Comparison of Obesity, Physical Activity, and Sedentary Behaviors Between Adolescents With Autism Spectrum Disorders and Without

McCoy, Stephanie M.; Jakicic, John M.; Gibbs, Bethany Barone

doi:10.1007/s10803-016-2762-0

Cited by 161 publications

(141 citation statements)

References 36 publications

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“…The elevated obesity prevalence based on nationally representative samples in children with ASD compared with those without the condition has been previously reported by our group 10 and others 9,18,24,25,35 as well as in school-based and clinical samples. 8,[26][27][28]36 Chen et al reported an obesity prevalence of 21.1% among 10-17-year-olds in the 2003 round of NSCH, similar to our estimates, and consistent with a leveling off in prevalence trends over time seen in other nationally representative samples of US children.…”

Section: Discussionsupporting

confidence: 79%

“…24 Using the same dataset, but a slightly different approach, McCoy et al found obesity prevalence of 22.2% in children with ASD compared with 14.1% in children without ASD. 25 In addition, using NSCH 2011-2012, but including a broader age range of children 6-17 years, Corvey et al reported that the observed elevation in obesity prevalence disappeared after accounting for comorbid disorders and medication use. 18 The prevalence of obesity has also been estimated from clinical samples.…”

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confidence: 99%

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The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder

et al. 2017

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Background: We sought to assess the association between age and the prevalence of obesity among children with and without autism spectrum disorder (ASD) in the 2011-2012 National Survey of Children's Health.Methods: Analyses were restricted to 43,777 children, ages 10-17, with valid measures of parent-reported weight, height, and ASD status. Exploratory analyses describe the impact of sex, race/ethnicity, and household income on the relationship between age and obesity in ASD.Results: Although the overall prevalence of obesity among children with ASD was significantly ( p < 0.001) higher than among children without ASD (23.1% vs. 14.1%, 95% confidence interval for difference 3.6 to 14.4), child age significantly ( p = 0.035) modified this difference. In a multivariable logistic regression analysis, adjusted for sex, race/ethnicity, and household income, the odds of obesity among children with ASD compared with children without ASD increased monotonically from ages 10 to 17 years. This pattern arose due to a consistently high prevalence of obesity among children with ASD and a decline in prevalence with advancing age among children without ASD. These findings were replicated using a propensity score analysis. Exploratory analyses suggested that the age-related change in obesity disparity between children with and without ASD may be further modified by sex, race/ethnicity, and household income.Conclusions: The patterns of prevalence observed with increasing age among children with and without ASD were unexpected. A better understanding of the etiological and maintenance factors for obesity in youth with ASD is needed to develop interventions tailored to the specific needs of these children.

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Section: Discussionsupporting

confidence: 79%

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confidence: 99%

The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder

et al. 2017

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“…Moreover, inadequate levels of physical activity cost the United States an estimated annual $131 billion in health care expenditures (Carlson, Fulton, Pratt, Yang, & Adams, ). Individuals with developmental disabilities, such as autism spectrum disorder (ASD) or intellectual disabilities (ID), are even less likely to meet physical activity guidelines compared to the general population; thus, effective methods for increasing daily steps in these populations are needed (CDC, ; Hsieh, Heller, Bershadsky, & Taub, ; McCoy, Jakicic, & Gibbs, ).…”

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confidence: 99%

Token‐economy‐based contingency management increases daily steps in adults with developmental disabilities

Nastasi

Sheppard

Raiff

2020

Behavioral Interventions

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Adults with developmental disabilities are less likely to meet physical activity guidelines than typically developing counterparts. Contingency management (CM) interventions increase physical activity in sedentary adults. The current study systematically replicated previous research among sedentary adults diagnosed with developmental disabilities living in a residential group home, using a token economy in the context of a CM intervention. Using a changing criterion design, participants (N = 4) were given tokens contingent on meeting increasing step goals over 8 weeks, tracked via a Fitbit Flex™. CM increased the number of steps substantially for three of four participants. These findings extend previous research supporting the use of token-based CM interventions for increasing daily steps among individuals with developmental disabilities. Because the current study was conducted in a residential group home setting, it may offer a long-term sustainable approach to improving the health of some individuals living with developmental disabilities.

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“…The most current evidence indicates that children and adolescents with ASD are not sufficiently active and fall short of meeting the Center for Disease Control's Physical Activity Guidelines (Bandini et al, 2013; Obrusnikova & Cavalier, 2011; Memari et al., 2015; McDonald, Esposito & Ulrich, 2011). Several studies have found that youth with ASD are less physically active than their typically developing (TD) peers (McCoy, Jakicic, & Gibbs, 2016; Pan et al. 2016; Tyler et al, 2014), though this finding has not been consistently observed across all age groups (Bandini et al, 2013; Rosser Sandt & Frey, 2005).…”

mentioning

confidence: 99%

Physical Activity Levels, Frequency, and Type Among Adolescents with and Without Autism Spectrum Disorder

Stanish

Curtin

Must

et al. 2017

J Autism Dev Disord

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We compared time spent in moderate and vigorous physical activity (MVPA), type, and frequency of participation in physical activities between adolescents with ASD (n=35) and typically developing (TD) adolescents (n=60). Accelerometers measured MVPA and participants were interviewed about engagement in physical activities. Adolescents with ASD spent less time in MVPA compared to TD adolescents (29 min/day vs. 50 min/day, p<.001) and fewer met the Physical Activity Guidelines for Americans (14% vs. 29%, p>.05). Among adolescents <16 years old, those with ASD participated in fewer activities than TD adolescents (5.3 vs. 7.1 activities, p<.03). Walking/hiking and active video gaming were among the top activities for both groups. Findings support the need for interventions that meet the needs of youth with ASD.

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Comparison of Obesity, Physical Activity, and Sedentary Behaviors Between Adolescents With Autism Spectrum Disorders and Without

Cited by 161 publications

References 36 publications

The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder

The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder

Token‐economy‐based contingency management increases daily steps in adults with developmental disabilities

Physical Activity Levels, Frequency, and Type Among Adolescents with and Without Autism Spectrum Disorder

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