De Sukanya, Small Jacqueline, Baur Louise A
The Children's Hospital at Westmead, Westmead, NSW, Australia.
J Intellect Dev Disabil. 2008 Mar;33(1):43-7. doi: 10.1080/13668250701875137.
The aim of this study was to determine the prevalence of overweight and obesity in children with developmental disabilities attending a metropolitan Diagnosis and Assessment Service.
A retrospective chart review was carried out for 98 children (67 male) aged 2-18 years. Data on age, sex, weight, height, and severity of intellectual disability or global developmental delay were collected from medical records. Body mass index (BMI, weight/height2) was calculated, and overweight and obesity defined using standard international criteria.
Data indicated that 24% of the children were overweight and a further 15% were obese (i.e., a total of 40% either overweight or obese), which is significantly higher than the prevalence rate for Australian school children in the New South Wales Schools Physical Activity and Nutrition Survey (SPANS) 2004, which found that 17% were overweight (p = .05) and 6% were obese (p = .0003) (i.e., 23% either overweight or obese, p = .0001).
The prevalence of overweight and obesity is higher among children with developmental disabilities than in the general population. Community-based studies with larger sample sizes are required to confirm this finding. The results also highlight the need to develop health care strategies for the prevention, early identification and management of excess weight gain for this group.
本研究旨在确定在一家大都市诊断与评估服务机构就诊的发育障碍儿童中超重和肥胖的患病率。
对98名年龄在2至18岁的儿童（67名男性）进行了回顾性病历审查。从病历中收集了年龄、性别、体重、身高以及智力残疾或全面发育迟缓的严重程度等数据。计算体重指数（BMI，体重/身高²），并使用标准国际标准定义超重和肥胖。
数据表明，24%的儿童超重，另有15%的儿童肥胖（即总共40%的儿童超重或肥胖），这显著高于2004年新南威尔士州学校体育活动与营养调查（SPANS）中澳大利亚学童的患病率，该调查发现17%的儿童超重（p = 0.05），6%的儿童肥胖（p = 0.0003）（即23%的儿童超重或肥胖，p = 0.0001）。
发育障碍儿童中超重和肥胖的患病率高于一般人群。需要开展更大样本量的社区研究来证实这一发现。研究结果还凸显了为该群体制定预防、早期识别和管理体重过度增加的医疗保健策略的必要性。
