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Behavioral and environmental contributory factors for obesity in children with autism: A secondary data analysis from the National Survey of Children's Health 2007.

机译：自闭症儿童肥胖的行为和环境因素：《 2007年全国儿童健康调查》的二级数据分析。

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摘要

Background: Though childhood obesity and autism spectrum disorders (ASD) have been well researched in isolation, the existing literature has yet to thoroughly examine the co-occurrence of the two conditions. It is not presently understood how likely the two conditions are to co-occur. lt is also unclear how environmental and behavioral risk factors for childhood obesity may contribute more significantly to likelihood for obesity in children with ASD compared to youth without autism. Additionally, the role of functional limitations and diagnostic severity in likelihood for obesity within children with ASD has not been examined.;Objectives: First, this study aimed to identify whether children with ASD are more likely to be obese compared to youth without ASD. Second, the present study examined whether any identified discrepancy in likelihood for obesity between the two groups remained after controlling for sociodemographic factors. Third, the present study examined whether physical activity and screen-based behavior, individual health behaviors associated with childhood obesity and also particularly relevant to ASD, account for any identified discrepancy in likelihood for obesity between the two groups. Finally, this study examined the contribution of functional limitations and diagnostic severity to the likelihood for obesity in youth with ASD.;Methods: A nationally representative sample from the National Survey of Children's Health (NSCH) 2007 was used. Children age 10-17 (n = 41,902) were grouped based on presence of current ASD diagnosis (ASD n = 464; non-ASD n = 41 ,438). Chi-square analyses were used to examine prevalence for obesity between children with ASD and children without ASD. Binary logistic regression models were created to identify whether environmental and for behavioral factors account for significant discrepancy in likelihood for obesity between children with obesity and those not so diagnosed, and to address whether functional limitations or diagnostic severity account for differences in likelihood for obesity in children with ASD.;Results: The prevalence of obesity among those with ASD (n = 464) is 25.40%, compared to 13.50% in the non-ASD group (n = 41,438, p < .000). Children with ASD are more than twice as likely to be obese than children without ASD (Unadjusted OR = 2.19; 95% CI= 1.78, 2.71 ). Among youth with ASD, children with a mode rate (OR = 1.26, 95% CI= 0.77, 2.05) or severe ASD diagnosis (OR= 2.37, 95% CI= 1.19, 4.71) were more likely to be obese compared to those with a mild diagnostic severity.;Conclusions: Present findings indicate that children in the United States with ASD are twice as likely to be obese, compared to non-ASD peers. Furthermore, among youth with ASD, increased severity of diagnosis and functional limitations are significantly associated with increased likelihood for obesity. The present findings suggest that heightened efforts at early identification and intervention may be warranted to prevent and treat obesity in ASD.
机译：背景：尽管对儿童肥胖症和自闭症谱系障碍（ASD）进行了单独的深入研究，但现有文献尚未彻底研究这两种情况的共同发生。目前尚不了解这两种情况同时发生的可能性。与没有自闭症的青年相比，尚不清楚儿童肥胖的环境和行为危险因素如何对患有ASD的儿童肥胖的可能性产生更大的影响。此外，尚未检查功能障碍和诊断严重性在ASD儿童肥胖可能性中的作用。；目的：首先，本研究旨在确定与ASD儿童相比，ASD儿童是否更容易肥胖。其次，本研究检查了在控制了社会人口统计学因素后，两组之间是否存在任何确定的肥胖可能性差异。第三，本研究检查了体育活动和基于屏幕的行为，与儿童肥胖相关的个体健康行为，尤其是与ASD相关的行为是否能解释两组之间肥胖可能性的任何差异。最后，本研究检查了功能障碍和诊断严重性对ASD青年肥胖可能性的影响。方法：采用2007年全国儿童健康调查（NSCH）的全国代表性样本。根据当前ASD诊断的存在将10-17岁的儿童（n = 41,902）分组（ASD n = 464；非ASD n = 41,438）。卡方分析用于检查ASD儿童和非ASD儿童之间肥胖的患病率。建立了二元逻辑回归模型，以识别环境因素和行为因素是否导致肥胖儿童与未如此诊断的儿童之间肥胖可能性的显着差异，并解决功能限制或诊断严重性是否解释了儿童肥胖可能性的差异结果：ASD患者（n = 464）的肥胖率为25.40％，而非ASD组（n = 41,438，p <.000）为13.50％。患有ASD的儿童肥胖的可能性是没有ASD的儿童的两倍（未调整OR = 2.19； 95％CI = 1.78，2.71）。在患有ASD的青年中，与那些患有ASD的青少年相比，具有中等比率（OR = 1.26，95％CI = 0.77，2.05）或具有严重ASD诊断（OR = 2.37，95％CI = 1.19，4.71）的儿童更容易肥胖结论：目前的发现表明，与非ASD的同龄人相比，美国患有ASD的儿童肥胖的可能性是其两倍。此外，在患有ASD的年轻人中，诊断的严重程度和功能限制的增加与肥胖的可能性增加显着相关。本研究结果表明，为预防和治疗ASD中的肥胖症，有必要加大早期发现和干预的力度。

著录项

  • 作者

    Fritz, Megan M.;

  • 作者单位

    University of the Sciences in Philadelphia.;

  • 授予单位 University of the Sciences in Philadelphia.;
  • 学科 Psychology Clinical.
  • 学位 M.S.
  • 年度 2014
  • 页码 45 p.
  • 总页数 45
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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