McCoy Stephanie M, Jakicic John M, Gibbs Bethany Barone
Department of Health and Physical Activity, University of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, 15261, USA.
J Autism Dev Disord. 2016 Jul;46(7):2317-26. doi: 10.1007/s10803-016-2762-0.
Body mass index classification, physical activity (PA), and sedentary behaviors were compared in adolescents with autism spectrum disorder (ASD) to typically developing adolescents. Participants included 42,747 adolescents (ASD, n = 915) from the 2011-2012 National Survey of Children's Health. After controlling for covariates, adolescents were more likely to be overweight and obese, and less likely to engage in regular PA versus typically developing adolescents (p's < 0.05). Increased odds for overweight and obesity were attenuated after adjustment for PA. Higher autism severity was associated with increased odds of overweight and obesity and decreased odds of PA, sport, and club participation. These findings suggest adolescents with ASD are in need of targeted programs to decrease obesity and increase physical activity.
对患有自闭症谱系障碍（ASD）的青少年与发育正常的青少年的体重指数分类、身体活动（PA）和久坐行为进行了比较。参与者包括来自2011 - 2012年全国儿童健康调查的42,747名青少年（ASD组，n = 915）。在控制协变量后，与发育正常的青少年相比，ASD青少年超重和肥胖的可能性更高，进行定期身体活动的可能性更低（p值<0.05）。在对身体活动进行调整后，超重和肥胖的几率增加有所减弱。更高的自闭症严重程度与超重和肥胖几率增加以及参与体育活动、运动和俱乐部的几率降低有关。这些发现表明，患有ASD的青少年需要有针对性的项目来减少肥胖并增加身体活动。
