Dietary intake and nutritional status of children with autism spectrum disorders in Tianjin

SHI Rui; HAN Yu; GAO Lei; WANG Gengfu; ZHANG Xin

doi:10.16835/j.cnki.1000-9817.2021.09.010

Volume 42 Issue 9

Sep. 2021

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2021 > 42(9): 1318-1322

SHI Rui, HAN Yu, GAO Lei, WANG Gengfu, ZHANG Xin. Dietary intake and nutritional status of children with autism spectrum disorders in Tianjin[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1318-1322. doi: 10.16835/j.cnki.1000-9817.2021.09.010

Citation:

SHI Rui, HAN Yu, GAO Lei, WANG Gengfu, ZHANG Xin. Dietary intake and nutritional status of children with autism spectrum disorders in Tianjin[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(9): 1318-1322. doi: 10.16835/j.cnki.1000-9817.2021.09.010

Citation:

PDF( 408 KB)

Dietary intake and nutritional status of children with autism spectrum disorders in Tianjin

doi: 10.16835/j.cnki.1000-9817.2021.09.010

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

Received Date: 2021-03-02
Rev Recd Date: 2021-03-16

Available Online: 2021-09-24

Publish Date: 2021-09-24

Abstract

Abstract

Objective To investigate the dietary nutrient intake and nutritional status of children with autism spectrum disorder(ASD), and provide evidence for developing scientific and effective nutrition intervention measures for children with ASD. Methods Nutrient intake of 90 children with ASD were investigated by using 3-day 24-hour dietary survey, and the anthropological indexes were measured. Results Among the 90 ASD children aged 3-9, 31 of them were overweight and obese, accounting for 34.4%, three children were underweight, accounting for 3.3%, and one child was stunted, accounting for 1.1%. Dietary intakes of vitamin A, vitamin B₁, vitamin D, vitamin B₆, folic acid, calcium and iodine in all age groups of ASD children were insufficient, but the dietary intakes of copper, phosphorus and zinc exceeded the recommended intake level. More than 10% of the ASD children consume copper and magnesium more than the tolerable upper intake level. There were significant differences in the dietary intake of energy, fat and vitamin A among normal, overweight, obese and thin ASD children(χ²=9.24, 10.03, P<0.05). Conclusion Overweight and obesity, as well as the combination of insufficient and excessive nutrition in children with ASD is common. Personalized dietary nutrition intervention towards ASD children should be developed and implemented.
- Autistic disorder,
- Diet,
- Nutritional status,
- Reference standards,
- Child

FullText(HTML)

References(24)

References

[1]	BATTLE D E. Diagnostic and Statistical Manual of Mental Disorders(DSM)[J]. Codas, 2013, 25(2): 191-192.
[2]	CLARKE G, STILLING R M, KENNEDY P J, et al. Minireview: Gut microbiota: the neglected endocrine organ[J]. Mol Endocrinol, 2014, 28(8): 1221-38. doi: 10.1210/me.2014-1108
[3]	KIM J S, DE LA SERRE C B. Diet, gut microbiota composition and feeding behavior[J]. Physiol Behav, 2018, 192(1): 177-181. http://europepmc.org/abstract/MED/29605585
[4]	中国营养学会. 中国居民膳食营养素参考摄入量[M]. 北京: 科学出版社, 2013: 652-660. Chinese Nntrition Society. Reference dietary intake of nutrients for Chinese residents[M]. Beijing: Science Press, 2013: 652-660.
[5]	教育部体育卫生与艺术教育司. 全国学生体质健康调研组. 2019年全国学生体质健康调研工作手册[M]. 2019: 61-68. Department of Physical Health and Arts Education, Ministry of Education. National Student Physical Health Research Group. 2019 National Student Physical Health Research Manual[M]. 2019: 61-68.
[6]	WHO. WHO growth referrence data for 5-19 years: height-for-age, weight-for-age, BMI-for-age[EB/OL]. [2021-01-22]. https://www.WHO.int/tools/growth-reference-data-for-5to19-years.
[7]	WHO. WHO child growth standards: height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age[EB/OL]. [2021-01-22]. https://www.WHO.int/toolkits/child-growth-standards#.
[8]	MARINAC C R, SEARS D D, NATARAJAN L, et al. Frequency and circadian timing of eating may influence biomarkers of inflammation and insulin resistance associated with breast cancer risk[J]. PLoS One, 2015, 10(8): e0136240. doi: 10.1371/journal.pone.0136240
[9]	林丽丽, 尹晓娜, 高井全, 等. 孤独症儿童营养及饮食行为问题干预的追踪研究[J]. 中国儿童保健杂志, 2014, 22(2): 128-130. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201402008.htm LIN L L, YIN X N, GAO J Q, et al. The follow-up study on nutrition and diet behavior problems intervention of autistic children[J]. Chin J Child Health Care, 2014, 22(2): 128-130. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201402008.htm
[10]	ZUCKERMAN K E, HILL A P, GUION K, et al. Overweight and obesity: prevalence and correlates in a large clinical sample of children with autism spectrum disorder[J]. J Autism Dev Disord, 2014, 44(7): 1708-1719. doi: 10.1007/s10803-014-2050-9
[11]	KAHATHUDUWA C N, WEST B D, BLUME J, et al. The risk of overweight and obesity in children with autism spectrum disorders: a systematic review and meta-analysis[J]. Obes Rev, 2019, 20(12): 1667-1679. doi: 10.1111/obr.12933
[12]	李慧萍, 徐琼, 胡梅新, 等. 孤独症谱系障碍儿童体格生长状况的横断面调查[J]. 中国循证儿科杂志, 2020, 15(3): 220-223. https://www.cnki.com.cn/Article/CJFDTOTAL-XZEK202003012.htm LI H P, XU Q, HU M X, et al. Growth status of children with autism spectrum disorder: a cross-sectional study[J]. Chin J Evid Based Pediatr, 2020, 15(3): 220-223. https://www.cnki.com.cn/Article/CJFDTOTAL-XZEK202003012.htm
[13]	赵永生, 匡桂芳, 韩秀霞, 等. 孤独症谱系障碍儿童饮食行为调查[J]. 中国学校卫生, 2016, 37(2): 184-186, 189. doi: 10.16835/j.cnki.1000-9817.2016.02.008 ZHAO Y S, KUANG G F, HAN X X, et al. Eating behaviors of children with autism spectrum disorder[J]. Chin J Sch Health, 2016, 37(2): 184-186, 189. doi: 10.16835/j.cnki.1000-9817.2016.02.008
[14]	RANJAN S, NASSER J A. Nutritional status of individuals with autism spectrum disorders: do we know enough?[J]. Adv Nutr, 2015, 6(4): 397-407. doi: 10.3945/an.114.007914
[15]	DHALIWAL K K, ORSSO C E, RICHARD C, et al. Risk factors for unhealthy weight gain and obesity among children with Autism spectrum disorder[J]. Int J Mol Sci, 2019, 20(13): 3285. doi: 10.3390/ijms20133285
[16]	BICER A H, ALSAFFAR A A. Body mass index, dietary intake and feeding problems of Turkish children with autism spectrum disorder(ASD)[J]. Res Dev Disabil, 2013, 34(11): 3978-3987. doi: 10.1016/j.ridd.2013.08.024
[17]	MARÍ-BAUSET S, LLOPIS-GONZÁLEZ A, ZAZPE I, et al. Comparison of nutritional status between children with autism spectrum disorder and typically developing children in the Mediterranean Region(Valencia, Spain)[J]. Autism, 2017, 21(3): 310-322. doi: 10.1177/1362361316636976
[18]	CHISTOL L T, BANDINI L G, MUST A, et al. Sensory sensitivity and food selectivity in children with Autism spectrum disorder[J]. J Autism Dev Disord, 2018, 48(2): 583-591. doi: 10.1007/s10803-017-3340-9
[19]	GRAY H L, CHIANG H M. Brief report: mealtime behaviors of Chinese American children with Autism spectrum disorder[J]. J Autism Dev Disord, 2017, 47(3): 892-897. doi: 10.1007/s10803-016-2993-0
[20]	MCELHANON B O, MCCRACKEN C, KARPEN S, et al. Gastrointestinal symptoms in autism spectrum disorder: a meta-analysis[J]. Pediatrics, 2014, 133(5): 872-833. http://www.ncbi.nlm.nih.gov/pubmed/24777214
[21]	GUO M, LI L, ZHANG Q, et al. Vitamin and mineral status of children with autism spectrum disorder in Hainan Province of China: associations with symptoms[J]. Nutr Neurosci, 2020, 23(10): 803-810. doi: 10.1080/1028415X.2018.1558762
[22]	LI S O, WANG J L, BJØRKLUND G, et al. Serum copper and zinc levels in individuals with autism spectrum disorders[J]. Neuroreport, 2014, 25(15): 1216-20. http://europepmc.org/abstract/MED/25162784
[23]	BENER A, KHATTAB A O, BHUGRA D, et al. Iron and vitamin D levels among autism spectrum disorders children[J]. Ann Afr Med, 2017, 16(4): 186-191. http://europepmc.org/articles/PMC5676409/
[24]	SCHEIBER I, DRINGEN R, MERCER J F. Copper: effects of deficiency and overload[J]. Met Ions Life Sci, 2013, 13: 359-387. doi: 10.1007/978-94-007-7500-8_11

Relative Articles

[1]	LIU Yingjie, WANG Hui, YANG Ke, LI Mingli. Anemia among rural children aged 3-6 in central China and its association with dietary behaviors[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(1): 43-47. doi: 10.16835/j.cnki.1000-9817.2023.01.010
[2]	SHU Li, LI Xiaolu, QIU Mengting, LI Mengyao. Analysis of dietary quality of preschool left-behind children by using the revised Chinese diet balance index[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(1): 33-37. doi: 10.16835/j.cnki.1000-9817.2022.01.008
[3]	SHU Li, LI Mengyao, LI Xiaolu, QIU Mengting, HAN Ziyan. Prevalence of iron deficiency anemia and the association with dietary nutrition factors of preschool children in rural Anhui Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(12): 1793-1797. doi: 10.16835/j.cnki.1000-9817.2021.12.009
[4]	KELIMU Asimuguli, ABULAITI Adila, TASHI Nuernisaimu, ZHANG Yushan, ABULAITI Abida. Dietary nutritional status of AIDS orphans[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(11): 1624-1628. doi: 10.16835/j.cnki.1000-9817.2021.11.007
[5]	FANG Shuanfeng, WANG Shaowen, ZHANG Yun, CHEN Jingjing, REN Lingmin. Nutritional status of children with autism spectrum disorders in Zhengzhou[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(11): 1643-1645,1649. doi: 10.16835/j.cnki.1000-9817.2020.11.012
[7]	LI Juan, XIE Xiaolian, LIU Shanghong, SUN Lijiao, ZHAO Haiping. Association between dietary knowledge and dietary pattern with overweight and obesity among children and adolescents in Ningxia[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2018, 39(11): 1609-1612. doi: 10.16835/j.cnki.1000-9817.2018.11.003
[8]	SUN Yi, LIANG Shuang, SUN Caihong, WEI Lili, HAN Panpan, JIANG Xitao, LI Haixin, WU Lijie. Serum folic acid with associated metabolites and vitamin B12 in ASD children: a case-control study[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2018, 39(3): 331-334. doi: 10.16835/j.cnki.1000-9817.2018.03.004
[9]	ZHANG Xinxi, KANG Jing, XU Zhanbin, WEI Lili, SUN Caihong, XIA Wei, WU Lijie, WANG Yijun. Comparative study on nutritional knowledge awareness between parents with ASD and healthy children[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2018, 39(3): 328-330,334. doi: 10.16835/j.cnki.1000-9817.2018.03.003
[10]	ZHANG Qian, LI Li, HU Xiaoqi. Improving school meal based on nutrition standard[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2018, 39(5): 641-643. doi: 10.16835/j.cnki.1000-9817.2018.05.001
[15]	Study on the dietary status of primary school students in Beijing Sijiqing Education District[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2015, 36(1): 27-30.
[16]	Dietary and nutritional status of middle school students in Guiyang[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2015, 36(4): 502-504.
[17]	Analysis on nutrition improvement of rural students in Guangxi, 2012-2013[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2015, 36(8): 1130-1133,1138.
[18]	Comparison of poor nutrition of infant using national and international standards[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2014, 35(10): 1488-1490.
[20]	Lunch behaviors and dietary nutrition among primary and secondary school students in Minhang District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2013, 34(3): 263-265,268.