Feeding Symptoms, Dietary Patterns, and Growth in Young Children With Autism Spectrum Disorders
Feeding Symptoms, Dietary Patterns, and Growth in Young Children With Autism Spectrum Disorders
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DOI：
10.1542/peds.2009-2391
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发表时间：
2010-08-01
期刊：
影响因子：
8
通讯作者：
Golding, Jean
中科院分区：
文献类型：
--
作者：
Emond, Alan;Emmett, Pauline;Golding, Jean
目的：为了解自闭症谱系障碍（ASD）幼儿的喂养、饮食与生长发育的关系，采用Avon家长与儿童纵向研究的方法，对ASD幼儿在6、15、24、38和54个月时的喂养和食物频率进行问卷调查。创建食物种类评分，并计算38 m时的饮食含量。结果：ASD患儿就诊时的中位年龄为28个月，确诊时的中位年龄为45个月。ASD婴儿在6个月后表现出延迟引入固体（p = .004），并在6个月时被描述为“慢喂养者”（p = .04）。从15-54个月的ASD儿童一直被报道为“难以喂养”（p < .001）和“非常挑剔”（p < .001）。从15个月开始，ASD组的饮食变化比对照组少，从24个月开始，他们更有可能与母亲有不同的饮食，到54个月，8%的ASD儿童正在接受特殊的饮食“过敏”。“ASD儿童摄入的蔬菜，沙拉和新鲜水果较少，但糖果和碳酸饮料也较少。在38个月时，能量、总脂肪、碳水化合物和蛋白质的摄入量相似，但ASD组摄入的维生素C（p = 0.02）和D（p = 0.003）较少。有没有差异，体重，身高或BMI在18个月和7年，或血红蛋白浓度在7 years.CONCLUSIONS：ASD儿童表现出喂养症状从婴儿期开始，并从15个月的饮食变化较少，但能量摄入和生长没有受损。儿科2010; 126：e337-e342
OBJECTIVE: To investigate the feeding, diet and growth of young children with autism spectrum disorders (ASD).METHOD: Data on feeding and food frequency were collected by questionnaires completed at 6, 15, 24, 38 and 54 months by participants in the Avon Longitudinal Study of Parents and Children. A food variety score was created, and the content of the diet was calculated at 38 m. The feeding and dietary patterns of 79 children with ASD were compared with 12 901 controls.RESULTS: The median ages of ASD children were 28 months at referral and 45 months at diagnosis. ASD infants showed late introduction of solids after 6 months (p = .004) and were described as "slow feeders" at 6 months (p = .04). From 15-54 months ASD children were consistently reported to be "difficult to feed" (p < .001) and "very choosy" (p < .001). From 15 months, the ASD group had a less varied diet than controls, were more likely to have different meals from their mother from 24 months, and by 54 months 8% of ASD children were taking a special diet for "allergy."ASD children consumed less vegetables, salad and fresh fruit, but also less sweets and fizzy drinks. At 38 months intakes of energy, total fat, carbohydrate and protein were similar, but the ASD group consumed less vitamins C (p = .02) and D (p = .003). There were no differences in weight, height or BMI at 18 months and 7 years, or in hemoglobin concentrations at 7 years.CONCLUSIONS: ASD children showed feeding symptoms from infancy and had a less varied diet from 15 months, but energy intake and growth were not impaired. Pediatrics 2010; 126: e337-e342