Gastrointestinal Symptoms in 2- to 5-Year-Old Children in the Study to Explore Early Development

Gastrointestinal symptoms (GIS) are commonly reported in children with autism spectrum disorder (ASD). This multi-site study evaluated the prevalence of GIS in preschool-aged children with ASD/(n = 672), with other developmental delays (DD)/(n = 938), and children in the general population (POP)/(n ...

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Published inJournal of autism and developmental disorders Vol. 51; no. 11; pp. 3806 - 3817
Main Authors Reynolds, Ann M., Soke, Gnakub N., Sabourin, Katherine R., Croen, Lisa A., Daniels, Julie L., Fallin, M. Daniele, Kral, Tanja V. E., Lee, Li- Ching, Newschaffer, Craig J., Pinto-Martin, Jennifer A., Schieve, Laura A., Sims, Amy, Wiggins, Lisa, Levy, Susan E.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.11.2021
Springer
Springer Nature B.V
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Abstract Gastrointestinal symptoms (GIS) are commonly reported in children with autism spectrum disorder (ASD). This multi-site study evaluated the prevalence of GIS in preschool-aged children with ASD/(n = 672), with other developmental delays (DD)/(n = 938), and children in the general population (POP)/(n = 851). After adjusting for covariates, children in the ASD group were over 3 times more likely to have parent-reported GIS than the POP group, and almost 2 times more likely than the DD group. Children with GIS from all groups had more behavioral and sleep problems. Within the ASD group, children with developmental regression had more GIS than those without; however, there were no differences in autism severity scores between children with and without GIS. These findings have implications for clinical management.
AbstractList Gastrointestinal symptoms (GIS) are commonly reported in children with autism spectrum disorder (ASD). This multi-site study evaluated the prevalence of GIS in preschool-aged children with ASD/(n = 672), with other developmental delays (DD)/(n = 938), and children in the general population (POP)/(n = 851). After adjusting for covariates, children in the ASD group were over 3 times more likely to have parent-reported GIS than the POP group, and almost 2 times more likely than the DD group. Children with GIS from all groups had more behavioral and sleep problems. Within the ASD group, children with developmental regression had more GIS than those without; however, there were no differences in autism severity scores between children with and without GIS. These findings have implications for clinical management.
Gastrointestinal symptoms (GIS) are commonly reported in children with autism spectrum disorder (ASD). This multi-site study evaluated the prevalence of GIS in preschool-aged children with ASD/(n = 672), with other developmental delays (DD)/(n = 938), and children in the general population (POP)/(n = 851). After adjusting for covariates, children in the ASD group were over 3 times more likely to have parent-reported GIS than the POP group, and almost 2 times more likely than the DD group. Children with GIS from all groups had more behavioral and sleep problems. Within the ASD group, children with developmental regression had more GIS than those without; however, there were no differences in autism severity scores between children with and without GIS. These findings have implications for clinical management.Gastrointestinal symptoms (GIS) are commonly reported in children with autism spectrum disorder (ASD). This multi-site study evaluated the prevalence of GIS in preschool-aged children with ASD/(n = 672), with other developmental delays (DD)/(n = 938), and children in the general population (POP)/(n = 851). After adjusting for covariates, children in the ASD group were over 3 times more likely to have parent-reported GIS than the POP group, and almost 2 times more likely than the DD group. Children with GIS from all groups had more behavioral and sleep problems. Within the ASD group, children with developmental regression had more GIS than those without; however, there were no differences in autism severity scores between children with and without GIS. These findings have implications for clinical management.
Audience Academic
Author Croen, Lisa A.
Reynolds, Ann M.
Soke, Gnakub N.
Levy, Susan E.
Wiggins, Lisa
Daniels, Julie L.
Pinto-Martin, Jennifer A.
Fallin, M. Daniele
Lee, Li- Ching
Kral, Tanja V. E.
Sims, Amy
Schieve, Laura A.
Newschaffer, Craig J.
Sabourin, Katherine R.
AuthorAffiliation 3 Kaiser Permanent, 3600 Broadway, Oakland, CA 94611, USA
5 Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD HH85021205, USA
10 Present Address: Polio Eradication Branch at the Centers for Disease Control and Prevention, Center for Global Health, Global Immunization Division, 1600 Clifton Rd, Atlanta, NE 30333, USA
6 University of Pennsylvania, 418 Curie Boulevard, Philadelphia, PA 19104, USA
8 The Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA
1 University of Colorado, School of Medicine, 13123 East 16th Ave, B-140, Aurora, CO 80045, USA
7 Michigan State University, 909 Wilson Road, East Lansing, MI B50048824, USA
2 National Center On Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway, Chamblee, GA S106-330341, USA
9 Present Address: The Pennsylvania State University, College of Health and Human Development, 325 Health and Human Development Building, University Park,
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Copyright Springer Science+Business Media, LLC, part of Springer Nature 2021
2021. Springer Science+Business Media, LLC, part of Springer Nature.
COPYRIGHT 2021 Springer
Springer Science+Business Media, LLC, part of Springer Nature 2021.
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Issue 11
Keywords Preschool
Gastrointestinal
Developmental delay
Autism spectrum disorder
Language English
License 2021. Springer Science+Business Media, LLC, part of Springer Nature.
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Author contributions All authors gave final approval of the article and agree to be accountable for all aspects of the work, ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. All authors made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data. All authors drafted the work or revised it critically for important intellectual content.
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References Bresnahan, M., Hornig, M., Schultz, A. F., Gunnes, N., Hirtz, D., Lie, K. K., … Lipkin, W. I. (2015). Association of maternal report of infant and toddler gastrointestinal symptoms with autism: evidence from a prospective birth cohort. JAMA Psychiatry, 72(5), 466–474. doi:https://doi.org/10.1001/jamapsychiatry.2014.3034
Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services.
AlamRAbdolmalekyHMZhouJRMicrobiome, inflammation, epigenetic alterations, and mental diseasesAmerican Journal of the Medical Genetics Part B Neuropsychiatric Genetics201710.1002/ajmg.b.32567
FungTCOlsonCAHsiaoEYInteractions between the microbiota, immune and nervous systems in health and diseaseNature Neuroscience201720214515510.1038/nn.4476280926616960010
ChaidezVHansenRLHertz-PicciottoIGastrointestinal problems in children with autism, developmental delays or typical developmentJournal of Autism and Developmental Disorders20144451117112710.1007/s10803-013-1973-x241935773981895
LewisSJHeatonKWStool form scale as a useful guide to intestinal transit timeScandinavian Journal of Gastroenterology199732992092410.3109/003655297090112039299672
Hyman, S. L., Stewart, P. A., Schmidt, B., Cain, U., Lemcke, N., Foley, J. T., … Ng, P. K. (2012). Nutrient intake from food in children with autism. Pediatrics, 130(Suppl 2), S145–153. doi:https://doi.org/10.1542/peds.2012-0900L
Mazurek, M. O., Vasa, R. A., Kalb, L. G., Kanne, S. M., Rosenberg, D., Keefer, A., … Lowery, L. A. (2013). Anxiety, sensory over-responsivity, and gastrointestinal problems in children with autism spectrum disorders. J Abnorm Child Psychol, 41(1), 165-176. doi:https://doi.org/10.1007/s10802-012-9668-x
WangLWTancrediDJThomasDWThe prevalence of gastrointestinal problems in children across the United States with autism spectrum disorders from families with multiple affected membersJournal of Developmental and Behavioral Pediatrics201132535136010.1097/DBP.0b013e31821bd06a21555957
OwensJAMaximRNobileCMcGuinnMMsallMParental and self-report of sleep in children with attention-deficit/hyperactivity disorderArchives of Pediatrics and Adolescent Medicine2000154654955510.1001/archpedi.154.6.549
AchenbachTChild behavior checklist. 1992BurlingtonAchenbach System of Empirically based Assessment
GorrindoPWilliamsKCLeeEBWalkerLSMcGrewSGLevittPGastrointestinal dysfunction in autism: Parental report, clinical evaluation, and associated factorsAutism Res20125210110810.1002/aur.237225114503335766
Wiggins, L. D., Reynolds, A., Rice, C. E., Moody, E. J., Bernal, P., Blaskey, L., … Levy, S. E. (2015). Using standardized diagnostic instruments to classify children with autism in the study to explore early development. J Autism Dev Disord, 45(5), 1271-1280. doi:https://doi.org/10.1007/s10803-014-2287-3
CampbellDBBuieTMWinterHBaumanMSutcliffeJSPerrinJMLevittPDistinct genetic risk based on association of MET in families with co-occurring autism and gastrointestinal conditionsPediatrics200912331018102410.1542/peds.2008-081919255034
MullenEMullen scales of early learning1995San AntonioPearson
Rutter, M., Bailey, A., & Lord, C. (2003). SCQ: Social communication questionnaire. Los Angeles: Western Psychological Services.
Valicenti-McDermottMDMcVicarKCohenHJWershilBKShinnarSGastrointestinal symptoms in children with an autism spectrum disorder and language regressionPediatric Neurology200839639239810.1016/j.pediatrneurol.2008.07.01919027584
Ferguson, B. J., Marler, S., Altstein, L. L., Lee, E. B., Akers, J., Sohl, K., … Beversdorf, D. Q. (2017). Psychophysiological Associations with Gastrointestinal Symptomatology in Autism Spectrum Disorder. Autism Res, 10(2), 276-288. doi:https://doi.org/10.1002/aur.1646
ShumwaySFarmerCThurmAJosephLBlackDGoldenCThe ADOS calibrated severity score: Relationship to phenotypic variables and stability over timeAutism Res20125426727610.1002/aur.1238226280873422401
Reynolds, A. M., Soke, G. N., Sabourin, K. R., Hepburn, S., Katz, T., Wiggins, L. D., … Levy, S. E. (2019). Sleep problems in 2- to 5-year-olds with autism spectrum disorder and other developmental delays. Pediatrics, 143(3). doi:https://doi.org/10.1542/peds.2018-0492
Schendel, D. E., Diguiseppi, C., Croen, L. A., Fallin, M. D., Reed, P. L., Schieve, L. A., … Yeargin-Allsopp, M. (2012). The Study to Explore Early Development (SEED): A multisite epidemiologic study of autism by the Centers for Autism and Developmental Disabilities Research and Epidemiology (CADDRE) network. J Autism Dev Disord, 42(10), 2121-2140. doi:https://doi.org/10.1007/s10803-012-1461-8
TengABartleASadehAMindellJInfant and toddler sleep in Australia and New ZealandJournal of Paediatrics and Child Health201248326827310.1111/j.1440-1754.2011.02251.x22107168
Buie, T., Campbell, D. B., Fuchs, G. J., 3rd, Furuta, G. T., Levy, J., Vandewater, J., … Winter, H. (2010). Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: a consensus report. Pediatrics, 125(Suppl 1), S1-18. doi:https://doi.org/10.1542/peds.2009-1878C
McElhanonBOMcCrackenCKarpenSSharpWGGastrointestinal symptoms in autism spectrum disorder: A meta-analysisPediatrics2014133587288310.1542/peds.2013-399524777214
LordCRutterMLe CouteurAAutism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disordersJournal of Autism and Developmental Disorders199424565968510.1007/BF02172145
AldingerKALaneCJVeenstra-VanderWeeleJLevittPPatterns of risk for multiple co-occurring medical conditions replicate across distinct cohorts of children with autism spectrum disorderAutism Res20158677178110.1002/aur.1492260110864736680
Doshi-VelezFGeYKohaneIComorbidity clusters in autism spectrum disorders: An electronic health record time-series analysisPediatrics20141331e546310.1542/peds.2013-0819243239953876178
OwensJASpiritoAMcGuinnMThe children's sleep habits questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged childrenSleep20002381043105110.1093/sleep/23.8.1d
KushakRIBuieTMMurrayKFNewburgDSChenCNestoridiEWinterHSEvaluation of intestinal function in children with autism and gastrointestinal symptomsJournal of Pediatric Gastroenterology and Nutrition201662568769110.1097/MPG.000000000000117426913756
RussoMMartinelliMSciorioEBottaCMieleEValloneGStaianoAStool consistency, but not frequency, correlates with total gastrointestinal transit time in childrenJournal of Pediatrics201316261188119210.1016/j.jpeds.2012.11.082
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References_xml – reference: Valicenti-McDermottMDMcVicarKCohenHJWershilBKShinnarSGastrointestinal symptoms in children with an autism spectrum disorder and language regressionPediatric Neurology200839639239810.1016/j.pediatrneurol.2008.07.01919027584
– reference: AldingerKALaneCJVeenstra-VanderWeeleJLevittPPatterns of risk for multiple co-occurring medical conditions replicate across distinct cohorts of children with autism spectrum disorderAutism Res20158677178110.1002/aur.1492260110864736680
– reference: KushakRIBuieTMMurrayKFNewburgDSChenCNestoridiEWinterHSEvaluation of intestinal function in children with autism and gastrointestinal symptomsJournal of Pediatric Gastroenterology and Nutrition201662568769110.1097/MPG.000000000000117426913756
– reference: Mazurek, M. O., Vasa, R. A., Kalb, L. G., Kanne, S. M., Rosenberg, D., Keefer, A., … Lowery, L. A. (2013). Anxiety, sensory over-responsivity, and gastrointestinal problems in children with autism spectrum disorders. J Abnorm Child Psychol, 41(1), 165-176. doi:https://doi.org/10.1007/s10802-012-9668-x
– reference: Rutter, M., Bailey, A., & Lord, C. (2003). SCQ: Social communication questionnaire. Los Angeles: Western Psychological Services.
– reference: LordCRutterMLe CouteurAAutism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disordersJournal of Autism and Developmental Disorders199424565968510.1007/BF02172145
– reference: CampbellDBBuieTMWinterHBaumanMSutcliffeJSPerrinJMLevittPDistinct genetic risk based on association of MET in families with co-occurring autism and gastrointestinal conditionsPediatrics200912331018102410.1542/peds.2008-081919255034
– reference: Schendel, D. E., Diguiseppi, C., Croen, L. A., Fallin, M. D., Reed, P. L., Schieve, L. A., … Yeargin-Allsopp, M. (2012). The Study to Explore Early Development (SEED): A multisite epidemiologic study of autism by the Centers for Autism and Developmental Disabilities Research and Epidemiology (CADDRE) network. J Autism Dev Disord, 42(10), 2121-2140. doi:https://doi.org/10.1007/s10803-012-1461-8
– reference: Wiggins, L. D., Reynolds, A., Rice, C. E., Moody, E. J., Bernal, P., Blaskey, L., … Levy, S. E. (2015). Using standardized diagnostic instruments to classify children with autism in the study to explore early development. J Autism Dev Disord, 45(5), 1271-1280. doi:https://doi.org/10.1007/s10803-014-2287-3
– reference: Bresnahan, M., Hornig, M., Schultz, A. F., Gunnes, N., Hirtz, D., Lie, K. K., … Lipkin, W. I. (2015). Association of maternal report of infant and toddler gastrointestinal symptoms with autism: evidence from a prospective birth cohort. JAMA Psychiatry, 72(5), 466–474. doi:https://doi.org/10.1001/jamapsychiatry.2014.3034
– reference: Buie, T., Campbell, D. B., Fuchs, G. J., 3rd, Furuta, G. T., Levy, J., Vandewater, J., … Winter, H. (2010). Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: a consensus report. Pediatrics, 125(Suppl 1), S1-18. doi:https://doi.org/10.1542/peds.2009-1878C
– reference: GorrindoPWilliamsKCLeeEBWalkerLSMcGrewSGLevittPGastrointestinal dysfunction in autism: Parental report, clinical evaluation, and associated factorsAutism Res20125210110810.1002/aur.237225114503335766
– reference: AlamRAbdolmalekyHMZhouJRMicrobiome, inflammation, epigenetic alterations, and mental diseasesAmerican Journal of the Medical Genetics Part B Neuropsychiatric Genetics201710.1002/ajmg.b.32567
– reference: FungTCOlsonCAHsiaoEYInteractions between the microbiota, immune and nervous systems in health and diseaseNature Neuroscience201720214515510.1038/nn.4476280926616960010
– reference: Reynolds, A. M., Soke, G. N., Sabourin, K. R., Hepburn, S., Katz, T., Wiggins, L. D., … Levy, S. E. (2019). Sleep problems in 2- to 5-year-olds with autism spectrum disorder and other developmental delays. Pediatrics, 143(3). doi:https://doi.org/10.1542/peds.2018-0492
– reference: ShumwaySFarmerCThurmAJosephLBlackDGoldenCThe ADOS calibrated severity score: Relationship to phenotypic variables and stability over timeAutism Res20125426727610.1002/aur.1238226280873422401
– reference: WangLWTancrediDJThomasDWThe prevalence of gastrointestinal problems in children across the United States with autism spectrum disorders from families with multiple affected membersJournal of Developmental and Behavioral Pediatrics201132535136010.1097/DBP.0b013e31821bd06a21555957
– reference: ChaidezVHansenRLHertz-PicciottoIGastrointestinal problems in children with autism, developmental delays or typical developmentJournal of Autism and Developmental Disorders20144451117112710.1007/s10803-013-1973-x241935773981895
– reference: Ferguson, B. J., Marler, S., Altstein, L. L., Lee, E. B., Akers, J., Sohl, K., … Beversdorf, D. Q. (2017). Psychophysiological Associations with Gastrointestinal Symptomatology in Autism Spectrum Disorder. Autism Res, 10(2), 276-288. doi:https://doi.org/10.1002/aur.1646
– reference: AchenbachTChild behavior checklist. 1992BurlingtonAchenbach System of Empirically based Assessment
– reference: OwensJAMaximRNobileCMcGuinnMMsallMParental and self-report of sleep in children with attention-deficit/hyperactivity disorderArchives of Pediatrics and Adolescent Medicine2000154654955510.1001/archpedi.154.6.549
– reference: Doshi-VelezFGeYKohaneIComorbidity clusters in autism spectrum disorders: An electronic health record time-series analysisPediatrics20141331e546310.1542/peds.2013-0819243239953876178
– reference: Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism diagnostic observation schedule. Los Angeles: Western Psychological Services.
– reference: TengABartleASadehAMindellJInfant and toddler sleep in Australia and New ZealandJournal of Paediatrics and Child Health201248326827310.1111/j.1440-1754.2011.02251.x22107168
– reference: Hyman, S. L., Stewart, P. A., Schmidt, B., Cain, U., Lemcke, N., Foley, J. T., … Ng, P. K. (2012). Nutrient intake from food in children with autism. Pediatrics, 130(Suppl 2), S145–153. doi:https://doi.org/10.1542/peds.2012-0900L
– reference: MullenEMullen scales of early learning1995San AntonioPearson
– reference: McElhanonBOMcCrackenCKarpenSSharpWGGastrointestinal symptoms in autism spectrum disorder: A meta-analysisPediatrics2014133587288310.1542/peds.2013-399524777214
– reference: RussoMMartinelliMSciorioEBottaCMieleEValloneGStaianoAStool consistency, but not frequency, correlates with total gastrointestinal transit time in childrenJournal of Pediatrics201316261188119210.1016/j.jpeds.2012.11.082
– reference: OwensJASpiritoAMcGuinnMThe children's sleep habits questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged childrenSleep20002381043105110.1093/sleep/23.8.1d
– reference: LewisSJHeatonKWStool form scale as a useful guide to intestinal transit timeScandinavian Journal of Gastroenterology199732992092410.3109/003655297090112039299672
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Snippet Gastrointestinal symptoms (GIS) are commonly reported in children with autism spectrum disorder (ASD). This multi-site study evaluated the prevalence of GIS in...
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Enrichment Source
Publisher
StartPage 3806
SubjectTerms Algorithms
Autism
Autism Spectrum Disorder - epidemiology
Autism Spectrum Disorders
Autistic children
Autistic Disorder
Behavior Problems
Behavior Rating Scales
Behavioral Science and Psychology
Caregivers
Child
Child and School Psychology
Child Behavior
Child Development
Child, Preschool
Children
Communication (Thought Transfer)
Complications and side effects
Control Groups
Demographic aspects
Developmental Delays
Developmental Disabilities
Developmental Disabilities - diagnosis
Developmental Disabilities - epidemiology
Developmentally delayed children
Diagnosis
Diaries
Disease Control
Down Syndrome
Etiology
Gastrointestinal diseases
Gastrointestinal Diseases - diagnosis
Gastrointestinal Diseases - epidemiology
Health aspects
Health care management
Humans
Meta Analysis
Neurosciences
Original Paper
Pain
Parent Surveys
Pediatrics
Pervasive Developmental Disorders
Preschool Children
Prevalence
Psychology
Public Health
Questionnaires
Risk factors
Sleep
Sleep disorders
Symptoms (Individual Disorders)
World Problems
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Title Gastrointestinal Symptoms in 2- to 5-Year-Old Children in the Study to Explore Early Development
URI https://link.springer.com/article/10.1007/s10803-020-04786-9
http://eric.ed.gov/ERICWebPortal/detail?accno=EJ1312783
https://www.ncbi.nlm.nih.gov/pubmed/33394243
https://www.proquest.com/docview/2581100967
https://www.proquest.com/docview/2475095808
https://pubmed.ncbi.nlm.nih.gov/PMC8375271
Volume 51
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