Physical health in children with neurodevelopmental disorders

Setareh Alabaf1, Christopher Gillberg2, Sebastian Lundström2,3

  • 1Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden. setareh.alabaf@gu.se.

Insights

Children with neurodevelopmental disorders (NDDs) experience a high prevalence of physical health issues. This includes conditions like epilepsy, asthma, and digestive problems, especially when multiple NDDs are present.

Area of Science:

  • Pediatric Health
  • Neurodevelopmental Disorders
  • Twin Studies

Background:

  • Growing diagnoses of neurodevelopmental disorders (NDDs) highlight the need to examine physical health in affected children.
  • Previous research has not comprehensively assessed the range of physical conditions co-occurring with NDDs in pediatric populations.

Purpose of the Study:

  • To determine the prevalence of specific physical problems in 9- and 12-year-old twins with and without indications of NDDs.
  • To investigate if combinations of NDDs are associated with a higher burden of physical health issues.

Main Methods:

  • Utilized data from a nationwide twin registry, including 28,058 participants.
  • Conducted validated telephone interviews with parents to gather information on children's mental health and physical conditions.
  • Assessed a predefined list of physical problems: epilepsy, migraine, asthma, cancer, diabetes, psoriasis, lactose intolerance, celiac disease, diarrhea, constipation, daytime enuresis, and encopresis.

Main Results:

  • Children with indications of NDDs exhibited a significantly higher rate of physical problems compared to their peers without NDDs.
  • The prevalence of physical ailments was particularly elevated in children diagnosed with multiple NDDs.
  • Specific conditions like epilepsy, asthma, and gastrointestinal issues were frequently reported.

Conclusions:

  • Children with neurodevelopmental disorders face a substantial burden of physical health conditions.
  • Early identification and integrated management of physical health are crucial for children with NDDs, especially those with complex presentations.

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