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      The long‐term effects of childhood circumstances on older individuals: A systematic review

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          Abstract

          Childhood experiences are known to shape individuals' development and can influence various aspects of life later on. Understanding the long‐term effects is crucial for informing interventions and policies aimed at promoting healthy aging. This review aimed to explore the long‐term effects of childhood experiences on older individuals. This systematic review comprised three distinct phases. Firstly, a systematic review was conducted, exploring databases such as Google Scholar, PubMed, EMBASE, PsycINFO, and the Web of Science. Out of the 2116 studies initially identified, 24 studies were selected based on the inclusion criteria. Secondly, these inclusion criteria were applied to ensure that the chosen studies specifically delved into the connection between childhood experiences and outcomes in older individuals. Finally, data extraction and synthesis techniques were employed to analyze findings, facilitating the drawing of conclusions concerning the enduring impacts of childhood experiences on the well‐being of older individuals. The review's findings revealed how negative experiences in childhood continue to affect older individuals in various ways. These early‐life events have far‐reaching consequences, profoundly impacting their physical health, making them more susceptible to chronic diseases and weakening their immune system. Additionally, they affect mental health, leading to conditions like depression, anxiety, and substance abuse. Cognitive function is also affected, resulting in memory problems and cognitive decline. Furthermore, these experiences impact social relationships, affecting trust, emotional control, and social isolation in later life. This review highlighted the enduring influence of childhood circumstances on the health and well‐being of older individuals. Policymakers and health care practitioners should consider these findings when developing strategies to support healthy aging and mitigate the long‐term effects of adverse childhood experiences.

          Abstract

          Childhood experiences profoundly shape the health, mental well‐being, cognitive function, and social relationships of older individuals. From malnutrition and environmental pollutants to trauma and socioeconomic factors, early life significantly influences later‐life outcomes, emphasizing the importance of comprehensive support and interventions for the older people.

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          Most cited references53

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          Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S.

          Background COVID-19 restrictions such as the closure of schools and parks, and the cancellation of youth sports and activity classes around the United States may prevent children from achieving recommended levels of physical activity (PA). This study examined the effects of the COVID-19 pandemic on PA and sedentary behavior (SB) in U.S. children. Method Parents and legal guardians of U.S. children (ages 5–13) were recruited through convenience sampling and completed an online survey between April 25–May 16, 2020. Measures included an assessment of their child’s previous day PA and SB by indicating time spent in 11 common types of PA and 12 common types of SB for children. Parents also reported perceived changes in levels of PA and SB between the pre-COVID-19 (February 2020) and early-COVID-19 (April–May 2020) periods. Additionally, parents reported locations (e.g., home/garage, parks/trails, gyms/fitness centers) where their children had performed PA and their children’s use of remote/streaming services for PA. Results From parent reports, children (N = 211) (53% female, 13% Hispanic, Mage = 8.73 [SD = 2.58] years) represented 35 states and the District of Columbia. The most common physical activities during the early-COVID-19 period were free play/unstructured activity (e.g., running around, tag) (90% of children) and going for a walk (55% of children). Children engaged in about 90 min of school-related sitting and over 8 h of leisure-related sitting a day. Parents of older children (ages 9–13) vs. younger children (ages 5–8) perceived greater decreases in PA and greater increases in SB from the pre- to early-COVID-19 periods. Children were more likely to perform PA at home indoors or on neighborhood streets during the early- vs. pre-COVID-19 periods. About a third of children used remote/streaming services for activity classes and lessons during the early-COVID-19 period. Conclusion Short-term changes in PA and SB in reaction to COVID-19 may become permanently entrenched, leading to increased risk of obesity, diabetes, and cardiovascular disease in children. Programmatic and policy strategies should be geared towards promoting PA and reducing SB over the next 12 months.
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            Unpacking the impact of adverse childhood experiences on adult mental health

            Exposure to childhood adversity has an impact on adult mental health, increasing the risk for depression and suicide. Associations between Adverse Childhood Experiences (ACEs) and several adult mental and behavioral health outcomes are well documented in the literature, establishing the need for prevention. The current study analyzes the relationship between an expanded ACE score that includes being spanked as a child and adult mental health outcomes by examining each ACE separately to determine the contribution of each ACE. Data were drawn from Wave II of the CDC-Kaiser ACE Study, consisting of 7465 adult members of Kaiser Permanente in southern California. Dichotomous variables corresponding to each of the 11 ACE categories were created, with ACE score ranging from 0 to 11 corresponding to the total number of ACEs experienced. Multiple logistic regression modeling was used to examine the relationship between ACEs and adult mental health outcomes adjusting for sociodemographic covariates. Results indicated a graded dose-response relationship between the expanded ACE score and the likelihood of moderate to heavy drinking, drug use, depressed affect, and suicide attempts in adulthood. In the adjusted models, being spanked as a child was significantly associated with all self-reported mental health outcomes. Over 80% of the sample reported exposure to at least one ACE, signifying the potential to capture experiences not previously considered by traditional ACE indices. The findings highlight the importance of examining both cumulative ACE scores and individual ACEs on adult health outcomes to better understand key risk and protective factors for future prevention efforts.
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              Associations of Social Isolation with Anxiety and Depression During the Early COVID-19 Pandemic: A Survey of Older Adults in London, UK

              The COVID-19 pandemic is imposing a profound negative impact on the health and wellbeing of societies and individuals, worldwide. One concern is the effect of social isolation as a result of social distancing on the mental health of vulnerable populations, including older people. Within six weeks of lockdown, we initiated the CHARIOT COVID-19 Rapid Response Study, a bespoke survey of cognitively healthy older people living in London, to investigate the impact of COVID-19 and associated social isolation on mental and physical wellbeing. The sample was drawn from CHARIOT, a register of people over 50 who have consented to be contacted for aging related research. A total of 7,127 men and women (mean age=70.7 [SD=7.4]) participated in the baseline survey, May–July 2020. Participants were asked about changes to the 14 components of the Hospital Anxiety Depression scale (HADS) after lockdown was introduced in the UK, on 23rd March. A total of 12.8% of participants reported feeling worse on the depression components of HADS (7.8% men and 17.3% women) and 12.3% reported feeling worse on the anxiety components (7.8% men and 16.5% women). Fewer participants reported feeling improved (1.5% for depression and 4.9% for anxiety). Women, younger participants, those single/widowed/divorced, reporting poor sleep, feelings of loneliness and who reported living alone were more likely to indicate feeling worse on both the depression and/or anxiety components of the HADS. There was a significant negative association between subjective loneliness and worsened components of both depression (OR 17.24, 95% CI 13.20, 22.50) and anxiety (OR 10.85, 95% CI 8.39, 14.03). Results may inform targeted interventions and help guide policy recommendations in reducing the effects of social isolation related to the pandemic, and beyond, on the mental health of older people.
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                Author and article information

                Contributors
                mkkrony@yahoo.com
                Journal
                Aging Med (Milton)
                Aging Med (Milton)
                10.1002/(ISSN)2475-0360
                AGM2
                Aging Medicine
                John Wiley and Sons Inc. (Hoboken )
                2475-0360
                12 April 2024
                April 2024
                : 7
                : 2 ( doiID: 10.1002/agm2.v7.2 )
                : 239-251
                Affiliations
                [ 1 ] Major at Bangladesh Army (AFNS Officer), Combined Military Hospital Dhaka Dhaka Bangladesh
                [ 2 ] School of Medical Sciences Shahjalal University of Science and Technology Sylhet Bangladesh
                [ 3 ] Masters in Disaster Management University of Dhaka Dhaka Bangladesh
                [ 4 ] Dhaka Nursing College, affiliated with the University of Dhaka Dhaka Bangladesh
                [ 5 ] Master of Public Health Daffodil International University Dhaka Bangladesh
                [ 6 ] Master of Public Health Leading University Sylhet Bangladesh
                [ 7 ] Master of Science in Nursing National Institute of Advanced Nursing Education and Research Mugda Dhaka Bangladesh
                [ 8 ] Master of Public Health National Institute of Preventive and Social Medicine Dhaka Bangladesh
                [ 9 ] College of Nursing International University of Business Agriculture and Technology (IUBAT) Dhaka Bangladesh
                [ 10 ] Master of Public Health Bangladesh Open University Dhaka Bangladesh
                Author notes
                [*] [* ] Correspondence

                Moustaq Karim Khan Rony, Master of Public Health, Bangladesh Open University, Dhaka, Bangladesh.

                Email: mkkrony@ 123456yahoo.com

                Author information
                https://orcid.org/0000-0003-0111-6163
                https://orcid.org/0009-0004-0301-6064
                https://orcid.org/0009-0009-5887-8370
                https://orcid.org/0009-0007-4019-5913
                https://orcid.org/0009-0001-4258-5321
                https://orcid.org/0009-0003-2932-0833
                https://orcid.org/0000-0002-8082-1575
                https://orcid.org/0009-0006-5263-4584
                https://orcid.org/0000-0002-6905-0554
                Article
                AGM212299 AGM-2024-0023.R1
                10.1002/agm2.12299
                11077334
                38725695
                4a354c88-0295-43fa-bd8f-be6e305d7e7b
                © 2024 The Authors. Aging Medicine published by Beijing Hospital and John Wiley & Sons Australia, Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 27 February 2024
                : 28 January 2024
                : 28 March 2024
                Page count
                Figures: 2, Tables: 2, Pages: 13, Words: 8300
                Categories
                Review Article
                Review Articles
                Custom metadata
                2.0
                April 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.4.2 mode:remove_FC converted:08.05.2024

                childhood experiences,early‐life,health,older individuals

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