Abstract：
BACKGROUND: Adolescents with autism spectrum disorder (ASD) are at an increased risk of overweight/obesity and adverse childhood experiences (ACEs).
OBJECTIVE: This study examined whether ACEs increased the odds of overweight/obesity in adolescents with ASD.
METHODS: This cross-sectional study used National Survey of Children\'s Health (NSCH) 2018-2019 data (N = 31,533 children ages 10-17 years, including n = 480 children with mild ASD and n = 423 children with moderate/severe ASD with normal or overweight/obese BMI). Parent-reported body mass index (BMI) was coded as overweight/obesity vs. normal weight. The independent variable was the count of nine ACEs. Binary logistic regression was conducted, controlling for social ecological factors.
RESULTS: The odds of overweight/obesity in adolescents with ASD with 1-2 ACEs (OR 1.3, CI 1.1-1.4) and 3+ ACEs (OR 1.6, CI 1.3-2.0) were higher than those with 0 ACEs; odds increased with higher counts of ACEs. Household income level was the most significant sociodemographic influence on odds of obesity in adolescents with ASD (0-99 % Federal Poverty Level: OR 1.9, CI 1.6-2.3). Adolescents with moderate/severe ASD (OR 1.7, CI 1.2-2.5) and mild ASD (OR 1.6, CI 1.0-2.4) had higher odds of overweight/obesity after accounting for ACEs, race/ethnicity, sex, household income, and physical activity.
CONCLUSIONS: Findings indicated ACEs are associated with ASD, which calls for integration of ACEs information within trauma-informed care practices for obesity prevention and intervention for adolescents with ASD. Persistent disparities of overweight/obesity exist by race/ethnicity, sex, and household income within this population, which indicates the need for tailoring trauma-informed approaches to the unique needs of this population.
OBJECTIVE: This study examined whether ACEs increased the odds of overweight/obesity in adolescents with ASD.
METHODS: This cross-sectional study used National Survey of Children\'s Health (NSCH) 2018-2019 data (N = 31,533 children ages 10-17 years, including n = 480 children with mild ASD and n = 423 children with moderate/severe ASD with normal or overweight/obese BMI). Parent-reported body mass index (BMI) was coded as overweight/obesity vs. normal weight. The independent variable was the count of nine ACEs. Binary logistic regression was conducted, controlling for social ecological factors.
RESULTS: The odds of overweight/obesity in adolescents with ASD with 1-2 ACEs (OR 1.3, CI 1.1-1.4) and 3+ ACEs (OR 1.6, CI 1.3-2.0) were higher than those with 0 ACEs; odds increased with higher counts of ACEs. Household income level was the most significant sociodemographic influence on odds of obesity in adolescents with ASD (0-99 % Federal Poverty Level: OR 1.9, CI 1.6-2.3). Adolescents with moderate/severe ASD (OR 1.7, CI 1.2-2.5) and mild ASD (OR 1.6, CI 1.0-2.4) had higher odds of overweight/obesity after accounting for ACEs, race/ethnicity, sex, household income, and physical activity.
CONCLUSIONS: Findings indicated ACEs are associated with ASD, which calls for integration of ACEs information within trauma-informed care practices for obesity prevention and intervention for adolescents with ASD. Persistent disparities of overweight/obesity exist by race/ethnicity, sex, and household income within this population, which indicates the need for tailoring trauma-informed approaches to the unique needs of this population.
摘要：
背景：患有自闭症谱系障碍（ASD）的青少年超重/肥胖和不良童年经历（ACE）的风险增加。
目的：本研究检测ACEs是否增加ASD青少年超重/肥胖的几率。
方法：这项横断面研究使用了2018-2019年全国儿童健康调查（NSCH）数据（N=31,533名10-17岁儿童，包括n=480名轻度ASD儿童和n=423名中度/重度ASD儿童，BMI正常或超重/肥胖）。父母报告的体重指数（BMI）被编码为超重/肥胖与正常体重。自变量是9个ACE的计数。进行二元逻辑回归，控制社会生态因素。
结果：患有1-2ACE（OR1.3，CI1.1-1.4）和3+ACE（OR1.6，CI1.3-2.0）的ASD青少年超重/肥胖的几率高于患有0ACE的青少年；几率随着ACE计数的增加而增加。家庭收入水平是对患有ASD的青少年肥胖几率的最显著的社会人口统计学影响(0-99%联邦贫困水平:OR1.9,CI1.6-2.3)。患有中度/重度ASD（OR1.7，CI1.2-2.5）和轻度ASD（OR1.6，CI1.0-2.4）的青少年在考虑ACE后超重/肥胖的几率更高，种族/民族,性别,家庭收入,和身体活动。
结论：研究结果表明ACE与ASD相关，该研究呼吁将ACEs信息整合到创伤知情护理实践中，以预防和干预ASD青少年的肥胖。超重/肥胖的持续差异按种族/民族存在，性别,以及这个人口中的家庭收入，这表明需要针对该人群的独特需求定制创伤知情方法。
目的：本研究检测ACEs是否增加ASD青少年超重/肥胖的几率。
方法：这项横断面研究使用了2018-2019年全国儿童健康调查（NSCH）数据（N=31,533名10-17岁儿童，包括n=480名轻度ASD儿童和n=423名中度/重度ASD儿童，BMI正常或超重/肥胖）。父母报告的体重指数（BMI）被编码为超重/肥胖与正常体重。自变量是9个ACE的计数。进行二元逻辑回归，控制社会生态因素。
结果：患有1-2ACE（OR1.3，CI1.1-1.4）和3+ACE（OR1.6，CI1.3-2.0）的ASD青少年超重/肥胖的几率高于患有0ACE的青少年；几率随着ACE计数的增加而增加。家庭收入水平是对患有ASD的青少年肥胖几率的最显著的社会人口统计学影响(0-99%联邦贫困水平:OR1.9,CI1.6-2.3)。患有中度/重度ASD（OR1.7，CI1.2-2.5）和轻度ASD（OR1.6，CI1.0-2.4）的青少年在考虑ACE后超重/肥胖的几率更高，种族/民族,性别,家庭收入,和身体活动。
结论：研究结果表明ACE与ASD相关，该研究呼吁将ACEs信息整合到创伤知情护理实践中，以预防和干预ASD青少年的肥胖。超重/肥胖的持续差异按种族/民族存在，性别,以及这个人口中的家庭收入，这表明需要针对该人群的独特需求定制创伤知情方法。
