超重与肥胖：自闭症谱系障碍患儿大型临床样本中的患病率及相关因素
Overweight and obesity: prevalence and correlates in a large clinical sample of children with autism spectrum disorder.
作者信息
Zuckerman Katharine E, Hill Alison P, Guion Kimberly, Voltolina Lisa, Fombonne Eric
机构信息
Division of General Pediatrics and Child and Adolescent Health Measurement Initiative, Department of Pediatrics, Oregon Health & Science University, 707 SW Gaines Rd., Mail Code CDRC-P, Portland, OR, 97239-3098, USA,
出版信息
J Autism Dev Disord. 2014 Jul;44(7):1708-19. doi: 10.1007/s10803-014-2050-9.
Autism Spectrum Disorders (ASDs) and childhood obesity (OBY) are rising public health concerns. This study aimed to evaluate the prevalence of overweight (OWT) and OBY in a sample of 376 Oregon children with ASD, and to assess correlates of OWT and OBY in this sample. We used descriptive statistics, bivariate, and focused multivariate analyses to determine whether socio-demographic characteristics, ASD symptoms, ASD cognitive and adaptive functioning, behavioral problems, and treatments for ASD were associated with OWT and OBY in ASD. Overall 18.1% of children met criteria for OWT and 17.0% met criteria for OBY. OBY was associated with sleep difficulties, melatonin use, and affective problems. Interventions that consider unique needs of children with ASD may hold promise for improving weight status among children with ASD.
自闭症谱系障碍（ASD）和儿童肥胖（OBY）正日益引起公众对健康的关注。本研究旨在评估俄勒冈州376名患有自闭症谱系障碍儿童样本中超重（OWT）和肥胖（OBY）的患病率，并评估该样本中超重和肥胖的相关因素。我们使用描述性统计、双变量分析和重点多变量分析来确定社会人口学特征、自闭症谱系障碍症状、自闭症谱系障碍认知和适应功能、行为问题以及自闭症谱系障碍治疗方法是否与自闭症谱系障碍患者的超重和肥胖有关。总体而言，18.1%的儿童符合超重标准，17.0%的儿童符合肥胖标准。肥胖与睡眠困难、褪黑素使用和情感问题有关。考虑到自闭症谱系障碍儿童独特需求的干预措施可能有望改善自闭症谱系障碍儿童的体重状况。
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