| 唐山市2~5岁孤独症谱系障碍儿童体格发育及健康状况分析 |
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| 引用本文： | 崔立华, 杜文冉, 杨笑, 刘晨, 赵素君, 马奕宁, 董静怡, 庞淑兰, 冯福民. 唐山市2~5岁孤独症谱系障碍儿童体格发育及健康状况分析[J]. 中华疾病控制杂志, 2022, 26(9): 1102-1107. doi: 10.16462/j.cnki.zhjbkz.2022.09.019 |
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| 作者姓名： | 崔立华 杜文冉 杨笑 刘晨 赵素君 马奕宁 董静怡 庞淑兰 冯福民 |
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| 作者单位： | 1.063210 唐山，华北理工大学公共卫生学院预防医学系;;2.063000 唐山，唐山市妇幼保健院儿童保健科;;3.063210 唐山，唐山市曹妃甸区妇幼保健院儿童保健科 |
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| 基金项目： | 河北省卫健委医学科学研究重点课题项目20180734河北省卫健委医学科学研究重点课题项目20181318 |
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| 摘 要： | 
目的 了解唐山市2~5岁孤独症谱系障碍(autism spectrum disorders, ASD)儿童体格发育、营养及健康状况, 为制定干预措施提供依据。方法 选取2019年3月-2021年6月在唐山市妇幼保健院就诊和特殊教育机构训练的208名2~5岁ASD儿童进行问卷调查和体格测量。依据WHO儿童生长发育标准, 分析年龄别身高(height for age Z score, HAZ)、年龄别体重(weight for age Z score, WAZ)和年龄别体质指数(body mass index for age Z score, BAZ)评价儿童生长状况。结果 ASD儿童的HAZ、WAZ和BAZ分布曲线左移, 向-2和+2外延伸。生长迟缓、消瘦、低体重、超重和肥胖率分别为4.3%、6.3%、1.4%、4.8%和4.3%。不同喂养方式(X2=7.836, P=0.020)、ASD严重程度(X2=13.011, P=0.001)及有无胃肠道症状(X2=4.513, P=0.034)组间消瘦率不同, 其中混合喂养组、重度ASD组、有胃肠道症状组的消瘦率最高。月患病率为58.2%, 居前三位的是急性上呼吸道感染、流行性感冒和胃肠炎, 分别占比为46.2%、9.1%和4.8%。结论 唐山市ASD儿童的体格发育存在生长偏离, 常见病患病率较高, 应加强生长监测、营养干预及疾病预防。
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| 关 键 词： | 孤独症谱系障碍 儿童 体格发育 营养 患病率 |
| 收稿时间： | 2021-10-29 |
| 修稿时间： | 2022-04-08 |
Physical development and health status of children with autism spectrum disorder aged 2-5 years in Tangshan |
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| CUI Li-hua, DU Wen-ran, YANG Xiao, LIU Chen, ZHAO Su-jun, MA Yi-ning, DONG Jing-yi, PANG Shu-lan, FENG Fu-min. Physical development and health status of children with autism spectrum disorder aged 2-5 years in Tangshan[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(9): 1102-1107. doi: 10.16462/j.cnki.zhjbkz.2022.09.019 |
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| Authors: | CUI Li-hua DU Wen-ran YANG Xiao LIU Chen ZHAO Su-jun MA Yi-ning DONG Jing-yi PANG Shu-lan FENG Fu-min |
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| Affiliation: | 1. Department of Preventive Medicine, School of Public Health, North China University of Science and Technology, Tangshan 063210, China;;2. Department of Child Health Care, Tangshan Maternal and Child Health Care Hospital, Tangshan 063000, China;;3. Department of Child Health Care, Maternal and Child Health Care Hospital of Caofeidian District, Tangshan 063210, China |
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| Abstract: |
Objective To investigate the physical development, nutrition and health status of children with autism spectrum disorder (ASD) aged 2-5 years in Tangshan, so as to provide evidence for formulating intervention measures. Methods A total of 208 children with ASD aged 2-5 years from Tangshan Maternal and Child Health Hospital and special education institutions from March 2019 to June 2021 were recruited for questionnaire survey and physical measurement.Indexes of height for age Z score (HAZ), weight for age Z score (WAZ) and body mass index for age Z score (BAZ) were used to evaluate growth status according to WHO child growth standard. Results The distribution curves of HAZ, WAZ and BAZ in ASD children shifted to the left side extending beyond-2 and+2.The rates of stunting, wasting, underweight, overweight, obesity in ASD children were 4.3%, 6.3%, 1.4%, 4.8% and 4.3%, respectively.The wasting rate among different groups with feeding methods (X2=7.836, P=0.020), ASD severity (X2=13.011, P=0.001) and groups with whether gastrointestinal symptoms (X2=4.513, P=0.034) were different, which of the mixed feeding group and severe ASD groups and group with gastrointestinal symptoms were the highest.The monthly prevalence rate of children with ASD was 58.2% and the top three diseases were acute upper respiratory tract infections, influenza and gastroenteritis, accounting for 46.2%, 9.1% and 4.8% respectively. Conclusions The children with ASD show deviation of physical development and the high prevalence rate of common diseases in Tangshan.It is necessary to strengthen growth monitoring, nutrition intervention and disease prevention to them. |
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| Keywords: | Autism spectrum disorder Children Physical development Nutrition Prevalence rate |
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