ADVERTISEMENT

Child abuse raises risk of future metabolic syndrome

Tuesday July 31, 2012
Printer Icon
line
Select Text Size: Zoom In Zoom Out
line
Comment
Share this Nurse.com Article
rss feed
Middle-aged women who report having been physically abused as children are about twice as likely as other women their age to have hypertension, hyperglycemia, a larger waistline and poor cholesterol levels, according to a study.

These women are diagnosed as having metabolic syndrome, which, according to previous research, places them at an increased risk of developing heart disease and Type 2 diabetes. This link between physical abuse and metabolic syndrome persisted beyond traditional risk factors, suggesting physical abuse is a unique factor in women’s cardiovascular health, according to the study.

Researchers said the study, published July 9 on the website of Health Psychology, a journal of the American Psychological Association, is the first to show that a history of childhood physical abuse is related to the development of metabolic syndrome in women at midlife.

"Our research shows us that childhood abuse can have long-lasting consequences, even decades later, on women’s health and is related to more health problems down the road," Aimee Midei, MS, a study co-author from the University of Pittsburgh, said in a news release.

Participants in the study were 342 women, 113 black and the remainder white, from the Pittsburgh area. They were ages 42 to 52 when the study began. Each completed a childhood trauma questionnaire that assessed past physical, emotional and sexual abuse. About 34% of the participants reported experiencing some type of childhood abuse.

Metabolic syndrome was identified by measuring the women’s waist circumference, cholesterol levels, blood pressure and fasting glucose levels annually during the seven-year study. Other traditional risk factors for metabolic syndrome were also assessed, such as smoking, physical activity, menopause, alcohol use, depressive symptoms and childhood and adult socioeconomic status. At baseline, 60 women were diagnosed with metabolic syndrome and 59 more were identified over the course of the study.

Results showed that physical abuse was strongly associated with metabolic syndrome, even after controlling for ethnicity, age, menopause and other traditional risk factors. Sexual abuse and emotional abuse were unrelated to metabolic syndrome, according to the findings.

The authors further examined individual components of metabolic syndrome and found that physical abuse was particularly associated with larger waist circumference and fasting glucose, both of which are precursors to Type 2 diabetes.

"It’s possible that women with histories of physical abuse engage in unhealthy eating behaviors or have poor stress regulation," Midei said. "It appears that psychology plays a role in physical health even when we’re talking about traumatic incidents that happened when these women were children."

A PDF of the study is available at http://bit.ly/PrnKs2.


Send comments to editor@nurse.com or post comments below.