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球组合训练计划联合连续θ波爆发刺激干预对伴有智力障碍的自闭症儿童饮食行为的影响:一项初步研究

The Effects of a Ball Combination Training Program Combined with a Continuous Theta Burst Stimulation Intervention on Eating Behaviors in Autistic Children with Accompanying Intellectual Disabilities: A Preliminary Study.

作者信息

Liu Yufei, Cai Kelong, Qi Kai, Xiong Xuan, Sun Zhiyuan, Shi Yifan, Chen Aiguo

机构信息

Gdansk University of Physical Education and Sport, 80-336 Gdansk, Poland.

College of Physical Education, Yangzhou University, Yangzhou 225127, China.

出版信息

Nutrients. 2025 Apr 25;17(9):1446. doi: 10.3390/nu17091446.

Abstract

Eating behavior problems significantly affect the physical health and quality of life of children with autism spectrum disorder and intellectual disabilities (co-occurring ASD/ID). This study aimed to evaluate the effects of a 12-week Ball Combination Training Program (BCTP), continuous theta burst stimulation (cTBS), and an intervention combining both (in the CIG) on the eating behaviors of children with co-occurring ASD/ID. A total of 48 participants were assigned into one of four groups: the BCTP ( = 13), cTBS ( = 12), the CIG ( = 11), and a control group ( = 12). The intervention groups received their respective treatments in addition to the routine institutional rehabilitation, whereas the control group only received the standard institutional rehabilitation. The intervention outcomes were assessed using the parent-reported Children's Eating Behavior Questionnaire (CEBQ). The results indicated that all three intervention methods led to improvements in their eating behavior after 12 weeks. Specifically, the BCTP group and the CIG demonstrated significantly reduced Food Fussiness behavior, while the children's Enjoyment of Food was markedly enhanced in the cTBS group and the CIG. Furthermore, the CIG experienced a particularly notable effect in terms of the improvement in the Satiety Responsiveness dimension of their eating behavior. Among the three approaches, the CIG demonstrated a clear advantage over the single interventions in terms of both the breadth and magnitude of its improvements. This study confirmed the effectiveness of these three intervention strategies in addressing dietary behavior problems among children with co-occurring ASD/ID. Future research should focus on exploring the combined intervention approach further, particularly its potential synergy, while delving deeper into the neural mechanisms underlying these behavioral improvements.

摘要

饮食行为问题严重影响自闭症谱系障碍和智力残疾(共病ASD/ID)儿童的身体健康和生活质量。本研究旨在评估为期12周的球类组合训练计划(BCTP)、连续theta爆发刺激(cTBS)以及两者结合的干预措施(综合干预组,CIG)对共病ASD/ID儿童饮食行为的影响。共有48名参与者被分为四组之一:BCTP组(n = 13)、cTBS组(n = 12)、CIG组(n = 11)和对照组(n = 12)。干预组除接受常规机构康复外,还接受各自的治疗,而对照组仅接受标准的机构康复。使用家长报告的儿童饮食行为问卷(CEBQ)评估干预结果。结果表明,所有三种干预方法在12周后均导致饮食行为改善。具体而言,BCTP组和CIG组的食物挑剔行为显著减少,而cTBS组和CIG组儿童对食物的喜爱明显增强。此外,CIG组在饮食行为的饱腹感反应维度改善方面效果尤为显著。在这三种方法中,CIG组在改善的广度和程度方面均比单一干预措施具有明显优势。本研究证实了这三种干预策略在解决共病ASD/ID儿童饮食行为问题方面的有效性。未来的研究应进一步关注探索联合干预方法,特别是其潜在的协同作用,同时深入研究这些行为改善背后的神经机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1f5/12073229/c2b1cd7fbbdb/nutrients-17-01446-g001.jpg

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