Relationship between Overweight/Obesity and Social Communication in Autism Spectrum Disorder Children: Mediating Effect of Gray Matter Volume

With advances in medical diagnostic technology, the healthy development of children with autism spectrum disorder (ASD) is receiving more and more attention. In this article, the mediating effect of brain gray matter volume (GMV) between overweight/obesity and social communication (SC) was investigated through the analysis of the relationship between overweight/obesity and SC in autism spectrum disorder children. In total, 101 children with ASD aged 3-12 years were recruited from three special educational centers (Yangzhou, China). Overweight/obesity in children with ASD was indicated by their body mass index (BMI); the Social Responsiveness Scale, Second Edition (SRS-2) was used to assess their social interaction ability, and structural Magnetic Resonance Imaging (sMRI) was used to measure GMV. A mediation model was constructed using the Process plug-in to analyze the mediating effect of GMV between overweight/obesity and SC in children with ASD. The results revealed that: overweight/obesity positively correlated with SRS-2 total points (p = 0.01); gray matter volume in the left dorsolateral superior frontal gyrus (Frontal_Sup_L GMV) negatively correlated with SRS-2 total points (p = 0.001); and overweight/obesity negatively correlated with Frontal_Sup_L GMV (p = 0.001). The Frontal_Sup_L GMV played a partial mediating role in the relationship between overweight/obesity and SC, accounting for 36.6% of total effect values. These findings indicate the significant positive correlation between overweight/obesity and SC; GMV in the left dorsolateral superior frontal gyrus plays a mediating role in the relationship between overweight/obesity and SC. The study may provide new evidence toward comprehensively revealing the overweight/obesity and SC relationship.