Adverse childhood experiences and metabolic syndrome in adults in a family medicine unit Michoacán, Mexico

Authors

  • Karen Sarai Meléndez-Diego <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 80. Morelia, Michoac&aacute;n, M&eacute;xico</p><p>&nbsp;</p> http://orcid.org/0000-0001-5075-4562
  • Paula Chacón-Valladares <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 80. Morelia, Michoac&aacute;n, M&eacute;xico</p><p>&nbsp;</p> http://orcid.org/0000-0003-1805-0236
  • Naima Lajud <p>Instituto Mexicano del Seguro Social, Centro de Investigaci&oacute;n Biom&eacute;dica de Michoac&aacute;n, Divisi&oacute;n de Neurociencias, Laboratorio de Neurobiolog&iacute;a del Desarrollo. Morelia, Michoac&aacute;n, M&eacute;xico&nbsp;</p><p>&nbsp;</p> http://orcid.org/0000-0003-3905-798X

DOI:

https://doi.org/10.24875/10372067

Keywords:

Metabolic Syndrome, Adverse Childhood Experiences, Stress, Obesity, Hypertension

Abstract

Introduction: Adverse childhood experiences (ACE) increase the risk of metabolic diseases in adulthood; however, this relationship has been scarcely studied in the Mexican population.

Objective: To determine the frequency of adverse childhood experiences and their relationship to metabolic syndrome in an urban Primary Care Unit from Michoacán, México.

Methods: an observational, retrospective, cross-sectional and analytical study was performed in 127 participants older than 19 years. Their anthropometric measurements were evaluated, and we quantified the blood levels of fasting glucose, triglycerides, and HDL cholesterol. The Adverse Childhood Experiences International Questionnaire (ACE-IQ) was utilized. We used descriptive statistics and the Chi square test.

Results:  95% of the sample reported at least one EIA, and the most frequent was domestic violence. 45% of individuals presented metabolic syndrome. No association was found between the metabolic syndrome or its components with the exposure to EIA. However, we observed that divorce or loss of one of the parents was more frequent in the participants with metabolic syndrome (p= 0.03).

Conclusions: The frequency of EIA was much higher than previously reported, however, we did not observe an association of ACE with metabolic 

Keywords: Metabolic Syndrome; Adverse Childhood Experiences; Stress; Obesity; Hypertension

Author Biographies

  • Karen Sarai Meléndez-Diego, <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 80. Morelia, Michoac&aacute;n, M&eacute;xico</p><p>&nbsp;</p>

     Estudiante de Especialidad en Medicina Familiar

  • Paula Chacón-Valladares, <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 80. Morelia, Michoac&aacute;n, M&eacute;xico</p><p>&nbsp;</p>

    Medico Familiar con Maestría en Psicoterapia Familiar

  • Naima Lajud, <p>Instituto Mexicano del Seguro Social, Centro de Investigaci&oacute;n Biom&eacute;dica de Michoac&aacute;n, Divisi&oacute;n de Neurociencias, Laboratorio de Neurobiolog&iacute;a del Desarrollo. Morelia, Michoac&aacute;n, M&eacute;xico&nbsp;</p><p>&nbsp;</p>

    Doctora en Ciencias Biomedicas

    Investigadora Titular A

    SNI I

     

References

1. WHO. Prevención de lesiones y Experiencias Infantiles Adversas [Internet]. [Citado 2020 Abril 22]. Disponible en: https://www.who.int/violence_injury_prevention/violence/activities/adverse_childhood_experiences/en/

2. UNICEF. Informe anual México 2017 [Internet]. México: UNICEF; 2017. Disponible en: https://www.unicef.org.mx/Informe2017/Informe-Anual-2017.pdf

3. Carvajal C. Síndrome metabólico: definiciones, epidemiología, etiología, componentes y tratamiento. Medicina Legal de Costa Ric. 2017;34(1):1409-1415. Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S140900152017000100175

4. Ortiz M y Sapunar J. Estrés psicológico y síndrome metabólico. Rev med. Chile. 2018;146(11):1278-1285. [Consultado el 14 de marzo de 2020]. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001101278. DOI: 10.4067/S0034-98872018001101278

5. Zimmet P. y cols. Una nueva definición mundial del síndrome metabólico propuesta por la Federación Internacional de Diabetes: fundamento y resultados. Rev Esp Cardiol. 2005;58(12):1371-1376. Disponible en: https://www.revespcardiol.org/es-una-nueva-definicion-mundial-del-articulo13082533

6. Fragozo M. Síndrome metabólico: revisión de la literatura. Artículo de revisión. Medicina y laboratorio. 2022;26(1):47-62. Disponible en: https://medicinaylaboratorio.com/index.php/myl/article/view/559

8. Kreatsoulas C, Fleegler EW, Kubzansky LD, et al. Young Adults and Adverse Childhood Events: A Potent Measure of Cardiovascular Risk. Am J Med [Internet]. 2019;132(5):605-13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30639555/

9. Chang X, Jiang X, Mkandarwire T, Shen M. Associations between adverse childhood experiences and health outcomes in adults aged 18–59 years. Plos One. 2019;14(2):e0211850. [Consultado el 1 de julio de 2020]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30730980/. DOI: 10.1371/journal.pone.0211850

10. Flores M, Comerfor E, Signorello L, Grodstein F, Lopez-Ridaura R et al. Impact of adverse childhood experiences on cardiovascular disease risk factors in adulthood among Mexican women. Child Abuse Negl. 2020; 99:104175. [Consultado el 1 de julio de 2020]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31710961/. DOI: 10.1016/j.chiabu.2019.104175

11. McIntyre RS, Soczynska JK, Liauw SS, Woldeyohannes HO, Brietzke E, et al. The association between childhood adversity and components of metabolic syndrome in adults with mood disorders: results from the International Mood Disorders Collaborative Project. Int J Psychiatry Med. 2012;43(2). [Consultado el 3 de julio de 2020]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22849038/. DOI: 10.2190/PM.43.2.e

12.  Flores-Torres MH, Comerford E, Signorello L, Grodstein F, Lopez-Ridaura R, de Castro F, et al. Impact of adverse childhood experiences on cardiovascular disease risk factors in adulthood among Mexican women. Child Abus Negl [Internet]. 2020 Jan 1 [cited 2020 Jul 6];99. Available from: https://pubmed.ncbi.nlm.nih.gov/31710961/

13. Zamudio Raya, C. A., Silva Contreras, J. G., Gómez Alonso, C., & Chacón Valladares, P. (2018). Perfil epidemiológico de adolescentes embarazadas adscritas a una unidad de medicina familiar en Morelia, Michoacán, México. Atención Familiar, 25(2), 54–58. Recuperado a partir de https://revistas.unam.mx/index.php/atencion_familiar/article/view/64119

14. Serena C, Muzi S, Guyonne R, Meinero LL, Marcenaro S. The Adverse Childhood Experiences – International Questionnaire (ACE-IQ) in community samples around the world: A systematic review (part I). Child Abuse Negl. 2022;129. [Consultado el 8 de septiembre de 2022]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35662684/. DOI: 10.1016/j.chiabu.2022.105640

15. Lee R, Chen J. Adverse childhood experiences, mental health, and excessive alcohol use: Examination of race/ethnicity and sex differences. Child Abuse Negl. 2017;69:40-48. [Consultado el 8 de septiembre de 2022]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0145213417301400. DOI: 10.1016/j.chiabu.2017.04.004

16. Goncalves A. y cols. Adverse childhood experiences: Prevalence and related factors in adolescents of a Brazilian birth cohort. Child Abuse Negl. 2016;51:21-30. [Consultado el 17 de Agosto de 2022]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26707919/. DOI: 10.1016/j.chiabu.2015.11.017

17. Herzog J y Schmahl C. Adverse Childhood Experiences and the Consequences on Neurobiological, Psychosocial, and Somatic Conditions Across the Lifespan. Front Psychiatry. 2018;9(420). [Consultado el 10 de septiembre de 2022]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30233435/. DOI: 10.3389/fpsyt.2018.00420

18. Allen H y cols. Examining the Prevalence of Adverse Childhood Experiences and Associated Cardiovascular Disease Risk Factors Among Low-Income Uninsured Adults. Circ Cardiovasc Qual Outcomes. 2019;12(9):e004391. [Consultado el 10 de septiembre de 2022]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31450964/. DOI: 10.1161/CIRCOUTCOMES.117.004391

19. Amir A y cols. Frequency and Characteristics of Metabolic Syndrome in Patients With Ischemic Stroke Admitted to a Tertiary Care Hospital in Karachi. Cureus. 2020;12(7):e9004. [Consultado el 10 de septiembre de 2022]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32775084/. DOI: 10.7759/cureus.9004

20. Martin C y Schynder U. Editorial: Resilience and Vulnerability Factors in Response to Stress. Front Psychiatry. 2019;10:732. [Consultado el 11 de septiembre de 2022]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843065/. DOI: 10.3389/fpsyt.2019.00732

21. Jakubowski KP, Cundiff JM, & Matthews KA. Cumulative childhood adversity and adult cardiometabolic disease: A meta-analysis. Health Psychology, 2018;37(8), 701–715. [Consultado el 10 de septiembre de 2022]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30024227/. DOI: 10.1037/hea0000637

22. Wiss DA, Brewerton TD. Adverse Childhood Experiences and Adult Obesity: A Systematic Review of Plausible Mechanisms and Meta-Analysis of Cross-Sectional Studies. Physiol Behav. 2020;223(1). [Consultado el 11 de septiembre de 2022]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32479804/. DOI: 10.1016/j.physbeh.2020.112964

23. Nevárez B y Ochoa G. Adaptación del Cuestionario de Experiencias Adversas en la infancia en muestras mexicanas. Psicología y Salud. 2022;32(2):203-214. [Consultado el 11 de septiembre de 2022]. Disponible en: https://psicologiaysalud.uv.mx/index.php/psicysalud/article/view/2742. DOI: 10.25009/pys.v32i2.2742

24. Kivimäki M, Bartolomucci A y Kawachi I. The multiple roles of life stress in metabolic disorders. Nat Rev Endocrinol. 2023;19:10–27 [Consultado el 14 de marzo de 2023]. Disponible en: https://www.nature.com/articles/s41574-022-00746-8 DOI:10.1038/s41574-022-00746-8

25. Morán-Ramírez, D., Michel-Núñez, K., Ibarra-Rojas, L., Gutiérrez-Castellanos, S., Gómez-García, A., & Lajud, N. Frecuencia de experiencias infantiles adversas y fortalezas familiares en adultos jóvenes con hipertensión y su relación con síntomas depresivos y el riesgo metabólico. Atención Familiar, 2022;29(4):241–250. [Consultado el 15 de septiembre de 2022]. Disponible en: https://revistas.unam.mx/index.php/atencion_familiar/article/view/83689. DOI: 10.22201/fm.14058871p.2022.4.83415

Published

2023-12-26

Issue

Section

Investigación