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Published on: March 2, 2018
A pilot study of abnormal growth in autism spectrum disorders and other childhood psychiatric disorders
Nanda N J Rommelse1, Cindy T R Peters, Iris J Oosterling
1Karakter, Child and Adolescent Psychiatry University Center, Nijmegen, The Netherlands. n.lambregts-rommelse@psy.umcn.nl
Insights
Early growth abnormalities are common in childhood psychiatric disorders, including autism spectrum disorder (ASD). These patterns, particularly height and head circumference, indicate generalized growth issues rather than brain-specific ones.
Area of Science:
- Developmental Pediatrics
- Child Psychiatry
- Growth and Development
Background:
- Early growth abnormalities are increasingly recognized in various childhood conditions.
- Understanding the specificity of these abnormalities is crucial for diagnosis and intervention.
- Autism Spectrum Disorder (ASD) and other psychiatric disorders may share common early developmental trajectories.
Purpose of the Study:
- To compare early growth abnormalities in children with ASD versus other psychiatric disorders.
- To determine if observed growth deviations are specific to the brain or generalized throughout the body.
- To investigate the relationship between early growth patterns and general psychiatric conditions.
Main Methods:
- Longitudinal measurement of head circumference, height, and weight in the first 19 months of life.
- Inclusion of 129 children diagnosed with ASD and 59 children with non-ASD psychiatric disorders.
- Comparison of growth parameters against population norms.
Main Results:
- Both ASD and non-ASD psychiatric groups exhibited comparable abnormal growth patterns relative to population norms.
- Abnormalities were particularly noted in height and head circumference relative to height.
- Findings suggest a generalized growth deviation associated with psychiatric disorders, not solely brain-specific.
Conclusions:
- Early growth abnormalities are not specific to Autism Spectrum Disorder but are associated with childhood psychiatric disorders broadly.
- The observed growth deviations indicate a generalized pattern affecting the whole body, not exclusively the brain.
- Accelerated height growth without corresponding weight or head circumference increase is a key feature.
Abstract:
The aims of the current study were to examine whether early growth abnormalities are (a) comparable in autism spectrum disorders (ASD) and other childhood psychiatric disorders, and (b) specific to the brain or generalized to the whole body. Head circumference, height, and weight were measured during the first 19 months of life in 129 children with ASD and 59 children with non-ASD psychiatric disorders. Both groups showed comparable abnormal patterns of growth compared to population norms, especially regarding height and head circumference in relation to height. Thus abnormal growth appears to be related to psychiatric disorders in general and is mainly expressed as an accelerated growth of height not matched by an increase in weight or head circumference.
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