The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder
We sought to assess the association between age and the prevalence of obesity among children with and without autism spectrum disorder (ASD) in the 2011-2012 National Survey of Children's Health. Analyses were restricted to 43,777 children, ages 10-17, with valid measures of parent-reported wei...
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creator | Must, Aviva Eliasziw, Misha Phillips, Sarah M Curtin, Carol Kral, Tanja V E Segal, Mary Sherwood, Nancy E Sikich, Linmarie Stanish, Heidi I Bandini, Linda G |
description | We sought to assess the association between age and the prevalence of obesity among children with and without autism spectrum disorder (ASD) in the 2011-2012 National Survey of Children's Health.
Analyses were restricted to 43,777 children, ages 10-17, with valid measures of parent-reported weight, height, and ASD status. Exploratory analyses describe the impact of sex, race/ethnicity, and household income on the relationship between age and obesity in ASD.
Although the overall prevalence of obesity among children with ASD was significantly (p |
doi_str_mv | 10.1089/chi.2016.0079 |
format | Article |
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Analyses were restricted to 43,777 children, ages 10-17, with valid measures of parent-reported weight, height, and ASD status. Exploratory analyses describe the impact of sex, race/ethnicity, and household income on the relationship between age and obesity in ASD.
Although the overall prevalence of obesity among children with ASD was significantly (p < 0.001) higher than among children without ASD (23.1% vs. 14.1%, 95% confidence interval for difference 3.6 to 14.4), child age significantly (p = 0.035) modified this difference. In a multivariable logistic regression analysis, adjusted for sex, race/ethnicity, and household income, the odds of obesity among children with ASD compared with children without ASD increased monotonically from ages 10 to 17 years. This pattern arose due to a consistently high prevalence of obesity among children with ASD and a decline in prevalence with advancing age among children without ASD. These findings were replicated using a propensity score analysis. Exploratory analyses suggested that the age-related change in obesity disparity between children with and without ASD may be further modified by sex, race/ethnicity, and household income.
The patterns of prevalence observed with increasing age among children with and without ASD were unexpected. A better understanding of the etiological and maintenance factors for obesity in youth with ASD is needed to develop interventions tailored to the specific needs of these children.</description><identifier>ISSN: 2153-2168</identifier><identifier>EISSN: 2153-2176</identifier><identifier>DOI: 10.1089/chi.2016.0079</identifier><identifier>PMID: 27704874</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Adolescent ; Age Factors ; Autism Spectrum Disorder - complications ; Autism Spectrum Disorder - epidemiology ; Child ; Ethnic Groups ; Female ; Health Surveys ; Humans ; Income ; Logistic Models ; Male ; Obesity - epidemiology ; Obesity - etiology ; Original ; Sex Factors</subject><ispartof>Childhood obesity, 2017-02, Vol.13 (1), p.25-35</ispartof><rights>(©) Copyright 2017, Mary Ann Liebert, Inc.</rights><rights>Copyright 2017, Mary Ann Liebert, Inc. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-13d5689dbfc3c56ee4fecfbbeb1b52c707e91e5ca5123429be0ad637a21146f73</citedby><cites>FETCH-LOGICAL-c448t-13d5689dbfc3c56ee4fecfbbeb1b52c707e91e5ca5123429be0ad637a21146f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27704874$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Must, Aviva</creatorcontrib><creatorcontrib>Eliasziw, Misha</creatorcontrib><creatorcontrib>Phillips, Sarah M</creatorcontrib><creatorcontrib>Curtin, Carol</creatorcontrib><creatorcontrib>Kral, Tanja V E</creatorcontrib><creatorcontrib>Segal, Mary</creatorcontrib><creatorcontrib>Sherwood, Nancy E</creatorcontrib><creatorcontrib>Sikich, Linmarie</creatorcontrib><creatorcontrib>Stanish, Heidi I</creatorcontrib><creatorcontrib>Bandini, Linda G</creatorcontrib><title>The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder</title><title>Childhood obesity</title><addtitle>Child Obes</addtitle><description>We sought to assess the association between age and the prevalence of obesity among children with and without autism spectrum disorder (ASD) in the 2011-2012 National Survey of Children's Health.
Analyses were restricted to 43,777 children, ages 10-17, with valid measures of parent-reported weight, height, and ASD status. Exploratory analyses describe the impact of sex, race/ethnicity, and household income on the relationship between age and obesity in ASD.
Although the overall prevalence of obesity among children with ASD was significantly (p < 0.001) higher than among children without ASD (23.1% vs. 14.1%, 95% confidence interval for difference 3.6 to 14.4), child age significantly (p = 0.035) modified this difference. In a multivariable logistic regression analysis, adjusted for sex, race/ethnicity, and household income, the odds of obesity among children with ASD compared with children without ASD increased monotonically from ages 10 to 17 years. This pattern arose due to a consistently high prevalence of obesity among children with ASD and a decline in prevalence with advancing age among children without ASD. These findings were replicated using a propensity score analysis. Exploratory analyses suggested that the age-related change in obesity disparity between children with and without ASD may be further modified by sex, race/ethnicity, and household income.
The patterns of prevalence observed with increasing age among children with and without ASD were unexpected. A better understanding of the etiological and maintenance factors for obesity in youth with ASD is needed to develop interventions tailored to the specific needs of these children.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Autism Spectrum Disorder - complications</subject><subject>Autism Spectrum Disorder - epidemiology</subject><subject>Child</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Income</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Obesity - epidemiology</subject><subject>Obesity - etiology</subject><subject>Original</subject><subject>Sex Factors</subject><issn>2153-2168</issn><issn>2153-2176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkUtr3DAURkVpaUI6y2yLoJtuPNHDenhTGPKGQAJJFiULIcvXMwq2NZXshPz7aJh0SLuKFtJF9_BxpYPQISVzSnR15FZ-zgiVc0JU9QntMyp4waiSn3e11HtoltIjyYtXnJLqK9pjSpFSq3IfPdytAJ-2LbgRhxYvloDDgMd8eRPhyXYwONg0rmtIfnzBtg_DEt_f4t9hGlf42edtMY0-9fh2nUPi1OMTn0JsIH5DX1rbJZi9nQfo_uz07viiuLo-vzxeXBWuLPVYUN4Iqaumbh13QgKUeZq2rqGmtWBOEQUVBeGsoIyXrKqB2EZyZRmlpWwVP0C_trnrqe6hcTCM0XZmHX1v44sJ1pt_O4NfmWV4MoIprSqZA36-BcTwZ4I0mt4nB11nBwhTMlQrpjknJf8AygUXihGd0R__oY9hikP-iUxJojVXgmWq2FIuhpQitLu5KTEbySZLNhvJZiM589_fP3ZH_1XKXwFH2qH7</recordid><startdate>201702</startdate><enddate>201702</enddate><creator>Must, Aviva</creator><creator>Eliasziw, Misha</creator><creator>Phillips, Sarah M</creator><creator>Curtin, Carol</creator><creator>Kral, Tanja V E</creator><creator>Segal, Mary</creator><creator>Sherwood, Nancy E</creator><creator>Sikich, Linmarie</creator><creator>Stanish, Heidi I</creator><creator>Bandini, Linda G</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7TS</scope><scope>5PM</scope></search><sort><creationdate>201702</creationdate><title>The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder</title><author>Must, Aviva ; Eliasziw, Misha ; Phillips, Sarah M ; Curtin, Carol ; Kral, Tanja V E ; Segal, Mary ; Sherwood, Nancy E ; Sikich, Linmarie ; Stanish, Heidi I ; Bandini, Linda G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-13d5689dbfc3c56ee4fecfbbeb1b52c707e91e5ca5123429be0ad637a21146f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Autism Spectrum Disorder - complications</topic><topic>Autism Spectrum Disorder - epidemiology</topic><topic>Child</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Income</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Obesity - epidemiology</topic><topic>Obesity - etiology</topic><topic>Original</topic><topic>Sex Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Must, Aviva</creatorcontrib><creatorcontrib>Eliasziw, Misha</creatorcontrib><creatorcontrib>Phillips, Sarah M</creatorcontrib><creatorcontrib>Curtin, Carol</creatorcontrib><creatorcontrib>Kral, Tanja V E</creatorcontrib><creatorcontrib>Segal, Mary</creatorcontrib><creatorcontrib>Sherwood, Nancy E</creatorcontrib><creatorcontrib>Sikich, Linmarie</creatorcontrib><creatorcontrib>Stanish, Heidi I</creatorcontrib><creatorcontrib>Bandini, Linda G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Childhood obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Must, Aviva</au><au>Eliasziw, Misha</au><au>Phillips, Sarah M</au><au>Curtin, Carol</au><au>Kral, Tanja V E</au><au>Segal, Mary</au><au>Sherwood, Nancy E</au><au>Sikich, Linmarie</au><au>Stanish, Heidi I</au><au>Bandini, Linda G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder</atitle><jtitle>Childhood obesity</jtitle><addtitle>Child Obes</addtitle><date>2017-02</date><risdate>2017</risdate><volume>13</volume><issue>1</issue><spage>25</spage><epage>35</epage><pages>25-35</pages><issn>2153-2168</issn><eissn>2153-2176</eissn><abstract>We sought to assess the association between age and the prevalence of obesity among children with and without autism spectrum disorder (ASD) in the 2011-2012 National Survey of Children's Health.
Analyses were restricted to 43,777 children, ages 10-17, with valid measures of parent-reported weight, height, and ASD status. Exploratory analyses describe the impact of sex, race/ethnicity, and household income on the relationship between age and obesity in ASD.
Although the overall prevalence of obesity among children with ASD was significantly (p < 0.001) higher than among children without ASD (23.1% vs. 14.1%, 95% confidence interval for difference 3.6 to 14.4), child age significantly (p = 0.035) modified this difference. In a multivariable logistic regression analysis, adjusted for sex, race/ethnicity, and household income, the odds of obesity among children with ASD compared with children without ASD increased monotonically from ages 10 to 17 years. This pattern arose due to a consistently high prevalence of obesity among children with ASD and a decline in prevalence with advancing age among children without ASD. These findings were replicated using a propensity score analysis. Exploratory analyses suggested that the age-related change in obesity disparity between children with and without ASD may be further modified by sex, race/ethnicity, and household income.
The patterns of prevalence observed with increasing age among children with and without ASD were unexpected. A better understanding of the etiological and maintenance factors for obesity in youth with ASD is needed to develop interventions tailored to the specific needs of these children.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>27704874</pmid><doi>10.1089/chi.2016.0079</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Age Factors Autism Spectrum Disorder - complications Autism Spectrum Disorder - epidemiology Child Ethnic Groups Female Health Surveys Humans Income Logistic Models Male Obesity - epidemiology Obesity - etiology Original Sex Factors |
title | The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder |
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