BMI moderates the association between adverse childhood experiences and COPD.
Adverse childhood experiences
COPD
Chronic obstructive pulmonary disease
Obesity
Risk factors
Smoking
Journal
Journal of psychosomatic research
ISSN: 1879-1360
Titre abrégé: J Psychosom Res
Pays: England
ID NLM: 0376333
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
received:
16
02
2022
revised:
08
07
2022
accepted:
10
07
2022
pubmed:
26
7
2022
medline:
17
8
2022
entrez:
25
7
2022
Statut:
ppublish
Résumé
Cigarette smoking and obesity are leading risk factors for chronic obstructive pulmonary disease (COPD). Although studies have established an association between adverse childhood experiences (ACEs) and COPD, few studies have examined whether this association is moderated by cigarette smoking or body mass index (BMI). This cross-sectional study examined the association between ACEs and COPD, and whether cigarette smoking or BMI moderates this association. Data for this study came from the 2019 Behavioral Risk Factor Surveillance System survey. An analytic sample of 75,700 adults aged 18-79 years (50.7% female) were analyzed using binary logistic regression. The outcome variable investigated was self-reported physician-diagnosed COPD, and the main explanatory variable was ACEs. Of the 75,700 respondents examined, 8.1% had COPD. About one in three (33.6%) respondents had no ACEs, 23.1% had one ACE, and about one in five (20.2%) had four or more ACEs. In the multivariable binary logistic regression, we found that the association between ACEs and COPD differs by BMI status. Controlling for the effects of other factors, the association between ACEs and COPD is strongest for respondents who are obese (AOR = 1.41, 95% CI = 1.04-1.91). The findings of this study demonstrate that ACEs are associated with COPD later in adulthood, and BMI moderated this association. The findings of this study add to the number of studies demonstrating the adverse impact of ACEs on chronic health outcomes among adults.
Identifiants
pubmed: 35878540
pii: S0022-3999(22)00275-6
doi: 10.1016/j.jpsychores.2022.110990
pmc: PMC9531576
mid: NIHMS1837337
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
110990Subventions
Organisme : NIMHD NIH HHS
ID : T37 MD014218
Pays : United States
Informations de copyright
Copyright © 2022 Elsevier Inc. All rights reserved.
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