Not just at school: Inclusion of children with autism spectrum disorder in a weight management program in a community pediatric setting.
Not just at school: Inclusion of children with autism spectrum disorder in a weight management program in a community pediatric setting.
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DOI：
10.1177/1362361321993710
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Yin L
中科院分区：
文献类型：
--
作者：
Espinoza JC;Deavenport-Saman A;Solomon O;Chowdhuri S;Wee CP;Azen C;Orozco J;Kreutzer C;Yin L
与正常发育的儿童相比，患有自闭症谱系障碍 (ASD) 的儿童肥胖的风险更高。许多肥胖干预计划将患有自闭症谱系障碍的儿童排除在外。关于儿科体重管理的发育包容性方法的研究很少。我们通过包容性、全面的基于家庭的行为生活方式干预（CBFLI）研究了患有自闭症谱系障碍（ASD）的儿童和家庭的结果。对参加 CBFLI 的家庭进行的随机对照试验进行了二次分析。分析包括卡方或费舍尔精确检验，以检查家庭和儿童在计划完成率方面的差异，以及使用广义估计方程的多元回归分析，以进一步检查自闭症谱系障碍儿童与无自闭症谱系障碍儿童之间体重结果的差异（考虑其他协变量）。有158户家庭； 15个家庭的孩子患有自闭症谱系障碍。两组之间的人口统计数据、计划完成情况或体重结果没有显着差异。完成干预的儿童的 BMI Z 分数显着下降，但 95% 的百分比没有变化。患有自闭症谱系障碍 (ASD) 儿童的家庭与非自闭症谱系障碍 (ASD) 儿童一起参加了 CBFLI，结果相似。 CBFLI 可以采用包容性方法满足 ASD 儿童的体重管理需求，扩大获得所需肥胖干预措施的机会。
Children with Autism Spectrum Disorder (ASD) are at increased risk for obesity compared to typically developing children. Many obesity intervention programs exclude children with ASD. There is little research on developmentally inclusive approaches to pediatric weight management. We examined the outcomes of children and families with ASD in an inclusive, comprehensive behavioral family-based lifestyle intervention (CBFLI). A secondary analysis of a randomized controlled trial on families enrolled in a CBFLI was conducted. Analyses included chi-square or Fisher’s exact tests to examine family and child differences in program completion rates and multivariate regression analysis using generalized estimating equation to further examine differences in weight outcomes between children with ASD vs. no ASD accounting for other covariates. There were 158 families; 15 families had children with ASD. There were no significant differences in demographics, program completion, or weight outcomes between the two groups. Children who completed the intervention had a significant decrease in BMI Z-scores, but no change in their percentage of the 95th percentiles. Families of children with ASD participated in a CBFLI alongside children without ASD with similar outcomes. CBFLI can meet the weight management needs of children with ASD using an inclusive approach, expanding access to needed obesity interventions.
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影响因子：
3.6
作者：
Golan, M;Kaufman, V;Shahar, DR
通讯作者：
Shahar, DR
DOI：
10.11124/jbisrir-2017-003695
发表时间：
2019-07-01
期刊：
JBI database of systematic reviews and implementation reports
影响因子：
--
作者：
Chai, Li Kheng;Collins, Clare;Burrows, Tracy
通讯作者：
Burrows, Tracy
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
自闭症谱系障碍儿童的粮食选择性和感觉敏感性。
影响因子：
--
作者：
Cermak SA;Curtin C;Bandini LG
通讯作者：
Bandini LG
影响因子：
3.9
作者：
Esbensen, Anna J.;Greenberg, Jan S.;Seltzer, Marsha Mailick;Aman, Michael G.
通讯作者：
Aman, Michael G.