Relationship of Weight Outcomes, Co-Occurring Conditions, and Severity of Autism Spectrum Disorder in the Study to Explore Early Development

Levy, Susan E.; Pinto‐Martin, Jennifer; Bradley, Chyrise B.; Chittams, Jesse; Johnson, Susan L.; Pandey, Juhi; Pomykacz, Alison; Ramirez, AnnJosette; Reynolds, Ann; Rubenstein, Eric; Schieve, Laura A.; Shapira, Stuart K.; Thompson, Aleda; Young, Lisa; Kral, Tanja V.E.

doi:10.1016/j.jpeds.2018.09.003

Cited by 32 publications

(45 citation statements)

References 39 publications

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“…Several studies have indicated that the prevalence of overweight and obesity is high in autistic children and adolescents (Curtin et al 2005;Xiong et al 2009;Curtin et al 2010;Broder-Fingert et al 2014;Corvey et al 2016;Granich et al 2016;Healy et al 2019;Levy et al 2019).…”

Section: Weight Status Of Individuals With Asdmentioning

confidence: 99%

“…Data coming from epidemiologic studies suggest that short sleep duration is associated with weight gain (Chen et al 2008). Sleep disturbances are frequent in children with ASD and can occur in 52.0-73.0% individuals with ASD (Levy et al, 2019;Curtin 2014). The spectrum of sleep disturbances observed in children with ASD includes bedtime resistance problems, insomnia, parasomnias, sleep disordered breathing, morning arising problems, and daytime sleepiness (Devnani and Hegde 2015).…”

Section: Sleep Disturbancesmentioning

confidence: 99%

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Why are individuals with autism spectrum disorder at risk group for unhealthy weight?

Trambacz-Oleszak

2019

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Several studies have indicated that the prevalence of unhealthy body weight in individuals with autism spectrum disorder (ASD) is high. It is unclear whether factors related to the weight status of children and adolescents with ASD are the same or different from factors associated with the weight status of typically developing children (TDC). The objective of this review was to identify key factors associated with the higher rates of unhealthy weight observed in individuals with ASD and create a structural model, which could be used for future autism intervention research. This review summarizes the current state of knowledge on the genetic basis of obesity in ASD, special treatment (behavioral and medical, including diet and psychotropic medications), psychological (depression and anxiety) as well as somatic comorbid disorders such as feeding problems, sensory processing disorders, gastrointestinal problems and sleep disorders, physical activity and sedentary behaviors, loneliness and social isolation, and family functioning (maternal depression and stress).

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Section: Weight Status Of Individuals With Asdmentioning

confidence: 99%

Section: Sleep Disturbancesmentioning

confidence: 99%

Why are individuals with autism spectrum disorder at risk group for unhealthy weight?

Trambacz-Oleszak

2019

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“…Bandini et al (2015) found that children with DD are 27-59% more likely to develop obesity than typically developing (TD) peers with differences depending on national survey instrument and type of disability. According to the National Survey of Children's Health (2017-2018, the prevalence of obesity in U.S. youth ages 10 to 17 is 14.0% but 19.5% among children with DD. No national data are available for obesity prevalence among children with DD ages 0-5 years; however, the incidence of overall childhood obesity is highest in ages 2-5 years (Cheung, Cunningham, Narayan, & Kramer, 2016).…”

Section: Introductionmentioning

confidence: 99%

Parent concerns regarding paediatric obesity in community‐based programmes serving children with developmental disabilities

Natale

Weerakoon

Woody

et al. 2020

Child

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Background: Previous studies show a higher prevalence of obesity among preschoolage children with developmental disabilities (DDs) versus children who are typically developing (TD). Little is known about parent concerns about obesity in young children with DD. The purpose of this study was to examine concerns regarding paediatric obesity among parents who had a preschool-age child with DD compared with parents with a child who is TD. Methods: A cross-sectional analysis occurred at baseline entry into one of three community-based programmes. Parents of a child with DD (n = 815) or TD (n = 563) were asked obesity-related questions about their child and in general. Multinomial and logistic regression unadjusted and adjusted models were run to generate the odds of obesity concerns based on disability status. Results: The average child age was 38 months. Parent concerns about paediatric obesity differed by disability status. Unadjusted odds of parents 'doing anything to control their child's weight' was 38% lower among parents of a child with DD versus TD (OR: 0.62, 95% CI: 0.48, 0.82). The adjusted odds of perceiving that their child was underweight was 83% higher among parents of a child with DD compared with parents of a child who is TD (aOR: 1.83, 95% CI: 1.27, 2.64). Parents of a child with DD were 179% more likely to believe that childhood obesity is a public health problem (aOR: 2.79, 95% CI: 1.88, 3.96). The models were adjusted for age, sex and race/ethnicity. Conclusions: Findings indicate that parents of preschool-age children with DD are more likely to acknowledge that obesity is a public health concern. Because some parents of children with DD are concerned about their child's weight, families of preschool-age children with DD may be receptive to the delivery of healthy weight strategies in community-based programs.

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“…Effective intervention for change-resistant behavior is important because life can be unpredictable, preventing change is nearly impossible, and change-resistant behavior can have significant short-and long-term negative consequences (Fisher et al, 2019;Flygare Wallén et al, 2018;Freedman et al, 1999;Kamal Nor et al, 2019;Levy et al, 2019). Children with autism frequently demonstrate change-resistant behavior at mealtime, such as insistence on eating the same few unhealthy foods or engaging in rigid mealtime routines (Bandini et al, 2010;Cermak et al, 2010;Heifert et al, 2016;Levin & Carr, 2001;Postorino et al, 2015;Schreck & Williams, 2006;Sharp et al, 2018;Silbaugh et al, 2018).…”

mentioning

confidence: 99%

“…Selective diets with poor nutritional content can cause further impairments in behavioral and cognitive functioning, and unhealthy weight gain, which increases the risk for severe health problems (e.g., obesity, Type-2 diabetes, and hypertension; Freedman et al, 1999;Ludwig et al, 1999). In fact, the prevalence of obesity and diabetes among individuals with autism, and the prevalence of hypertension in males with autism is higher than that of typically developing peers, which is alarming given the significant negative health consequences of these diseases (Flygare Wallén et al, 2018;Levy et al, 2019). Children with autism and change-resistant feeding behavior may also engage in inappropriate mealtime behavior (e.g., aggression, crying, pushing food away, self-injury, spitting food out, and vomiting), which may discourage the caregiver from attempting to change the child's diet (Borrero et al, 2016;Borrero et al, 2010;Piazza, Fisher et al, 2003).…”

mentioning

confidence: 99%

Treating food selectivity as resistance to change in children with autism spectrum disorder

Crowley

Peterson

Fisher

et al. 2020

J of App Behav Analysis

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Change-resistant behavior, such as rigid and selective food consumption, is a core symptom of autism that can have significant negative consequences for the child (Flygare Wallén et al., 2018; Levy et al., 2019). In the current study, we used a matching-law-based intervention (Fisher et al., 2019) to treat the change-resistant feeding behavior of 7 young children with autism. The feeder gave the participant a choice between a change-resistant and an alternative food during free-and asymmetrical-choice conditions. Alternative-food consumption increased for 2 participants during asymmetrical choice when the feeder provided a preferred item for consuming the alternative food and no programmed consequence for consuming the changeresistant food. Alternative-food consumption increased for the other 5 participants after the feeder exposed at least 1 food to single choice in which the feeder guided the participant to put the bite of alternative food in his or her mouth if he or she did not do so within 8 s of presentation. Effects of the single-choice contingencies maintained during reversals and generalized to other alternative foods the feeder did not expose to single choice. These results are important because participants consumed alternative foods even when their change-resistant foods were present, which is similar to typical mealtime contexts in which children have choices among foods.

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Relationship of Weight Outcomes, Co-Occurring Conditions, and Severity of Autism Spectrum Disorder in the Study to Explore Early Development

Cited by 32 publications

References 39 publications

Why are individuals with autism spectrum disorder at risk group for unhealthy weight?

Why are individuals with autism spectrum disorder at risk group for unhealthy weight?

Parent concerns regarding paediatric obesity in community‐based programmes serving children with developmental disabilities

Treating food selectivity as resistance to change in children with autism spectrum disorder

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