Adversity in childhood is related directly and indirectly to obesity development. Upstream contributors like adverse childhood experiences (ACEs) and other factors can lead to experiences of toxic stress and increased allostatic load, resulting in downstream effects of obesity and other chronic health conditions. A well-established literature has linked ACEs and obesity suggesting complex interactions between genetic, biological, behavioral, mental health, social, and environmental factors and obesity. Trauma-informed care strategies can be used to optimize care for individuals living with obesity. Care pathways should include individual (clinician) and systemic (organizational) evidence-based interventions.
Keyphrases
- mental health
- weight loss
- insulin resistance
- metabolic syndrome
- weight gain
- high fat diet induced
- healthcare
- type diabetes
- palliative care
- quality improvement
- systematic review
- adipose tissue
- physical activity
- early life
- emergency department
- dna methylation
- adverse drug
- heat stress
- childhood cancer
- electronic health record
- copy number