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Prevalence of Overweight and Obesity Among Children and Adolescents With Autism Spectrum Disorder and Associated Risk Factors

Abstract:
Introduction: Prevalence of obesity in Autism Spectrum Disorder (ASD) has been reported to be higher than in the general population. Determining prevalence may help increase awareness of obesity in ASD and potentially lead to initiatives to reduce obesity. In order to understand obesity in ASD children, common risk factors were assessed including physical activity, feeding problems and sleep disturbances. Methods: This is a cross-sectional study performed at the Child Development Center at Universiti Kebangsaan Malaysia Medical Center on 151 ASD children aged 2–18 years. Anthropometric and demographic information were obtained and parents completed three questionnaires; Children Sleep Habits Questionnaire (CSHQ), Physical Activity for Older Children Questionnaire (PAQ-C) and Brief Autism Mealtime Behavior Questionnaire (BAMBI). Results: For ASD children in our sample, the prevalence of overweight (BMI ≥85th to <95th percentiles) was 11.3% and the prevalence of obesity (BMI ≥95th percentile) was 21.9%. The overweight/obese ASD children s median age was higher at 8.5 years (IQR 5.81–10.13) compared to the normal/underweight group of 6.33 years (IQR 4.75–7.7) with a p-value of 0.001. The two groups also differed significantly for maternal BMI and paternal age. The median maternal BMI in the overweight/obese group was 26.05 (IQR 23.35–32.25), statistically significantly higher (p = 0.003) than in the non-overweight/obese group, 24.7 (IQR 21–27.9). The median paternal age of 40 years (IQR 37–44) was statistically significantly higher (p = 0.039) in the overweight/obese group, compared to the median paternal age in the non-overweight/obese group of 38 (IQR 35–42). The male overweight/obese children had median PAQ-C score of 2.44 (IQR 2.00–3.00) vs. 2.89 (IQR 2.35–3.53) in the counterpart group with a p-value of 0.01. Using the multiple linear regression stepwise method, three predictors associated with BMI percentiles reached a statistical level of significance; PAQ-C score in males (p < 0.001), the BAMBI domains of Food Refusal (p = 0.001) and Limited Variety of Food (p = 0.001). Conclusions: The prevalence of obesity and overweight is high among Malaysian ASD children and adolescents. Older child age, high maternal BMI, older paternal age, low physical activity, low likelihood of food refusal and high likelihood of food selectivity were found to be risk factors for high BMI in these children.
Author Listing： Norazlin Kamal Nor;Azilawati Hanim Ghozali;Juriza Ismail
Volume： 7
Pages： None
DOI： 10.3389/fped.2019.00038
Language： English
Journal： Frontiers in Pediatrics

Frontiers in Pediatrics

FRONT PEDIATR

影响因子：2.0
是否综述期刊：否
是否OA：是
是否预警：不在预警名单内
发行时间：-
ISSN：2296-2360
发刊频率：-
收录数据库：SCIE/Scopus收录/DOAJ开放期刊
出版国家/地区：SWITZERLAND
出版社：Frontiers Media S.A.

期刊介绍

Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children's Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.

儿科前沿 (影响因子2.33) 在整个领域广泛发布严格的同行评审研究，从基础研究到临床研究，应对儿科患者护理和儿童健康方面的持续挑战。莱顿大学的现场主编Arjan Te Pas和匹兹堡儿童医院的Michael L. Moritz得到了杰出的国际专家编辑委员会的支持。这本多学科开放获取期刊是在向世界各地的研究人员，学者，临床医生和公众传播和交流科学知识和有影响力的发现的最前沿。儿科前沿也以研究主题为特色，由客座副编辑管理的专题，解决儿科的重要领域。以这种方式，Frontiers可以作为发布基础和临床研究中儿科最广泛方面的渠道，包括与儿科各个方面相关的高质量评论，病例报告，社论和评论。

年发文量 1108
国人发稿量 439
国人发文占比 39.61%
自引率 0.0%
平均录取率 -
平均审稿周期 14 Weeks
版面费 US$2950
偏重研究方向 Medicine-Pediatrics, Perinatology and Child Health
期刊官网 https://www.frontiersin.org/journals/pediatrics
投稿链接 https://www.frontiersin.org/people/login?returnUrl=https%3a%2f%2fwww.frontiersin.org%2fsubmission%2fSubmissionHome.aspx%3fdomainId%3d2%26fieldId%3d61%26specialtyId%3d0%26entityType%3d1%26entityId%3d606

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
86.82% 99.59% 0.00% 1.18%

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预警情况

时间 预警情况
2025年03月发布的2025版 不在预警名单中
2024年02月发布的2024版 不在预警名单中
2023年01月发布的2023版 不在预警名单中
2021年12月发布的2021版 不在预警名单中
2020年12月发布的2020版 不在预警名单中

JCR分区 WOS分区等级：Q2区

版本 按学科 分区
WOS期刊SCI分区
（2021-2022年最新版）
PEDIATRICS Q2

中科院分区

版本 大类学科 小类学科 Top期刊 综述期刊
医学
3区
PEDIATRICS
儿科
3区
 否 否
2021年12月
基础版
医学
3区
PEDIATRICS
儿科
2区
 否 否
2021年12月
升级版
医学
3区
PEDIATRICS
儿科
3区
 否 否
2020年12月
旧的升级版
医学
3区
PEDIATRICS
儿科
3区
 否 否
2022年12月
最新升级版
医学
3区
PEDIATRICS
儿科
3区
 否 否
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