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Childhood overweight and obesity has become a significant public health problem. The last three decades have seen a significant increase in the prevalence of overweight and obesity. Childhood overweight and obesity increases the risk for weight problems in adulthood and can lead to adverse physical, physiological and psychosocial effects, including premature mortality. Autism spectrum disorder (ASD) is a condition that has also significantly increased in prevalence over the past three decades. ASD affects approximately 1% of the population and is characterized by core deficits in social and communication ability, and the presence of restricted and repetitive behaviors given the substantial increase in overweight/obesity among typically developing children and youth, the weight status of young people with ASD has also started to receive research attention. , existing published data showing high prevalence of overweight/obesity among children and youth with ASD across several countries are presented.
Several known and potential contributing risk factors have been identified. These included sleep problems, gross and fine motor impairments food selectivity and sensory sensitivities , gastrointestinal problem, adaptive functioning and maladaptive behaviors’ and family functioning in relation to household levels of stress . Motor impairments coupled with social communication deficits pose as additional barriers for children and youth with ASD. These are likely to have a negative impact on their involvement in physical activities. Increased time spent in sedentary behaviors such as electronic media use has been shown to be more prevalent among children and youth with ASD than in typically developing peers. Given the known health implications of a sedentary lifestyle, this may also be an important factor for weight gain in ASD. The use of psychotropic medication in some cases can be associated with weight gain, in particular for atypical anti-psychotics. However, in the context of weight status among children and youth with ASD, this is yet to be examined.
The first aim of this study was to examine prevalence of unhealthy weight in a sample of children with confirmed ASDs, based on measured weight and height and BMI. The second aim was to examine family- and child-level factors associated with unhealthy weight among children with ASDs. Our final aim was to examine hypotheses regarding associations between unhealthy weight and factors unique to children with ASDs. We hypothesized that unhealthy weight among children with ASDs would be associated with greater impairments in behavioral functioning (ASD symptoms, we also expected obese children with ASDs to experience more risk factor like than normal children.
The sample was a randomized Autistic children ,The selection of cases have been held in one sites ( center of care of children with special need AIN SHAMS UNIVERSITY).They were 30 cases recruited through 4 months All patients were subjected to a clinical interview derived from AIN SHAMS Sheet ,questionnaire was made to study dietetic history, sleep history, exercise. Measuring weight, height, BMI, CARS and IQ was done.
RESULTS: In this study we study 30 autistic patients we measure their BMI and risk factor of obesity like their dietetic history, exercise, sleep habit, drug. Our result showed that about (40%) from the examined group are overweight. The proportion of overweight (13.33%) and obese (26.67%). Having abnormal sleep habit(41.7%), craving for sweets (75%) pearasson chi square(.012) craving for chocolate (75%) craving for white sugar (66.7%) using risperidone(41.7%) , practice exercise ((33.3%),watching TV(58.3%) pearasson chi square (.018).