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Nutritional Status and ASD Severity of Autistic Spectrum Disorder Children in Addis Ababa, Ethiopia; Case Control Study

Completed
Conditions
Autistic Spectrum Disorder
Interventions
Other: Nutritional status
Other: Urine iodine concentration
Behavioral: Eating behavior
Other: Nutrient intake
Other: Dietary assessment
Other: Childhood autism rating scale
Registration Number
NCT05515913
Lead Sponsor
Addis Ababa University
Brief Summary

The study conducts a case control analysis of the nutritional status and intake of autistic spectrum disorder diagnosed children as compared to typically developing children in Addis Ababa, Ethiopia. It included analysis of anthropometric measurements, three days food diary food intake, urinary iodine analysis, childhood autism rating scale diagnosis, food frequency and eating behavior questioner and proximate analysis of one day major meals of selected subjects.

Detailed Description

Sample population was Addis Ababa city in which subjects were selected from one of the two autism centers in the country. Random sampling method was applied to select subject from the total enrolled children in the center using Ryan 2013 sample size calculation formula.

Subjects already diagnose with autistic spectrum disorder that didn't have any other chronic disease that affect diet and nutrition were included in the study. Subjects were selected randomly from each grade level in the center. They were registered and taken for data collection. Sample and Data was collected with the help of each child's center caregiver and parent. Childhood autism rating scale diagnosis, eating behavior analysis were analyzed for the ASD and anthropometric indices Z scores, urine iodine concentration, three days food diary analysis, major meals proximate analysis, food frequency and dietary diversity was assessed and compared to typically developing children in Addis Ababa.

Data entry and analysis was conducted using Emergency Nutrition Assessment software, Microsoft excel and Statistical Package for the Social Sciences software.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
52
Inclusion Criteria
  • Children already diagnosed with ASD
  • school aged children (4-18 years old)
Exclusion Criteria
  • children with chronic illnesses ( such as cancer..)
  • children taking heavy medications that may affect diet and nutrition

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
ASD ( autistic spectrum disorder)Childhood autism rating scaleChildren already diagnosed with autistic spectrum disorder
ASD ( autistic spectrum disorder)Dietary assessmentChildren already diagnosed with autistic spectrum disorder
TDC (typically developing children)Nutritional statusChildren within the typically development
TDC (typically developing children)Nutrient intakeChildren within the typically development
ASD ( autistic spectrum disorder)Nutritional statusChildren already diagnosed with autistic spectrum disorder
TDC (typically developing children)Urine iodine concentrationChildren within the typically development
TDC (typically developing children)Dietary assessmentChildren within the typically development
ASD ( autistic spectrum disorder)Eating behaviorChildren already diagnosed with autistic spectrum disorder
ASD ( autistic spectrum disorder)Urine iodine concentrationChildren already diagnosed with autistic spectrum disorder
ASD ( autistic spectrum disorder)Nutrient intakeChildren already diagnosed with autistic spectrum disorder
Primary Outcome Measures
NameTimeMethod
Carbohydrate intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of carbohydrate in gm/day

Vitamin A intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of vitamin A in mg/day

Autism symptom severity of children using Childhood Autism rating Scale diagnosis2 days

Childhood autism rating scale assessed by total raw scores by age. for age 0-12, scores of 15-29.5 indicate limited behavior related to autism, score of 30-36.5 indicate mild to moderate level of behavior related to autism, score 37-60 indicate sever level behavior related to autism. for age 13 years and older, 15-27.5 indicate limited behavior related to autism, score of 28-34.5 indicate mild to moderate level of behavior related to autism, score 35-60 indicate sever level behavior related to autism.

Weight for age z-scores1 day

weight and age will be combined to report weight for age z-scores in kg for age in months

Calcium intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of calcium in mg/day

Vitamin B2 intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of vitamin B2 in mg/day

Urine iodine concentration of children2 month

Urine iodine concentration of children in µg /L

Height for age z-scores1 day

Height and age will be combined to report height for age z-scores in centimeter for age in months

Zinc intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of zinc in mg/day

Niacin intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of niacin in mg/day

Body Mass Index for age z-scores1 day

Body Mass Index and age will be combined to report Body mass index for age z-score in Kg/m2 for age in months

Energy intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of energy in kcal/day

Protein intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of protein in gm/day

Lipid intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of lipid in gm/day

Vitamin C intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of vitamin C in mg/day

Iron intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of Iron in mg/day

Thiamine intake using three days food diary questioner5 days

Three days food diary questioner will be used to report intake of Thiamine in mg/day

Secondary Outcome Measures
NameTimeMethod
protein intake using proximate analysis of one day major meals2 months

proximate analysis of one day major meals will be used to report intake of protein in gm/100gm

frequency of food group consumption using food frequency questioner5 days

percentage of children consuming from each food groups using a food frequency questioner

energy intake using proximate analysis of one day major meals2 months

proximate analysis of one day major meals will be used to report intake of energy in k cal /100gm

Ash intake using proximate analysis of one day major meals2 months

proximate analysis of one day major meals will be used to report intake of Ash in gm/100gm

dietary diversity score of children using three days food diary5 days

consumption of 1-3 food groups is scored as low dietary diversity score, consumption of 4-5 food groups is scored as medium dietary diversity score, consumption of \>5 food groups is scored as high dietary diversity score.

frequency of food refusal in children using a questioner5 days

frequency is scored as never to seldom, mild and sever

Lipid intake using proximate analysis of one day major meals2 months

proximate analysis of one day major meals will be used to report intake of lipid in gm/100gm

Carbohydrate intake using proximate analysis of one day major meals1 week

proximate analysis of one day major meals will be used to report intake of carbohydrate in gm/100gm

frequency of sensitivity to food5 days

frequency is scored as never to seldom, mild and sever

frequency of gastrointestinal symptoms5 days

frequency is scored as never to seldom, mild and sever

frequency of food allergic reactions5 days

frequency is scored as never to seldom, mild and sever

Trial Locations

Locations (1)

Addis Ababa Science and Technology University

🇪🇹

Addis Ababa, Ethiopia

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