Underweight, overweight, obesity and associated factors in children and adolescents with autism spectrum disorder in China

IF 2.2 4区 医学 Q1 EDUCATION, SPECIAL
Yanan Zhao , Rong Zhang , Xiaoying Zheng
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引用次数: 0

Abstract

Objective

Relatively little is known about weight status for children and adolescents with autism spectrum disorder (ASD) in China. This study examined the weight status of Chinese children and adolescents, as well as the factors that influence it.

Methods

This study describes three weight status (underweight, overweight, obesity) and their influencing factors associated with weight status retrospectively, in a large sample (N = 5910) of Chinese children and adolescents (2–16 years old) (average = 5.4 years, SD=2.6 years). Body mass index (BMI) was used to assess children and adolescents with ASD in 2020. Logit regression was used to investigate the factors that influence weight status.

Results

The prevalence of overweight, obesity was 14.2% and 11.6% respectively. The overall prevalence of overweight and obesity (⩾P 85) was 25.8%, with 22.3% in the 2–5-year-old group, 31.6% in the 6–8-year-old group, 30.8% in the 9–12-year-old group, and 29.0% in the 13–16-year-old group. The prevalence of underweight (<P 5) was 10.0% overall, with 6.3% in 2–5 years old group, 14.3% in 6–8 years old group,17.8% in 9–12 years old group and 24.1% in 13–16 years old group. Overweight and obese individuals were more likely to be older, male, and from low-income families. The older the age, the lower the birth weight, the greater the risk of being underweight. The severity of ASD has no association with BMI.

Conclusions

A high prevalence of underweight, overweight and obesity was observed in Chinese children and adolescents, especially for those aged above 6 years.

中国自闭症谱系障碍儿童和青少年的体重不足、超重、肥胖及相关因素
目的:关于中国自闭症谱系障碍(ASD)儿童和青少年的体重状况,人们知之甚少。本研究对中国儿童和青少年(2-16 岁)的三种体重状况(体重不足、超重、肥胖)及其相关影响因素进行了回顾性研究。体重指数(BMI)用于评估2020年患有ASD的儿童和青少年。结果超重率为14.2%,肥胖率为11.6%。超重和肥胖(⩾P 85)的总体发生率为 25.8%,其中 2-5 岁组为 22.3%,6-8 岁组为 31.6%,9-12 岁组为 30.8%,13-16 岁组为 29.0%。体重不足(P 5)的发生率为 10.0%,其中 2-5 岁组为 6.3%,6-8 岁组为 14.3%,9-12 岁组为 17.8%,13-16 岁组为 24.1%。超重和肥胖者更可能是老年人、男性和来自低收入家庭。年龄越大、出生体重越轻,体重不足的风险就越大。结论 中国儿童和青少年体重不足、超重和肥胖的发生率很高,尤其是 6 岁以上的儿童和青少年。
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来源期刊
CiteScore
4.20
自引率
8.00%
发文量
108
期刊介绍: Research in Autism Spectrum Disorders (RASD) publishes high quality empirical articles and reviews that contribute to a better understanding of Autism Spectrum Disorders (ASD) at all levels of description; genetic, neurobiological, cognitive, and behavioral. The primary focus of the journal is to bridge the gap between basic research at these levels, and the practical questions and difficulties that are faced by individuals with ASD and their families, as well as carers, educators and clinicians. In addition, the journal encourages submissions on topics that remain under-researched in the field. We know shamefully little about the causes and consequences of the significant language and general intellectual impairments that characterize half of all individuals with ASD. We know even less about the challenges that women with ASD face and less still about the needs of individuals with ASD as they grow older. Medical and psychological co-morbidities and the complications they bring with them for the diagnosis and treatment of ASD represents another area of relatively little research. At RASD we are committed to promoting high-quality and rigorous research on all of these issues, and we look forward to receiving many excellent submissions.
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