Prevention and Management of Obesity in Children with Autism Spectrum Disorder Among Primary Care Pediatricians
Children with autism spectrum disorder (ASD) are at high risk for being overweight and obese. Little is known about how obesity in children with ASD is being addressed in primary care. This article reports findings from a survey completed by 327 general pediatricians, which included a fictional clinical vignette and Likert-scales assessing attitudes, practices, self-efficacy, and barriers to obesity management. Although the majority of respondents agreed pediatricians should be the main providers to manage obesity in children with ASD, few reported receiving adequate training to do so. Pediatricians were more likely to refer to developmental-behavioral pediatricians and dietitians for a child with ASD compared to a child without ASD. Higher self-efficacy was associated with increased weight-related counseling frequency by pediatricians.
KeywordsAutism spectrum disorder Obesity Overweight Weight management Primary care
MW conceived of the study, participated in its design, interpreted the data and drafted the manuscript; SB assisted in the conception of the study, study design and revision of the manuscript; EF participated in the study design, interpretation of the data and revision of the manuscript; MD participated in the design of the study, interpretation of the data and revision of the manuscript; MB assisted in the conception of the study, study design, interpretation of the data and revision of the manuscript. All authors read and approved the final manuscript.
Compliance with Ethical Standards
Conflict of Interest
The authors have no conflicts of interest relevant to this article to disclose.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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