Evidence map›Paper›PMID 36318589›Full record

SynthesisJournal of global health2022

Adverse childhood experiences and risk of diabetes: A systematic review and meta-analysis.

Siyu Zhu, Shiyi Shan, Wen Liu, Shuting Li, Leying Hou, Xuanyin Huang, Yi Liu, Qian Yi, Weidi Sun, Kun Tang and 4 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Association of Adverse Childhood Experiences and Metabolic Syndrome: A Systematic Review and Meta-Analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
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  5. Childhood adversity and trajectories of health and quality of life in Australian children and adolescents: a latent class analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  19. Child Maltreatment and Metabolic Syndrome: A Systematic Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Siyu ZhuSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Shiyi ShanSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Wen LiuSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Shuting LiSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Leying HouSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Xuanyin HuangSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Yi LiuSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Qian YiSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Weidi SunSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Kun TangVanke School of Public Health, Tsinghua University, Beijing, China.
Davies AdeloyeCentre for Global Health Research, University of Edinburgh, Edinburgh, UK.
Igor RudanCentre for Global Health Research, University of Edinburgh, Edinburgh, UK.
Peige SongSchool of Public Health and Women's Hospital, Zhejiang University School of Medicine, Zhejiang University, Zhejiang, China.
Global Health Epidemiology Research Group (GHERG)
Women's Hospital, School of Medicine, Zhejiang University · CNUniversity of Edinburgh · GBVanke (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The association between adverse childhood experiences (ACEs) and diabetes is unclear. This systematic review and meta-analysis aims to quantify the association between the number and types of ACEs and diabetes during adulthood based on available observational studies. Methods: A comprehensive literature search of studies exploring the association between ACEs and diabetes was conducted in PubMed, Medline, and Embase databases until 15 April 2022. A random-effects model was used to pool odds ratios (ORs) and 95% confidence intervals (CIs) for the number and types of ACEs with diabetes. Regarding the association between the number of ACEs and diabetes, we used funnel plots to examine publication bias, subgroup analysis to explore sources of heterogeneity, and sensitivity analysis to explore the robustness of the pooled results. Results: A total of 49 studies were included. Individuals with higher continuous ACEs (per each additional ACE: OR = 1.06, 95% CI = 1.02-1.10), any ACE (OR = 1.22, 95% CI = 1.16-1.28), or ≥4 ACEs (OR = 1.44, 95% CI = 1.27-1.63) were at an increased risk of diabetes in adulthood when compared with individuals without ACEs. Across specific ACE types, childhood economic adversity (OR = 1.11, 95% CI = 1.04-1.19), physical abuse (OR = 1.14, 95% CI = 1.07-1.21), sexual abuse (OR = 1.25, 95% CI = 1.12-1.39), verbal abuse (OR = 1.11, 95% CI = 1.03-1.20), and incarceration (OR = 1.22, 95% CI = 1.03-1.45) were associated with diabetes. However, neglect, emotional abuse, domestic violence, parental divorce or separation, parental death, and living with a family member with substance abuse or mental disorders were not significantly associated with diabetes. Conclusions: Individuals with ACEs may have a cumulative risk for diabetes in adulthood. It is critical to prevent ACEs and build resilience in individuals affected by ACEs.

Indexed as

Adverse Childhood ExperiencesDiabetes MellitusDomestic ViolenceAdultDivorceHumansObservational Studies as TopicRisk Factors

Identifiers

PMID36318589
PMCPMC9624439
OpenAlexW4308003189

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.