Weight status and body composition analysis among Polish boys with autism spectrum disorders
DOI:
https://doi.org/10.2478/anre-2021-0015Keywords:
obesity, autism, BMI, overweight, underweightAbstract
Currently, autism spectrum disorders (ASD) are one of the main health care problems in both Poland and in other countries. There are limited studies on the physical growth and body composition among children and adolescents with ASD. Several studies have indicated that the prevalence of unhealthy weight is high among autistic patients. Therefore, the main aim of this study was to assess the prevalence of underweight, overweight and obesity of Polish boys with ASD and to analyse body composition.
A cross-sectional study was performed on 29 Polish boys aged 3–11 with autism. Anthropometric measurements were taken. Bioelectrical impedance analysis (BIA) was used to evaluate body composition. The percentile values and z-scores for body height, body weight and BMI were calculated. The CDC cut–points were used to determine weight status. Statistical analyses were performed using the Statistical Package for the Social Sciences (SPSS) version 25.
16.1% autistic boys had z-scores for body weight above two standard deviations, 12.9% had z-scores for body height above two standard deviations and z-scores for BMI above two standard deviations were found in 19.4% of the boys. 13.8% of autistic boys were underweight, 48.3% had healthy weight, 20.7% were overweight, and 17.2% were obese. The mean value of body fat percentage was 18.46%, and 16.1% of the boys with ASD had higher than normal fat tissue. There is a high prevalence of overweight and obesity among Polish boys with autism.
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Al-Zaid FS, Alhader AA, Al-Ayadhi LY. 2014. Altered ghrelin levels in boys with autism: a novel finding associated with hormonal dysregulation. Sci Rep 4:6478.
View in Google Scholar
American Psychiatric Association. 2013. Diagnostic and Statistical manual of mental disorders. 5th edition. Arlington (VA): American Psychiatric Publishing.
View in Google Scholar
Bandini LG, Anderson SE, Curtin C, Cermak S, Evans EW, Scampini R, Maslin M, Must A. 2010. Food selectivity in children with autism spectrum disorders and typically developing children. J Pediatr 157:259–64.
View in Google Scholar
Bauman ML. 2010. Medical comorbidities in autism: Challenges to diagnosis and treatment. Neurotherapeutics 7:320–7.
View in Google Scholar
Bauset SM, Zazpe I, Sanchis AM, Llopis González A, Morales Suárez-Varela M. 2013. Are there anthropometric differences between autistic and healthy children? J Child Neurol 28:1226–32.
View in Google Scholar
Broder-Fingert S, Brazauskas K, Lindgren K, Iannuzzi D, Van Cleave J. 2014. Prevalence of overweight and obesity in a large clinical sample of children with autism. Acad Pediatr 14:408–14.
View in Google Scholar
Castro K, Slongo Faccioli L, Baronio D, Gottfried C, Schweigert Perry I, Riesgo R. 2017. Body composition of patients with autism spectrum disorder through bioelectrical impedance. Nutr Hosp 34:875–9.
View in Google Scholar
Corvey K, Menear KS, Preskitt J, Goldfarb S, Menachemi N. 2016. Obesity, Physical Activity and Sedentary Behaviors in Children with an Autism Spectrum Disorder. Matern Child Health J 20:466–76.
View in Google Scholar
Curtin C, Anderson SE, Must A, Bandini LG 2010. The prevalence of obesity in children with autism: a secondary data analysis using nationally representative data from the National Survey of Children’s Health. BMC Pediatr 10:11.
View in Google Scholar
Curtin C, Bandini LG, Perrin EC, Tybor BJ, Must A. 2005. Prevalence of overweight in children and adolescents with attention deficit hyperactivity disorder and autism spectrum disorders: a chart review. BMC Pediatr 5:48.
View in Google Scholar
Curtin C, Jojic M, Bandini LG. 2014. Obesity in children with autism spectrum disorder. Harv Rev Psychiatry 22:93–103.
View in Google Scholar
Evans EW, Must A, Anderson SE, Curtin C, Scampini R, Maslin M, Bandini L. 2012. Dietary Patterns and Body Mass Index in Children with Autism and Typically Developing Children. Res Autism Spectr Disord 6:399–405.
View in Google Scholar
Global Nutrition Report 2021. Action on equity to end malnutrition. Bristol, UK: Developmental Initiatives.
View in Google Scholar
Gomula A, Nowak–Szczepanska N, Danel DP, Koziel S. 2015. Overweight trends among Polish schoolchildren before and after the transition from communism to capitalism. Economics & Human Biology 19: 246–57.
View in Google Scholar
Granich J, Lin A, Hunt A, Wray J, Dass A, Whitehouse AJ. 2016. Obesity and associated factors in youth with an autism spectrum disorder. Autism 20:916–26.
View in Google Scholar
Grzadzinski R, Huerta M, Lord C. 2013. DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes. Molecular Autism 4 (12).
View in Google Scholar
Healy S, Aigner CJ, Haegele JA. 2019. Prevalence of overweight and obesity among US youth with autism spectrum disorder. Autism 23(4):1046–50.
View in Google Scholar
Hebebrand J, Hennighausen K, Nau S, Himmelmann GW, Schulz E, Schafer H, Rernschmidt H. 1997. Low body weight in male children an adolescents with schizoid personality disorder or Asperger’s disorder. Acta Psychiatr 96:64–7.
View in Google Scholar
Horvath K, Perman JA. 2002. Autism and gastrointestinal symptoms. Curr Gastroenterol Rep 4:251–8.
View in Google Scholar
Khalil SF, Mohktar MS, Ibrahim F. 2014. The theory and fundamentals of bioimpedance analysis in clinical status monitoring and diagnosis of diseases. Sensors 14:10895–928.
View in Google Scholar
Kim E-K, Neggers YH, Shin C-S, Kim E, Kim EM. 2009. Dyslipidemia in children with autism. Reproductive Toxicology 28:135–6.
View in Google Scholar
Knussmann R. 1988. Anthropologie, Handbuch der vergleichenden Biologie des Menschen. Stuttgart: Fischer Verlag.
View in Google Scholar
Kowal M, Woźniacka R, Bac A, Żarów R. 2019. Prevalence of underweight in children and adolescents (aged 3–18 years) from Kraków (Poland) in 1983 and 2010. Public Health Nutr 22(12): 2210–9.
View in Google Scholar
Kuczmarski RJ, Ogden C, Grummer-Strawn L, et al. 2000. CDC Growth Charts: United States. Advance Data Report No. 314. Vital and Health Statistics of the Centers for Disease Control and Prevention, National Center for Health Statistics.
View in Google Scholar
Kułaga Z, Grajda A, Gurzkowska B, Wojtyło M, Góźdź M, Litwin M. 2016. The prevalence of overweight and obesity among polish school-aged children and adolescents. Przegląd Epidemiologiczny 70.
View in Google Scholar
Levy SE, Pinto-Martin JA, Bradley CB, Chittams J, Johnson SL, Pandey J, Pomykacz A, Ramirez A, Reynolds A, Rubenstein E, Schieve LA, Shapira SK, Thompson A, Young L, Kral TVE. 2019. Relationship of weight outcomes, co-occurring conditions, and severity of Autism Spectrum Disorder in the study to explore early development. J Pediatr 205:202–9.
View in Google Scholar
Lisik MZ. 2014. Molecular aspects of autism spectrum disorder. Psychiatria Polska 48:689–700.
View in Google Scholar
Macdonald M, Esposito P, Ulrich D. 2011. The physical activity patterns of children with autism. BMC Res Notes 4:422.
View in Google Scholar
Matheson BE, Douglas JM. 2017. Overweight and obesity in children with Autism Spectrum Disorder (ASD): a critical review investigating the etiology, development, and maintenance of this relationship. Rev J Autism Dev Disord 4:142–56.
View in Google Scholar
Matson JL, Kozlowski AM. 2011. The increasing prevalence of autism spectrum disorders. Res Autism Spectr Disord 5:418–25.
View in Google Scholar
Mazidi M, Banach M, Kengne AP. 2018. Prevalence of childhood and adolescent overweight and obesity in Asian countries: a systematic review and meta-analysis. Arch Med Sci 14(6):1185–203.
View in Google Scholar
McCarthy HD, Cole TJ, Fry T, Jebb SA, Prentice AM 2006. Body fat reference curves for children. Int J Obes 30:598–602.
View in Google Scholar
McCloughen A, Foster K. 2011. Weight gain associated with taking psychotropic medication: an integrative review. Int J Ment Health Nurs 20(3):202–22.
View in Google Scholar
Mills JL, Hediger ML, Molloy CA, Chrousos GP, Manning-Courtney P, Yu KF, Brasington M, England LJ. 2007. Elevated levels of growth-related hormones in autism and autism spectrum disorder. Clin Endocrinol (Oxf) 67:230–7.
View in Google Scholar
Mouridsen SE, Rich B, Isager T. 2002. Body mass index in male and female children with infantile autism. Autism 6:197–205.
View in Google Scholar
Newschaffer CJ. Kresch Curran L. 2003. Autism: an emerging public health problem. Public Health Rep 393–9.
View in Google Scholar
Piskorz-Ogórek K, Ogórek S, Cieślińska A, Kostyra E. 2015. Autism in Poland in comparison to other countries. Polish Ann Med 22:35–40.
View in Google Scholar
Report of the National Autism Spectrum Disorder (ASD) Surveillance System. 2018. Autism Spectrum Disorder among Children and Youth. Canada: Public Health Agency of Canada.
View in Google Scholar
Ries W, Pöthig D. 1984. Chronological age and biological age. Experimental Gerontology 19:211–6.
View in Google Scholar
Salehi H, Aghanoori MR, Shahmohammadlu S, Hosseini Sh E, Mitchell M, Mahmudi K. Djafarian K. 2015. Body composition in Iranian boys with autism spectrum disorders. Paediatr Croat 59 (3):159–65.
View in Google Scholar
Schreck KA, Williams K, Smith AF. 2004. A comparison of eating behaviors between children with and without autism. J Autism Dev Disord 34:433–8.
View in Google Scholar
Siegel M. 2012. Psychopharmacology of autism spectrum disorder: evidence and practice. Child Adolesc Psychiatr Clin N Am 21:957–73.
View in Google Scholar
Trambacz-Oleszak S. 2016. Zaburzenia wzrastania u dzieci ze spektrum zaburzeń autystycznych – przegląd piśmiennictwa: Growth disorders in children with autism spectrum disorder – literature review. Standardy Medyczne Pediatria 3:389–96.
View in Google Scholar
Trambacz-Oleszak S. 2019. Why are individuals with autism spectrum disorder at risk group for unhealthy weight? Anthropological Review 82(3):313–26.
View in Google Scholar
Uchino S, Waga C. 2013. SHANK3 as an autism spectrum disorder-associated gene. Brain Dev 35:106–10.
View in Google Scholar
Wang J, Gong J, Li L, Chen Y, Liu L, Gu H, Luo X, Hou F, Zhang J, Song R. 2018. Neurexin gene family variants as risk factors for autism spectrum disorder. Autism Res 11:37–43.
View in Google Scholar
Williams KE, Gibbons BG, Schreck KA. 2005. Comparing Selective Eaters with and Without Developmental Disabilities. J Dev Phys Disabil 17:299–309.
View in Google Scholar
World Health Organization. 2018. International statistical classification of diseases and related health problems (11th Revision) http://icd.eho.int/browse11/1-m/en
View in Google Scholar
Xiong N, Ji C, Li Y, He Z, Bo H, Zhao Y. 2009. The physical status of children with autism in China. Res Dev Disabil 30(1):70–6.
View in Google Scholar
Zheng Z, Zhang L, Li S, Zhao F, Wang Y, Huang L, Huang J, Zou R, Qu Y Mu D. 2017. Association among obesity, overweight and autism spectrum disorder: a systematic review and meta-analysis. Sci Rep 7:11697.
View in Google Scholar
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