Exposure to child abuse predicts the risk of hyperlipidemia, type 2 diabetes

exposure Occasional or frequent child abuse Was associated with the risk of developing type 2 diabetes and hyperlipidemia in adulthood, according to a study published in Journal of the American Heart Association.

However, researchers report that risk depends on race, gender, level of household organization, or childhood dysfunction.

“Our findings show that the negative and positive experiences we experienced in childhood have long-term cardiovascular results in adulthood, and the risk disparities in major heart disease by race and gender. Shows how to define. ” Liliana Aguayo, PhD, MPH, A social epidemiologist and assistant professor of research at Emory University’s Rollins School of Public Health said in a press release.

The role of child abuse, fostering relationships

Aguayo et al. Analyzed data from participants in an ongoing longitudinal CARDIA study (baseline examination, 1985-1986) to determine the association of exposure to childhood abuse. Accidental obesity (n = 3,208), Type 2 diabetes (N = 3,492), hypertension (n = 3,458) and hyperlipidemia (n = 2,973) were assessed from baseline to 30 years. The analysis was stratified by race and gender.

“Nursing relationships are about making a child feel loved, supported, cared for, or physically affectionate, rather than being ignored by parents or other adults in the family. By doing so, it refers to a relationship that reacts sensitively to meet the needs of the child, “the researchers wrote. “Household organization refers to households in which the family is considered to be organized, well-managed, involved in the life of the child.”

CARDIA participants were recruited from four urban areas in Birmingham, Alabama. Chicago; Minneapolis; Oakland, California. Most participants did not experience abuse (56%) and were exposed to high levels of care and family organization during childhood. At baseline, the average age of participants was 25, with 56% of participants being female and 47% being black.

Differences in risk by race and gender

Researchers have found that exposure to occasional or frequent abuse is associated with the development of type 2 diabetes in Caucasian men compared to the absence of exposure to abuse (HR = 1.81; 95%). CI, 1.06-3.08); There was no association between abuse exposure in white women or black adults and type 2 diabetes. Exposure to low abuse and no abuse was associated with accidental hyperlipidemia in white men (HR = 1.35; 95% CI, 1.09-1.67) and white women (HR = 1.26; 95% CI, 1.01-1.56). It was related.

White women who experienced abuse and lived in dysfunctional households had a more than tripled risk of accidental hyperlipidemia (HR = 3.61; 95% CI, 1.62-8.05) and tissue levels. Women who lived in lower households doubled (HR = 2.05; 95% CI, 1.25-3.36) but experienced abuse but compared to white women who lived in well-organized households (HR =). 0.66; 95% CI, 0.41-1.06).

Researchers have experienced occasional or frequent childhood abuse and are dysfunctional households (HR = 3.62; 95% CI, 1.29-10.12) or low-organization households (HR = 2.01; 95% CI, 1.08-3.72). ).

There was no association between exposure to child abuse and the risk of accidental obesity or hypertension.

“Potential mechanisms linking childhood abuse and family environment to higher risk factors for heart disease, as well as structural racism and health that are likely to have influenced differences discovered by race and gender. Further research is needed to better understand the impact of social determinants, “Aguayo said in the release. “This information is important to enhance cardiovascular disease prevention interventions and policies, especially those focused on those who have experienced childhood abuse and other trauma.”