The Association Between Adverse Childhood Experiences (ACEs) and Postoperative Bariatric Surgery Weight Loss Outcomes

Shinagawa, Austin; Ahrendt, Andrew; Epstein, Emerson; Lambin, John-Henry; Lambin, Rachael; Cox, Makayla; Gevorkian, Jonathan; Shoenberger, Deacon; Sasse, Kent C.

doi:10.1007/s11695-020-04779-8

Cited by 5 publications

(2 citation statements)

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“…Some studies do not show significant differences in weight loss between those with ACEs and those without. 53,54 However, others have indicated that those with a high number of ACEs (>6) experienced worse outcomes compared to those with fewer ACEs. 55 A meta-analysis reported that behavioral weight loss interventions tailored for individuals with a history of ACEs are not available despite the potential impact of ACEs on sustainable weight loss.…”

Section: Discussionmentioning

confidence: 99%

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Associations between adverse childhood experiences and history of weight cycling

Smith,

Sinclair,

Erinosho

et al. 2024

Obesity Science & Practice

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BackgroundAdverse childhood experiences (ACEs) predict obesity onset; however, the relationship between ACEs and history of weight cycling has not been adequately explored. This gap is problematic given the difficulty in weight loss maintenance and the impact of ACEs on obesity development, chronicity, and associated weight stigma. The objective of this study was to examine associations between self‐reported history of ACEs and weight cycling in a sample of weight loss treatment‐seeking adults with overweight/obesity.MethodsThe number of participants in the analyzed sample was 78, mostly white educated adult women (80% female, 81% Caucasian, 75% ≥ bachelor's degree) with excess adiposity enrolled in the Cognitive and Self‐regulatory Mechanisms of Obesity Study. ACEs were measured at baseline using the ACEs Scale. History of weight cycling was measured using the Weight and Lifestyle Inventory that documented weight loss(es) of 10 or more pounds.ResultsHigher ACE scores were associated with a greater likelihood of reporting a history of weight cycling. Participants with four or more ACEs had 8 times higher odds (OR = 8.301, 95% CI = 2.271–54.209, p = 0.027) of reporting weight cycling compared with participants with no ACEs. The association of weight cycling for those who endorsed one to three ACEs was not significant (OR = 2.3, 95% CI = 0.771–6.857, p = 0.135) in this sample.ConclusionsThe role of ACEs in health may be related to associations with weight cycling. Results indicated that those who reported four or more ACEs had significantly higher odds of reporting weight cycling compared with those with no ACEs. Further research is needed to further explore how ACEs predict the likelihood of weight cycling, which may be prognostic for sustained weight loss treatment response and weight stigma impacts.

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Section: Discussionmentioning

confidence: 99%

“…Investigations of ACEs and surgical weight loss interventions have shown mixed results. Some studies do not show significant differences in weight loss between those with ACEs and those without 53,54 . However, others have indicated that those with a high number of ACEs (>6) experienced worse outcomes compared to those with fewer ACEs 55 .…”

Section: Discussionmentioning

confidence: 99%