Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study

Detalhes bibliográficos
Autor(a) principal: Toscano,Chrystiane V.A.
Data de Publicação: 2019
Outros Autores: Ferreira,José P., Gaspar,Joana M., Carvalho,Humberto M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal de Pediatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000700705
Resumo: ABSTRACT Objective: This study examined the growth status and physical development of Brazilian children with autism spectrum disorders from 4 to 15 years of age. Furthermore, it was examined whether variation in growth patterns and weight status was influenced by the use of psychotropic medications. Methods: One-hundred and twenty children aged 3.6-12.1 years at baseline (average = 7.2 years, SD = 2.3 years) diagnosed with autism spectrum disorders were measured on three repeated occasions across a 4-year period. Stature, body mass, and body mass index were considered. Bayesian multilevel modeling was used to describe the individual growth patterns. Results: Growth in stature was comparable to the age-specific 50th percentile for Centers for Disease Control and Prevention reference data until approximately 8 years, but a substantial decrease in growth rate was observed thereafter, reaching the age-specific 5th percentile at 15 years of age. Both body mass and body mass index values were, on average, higher than both the Brazilian and Centers for Disease Control and Prevention age-specific 95th percentile reference until 8 years, but below the 50th specific-age percentile at the age of 15 years. Conclusions: Brazilian boys with autism spectrum disorders between 4 and 15 years appear to have impaired growth in stature after 8-9 years of age, likely impacting pubertal growth. A high prevalence of overweight and obesity was observed in early childhood, although a trend of substantial decrease in body mass and body mass index was apparent when children with autism spectrum disorders entered the years of pubertal development.
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spelling Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal studyObesityAutismAnthropometryMental healthBayesian multilevel modelingPsychotropic medicationABSTRACT Objective: This study examined the growth status and physical development of Brazilian children with autism spectrum disorders from 4 to 15 years of age. Furthermore, it was examined whether variation in growth patterns and weight status was influenced by the use of psychotropic medications. Methods: One-hundred and twenty children aged 3.6-12.1 years at baseline (average = 7.2 years, SD = 2.3 years) diagnosed with autism spectrum disorders were measured on three repeated occasions across a 4-year period. Stature, body mass, and body mass index were considered. Bayesian multilevel modeling was used to describe the individual growth patterns. Results: Growth in stature was comparable to the age-specific 50th percentile for Centers for Disease Control and Prevention reference data until approximately 8 years, but a substantial decrease in growth rate was observed thereafter, reaching the age-specific 5th percentile at 15 years of age. Both body mass and body mass index values were, on average, higher than both the Brazilian and Centers for Disease Control and Prevention age-specific 95th percentile reference until 8 years, but below the 50th specific-age percentile at the age of 15 years. Conclusions: Brazilian boys with autism spectrum disorders between 4 and 15 years appear to have impaired growth in stature after 8-9 years of age, likely impacting pubertal growth. A high prevalence of overweight and obesity was observed in early childhood, although a trend of substantial decrease in body mass and body mass index was apparent when children with autism spectrum disorders entered the years of pubertal development.Sociedade Brasileira de Pediatria2019-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572019000700705Jornal de Pediatria v.95 n.6 2019reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2018.06.008info:eu-repo/semantics/openAccessToscano,Chrystiane V.A.Ferreira,José P.Gaspar,Joana M.Carvalho,Humberto M.eng2019-11-22T00:00:00Zoai:scielo:S0021-75572019000700705Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2019-11-22T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false
dc.title.none.fl_str_mv Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study
title Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study
spellingShingle Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study
Toscano,Chrystiane V.A.
Obesity
Autism
Anthropometry
Mental health
Bayesian multilevel modeling
Psychotropic medication
title_short Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study
title_full Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study
title_fullStr Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study
title_full_unstemmed Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study
title_sort Growth and weight status of Brazilian children with autism spectrum disorders: A mixed longitudinal study
author Toscano,Chrystiane V.A.
author_facet Toscano,Chrystiane V.A.
Ferreira,José P.
Gaspar,Joana M.
Carvalho,Humberto M.
author_role author
author2 Ferreira,José P.
Gaspar,Joana M.
Carvalho,Humberto M.
author2_role author
author
author
dc.contributor.author.fl_str_mv Toscano,Chrystiane V.A.
Ferreira,José P.
Gaspar,Joana M.
Carvalho,Humberto M.
dc.subject.por.fl_str_mv Obesity
Autism
Anthropometry
Mental health
Bayesian multilevel modeling
Psychotropic medication
topic Obesity
Autism
Anthropometry
Mental health
Bayesian multilevel modeling
Psychotropic medication
description ABSTRACT Objective: This study examined the growth status and physical development of Brazilian children with autism spectrum disorders from 4 to 15 years of age. Furthermore, it was examined whether variation in growth patterns and weight status was influenced by the use of psychotropic medications. Methods: One-hundred and twenty children aged 3.6-12.1 years at baseline (average = 7.2 years, SD = 2.3 years) diagnosed with autism spectrum disorders were measured on three repeated occasions across a 4-year period. Stature, body mass, and body mass index were considered. Bayesian multilevel modeling was used to describe the individual growth patterns. Results: Growth in stature was comparable to the age-specific 50th percentile for Centers for Disease Control and Prevention reference data until approximately 8 years, but a substantial decrease in growth rate was observed thereafter, reaching the age-specific 5th percentile at 15 years of age. Both body mass and body mass index values were, on average, higher than both the Brazilian and Centers for Disease Control and Prevention age-specific 95th percentile reference until 8 years, but below the 50th specific-age percentile at the age of 15 years. Conclusions: Brazilian boys with autism spectrum disorders between 4 and 15 years appear to have impaired growth in stature after 8-9 years of age, likely impacting pubertal growth. A high prevalence of overweight and obesity was observed in early childhood, although a trend of substantial decrease in body mass and body mass index was apparent when children with autism spectrum disorders entered the years of pubertal development.
publishDate 2019
dc.date.none.fl_str_mv 2019-12-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1016/j.jped.2018.06.008
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv Jornal de Pediatria v.95 n.6 2019
reponame:Jornal de Pediatria (Online)
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