Adverse childhood experiences as a risk factor for depression-overweight comorbidity in adolescence and young adulthood.

The comorbidity of depression and overweight is a manifestation of mental-physical multimorbidity, a marker of complex healthcare needs. We sought to examine how adverse childhood experiences (ACEs) are associated with depression-overweight comorbidity in the period of adolescence and early adulthoo...

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Published in:European Journal of Public Health Vol. 35; no. 5; pp. 896 - 903
Main Authors: Kilpi, Fanny, Soares, Ana Goncalves, Howe, Laura D
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Oct2025
Online Access:View this record in EBSCOhost
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      dt: Oct2025
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      pub: Oxford University Press / USA
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        atl: Adverse childhood experiences as a risk factor for depression-overweight comorbidity in adolescence and young adulthood.
      aug:
        au:
          Kilpi, Fanny
          Soares, Ana Goncalves
          Howe, Laura D
        affil: MRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom
      sug:
        subj:
          Depression Risk Factors
          Depression Risk Factors
          Pediatric Obesity Risk Factors
          Obesity Risk Factors
          Adverse Childhood Experiences
          Comorbidity
          Age Factors
          Sex Factors
          Socioeconomic Factors
          Risk Assessment
          Human
          Funding Source
          Male
          Female
          Adolescence
          Young Adult
          Prospective Studies
          Self Report
          Body Mass Index
          Emotional Abuse
          Sexual Abuse
          Multiple Logistic Regression
          Descriptive Statistics
          Colleges and Universities
          Parents
          Questionnaires
          Adolescent: 13-18 years
          Male
          Female
      ab: The comorbidity of depression and overweight is a manifestation of mental-physical multimorbidity, a marker of complex healthcare needs. We sought to examine how adverse childhood experiences (ACEs) are associated with depression-overweight comorbidity in the period of adolescence and early adulthood, and the extent to which associations are sensitive to age, sex, and socioeconomic background. Using data from 4734 adolescents from the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort, we estimated relative risk ratios (RRR) for the associations of multiple ACEs (physical, emotional, and sexual abuse, emotional neglect, being bullied, parental substance abuse, violence between parents, parental criminal conviction, parental separation, parental mental illness, or suicide) with depression only, overweight only or their comorbidity at ages 17 and 24. We tested whether associations differed by sex and socioeconomic background, indicated by parental education. Most ACEs were associated with depression-overweight comorbidity, and there was a dose–response relationship whereby a greater number of ACEs was associated with greater risk, and this continued from adolescence to young adulthood. Some ACEs associations with comorbidity appeared to be influenced by sex: at age 17, females had stronger associations for parental separation and mental health problems, and at age 24, sexual abuse had a stronger association in males. We did not find evidence that the sensitivity to ACEs varied by parental education. ACEs across childhood are associated with depression and depression-overweight comorbidity in late adolescence, which indicates their potential impact on the early manifestation of complex healthcare needs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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