A preliminary study on nutritional status and intake in Chinese children with autism
A preliminary study on nutritional status and intake in Chinese children with autism
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中国自闭症儿童营养状况及摄入量初步研究
DOI：
10.1007/s00431-010-1203-x
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发表时间：
2010-10-01
影响因子：
3.6
通讯作者：
Wu, Lijie
中科院分区：
文献类型：
--
作者：
Xia, Wei;Zhou, Yanjuan;Wu, Lijie
自闭症儿童的父母经常报告他们的孩子有胃肠道问题以及挑食和选择性饮食。本研究对111例2 ~ 9岁中国自闭症儿童的营养状况和营养摄入进行了评价。人体测量数据用zscores表示。父母提供了3天的膳食召回，并将数据与中国儿童国家膳食参考摄入量（DRI）标准进行比较。结果显示，只有9名自闭症儿童（8.1%）患有急性或慢性营养不良。其余102例患者中，67例（60.4%）为富营养化，35例（31.5%）为超重或肥胖。绝大多数孩子的卡路里和蛋白质摄入量都是足够的，但来自脂肪的卡路里比同一年龄组的DRI要低。维生素E和烟酸的平均摄入量超过DRI的100%，维生素B1和B2、镁、铁的平均摄入量在DRI的80% ~ 90%之间。然而，以下营养素根本不符合DRI的要求：维生素A、B6和C、叶酸、钙和锌。尽管绝大多数自闭症儿童的生长情况令人满意，但这项研究显示，他们在几种维生素和必需营养素的摄入方面存在严重不足。
Parents of children with autism often report gastrointestinal problems as well as picky eating and selective eating in their children. The purpose of this study was to evaluate the nutritional status and the nutrient intake in 111 Chinese children with autism, aged between 2 and 9 years. Anthropometric data were expressed asZscores. A 3-day dietary recall was provided by the parents, and the data were compared with the national Dietary Reference Intakes (DRI) standards for Chinese children. The results showed that only nine of the autistic children (8.1%) were acute or chronically malnourished. From the remaining 102 patients, 67 (60.4%) were eutrophic and 35 (31.5%) had either overweight or obesity. Intakes of both calories and proteins were adequate in the vast majority of these children, but the calories from fat was lower than DRI in the same age group. The average intake of vitamin E and niacin exceeded 100% of DRI, and the intakes of vitamin B1 and B2, magnesium, and iron were between 80% and 90% of DRI range. However, the following nutrients did not meet the DRI requirements at all: vitamins A, B6 and C, folic acid, calcium, and zinc. Although growth was satisfactory in the vast majority of these children with autistic disorder, this study revealed serious deficiencies in the intakes of several vitamins and essential nutrients.