Original title: ‘The Weight of Early Stress and Trauma: An Analysis of How Adverse Childhood Experiences, PTSD, and CPTSD Influence Adult Obesity Rates’
Lynn Holleran, Samuel Bennett · September 2026
Tough experiences in childhood can hurt adult physical health, but scientists still want to know how psychological trauma ties into adult weight. Researchers surveyed adults online to check links between early hardship, trauma symptoms, and body mass index, which is a weight-to-height ratio. Participants answered questions about childhood adversity, post-traumatic stress disorder, complex post-traumatic stress disorder, and their height and weight. The team compared these scores to see if early hardships lined up with higher body weight or trauma symptoms later in life. They found that adults who experienced more childhood adversity had higher body mass index scores. Adults with obesity had experienced more childhood hardships than adults at a healthy weight. People with complex trauma symptoms also faced more childhood hardships. However, severe post-traumatic stress symptoms did not show a clear, statistically meaningful link to adult weight in this study.
Imagine you have a garden where some plants grow poorly. You wonder if the soil is bad or if pests are the problem. You measure both and find that poor soil strongly predicts stunted growth, but the number of pests alone does not. In this paper, childhood adversity is like poor soil, and PTSD/CPTSD symptoms are like pests—both are linked, but the soil directly affects plant size, while pests have a weaker, non-significant effect.
Obesity is a major health problem, and this study shows that childhood adversity directly predicts higher BMI, even when PTSD or complex PTSD symptoms are weak. This means obesity prevention and treatment may need to address early-life trauma directly, rather than assuming that treating trauma-related mental health conditions will automatically reduce obesity risk. Integrated approaches that target both trauma and weight could be more effective.
The study is cross-sectional, so it cannot show cause and effect. All measures were self-reported, including height and weight, which may be inaccurate. The sample is small (95 adults) and mostly female (69%), recruited via social media, limiting generalizability. Associations between PTSD/CPTSD severity and BMI were weak and not statistically significant, meaning the study did not find strong evidence for those links.
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‘The Weight of Early Stress and Trauma: An Analysis of How Adverse Childhood Experiences, PTSD, and CPTSD Influence Adult Obesity Rates’ — Lynn Holleran, Samuel Bennett — PsyArXiv — doi:10.31234/osf.io/cetzu_v1
Abstract licence: CC BY
Explanation generated by Synthesis from the abstract — it is not the original paper. This is a preprint, so it hasn't necessarily been peer reviewed.