Intestinal Symptoms Among Children aged 2–7 Years with Autism Spectrum Disorder in 13 Cities of China.

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Bibliographic Details
Title: Intestinal Symptoms Among Children aged 2–7 Years with Autism Spectrum Disorder in 13 Cities of China.
Authors: Yang, Ting, Zhang, Qian, Chen, Li, Dai, Ying, Jia, Fei-Yong, Hao, Yan, Li, Ling, Zhang, Jie, Wu, Li-Jie, Ke, Xiao-Yan, Yi, Ming-Ji, Hong, Qi, Chen, Jin-Jin, Fang, Shuan-Feng, Wang, Yi-Chao, Wang, Qi, Jin, Chun-Hua, Chen, Jie, Li, Ting-Yu
Source: Journal of Autism & Developmental Disorders. Nov2024, Vol. 54 Issue 11, p4302-4310. 9p.
Subjects: Constipation -- Risk factors, Fecal analysis, Asperger's syndrome in children, Risk assessment, Autism in children, Research funding, Questionnaires, Intestinal diseases, Descriptive statistics, Comorbidity, Disease risk factors, Symptoms
Geographic Terms: China
Abstract: Background: Autism spectrum disorder (ASD) is a multifactorial, pervasive, neurodevelopmental disorder, of which intestinal symptoms collectively represent one of the most common comorbidities. Methods: In this study, 1,222 children with ASD and 1,206 typically developing (TD) children aged 2-7 years were enrolled from 13 cities in China. Physical measurement and basic information questionnaires were conducted in ASD and TD children. The Childhood Autism Rating Scale (CARS), Social Responsiveness Scale (SRS), and Autism Behavior Checklist (ABC) were used to evaluate the clinical symptoms of children with ASD. The six-item Gastrointestinal Severity Index (6-GSI) was used to evaluate the prevalence of intestinal symptoms in two groups. Results: The detection rates of constipation, stool odor, and total intestinal symptoms in ASD children were significantly higher than those in TD children (40.098% vs. 25.622%, 17.021% vs. 9.287%, and 53.601% vs. 41.294%, respectively). Autistic children presenting with intestinal comorbidity had significantly higher scores on the ABC, SRS, CARS, and multiple subscales than autistic children without intestinal symptoms, suggesting that intestinal comorbidity may exacerbates the core symptoms of ASD children. Conclusion: Intestinal dysfunction was significantly more common in autistic than in TD children. This dysfunction may aggravate the core symptoms of children with ASD. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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