According to the material, which factor may increase the risk of obesity?

• A. Regular exercise
• B. Adequate sleep
• C. High-fiber diet
• D. Sexual/physical abuse

Answer: (D)

Trauma exposure, such as sexual or physical abuse, can increase the risk of obesity. Chronic stress from abuse keeps the body’s stress response activated, elevating hormones like cortisol that promote fat storage, especially around the abdomen. This stress can also drive emotional or stress eating, reduce physical activity, and disturb sleep, all of which contribute to weight gain over time. Trauma can also affect metabolic regulation and coping patterns, making energy-dense foods a common, if unhealthy, response.

In contrast, regular exercise helps burn calories and improve insulin sensitivity; adequate sleep supports hormonal balance that controls appetite; and a high-fiber diet promotes fullness and can reduce overall energy intake. These factors are generally protective against obesity, which is why the factor tied to a higher obesity risk is the trauma exposure, rather than the protective lifestyle choices listed.