残疾儿童和青少年肥胖：被忽视的患者群体。
Obesity in disabled children and adolescents: an overlooked group of patients.
机构信息
Institut für Pädiatrische Ernährungsmedizin, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, 5711 Datteln, Germany.
出版信息
Dtsch Arztebl Int. 2010 Apr;107(15):268-75. doi: 10.3238/arztebl.2010.0268. Epub 2010 Apr 16.
Abstract
BACKGROUND
There is an ongoing debate concerning the relationship between disability and obesity in childhood and adolescence.
METHODS
The literature available in Medline was selectively searched for the terms: "(children /OR/ adolescents) /AND/ disability /AND/ (overweight /OR/ obesity)". This search was complemented by inspection of journals in the fields of obesity, pediatrics, and neurology.
RESULTS
A total of 38 relevant articles were identified. All studies agreed that the prevalence of overweight and obesity in children with disabilities was almost twice that in their non-disabled peers. No effective, long-lasting interventions for obesity in disabled children and adolescents have been published.
CONCLUSION
Since a high proportion of disabled children and adolescents are overweight or obese, effective strategies for preventing and managing excess weight need to be developed so as not to further endanger their social participation. Moreover, risk factors for overweight in disabled children and adolescents should be identified and their weight status carefully monitored.
摘要
背景
残疾与儿童和青少年肥胖之间的关系一直存在争议。
方法
在 Medline 中，选择性地搜索了以下术语：“(儿童/或青少年)和残疾和(超重/或肥胖)”。此外，还查阅了肥胖、儿科学和神经病学领域的期刊。
结果
共确定了 38 篇相关文章。所有研究都一致认为，残疾儿童的超重和肥胖患病率几乎是其非残疾同龄人患病率的两倍。尚未发表针对残疾儿童和青少年肥胖的有效、持久的干预措施。
结论
由于相当一部分残疾儿童和青少年超重或肥胖，因此需要制定有效的预防和管理超重的策略，以免进一步危害他们的社会参与度。此外，应确定残疾儿童和青少年超重的风险因素，并仔细监测其体重状况。
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