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Parental Feeding Practices and Child-Related Factors are Associated with Overweight and Obesity in Children and Adolescents with Autism Spectrum Disorder

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Abstract

Atypical eating behaviors displayed by children with autism spectrum disorder (ASD) predispose them to unhealthy weight gain. We determined the factors associated with body weight status among 261 children with ASD (3–18 years) at nine autism intervention centers. Their mothers completed a self-administered questionnaire on sociodemographic background, parenting style, parental feeding practices, parenting stress, sleep habits, eating behaviors, and autism severity. Children with older age, non-full term gestational age, high maternal perceived weight, high maternal concern about child weight, and low pressure to eat were more likely to be overweight and obese. Obesity is a major concern among children with ASD. Healthy weight management programs for parents should incorporate appropriate feeding practices and a healthy perception of body weight.

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Acknowledgments

The authors would like to express their gratitude to all the staff in the autism intervention centers. Special thanks to all the children and adolescents with ASD as well as their mothers who supported and participated in this study. There are no grants or other financial support for this study.

Author Contributions

All authors jointly contributed to conceptualize this manuscript. SYE drafted the initial manuscript. WYG reviewed and revised the manuscript. PYL, HA, and ZMS critically reviewed and revised the manuscript. All authors read and approved the final manuscript.

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The authors did not receive support from any organization for the submitted work.

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Correspondence to Wan Ying Gan.

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The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethical Approval

Ethical approvals were obtained from the Ethics Committee for Research Involving Human Subjects (JKEUPM) (Reference No. JKEUPM-2018-051) and the Medical Research and Ethics Committee (MREC), Ministry of Health, Malaysia (Reference No. NMRR-18-579-40592).

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Eow, S.Y., Gan, W.Y., Lim, P.Y. et al. Parental Feeding Practices and Child-Related Factors are Associated with Overweight and Obesity in Children and Adolescents with Autism Spectrum Disorder. J Autism Dev Disord 52, 3655–3667 (2022). https://doi.org/10.1007/s10803-021-05247-7

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  • DOI: https://doi.org/10.1007/s10803-021-05247-7

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