Adverse Childhood Experiences and Adult Risk Factors for Age-Related Disease Depression, Inflammation, and Clustering of Metabolic Risk Markers

被引:867
作者
Danese, Andrea [4 ,5 ]
Moffitt, Terrie E. [1 ,2 ,3 ,4 ]
Harrington, HonaLee [1 ,2 ,3 ]
Milne, Barry J. [4 ]
Polanczyk, Guilherme [1 ,2 ,3 ,4 ]
Pariante, Carmine M. [6 ]
Poulton, Richie [7 ]
Caspi, Avshalom [1 ,2 ,3 ,4 ]
机构
[1] Duke Univ, Dept Psychol & Neurosci, Durham, NC 27708 USA
[2] Duke Univ, Dept Psychiat & Behav Sci, Durham, NC 27708 USA
[3] Duke Univ, Inst Genome Sci & Policy, Durham, NC 27708 USA
[4] Kings Coll London, Social Genet & Dev Psychiat Ctr, London WC2R 2LS, England
[5] Kings Coll London, Dept Child & Adolescent Psychiat, London WC2R 2LS, England
[6] Kings Coll London, Dept Psychol Med, Inst Psychiat, London WC2R 2LS, England
[7] Univ Otago, Dunedin Sch Med, Dept Prevent & Social Med, Dunedin, New Zealand
来源
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE | 2009年 / 163卷 / 12期
基金
英国医学研究理事会; 英国惠康基金;
关键词
C-REACTIVE PROTEIN; CARDIOVASCULAR-DISEASE; FAMILY-HISTORY; HEALTH; LIFE; STRESS; ABUSE; DISORDERS; CIRCUMSTANCES; DETERMINANTS;
D O I
10.1001/archpediatrics.2009.214
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: To understand why children exposed to adverse psychosocial experiences are at elevated risk for age-related disease, such as cardiovascular disease, by testing whether adverse childhood experiences predict enduring abnormalities in stress-sensitive biological systems, namely, the nervous, immune, and endocrine/metabolic systems. Design: A 32-year prospective longitudinal study of a representative birth cohort. Setting: New Zealand. Participants: A total of 1037 members of the Dunedin Multidisciplinary Health and Development Study. Main Exposures: During their first decade of life, study members were assessed for exposure to 3 adverse psychosocial experiences: socioeconomic disadvantage, maltreatment, and social isolation. Main Outcome Measures: At age 32 years, study members were assessed for the presence of 3 age-related disease risks: major depression, high inflammation levels (high-sensitivity C-reactive protein level >3 mg/L), and the clustering of metabolic risk biomarkers (overweight, high blood pressure, high total cholesterol, low high-density lipoprotein cholesterol, high glycated hemoglobin, and low maximum oxygen consumption levels. Results: Children exposed to adverse psychosocial experiences were at elevated risk of depression, high inflammation levels, and clustering of metabolic risk markers. Children who had experienced socioeconomic disadvantage (incidence rate ratio, 1.89; 95% confidence interval, 1.36-2.62), maltreatment (1.81; 1.38-2.38), or social isolation (1.87; 1.38-2.51) had elevated age-related-disease risks in adulthood. The effects of adverse childhood experiences on age-related-disease risks in adulthood were nonredundant, cumulative, and independent of the influence of established developmental and concurrent risk factors. Conclusions: Children exposed to adverse psychosocial experiences have enduring emotional, immune, and metabolic abnormalities that contribute to explaining their elevated risk for age-related disease. The promotion of healthy psychosocial experiences for children is a necessary and potentially cost-effective target for the prevention of age-related disease.
引用
收藏
页码:1135 / 1143
页数:9
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