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Steger V, Stadelmann S, White L, Döhnert M. Child abuse and pubertal timing: what is the role of child sex and identity of the perpetrator? BMC Psychiatry 2024; 24:242. [PMID: 38561781 PMCID: PMC10983734 DOI: 10.1186/s12888-024-05683-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 03/14/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND This study investigated the association between child abuse [child neglect (CN), emotional (CEA) and physical abuse (CPA)] and early puberty with special regard to sex-specific effects concerning child and parental perpetrator. METHODS Data assessment took place within the framework of the LIFE Child Depression study, a longitudinal study on the development of depressive symptoms and disorders between child- and adulthood in Leipzig, Germany. A sample of 709 children (8-14 years) was recruited from the general population and via psychiatric hospitals. Data on pubertal status were assessed using an instrument for self-assessment of tanner stages (scales of physical pubertal development). Information on menarche was provided by parents. The Parent-Child Conflict Tactics Scales (CTS-PC) served for data on child abuse. RESULTS Regarding physical puberty markers, significant correlations were found, especially with child neglect (CN) and child emotional abuse (CEA). Regression analyses, controlling for Body-Mass-Index (BMI) and Socioeconomic Status (SES), revealed that children affected by child neglect perpetrated by mother (CNm) and child emotional abuse (CEA) parent-non-specifically enter puberty significantly earlier. Sex-specific analyses identified child neglect perpetrated by mother (CNm) to be associated with early puberty in girls and child emotional abuse perpetrated by father (CEAf) with early puberty in boys. Concerning the onset of menstruation, there was a significant positive correlation between early menarche and parent-specific and non-specific child neglect (CN), as well as between early menarche and child emotional abuse perpetrated by the mother (CEAm). In regression models that controlled for Body-Mass-Index (BMI) and Socioeconomic Status (SES) no significant associations were maintained. Child physical abuse (CPA) was not associated with early puberty. CONCLUSION Results outlined child neglect (CN) and child emotional abuse (CEA) to be sex- and perpetrator-specific risk factors for early pubertal development. Knowledge of sex- and perpetrator-specific effects could help clinicians to specify their diagnostic process and to define differential prevention and treatment goals for children with experiences of CN and CEA. Further research on the sex-specific impact of parental CN and CEA on girls' and boys' puberty is needed.
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Affiliation(s)
- V Steger
- LIFE - Leipzig Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Straße 27, 04103, Leipzig, Germany.
- , Bremen, Germany.
| | - S Stadelmann
- LIFE - Leipzig Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Straße 27, 04103, Leipzig, Germany
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic Medicine, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany
| | - L White
- LIFE - Leipzig Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Straße 27, 04103, Leipzig, Germany
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic Medicine, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany
| | - M Döhnert
- LIFE - Leipzig Research Centre for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Straße 27, 04103, Leipzig, Germany
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic Medicine, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany
- Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatic Medicine, St Elisabeth & St Barbara Hospital, Barbarastraße 4, 06110, Halle (Saale), Germany
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Brenner E, Forner-Cordero I, Faerber G, Rapprich S, Cornely M. Body-Mass-Index vs. Taille-zu-Größe-Verhältnis bei Patientinnen mit Lipohyperplasia dolorosa (vulgo Lipödem). J Dtsch Dermatol Ges 2023; 21:1179-1187. [PMID: 37845074 DOI: 10.1111/ddg.15182_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 06/15/2023] [Indexed: 10/18/2023]
Abstract
ZusammenfassungHintergrundDas Lipödem, auch Lipohyperplasia dolorosa (LiDo) genannt, ist eine schmerzhafte Erkrankung von Frauen, die zu einer unverhältnismäßigen Ansammlung von subkutanem Fettgewebe in den Extremitäten führt. Das Risiko für Diabetes und kardiometabolische Störungen ist im Vergleich zur Adipositas geringer, doch kann eine gleichzeitige Adipositas die Diagnose und Behandlung erschweren.Patientinnen und MethodikDiese retrospektive Studie umfasste 607 LiDo‐Patientinnen, ≥ 18 Jahre, Stadium 1–3, aus Deutschland, dem Vereinigten Königreich und Spanien. Die Daten wurden im Rahmen der Standard‐Erstuntersuchung erhoben.ErgebnisseBasierend auf dem Verhältnis von Taillenumfang zu Körpergröße (Waist‐to‐Height‐Ratio; WHtR) waren 15,2% der Patientinnen untergewichtig, 45,5% normalgewichtig, 22,1% übergewichtig und 17,3% adipös. Es bestand ein signifikanter Zusammenhang zwischen der WHtR‐Kategorie und der Altersgruppe. Der Body‐Mass‐Index (BMI) wird häufig überschätzt, was zu Fehldiagnosen von Fettleibigkeit führt.SchlussfolgerungenDie Verwendung des BMI hat auch Auswirkungen auf die jüngste Entscheidung des Gemeinsamen Bundesausschusses über die Kostenerstattung von Fettabsaugungen durch die Krankenkassen. Patientinnen mit einem BMI von über 40 kg/m2 sind von der Kostenübernahme ausgeschlossen, und Patientinnen mit einem BMI zwischen 35 kg/m2 und 40 kg/m2 müssen zunächst eine konservative Adipositastherapie erhalten. Die alleinige Verwendung des BMI bei Lipödemen ist unzuverlässig und führt im Gegensatz zum WHtR zu ungenauen Diagnosen, die Übergewicht und Adipositas überbewerten.
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Affiliation(s)
- Erich Brenner
- Institut für Klinische und Funktionelle Anatomie, Medizinische Universität Innsbruck, Österreich
| | - Isabel Forner-Cordero
- Hospital Universitari i Politècnic la Fe, Universität von Valencia, Valencia, Spanien
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Hajek A, Brettschneider C, van der Leeden C, Lühmann D, Oey A, Wiese B, Weyerer S, Werle J, Fuchs A, Pentzek M, Röhr S, Löbner M, Mösch E, Bickel H, Heser K, Wagner M, Scherer M, Maier W, Riedel-Heller SG, König HH. Prevalence and factors associated with obesity among the oldest old. Arch Gerontol Geriatr 2020; 89:104069. [PMID: 32413689 DOI: 10.1016/j.archger.2020.104069] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Revised: 03/30/2020] [Accepted: 04/03/2020] [Indexed: 01/06/2023]
Abstract
PURPOSE To determine the prevalence of overweight and obesity, and to identify factors associated with obesity, among the oldest old. METHODS For this study, data from follow-up (FU) wave 7 and FU wave 8 of the "Study on Needs, Health Service Use, Costs and Health-Related Quality of Life in a Large Sample of Oldest-Old Primary Care Patients (85+)" (AgeQualiDe) were used. At FU wave 7, the mean age was 88.9 years (SD: 2.9; 85-100 years). Body-mass-index (BMI) categories were defined according to the World Health Organization (WHO) thresholds: underweight (BMI < 18.5 kg/m²), normal weight (18.5 kg/m² ≤ BMI < 25 kg/m²), overweight (25 kg/m² ≤ BMI < 30 kg/m²), and obesity (BMI ≥ 30 kg/m²). Longitudinal regression analysis was used to determine factors associated with obesity. RESULTS At FU wave 7, 3.0 % were underweight, 48.9 % were normal weight, 37.9 % were overweight, and 10.2 % were obese. Regressions showed that the probability of obesity decreased with age (OR: 0.77 [95 % CI: .593-.999]) and less chronic conditions (OR: 1.32 [95 % CI: 1.11-1.57]). The probability of obesity was not associated with sex, educational level, marital status, social isolation, visual impairment, hearing impairment, depression, and dementia. CONCLUSION Nearly half of the individuals in very late life had excess weight. Thus, excess weight remains a major challenge, even in very old age. Given the demographic ageing in upcoming decades, this is an issue which we should be aware of.
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Affiliation(s)
- André Hajek
- Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Germany.
| | - Christian Brettschneider
- Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Germany
| | - Carolin van der Leeden
- Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center, Hamburg-Eppendorf, Germany
| | - Dagmar Lühmann
- Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center, Hamburg-Eppendorf, Germany
| | - Anke Oey
- Institute of General Practice, Hannover Medical School, Germany
| | - Birgitt Wiese
- Institute of General Practice, Hannover Medical School, Germany
| | - Siegfried Weyerer
- Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
| | - Jochen Werle
- Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
| | - Angela Fuchs
- Institute of General Practice, Medical Faculty, Heinrich-Heine-University Düsseldorf, Germany
| | - Michael Pentzek
- Institute of General Practice, Medical Faculty, Heinrich-Heine-University Düsseldorf, Germany
| | - Susanne Röhr
- Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Germany
| | - Margrit Löbner
- Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Germany; Leipzig University Medical Center, IFB AdiposityDiseases, Leipzig, Germany
| | - Edelgard Mösch
- Department of Psychiatry, Technical University of Munich, Germany
| | - Horst Bickel
- Department of Psychiatry, Technical University of Munich, Germany
| | - Kathrin Heser
- Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, Germany
| | - Michael Wagner
- Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, Germany; German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany
| | - Martin Scherer
- Department of Primary Medical Care, Center for Psychosocial Medicine, University Medical Center, Hamburg-Eppendorf, Germany
| | - Wolfgang Maier
- Department of Neurodegenerative Diseases and Geriatric Psychiatry, University of Bonn, Germany; German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany
| | - Steffi G Riedel-Heller
- Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Germany
| | - Hans-Helmut König
- Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, Germany
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Guessous I, Ridder DD, Marques-Vidal P, Joost S. [Not Available]. Praxis (Bern 1994) 2020; 109:27-30. [PMID: 31910758 DOI: 10.1024/1661-8157/a003363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
GeoLaus, a Study on the Influence of Geo-Environmental Characteristics on Population Health Abstract. Geographic information on risk factors for health or disease is increasingly being used to understand the determinants of health. GeoLaus is a project initiated in 2015 that studies the impact of living spaces and socio-economic situation, on physical and mental health and on different lifestyle habits. This paper discusses and illustrates the use of spatial information in CoLaus to understand the determinants of obesity and daytime sleepiness. The first results of the GeoLaus study open new perspectives on population health.
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Affiliation(s)
- Idris Guessous
- Service de Médecine de Premiers Recours, Hôpitaux Universitaires de Genève, Genève
- Group of Geographic Information Research and Analysis in Population Health (GIRAPH), Lausanne
| | - David de Ridder
- Service de Médecine de Premiers Recours, Hôpitaux Universitaires de Genève, Genève
- Group of Geographic Information Research and Analysis in Population Health (GIRAPH), Lausanne
- Laboratoire de systèmes d'informations géographiques (LASIG), Faculté de l'environnement naturel, architectural et construit, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne
| | - Pedro Marques-Vidal
- Group of Geographic Information Research and Analysis in Population Health (GIRAPH), Lausanne
- Service de Médecine Interne, Département de Médecine, Centre hospitalier universitaire vaudois (CHUV) et Université de Lausanne, Lausanne
| | - Stéphane Joost
- Service de Médecine de Premiers Recours, Hôpitaux Universitaires de Genève, Genève
- Group of Geographic Information Research and Analysis in Population Health (GIRAPH), Lausanne
- Laboratoire de systèmes d'informations géographiques (LASIG), Faculté de l'environnement naturel, architectural et construit, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne
- Institut et Haute Ecole de la Santé La Source, Lausanne
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Kerksieck P, Baumann K, Frick E. [Prevalence and interaction of stress and psychosomatically relevant lifestyle variables in pastoral-care workers in the German dioceses]. Z Psychosom Med Psychother 2016; 62:353-65. [PMID: 27924701 DOI: 10.13109/zptm.2016.62.4.353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Kronenberg F, Paulweber B, Lamina C. [Genomwide association studies on obesity: what can we learn from these studies]. Wien Med Wochenschr 2016; 166:88-94. [PMID: 26795628 DOI: 10.1007/s10354-015-0429-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Accepted: 12/30/2015] [Indexed: 01/10/2023]
Abstract
The introduction of genome-wide association studies resulted in a tremendous increase in the number of genes associated with obesity and related phenotypes (BMI, waist and waist-hip-ratio). Despite this enormous gain in knowledge the search for genes is only started since only a small fraction of the heritability of these phenotypes is explained yet: each single gene of the 97 hitherto known BMI-associated genes and 49 waist-hip-ratio-associated genes explains only a tiny fraction of the variance of these phenotypes. Sex-specific differences are mainly known for waist-hip-ratio and ̴40% of the genes showed only an effect in women but no or a markedly smaller effect in men. The functional characterization of the identified genes will take a lot of time. It is unclear whether and how fast the findings will result in therapeutic consequences. It is of utmost importance that we understand the involved mechanisms before new therapeutic strategies can be developed.
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Affiliation(s)
- Florian Kronenberg
- Division für Genetische Epidemiologie, Department für Medizinische Genetik, Molekulare and Klinische Pharmakologie, Medizinische Universität Innsbruck, Schöpfstr. 41, 6020, Innsbruck, Österreich.
| | - Bernhard Paulweber
- Universitätsklinik für Innere Medizin I der Paracelsus Medizinischen Privatuniversität Salzburg, St. Johanns-Spital, Müllner Hauptstraße 48, 5020, Salzburg, Österreich
| | - Claudia Lamina
- Division für Genetische Epidemiologie, Department für Medizinische Genetik, Molekulare and Klinische Pharmakologie, Medizinische Universität Innsbruck, Schöpfstr. 41, 6020, Innsbruck, Österreich
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Steiner J, Bernstein HG, Schiltz K, Müller UJ, Westphal S, Drexhage HA, Bogerts B. Immune system and glucose metabolism interaction in schizophrenia: a chicken-egg dilemma. Prog Neuropsychopharmacol Biol Psychiatry 2014; 48:287-94. [PMID: 23085507 DOI: 10.1016/j.pnpbp.2012.09.016] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2012] [Revised: 09/15/2012] [Accepted: 09/22/2012] [Indexed: 12/15/2022]
Abstract
Impaired glucose metabolism and the development of metabolic syndrome contribute to a reduction in the average life expectancy of individuals with schizophrenia. It is unclear whether this association simply reflects an unhealthy lifestyle or whether weight gain and impaired glucose tolerance in patients with schizophrenia are directly attributable to the side effects of atypical antipsychotic medications or disease-inherent derangements. In addition, numerous previous studies have highlighted alterations in the immune system of patients with schizophrenia. Increased concentrations of interleukin (IL)-1, IL-6, and transforming growth factor-beta (TGF-β) appear to be state markers, whereas IL-12, interferon-gamma (IFN-γ), tumor necrosis factor-alpha (TNF-α), and soluble IL-2 receptor (sIL-2R) appear to be trait markers of schizophrenia. Moreover, the mononuclear phagocyte system (MPS) and microglial activation are involved in the early course of the disease. This review illustrates a "chicken-egg dilemma", as it is currently unclear whether impaired cerebral glucose utilization leads to secondary disturbances in peripheral glucose metabolism, an increased risk of cardiovascular complications, and accompanying pro-inflammatory changes in patients with schizophrenia or whether immune mechanisms may be involved in the initial pathogenesis of schizophrenia, which leads to disturbances in glucose metabolism such as metabolic syndrome. Alternatively, shared underlying factors may be responsible for the co-occurrence of immune system and glucose metabolism disturbances in schizophrenia.
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Affiliation(s)
- Johann Steiner
- Department of Psychiatry, University of Magdeburg, Magdeburg, Germany; Center for Behavioral Brain Sciences, Magdeburg, Germany.
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