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Diet, Activity and Obesity in Children with Autism

自闭症儿童的饮食、活动和肥胖

基本信息

批准号：
7230252
负责人：
LINDA G BANDINI
金额：
$ 12.46万
依托单位：
UNIV OF MASSACHUSETTS MED SCH WORCESTER
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-05-01 至 2009-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7230252
关键词：
Address Adult Age Area Attention Autistic Disorder Behavior Behavioral Bicycling Body Weight Body mass index Centers for Disease Control and Prevention (U.S.)Characteristics Child Childhood Clinical Cognitive Color Communities Data Development Developmental Disabilities Diet Eating Enrollment Exhibits Food Food Aversion Food Patterns Future General Population Health Health Promotion Healthcare Height Independent Living Individual Intake Irregular Menstruation Lead Longitudinal Studies Measures Medical Mental Retardation Names Non-Insulin-Dependent Diabetes Mellitus Numbers Nutrient Obesity Orthopedics Overweight Parents Pattern Personal Satisfaction Persons Physical activity Play Population Prevalence Publications Purpose Quality of life Questionnaires Recommendation Reporting Research Research Personnel Risk Risk Factors Role Score Sensory Sleep Apnea Syndromes Sleep Disorders Smell Perception Sports Structure Surgeon Temperature Texture Time United States National Center for Health Statistics Work aged cardiovascular risk factor design improved named group novel obesity risk oral sensory peer prevent programs sedentary sex skateboarding social

项目摘要

DESCRIPTION (provided by applicant): Obesity has become a significant health concern in children, given its high and increasing prevalence. While significant efforts are underway to understand and treat this problem in the general population, little work has been done in this area for special populations such as children with autism. It is well accepted that obesity is the result of an energy imbalance, however, factors that are associated with obesity in children with autism may be different than those of their typically developing peers. The implications of the persistence of obesity in this population are significant, as the demands of managing the associated medical consequences would likely limit individuals' choices for independent living in the community. Our preliminary studies suggest that children with developmental disabilities are at the same risk for obesity than typically developing (normal) children. Children with autism appear to represent a unique group whose atypical eating patterns, reduced opportunities for physical activity due to social or recreational limitations may be associated with the development of obesity. We propose to conduct a novel and exploratory study to understand the risk factors associated with obesity in children with autism. The purpose of this study is to determine whether obesity in children with autism is associated with high levels of food selectivity and decreased levels of physical activity. We will enroll 60 children with autism and an equal number of typically developing children. Body weight and height will be measured to determine body mass index (BMI). We will define food selectivity categorically as food aversion, restricted eating patterns, and single excess food intake and will determine whether food selectivity in children with autism is greater than that of typically developing children. We will explore sensory factors and characteristics of food (e.g., temperature, color, texture, and smell) that may be associated with food selectivity. We will also determine the types and amounts of physical activity that children with autism engage in and the time spent in sedentary behavior. The proposed study will provide us with the necessary data to design a longitudinal study to determine the factors that lead to obesity in children with autism. A better understanding of these factors has the potential to inform current clinical practice and future health promotion efforts in children with autism.

描述(由申请人提供)：肥胖已经成为儿童健康的一个重要问题，因为它的高流行率和不断增加。虽然在普通人群中理解和治疗这一问题正在作出重大努力，但在这一领域为患有自闭症的儿童等特殊人群所做的工作很少。众所周知，肥胖是能量失衡的结果，然而，与自闭症儿童肥胖相关的因素可能与他们典型的发育同龄人不同。肥胖在这一人群中持续存在的影响是重大的，因为管理相关医疗后果的需求可能会限制个人在社区中独立生活的选择。我们的初步研究表明，有发育障碍的儿童患肥胖症的风险与正常发育的儿童相同。自闭症儿童似乎代表了一个独特的群体，他们的非典型饮食模式、由于社交或娱乐限制而减少的体育活动机会可能与肥胖的发展有关。我们建议进行一项新的探索性研究，以了解与自闭症儿童肥胖相关的危险因素。这项研究的目的是确定自闭症儿童的肥胖是否与高水平的食物选择性和减少的体力活动水平有关。我们将招收60名自闭症儿童和同等数量的正常发育儿童。将测量体重和身高，以确定身体质量指数(BMI)。我们将食物选择性定义为食物厌恶、限制饮食模式和单一的过量食物摄入，并将确定自闭症儿童的食物选择性是否高于正常发育儿童的食物选择性。我们将探索可能与食物选择性有关的食物的感官因素和特征(例如，温度、颜色、质地和气味)。我们还将确定自闭症儿童从事的体力活动的类型和数量，以及久坐行为的时间。这项拟议的研究将为我们提供必要的数据，以设计一项纵向研究，以确定导致自闭症儿童肥胖的因素。对这些因素的更好理解有可能为目前的临床实践和未来自闭症儿童的健康促进努力提供信息。