Reviewer’s report  
 
Title: Childhood adversity and women ’s cardiometabolic health in adulthood: associations with 
health behaviors, psychological distress, mood symptoms, and personality  
 
Version: 1 Date: 21 Jun 2019  
 
Reviewer: Shumayla saifi  
 
Reviewer's report:  
 
Congratulations on writing this manuscript which is different from the mainline research.  
he manuscript is  structured in a sculpted manner giving a meaningful description of the study. 
Only few clarifications are required which i am sure authors will be able to answer.  
 
1. In line 312, as the authors have described that one of the reason of contrast results of  this 
study is that, the adversities chosen for this study are not severe. What in general is believed, 
that less severe adversities in childhood are less common and prevalent over a large 
population. Then why, this is one of the reason of your contrast re sults with respect to the 
cardio -metabolic health and childhood adversity?  
 
2. In line 337, authors have discussed that women are protected against cardiovascular disease 
before menopause, while a lot of literature states that obese and overweight women ar e more 
prone to cardiovascular disease. and overweight and obese women are your study subjects.  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Yes 
 
Are the conclusions drawn ade quately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Yes 
 
Are you able to assess any statistics in the manus cript or would you recommend an 
additional statistical review?  
If an additional statistical review is recomme nded, please speci fy what aspects require further 
assessment in your comments to the editors.  
 
I am able to assess the statistics  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Acceptable  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five y ears received reimbursements, f ees, funding, or salary from an 
organisation that may in any way gain or lose financial ly from the publication of this 
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisation that may i n any way gain or lose 
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents  relating to the content of the 
manuscript?  
 
4. Have you received reimbursements, fees, fund ing, or salary from an organization that holds 
or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to all of the above, write 'I declare that I have  no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that I have no competing interests  
 
I agree to the open peer review policy of the journal. I  understand that my name will be included  
on my report to the authors and, if the manuscript is accepted f or publication, my nam ed report 
including any attachments I upload will be posted on the website along with the authors' 
responses. I agree for my report to be made available under an Open Access Creative Commons 
CC-BY license ( http://creativecommons.org/licenses/by/4.0/ ). I understand that any comments 
which I do not wish to be included in my named report can be in cluded as confidential comments 
to the editors, which will not be published.  
 
I agree to the open pe er review policy of the journal