Overweight and Obesity: Prevalence and Correlates in a Large Clinical Sample of Children with Autism Spectrum Disorder
- 1.4k Downloads
Autism Spectrum Disorders (ASDs) and childhood obesity (OBY) are rising public health concerns. This study aimed to evaluate the prevalence of overweight (OWT) and OBY in a sample of 376 Oregon children with ASD, and to assess correlates of OWT and OBY in this sample. We used descriptive statistics, bivariate, and focused multivariate analyses to determine whether socio-demographic characteristics, ASD symptoms, ASD cognitive and adaptive functioning, behavioral problems, and treatments for ASD were associated with OWT and OBY in ASD. Overall 18.1 % of children met criteria for OWT and 17.0 % met criteria for OBY. OBY was associated with sleep difficulties, melatonin use, and affective problems. Interventions that consider unique needs of children with ASD may hold promise for improving weight status among children with ASD.
KeywordsAutism spectrum disorder Obesity Overweight Children
This research was conducted using data collected as part of the Autism Treatment Network (ATN). The ATN is funded by Autism Speaks and a cooperative agreement (UA3 MC 11054) from the Health Resources and Services Administration to Massachusetts General Hospital. Dr. Zuckerman’s effort was funded by K23MH095828 from the U.S. National Institute of Mental Health.
- Achenbach, T., & Rescorla, L. (2000). Manual for ASEBA preschool forms & profiles, research center of children. Burlington, VT: University of Vermont Research Center for Children, Youth, & Families.Google Scholar
- Achenbach, T., & Rescorla, L. (2001). Manual for ASEBA school-age forms & profiles, research center of children. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.Google Scholar
- Autism and Developmental Disabilities Monitoring Network Surveillance Year 2008 Principal Investigators (2012). Prevalence of autism spectrum disorders—autism and developmental disabilities monitoring network, 14 sites, United States, 2008. Morbidity and Mortality Weekly Report. Surveillance Summaries (Washington, D.C.: 2002), 61(3), 1–19.Google Scholar
- Blumberg, S. J., Bramlett, M. D., Kogan, M., Schieve, L. A., Jones, J. R., & Lu, M. C. (2013). Changes in parent-reported prevalence of autism spectrum disorder in school-aged U.S. children: 2007 to 2011–12. (No. 65). Hyattsville, MD: National Health Statistics Reports.Google Scholar
- de Vinck-Baroody, O., Shui, A., Macklin, E., Hyman, S., Leventhal, J. M., & Weitzman, C. (2013) Overweight and obese status in a sample of children with autism spectrum disorders. In Abstract presented at pediatric academic societies conference, Washington, D.C.Google Scholar
- Dreyer, M., Egan, A., Kippes, C., Andrews, J., & May, M. (2008). Obesity and overweight among patients diagnosed with autism spectrum disorders. Obesity, 16(1), 284.Google Scholar
- Evans, E. W., Must, A., Anderson, S. E., Curtin, C., Scampini, R., Maslin, M., et al. (2012). Dietary patterns and body mass index in children with autism and typically developing children. Research in Autism Spectrum Disorders, 6(1), 399–405. doi: 10.1016/j.rasd.2011.06.014.PubMedCentralPubMedCrossRefGoogle Scholar
- Hellings, J. A., Zarcone, J. R., Crandall, K., Wallace, D., & Schroeder, S. R. (2001). Weight gain in a controlled study of risperidone in children, adolescents and adults with mental retardation and autism. Journal of Child and Adolescent Psychopharmacology, 11(3), 229–238. doi: 10.1089/10445460152595559.PubMedCrossRefGoogle Scholar
- Katz, T. F., Goldman, S. E., Malow, B. A., Shui, A., Ashgar, S., Byars, K. et al. (2013). The Child Sleep Habits Questionnaire in Children with Autism Spectrum Disorders. In Abstract presented at international meeting for autism research, San Sebastian, Spain.Google Scholar
- Kipping, R. R., Jago, R., & Lawlor, D. A. (2008). Obesity in children. Part 1: Epidemiology, measurement, risk factors, and screening. BMJ (Clinical Research Ed.), 337, a1824. doi: 10.1136/bmj.a1824.
- Lord, C., Rutter, M., DiLavore, P., & Rissi, S. (1999). Autism Diagnostic Observation Schedule. Los Angeles, CA: Western Psychological Services.Google Scholar
- Miller, D. T., Nasir, R., Sobeih, M. M., Shen, Y., Wu, B. & Hanson, E. (2009). 16p11.2 Microdeletion, [in GeneReviews™, Seattle (WA): University of Washington, Seattle; 1993–2013.]. Retrieved Sept 25, 2013, from http://www.ncbi.nlm.nih.gov/books/NBK11167/.
- Mullen, E. M. (1995). Mullen Scales of Early Learning. Circle Pines, MN: American Guidance Service Inc.Google Scholar
- Rimmer, J. H., Yamaki, K., Lowry, B. M. D., Wang, E., & Vogel, L. C. (2010). Obesity and obesity-related secondary conditions in adolescents with intellectual/developmental disabilities. Journal of Intellectual Disability Research, 54(9), 787–794. doi: 10.1111/j.1365-2788.2010.01305.x.PubMedCrossRefGoogle Scholar
- Roid, G. (2003). Stanford Binet Intelligence Scales (5th ed.). Itasca, IL: Riverside Publishing.Google Scholar
- Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland Adaptive Behavior Scales: Second edition (Vineland II) survey interview form/caregiver rating form. Livonia, MN: Pearson Assessments.Google Scholar
- Verhulst, S. L., Schrauwen, N., Haentjens, D., Suys, B., Rooman, R. P., Van Gaal, L., et al. (2007). Sleep-disordered breathing in overweight and obese children and adolescents: Prevalence, characteristics and the role of fat distribution. Archives of Disease in Childhood, 92(3), 205–208. doi: 10.1136/adc.2006.101089.PubMedCentralPubMedCrossRefGoogle Scholar
- Wechsler, D. (2002). Wechsler Preschool and Primary Scale of Intelligence (3rd ed.). San Antonio, TX: Psychological Corporation.Google Scholar
- Williams, D. P., Going, S. B., Lohman, T. G., Harsha, D. W., Srinivasan, S. R., Webber, L. S., et al. (1992). Body fatness and risk for elevated blood pressure, total cholesterol, and serum lipoprotein ratios in children and adolescents. American Journal of Public Health, 82(3), 358–363.PubMedCentralPubMedCrossRefGoogle Scholar
- Windham, G. C., Anderson, M. C., Croen, L. A., Smith, K. S., Collins, J., & Grether, J. K. (2011). Birth prevalence of autism spectrum disorders in the San Francisco bay area by demographic and ascertainment source characteristics. Journal of Autism and Developmental Disorders, 41(10), 1362–1372. doi: 10.1007/s10803-010-1160-2.PubMedCrossRefGoogle Scholar