1. Here are a several research articles that focus on the intersection between ACES and obesity These articles could be embedded into slide decks to underscore the physical science associated with this intersection

2. Although adverse childhood events may account for only a small proportion of the current obesity epidemic in the U.S. (Alvarez et al., 2007), risk of obesity in this select group is highly relevant. Health care providers who work with trauma survivors may be well poised to assist in delivery of health promotion and preventive interventions targeting this group. While continued research would be useful in determining and clarifying potential moderators and mechanisms, this study along with others suggests that adverse childhood events are important risk factors for not only poor psychological outcomes in adulthood, but also risky lifestyle factors and poor physical health outcomes.

3. The present study illustrates the importance of routinely assessing for the presence of childhood maltreatment when intervening with obese and/or depressed adult women. If abuse is identified, the individual may benefit from a referral for additional treatment, especially if the depression is being treated pharmacologically. The study also emphasizes the fact that child abuse, particularly child physical abuse, may have different associations with adult depression, depending on race and ethnicity

5. In the present study, we observed that maternal separation in creases basal CORT levels and induces a passive coping strategy in the FST. MS180 was also associated with a mild increase in fasting glucose, insulin, total cholesterol ,and triglyceride levels, as well as alterations in the IVGTT and QUICKY index. In addition, SIR significantly increased fasting glucose and body weight gain in MS180 rats, without further affecting behavior. Analyses of covariance indicated that MS180-induced effects on coping strategy and fasting glucose levels were related to HPA axis reactivity.

8. Individuals reporting a history of any childhood adversity had higher systolic and diastolic blood pressure[44].
The results herein provide preliminary evidence suggesting that childhood adversity is associated with metabolic syndrome components in individuals with mood disorders. An association between stressful events and episode recurrences has repeatedly been found in bipolar patients[45].
A public health paradox is implicit in these observations. One sees that certain common public health problems, while being often also unconscious attempted solutions to major life problems, harken back to the developmental years. The idea of the problem being a solution, while understandably disturbing to many, is certainly in keeping with the fact that opposing forces routinely coexist in biological systems. Clinical evidence suggests that metabolism and emotion homeostasis might share common mechanisms.

18. Images from the CDPH WIC and the Cal WIC websites

21. Source: “Considering Maternity Care through the Lens of the Social Determinants of Health”, Dr. Connie Mitchell, CDPH, October 2014

24. Source: “Considering Maternity Care through the Lens of the Social Determinants of Health”, Dr. Connie Mitchell, CDPH, October 2014
A profile of California’s mothers specifically and some of their childhood hardships (our version to date of the ACEs tool)
Talk a little bit about MIHA
MIHA data is our version of ACEs
From

25. N=26,229 – five states
30.8% of women – lived with a substance using household member as children
Adverse childhood experiences are common but typically unrecognized
Their link to major problems later in life is strong, proportionate, and logical
They are the nation’s most basic public health problem
It is comforting to mistake intermediary mechanism for basic cause
What presents as the ‘Problem’ may in fact be an attempted solution.
Treating the solution may be threatening and cause flight from treatment
Primary prevention is presently the only feasible population approach
Using this information clinically will be resisted, by us

26. The well-being of mothers, infants & children determines the health of the next generation and can help predict future public health challenges for families, communities and the medical care system”
-Healthy People 2020
Let today’s awareness drive tomorrow’s outcomes

31. “Never before in the history of medicine have we had better insight into the factors that determine the health of an individual from infancy to adulthood, which is part of the life course perspective—a way of looking at life not as disconnected stages but as integrated across time.”