Modifiable Behavior & Dietary Predictors of Overweight in Children with ASD

可修改的行为

• 批准号: 8637572
• 负责人: Susana R Patton
• 金额: $ 23.95万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8637572
• 关键词: Adult; Affect; Age; Arthritis; Atherosclerosis; Autistic Disorder; Behavior; Behavioral; Biochemical Markers; Bite; Blood Glucose; Blood Pressure; Body mass index; Characteristics; Child; Child Behavior; Childhood; Chronic; Clinical; Cognitive; Colorectal Cancer; Consumption; Coronary heart disease; Data; Development; Diagnosis; Diet; Dyslipidemias; Eating; Epidemic; Ethnography; Evidence based intervention; Exercise; Face; Family; Fatty acid glycerol esters; Food; Food Selections; Fruit or Vegetable; Future; Goals; Health; High Prevalence; Home environment; Hypertension; Impairment; Insulin; Insulin Resistance; Intervention; Knowledge; Lead; Life; Link; Lipids; Methodology; Methods; Mission; Motor Skills; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Overweight; Parents; Population; Preventive Intervention; Process; Public Health; Reporting; Research; Research Priority; Risk; Running; Stress; Time; United States National Institutes of Health; Vulnerable Populations; Weight; Weight maintenance regimen; Youth; autism spectrum disorder; base; burden of illness; cost; dietary control; evidence base; experience; feeding; high risk; hypertensive heart disease; improved; innovation; longitudinal design; medical specialties; patient population; prevent; programs; public health relevance; therapy development; young adult

DESCRIPTION (provided by applicant): Pediatric overweight has reached epidemic levels and, at 36%, children with autism spectrum disorder (ASD) have a higher rate of overweight than typically developing children. Pediatric overweight is a major health problem because it is linked to childhood onset of dyslipidemia, hypertension, high blood sugar, and Type 2 Diabetes. Also youths who grow up overweight, will as adults, face higher rates of hypertension, heart disease, atherosclerosis, colorectal cancer, arthritis, and chronic overweight. Yet, despite a pressing need for effective prevention and intervention efforts for overweight in children with ASD, we are significantly hampered in developing appropriate programs because we lack empirical data on potentially important dietary and behavioral factors. Children with ASD have unique impairments and behaviors that can complicate weight management, including difficulty with motor skills, cognitive difficulties, problematic mealtime behaviors and greater food refusal and selectivity than typically developing children, which make it highly unlikely that available weight management interventions for typically developing children will generalize to them. Therefore, there is a critical need for research examining factors related to overweight in children with ASD specifically. The long-term goal of our research is to identify evidence-based methods for preventing and treating overweight in children with ASD. The goal of the current project is to identify parent and child mealtime behavior and diet characteristics that are related to child weight status as a basis for future research to develop a suitable weight management program for children with ASD. The current study aims are: 1) identify child and parent mealtime behaviors associated with present and future weight in young children with ASD and 2) assess if diet variables are related to present and future child weight. This project is significant because t is expected to provide much needed information on factors related to overweight in children with ASD, which can be used to develop and refine weight management programs for children with ASD, an understudied population for weight management. The project is innovative because of its proposed home-based ethnographic methodology and longitudinal design, which both represent a substantial departure from existing studies in children with ASD and offer the opportunity to collect data necessary for intervention development. We expect our approach will greatly expand the body of knowledge for this under-studied but vulnerable population of children and will lay the groundwork for the development and dissemination of tailored weight management programs, two research goals which are in line with priorities for the NIH Autism Interagency Coordinating Center and the Autism Treatment Networks. Given the large number of children with ASD and the high prevalence of overweight in this population, the development and dissemination of tailored weight management programs for these children is expected to lead to improved health and functioning for a large number of children.

描述（由申请人提供）：儿科超重已达到流行水平，自闭症谱系障碍（ASD）儿童的超重率为36%，高于正常发育的儿童。儿童超重是一个主要的健康问题，因为它与儿童期血脂异常、高血压、高血糖和2型糖尿病的发病有关。同样，超重的年轻人长大后，成年后将面临更高的高血压、心脏病、动脉粥样硬化、结肠直肠癌、关节炎和慢性超重的风险。然而，尽管迫切需要对ASD儿童超重进行有效的预防和干预，但我们在制定适当的计划时受到了极大的阻碍，因为我们缺乏潜在重要的饮食和行为因素的经验数据。ASD儿童有独特的障碍和行为，可能使体重管理复杂化，包括运动技能困难，认知困难，有问题的进餐行为以及比正常发育儿童更大的食物拒绝和选择性，这使得正常发育儿童的体重管理干预措施极不可能推广到他们。因此，迫切需要研究与ASD儿童超重相关的因素。我们研究的长期目标是确定预防和治疗ASD儿童超重的循证方法。当前项目的目标是确定父母和孩子的进餐时间行为和饮食特征是相关的 以儿童体重状况为基础，为未来研究制定适合ASD儿童的体重管理方案提供依据。目前的研究目标是：1）确定儿童和父母的进餐时间行为与ASD幼儿现在和未来的体重相关，2）评估饮食变量是否与现在和未来的儿童体重相关。该项目意义重大，因为它有望提供与ASD儿童超重相关因素的急需信息，这些信息可用于制定和完善ASD儿童体重管理计划，ASD儿童是体重管理研究不足的人群。该项目是创新的，因为它提出了以家庭为基础的人种学方法和纵向设计，这两个代表了与自闭症儿童的现有研究的实质性偏离，并提供了机会，收集必要的干预发展的数据。我们希望我们的方法将大大扩展这个研究不足但脆弱的儿童群体的知识体系，并为开发和传播量身定制的体重管理计划奠定基础，这两个研究目标符合NIH自闭症机构间协调中心和自闭症治疗网络的优先事项。鉴于ASD儿童的数量众多，并且这一人群中超重的患病率很高，为这些儿童制定和传播量身定制的体重管理计划预计将改善大量儿童的健康和功能。