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 in | Journal of autism and developmental disorders Vol. 51; no. 11; pp. 3806 - 3817 |
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Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
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01.11.2021
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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. |
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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, |
AuthorAffiliation_xml | – name: 6 University of Pennsylvania, 418 Curie Boulevard, Philadelphia, PA 19104, USA – name: 4 University of North Carolina at Chapel Hill, Campus Box 7435, Chapel Hill, NC 27599, USA – name: 8 The Children’s Hospital of Philadelphia, 2716 South Street, Philadelphia, PA 19146, USA – name: 2 National Center On Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway, Chamblee, GA S106-330341, USA – name: 3 Kaiser Permanent, 3600 Broadway, Oakland, CA 94611, USA – name: 9 Present Address: The Pennsylvania State University, College of Health and Human Development, 325 Health and Human Development Building, University Park, PA 16802, USA – name: 7 Michigan State University, 909 Wilson Road, East Lansing, MI B50048824, USA – name: 1 University of Colorado, School of Medicine, 13123 East 16th Ave, B-140, Aurora, CO 80045, USA – name: 5 Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD HH85021205, USA – name: 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 |
Author_xml | – sequence: 1 givenname: Ann M. orcidid: 0000-0002-0836-746X surname: Reynolds fullname: Reynolds, Ann M. email: ann.reynolds@childrenscolorado.org organization: University of Colorado, School of Medicine – sequence: 2 givenname: Gnakub N. surname: Soke fullname: Soke, Gnakub N. organization: National Center On Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Polio Eradication Branch at the Centers for Disease Control and Prevention, Center for Global Health, Global Immunization Division – sequence: 3 givenname: Katherine R. surname: Sabourin fullname: Sabourin, Katherine R. organization: University of Colorado, School of Medicine – sequence: 4 givenname: Lisa A. surname: Croen fullname: Croen, Lisa A. organization: Kaiser Permanent – sequence: 5 givenname: Julie L. surname: Daniels fullname: Daniels, Julie L. organization: University of North Carolina at Chapel Hill – sequence: 6 givenname: M. Daniele surname: Fallin fullname: Fallin, M. Daniele organization: Johns Hopkins Bloomberg School of Public Health – sequence: 7 givenname: Tanja V. E. surname: Kral fullname: Kral, Tanja V. E. organization: University of Pennsylvania – sequence: 8 givenname: Li- Ching surname: Lee fullname: Lee, Li- Ching organization: Johns Hopkins Bloomberg School of Public Health – sequence: 9 givenname: Craig J. surname: Newschaffer fullname: Newschaffer, Craig J. organization: Johns Hopkins Bloomberg School of Public Health, The Pennsylvania State University, College of Health and Human Development – sequence: 10 givenname: Jennifer A. surname: Pinto-Martin fullname: Pinto-Martin, Jennifer A. organization: University of Pennsylvania – sequence: 11 givenname: Laura A. surname: Schieve fullname: Schieve, Laura A. organization: National Center On Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention – sequence: 12 givenname: Amy surname: Sims fullname: Sims, Amy organization: Michigan State University – sequence: 13 givenname: Lisa surname: Wiggins fullname: Wiggins, Lisa organization: National Center On Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention – sequence: 14 givenname: Susan E. surname: Levy fullname: Levy, Susan E. organization: The Children’s Hospital of Philadelphia |
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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. 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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 4786_CR5 KA Aldinger (4786_CR3) 2015; 8 4786_CR9 JA Owens (4786_CR21) 2000; 23 R Alam (4786_CR2) 2017 MD Valicenti-McDermott (4786_CR28) 2008; 39 4786_CR22 4786_CR24 4786_CR4 A Teng (4786_CR27) 2012; 48 M Russo (4786_CR23) 2013; 162 4786_CR25 JA Owens (4786_CR20) 2000; 154 T Achenbach (4786_CR1) 1992 P Gorrindo (4786_CR11) 2012; 5 BO McElhanon (4786_CR18) 2014; 133 SJ Lewis (4786_CR14) 1997; 32 F Doshi-Velez (4786_CR8) 2014; 133 4786_CR12 C Lord (4786_CR15) 1994; 24 4786_CR30 S Shumway (4786_CR26) 2012; 5 RI Kushak (4786_CR13) 2016; 62 LW Wang (4786_CR29) 2011; 32 4786_CR16 4786_CR17 V Chaidez (4786_CR7) 2014; 44 TC Fung (4786_CR10) 2017; 20 E Mullen (4786_CR19) 1995 DB Campbell (4786_CR6) 2009; 123 |
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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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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 |
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