Weight status of children and adolescents with autism spectrum disorder: A cross‐sectional analysis of primary care electronic medical records and linked health administrative datasets in Ontario, Canada.

Summary: Background: Individuals with autism spectrum disorder (ASD) may be at increased risk of both obesity and underweight. Objective: To examine the association between ASD and weight status in children and adolescents, adjusting for individual‐ and neighbourhood‐level sociodemographic factors....

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Publicado en:Pediatric Obesity Vol. 20; no. 6; pp. 1 - 14
Autores principales: Kinlin, Laura M., Saunders, Natasha R., Carsley, Sarah, Keown‐Stoneman, Charles, Tu, Karen, Zwaigenbaum, Lonnie, Birken, Catherine S.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ijpo.70000
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        atl: Weight status of children and adolescents with autism spectrum disorder: A cross‐sectional analysis of primary care electronic medical records and linked health administrative datasets in Ontario, Canada.
      aug:
        au:
          Kinlin, Laura M.
          Saunders, Natasha R.
          Carsley, Sarah
          Keown‐Stoneman, Charles
          Tu, Karen
          Zwaigenbaum, Lonnie
          Birken, Catherine S.
        affil: Division of Paediatric Medicine, The Hospital for Sick Children, Toronto Ontario,, Canada
      sug:
        subj:
          Body Weight In Infancy and Childhood
          Body Weight In Adolescence
          Autism Spectrum Disorder
          Sociodemographic Factors
          Human
          Cross Sectional Studies
          Electronic Health Records
          Canada
          Socioeconomic Factors
          Child
          Adolescence
          World Health Organization
          Algorithms
          Descriptive Statistics
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Funding Source
          Obesity
          Thinness
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Summary: Background: Individuals with autism spectrum disorder (ASD) may be at increased risk of both obesity and underweight. Objective: To examine the association between ASD and weight status in children and adolescents, adjusting for individual‐ and neighbourhood‐level sociodemographic factors. Methods: We conducted a cross‐sectional study of children and adolescents ≥2 and ≤18 years old using health administrative and demographic data from Ontario, Canada. Using growth measurements from a large primary care database between 2011 and 2016, we categorized weight status using World Health Organization definitions. We defined ASD based on a previously validated algorithm. Results: We included 568 children and adolescents with ASD and 32 967 without ASD. Comparing those with ASD to those without ASD, prevalence of underweight was 3.5% versus 1.9%, overweight 19.0% versus 18.2%, obesity 12.9% versus 7.3%, and severe obesity 5.8% versus 2.2%. In the fully adjusted multinomial logistic regression model, ASD remained associated with underweight (adjusted odds ratio [aOR] 2.02; 95% confidence interval [CI] 1.27–3.20), obesity (aOR 1.87; 95% CI 1.44–2.43) and severe obesity (aOR 2.62; 95% CI 1.81–3.80). Conclusion: Children and adolescents with ASD are at increased risk of underweight, obesity, and severe obesity, independent of sociodemographic characteristics. Strategies addressing growth and weight status are warranted in this population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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