Obesity

Obesity and adverse childhood experiences in relation to stress during the COVID-19 pandemic: an analysis of the Canadian Longitudinal Study on Aging

Int J Obes (Lond)Published Longitudinal cohort study

Authors' conclusion

Increased stress during the first year of the COVID-19 pandemic was observed among people with obesity or ACEs. The long-term outcomes of stress during the pandemic need to be determined.

Study context

Population
Adults aged 50–96 years from the Canadian Longitudinal Study on Aging (CLSA) COVID-19 Study; obesity and adverse childhood experiences (ACEs) collected pre-pandemic (2015–2018)
Participants
23,972 adults
Exposure
Obesity classes vs healthy weight; ACEs
Outcome
Stress outcomes during the COVID-19 pandemic:
  • Overall stressors
  • Health related stressors
  • Perception of the pandemic as negative
Follow-up
COVID-19 Exit Survey (Sept-Dec 2020)
Methodological detailsanalysis of the Canadian Longitudinal Study on Aging (CLSA) COVID-19 Study
  • Analysis of the Canadian Longitudinal Study on Aging (CLSA) COVID-19 Study

Main finding

As reported in the abstract

Increase in overall stressors · Sept-Dec 2020
Relative risk (95% CI)
Class III obesityvs Healthy weight
1.19(1.12–1.27)
4-8 ACEsvs No ACEs
1.38(1.33–1.44)

Observational data: associations, not effects.

Further findings

OutcomeRR (95% CI)
Increased health related stressorsClass III obesityvs Healthy weight1.25 (1.12–1.39)
Perceiving the pandemic as negative4-8 ACEsvs No ACEs1.32 (1.19–1.47)

Perceiving the pandemic as negative

People with obesity did not perceive the consequences of the pandemic as negative

Effect modification of obesity–stress association by ACEs

The association between obesity and stress was not modified by ACEs
  • Additive and multiplicative scales

Original publication

Obesity and adverse childhood experiences in relation to stress during the COVID-19 pandemic: an analysis of the Canadian Longitudinal Study on Aging. Int J Obes (Lond). Published 23 January 2023. doi:10.1038/s41366-023-01258-9

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