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Association of feeding patterns in infancy with later autism symptoms and neurodevelopment: a national multicentre survey

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单位： [1]Chongqing Key Laboratory of Childhood Nutrition and Health, Ministry of Education Key Laboratory of Child Development and Disorders, Children’s Nutrition Research Center, National Clinical Research Center for Child Health and Disorders, Children’s Hospital of Chongqing Medical University, Chongqing, China. [2]Xi’an Children’s Hospital, Xi’an, China. [3]Department of Children Rehabilitation, Hainan Women and Children’s Medical Center, Haikou, China. [4]Department of Developmental and Behavioral Pediatric, The First Hospital of Jilin University, Changchun, China. [5]Department of Children’s and Adolescent Health, Public Health College of Harbin Medical University, Harbin, China. [6]Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [7]Child Mental Health Research Center of Nanjing Brain Hospital, Nanjing, China. [8]Department of Child Health Care, The Affiliated Hospital of Qingdao University, Qingdao, China. [9]Maternal and Child Health Hospital of Baoan, Shenzhen, China. [10]Department of Child Healthcare, Shanghai Children’s Hospital, Shanghai Jiao Tong University, Shanghai, China. [11]Children’s Hospital Affiliated to Zhengzhou University, Zhengzhou, China. [12]NHC Key Laboratory of Birth Defect for Research and Prevention, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, China. [13]Deyang Maternity & Child Healthcare Hospital, Deyang, China. [14]Department of Children Health Care, Capital Institute of Pediatrics, Beijing, China.

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关键词： Autism spectrum disorder Feeding patterns Symptoms Neurodevelopment Multicenter survey

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We aimed to compare differences in infant feeding patterns (breastfeeding and complementary food supplementation) between children with the autism spectrum disorder (ASD) and typically developing (TD) children through a multicentre study. The relationship between these patterns and later core symptoms and neurodevelopment in children with ASD was also investigated.We analysed breastfeeding and complementary feeding patterns in 1389 children with ASD and 1190 TD children. The Children Neuropsychological and Behavior Scale-Revision 2016 (CNBS-R2016) was used to assess neurodevelopmental levels. The Autism Behavior Checklist (ABC), Social Responsiveness Scale (SRS), Childhood Autism Rating Scale (CARS), and ASD Warning Behavior Subscale of the CNBS-R2016 were used to assess ASD symptoms.Children with ASD had a shorter breastfeeding duration in infancy (8 (3-12) months vs. 10 (6-14) months, P < 0.001), later introduction of complementary foods (P < 0.001), and poorer acceptance of complementary foods (P < 0.001) than TD children. Total ABC and CARS scores were lower in the group of children with ASD who had been breastfed for 12 months or more than in the group who had been breastfed for less than 6 months. Children with ASD who were given complementary food after 6 months had lower general quotient (GQ), adaptive ability, fine motor and language scores than those who were given complementary food within 4-6 months. Children with ASD with poor acceptance of complementary foods had higher ABC and SRS scores and lower gross motor scores than those who had good acceptance.Children with ASD have a shorter duration of breastfeeding, a later introduction of complementary foods, and poorer acceptance of complementary foods than TD children. These feeding patterns may be related to the symptoms and growth of children with ASD. The research suggests that continued breastfeeding for longer than 12 months may be beneficial in reducing ASD symptoms and that infants who have difficulty introducing complementary foods should be followed up for neurodevelopment.The ethics committee of the Children's Hospital of Chongqing Medical University approved the study. Approval Number: (2018) IRB (STUDY) NO. 121, and registered in the Chinese Clinical Trial Registry (Registration number: ChiCTR2000031194, registered on 23/03/2020).© 2023. The Author(s).

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出版当年[2022]版：

大类 | 2 区医学

小类 | 3 区精神病学

最新[2025]版：

大类 | 2 区医学

小类 | 2 区精神病学

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出版当年[2021]版：

Q2 PSYCHIATRY

最新[2023]版：

Q2 PSYCHIATRY

影响因子： 3.4 最新[2023版] 4.2 最新五年平均 4.144 出版当年[2021版] 5.04 出版当年五年平均 3.63 出版前一年[2020版] 4.4 出版后一年[2022版]

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第一作者单位： [1]Chongqing Key Laboratory of Childhood Nutrition and Health, Ministry of Education Key Laboratory of Child Development and Disorders, Children’s Nutrition Research Center, National Clinical Research Center for Child Health and Disorders, Children’s Hospital of Chongqing Medical University, Chongqing, China.

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Association of feeding patterns in infancy with later autism symptoms and neurodevelopment: a national multicentre survey

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