Abstract
Objective
To understand the relationship between adverse childhood experiences (ACEs) and diet,
sleep, and exercise in pre-adolescents.
Methods
Baseline and one year follow-up data from the adolescent brain and cognitive development
(ABCD) study were analyzed (age 10-11, n = 11,875). ACEs were measured by parent report
at baseline. Three levels of ACEs were created: none, exposure to one ACE, and exposure
to two or more ACEs. Health-promoting behaviors were assessed at 1-year. Diet quality
was measured from parent report; sleep problems were measured by parent report, with
higher scores indicating worse sleep; and amount of exercise was measured by youth
report. Linear regression analyses were used to assess the relationship between ACEs
and each health-promoting behavior, adjusting for family income and sex.
Results
Compared to children with no adversity, ACEs were associated with worse diet - one
ACE (β=-0.30 (95% CI -0.49 to -0.12), p=0.002) and two or more ACEs (β=-0.56 (-0.78 to -0.34), p<0.001). Similarly, ACEs were associated with poor sleep – one ACE (β=1.51 (1.00 to
2.03), p<0.001) and two or more ACEs (β=2.96 (2.38 to 3.53), p<0.001). Finally, amount of
exercise was not different in children with ACEs – two or more ACEs (β=-0.24, 95%
CI: -0.51 to 0.04, p = 0.08).
Conclusions
ACEs in pre-adolescents show a dose-response relationship with unhealthy diet and
sleep disruption. These findings suggest potential behaviors to target to mitigate
the negative impact of childhood adversity on adult health.
Keywords
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Article Info
Publication History
Accepted:
June 13,
2022
Received:
December 29,
2021
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Published by Elsevier Inc. on behalf of Academic Pediatric Association
