School of Public Health, National Defense Medical Center, Taipei, Taiwan.
Res Dev Disabil. 2010 Mar-Apr;31(2):545-50. doi: 10.1016/j.ridd.2009.12.002. Epub 2009 Dec 29.
The present paper aims to assess the hypertension, hyperglycemia and hyperlipidemia prevalence of adolescents with intellectual disabilities, and to recognize the health disparities between the study participants and the general population. This study conducted a cross-sectional medical chart analysis of 856 students who participated in school enrolment health examinations in three special schools in Taiwan from 2005 to 2007. We found there were 11.7% cases had hypertension. The biochemical analyses results showed that the elevated or abnormal rates of each exam were the following: triglyceride (9.1%), total cholesterol (1.1%), and fasting plasma glucose (0.3%). The study found the prevalence of hypertension and elevated triglyceride were significantly higher than the general population at the same age, and the body mass index had significantly correlated to hypertension and elevated triglyceride tests. Based on the study findings, many potential risks for metabolic syndrome in adolescents with intellectual disabilities were higher than the general population. The present study suggests that it is necessary to monitor and set up a follow-up health policy for students with intellectual disabilities in healthcare system.
本研究旨在评估智障青少年的高血压、高血糖和高血脂患病率，并认识到研究参与者与一般人群之间的健康差异。本研究对 2005 年至 2007 年间台湾三所特殊学校的 856 名学生进行了横断面病历分析。我们发现有 11.7%的病例患有高血压。生化分析结果显示，每项检查的升高或异常率如下：甘油三酯（9.1%）、总胆固醇（1.1%）和空腹血糖（0.3%）。研究发现，高血压和甘油三酯升高的患病率明显高于同年龄的一般人群，体重指数与高血压和甘油三酯检测显著相关。根据研究结果，智障青少年代谢综合征的许多潜在风险高于一般人群。本研究建议在医疗保健系统中为智障学生监测和制定后续健康政策是必要的。
