自闭症儿童中运动里程碑延迟的流行率
Olivia M Pokoski1,2, Sarah M Furnier1,2, Ronald E Gangnon1,3
1Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin-Madison.
JAMA pediatrics
|April 14, 2025
概括
运动里程碑延迟在自闭症儿童中很常见,影响超过70%的儿童. 这些延迟与早期的自闭症评估有关,改善了识别和干预机会,以获得更好的发展结果.
科学领域:
- 发育儿科 发育儿科
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
背景情况:
- 在自闭症患者中经常观察到运动障碍,但由于样本小或非代表性,患病率估计往往缺乏概括性.
- 了解自闭症儿童的运动里程碑延迟对于提高早期识别,干预和发展结果至关重要.
研究的目的:
- 在一个基于人口的8岁自闭症儿童样本中确定运动里程碑延迟的患病率.
- 评估运动里程碑延迟与自闭症评估或诊断年龄之间的关联.
主要方法:
- 一项采用自闭症和发育障碍监测 (ADDM) 网络 (2000-2016) 的数据进行的横截面研究.
- 分析包括32,850名8岁的自闭症儿童,使用健康和教育记录检查记录的运动里程碑延迟.
- 线性回归模型评估了协会,控制了研究地点,监测年,智力障碍和人口统计等共变量.
主要成果:
- 在71.5% (23,481/32,850) 的8岁自闭症儿童中发现了运动里程碑延迟.
- 运动里程碑延迟的儿童与没有 (平均年龄为51.64个月) 的儿童相比,获得自闭症评估的时间更早 (平均年龄为43.65个月).
- 这种关联持续不论是否存在同时出现的智力障碍.
结论:
- 运动里程碑延迟在8岁的自闭症儿童中非常普遍.
- 识别运动里程碑延迟可以促进早期的自闭症评估,即使没有智力障碍.
- 评估运动延迟是早期识别自闭症的一个有价值的策略,支持及时干预和改善发育轨迹.
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