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Overweight and obese status in children with autism spectrum disorder and disruptive behavior
Kristen K Criado1,2, William G Sharp1,2, Courtney E McCracken1
11 Emory University, USA.
Insights
Children with autism spectrum disorder (ASD) and disruptive behaviors face a higher risk of obesity. This study found significantly higher rates of overweight and obesity in these children compared to controls, highlighting a need for targeted interventions.
Area of Science:
- Pediatric Health
- Neurodevelopmental Disorders
- Public Health
Background:
- Overweight and obesity are prevalent issues in children.
- Children with autism spectrum disorder (ASD) and disruptive behaviors may be at increased risk.
- Understanding weight status in this specific pediatric population is crucial for public health.
Purpose of the Study:
- To investigate the prevalence of overweight and obesity in children with ASD and disruptive behaviors.
- To compare the rates of overweight and obesity in children with ASD to matched control groups.
- To identify factors associated with obesity within the ASD population.
Main Methods:
- Utilized baseline data from medication-free children with ASD (N=276) from the Research Units on Pediatric Psychopharmacology Autism Network.
- Compared ASD group data with 544 control children from the National Health and Nutrition Examination Survey database.
- Matched controls based on age, sex, race, parent education, and era of data collection.
Main Results:
- Children with ASD exhibited significantly higher prevalence rates of overweight (42.4%) and obesity (21.4%) compared to controls (26.1% overweight, 12.0% obesity; p < 0.001).
- Obesity within the ASD sample was associated with minority status and lower daily living skills.
- The mean age of children with ASD was 7.9 ± 2.6 years, with 84.4% being male.
Conclusions:
- Children with autism spectrum disorder and disruptive behaviors are at a significantly increased risk for overweight and obesity.
- These findings emphasize the critical need for developing and implementing effective weight management strategies for this vulnerable pediatric group.
- Further research into the specific factors contributing to obesity in children with ASD is warranted.
Abstract:
Overweight and obesity are common in pediatric populations. Children with autism spectrum disorder and disruptive behavior may be at higher risk. This study examined whether children with autism spectrum disorder and disruptive behavior are more likely to be overweight or obese than matched controls. Baseline data from medication-free children with autism spectrum disorder who participated in trials conducted by the Research Units on Pediatric Psychopharmacology Autism Network (N = 276) were compared to 544 control children from the National Health and Nutrition Examination Survey database matched on age, sex, race, parent education, and era of data collection. The mean age of the children with autism spectrum disorder was 7.9 ± 2.6 years; 84.4% were males. In the autism spectrum disorder group, the prevalence was 42.4% for overweight and 21.4% for obesity compared to 26.1% for overweight and 12.0% for obesity among controls (p < 0.001 for each contrast). Within the autism spectrum disorder sample, obesity was associated with minority status and lower daily living skills. These findings suggest that children with autism spectrum disorder and disruptive behavior are at increased risk for obesity and underscore the need for weight management interventions in this population.
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