Healthy Weight Research Network, University of Massachusetts Medical School, Worcester, Massachusetts;
Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Worcester, Massachusetts.
Pediatrics. 2020 Apr;145(Suppl 1):S126-S139. doi: 10.1542/peds.2019-1895P.
Research suggests that the prevalence of obesity in children with autism spectrum disorder (ASD) is higher than in typically developing children. The US Preventive Services Task Force and the American Academy of Pediatrics (AAP) have endorsed screening children for overweight and obesity as part of the standard of care for physicians. However, the pediatric provider community has been inadequately prepared to address this issue in children with ASD. The Healthy Weight Research Network, a national research network of pediatric obesity and autism experts funded by the US Health Resources and Service Administration Maternal and Child Health Bureau, developed recommendations for managing overweight and obesity in children with ASD, which include adaptations to the AAP's 2007 guidance. These recommendations were developed from extant scientific evidence in children with ASD, and when evidence was unavailable, consensus was established on the basis of clinical experience. It should be noted that these recommendations do not reflect official AAP policy. Many of the AAP recommendations remain appropriate for primary care practitioners to implement with their patients with ASD; however, the significant challenges experienced by this population in both dietary and physical activity domains, as well as the stress experienced by their families, require adaptations and modifications for both preventive and intervention efforts. These recommendations can assist pediatric providers in providing tailored guidance on weight management to children with ASD and their families.
研究表明，自闭症谱系障碍（ASD）儿童的肥胖患病率高于普通发育儿童。美国预防服务工作组和美国儿科学会（AAP）已认可对超重和肥胖儿童进行筛查，作为医生护理标准的一部分。然而，儿科医务人员在解决 ASD 儿童的这个问题方面准备不足。由美国卫生资源和服务管理局母婴健康局资助的全国儿科肥胖和自闭症专家健康体重研究网络，为管理 ASD 儿童的超重和肥胖问题制定了建议，包括对 AAP 2007 年指南的改编。这些建议是根据 ASD 儿童现有的科学证据制定的，在没有证据的情况下，根据临床经验达成了共识。需要指出的是，这些建议并不反映 AAP 的官方政策。AAP 的许多建议仍然适合初级保健医生在为 ASD 患者实施；然而，该人群在饮食和身体活动方面面临的巨大挑战，以及他们家庭所经历的压力，都需要对预防和干预措施进行调整和修改。这些建议可以帮助儿科医务人员为 ASD 儿童及其家庭提供量身定制的体重管理指导。
