Abstract
Date Presented 04/22/2023
In this study, we examined how child and neighborhood factors influenced obesity in children with autism using a retrospective chart analysis. OT may use population-based health approaches to address obesity in children with autism.
Primary Author and Speaker: Kelsey Remeis
Additional Authors and Speakers: Marissa Matimore, Kathleen Caruso
Contributing Authors: Lauren Little
Obesity in children has emerged as a public health crisis, and children with autism have higher body mass index (BMI) rates than typically developing children. There are few studies to date that have examined environmental factors association with BMI rates in children with autism. In this study, we used a retrospective chart review from a large sample (n=700) to examine BMI in relation to the Child Opportunity Index (COI), which analyzes the child opportunity in communities for access to health resources. Using regression analysis with predicators of gender, age, race, ethnicity, diagnosis, COI, and comorbidities predicting BMI, preliminary findings suggest an inverse relationship between BMI and COI. Results also suggest differential effects of age, race, and ethnicity as they interact with COI to predict child BMI. Findings point to the role that communities play in the promotion of health among children with autism and how occupational therapist may use population based approaches to address obesity among those with autism.
References
Acevedo-Garcia, D., McArdle, N., Hardy, E. F., Crisan, U. I., Romano, B., Norris, D., Baek, M., & Reece, J. (2014). The Child Opportunity Index: Improving Collaboration Between Community Development And Public Health. Health Affairs, 33(11), 1948–1957. https://doi.org/10.1377/hlthaff.2014.0679
Obrusnikova, I., & Cavalier, A. R. (2010). Perceived barriers and facilitators of participation in after-school physical activity by children with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 23(3), 195–211.
Hinckson, E. A., Dickinson, A., Water, T., Sands, M., & Penman, L. (2013). Physical activity, dietary habits and overall health in overweight and obese children and youth with intellectual disability or autism. Research in Developmental Disabilities, 34(4), 1170–1178. https://doi.org/10.1016/j.ridd.2012.12.006
Obrusnikova, I., & Miccinello, D. L. (2012). Parent perceptions of factors influencing after-school physical activity of children with autism spectrum disorders. Adapted Physical Activity Quarterly, 29(1), 63–80. https://doi.org/10.1123/apaq.29.1.63
