The association between adverse childhood experiences and adult cardiac function in the UK Biobank
2024

Childhood Adversity and Heart Health

Sample size: 30814 publication 10 minutes Evidence: moderate

Author Information

Author(s): Juan C Quiroz, Jackie Cooper, Celeste McCracken, Mohammed Y Khanji, Liliana Laranjo, Nay Aung, Aaron Mark Lee, Judit Simon, Theodore Murphy, Luca Biasiolli, Stefan K Piechnik, Pal Maurovich-Horvat, Steffen E Petersen, Zahra Raisi-Estabragh

Primary Institution: The University of New South Wales

Hypothesis

How do adverse childhood experiences affect adult cardiac function?

Conclusion

Adverse childhood experiences are linked to unhealthy cardiovascular changes in adulthood, regardless of traditional risk factors.

Supporting Evidence

  • 19.5% of participants reported physical abuse during childhood.
  • Women reported higher rates of childhood adversity than men, except for physical abuse.
  • All types of childhood adversity were associated with poorer cardiac function and structure.
  • Physical neglect showed the most significant adverse cardiovascular remodelling.
  • Statistical significance was maintained for many associations even after adjusting for confounding factors.

Takeaway

Kids who go through tough times can have heart problems when they grow up. It's important to help them early.

Methodology

The study analyzed UK Biobank participants using cardiovascular magnetic resonance imaging and self-reported childhood adversity questionnaires.

Potential Biases

Self-reporting of childhood experiences may lead to underreporting or recall bias.

Limitations

The study is cross-sectional, so it can't prove cause and effect, and relies on self-reported data which may be biased.

Participant Demographics

Participants were middle-aged adults from the UK Biobank, with a mean age of 64.1 years and slightly more women than men.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/ehjimp/qyae139

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