天津市3~7岁孤独症谱系障碍儿童体格发育和营养状况研究

doi:10.11852/zgetbjzz2021-0543

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (10): 1058-1062.DOI: 10.11852/zgetbjzz2021-0543

天津市3~7岁孤独症谱系障碍儿童体格发育和营养状况研究

杨睿博, 刘佳雪, 韩钰, 曲之毅, 李尧, 熊文娟, 张欣

天津医科大学公共卫生学院儿少卫生与妇幼保健教研室,天津 300070

收稿日期:2021-04-09 修回日期:2021-05-19 发布日期:2021-10-26 出版日期:2021-10-10
通讯作者: 张欣,E-mail:zhangxin@tmu.edu.cn
作者简介:杨睿博(1990-),女,天津人,在读硕士,主要研究方向为儿童生长发育。
基金资助:
国家自然科学基金项目(81973070)

Study on physical development and nutritional status of children with autism spectrum disorders aged 3-7 years in Tianjin

YANG Rui-bo, LIU Jia-xue, HAN Yu, QU Zhi-yi, LI Yao, XIONG Wen-juan, ZHANG Xin

Department of Child and Maternal Health, Public Health School of Tianjin Medical University, Tianjin 300070, China

Received:2021-04-09 Revised:2021-05-19 Online:2021-10-10 Published:2021-10-26
Contact: ZHANG Xin, E-mail:zhangxin@tmu.edu.cn

摘要/Abstract

摘要： 目的了解天津市3~7岁孤独症谱系障碍(ASD)儿童生长发育状况,为改善ASD儿童生长发育提供参考依据。方法 2016-2019年整群抽取天津市221名3~7岁ASD儿童进行体格测量,各项指标依据2015年中国九市7岁以下儿童体格发育和2008年WHO儿童生长发育标准转化为Z评分,以评价ASD儿童的体格和营养状况,采用儿童孤独症评定量表(CARS)评估ASD儿童症状严重程度。结果天津市ASD儿童超重/肥胖率为19.0%,年龄别体重Z评分(WAZ)、年龄别身高Z评分(HAZ)、年龄别体重指数Z评分(BAZ)分布曲线向右偏移,胸围及腰围的Z评分分布曲线向+3s外延伸,坐高的Z评分分布曲线向左偏移,呈现生长偏离趋势。男童WAZ(Z=2.053,P<0.05)及超重/肥胖率(χ²=6.572,P<0.05)高于女童,6~7岁组超重/肥胖率高于3~岁和4~岁组(P<0.05),不同ASD症状严重程度间营养状况的差异无统计学意义(χ²=5.321,P>0.05)。结论天津市ASD儿童超重/肥胖检出率较高,存在体格生长偏离,应加强ASD儿童生长发育监测和肥胖的早期干预。

关键词: 孤独症谱系障碍, 儿童, 体格发育, 肥胖

Abstract: Objective To understand the growth and development status of children with autism spectrum disorders (ASD) aged 3-7 years in Tianjin, in order to provide reference for improving their growth and development. Methods A total of 221 ASD children aged 3—7 years were selected to take physical examination by cluster sampling in Tianjin.All indicator values were converted to Z-scores using the physical growth and development of children under seven years of age in nine cities of China in 2015 and WHO child growth standard.The Childhood Autism Rating Scale (CARS) was used to assess the severity of ASD. Results The overweight and obesity rate of ASD children in Tianjin was 19.0%.The distribution curves of weight for age Z-score (WAZ), height for age Z-score(HAZ),BMI for age Z-score(BAZ) all shifted to the right side.The Z-score distribution curves of chest circumference and waist circumference extended beyond +3s, and the Z-score distribution curve of sitting height shifted to the left side, showing a growth deviation in ASD children.The WAZ (Z=2.053, P<0.05) and the ratio of overweight and obesity (χ²=6.572,P<0.05) in boys was higher than those of girls.The overweight and obesity rate of 6- to 7-year-old group was significantly higher than that of 3-year-old and 4-year-old group(P<0.05).But there was no significant difference in the level of nutritional status among different severity groups of ASD children (χ²=5.321,P>0.05). Conclusions The detection rate of overweight and obesity in ASD children in Tianjin is relatively high, and the deviation of physical growth exists in ASD children.So it is necessary to strengthen the growth and development monitoring and the intervention of obesity.

Key words: autism spectrum disorders, children, physical development, obesity

中图分类号:

R749.94

杨睿博, 刘佳雪, 韩钰, 曲之毅, 李尧, 熊文娟, 张欣. 天津市3~7岁孤独症谱系障碍儿童体格发育和营养状况研究[J]. 中国儿童保健杂志, 2021, 29(10): 1058-1062.

YANG Rui-bo, LIU Jia-xue, HAN Yu, QU Zhi-yi, LI Yao, XIONG Wen-juan, ZHANG Xin. Study on physical development and nutritional status of children with autism spectrum disorders aged 3-7 years in Tianjin[J]. Chinese Journal of Child Health Care, 2021, 29(10): 1058-1062.

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天津市3~7岁孤独症谱系障碍儿童体格发育和营养状况研究

Study on physical development and nutritional status of children with autism spectrum disorders aged 3-7 years in Tianjin

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