Department of Disability and Human Development, University of Illinois at Chicago, IL 60608-6904, United States.
Res Dev Disabil. 2011 Jan-Feb;32(1):280-8. doi: 10.1016/j.ridd.2010.10.007. Epub 2010 Nov 5.
The prevalence of 15 common obesity-related chronic health conditions was examined in a convenience sample of adolescents, ages 12-18 years old, with mobility and non-mobility limitations (n = 208 and 435, respectively). In both groups, overweight adolescents (BMI ≥ 85th %ile) had a significantly higher number of obesity-related chronic health conditions than their counterparts with healthy weight status (2.74 versus 1.74 for the mobility limitation group, and 1.79 versus 1.45 for the non-mobility limitation group). Prevalence of high blood cholesterol was significantly higher among overweight adolescents than healthy weight adolescents across the two groups. While prevalence of asthma and early maturation appeared to increase as a function of body weight for both groups, a significant difference was found only in the group with non-mobility limitations. Across the two groups, there was a clear tendency toward a higher prevalence of chronic health conditions in overweight adolescents compared to their healthy weight counterparts. Greater efforts must be made to address the higher rates of obesity-related health conditions in youth with disabilities during childhood and adolescence to avoid significant health consequences and health care costs in adulthood.
本研究以患有行动和非行动障碍的 12-18 岁青少年为研究对象，对常见的 15 种肥胖相关慢性健康问题的流行情况进行了调查（分别有 208 人和 435 人参与了行动障碍组和非行动障碍组）。在两组中，超重青少年（BMI≥85%分位数）的肥胖相关慢性健康问题数量明显多于体重健康的青少年（行动障碍组中分别为 2.74 比 1.74，非行动障碍组中分别为 1.79 比 1.45）。在两组中，超重青少年的高胆固醇血症患病率均明显高于体重健康的青少年。虽然两组中，超重青少年的哮喘和性早熟患病率似乎随着体重的增加而增加，但仅在非行动障碍组中存在显著差异。在两组中，超重青少年的慢性健康问题患病率明显高于体重健康的青少年。必须加大力度，在儿童和青少年时期解决残疾青少年中肥胖相关健康问题的高发率，以避免成年后出现严重的健康后果和医疗费用。
