Relationship of Adverse Childhood Experiences to Overweight and Obesity

NCT00632346 | Unknown DMC

• 1 other identifier: C.2007.160
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine if there is an association between a variety of adverse childhood experiences and overweight and obesity. The adverse childhood experiences that will be examined include childhood abuse (physical, emotional, sexual), childhood neglect (physical, emotional), and household dysfunction (domestic violence, parental marital discord, and household members with a history of substance abuse, mental illness, and criminal behavior). Because this study will be performed at a military treatment facility, additional military unique experiences to include frequent residential mobility and parental deployment will also be examined. Hypotheses/Research Questions: Overweight and obese young adults are more likely to report having experienced adverse childhood experiences and household dysfunction than their peers of normal weight. In addition, the more severely overweight or obese the patient, the more likely the patient is to report a higher number of previous adverse childhood experiences. Thus, there is a graded relationship between the severity of overweight/obesity and the number of adverse childhood experiences.

Conditions

Overweight; Obesity

Keywords

childhood abuse; overweight; obesity; BMI as a young adult; childhood physical abuse; childhood emotional abuse; childhood sexual abuse; childhood physical neglect; childhood emotional neglect; childhood witnessing of domestic violence; parental marital discord; household members with substance abuse; household members with mental illness; household members with criminal behavior; cumulative adverse childhood experiences

Outcome Measures

Primary Outcomes (1)

• Relationship between reported prior Adverse Childhood Experiences (individual and cummulative) to weight status (underweight, normal weight, overweight, obese) in young adults (18-23 years-old) in a military dependent population.

  BMI at one visit at the time of enrollment

Secondary Outcomes (2)

• prevalence of underweight, normal weight, overweight, and obese in the population of 18-23 year-old military dependent patients

  BMI at time of enrollment

• prevalence of reported prior Adverse Childhood Experiences (individual and cummulative) reported by the population of 18-23 year-old military dependents

  results of survey at time of enrollment

Study Arms (1)

1 group

200 patients presenting to the Adolescent Medicine Clinic at Brooke Army Medical Center between the ages of 18 and 23 years-old.

Eligibility Criteria

• Age: 18 Years - 23 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Male and female patients between the ages of 18 and 23 years of age who present to the Brooke Army Medical Center Adolescent Medicine Clinic(regardless of their gender, height, weight, blood pressure, reason for appointment, or health status)

You may qualify if:

• All patients presenting to the Adolescent Medicine clinic during the study period,
• both male and female,
• between the ages of 18 and 23 years of age,
• will be identified for possible participation in the study regardless of their health status, race, or body habitus.

You may not qualify if:

• Only patients 18 years of age or older will be identified for possible participation in this study because such patients are not minors and could participate without parental consent.
• In addition, the questions from the questionnaire obtained from the Centers for Disease Control have only been assessed for reliability and validity in patients older than 18 years of age, and the questions are worded with the beginning phrase "During the first 18 years of life…"
• Lastly, requiring parental consent when inquiring about household dysfunction and a prior history of abuse would likely result in selection bias based on a higher number of subjects declining to participate. It is likely that more subjects will answer the questions truthfully if parental consent for participation is not required.
• The Brooke Army Medical Center Adolescent Medicine Clinic generally only serves patients 12-23 years of age. Therefore, patients above the age of 23 years will also be excluded.

Sponsors & Collaborators

• Brooke Army Medical Center: lead

Study Sites (1)

Adolescent Medicine Clinic, Brooke Army Medical Center

Fort Sam Houston, Texas, 78234, United States

Location

MeSH Terms

Conditions

Overweight; Obesity

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Heather L Elizondo Vega, MD

  U.S. Army, Brooke Army Medical Center, Adolescent Medicine Clinic, Department of Pediatrics

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: FED

Study Record Dates

• First Submitted: February 29, 2008
• First Posted: March 10, 2008
• Study Start: September 1, 2007
• Primary Completion: February 1, 2008
• Study Completion: February 1, 2008
• Last Updated: March 10, 2008

Record last verified: 2008-02

Locations

US (1)