUiNZ) longitudinal study to explore five research questions: 1. How prevalent are adverse childhood experiences (ACEs) (individually and cumulatively) at age 8 and how are they distributed across socioeconomic and ethnic groups? 2. How does exposure to ACEs (individually and cumulatively) influence the development of childhood obesity and how does the relationship vary by ethnicity, socioeconomic status, and gender? 3. Does exposure to ACEs increase the risk of obesogenic behaviours (unhealthy diet, inadequate sleep duration, excessive screen time, physical inactivity)? 4. How prevalent are positive childhood experiences (PCEs) (individually and cumulatively) and how are they distributed across socioeconomic and ethnic groups? 5. Which PCEs have the potential to protect against obesity and mitigate against effects of ACEs? We found that after adjustment for child’s prioritised ethnicity, child’s gender, and food insecurity children who experienced at least one ACE were twice as likely as children who had not experienced any ACEs to be obese at age 8. The risk increased as the number of ACEs increased. Children who experienced 4+ ACEs were almost three times more likely to be obese. Children who experienced ACEs were also more likely to adopt unhealthy weight-related behaviours. Furthermore, there was a relationship between ethnicity, poverty and increased risk for reporting both ACEs and obesity. Children who experienced PCEs were less likely to be obese and experience of 4+ PCEs decreased the likelihood of developing obesity, even among those who experienced high numbers of ACEs. Our findings highlight the policy and clinical need to recognise the links between ACEs and obesity and implement well-supported initiatives to address contributing factors. This will require a holistic approach to child wellbeing by providing early support to prevent ACEs and responding to those who have experienced ACEs using trauma-informed and strengths-based approaches to provide healing opportunities. Importantly, our findings highlight the need to identify and promote positive factors in all New Zealand children’s lives to improve long-term health and wellbeing. (Executive summary). Record #9095
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			_aMellar, Brooklyn M. _911655
700			_aGhasemi, Maryam _913655
700			_aGulliver, Pauline _92705
700			_aSwinburn, Boyd _913656
700			_aMilne, Barry _913329
700			_aLangridge, Fiona _910915
700			_aMcIntosh, Tracey _92985
700			_91173 _aFouché, Christa
830			_aBMC Public Health _94668
856			_uhttps://www.msd.govt.nz/documents/about-msd-and-our-work/publications-resources/research/adverse-childhood-experiences-and-childhood-obesity/adverse-childhood-experiences-and-childhood-obesity.pdf _yDownload report, PDF
856			_uhttps://library.nzfvc.org.nz/cgi-bin/koha/opac-detail.pl?biblionumber=9094 _zRead related article
942			_2ddc _cREPORT _hnews132