自閉症の若者の高い便秘の負担 - PCORnet®によって推進される全国的なクエリ
Bruno P Chumpitazi1,2, Allison Zelinski3, Nicole Marchesani3
1Department of Pediatrics, Duke University School of Medicine, Durham, NC USA.
The American journal of gastroenterology
|February 18, 2026
まとめ
自閉症の子供の約22%が便秘を経験しており,これは非自閉症の若者の2倍以上の割合です. この状態は,腹の痛みが増加し,自閉症の個人がより多く医療を利用するようになる.
科学分野:
- 小児の健康に関する小児保健
- 胃腸内科 胃腸内科
- 神経発達障害 神経発達障害とは
背景:
- 胃腸 (GI) の問題は,自閉症スペクトル障害 (ASD) を患っている子供に頻繁に観察されます.
- 自閉症の若者における便秘の罹患率と関連する医療ニーズに関する現在のデータは限られている.
- これらの問題を理解することは,自閉症児のケアを改善するために不可欠です.
研究 の 目的:
- 自閉症と診断された小児における便秘の有病率を判断する.
- 自閉症児の便秘に対する緊急診療所 (ED) の訪問と入院を含む,ヘルスケアの利用パターンを評価する.
- これらのアウトカムを非自閉症の子供と比較する.
主な方法:
- 70の保健システム (2015-2024) の6~17歳の2000万人以上の電子医療記録を利用した.
- 自閉症と非自閉症の子供のコホートを特定し,便秘の症例を診断しました.
- 腹痛の診断,ERの訪問,入院に関するデータを分析した.
主要な成果:
- 便秘は,自閉症児の22%で診断され,非自閉症児の9%と比較した.
- 便秘を患っている自閉症の子どもでは,腹痛の頻度が高いことが報告されています (34%対8%).
- 便秘を患っている自閉症の子どもは,便秘を患っていない子どもよりも,かなり多くのED訪問 (26%対3%) と腹痛/便秘のために入院 (16%対1%) を経験しました.
結論:
- 自閉症児の5人に1人近くが便秘に苦しんでいる.
- 便秘を患っている自閉症の子どもは,計画外での医療利用率がかなり高くなります.
- これらの発見は,自閉症の集団における便秘の標的化された介入と改善された管理の必要性を強調しています.
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