Study on physical development and nutritional status of children with autism spectrum disorders aged 3-7 years in Tianjin

YANG Rui-bo; LIU Jia-xue; HAN Yu; QU Zhi-yi; LI Yao; XIONG Wen-juan; ZHANG Xin

doi:10.11852/zgetbjzz2021-0543

PDF(840 KB)

Chinese Journal of Child Health Care ›› 2021, Vol. 29 ›› Issue (10) : 1058-1062. DOI: 10.11852/zgetbjzz2021-0543

Study on physical development and nutritional status of children with autism spectrum disorders aged 3-7 years in Tianjin

YANG Rui-bo, LIU Jia-xue, HAN Yu, QU Zhi-yi, LI Yao, XIONG Wen-juan, ZHANG Xin

Author information +

History +

Abstract

Objective To understand the growth and development status of children with autism spectrum disorders (ASD) aged 3-7 years in Tianjin, in order to provide reference for improving their growth and development. Methods A total of 221 ASD children aged 3—7 years were selected to take physical examination by cluster sampling in Tianjin.All indicator values were converted to Z-scores using the physical growth and development of children under seven years of age in nine cities of China in 2015 and WHO child growth standard.The Childhood Autism Rating Scale (CARS) was used to assess the severity of ASD. Results The overweight and obesity rate of ASD children in Tianjin was 19.0%.The distribution curves of weight for age Z-score (WAZ), height for age Z-score(HAZ),BMI for age Z-score(BAZ) all shifted to the right side.The Z-score distribution curves of chest circumference and waist circumference extended beyond +3s, and the Z-score distribution curve of sitting height shifted to the left side, showing a growth deviation in ASD children.The WAZ (Z=2.053, P<0.05) and the ratio of overweight and obesity (χ²=6.572,P<0.05) in boys was higher than those of girls.The overweight and obesity rate of 6- to 7-year-old group was significantly higher than that of 3-year-old and 4-year-old group(P<0.05).But there was no significant difference in the level of nutritional status among different severity groups of ASD children (χ²=5.321,P>0.05). Conclusions The detection rate of overweight and obesity in ASD children in Tianjin is relatively high, and the deviation of physical growth exists in ASD children.So it is necessary to strengthen the growth and development monitoring and the intervention of obesity.

Key words

autism spectrum disorders / children / physical development / obesity

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

YANG Rui-bo, LIU Jia-xue, HAN Yu, QU Zhi-yi, LI Yao, XIONG Wen-juan, ZHANG Xin. Study on physical development and nutritional status of children with autism spectrum disorders aged 3-7 years in Tianjin[J]. Chinese Journal of Child Health Care. 2021, 29(10): 1058-1062 https://doi.org/10.11852/zgetbjzz2021-0543

References

[1] Association AP.Diagnostic and statistical manual of mental disorders(5th ed)[M].Arlington:American Psychiatric Association,2013.
[2] Maenner MJ, Shaw KA, Baio J, et al.Prevalence of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network,11 sites,united states,2016[J].MMWR Surveill Summ, 2020,69(4):1-12.
[3] Sacco R, Gabriele S, Persico AM.Head circumference and brain size in autism spectrum disorder:a systematic review and meta-analysis[J].Psychiatry Res, 2015,234(2):239-251.
[4]Green CC, Dissanayake C, Loesch DZ, et al.Skeletal growth dysregulation in australian male infants and toddlers with autism spectrum disorder[J].Autism Res, 2018,11(6):846-856.
[5] Healy S, Aigner CJ, Haegele JA.Prevalence of overweight and obesity among US youth with autism spectrum disorder[J].Autism, 2019,23(4):1046-1050.
[6] World Health Organization.Training course on child growth assessment[M].Geneva:WHO,2008.
[7] De Onis M,Lobstein T.Defining obesity risk status in the general childhood population:which cut-offs should we use?[J].Int J Pediatr Obes, 2010,5(6):458-460.
[8] 张亚钦, 李辉.2015年中国九市七岁以下儿童体格发育调查[J].中华儿科杂志, 2018,56(3):192-199.
[9] 卢建平, 杨志伟, 舒明耀, 等.儿童孤独症量表评定的信度、效度分析[J].中国现代医学杂志, 2004,14(13):119-123.
[10] Chlebowski C, Green JA, Barton ML, et al.Using the childhood autism rating scale to diagnose autism spectrum disorders[J].J Autism Dev Disord, 2010,40(7):787-799.
[11] 李慧萍, 徐琼, 胡梅新, 等.孤独症谱系障碍儿童体格生长状况的横断面调查[J].中国循证儿科杂志, 2020,15(3):220-223.
[12] 王付曼, 金曦, 蒋竞雄, 等.我国部分城市学龄前儿童超重、肥胖现状及影响因素分析[J].中国儿童保健杂志, 2017,25(4):346-349.
[13] 乔毅娟, 张涛, 刘恩庆, 等.天津市255172名3～6岁幼儿园儿童体格发育情况[J].中国慢性病预防与控制, 2020,28(6):423-427.
[14] 杨可欣, 汪静, 孙靓, 等.北京市东城区学龄前儿童超重/肥胖现状及影响因素分析[J].华南预防医学, 2021,47(2):136-140.
[15] Broder-Fingert S, Brazauskas K, Lindgren K, et al.Prevalence of overweight and obesity in a large clinical sample of children with autism[J].Acad Pediatr, 2014,14(4):408-414.
[16] Zuckerman KE, Hill AP, Guion K, et al.Overweight and obesity:prevalence and correlates in a large clinical sample of children with autism spectrum disorder[J].J Autism Dev Disord, 2014,44(7):1708-1719.
[17] Xiong N, Ji C, Li Y, et al.The physical status of children with autism in China[J].Res Dev Disabil, 2009,30(1):70-76.
[18] Ho HH, Eaves LC, Peabody D.Nutrient intake and obesity in children with autism [J].Focus Autism Other DevDisabl, 1997,12:187-192.
[19] Kamal NN, Ghozali AH, Ismail J.Prevalence of overweight and obesity among children and adolescents with autism spectrum disorder and associated risk factors[J].Front Pediatr, 2019,7:38.
[20] Liu T,Kelly J,Davis L,et al.Nutrition,BMI and motor competence in children with autism spectrum disorder[J].Medicina(Kaunas),2019, 55(5):135.
[21] Kahathuduwa CN, West BD, Blume J, et al.The risk of overweight and obesity in children with autism spectrum disorders:a systematic review and meta-analysis[J].Obes Rev, 2019,20(12):1667-1679.