Childhood abuse is associated with adiposity in midlife women: possible pathways through trait anger and reproductive hormones
Open accessAbstract
Objective: To examine the association between childhood abuse/neglect and central adiposity and obesity in a sample of 311 women (n = 106 black, 205 white) from the Pittsburgh site of the Study of Women’s Health Across the Nation (SWAN). Methods: SWAN included a baseline measurement of women in midlife (mean age = 45.7 years) and eight follow-up visits during which waist circumference (WC) and body mass index (BMI) were measured. The Childhood Trauma Questionnaire retrospectively assessed emotional, physical, and sexual abuse, and emotional and physical neglect in childhood. Results: Analyses of covariance showed that women with a history of any abuse/neglect, and specifically physical and sexual abuse, had significantly higher WC and BMI at baseline than women with no abuse history. A significant interaction between abuse and BMI showed that among women with BMI of <30, any abuse/neglect and certain subtypes of abuse predicted greater increases in WC over time. Additional analyses showed that Trait Anger scores and sex hormone-binding globulin (SHBG) attenuated cross-sectional relationships between abuse/neglect and WC and BMI. Conclusion: This study suggests that abused/neglected women seem to have greater anger and lower levels of SHBG, which are associated with adiposity in midlife. SWAN = Study of Women’s Health Across the Nation; BMI = body mass index; WC = waist circumference; SHBG = sex hormone-binding globulin; FSH = follicle stimulating hormone; FEI = free estrogen index; FAI = free androgen index; CTQ = Childhood Trauma Questionnaire; SES = socioeconomic status.
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ELS/CT has been repeatedly found to be independently associated with higher prevalence of metabolic syndrome in later life.
“and higher prevalence of metabolic syndrome (290, 294, 295) in later life”
From Developmental Trajectories of Early Life Stress and Trauma: A Narrative Review on Neurobiological Aspects Beyond Stress System Dysregulation (2019) · cites this paper as [294]
The Discussion (page unavailable) reports that women with a history of childhood abuse or neglect had higher central adiposity and obesity in adulthood. That supports an association with a related outcome, but the paper does not report a higher prevalence of metabolic syndrome or an independent association with that syndrome. (LLM, conf=0.85)
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- Authors
- Midei, A. J., Matthews, K. A., & Bromberger, J. T.
- Affiliations
- University of Pittsburgh (US)
- National Institutes of Health (US)
- Corresponding author
- Matthews, Karen A.
- Venue
- Psychosomatic Medicine
- Published
- 2010-02
- Volume
- 72
- Issue
- 2
- Pages
- 215-223
- ISSN
- 0033-3174 (ISSN-L)
- PMC
- PMC2832915
- OpenAlex
- W1980693394
- Cited by
- 72
- References
- 69
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 8 · 2017: 3 · 2016: 3 · 2015: 9 · 2014: 5 · 2013: 5 · 2012: 11
- FWCI
- 8.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (6u01ag012535-26)
- National Institute on Aging (U01-AG-012535, AG012531, U01AG012539, U01AG012505, AG 012535, AG012495, AG 012554, U01AG012553, U01AG012495, AG 012505, AG 012546, AG012553, U01AG012554, U01AG012546, U01AG012531, AG012539)
- National Heart, Lung, and Blood Institute (T32HL007560)
- National Institute of Mental Health (R01MH059689, MH59689)
- National Institute of Nursing Research (NR-004061, U01NR004061)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- childhood abuse, child neglect, abdominal obesity, obesity, middle-aged women, trait anger, sex hormone-binding globulin, reproductive hormones, sexual abuse, physical abuse, waist circumference, body mass index, Study of Women's Health Across the Nation
- MeSH terms
- Anger, Anthropometry, Black or African American, Child, Child Abuse, Child Abuse, Sexual, Female, Humans, Middle Aged, Obesity, Personality Inventory, Surveys and Questionnaires, Sex Hormone-Binding Globulin, Nutrition Assessment, Body Mass Index, Women's Health, White People, Adiposity, Waist Circumference
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