Parental concern regarding obesity in children with autism spectrum disorder in the United States: National Survey of Children's Health 2016

David J. Tybor, Misha Eliasziw, Tanja V.E. Kral, Mary Segal, Nancy E Sherwood, Linmarie Sikich, Heidi Stanish, Linda Bandini, Carol Curtin, Aviva Must

Research output: Contribution to journalArticle

Abstract

Background: The prevalence of obesity in children with autism spectrum disorder (ASD) exceeds that of the general population, but the level of parental concern about obesity in these children is unexplored. Objective: We estimate the prevalence of obesity in children 10–17 years in the redesigned National Survey of Children's Health (NSCH) 2016, and compare parental concern about obesity between parents of children with and without ASD. Methods: The nationally representative NSCH 2016 oversampled parents of children with parent-report of special health care needs, including ASD. Parents opted to complete the survey via the web or surface mail. Following report of their child's height and weight, parents were asked “Are you concerned about their weight?” Response options included: “Yes, it's too high,” “Yes, it's too low,” or “No, I am not concerned.” Obesity (>95th percentile BMI) was defined using the 2000 CDC growth reference. We used logistic regression to compare odds of obesity, and odds of parental concern, between children with and without ASD. Results: In 24,251 children, ASD (n = 699) increased obesity risk after adjusting for age, sex, and race/ethnicity (OR = 1.54, 95%CI: 1.11, 2.14). ASD medication did not significantly affect obesity. ASD increased obesity concern (OR = 2.17, 95%CI: 1.53, 4.81) among parents with obese children. Parents of boys with obesity and ASD had less obesity concern if he was taking medication for ASD (OR = 0.258, 95%CI: 0.09, 0.78). Conclusion: While the prevalence of obesity is elevated in children with ASD, parental obesity concern is high, suggesting opportunities for the development of parent-focused obesity prevention and treatment interventions for this population.

Original languageEnglish (US)
Pages (from-to)126-130
Number of pages5
JournalDisability and Health Journal
Volume12
Issue number1
DOIs
StatePublished - Jan 1 2019

Fingerprint

Pediatric Obesity
Obesity
Parents
Child Health
Surveys and Questionnaires
Autism Spectrum Disorder
Weights and Measures
Postal Service
Centers for Disease Control and Prevention (U.S.)
Population
Logistic Models
Delivery of Health Care

Keywords

  • Autism spectrum disorder
  • Obesity
  • Weight concern

PubMed: MeSH publication types

  • Journal Article
  • Research Support, U.S. Gov't, P.H.S.

Cite this

Parental concern regarding obesity in children with autism spectrum disorder in the United States : National Survey of Children's Health 2016. / Tybor, David J.; Eliasziw, Misha; Kral, Tanja V.E.; Segal, Mary; Sherwood, Nancy E; Sikich, Linmarie; Stanish, Heidi; Bandini, Linda; Curtin, Carol; Must, Aviva.

In: Disability and Health Journal, Vol. 12, No. 1, 01.01.2019, p. 126-130.

Research output: Contribution to journalArticle

Tybor, David J. ; Eliasziw, Misha ; Kral, Tanja V.E. ; Segal, Mary ; Sherwood, Nancy E ; Sikich, Linmarie ; Stanish, Heidi ; Bandini, Linda ; Curtin, Carol ; Must, Aviva. / Parental concern regarding obesity in children with autism spectrum disorder in the United States : National Survey of Children's Health 2016. In: Disability and Health Journal. 2019 ; Vol. 12, No. 1. pp. 126-130.
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AB - Background: The prevalence of obesity in children with autism spectrum disorder (ASD) exceeds that of the general population, but the level of parental concern about obesity in these children is unexplored. Objective: We estimate the prevalence of obesity in children 10–17 years in the redesigned National Survey of Children's Health (NSCH) 2016, and compare parental concern about obesity between parents of children with and without ASD. Methods: The nationally representative NSCH 2016 oversampled parents of children with parent-report of special health care needs, including ASD. Parents opted to complete the survey via the web or surface mail. Following report of their child's height and weight, parents were asked “Are you concerned about their weight?” Response options included: “Yes, it's too high,” “Yes, it's too low,” or “No, I am not concerned.” Obesity (>95th percentile BMI) was defined using the 2000 CDC growth reference. We used logistic regression to compare odds of obesity, and odds of parental concern, between children with and without ASD. Results: In 24,251 children, ASD (n = 699) increased obesity risk after adjusting for age, sex, and race/ethnicity (OR = 1.54, 95%CI: 1.11, 2.14). ASD medication did not significantly affect obesity. ASD increased obesity concern (OR = 2.17, 95%CI: 1.53, 4.81) among parents with obese children. Parents of boys with obesity and ASD had less obesity concern if he was taking medication for ASD (OR = 0.258, 95%CI: 0.09, 0.78). Conclusion: While the prevalence of obesity is elevated in children with ASD, parental obesity concern is high, suggesting opportunities for the development of parent-focused obesity prevention and treatment interventions for this population.

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