Journal of Developmental & Behavioral Pediatrics
Original Articles
Prevalence and Health Correlates of Overweight and Obesity in Children with Autism Spectrum Disorder
Dreyer Gillette, Meredith L. PhD*,†,‡; Borner, Kelsey B. MA*,§; Nadler, Cy B. PhD†,‡; Poppert, Katrina M. BA*,§; Odar Stough, Cathleen MA*,§; Swinburne Romine, Rebecca PhD‖; Davis, Ann M. PhD, MPH, ABPP*,¶
*Center for Children's Healthy Lifestyles & Nutrition, Kansas City, MO;
†Division of Developmental and Behavioral Sciences, Children's Mercy Kansas City, Kansas City, MO;
‡Department of Pediatrics, University of Missouri Kansas City School of Medicine, Kansas City, MO;
§Clinical Child Psychology Program, University of Kansas, Lawrence, KS;
‖The Schiefelbusch Institute for Life Span Studies, University of Kansas, Lawrence, KS;
¶Department of Pediatrics, University of Kansas Medical Center, Kansas City, KS.
Address for reprints: Meredith L. Dreyer Gillette, PhD, Children's Mercy Kansas City, 2401 Gillham Rd, Kansas City, MO 64018; e-mail: [email protected].
Disclosure: The authors declare no conflict of interest.
Received February , 2015
Accepted June , 2015
Abstract
Children with autism spectrum disorder (ASD) may be at increased risk for overweight and obesity, but little information is known about correlates of overweight and obesity in this population. This study compared prevalence rates of parent-reported overweight and obesity and specific health behaviors (i.e., parent report of child sleep, family meal patterns, child screen time, and child physical activity) among children with ASD (N = more than 900 [weighted to represent 690,000; age 10–17]) compared with children without ASD using data from a nationally representative sample. Additionally, the relationship between specific health behaviors (i.e., child sleep, family meals, screen time, and physical activity) and weight status was examined in the ASD population. Data were from the National Survey of Children's Health 2011–2012. Results indicate that children with ASD were more likely to be obese but not more likely to be overweight than non-ASD youth. Children with ASD engaged in physical activity less than children without ASD, but no differences were found on sleep, most measures of screen time, and mealtimes. However, parent perceived poorer sleep was associated with increased weight status, and fewer family meals were associated with normal weight status among children with ASD.