ACEs and PACEs: Understanding and Changing the Dynamic Interplay of Food, Family, and Stress
摘要
Childhood adversity can have profound negative effects on physical, cognitive, emotional, and social development, with these impacts potentially persisting across the lifespan. Early adverse experiences can result in neurobiological adaptations that influence the body’s nervous, endocrine, immune, and metabolic systems, as well as impairments in emotion regulation, impulse control, and maladaptive eating behaviors. Fortunately, a number of protective and compensatory experiences (PACEs) have been identified from decades of research on resilience, which mitigate the consequences of childhood adversity. These include having access to healthy food, i.e., ensuring basic nutritional needs are met, and having consistent mealtimes, i.e., creating routines and order. This chapter highlights how we can understand both adverse and protective childhood experiences through a nutritional lens to better understand the relation between food, family, and stress. Promoting routines and rituals through consistent family meals, reducing food insecurity by ensuring families have access to enough to eat, and supporting federal, state, and local programs that provide additional resources to children and families can increase protective factors and promote resilience. By recognizing the multi-dimensional connections between adversity, stress, and nutrition, professionals, practitioners, parents, and policymakers can work collaboratively to enhance family and community resilience.