Childhood abuse victimization, stress-related eating, and weight status in young women

Susan M. Mason; Richard F. MacLehose; Sabra L. Katz-Wise; S. Bryn Austin; Dianne Neumark-Sztainer; Bernard L. Harlow; Janet W. Rich-Edwards

doi:10.1016/j.annepidem.2015.06.081

Childhood abuse victimization, stress-related eating, and weight status in young women

Susan M. Mason, Richard F. MacLehose, Sabra L. Katz-Wise, S. Bryn Austin, Dianne Neumark-Sztainer, Bernard L. Harlow, Janet W. Rich-Edwards

Research output: Contribution to journal › Article › peer-review

28 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	760-766.e2
Journal	Annals of epidemiology
Volume	25
Issue number	10
DOIs	https://doi.org/10.1016/j.annepidem.2015.06.081
State	Published - Oct 1 2015

Bibliographical note

Funding Information:
The research is supported by the Building Interdisciplinary Research Careers in Women's Health Grant (# K12HD055887 ) from the Eunice Kennedy Shriver National Institutes of Child Health and Human Development (NICHD), the Office of Research on Women's Health , and the National Institute on Aging , National Institutes of Health , administered by the University of Minnesota Deborah E. Powell Center for Women's Health. The content is solely the responsibility of the authors and does not necessarily represent the office views of the NICHD or NIH.

Publisher Copyright:
© 2015 Elsevier Inc.

Keywords

Body mass index
Child abuse
Eating disorders
Hyperphagia
Obesity
Overweight
Psychological stress
Violence

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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title = "Childhood abuse victimization, stress-related eating, and weight status in young women",

abstract = "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.",

keywords = "Body mass index, Child abuse, Eating disorders, Hyperphagia, Obesity, Overweight, Psychological stress, Violence",

author = "Mason, {Susan M.} and MacLehose, {Richard F.} and Katz-Wise, {Sabra L.} and Austin, {S. Bryn} and Dianne Neumark-Sztainer and Harlow, {Bernard L.} and Rich-Edwards, {Janet W.}",

note = "Funding Information: The research is supported by the Building Interdisciplinary Research Careers in Women's Health Grant (# K12HD055887 ) from the Eunice Kennedy Shriver National Institutes of Child Health and Human Development (NICHD), the Office of Research on Women's Health , and the National Institute on Aging , National Institutes of Health , administered by the University of Minnesota Deborah E. Powell Center for Women's Health. The content is solely the responsibility of the authors and does not necessarily represent the office views of the NICHD or NIH. Publisher Copyright: {\textcopyright} 2015 Elsevier Inc.",

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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 - Funding Information: The research is supported by the Building Interdisciplinary Research Careers in Women's Health Grant (# K12HD055887 ) from the Eunice Kennedy Shriver National Institutes of Child Health and Human Development (NICHD), the Office of Research on Women's Health , and the National Institute on Aging , National Institutes of Health , administered by the University of Minnesota Deborah E. Powell Center for Women's Health. The content is solely the responsibility of the authors and does not necessarily represent the office views of the NICHD or NIH. 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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Childhood abuse victimization, stress-related eating, and weight status in young women

Abstract

Bibliographical note

Keywords

UN SDGs

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