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自闭症谱系障碍儿童超重和肥胖的患病率及其与健康的相关性。

Prevalence and Health Correlates of Overweight and Obesity in Children with Autism Spectrum Disorder.

作者信息

Dreyer Gillette Meredith L, Borner Kelsey B, Nadler Cy B, Poppert Katrina M, Odar Stough Cathleen, Swinburne Romine Rebecca, Davis Ann M

机构信息

*Center for Children's Healthy Lifestyles & Nutrition, Kansas City, MO; †Division of Developmental and Behavioral Sciences, Children's Mercy Kansas City, Kansas City, MO; ‡Department of Pediatrics, University of Missouri Kansas City School of Medicine, Kansas City, MO; §Clinical Child Psychology Program, University of Kansas, Lawrence, KS; ‖The Schiefelbusch Institute for Life Span Studies, University of Kansas, Lawrence, KS; ¶Department of Pediatrics, University of Kansas Medical Center, Kansas City, KS.

出版信息

J Dev Behav Pediatr. 2015 Sep;36(7):489-96. doi: 10.1097/DBP.0000000000000198.

Abstract

Children with autism spectrum disorder (ASD) may be at increased risk for overweight and obesity, but little information is known about correlates of overweight and obesity in this population. This study compared prevalence rates of parent-reported overweight and obesity and specific health behaviors (i.e., parent report of child sleep, family meal patterns, child screen time, and child physical activity) among children with ASD (N = more than 900 [weighted to represent 690,000; age 10-17]) compared with children without ASD using data from a nationally representative sample. Additionally, the relationship between specific health behaviors (i.e., child sleep, family meals, screen time, and physical activity) and weight status was examined in the ASD population. Data were from the National Survey of Children's Health 2011-2012. Results indicate that children with ASD were more likely to be obese but not more likely to be overweight than non-ASD youth. Children with ASD engaged in physical activity less than children without ASD, but no differences were found on sleep, most measures of screen time, and mealtimes. However, parent perceived poorer sleep was associated with increased weight status, and fewer family meals were associated with normal weight status among children with ASD.

摘要

患有自闭症谱系障碍(ASD)的儿童超重和肥胖风险可能会增加,但对于该人群中超重和肥胖的相关因素却知之甚少。本研究使用来自全国代表性样本的数据,比较了自闭症谱系障碍儿童(N = 900多名[加权后代表690,000名;年龄10 - 17岁])与非自闭症谱系障碍儿童中父母报告的超重和肥胖患病率以及特定健康行为(即父母报告的孩子睡眠情况、家庭用餐模式、孩子屏幕使用时间和孩子身体活动情况)。此外,还在自闭症谱系障碍人群中研究了特定健康行为(即孩子睡眠、家庭用餐、屏幕使用时间和身体活动)与体重状况之间的关系。数据来自2011 - 2012年全国儿童健康调查。结果表明,与非自闭症谱系障碍青少年相比,自闭症谱系障碍儿童更有可能肥胖,但超重的可能性并无差异。自闭症谱系障碍儿童的身体活动比非自闭症谱系障碍儿童少,但在睡眠、大多数屏幕使用时间测量指标和用餐时间方面未发现差异。然而,父母认为较差的睡眠与自闭症谱系障碍儿童体重增加有关,而较少的家庭用餐次数与正常体重状况有关。

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